Fahl TRACHEOTEC Instrucciones De Uso página 19

CAUTION!
Do not use a tracheostomy tube with low-pressure cuff while undergoing a nuclear
magnetic resonance tomography / MRT!
EN
1. Neck flange
A particular feature of the Fahl tracheostomy tube is the specially shaped neck flange,
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which is designed to fit the anatomy of the neck.
The size specifications are printed on the neck flange.
The neck flange of the tracheostomy tubes has two side eyelets for inserting a tube holder.
All Fahl tracheostomy tubes with fastening eyelets include a disposable tube holder for
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single use. The tube holder secures the tracheostomy tube to the neck.
The insertion aid (obturator) included in delivery facilitates insertion of the tracheostomy tube.
Please follow the instructions provided with the tube holder carefully when attaching and
removing it from your tracheostomy tube.
Ensure that the Fahl tracheostomy tube is placed in the tracheostoma without tension and
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the position is not changed when fastening the tube holder.
2. Connectors and adapters
Connectors and adapters are used to connect compatible tube accessories.
The options available to a patient depend on the clinical condition, such as status post
laryngectomy or tracheostomy.
A 15 mm standard connector enables secure connection to required accessories.
3. Cannula tube
The cannula tube borders directly on the neck flange and directs the airflow into the trachea.
The X-ray contrast strip in the tube that runs along the side allows the tube to be depicted
radiographically and the position of the tube to be checked.
In the TRACHEOTEC Suction tracheostomy tube versions, the X-ray contrast strip runs
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along the middle of the cannula tube.
3.1. Low-pressure cuff
In the product versions with low-pressure cuff, the very thin-walled, high-volume low-
pressure cuff adapts well to the trachea and ensures reliable sealing if inflated correctly.
The low-pressure cuff can be inflated like a balloon. The small pilot balloon on the inflation
tube indicates whether the tracheostomy tube is in sealed (inflated) or non-sealed condition.
The low pressure cuff is inflated via a pilot line with one-way valve and pilot balloon.
3.1.1 Leakproofness test of the cannula and the low-pressure cuff (if present)
The cannula and the low pressure cuff must be tested for leakages directly before and after
every insertion and thereafter at regular intervals. For this purpose, inflate the low-pressure
cuff to 15 to 22 mm Hg (1 mm Hg corresponds to 1.35951 cm H2O) and then observe
whether a spontaneous drop in pressure occurs (recommended for inflating and testing:
Cuff pressure gauge control inflator, REF 19500). There should be no substantial drop in
pressure during the observation period. This leakproofness test must also be performed
prior to every renewed insertion (e.g. after cleaning the tracheostomy tube) (see picture 7c)"
The following are possible signs indicating leakages in the cuff (balloon):
- Externally visible damage to the balloon (holes, fissures etc.)
-Audible and/or tactile perception of air escaping from the balloon
- Water in inlet tubes of the tracheostomy tube (after cleaning!)
- Water in the cuff (after cleaning!)
- Water in the pilot balloon (after cleaning!)
- No cough stimulus when pressure is applied to the pilot balloon
CAUTION!
When testing the balloon or when inserting, removing or cleaning the tracheostomy
tube, never under any circumstances use sharp or pointed objects, such as for
instance forceps or clamps, since these can damage or even destroy the balloon.
Should one of the above-named signs of leakage be detectable, the tracheostomy
tube must under no circumstances be used any more since it is no longer functioning
properly!
3.2 Obturator
Please check whether the obturator can easily be removed from the cannula before inserting
the tracheostomy tube! After checking the obturator for ease of movement, reinsert the
obturator into the cannula for inserting the tracheostomy tube.
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