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Why does the balloon on Flexi-Seal™ FMS have to be filled with water or saline vs just inflating with air… like an ordinary balloon?

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Why does the balloon on Flexi-Seal™ FMS have to be filled with water or saline vs just inflating with air… like an ordinary balloon?

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Silicone is permeable to air so the balloon would deflate to some degree after several hours if it were filled with air. This is true of non medical balloons too.

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