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Do not base your order on the picture presented.
The Ameda Custom Breast Flanges (17358) is a 36.0 mm flange with 32.5 mm insert which provides comfort and effective pumping with a larger flange and special reducing inserts to create an “in-between” size.
2 Breast Flanges (36.0 mm)
2 Inserts (32.5 mm)
Medex SKU: HOL-17358