The Smiths Medical 67N040 is a tracheostomy tube designed specifically for neonatal use. This tube is cuffed and has a size of 4mm. It is made from silicone and features a V-neck flange. The tube is designed to be inserted into the trachea to aid in the maintenance of the airway. The tube is equipped with an obturator and a 15mm disconnect wedge. It also comes with a trach-tie and is radiopaque for easy visibility on x-rays. The tube is sterile and intended for single use. The product comes in a box of 10. The tube is designed to be flexible and comfortable for the patient, with a cuff that can be inflated to seal the trachea for a ventilated patient and deflated to rest tight to the shaft of the tube. This makes the tube suitable for weaning patients from a ventilator and also aids in speaking. The Bivona silicone technology used in the tube is more biocompatible than PVC, is less affected by time and light, and is resistant to surface encrusting. This makes it a more economical choice as it allows for longer time between tube changes and can be re-processed, which minimises per-use costs.