inhealth Blom-Singer Bedienungsanleitung Seite 6

INSTRUCTIONS FOR USE
Manometer Adaptor Attachment
Please refer to the diagrams located at the back of this instruction
manual.
The clinician's hands should always be thoroughly cleaned to
help avoid introducing contaminants.
The manometer adaptor (diagram 1B) should be connected to
the manometer before attaching the manometer adaptor to the
tracheostoma adhesive housing.
1. Attach the manometer adaptor to the manometer by
inserting the female luer lock connection (diagram 1C) of the
manometer adaptor into the male luer lock connection (diagram
1D) of the manometer. Twist the two components together until
securely connected.
2. Attach the manometer adaptor to the patient by inserting
the tracheostoma connector end to the tracheostoma adhesive
housing (diagram 2).
3. When the manometer adaptor is securely attached to
the patient, and the manometer securely connected to the
manometer adaptor, the clinician may proceed with the following
assessment of intratracheal speech pressure.
Intratracheal Speech Pressure Assessment Procedure
The following procedure is provided by Eric D. Blom, Ph.D.
Failure to maintain the tracheostoma adhesive housing seal
for a practical length of time is frequently the result of one or
more of the following factors: (a) excessive intratracheal speech
pressure; (b) excessive phlegm discharge; (c) ineffective valve seal
application; or, (d) irregular tracheostomal architecture.
Excessive intratracheal speech pressure is a direct expression
of resistance to airflow through a valved voice prosthesis, a
tracheoesophageal vocal tract, or a combination of both. This
"back pressure" pushes the tracheostoma adhesive housing seal
loose from within, causing an air leak that can be durably repaired
only by replacing the seal. Before initiation of therapy to teach
a patient to attach and use a tracheostoma valve, a pressure
measurement is recommended.
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