The Aspen Vista Collar is a completely new height-adjustable device that is designed to fit virtually every size patient. Now, just one product is all it takes to get the perfect fit the first time sizing the product to the patient's neck. Unlike the standard model, the Aspen Vista collar features a brand new telescoping height adjuster that requires just a quick twist to increase the height for a small to a tall patient. All foam padding is removable for easy washing and replacement padding is an available option for the Aspen Vista. The Aspen Vista cervical collar is every bit as comfortable to wear as it is supportive for limiting neck movement. Non-returnable once sealed packaging is opened,