Fahl SILVERVENT Instrucciones De Uso página 19

Cleaning Steps
remove any additional items before cleaning.
First rinse the tube or button under lukewarm running water (see picture 9).
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Use only lukewarm water to prepare the cleaning solution and observe the instructions for use of the cleaning agent.
We recommend the use of the cannula-cleaning tub with sieve insert (reF 31200) to facilitate the cleaning procedure.
Hold the sieve insert by the top edge to prevent contact with and contamination of the cleaning solution (see picture 10).
Place only one tube or button at a time in the sieve insert of the cannula-cleaning tub. if more than one tube is cleaned at a time, they may
be compressed too strongly and damaged by excessive pressure.
You can place the inner and outer cannula side by side for this procedure.
immerse the sieve insert with the tracheostomy tube components in the prepared cleaning solution.
After the immersion time has expired (see instructions for use of the cannula cleaning powder), wash the tracheostomy tube thoroughly
several times with lukewarm, clear water (see picture 9). there must be no residues of the cleaning agent on the tube when it is inserted
into the tracheostoma.
if necessary, for example, if persistent secretion residues cannot be removed by the cleaning bath, additional cleaning with a special can-
nula-cleaning brush (Optibrush , reF 31850 or Optibrush Plus with fibre top, reF 31855) may help. Only use the cleaning brush, if the
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tube is removed and already outside the tracheostoma.
Always insert the brush into the tube from the tube top (see picture 11).
Use the brush as directed and proceed with great care to avoid damage to the soft tube material.
in tracheostomy tubes with speaking valve, the speaking valve must first be detached from the inner cannula. the valve itself must not
be cleaned with the brush since it could otherwise be damaged or break off.
thoroughly rinse the tube or button under lukewarm running water or sterile saline solution (0.9% naCl solution).
Dry the tube thoroughly with a clean and lint-free cloth after wet cleaning.
never use tracheostomy tubes with impaired functionality or with damages such as sharp edges or cracks, because this may lead to
injuries of the mucus membranes in the trachea. if damages are found, the tube must not be used under any circumstances.
2. Chemical Disinfection instructions
the Fahl tracheostomy tube can be disinfected by cold disinfection with special chemical disinfectants.
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Disinfection should always be done if ordered by a doctor/physician due to specific health concerns caused by disease, infection, or your
specific situation.
Disinfecting is generally indicated to prevent cross-infection and in inpatient situations (e.g. hospitals, nursing homes, and/or other health
care facilities) to limit infections.
PreCAUtiOnS
Always clean according to the cleaning procedure described above before proceeding to disinfection (if applicable).
Disinfectants that release chlorine or that contain strong alkalis or phenol derivatives must under no circumstances be used. this could
badly damage or even destroy the tracheostomy tube.
Disinfection steps
Only use Opticit tube disinfectant (reF 31180; not available in the USA) for this, and follow the manufacturer's instructions. As an alter-
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native, we recommend a disinfectant based on glutaric dialdehyde as active ingredient (also available in the USA). Always observe the
area of application and spectrum of activity specified for the disinfectant by the manufacturer.
Follow the instructions for the disinfectant.
After disinfection the tube must be rinsed inside and out very thoroughly with sterile saline solution (naCl 0.9%) and then dried.
Dry the tube thoroughly with a clean and lint-free cloth after wet cleaning.
3. Sterilisation / Autoclaving
the following methods are suitable for sterilising silver tracheostomy tubes:
Steam sterilisation: Sterilise the tracheostomy tube with saturated steam either at 134 degrees Celsius/273.2 degrees Fahrenheit for at
least 5 minutes, or at 121 degrees Celsius/249.8 degrees Fahrenheit for at least 15 minutes.
the tube can alternatively be sterilised with hot air at a temperature of 180°C with an exposure time of at least 20 minutes.
Steam sterilisation must be performed in compliance with the respective currently valid national standards. in particular, the instructions
in the AnSi/AAMi St46:2002 standard "Steam sterilization and sterility assurance in health care facilities" must be observed.
CAUtiOn
the tracheostomy tube can become slightly discoloured when subjected to hot-air sterilisation.
Discolourations do not impair the function of the tube.
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