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Atos PROVOX VEGA, Инструкция по эксплуатации, Страница: 95 / 140

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İçindekiler

1. tanımlayıcı Bilgi .......................................................................................................................................................95 
1.1 kullanım endikasyonları.....................................................................................................................................95
  1.2 kontrEndikasYonlar ................................................................................................................................95
  1.3 cihaz tanımı ........................................................................................................................................................95
  1.4 uYarilar .............................................................................................................................................................96
  1.5 ÖnlEMlEr ..........................................................................................................................................................96
  1.6 olumsuz olaylar ve sorun giderme bilgisi ..............................................................................................97 
1.6.1 ponksiyon seti kullanımı sırasında .............................................................................................................97
    1.6.2 ses protezi kullanımı sırasında .............................................................................................................97
2. kullanma talimatı ....................................................................................................................................................98
  2.1 hazırlık ..................................................................................................................................................................98
  2.2 cerrahi talimat ...................................................................................................................................................98
    2.2.1 primer ponksiyon ve protez yerleştirme ...........................................................................................98
    2.2.2 sekonder ponksiyon ve protez yerleştirme .....................................................................................99
    2.2.3 ponksiyon setinin tekrar Yüklenmesi.................................................................................................99
  2.3 temizlik ve sterilizasyon .................................................................................................................................99
  2.4 Önemli hasta bilgisi .........................................................................................................................................99
  2.5 provox vega ses protezinde cihaz ömrü................................................................................................ 100
  2.6 atma ................................................................................................................................................................... 100
  2.7 aksesuarlar ....................................................................................................................................................... 100
3. Ek bilgi ...................................................................................................................................................................... 100
  3.1 sipariş bilgisi.................................................................................................................................................... 100
  3.2 kullanıcı Yardımı Bilgisi ................................................................................................................................ 100

Bu Kullanma Talimatında referans verilen resimler için lütfen ürünle birlikte sağlanan 

Resimli Kılavuza başvurun.

Stomal hava yolu yönetimi

Acil durumlar

Acil yardım personelinin boğazınızdan soluk alıp verdiğinizi bilmesi önemlidir. Bu durum, acil yardım 

personelinin oksijen ve suni solunumu ağzınıza veya burnunuza değil de, stomanıza uygulamaları 

gerektiğini belirlemelerine yardımcı olacaktır.

Sizin ve klinisyeninizin suni solunum kılavuz bilgilerini 

www.atosmedical.com/rescuebreathing 

adresinden indirmenizi öneririz.

Elektif durumlar

Entübasyon (soluk borunuza bir solunum tüpü yerleştirilmesi) gerektiren bir işlemden geçmeniz 

gerekiyorsa, anestezi uzmanının ve işlemi gerçekleştirecek doktorun boğazınızdan solunum 

yaptığınızdan ve ses protezi kullandığınızdan haberdar olmaları çok önemlidir. Ses protezinin yerinde 

kalması gerektiğini anlamaları önemlidir. Ses protezi çıkarılırsa, ağzınızdan, yemek borunuzdan 

veya midenizden gelen sıvılar soluk borunuza kaçabilir.

Entübasyon tüpünün ses protezini yerinden oynatmayacak veya dışarı çıkartmayacak şekilde 

yerleştirilmesi ve çıkarılması çok önemlidir.

1. Tanımlayıcı bilgi

1.1 Kullanım endikasyonları

Provox

®

 Vega Ponksiyon Seti larenjektomi yapılmış hastalarda bir primer veya sekonder trakeo-

özofageal (TE) ponksiyon yapılması ve entegre olarak Provox Vega ses protezi yerleştirilmesi için 

bir cihazdır. 

Provox Vega ses protezi larinksin cerrahi olarak çıkarılmasından (larenjektomi) sonra ses 

rehabilitasyonu amaçlı steril, tek kullanımlık kalıcı bir ses protezidir. Ses protezinin temizlenmesi, 

protez yerindeyken hasta tarafından yapılır.

1.2 Kontrendikasyonlar

Provox Vega Ponksiyon Setini hastanın TE duvarının güvenli ponksiyonunu veya ses protezinin 

güvenli yerleştirilmesini engelleyebilecek anatomik anormallikleri (örn. ponksiyon bölgesinde 

önemli fibroz veya önemli stenoz) varsa bu durum doku hasarına neden olabileceğinden kullanmayın. 

Provox Vega Ponksiyon Setini hastada faringeal duvarın uygun korunmasını önleyecek şiddetli 

trismus durumu varsa sekonder TE ponksiyonu için kullanmayın. Ponksiyon sırasında farinksin 

korunmaması faringeal/özofageal dokuda istenmeyen travmaya yol açabilir.

1.3 Cihaz tanımı

Provox Vega Ponksiyon Seti bir primer veya sekonder TE ponksiyonu yapılması ve sonrasında 

bu ponksiyonun beraberindeki Provox Vega ses protezinin yerleştirilmesini kolaylaştıracak bir 

genişlikte açılması için bir cihazdır. Provox Vega ses protezi cihazın bir parçası olan Ponksiyon 

Dilatörü üzerine önceden yüklüdür.

tÜrkçE

Bu ürünle birlikte gelen Kullanma Talimatında zaman zaman revizyon yapılabilir ve bu nedenle 

ürünün kullanıldığı her işlem öncesinde gözden geçirilmelidir. 

Unregistered 

copy

Содержание PROVOX VEGA

Страница 1: ...Vega Pu Vega PunctureSet Instructions for Use U n r e g i s t e r e d c o p y...

Страница 2: ...offers no warranty neither expressed nor implied to the purchaser hereunder as to the lifetime of the product delivered which may vary with individual use and biological conditions Furthermore Atos M...

Страница 3: ...h 10 nederlands 17 fran ais 24 italiano 31 espa ol 38 portugu s 45 svenska 52 DANSk 58 NORSK 64 SUOMI 70 ESKY 76 POLSKI 82 HRVATSKI 89 T RK E 95 101 108 114 120 132 130 Ordering Information 139 U n r...

Страница 4: ...the intubation tube is inserted and removed carefully so that the voice prosthesis does not dislodge or come out 1 Descriptive information 1 1 Indications for use Provox Vega Puncture Set is a device...

Страница 5: ...he Guidewire back through the Puncture Needle Damage shearing and or scraping of the Guidewire may occur If the Guidewire must be withdrawn remove the Guidewire and the Puncture Needle simultaneously...

Страница 6: ...m depending on the size of the device During endoscopy reflections from the light source on the clear silicone rubber may be seen Also in prostheses that have been in situ for some time white or yello...

Страница 7: ...nding on surgical technique should be felt during palpation Fig 2 2 3 Insert the Puncture Needle at the correct puncture site about 8 10 mm from the edge of the tracheostoma until the tip of the needl...

Страница 8: ...carefully pull the Guidewire Puncture Dilator and the Puncture Dilator loop through the puncture The Puncture Dilator loop folds the tracheal flange of the voice prosthesis as the loop is pulled over...

Страница 9: ...longer period of time The material of the device will be affected by e g bacteria and yeast and the structural integrity of the device will eventually deteriorate Candida overgrowth of the prosthesis...

Страница 10: ...s der Intubationstubus vorsichtig eingef hrt und entfernt wird damit die Stimmprothese nicht verschoben wird oder herausrutscht 1 Beschreibende Informationen 1 1 Indikationen Das Provox Vega Punktions...

Страница 11: ...otektor entfernt wird Die Punktionskan le kann Gewebesch den verursachen wenn kein geeigneter Pharynxschutz verwendet wird DARAUF ACHTEN dass der Punktionsdilatator am sophagealen Ende des F hrungsdra...

Страница 12: ...en Wie bei jedem anderen Fremdk rper k nnen Komplikationen infolge der Aspiration eines Bestandteils eine Blockierung oder Infektion verursachen M gliche unmittelbare Symptome sind Husten pfeifendes A...

Страница 13: ...ewebeintegrit t im Bereich der TE Punktion beeintr chtigen k nnen z B gastro sophagealer Reflux oder Schilddr senfunktion in Betracht zu ziehen zu beurteilen und zu behandeln Bei einer Vergr erung der...

Страница 14: ...erwendet werden Abb 3 2 3 Die Punktionskan le an der richtigen Punktionsstelle etwa 8 10 mm vom Tracheostomarand entfernt einf hren bis die Kan lenspitze die Innenwand des Instruments erreicht Abb 3 3...

Страница 15: ...ie nach jeder Mahlzeit mit der Provox Brush Reinigungsb rste reinigen Dazu wird die B rste in die Prothese eingef hrt und mit einer Drehbewegung behutsam vor und zur ck bewegt Die B rste ist nach der...

Страница 16: ...Das Provox Zubeh r wurde so entwickelt dass es gefahrlos und wirksam in Verbindung mit der Provox Vega Stimmprothese verwendet werden kann Verwenden Sie kein anderes Zubeh r da es zu Verletzungen ode...

Страница 17: ...raakt of naar buiten komt 1 Beschrijving 1 1 Indicaties voor gebruik De Provox Vega Puncture Set is een hulpmiddel voor het uitvoeren van een primaire of secundaire TE punctie bij gelaryngectomeerden...

Страница 18: ...ctienaald dan samen als n geheel om te voorkomen dat de voerdraad door de punctienaald wordt beschadigd Gebruik GEEN getande vaatklemmen of andere instrumenten die het product kunnen beschadigen Secun...

Страница 19: ...elijk van de maat van het hulpmiddel Tijdens endoscopie kunnen reflecties van de lichtbron op het doorzichtige siliconenrubber te zien zijn Bij protheses die al enige tijd in situ zijn kunnen ook witt...

Страница 20: ...tosmedical com primary puncture 1 Breng na de laryngectomie en het aanleggen van het tracheostoma en v r het sluiten van de farynx de Pharynx Protector in de open farynx oesofagus in afb 2 1 2 Verifie...

Страница 21: ...ls de voerdraad niet stevig in de draadgrendel vastzit dan kan de voerdraad loskomen van de punctiekanaaldilatator De punctiekanaaldilatator kan dan in de oesofagus terechtkomen en met extra instrumen...

Страница 22: ...ectie van de accessoires De accessoires dienen conform de bijbehorende gebruiksaanwijzingen na elk gebruik te worden gereinigd en minstens eenmaal daags te worden gedesinfecteerd Tijdens ziekenhuisopn...

Страница 23: ...tie 3 1 Bestelinformatie Zie achterin deze gebruiksaanwijzing 3 2 Hulp voor de gebruiker Zie het achterblad van deze gebruiksaanwijzing voor contactgegevens voor aanvullende hulp of informatie U n r e...

Страница 24: ...uit et enlev d licatement afin de ne pas d bo ter ou faire sortir la proth se phonatoire 1 Description g n rale 1 1 Indications d emploi Le Provox Vega Puncture Set est un dispositif pr vu pour la r a...

Страница 25: ...de r aliser la dilatation dans le sens post ro ant rieur La dilatation r alis e dans le mauvais sens entra ne une mise en place invers e de la proth se phonatoire provoquant l aspiration et l incapaci...

Страница 26: ...aspiration du dispositif est soup onn e une TDM des poumons doit tre r alis e pour confirmer cette aspiration et rep rer le dispositif Si la TDM confirme l aspiration du dispositif il peut tre r cup...

Страница 27: ...ions vous trouverez des liens vers des vid os sous les titres de section ci dessous Mise en garde Ces vid os ne remplacent pas et ne pr sentent pas le contenu entier du mode d emploi et ou des informa...

Страница 28: ...aryngienne Avant de poursuivre l op ration seul le Guidewire doit rester in situ Fig 3 6 7 Du c t cr nien ins rer le Guidewire dans l extr mit troite du dilatateur et pousser le Guidewire jusqu ce qu...

Страница 29: ...tre indiqu mais il peut tre envisag comme mesure pr ventive en cas de prolif ration excessive de Candida sur la proth se Une vari t inconnue de substances chimiques pourrait alt rer le mat riau du dis...

Страница 30: ...r de la proth se Provox Flush Un dispositif de nettoyage suppl mentaire destin tre utilis par le patient pour rincer la proth se Provox Plug Un outil permettant au patient de boucher provisoirement la...

Страница 31: ...e rimosso con cautela per evitare di dislocare o asportare la protesi fonatoria 1 Informazioni descrittive 1 1 Indicazioni per l uso Il set per creazione fistola TE Provox Vega un dispositivo che per...

Страница 32: ...ilatazione deve essere eseguita in direzione posteroanteriore La dilatazione nella direzione errata causa il posizionamento inverso della protesi vocale con conseguente aspirazione e impossibilit di p...

Страница 33: ...te ascesso polmonare fistola broncopolmonare e asma Se il paziente riesce a respirare la tosse pu consentire l espulsione del corpo estraneo L ostruzione parziale o completa delle vie aeree richiede u...

Страница 34: ...tuisco n forniscono il contenuto completo delle istruzioni per l uso n delle informazioni per il medico prescrittore e non costituiscono un alternativa alla lettura dell intero contenuto delle istruzi...

Страница 35: ...e della faringe Prima di continuare assicurarsi che sia rimasto in situ solo il filo guida Fig 3 6 7 Inserire cranialmente il filo guida nell estremit sottile del dilatatore per fistola e farlo avanza...

Страница 36: ...va se si verifica una crescita eccessiva di Candida sulla protesi L uso di variet sconosciute di sostanze chimiche pu influire sulle propriet dei materiali del dispositivo Pertanto da valutare attenta...

Страница 37: ...per il paziente che blocca temporaneamente la protesi vocale Per maggiori informazioni visitare il sito www atosmedical com o rivolgersi al distributore di zona 3 Informazioni aggiuntive 3 1 Informaz...

Страница 38: ...tubo de intubaci n se inserte y extraiga con cuidado de modo que la pr tesis de voz no se desplace ni se salga 1 Informaci n descriptiva 1 1 Instrucciones de uso El set de punci n Provox Vega es un d...

Страница 39: ...aqueal La dilataci n debe realizarse en la direcci n posteroanterior La dilataci n en el sentido incorrecto provoca la colocaci n invertida de la pr tesis de voz lo cual provoca aspiraci n y no permit...

Страница 40: ...intervenci n inmediata para retirar el objeto Si se sospecha que se ha aspirado el dispositivo debe realizarse un TAC pulmonar para confirmar la aspiraci n y localizar el dispositivo Si el TAC confirm...

Страница 41: ...luyen el contenido completo de las instrucciones de uso o de la informaci n de prescripci n y no pueden reemplazar la revisi n del contenido completo de las instrucciones de uso Los v deos solo est n...

Страница 42: ...a Fig 3 6 7 Desde el lado del cr neo inserte la gu a en el extremo estrecho del dilatador de la punci n y empuje la gu a hasta que sobresalga unos 10 cm por el orificio de salida del dilatador Fig 3 7...

Страница 43: ...material del dispositivo En consecuencia deber evaluarse cuidadosamente la introducci n de medicamentos antif ngicos directamente o en las proximidades de la pr tesis de voz Las pruebas de laboratori...

Страница 44: ...rramienta para uso del paciente que bloquea temporalmente la pr tesis de voz Consulte www atosmedical com o p ngase en contacto con su distribuidor local para obtener m s informaci n 3 Informaci n adi...

Страница 45: ...nte que o tubo de intuba o seja inserido e removido cuidadosamente para que a pr tese fonat ria n o se desloque nem saia para fora 1 Informa o descritiva 1 1 Indica es de utiliza o O equipamento de pu...

Страница 46: ...rrada originar a coloca o invertida da pr tese fonat ria o que causar aspira o e incapacidade de falar N O retire o fio guia atrav s da agulha de pun o O fio guia pode ser danificado cortado e ou rasp...

Страница 47: ...tirado endoscopicamente utilizando uma pin a de apreens o n o dentada O inv lucro de silicone da pr tese fonat ria Vega tamb m pode ser localizado endoscopicamente Na TAC e durante a endoscopia o disp...

Страница 48: ...de utiliza o 2 1 Prepara o Antes da pun o determine sempre o tamanho e di metro da pr tese fonat ria a utilizar O tamanho e di metro apropriados dependem da anatomia do doente das pr ticas m dicas loc...

Страница 49: ...o e verifique que est bem preso ao dilatador Fig 3 9 ATEN O Assegure se de que o fio guia est bem preso ao imobilizador de fio do dilatador de pun o Se o fio guia n o estiver bem preso ao imobilizado...

Страница 50: ...ser limpos ap s cada utiliza o e desinfectados pelo menos uma vez por dia seguindo as suas instru es de utiliza o Durante a hospitaliza o h um risco acrescido de contamina o do dispositivo e infec o d...

Страница 51: ...omendas Consulte o fim destas instru es de utiliza o 3 2 Informa es para a assist ncia ao utilizador Para obter ajuda ou informa es adicionais consulte a informa o de contacto na contracapa destas ins...

Страница 52: ...ega Puncture Set punktionsset r en produkt som anv nds f r att utf ra en prim r eller sekund r trakeoesofagal TE punktion p laryngektomerade patienter med samtidig ins ttning av en Provox Vega r stven...

Страница 53: ...Protector farynxskyddet vid sekund r punktion Det ska endast anv ndas vid prim r punktion S KERST LL att farynx esofagusv vnaden r ordentligt skyddad t ex genom anv ndning av ett styvt endoskop innan...

Страница 54: ...ar g tt sedan f rem let svaldes Svalda delar som fastnat i nedre delen av matstrupen kan avl gsnas genom esofagoskopi eller h llas under uppsikt under en kortare tid F rem let kan spontant forts tta n...

Страница 55: ...genom Puncture Dilator tills den sticker ut ungef r 10 cm genom utg ngsh let p Puncture Dilator fig 2 7 8 Fatta tag i spetsen p Guidewire och f r in den i h let bredvid utg ngsh let fig 2 8 9 Dra t G...

Страница 56: ...lator och Wirelock ledarl set n r den r insatt i glan p Puncture Dilator fig 4 4 4 Vid behov kan Guidewire str ckas ut f r att underl tta terins ttningen 5 Forts tt enligt 2 2 Anv ndarhandledning 2 3...

Страница 57: ...ciellt silikonmaterialet i produkten kommer att p verkas bl a av bakterier och candida och produktens strukturella integritet kommer s sm ningom att f rs mras Indikationer f r utbyte av Provox Vega r...

Страница 58: ...tive situationer Hvis du skal have foretaget et indgreb der kr ver intubering indf ring af en vejrtr kningsslange i luftr ret er det meget vigtigt at an stesiologen og den l ge der udf rer indgrebet e...

Страница 59: ...relateret til punkturen f eks breddefor gelse granulation atrofi Det skal derfor sikres at v vsintegriteten er tilstr kkelig til dannelse af en TE punktur Under operationen Generelt V R SIKKER P at Ph...

Страница 60: ...r tilf ldet med ethvert andet fremmedlegeme kan komplikationer fra aspiration af en komponent medf re obstruktion eller infektion jeblikkelige symptomer kan inkludere hosten hv sen eller andre unormal...

Страница 61: ...nder Forsigtig Videoerne erstatter ikke og omtaler ikke hele indholdet af brugsanvisningen og eller informationen til den ordinerende l ge og kan ikke tr de i stedet for en gennemgang af hele brugsanv...

Страница 62: ...og verificer at den er fastgjort til punkturdilatatoren Fig 3 9 FORSIGTIG S rg for at guidewiren sidder godt fastsp ndt i punkturdilatatorens guidewirel s Hvis guidewiren ikke er forsvarligt l st ind...

Страница 63: ...spitalsindl ggelse er det derfor vigtigt at rense og desinficere tilbeh ret umiddelbart efter brug og igen lige inden brug og at skylle med sterilt vand snarere end med vandhanevand Se brugsanvisninge...

Страница 64: ...jernes kan v sker fra munnen spiser ret eller magen komme inn i puster ret Det er meget viktig at intubasjonsslangen settes inn og fjernes forsiktig slik at taleprotesen ikke l sner eller kommer ut 1...

Страница 65: ...nksjonskanylen fjernes f r Pharynx Protector fjernes Punksjonskanylen kan for rsake vevsskade uten riktig pharynx beskyttelse PASS P at punksjonsdilatatoren monteres p oesophagus enden av Guidewire og...

Страница 66: ...bekrefter aspirasjon av enheten kan enheten fjernes endoskopisk ved hjelp av en gripetang uten fortanning Silikonhuset p Vega taleprotesen kan ogs lokaliseres endoskopisk P en CT skann og under endos...

Страница 67: ...ssering av protesen www atosmedical com primary puncture 1 Etter fjerning av larynx og oppretting av trakeostoma og f r lukking av pharynx m Pharynx Protector settes inn i den pne pharynx oesophagus f...

Страница 68: ...jonsdilatatoren er gjennom punksjonen St tt TE vevet under dilatasjonen for eksempel med to fingre for redusere dilatasjonskraften Grip bestemt i Guidewire n r punksjonsdilatatoren for f bedre kontrol...

Страница 69: ...m f lger med Provox tilbeh ret 2 5 Levetid p Provox Vega taleprotesen Enhetens levetid varierer etter individuelle biologiske forhold og det er ikke mulig forutsi enhetens integritet over lengre tid M...

Страница 70: ...uheproteesin sijoittamiseen potilaille joille on tehty kurkunp npoisto Provox Vega puheproteesi on steriili kertak ytt inen paikalleen j v puheproteesi joka on tarkoitettu puhekuntoutukseen kurkunp n...

Страница 71: ...myytt Guidewire ohjainlankaa EI SAA vet pois punktioneulan l pi Guidewire ohjainlanka voi vaurioitua murtua ja tai naarmuuntua Jos Guidewire ohjainlanka t ytyy vet pois irrota se ja punktioneula sama...

Страница 72: ...gitysteihin laite voidaan ottaa pois endoskooppisesti hammastamattomien tarttumispinsettien avulla Vega puheproteesin silikoninen kotelo voidaan paikallistaa my s endoskooppisesti Laite voi n ytt TT k...

Страница 73: ...imary puncture 1 Aseta Pharynx Protector nielusuoja avoimeen nieluun ruokatorveen kurkunp n poiston ja trakeostooman muodostamisen j lkeen ennen nielun sulkemista kuva 2 1 2 Varmista TE punktion oikea...

Страница 74: ...et m ll varovasti Guidewire ohjainlanka punktiokohdan l pi kunnes punktiolaajennin on kulkenut punktion yli Tue TE kudosta laajentamisen aikana esimerkiksi kahdella sormella jotta laajentava voima pie...

Страница 75: ...ti k yt n j lkeen sek j lleen juuri ennen k ytt ja huuhdella steriilill vedell hanaveden sijasta Katso yksityiskohtia ja Provox lis varusteiden puhdistustapoja Provox lis varusteiden mukana tulevista...

Страница 76: ...heoezofage ln TE punkci u pacient po resekci hrtanu se sou asn m zaveden m hlasov prot zy Provox Vega Hlasov prot za Provox Vega je steriln za zen na jednor zov pou it a je ur en k dlouhodob mu zavede...

Страница 77: ...hlou jako jednu jednotku aby jej jehla nepo kodila Nepou vejte ozuben pe ny svorky nebo jin n stroje kter mohou v robek po kodit Sekund rn punkce Nepou vejte p ilo en chr ni hltanu Pharynx Protector p...

Страница 78: ...en spolknut m prot zy nebo komponenty hlasov ho rehabilita n ho syst mu z vis na velikosti poloze stupni obstrukce pokud existuje a uplynul dob Pokud spolknut komponenta z stala v doln sti j cnu lze j...

Страница 79: ...hltanu Pharynx Protector Jinak hroz riziko poran n tk n j cnu 6 Vyjm te chr ni hltanu Pharynx Protector Ne budete pokra ovat mus z stat in situ pouze vodi Guidewire obr 2 6 7 Konec vodi e Guidewire kt...

Страница 80: ...ud je nutno z krok zah jit znovu od za tku soupravu Provox Vega Puncture Set lze znovu zalo it Pro opakovan zalo en syst mu 1 Tla te vodi Guidewire ven z u ho konce punk n ho dilat toru a se vodi uvol...

Страница 81: ...le it informace pro pacienty Prot za nen trval implant t a mus se as od asu vym nit ivotnost za zen se bude li it v z vislosti na individu ln ch biologick ch okolnostech a nen mo n p edv dat jak bude...

Страница 82: ...sta do tchawicy Jest bardzo wa ne aby rurka intubacyjna by a wk adana i wyci gana ostro nie tak aby nie nast pi o przemieszczenie ani wypadni cie protezy g osowej 1 Opis 1 1 Wskazania do stosowania Ze...

Страница 83: ...acz gard a Pharynx Protector zosta wprowadzony dostatecznie g boko do prze yku przed wykonaniem punkcji tchawiczo prze ykowej Wykonanie punkcji bez prawid owego umieszczenia ochraniacza gard a mo e sp...

Страница 84: ...etoki od prowadnicy Guidewire i usun ochraniacz gard a Pharynx Protector Zobacz tak e punkt Powt rne za adowanie poni ej Powt rne za adowanie W niekt rych przypadkach mo e by konieczne powt rne za ado...

Страница 85: ...protezy g osowej Wyst powanie silniejszego podci nienia w odcinku gard owo prze ykowym podczas prze ykania Celem zbadania tego zjawiska nale y wykona poprzez stom inspekcj klapki zastawki protezy podc...

Страница 86: ...prze ykowej oraz c narz dzia u atwiaj cego bezpieczne przej cie prowadnicy Guidewire podczas jej przeprowadzania przez gard o i wyprowadzania ustami Wprowadzi narz dzie do prze yku rysunek 3 1 Je li...

Страница 87: ...ej zrozumia ej mowy Nale y dopilnowa aby pacjent rozumia e powinien skontaktowa si z lekarzem prowadz cym w nast puj cych przypadkach Wszelkie zmiany w wygl dzie materia u protezy lub sposobie jej osa...

Страница 88: ...dida prowadz ce do pogorszenia stanu materia w i lub potrzeba stosowania nadmiernego nacisku przy m wieniu Innym powodem wcze niejszej wymiany mog by przes anki medyczne takie jak problemy z kana em p...

Страница 89: ...ndarne traheoezofagealne du ni no jednja ne TE punkcije u laringektomiranim pacijentima s istovremenim postavljanjem govorne proteze Provox Vega Govorna proteza Provox Vega je sterilna ugradbena govor...

Страница 90: ...ze to uzrokuje uvla enje i nemogu nost govora NE izvla iti icu vodilicu Guidewire kroz punkcijsku iglu Mo e do i do o te ivanja smicanja i ili struganja ice vodilice Guidewire Ako trebate izvu i icu v...

Страница 91: ...o ure aj Ako snimka CT om potvrdi aspiraciju ure aja ure aj se mo e endoskopski izvu i nenazubljenim klije tima za hvatanje Silikonsko ku i te govorne proteze Vega mo e se locirati i endoskopski Na sn...

Страница 92: ...elu jednjaku Slika 2 1 2 Provjerite ispravnu lokaciju za TE otvor opipavanjem unutra njosti du nika na eljenom mjestu uboda Za vrijeme opipavanja trebali biste osjetiti kosi prednji otvor titnika drij...

Страница 93: ...nim smirenim potezom pro irite mjesto uboda pa ljivo povla e i icu vodilicu Guidewire kroz mjesto uboda dok debeli kraj dilatatora punkcije ne pro e punkciju Tijekom dilatacije pridr ite traheoezofage...

Страница 94: ...va no o istiti i dezinficirati dodatni pribor odmah nakon upotrebe i ponovno neposredno prije upotrebe a zatim ga isprati sterilnom vodom radije nego teku om vodom Vi e informacija i kako istiti doda...

Страница 95: ...rsa a z n zdan yemek borunuzdan veya midenizden gelen s v lar soluk borunuza ka abilir Ent basyon t p n n ses protezini yerinden oynatmayacak veya d ar kartmayacak ekilde yerle tirilmesi ve kar lmas o...

Страница 96: ...e tirilmesini SA LAYIN Ponksiyon nesinin Pharynx Protector kar lmadan nce kar lmas n SA LAYIN Ponksiyon nesi uygun farinks korumas yoksa doku hasar na yol a abilir Ponksiyon Dilat r n n Guidewire n tr...

Страница 97: ...BT taramas yap lmal d r BT taramas cihaz aspirasyonunu do rularsa cihaz endoskopik olarak bir di siz tutucu forseps kullan larak al nabilir Vega ses protezinin silikon muhafazas ayr ca endoskopik ola...

Страница 98: ...eden olabilir 2 2 1 Primer ponksiyon ve protez yerle tirme www atosmedical com primary puncture 1 Larinksin kar lmas ve trakeostoman n olu turulmas sonras nda farinks kapat lmadan nce Pharynx Protecto...

Страница 99: ...ntrol i in Guidewire Ponksiyon Dilat r ne yak n olarak tutun ekil 3 10 D KKAT Dilatasyon ve ses protezinin entegre yerle tirilmesi anterior kaudal y nde TE duvar na uygulanan g c s n rlamak zere s n r...

Страница 100: ...na bak n 2 5 Provox Vega ses protezinde cihaz mr Ayr biyolojik ko ullara g re cihaz mr de i ir ve cihaz n daha uzun s re boyunca b t nl n n g rmek olas de ildir Cihaz materyali rn bakteriler ve mayal...

Страница 101: ...5 2 2 105 2 2 1 105 2 2 2 105 2 2 3 106 2 3 106 2 4 106 2 5 Provox Vega 107 2 6 107 2 7 107 3 107 3 1 107 3 2 107 www atosmedical com rescuebreathing 1 1 1 Provox Vega Puncture Set Provox Vega Provox...

Страница 102: ...Wirelock 1 4 4 1 4 6 Guidewire Provox Vega 1 4 5 1 4 6 Wirelock 1 4 7 Wirelock Provox Vega Provox Vega 1 Provox Vega 1 1 Provox Vega 1 Provox Brush 1 Provox Brush 1 4 Pharynx Protector Pharynx Protec...

Страница 103: ...harynx Protector Guidewire Wirelock Guidewire Wirelock 1 6 1 6 1 Guidewire Pharynx Protector Pharynx Protector Pharynx Protector Pharynx Protector Pharynx Protector Guidewire Guidewire Pharynx Protect...

Страница 104: ...104 15 Candida 4 6 Vega 10 17 8 10 12 5 15 Candida 5 Candida 2 U n r e g i s t e r e d c o p y...

Страница 105: ...Protector 5 2 5 Pharynx Protector 6 Pharynx Protector Guidewire 2 6 7 Guidewire Guidewire 10 2 7 8 Guidewire 2 8 9 Guidewire 2 9 10 Guidewire Guidewire 2 10 11 Guidewire 2 11 12 2 12 2 2 2 www atosmed...

Страница 106: ...idewire Wirelock Guidewire 10 Guidewire Guidewire 3 10 11 Guidewire 3 11 12 3 12 2 2 3 www atosmedical com reload of the puncture set Provox Vega Provox Vega 1 Guidewire Guidewire Wirelock 4 1 4 2 2 G...

Страница 107: ...h Provox Flush Provox Flush Provox Flush Candida Vega Provox Provox 2 5 Provox Vega Candida Candida 2 4 Candida Provox Vega Candida 1 6 1 6 2 2 6 2 7 Provox Provox Vega Provox Brush Provox Brush XL Pr...

Страница 108: ...110 2 111 2 1 111 2 2 111 2 2 1 111 2 2 2 112 2 2 3 112 2 3 112 2 4 112 2 5 Provox Vega 113 2 6 113 2 7 113 3 113 3 1 113 3 2 113 www atosmedical com rescuebreathing 1 1 1 Provox Vega Provox Vega Pro...

Страница 109: ...4 5 1 4 7 1 4 6 Provox Vega 1 1 Provox Vega 1 Provox Brush 1 Provox Brush 1 1 4 Pharynx Protector Pharynx Protector Guidewire Pharynx Protector Pharynx Protector Pharynx Protector G u i d e w i r e Gu...

Страница 110: ...harynx Protector Guidewire P h a r y n x P r o t e c t o r Pharynx Protector Pharynx Protector Pharynx Protector Guidewire Guidewire Pharynx Protector 2 2 3 4 1 6 2 CT Provox Vega CT 10 17 mm 8 10 12...

Страница 111: ...x Protec tor 2 3 4 Guidewire Guidewire Pharynx Protector 20 cm Guidewire 2 4 Pharynx Protector Guidewire 5 2 5 Pharynx Protector 6 Pharynx Protector Guidewire 2 6 7 G u i d e w i r e 10 cm Guidewire 2...

Страница 112: ...Guidewire 3 4 P h a r y n x P r o t e c t o r G u i d e w i r e 5 3 5 6 Pharynx Protector Guidewire 3 6 7 Guidewire 10 cm Guidewire 3 7 8 Guidewire 3 8 9 Guidewire 3 9 Guidewire Guidewire Guidewire 10...

Страница 113: ...ovox Brush P r o v o x B r u s h Provox Brush Provox Brush Provox Flush Provox Flush 1 1 2 5 Provox Vega 2 4 1 6 1 6 2 2 6 2 7 Provox Brush Provox Brush XL Provox Flush Provox Brush Provox Plug www at...

Страница 114: ...17 2 2 1 117 2 2 2 118 2 2 3 118 2 3 118 2 4 118 2 5 Provox Vega 119 2 6 119 2 7 119 3 119 3 1 119 3 2 119 www atosmedical com rescuebreathing 1 1 1 Provox Vega TE Provox Vega Provox Vega 1 2 TE Provo...

Страница 115: ...vox Vega 1 1 Provox Vega 1 Provox Brush 1 Provox Brush 1 1 4 TE TE Pharynx Protector TE Pharynx Protector Guidewire TE Pharynx Protector Pharynx Protector Guidewire Guidewire Guidewire Guidewire Guide...

Страница 116: ...d e w i r e Pharynx Protector Pharynx Protector Pharynx Protector Pharynx Protector Guidewire Guidewire Pharynx Protector 2 2 3 4 1 6 2 TE CT CT Vega CT 10 17 mm 8 10 12 5 15 mm 4 6 Vega 10 17 mm 8 10...

Страница 117: ...tector 8 10 mm 2 3 4 Guidewire Guidewire Pharynx Protector 20 cm Guidewire 2 4 Guidewire Pharynx Protector 5 2 5 Pharynx Protector 6 Pharynx Protector Guidewire 2 6 7 Guidewire 10 cm Guidewire 2 7 8 G...

Страница 118: ...5 3 5 6 Guidewire 3 6 7 Guidewire 10 cm Guidewire 3 7 8 Guidewire 3 8 9 Guidewire Guidewire 3 9 G u i d e w i r e G u i d e w i r e Guidewire 10 G u i d e w i r e TE Guidewire 3 10 TE 11 Guidewire 3 1...

Страница 119: ...Flush Provox Vega Provox Flush Provox Flush Provox Flush Nystatin Fluconazole Mikonazol Vega Provox Provox 2 5 Provox Vega 2 4 Provox Vega 1 6 1 6 2 2 6 2 7 Provox Provox Vega Provox Brush Provox Brus...

Страница 120: ...2 123 2 123 2 1 123 2 2 123 2 2 1 124 2 2 2 125 2 2 3 125 2 3 125 2 4 125 2 5 Provox Vega 126 2 6 126 2 7 126 3 126 3 1 126 3 2 126 www atosmedical com rescuebreathing 1 1 1 Provox Vega Provox Vega TE...

Страница 121: ...4 1 4 6 Guidewire Provox Vega 1 4 5 1 4 7 1 4 6 Provox Vega Provox Vega 1 Provox Vega 1 1 Provox Vega 1 Provox Brush 1 Provox Brush 1 4 Pharynx Protector Pharynx Protector Guidewire Pharynx Protector...

Страница 122: ...harynx Protector Guidewire Guidewire Guidewire 1 6 1 6 1 Pharynx Protector Guidewire Pharynx Protector Pharynx Protector Pharynx Protector Pharynx Protector Guidewire Guidewire Pharynx Protector 2 2 3...

Страница 123: ...123 4 6 Vega 10 17 8 10 12 5 15 5 PE 2 2 1 2 2 2 2 1 www atosmedical com primary puncture 1 Pharynx Protector 2 1 2 Pharynx Protector 2 2 3 8 10 U n r e g i s t e r e d c o p y...

Страница 124: ...Guidewire 2 10 11 Guidewire 2 11 12 2 12 2 2 2 www atosmedical com secondary puncture and prosthesis placement Provox Vega Pharynx Protector 1 1 1 a b c Guidewire 3 1 Guidewire 2 3 2 3 8 10 3 3 4 Gui...

Страница 125: ...2 2 Guidewire 4 3 3 Vega 4 4 4 4 4 Guidewire 5 2 2 2 3 EO 2 4 Provox Vega Plug Vega Provox Provox Vega Provox Brush Provox Brush Provox Brush Provox Flush Provox Vega Provox Flush Provox Flush Provox...

Страница 126: ...126 1 6 1 6 2 2 6 2 7 Provox Vega Provox Brush Provox Brush XL Provox Flush Provox Plug www atosmedical com 3 3 1 3 2 U n r e g i s t e r e d c o p y...

Страница 127: ...rovox Flush Provox Flush Vega Provox Flush Provox Flush n Vega Mikonazol Fluconazole Nystatin Provox Provox Provox Vega 2 5 2 4 Provox Vega 1 6 1 6 2 2 6 2 7 Provox Vega Provox Provox Brush XL Provox...

Страница 128: ...ewire 3 5 5 Guidewire 6 3 6 Guidewire 7 3 7 10 Guidewire 3 8 Guidewire 8 Guidewire 9 3 9 Guidewire Guidewire Guidewire Guidewire 10 3 10 Guidewire Guidewire 11 3 11 3 12 12 2 2 3 www atosmedical com r...

Страница 129: ...8 10 3 2 3 Pharynx Protector Guidewire Guidewire 4 2 4 Pharynx Protector 20 Pharynx Protector Guidewire 2 5 5 Pharynx Protector Guidewire Pharynx Protector 6 2 6 Guidewire 7 10 Guidewire 2 7 2 8 Guide...

Страница 130: ...x Guidewire Protector Pharynx Protector Pharynx Protector Pharynx Protector Pharynx Protector Guidewire Pharynx Guidewire Protector 4 2 2 3 1 6 2 CT CT CT Vega 10 17 15 12 5 10 8 4 6 Vega 10 17 15 12...

Страница 131: ...Protector Pharynx Protector Pharynx Protector Guidewire Pharynx Protector Guidewire Guidewire Guidewire Guidewire Guidewire Guidewire Pharynx Protector Provox Vega Brush Provox Plug Flush 1 5 Pharynx...

Страница 132: ...om rescuebreathing 1 1 1 TE Provox Vega Puncture Set Provox Vega Provox Vega 1 2 Provox Vega Puncture Set TE Provox Vega Puncture Set 1 3 TE Provox Vega Puncture Set Provox Vega Provox Vega Provox Veg...

Страница 133: ...Brush Provox Flush Provox Flush Vega Provox Flush Provox Flush Vega Provox Provox Provox Vega 2 5 2 4 Provox Vega 1 6 1 6 2 2 6 2 7 Provox Vega Provox Provox Brush XL Provox Brush Provox Flush Provox...

Страница 134: ...3 5 5 3 6 Guidewire 6 Guidewire Guidewire 7 3 7 10 3 8 Guidewire 8 Guidewire 9 3 9 Guidewire Guidewire Guidewire Guidewire 10 3 10 Guidewire Guidewire 11 3 11 12 3 12 2 2 3 www atosmedical com reload...

Страница 135: ...8 3 2 3 Pharynx Protector 20 Guidewire Guidewire 4 2 4 Pharynx Protector Pharynx Protector Guidewire 2 5 5 Pharynx Protector Guidewire Pharynx Protector 6 2 6 Guidewire 7 2 7 10 Guidewire 2 8 Guidewi...

Страница 136: ...idewire Pharynx Protector Pharynx Protector Pharynx Protector Pharynx Protector Pharynx Protector Guidewire Pharynx Protector Guidewire 2 2 3 4 1 6 2 Vega 10 17 15 12 5 10 8 6 4 Vega 15 12 5 10 8 10 1...

Страница 137: ...rovox Vega Provox Brush Provox Brush 1 4 Pharynx Protector Pharynx Protector Pharynx Protector Guidewire Pharynx Protector Guidewire Guidewire Guidewire Guidewire Guidewire Guidewire Pharynx Protector...

Страница 138: ...2 134 2 2 3 134 2 3 134 2 4 133 Provox Vega 2 5 133 2 6 133 2 7 133 3 133 3 1 133 3 2 www atosmedical com rescuebreathing 1 1 1 Provox Vega Provox Vega Provox Vega 1 2 Provox Vega Provox Vega 1 3 Prov...

Страница 139: ...m 8141 Rx Provox Vega Puncture Set 17Fr 12 5 mm 8142 Rx Provox Vega Puncture Set 17Fr 15 mm 8143 Rx Provox Vega Puncture Set 20Fr 8 mm 8144 Rx Provox Vega Puncture Set 20Fr 10 mm 8145 Rx Provox Vega P...

Страница 140: ...l AB Kraftgatan 8 P O Box 183 SE 242 22 H rby Sweden Tel 46 0 415 198 00 Fax 46 0 415 198 98 www atosmedical com info atosmedical com Atos Medical AB 2015 No 10881 Edition 201512A U n r e g i s t e r...

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