Fahl DURATWIX JUNIOR Gebrauchsanweisung Seite 16

For the Patient
CAUTION!
EN
Always insert the tracheostomy tube with the cuff in fully deflated condition (see
picture 7a)!
CAUTION!
Carefully examine the sterile packaging to ensure that it has not been tampered with
or damaged. Do not use the product if the packaging has been damaged.
Check the use-by or expiry date. Do not use after this date.
It is advisable to use sterile disposable gloves.
Carefully examine the tube before first use to make sure that it is not damaged and that
there are no loose parts.
Should you notice any anomaly or anything unusual, DO NOT use the tube. Return the tube
to the manufacturer for inspection.
The neck flange respectively the funnel-shaped housing (retainer ring) must not be inserted
into the tracheostoma. Make sure that it is always outside the tracheostoma (see picture 2).
If secretion collects in the lumen of the Fahl tracheostomy tube or stoma button and cannot
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be removed by coughing or aspiration, the tube should be removed and cleaned.
Discard all damaged tubes.
WARNING!
Patients must be briefed by trained medical professionals in the safe use of the Fahl
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tracheostomy tubes.
1. Insertion of the tube
Step-by-step instructions to insert Fahl tracheostomy tubes.
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Before application, users should clean their hands (see picture 3).
Remove tube from the package (see picture 4).
If an obturator is to be used, this must first be fully inserted into the cannula tube so that the
collar on the gripping piece of the obturator comes into contact with the outer edge of the 15
mm connector and the tip of the olive projects beyond the tip of the cannula (proximal end of
cannula). The obturator must be held in this position during the entire procedure.
When using tracheostomy tubes with cuff, pay special attention to the following points:
Before inserting the tracheostomy tube, check the cuff (balloon) as well - the cuff must be
free of damages of any kind and must be leakproof so as to ensure tight sealing as required.
We therefore recommend to perform a leakproofness test prior to every insertion (see Sec-
tion VII, 3.1.1). The balloon must be completely empty prior to insertion of the tracheostomy
tube (see picture 7b)! When using an aid for dilating the tracheostoma, take care to ensure
that the tracheostomy tube, and especially the cuff, is not damaged by friction.
Then a tracheal compress is pushed onto the tracheostomy tube.
To facilitate insertion of the tracheostomy tube, it is advisable to lubricate the outer tube by
wiping it with an OPTIFLUID stoma oil wipe (REF 31550) which allows the stoma oil to be
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applied evenly to the whole surface of the tube (see picture 4a and 4b).
If you are inserting the tube yourself, use a mirror to make insertion of the Fahl tracheo-
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stomy tube easier.
When inserting the Fahl tracheostomy tube, hold it by the neck flange with one hand (see
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picture 5).
Pull the tracheostoma slightly apart with your free hand to allow the tip of the tube to fit into
the tracheostoma more easily.
Special aids for dilating the tracheostoma are also available (tracheal dilator, REF 35500).
These allow the tracheostoma to be dilated gently and evenly, for instance also in emergen-
cy situations with collapsing tracheostoma (see picture 6).
Make sure that the tube is not damaged by friction when using an instrument for assistance.
Now carefully insert the tube into the tracheostoma during the inspiration phase (while bre-
athing in) while tilting your head slightly back (see picture 7).
Advance the tube into the trachea.
Straighten your head once the tube has been inserted further into the trachea.
If an obturator is used, this must then immediately be removed from the tracheostomy tube.
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