The Bivona® Adult TTS™ tracheostomy tube provides multiple features in one design. The cuff, when inflated, creates a seal between the tube and the trachea, protecting against aspiration and optimizing respiration. When the cuff is deflated, it rests tight to the shaft of the tube. This enables the tube to be used for weaning patients from a ventilator and also aids in speaking. The TTS™ provides a tracheostomy solution for a variety of airway management needs without having to change tubes.