The Dale Medical Trach Tube holder is a Latex Free, Soft Cotton Lined Neckband, Quick-fastening Hook Attachments work with all brands of tracheostomy tubes that have flange ends. Neckband's quick-fastening Closure Adjusts to fit most patients, from pediatric to 17" adults. Special Elastic Section on Neckband Accommodates Cough Reflex and Edema