Philadelphia Collar W Trach Hole XL 20 + 4 1 4 H Door Knob Turners Extenders nylon cuff with bladder * 48750 nylon cuff with bladder * Fits arms with a circumference of 34cm to 52cm * Can be used easily and safely both inside and outside the home environment * Hydrophilic coated sterile intermittent catheter for single use * Eliminates concerns over catheter preparation and quality of the hydration source * Comes prehydrated in a ready to use package * Fitted with an easy grip handle that keeps fingers safely away from the sterilie part of the catheter and improves user control during insertion thereby reducing catheter contact with the septic environment * Provides added discretion for the catheter user * When unopened the catheter package is no larger than a lipstick * 100% PVC free * Doesn't contain DEHP or other phthalates * WITH TRACH HOLE * SIZE: X Large MEASUREMENT COLLAR: NECK 20+ HEIGHT: 4 25 * Collar height 4 1 4 * Contact closure fastener for easy application and adjustment * Can be incorporated into cervical casts and is X ray translucent * Offers better limitation for rotation and extension than foam collars * HCPC Code: L0172