Fahl TRACHEOTEC Instrucciones De Uso página 20

3.3 Suction opening (only in Suction tracheostomy tube versions)
Secretions that have accumulated above the inflated cuff can be removed
via the suction opening in the outer tube of the Suction tracheostomy tubes.
EN
The suction tube leading to the outside can be connected to a syringe or a
suction device. The user must decide in consultation with the treating physician
and after appropriate risk analysis, which of these suction variants to use.
The individual disease condition of the patient should be considered here.
Suction using a suction device may in any case only be performed if the suction device
is equipped with vacuum adjustment. The suction pressure must never exceed – 0.2 bar.
When using the suction variants of the tracheostomy tubes, the secretions that have
accumulated above the cuff must be suctioned off via the suction opening on the
tracheostomy tube directly before deflating the cuff in order to prevent aspiration of
secretions. In this way, additional suctioning with a suction catheter while deflating the cuff
may be rendered unnecessary, which facilitates handling significantly.
CAUTION!
When using any of the tracheostomy tube versions with a suctioning device
(„SUCTION"), take special care during the suctioning procedure to generate a
vacuum for as short a time as possible; drying out of the subglottic space as a result
of this must be avoided.
CAUTION!
Contraindicated in patients with increased bleeding tendency (e.g. during
anticoagulant therapy). In such cases, the Suction tracheostomy tube with suction
opening may not be used, since suctioning entails an increased risk.
Tracheostomy tubes with speaking valve (LINGO/PHON) are used after tracheotomy with a
complete or partially retained larynx and enable the user to speak.
CAUTION!
Make sure to read all accompanying product information, instructions for use,
indications 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
medical professionals.
Select a tube that fits the patient's anatomy to optimise comfort and ventilation (breathing
in and out).
For the Patient
CAUTION!
Only 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.
The tube must always be cleaned and, if necessary, disinfected as follows before re-
inserting according to the instructions provided below.
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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