TTS (tight-to-shaft) tubes have the profile of an uncuffed tube with the insurance of a cuff, if and when needed. The TTS tracheostomy tubes are available in both neonatal and pediatric sizes. The TTS tube is like an uncuffed tube, but it has a cuff. When completely deflated, it collapses tight to the shaft of the tube. Product Benefits: Silicone remains soft and flexible in the trachea Deflated cuff collapses tight to shaft of tube Packaged individually sterile with obturator and twill trach tie.