Atos Medical Provox XtraFlange, Manual

Page: 10 / 132

10
If the voice prosthesis is to be
removed anterograde
The voice prosthesis is pulled out of the TE
puncture with a non-toothed hemostat, which
also grasps the Provox XtraFlange. This way,
both the Provox XtraFlange and the voice
prosthesis are removed simultaneously. Both
are to be discarded after removal.
If the voice prosthesis is to be
removed retrograde
CAUTION: If the voice prosthesis is removed
retrograde, the Provox XtraFlange must be
removed separately prior to retrograde removal
of the voice prosthesis to avoid the risk of
aspiration of the Provox XtraFlange.
Grasp the Provox XtraFlange with a non-toothed
hemostat. Make sure that the hemostat has a firm
grip on the Provox XtraFlange before removal.
If the Provox XtraFlange is aspirated it may
cause partial airway obstruction and infection
and must be removed immediately.
Placement of a new Provox XtraFlange
after replacement of the voice
prosthesis
To apply a new washer on the newly inserted
voice prosthesis first observe whether it is
necessary. If there is periprosthetic leakage,
apply a new washer according to section
“Placement of the device” above.
For instructions on how and when to change
the voice prosthesis, please refer to the manual
for the specific voice prosthesis.