•
Record the individual patient-related volume used to fill the H
Cuff.
•
Verify the position and function (see chapter 6 Warnings) of the
tube. Do not adjust the tube position when the H
as this may damage the stoma and/or tracheal mucosa.
8.5
Connecting/Disconnecting External Equipment
To connect to external equipment (e.g. mechanical respirator):
Firmly hold the base of the 15 mm connector and gently twist the con-
nection end of the external device until it is securely attached to the
tracheostomy tube. If in doubt, twist the connection end on and off
several times, in order to confirm the amount of force needed to
ensure the connection is secure and the external device can be easily
disconnected at a later time.
When disconnection of the external device is difficult, use the discon-
nect wedge. Slide the opening of the disconnect wedge between the
15 mm connector and external device until the two devices separate
(see Image 3).
8.6
Deflating the H
Before deflating the cuff, ensure that secretions cannot enter the lower
respiratory tract.
Attach a syringe (with the plunger pushed in) to the female Luer con-
nector (5c). When attached, pull the plunger back until all liquid is
removed from the cuff. The H
(empty) prior to removal.
8.7
Removing the Tube
•
Disconnect the neck strap from the neck flange.
•
Slightly overextend the patient's neck, if possible.
•
For tubes with H
of liquid.
•
Firmly hold the base of the 15 mm connector and gently pull the
tracheostomy tube from the stoma.
•
Following removal, the tube should be cleaned as soon as pos-
sible to prevent encrustation of fluids.
•
If the product is damaged, do not reuse the tube and inform
TRACOE Customer Service.
9.
Cleaning, Reprocessing and Storage
Following the cleaning or reprocessing procedure, a visual inspection
prior to re-insertion should be performed, see chapter 8.1.
CAUTION:
•
Cleaning and reprocessing the device outside these guidelines,
or failure to clean the device properly can result in damage to the tube,
possible obstruction or increased air resistance and damage to the tra-
cheal mucosa, infection or irritation/inflammation of the tracheal stoma.
O Cuff
2
O Cuff must be completely deflated
2
O Cuff, ensure the cuff is completely empty
2
O
2
EN
O Cuff is filled,
2
13