Fahl DURATWIX JUNIOR Gebrauchsanweisung Seite 15

3. Cannula tube
The cannula tube borders directly on the neck flange and directs the airflow into the trachea.
The X-ray contrast strip in the tube that runs along the side allows the tube to be depicted
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radiographically and the position of the tube to be checked.
3.1 Cuff
In the product versions with cuff, the very thin-walled, high-volume cuff adapts well to the
trachea and ensures reliable sealing if inflated correctly. The cuff can be inflated like a bal-
loon. The small pilot balloon on the inflation tube indicates whether the tracheostomy tube is
in sealed (inflated) or non-sealed condition.
The cuff itself is inflated via a tube with one-way valve and pilot balloon.
3.1.1 Leakproofness test of the cannula and the cuff (if such exists)
The cannula and the cuff must be tested for leakages directly before and after every inserti-
on and thereafter at regular intervals.
Fill the cuff and observe whether a spontaneous pressure drop occurs.
The cuff pressure varies from patient to patient and should be determined by medical per-
sonnel based on the individual circumstances of the patient.
There should be no substantial drop in pressure in the cuff during the observation period.
This leakproofness test must also be performed prior to every renewed insertion (e.g. after
cleaning the tracheostomy tube) (see picture 7c).
CAUTION!
The following are possible signs indicating leakages in the cuff (balloon):
• Externally visible damage to the balloon (holes, fissures etc.)
• Audible and/or tactile perception of air escaping from the balloon
• Water in inlet tubes of the tracheostomy tube (after cleaning!)
• Water in the cuff (after cleaning!)
• Water in the pilot balloon (after cleaning!)
• No cough stimulus when pressure is applied to the pilot balloon
CAUTION!
When testing the balloon or when inserting, removing or cleaning the tracheostomy
tube, never under any circumstances use sharp or pointed objects, such as for
instance forceps or clamps, since these can damage or even destroy the balloon.
Should one of the above-named signs of leakage be detectable, the tracheostomy
tube must under no circumstances be used any more since it is no longer functioning
properly!
3.2 Obturator
Please check whether the obturator can easily be removed from the cannula before inser-
ting the tracheostomy tube!
After checking the obturator for ease of movement, reinsert the obturator into the cannula
for inserting the tracheostomy tube.
The insertion aid serves to stabilise the tracheostomy tube during insertion into the tra-
cheostoma.
CAUTION!
Make sure to read all accompanying product information, instructions for use, indi-
cations 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 me-
dical professionals.
Select a tube that fits the patient's anatomy to optimise comfort and ventilation (breathing
in and out).
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