Insertion And Usage Of Speaking Valve With; Hme 15 / 22 - Atos Medical ProTrach DualCare Bedienungsanleitung

1. Place the HME on a fl at surface:
For ProTrach HME 15 with the narrow part down and the
open foam surface up (Figure 6a or 6c).
For HME 22 with the plastic grid down and the open foam
surface up (Figure 6b or 6d).
2. Put the speaking device on top of the HME and push it
down until it clicks in place.
3. Check that the speaking device is fi rmly attached to the
HME.
2.2 Insertion and usage of Speaking Valve
with HME 15 / 22
If the Connection Strap is used, attach the clip to the neckband
(Figure 8).
Attach the combined Speaking Valve and HME to the
connector of the tracheostomy tube (Figure 9). Caution: HME
15 users should always attach the combined Speaking Valve
and HME 15 to the connector gently, using a 1/4 twist in a
clockwise motion. If the device is pushed too hard it can get
stuck on the tracheostomy tube and be diffi cult to remove in
case of blockage.
If you have not used HMEs previously, you should be aware
that the device may increase breathing resistance to some extent.
You can now switch between speaking mode and HME
mode based on your speaking needs, humidifi cation needs,
and breathing resistance needs (Figure 10). Caution: When
changing modes, make sure that you only rotate the lid of
the Speaking Valve, not the entire device. Rotation of the
whole device might cause uncomfortable movement of the
tracheostomy tube.
In case you feel increased breathing resistance after coughing,
take out the device and wipe off the mucus, or replace the
HME with a new one. Also clear the tracheostomy tube from
mucus when necessary. If you feel the need to cough heavily,
it is recommended that you try to remove the device from the
tube prior to coughing. This prevents the device from falling
off and prevents the HME from getting clogged by mucus. If the
membrane pops out through the holes in the lid of the Speaking
Valve when coughing, rotate the lid, and the membrane will
get back to the correct position.
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