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Bivona Uncuffed Pediatric FlexTend Plus Tracheostomy Tube 5 mm Impregnated BSN Jobst® Tricofix® Lightweight AbsorbentSmiths Medical ASD Inc Bivona Uncuffed Pediatric FlexTend Plus Standard V Flange Tracheostomy Tube 5mm Size, 5mm I. D. x 7 3 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.