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Click picture for details. Respiratory: Inhealth - Blom-Singer 16fr Duckbill Voice Prosthesis - 18mm, 1 ea Price: $54.00 BLOM-SINGER DUCKBILL VOICE PROSTHESIS The Duckbill is a 16 Fr. silicone, one-way slit valve prosthesis designed for placement in a passage between the trachea and the esophagus for voice restoration following laryngectomy. The one-way valve of the Duckbill protects the airway during swallowing and opens under positive pressure so that air crosses into the esophagus to produce voice. The Duckbill is a patient-maintained device; the patient may insert, remove and clean the device independently.