No two tracheoesophageal punctures are the same. There are variations in the configuration and direction from patient to patient – just as the size and shape of the stoma will differ. In addition, clinicians have different preferences when it comes to the insertion method for the voice prosthesis. The Provox Vega and Provox Vega XtraSeal Insertion System has been developed with all this in mind. It can be used in different ways to address the anatomical variations in the patient and the clinician’s preferred method of insertion.