Fahl DURACUFF Manual De Instrucciones página 26

For this purpose, the connection between inner and outer cannula must be released by slight lifting
(unbuttoning with thumb and index finger). This causes holding prongs/engaging elements of the inner
cannula to be pulled off the Easy Lock hexagonal connection of the outer cannula.
For reinsertion, proceed in reverse sequence as described above to reinsert the inner cannula and
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attach it to the Easy Lock hexagonal connection of the outer cannula.
IX. CLEANING AND DISINFECTION
CAUTION!
For reasons of hygiene and to avoid the risk of infection, you should thoroughly clean the Fahl
tracheostomy tube at least twice a day, more often during heavier secretion production.
In case of an unstable tracheostoma, the airways must always be secured before removing the
tracheostomy tube and a replacement tube must be kept ready for insertion. The replacement
tube must be inserted immediately, even before cleaning and disinfecting the changed tube.
CAUTION!
For reasons of hygiene and to avoid the risk of infection, you should thoroughly clean the Fahl
tracheostomy tube at least twice a day, more often during heavier secretion production.
Keep this in mind, your personal cleaning schedule, including additional disinfection if required, must
always be determined in consultation with your doctor/physician and according to your individual needs.
Regular disinfection is only required if this is indicated from the medical point of view as ordered by
the doctor/physician. The reason for this is that the upper airways are not free of microbes in healthy
patients either.
General cleaning may be insufficient to meet the special hygiene requirements to prevent
infections for patients with specific problems (e.g. MRSA, ORSA etc.), who are subject to an
increased danger of re-infection. We recommend chemical disinfection of the tubes according to
the instructions provided below. Please consult your doctor/physician.
CAUTION!
Cleaning agent and disinfectant residues on the tracheostomy tube can lead to irritations of the
mucus membranes or other health impairments.
Tracheostomy tubes are considered as belonging to the category of instruments with hollow cavities.
Special care must therefore be taken when performing cleaning or disinfection that the tube is fully
wetted with the solution used and is unobstructed (see picture 8).
The solutions used for cleaning and disinfection must be freshly prepared prior to each use.
1. Cleaning
Fahl tracheostomy tubes must be cleaned / replaced regularly in accordance with the individual
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patient's needs.
Only use cleaning agents if the tube is outside the tracheostoma.
A mild, pH-neutral washing lotion can be used for cleaning the tube. We recommend using the special
cannula-cleaning powder (REF 31110) as directed by the manufacturer.
Never clean Fahl
Never use aggressive household cleaners, detergents, high-concentration alcohol or denture cleaners.
This may be very hazardous to health. The tube may also be destroyed or damaged.
Tubes can also be cleaned by thermal disinfection at not more than 65 °C. Use clean water with a
temperature of not more than 65 °C for this purpose. Make sure that the temperature is kept constant
(use a thermometer to monitor the temperature) and never under any circumstances expose the tubes
to boiling water for disinfection. This could seriously damage the tracheostomy tube.
Cleaning Steps
Remove any additional items before cleaning.
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.
tracheostomy tubes with cleaning agents that are not approved by the manufacturer.
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