Adjustable Neck Flange Hyperflex™ Tracheostomy Tubes can be adjusted for horizontal and vertical shaft drop to accommodate unusual anatomy or pathology. Thick neck, bull neck, obese and trauma patients can also have a secure airway, without the use of endotracheal tubes in tracheal stomas. Similar to the TTS™ tube except this tube features the more traditional and familiar mid-range Aire-Cuf® tube. They include a tracheostomy tie and obturator/introducer device. NOTE: Adjustable neck flange tracheostomy tubes are intended for temporary use until the proper length fixed neck flange tube can be obtained.  Not for home care use.