Passy-Muir Low Profile Tracheostomy & Ventilator Swallowing and Speaking Valve PMV 2001 - UOM = Each 1

What do I use to secure it

Does this fit a fr 8 inner cannula?

Is there sizes for every tracheostomy ?

Is this pmv 2001 packaged with one secure-it® that connects the valve to a tracheostomy tie to help prevent loss?