Trach Ties (Tracheostomy Tube Holder) Marpac Tracheostomy Trach Collar with Velcro® Adjustment 204D Adult: up to 19 inch neck Box of 9 You get onebox of 9 Trach ties. Product Highlights Provides secure, comfortable trach tube positioning Adjustable velcro strip for custom fit. Color is off white/Cream color. These are the 2 piece trach ties that make for easy adjustment around the neck. Box of 9 ties. Each trach tie is individually sealed. Style 204D Lot # 211206 Factory sealed