Fahl TRACHLINE Manual Del Usuario página 25

Place only one tracheostomy tube 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.
EN
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 pow-
der), 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 cle-
,
aning bath, additional cleaning with a special cannula-cleaning brush (OPTIBRUSH
®
REF 31850 or OPTIBRUSH PLUS with fibre top, REF 31855) may help. Only use the clea-
®
ning brush, if the tube is removed and already outside the tracheostoma.
Always insert the cannula cleaning brush into the cannula from the cannula tip (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 other-
wise 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.
The obturator can be cleaned in the same way as the tracheostomy tube.
Cleaning the tracheostomy tubes with cuff
The outer cannula must only be cleaned with the cuff inflated, and the safety balloon must
not come into contact with the cleaning solution in order to prevent intrusion of cleaning
solution into the balloon, since this would lead to serious functional impairment and health
risks for the user.
The indwelling time and thus the replacement intervals of the tracheostomy tube must be de-
termined individually in consultation with the treating doctor/physician. The outer cannula
must be cleaned or the tracheostomy tube replaced after 1 week at the latest though,
since after that the risk of formation of granulation tissue or of tracheomalacia, etc. can
increase significantly, depending on the patient's disease condition.
The outer cannula with cuff can be cleaned/rinsed with sterile saline solution.
A brush must not be used for tracheostomy tubes with cuff in order to avoid damaging the
balloon!
Damage to the balloon and hence a defect of the tracheostomy tube can only be avoided
by careful and gentle handling.
2. Chemical Disinfection Instructions
2.1 Disinfecting the inner cannula/cleaning the outer cannula without cuff
The Fahl tracheostomy tube can be disinfected by cold disinfection with special chemical
®
disinfectants.
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.
CAUTION!
Always clean according to the cleaning procedure described above before procee-
ding 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.
25