Fahl TRACHLINE Manual Del Usuario página 21

5. Decannulation plug
The decannulation plug is included in delivery of the tracheostomy tubes with speaking val-
ve and may only be used by tracheotomised patients who have retained their larynx. It may
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only be inserted under supervision by a doctor/physician. It allows the tracheostomy tube to
be sealed and the air supply to be interrupted for a short time and helps the patient train to
regain control of breathing via mouth/nose.
CAUTION!
Contraindicated in laryngectomised patients and patients with chronic obstructive
pulmonary disease (COPD)! In such cases, the decannulation plug must not under
any circumstances be inserted!
The decannulation plug must never under any circumstances be used when the tra-
cheostomy tube is in sealed condition! The decannulation plug may only be used with
perforated outer cannula without inner cannula.
CAUTION!
A decannulation plug is enclosed with the tracheostomy tubes with speaking val-
ve for the purpose of preparing for possible decannulation following temporary tra-
cheotomy. The plug can be used to block the air supply via the tracheostomy tube
for a short time so that the patient can get used to breathing via mouth/nose again.
Decannulation may only be carried out under medical supervision. The plug may only
be inserted upon instruction by the doctor/physician. There is a risk of suffocation!
Please also make sure you observe the description of indications provided with the
respective product variants/specifications!
CAUTION!
Make sure to read all accompanying product information, instructions for use, indi-
cations and contraindications. Discuss use of the product with your doctor/physician
before first use.
VIII. DIRECTIONS FOR TUBE INSERTION AND REMOVAL
For the Doctor/Physician
The appropriate tracheostomy tube must be selected by a doctor/physician or trained me-
dical professionals.
Select a tube that fits the patient's anatomy to optimise comfort and ventilation (breathing
in and out).
The inner cannula can be removed at any time to increase air supply or for cleaning. This
can for instance be necessary if the cannula is clogged up with secretion residues which
cannot be removed by coughing or because no equipment for suctioning off the secretions
is available.
For the Patient
CAUTION!
Always insert the tracheostomy tube with the cuff in fully deflated condition (see
picture 7a)!
CAUTION!
Carefully examine the sterile packaging to ensure that it has not been tampered with
or damaged. Do not use the product if the packaging has been damaged.
Check the use-by or expiry date. Do not use after this date.
It is advisable to use sterile disposable gloves.
Carefully examine the tube before first use to make sure that it is not damaged and that
there are no loose parts.
Should you notice any anomaly or anything unusual, DO NOT use the tube. Return the tube
to the manufacturer for inspection.
If secretion collects in the lumen of the Fahl tracheostomy tube or stoma button and cannot
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be removed by coughing or aspiration, the tube should be removed and cleaned.
After cleaning and/or disinfection, carefully examine the Fahl tracheostomy tube for sharp
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edges, cracks, or other signs of damage, since these may impair function and/or injure the
mucus membranes in the airways.
Never under any circumstances continue using damaged tracheostomy tubes.
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