so no wet fingers when emptying pouch

more comfortable feeling

Available for colostomy

Closure: Swivel

Bivona Uncuffed Pediatric FlexTend Plus Tracheostomy Tube 4-1/2 mm Without Pouch so no wet fingers whenSmiths Medical ASD Inc Bivona Uncuffed Pediatric FlexTend Plus Extra Length V Tracheostomy Tube 4 1 2mm Size, 4 1 2mm I. D. x 6 7 10mm O. D. Bivona FlexTend tracheostomy tubes improve access for children in a prone position. The permanent, flexible, tube extension on the proximal side of the neck flange helps keep connections away from the neck, chin and stoma, enhancing patient mobility and comfort. Silicone remains soft and flexible in the trachea.