Fahl PHONTRACH, Instructions For Use Manual

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20
EN
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.
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.
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.
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, discard the tube.
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; not available in the
USA) should be used in accordance with the manufacturer’s instructions.
As alternative, we recommend a disinfectant based on glutaric aldehyde as active ingredient
(also available in the USA). 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.