The ‘Smiths Medical 67HA80 – TUBE TRACHEOSTOMY ADULT SIZE 8MM CUFFED 130MM WIRE REINFORCED SILICONE ADJUSTABLE NECK FLANGE OBTURATOR TRACH-TIE PORTEX BIVONA RADIOPAQUE STERILE’ is a highly specialized medical device designed for patients with unique anatomical or pathological conditions. This tracheostomy tube is ideal for patients with thick necks, bull necks, obesity, or trauma, providing a secure airway without the need for endotracheal tubes in tracheal stomas. The tube features a tight-to-shaft (TTS) cuff that facilitates stomal insertion. Each tube comes with a tracheostomy tie and an obturator/introducer device. It’s important to note that these adjustable neck flange tracheostomy tubes are intended for temporary use until a fixed neck flange tube of the proper length can be obtained. This product is not intended for home care use.