The Smiths Medical 60PFP40 is a Bivona® FlexTend tracheostomy tube designed to improve access for children in a prone position. This tracheostomy tube features a permanent flexible tube extension on the proximal side of the neck flange, which helps keep connections away from the neck, chin, and stoma, thus enhancing patient mobility and comfort. The tube is made of silicone, a material that remains soft and flexible in the trachea, providing comfort and ease of use for the patient. The tube also has a flexible, kink-resistant silicone shaft. This product is size 4.0mm and is sold individually.