inhealth Blom-Singer 16 Fr Serie Manual Del Usuario página 13

Blom-Singer ® Patient-changeable Voice Prostheses
and a bright light focused directly into the stoma. Be certain
that your hands are clean. Place the tip of the inserter into the
open end of the prosthesis (see diagram 4). Avoid squeezing or
damaging the valve on the voice prosthesis. Handle the voice
prosthesis by the base of the strap to avoid touching the portion
that inserts into the puncture.
2. Attach the strap on the prosthesis securely over the safety
peg on the inserter as shown in diagram 5. This should prevent
inadvertent dislodgment of the prosthesis off the inserter during
insertion into the puncture.
3. Hold the end of the inserter as shown in diagram 6, and align
the top of the voice prosthesis partially in the puncture with
the neck strap oriented upwards. Firmly insert the prosthesis
until the esophageal flange can be felt to "snap" within the
esophagus. It should be noted that insertion or removal of
the voice prosthesis occasionally may cause slight bleeding at
the puncture. You should consult a qualified, trained medical
professional if bleeding is persistent.
4. While firmly holding the inserter, lift the strap off the safety
peg on the inserter (see diagram 7). Gently withdraw the inserter
with a twisting motion from the fully inserted voice prosthesis.
Warning: Caution should be exercised when removing the
inserter to avoid accidental displacement of the prosthesis, which
could result in aspiration (inhaling) of the voice prosthesis. Should
aspiration occur, attempt to cough the prosthesis out of the
windpipe. Seek medical attention immediately if unsuccessful.
5. Apply a strip of hypo-allergenic adhesive tape over the
neck strap to prevent strap movement as shown in diagram
8. Caution: If the prosthesis does not insert easily on the first
attempt, do not continue to try to insert it. Instead, reinsert a
clean puncture dilator, of the appropriate diameter, for a few
minutes to dilate the TE puncture, then try again. In cases where
there is repeated difficulty managing the prosthesis, consult
the qualified, trained medical professional who provided initial
instruction in the prosthesis use.
Alternate Method of Insertion
An alternate method of inserting the Low Pressure Voice
Prosthesis is also available. The esophageal flange of the voice
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