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37582-01E
in inhalation of the device or voice prosthesis.
Never force the Indwelling Valved Insert or Plug Insert into the
voice prosthesis. If the device does not insert easily on the first
attempt, do not continue to try to insert it. Should you experience
repeated difficulty in managing the Indwelling Valved Insert or
Plug Insert, contact your physician/clinician as soon as possible.
The Plug Insert will not fully insert into a 4 mm size voice
prosthesis due to the shorter length of the voice prosthesis shaft.
A small portion of the Plug will extend from the entrance of the
voice prosthesis. It is very important to not insert the Plug beyond
this point of palpable resistance. Doing so could result in pushing
the voice prosthesis into the esophagus.
Voice Prosthesis Dislodgement
Care should be exercised when inserting or removing the
Indwelling Valved Insert, Plug Insert, or inserter tool to avoid
accidental displacement of the voice prosthesis which could
result in aspiration (inhalation) of the prosthesis. In the unlikely
event that this should occur, you should attempt to cough the
voice prosthesis out of the windpipe. Immediately seek medical
attention if unsuccessful.
The neck strap should not, under any circumstances, be cut or
removed from the Indwelling Valved Insert or Plug Insert. The
neck strap is intended to help prevent accidental aspiration
(inhaling) of the device should the device become dislodged.
If the voice prosthesis is accidentally dislodged from the TE
puncture, immediately place a Blom-Singer Puncture Dilator,
or a suitable device as recommended by your doctor, of the
appropriate diameter, in the puncture to keep it from closing
and leaking fluids. Contact your doctor immediately. The voice
prosthesis should be reinserted within 24 hours.
Never insert foreign objects into the voice prosthesis. Inserting
objects other than the supplied device may cause dislodgment
of the voice prosthesis or its components and may cause these
objects to be swallowed or inhaled.
Never insert any cleaning device while the Indwelling Valved
Insert or Plug Insert is in position in the neck. Always clean the
device after it has been removed.
