Circle shape tubie pad Color pattern design varies slightly sold individually Our items are made from all cotton and flannel fabrics. They are washable and reusable. Tubie pads and Trach pads are triple layer soft and absorbent with flannel back. They are an ideal alternative to disposable split gauze. Sizes vary slightly from design to design. They are appropriate for all ages. Slip between belly and feeding tube button or trach tube for soft, dry comfort. Gently snap open and closed. Tubie clips and port covers are lined with flannel and snap closed. We use only KAM brand snaps and alligator clips. The clips are strong and hold fabric well. KAM snaps and clips are durable and last over and over when handled gently. We do our best to match clips and snaps to our fabrics but sometimes product availability causes us to swap out for a similar color. Our padded pouches come in several sizes. They are made of layers of varied cotton and flannel. We use KAM clips or metal hooks on the side for easy attachment. All of our items are machine or hand wash. We recommend a small lingerie bag for our items to keep them separate in the wash. Lay flat to air dry. They will hold their shape and soften over time. Some pads are stiff at first due to detailed stitching. Wash before first use. Some pads include a water soluble stabilizer in between the layers of fabric that will dissolve. Fabric pattern design placement may vary. Due to the nature of our products we cannot offer returns or exchanges. Most items are in stock and ready to ship same or next day. For that reason, we have an extremely fast turnaround time. We offer custom orders, as well. No medical equipment is included. We do not claim our products heal or prevent irritation. We find them to be extremely useful in keeping the stoma site clean and dry as we have used them for more than 14 years on our Tubie son. International buyers are responsible for all import fees and taxes.