Fahl BIESALSKI, Instructions For Use Manual

Page: 16 / 182

16
EN
If necessary, for example, if persistent secretion residues cannot be removed by the cleaning
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 cannula cleaning brush into the cannula from the cannula tip (see picture 11).
Use the brush as directed and proceed with great care to avoid damage to the soft tube material.
In tracheostomy tubes with speaking valve, the speaking valve must first be detached from the
inner cannula. The valve itself must not be cleaned with the brush since it could otherwise be
damaged or break off.
Thoroughly rinse the tube or button under lukewarm running water or sterile saline solution (0.9%
NaCl solution).
Dry the tube thoroughly with a clean and lint-free cloth after wet cleaning.
Never use tracheostomy tubes with impaired functionality or with damages such as sharp edges
or cracks, because this may lead to injuries of the mucus membranes in the trachea. If damages
are found, the tube must not be used under any circumstances.
2. Chemical Disinfection Instructions
The Fahl
®
tracheostomy tube can be disinfected by cold disinfection with special chemical
disinfectants.
Disinfection should always be done if ordered by a doctor/physician due to specific health
concerns caused by disease, infection, or your specific situation.
Disinfecting is generally indicated to prevent cross-infection and in inpatient situations (e.g.
hospitals, nursing homes, and/or other health care facilities) to limit infections.
CAUTION
Always clean according to the cleaning procedure described above before proceeding to
disinfection (if applicable).
Disinfectants that release chlorine or that contain strong alkalis or phenol derivatives
must under no circumstances be used. This could badly damage or even destroy the
tracheostomy tube.
Disinfection steps
For this purpose, OPTICIT
®
tube disinfectant (REF 31180) should be used in accordance with the
manufacturer’s instructions.
As alternative, we recommend a disinfectant based on glutaric aldehyde as active ingredient.
Always observe the area of application and spectrum of activity specified for the disinfectant by
the manufacturer.
Follow the instructions for the disinfectant.
Dry the tube thoroughly with a clean and lint-free cloth after wet cleaning.
3. Sterilisation / Autoclaving
Resterilisation is not allowed.
CAUTION!
Heating to over 65°C, disinfection with boiling water or steam sterilisation are not allowed
and lead to damage of the tracheostomy tube.
X. STORAGE/CARE
Currently not used and cleaned tubes should be stored in a clean plastic container, dry
environment away from dust, sunlight and heat.
Still sterile packed replacement tubes should be stored in a dry environment away from dust,
sunlight and heat.
After the inner cannula has been cleaned, disinfected if necessary and then dried, the outer
surface of the inner cannula should be lubricated by applying stoma oil, e.g. using an
OPTIFLUID
®
stoma oil wipe.
Only use stoma oil (REF 31525) as lubricant, or OPTIFLUID
®
stoma oil wipes (REF 31550).
We highly recommend keeping at least two replacement tubes on hand to ensure continuous
supply.
XI. SERVICE LIFE
These tracheostomy tubes are sterile products for single-patient use.
The maximum period of use should not exceed 29 days.
The service life of a tube is influenced by many factors. The composition of the secretions,
the quality of cleaning and other aspects, for example, are very important.
CAUTION!
Modifications to the tracheostomy tube of any kind, in particular perforations as well as
repairs to the tube, may only be carried out by the manufacturer himself or by companies
expressly authorised for this in writing by the manufacturer! Inexpertly performed work on
tracheostomy tubes can lead to serious injuries.