The SPIRO Speaking Valve attaches to the standard 15 mm tube connector of a spontaneous breathing tracheostomy patient. The Speaking and Swallowing Valve is Intended to assist tracheostomy patients with the speaking, swallowing and management of airflow. The side Oxygen port allows for supplemental oxygen if needed. The optional and replaceable filter can be used to prevent course particles entering the respiratory system. The device is intended only for single patient use.