Sur Fit Natura® Durahesive White Ostomy Barrier, 4½ x 4½ Inch, 2¼ Inch Flange, 1¼ – 1¾ Inch Stoma Opening, 1 Each Cast Spreaders An excellent solution for all 14283 An excellent solution for all CPAP users ingenious yet simple * Prevents 'fighting' 'tug of war' and 'neck choking' of the CPAP tubing while sleeping * Helps to prevent CPAP mask leaks as you toss and turn * Top tubing and adjustable arm loop swivels and moves as you move allowing the user to move around at night without getting tangled in the CPAP hose * Elastic internal cord stretches as the user moves * Length is 40 * Base (5 wide x 8 long) slides between box spring and mattress installs in seconds no tools required The molded silicone heel cups are soft Sur Fit Natura Durahesive moldable convex skin barrier with flange protects stoma and surrounding skin by gently swelling and hugging stoma Stoma skin barrier with a 2¼ inch flange fits 1¼ inch to 1¾ inch stoma openings