KIMBERLY-CLARK*BALLARD*Adult TRACH CARE*Double Swivel Elbows with MDI built-in. Gamma Sterilized. Outer diameter 14 Fr/4.6mm, length 21.3″/54cm. The dual swivels provides flexibility without connectors. Features tactile sleeves for better feel. Has a one-way lavage/irrigation port. Packaging: 20/case.