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  • DEUTSCH, seite 22
- Do not use any part of the device for more than one patient
since this may cause cross contamination. The device is
intended for single patient use only.
HME 22 specifi c
(HME 22 in combination with either Speaking Valve or HME
DigiTop).
Do
- If the Speaking Valve comes loose from the HME 22
during the removal of the device, always remove the inner
tracheostomy tube or the single lumen tube together with
the HME instead of trying to remove the HME from the
tube connector.
Attempts to remove the HME 22 from the connector
while the tube is still in place is diffi cult, and the airways
may become blocked by mucus.

1.5 PRECAUTIONS

Do
- Do always check before each use that the Speaking Valve
rotates properly between the two modes. The Speaking
Valve may get stuck in one of the modes due to the presence
of mucus. If this occurs, clean the device thoroughly and if
the problem persists stop using the device and replace it.
- Do check the device if you experience increased breathing
resistance as this might be a sign of blockage by (e.g., by
mucus).
- Do consult your clinician if there is a problem in connection
with the device.
Do not
- Do not use humidifi ers or heated humidifi ed oxygen via a
mask over the tracheostoma while using the device since it
will cause the HME to become too wet. If oxygen therapy
is required, use only non-heated humidifi ed oxygen.
- Do not administer medicated nebulizer treatment over
the tracheostoma while using the device. The medication
can become deposited in the HME and medications may
also adversely affect the Speaking Valve membrane. If the
device is inadvertently used during a medicated nebulizer
treatment, the device must be removed immediately. The
HME must be discarded, and the Speaking Valve and the
HME DigiTop must be cleaned thoroughly to remove all
medication residues.
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