DESC: One size adjusts to fit most patients from pediatric to adults with neck size to 18". Made of latex-free foam-padded cotton for patient comfort. Velcro® hooks attach easily to tracheostomy tube neck flange. Wide band tapers at hooks to reduce excess secretion accumulation. Soft materials and wide band promote better skin care. Designed for single patient use. Delivered descretely to your home. Medicare Billing Code A7526