TIDIs large Posey Foam Trach Tie features rounded hook-and-loop edges and soft foam for comfort. The well-designed foam trach tie secures the tracheostomy tube in place and helps prevent unintentional removal or extubation. This flexible large trach collar measures 23 long x 1 wide (60 cm x 3 cm) and fits adult neck sizes 13 to 19 (33 cm to 48 cm). One package of 12 trach ties. For more than 80 years Posey a TIDI Products brand has been an industry leader in falls prevention and patient safety.