This is a Bivona Hyperflex tracheostomy tube with a cuff and adjustable neck flange, intended for adult patients who need a secure airway and customized tube positioning (e.g., thick neck, trauma, or unusual anatomy). It provides flexibility to adjust horizontal and vertical shaft drop, helping clinicians optimize placement while maintaining comfort and reducing kinking risks.

• Wire‑reinforced, medical‑grade silicone shaft with Hyperflex technology to resist kinking, plus inflatable cuff (Aire‑Cuf) for airway sealing.