Fahl BIESALSKI, Instructions For Use Manual

Page: 14 / 182

14
EN
For the Patient
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 tube must always be cleaned and, if necessary, disinfected as follows before re-inserting
according to the instructions provided below.
If secretion collects in the lumen of the Fahl
®
tracheostomy tube or stoma button and cannot be
removed by coughing or aspiration, the tube should be removed and cleaned.
After cleaning and/or disinfection, carefully examine the Fahl
®
tracheostomy tube for sharp
edges, cracks, or other signs of damage, since these may impair function and/or injure the mucus
membranes in the airways.
Never under any circumstances continue using damaged tracheostomy tubes.
WARNING
Patients must be briefed by trained medical professionals in the safe use of the Fahl
®
tracheostomy tubes.
1. Insertion of the tube
Step-by-step instructions to insert Fahl
®
tracheostomy tubes.
Before application, users should clean their hands (see picture 3).
Remove tube from the package (see picture 4).
Next, push a tracheal compress, e.g. SENSOTRACH
®
DUO (REF 30608) or SENSOTRACH
®
3-Plus (REF 30780), 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 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
®
tracheostomy
tube easier.
When inserting the Fahl
®
tracheostomy tube, hold it by the neck flange with one hand (see 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 emergency 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 breathing
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.
The tracheostomy tubes should always be attached with a special tube holder. This stabilises
the tube and thus ensures that the tracheostomy tube is securely seated in the tracheostoma
(see picture 1).
2. Removing the tube
CAUTION!
Accessories such as the speaking valve or connectors/cough cap must be removed first
before proceeding to remove the Fahl
®
tracheostomy tube.
CAUTION!
If the tracheostoma is unstable, or in emergency situations (puncture/dilation
tracheostomy), the tracheostoma can collapse after withdrawal of the tracheostomy tube,
thereby impairing air supply. A fresh tracheostomy tube must be kept ready for use in such
cases and must be quickly inserted if necessary. A tracheal dilator (REF 35500) can be
used for temporarily securing the air supply.
Proceed very carefully to avoid injury to the mucus membranes.
Step-by-step instructions to remove the Fahl
®
tracheostomy tubes:
The tracheostomy tubes should be removed with the head slightly tilted back. Grip the tube at the
side by the neck flange or the housing (see picture 7).
Carefully remove the tracheostomy tubes.
When removing the inner cannula, the following must be observed: The accessories (adapter /
speaking valve / cough cap) must first be removed by slight counterclockwise rotation (in inserted
condition from the patient's point of view).