Helps to reduce air leakage around studs and tubes and aids in the effective use of hands free valves! Ideal for difficult stoma anatomy. Helps to “fill in” the stoma area, allowing the comfortable use of laryngectomy tubes, stoma studs and heat moisture exchange/filter cassettes. Helps reduce air leakage when using hands free valves or when using a stoma stud and digitally occluding the stoma. Because it is almost transparent, kapi-gel is barely noticeable around the stoma. Will fit almost any brand of stoma studs and laryngectomy tubes and keep them in their proper placement. Kapi-gel is a tacky laminated silicone gel available in two thicknesses - 3 mm and 5 mm - and in two hole dimensions - 8 mm and 12 mm. The outer diameter of the spacer is 43 mm. Llustrations show spacer, with protective film removed, on stoma stud and laryngectomy tube before inserting stud or tube into the stoma. Available in packs of 10. Thickness inner diameter kapitex luminaud cat. 3mm 8mm 2008 38130 3mm 12mm 2012 38131 5mm 8mm 4008 38132 5mm 12mm 4012 38133 size (+ or-) 2 mm rx note: purchase by an individual patient requires a written recommendation by a physician, physician's assistant, head/neck nurse, speech pathologist or respiratory therapist.