Esteem synergy® Pouches feature a flat

Flexible contoured head for easy use

Fastener 1-1/4" Opening

Trigger sprayer delivers a psi of 8-3/5 at 3" spraying distance

Semi-rigid encased shell offers proven Air-Stirrup support

Bivona Uncuffed Pediatric FlexTend Plus Tracheostomy Tube 4 mm Tubing Esteem synergy® Pouches feature aSmiths Medical ASD Inc Bivona Uncuffed Pediatric FlexTend Plus Extra Length V Tracheostomy Tube 4mm Size, 4mm I. D. x 6mm 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. Flexible,