Fahl BIESALSKI, Instructions For Use Manual

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13
EN
We highly recommend always keeping at least two replacement tubes on hand to ensure
continuous supply.
Do not perform any type of adjustment, repair or alteration on a tracheostomy tube or compatible
accessories. If a product is damaged, it must be discarded immediately.
VII. PRODUCT DESCRIPTION
The Fahl
®
Biesalski tracheostomy tubes are products that are made of a variety of medical-grade
synthetic materials.
The tracheostomy tubes are made of thermosensitive medical synthetics that develop their
optimal product properties at body temperature.
We supply the Fahl
®
tracheostomy tubes in various sizes and lengths.
Fahl
®
tracheostomy tubes are reusable medical products intended for single-patient use.
Fahl
®
tracheostomy tubes are only to be used by the same patient and not by another patient.
The package contains 1 tube, supplied sterile by ethylene oxide sterilization (EO).
The maximum period of use should not exceed 29 days.
Please see the size table in the appendix.
The tube tip is rounded to prevent irritation of the mucus membranes in the trachea.
There are two lateral fastening eyelets on the neck flange for attaching a tube holder.
It may be advisable to use tubes of different lengths alternately so the tip of the tube does not
always touch the same spot in the trachea and cause irritation. This prevents pressure points or
the formation of granulation tissue. Always discuss the exact procedure with your doctor/physician.
MRT (Magnetic Resonance Tomography) INFORMATION
These tracheostomy tubes can even be worn by the patient during magnetic resonance
tomography (MRT).
1. Neck flange
The size specifications are printed on the neck flange.
The neck flange of the tracheostomy tubes has two side eyelets for inserting a tube holder.
All Fahl
®
tracheostomy tubes with fastening eyelets include a disposable tube holder. The tube
holder secures the tracheostomy tube to the neck.
Please follow the instructions provided with the tube holder carefully when attaching and removing
it from your tracheostomy tube.
Ensure that the Fahl
®
tracheostomy tube is placed in the tracheostoma without tension and the
position is not changed when fastening the tube holder.
2. Connectors and adapters
Connectors and adapters are used to connect compatible tube accessories.
The options available to a patient depend on the clinical condition, such as status post
laryngectomy or tracheostomy.
The inner cannula is fixed in place by means of bayonet locks, which are located on the connector,
the speaking valve and the cough cap respectively. The connector in this case is the universal
attachment (15 mm connector), with the aid of which so-called artificial noses or heat and moisture
exchangers (HMEs, filters for exchanging heat and moisture) can be attached.
3. Cannula tube
The cannula tube borders directly on the neck flange and directs the airflow into the trachea.
The swivel connector serves to securely attach compatible accessories: the accessories are fixed
in place with only a slight rotating movement in clockwise direction (in inserted condition from the
patient's point of view), and thus without having to exert much tension on the tracheostomy tube.
4. Inner cannula
The inner cannulas can easily be removed from the outer cannula, thus allowing the air supply to
be increased quickly if necessary (for instance in case of dyspnoea).
Inner cannulas must never be used without outer cannula but must always be affixed to the outer
cannula.
4.1 Speaking valves
Tracheostomy tubes with speaking valve (LINGO/PHON) are used after tracheotomy with a
complete or partially retained larynx and enable the user to speak.
VIII. DIRECTIONS FOR TUBE INSERTION AND REMOVAL
For the Doctor/Physician
The appropriate tracheostomy tube must be selected by a doctor/physician or trained medical
professionals.
Select a tube that fits the patient’s anatomy to optimise comfort and ventilation (breathing in and
out).
The inner cannula can be removed at any time to increase air supply or for cleaning. This can
for instance be necessary if the cannula is clogged up with secretion residues which cannot be
removed by coughing or because no equipment for suctioning off the secretions is available.