The Dale 240 Blue Tracheostomy Tube Holder is designed to provide secure positioning and to minimize movement of the tracheostomy tube. Unnecessary movement of the trach tube can result in accidental dislodgement or displacement of the tube, tracheoesophageal fistula, tracheal stenosis, or airway granuloma.No other securement method stabilizes tracheostomy tubes better than the Dale 240 Blue. Now you can eliminate the frustrations associated with twill ties and other holders while minimizing secondary complications at the same time.Two-piece padded strap with velcro closure in the back. One inch wide, universal size.