The Smiths Medical 60HA35 is a pediatric tracheostomy tube designed for comfort and safety. This tube is size 3.5mm, uncuffed, and has a length of 65mm. It is made from wire-reinforced silicone, ensuring flexibility and resistance to kinking. The silicone material remains soft within the trachea, enhancing patient comfort. The tube features an adjustable neck flange, allowing the shaft length to be altered without the need for extubation. This feature makes it suitable for accommodating unusual airway anatomy or pathology. The tube also comes with a disconnect wedge and a trach-tie. It is radiopaque for easy visibility on X-rays. This product is sterile and eliminates the need for endotracheal tubes in tracheostomy stomas. It is sold under the Portex brand by Smiths Medical.