Fahl 12.24.02.0013, Instructions For Use Manual

Page: 17 / 204

17
EN
General cleaning may be insufficient to meet the special hygiene requirements to prevent
infections for patients with specific problems (e.g. MRSA, ORSA etc.), who are subject to
an increased danger of re-infection. We recommend disinfection of the tubes according to
the instructions provided below. Please consult your physician.
CAUTION!
Cleaning agent and disinfectant residues on the tracheostomy tube can lead to irritations
of the mucus membranes or other health impairments.
Tracheostomy tubes are considered as belonging to the category of instruments with hollow
cavities. Special care must therefore be taken when performing cleaning or disinfection that
the tube is fully wetted with the solution used and is unobstructed (see picture 8).
The solutions used for cleaning and disinfection must be freshly prepared prior to each use.
1. Cleaning
SILVERVENT
®
tracheostomy tubes must be cleaned / replaced regularly in accordance with
the individual patient’s needs.
Only use cleaning agents if the tube is outside the tracheostoma.
A mild, pH-neutral washing lotion can be used for cleaning the tube. We recommend using
the special cannula-cleaning powder (REF 31100) as directed by the manufacturer.
Never clean the SILVERVENT
®
tracheostomy tube with cleaning agents that are not ap -
proved by the manufacturer. Never use aggressive household cleaners, detergents,
high-concentration alcohol or denture cleaners.
This may be very hazardous to health. The tube may also be destroyed or damaged.
The silver tracheostomy tubes should not be placed in physiological saline solution, as
discolourations (silver chloride) can form after longer contact.
Cleaning Steps
Any attached aids are to be removed prior to cleaning.
The inner cannula must also be removed from the outer cannula.
The inner cannula is to be cleaned in the same manner as the outer cannula.
First rinse the tube or button under lukewarm running water (see picture 9).
Use only lukewarm water to prepare the cleaning solution and observe the instructions for
use of the cleaning agent.
We recommend the use of the cannula-cleaning tub with sieve insert (REF 31200) to facil-
itate the cleaning procedure.
Hold the sieve insert by the top edge to prevent contact with and contamination of the
cleaning solution (see picture 10).
Place only one tube or button at a time in the sieve insert of the cannula-cleaning tub. if more
than one tube is cleaned at a time, they may be compressed too strongly and damaged by
excessive pressure.
You can place the inner and outer cannula side by side for this procedure.
Immerse the sieve insert with the tracheostomy tube components in the prepared cleaning
solution.
After the immersion time has expired (see instructions for use of the cannula cleaning pow -
der), wash the tracheostomy tube thoroughly several times with lukewarm, clear water (see
picture 9). There must be no residues of the cleaning agent on the tube when it is inserted
into the tracheostoma.
If necessary, for example, if persistent secretion residues cannot be removed by the clean -
ing bath, additional cleaning with a special cannula-cleaning brush (OPTIBRUSH
®
, REF
31850 or OPTIBRUSH
®
PLUS with fibre top, REF 31855) may help. Only use the cleaning
brush, if the tube is removed and already outside the tracheostoma.
Always insert the brush into the tube from the tube top (see picture 11).
Use this brush as directed and proceed with great care to avoid damage to the sensitive
tube material.
In tracheostomy tubes with speaking valve, the speaking valve must first be detached.
The valve itself must not be cleaned with the brush since it could otherwise be damaged
or break off.
Thoroughly rinse the tracheostomy tube under lukewarm running water.