This Bivona TTS Fixed Neck Flange Extra Length Hyperflex tracheostomy tube has a flexible Hyperflex wire reinforced shaft that is designed to help improve kink resistance. The TTS (tight to shaft) cuff design offers the benefit of a cuff with the profile of a cuffless tube. This product can be easily identified by the black print on the neck flange and by the clear pilot balloon. 

• Silicone remains soft and flexible while in the trachea
• Clip-in obturator with hollow tip allows for changing of tube over a guidewire
• Wire reinforcement may reduce the risk of kinking