Fahl TRACHEOTEC Instrucciones De Uso página 21

Cleaning Steps
Cleaning the tracheostomy tubes without cuff
Remove any additional items before cleaning.
EN
First, rinse the tube thoroughly under running water (see picture 9).
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.
To do this, hold the sieve insert by the upper edge to prevent contact with and contamination of the
cleaning solution (see picture 10).
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.
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 cannula-cleaning brush (OPTIBRUSH , REF 31850 or OPTIBRUSH
® ®
Plus with fibre top, REF 31855) may help. Only use the cleaning 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.
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 determined
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.
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 proceeding to dis-
infection (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.
2.2 Disinfecting the outer cannula with cuff
Tracheostomy tubes with cuff may only be disinfected provided that this is performed and checked with
utmost care. The balloon must always be inflated beforehand.
Disinfection steps
For this purpose, OPTICIT tube disinfectant (REF 31180) should be used in accordance with the
®
manufacturer's instructions.
As alternative, we recommend a disinfectant based on glutaric aldehyde as active ingredient. Always
observe the area of application and spectrum of activity specified for the disinfectant by the manu-
facturer.
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