Bivona Pediatric Uncuffed Adjustable Neck Flange Hyperflex Silicone Tracheostomy Tubes can be adjusted for both horizontal and vertical shaft drop to accommodate unusual anatomy or pathology in both neonatal and pediatric users. Adjustable neck flange tracheostomy tubes are intended for temporary use until the proper length fixed neck flange tube can be obtained. 

• Not for home use
• Silicone remains soft and flexible in the trachea
• Adjustable neck flange permits shaft length to be altered without extubation
• Longer usable wire reinforced silicone shaft lengths accommodate even the most unusual airway anatomy or pathology
• Flexible wire-reinforced silicone shafts intended to provide improve user comfort and kink resistance