Easy to use fastening straps with Velcro® eliminate tape, tying and knotting. Fastening straps provide quick and secure trach tube stabilization. Comfortable 1" neckband incorporates a additional stretch material to allow for cough reflex. Adjustable length fits most patients. An extension piece is provided to accommodate larger patients. Latex free. Pediatric Holder has the same features as the adult but is ¾" wide.