Fahl BIESALSKI, Instructions For Use Manual

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15
EN
The inner cannula can now be removed from the outer cannula by pulling it gently.
Reinsertion of the inner cannula is performed in reverse sequence as described above.
IX. CLEANING AND DISINFECTION
CAUTION!
For reasons of hygiene and to avoid the risk of infection, you should thoroughly clean
the Fahl
®
tracheostomy tube at least twice a day, more often during heavier secretion
production.
In case of an unstable tracheostoma, the airways must always be secured before removing
the tracheostomy tube and a replacement tube must be kept ready for insertion. The
replacement tube must be inserted immediately, even before cleaning and disinfecting the
changed tube.
CAUTION!
The tracheostomy tubes must not be cleaned using a dishwasher, a steam cooker, a
microwave oven, a washing machine or similar appliances!
Keep this in mind, your personal cleaning schedule, including additional disinfection if required,
must always be determined in consultation with your doctor/physician and according to your
individual needs.
Regular disinfection is only required if this is indicated from the medical point of view as ordered
by the doctor/physician. The reason for this is that the upper airways are not free of microbes in
healthy patients either.
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 chemical disinfection of the tubes
according to the instructions provided below. Please consult your doctor/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
Fahl
®
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 31110) as directed by the manufacturer.
Never clean Fahl ® tracheostomy tubes with cleaning agents that are not approved 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.
Tubes can also be cleaned by thermal disinfection at not more than 65 °C. Use clean water with
a temperature of not more than 65 °C for this purpose. Make sure that the temperature is kept
constant (use a thermometer to monitor the temperature) and never under any circumstances
expose the tubes to boiling water for disinfection. This could seriously damage the tracheostomy
tube.
Cleaning Steps
Remove any additional items before cleaning.
First, rinse the tube thoroughly under 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 facilitate the
cleaning procedure.
To do this, hold the sieve insert by the upper edge to prevent contact with and contamination of
the cleaning solution (see picture 10).
Place only one tracheostomy tube 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 powder),
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.