Fahl SPIRAFLEX, Инструкция по эксплуатации

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20
EN
It may be advisable to use tubes of different lengths alternately so the tip of the tube does not
always touch the same spot in the trachea and cause irritation. This prevents pressure points
or the formation of granulation tissue. Always discuss the exact procedure with your doctor/
physician.
MRT (MAGNETIC RESONANCE TOMOGRAPHY) INFORMATION
CAUTION!
Since the tracheostomy tubes with cuff have a small metal spring in the non-return valve
of the pilot balloon with inflation tube, the tracheostomy tube with cuff must not be used
while an MRI (magnetic resonance imaging) examination is being performed.
MRT is a diagnostic imaging technique in which inner organs, tissues and joints are depicted
with the help of magnetic fields and radio waves. Metallic objects can be drawn into the magnetic
field and can induce changes by their acceleration. Although the metal spring is extremely
small and lightweight, interactions that could give rise to health impairments or to malfunction
or damage of the technical equipment used or of the tracheostomy tube itself nevertheless
cannot be ruled out in this context. If wearing a tracheostomy tube is indicated for keeping
the tracheostoma open, we recommend use of a metal-free tracheostomy tube instead of the
tracheostomy tube with cuff while an MRT is being performed.
CAUTION!
The SPIRAFLEX
®
MRT tracheostomy tubes can even be worn by the patient during mag -
netic resonance tomography (MRT).
1. Neck flange
A particular feature of the Fahl
®
tracheostomy tube is the specially shaped neck flange, which is
designed to fit the anatomy of the neck.
The size specifications are printed on the neck flange.
The neck flange of the tracheostomy tubes has two side eyelets for inserting a tube holder.
All Fahl
®
tracheostomy tubes with fastening eyelets include a disposable tube holder. The tube
holder secures the tracheostomy tube to the neck.
Please follow the instructions provided with the tube holder carefully when attaching and
removing it from your tracheostomy tube.
Ensure that the Fahl
®
tracheostomy tube is placed in the tracheostoma without tension and the
position is not changed when fastening the tube holder.
The insertion aid (obturator) included in delivery facilitates insertion of the tracheostomy tube.
2. Connectors and adapters
Connectors and adapters are used to connect compatible tube accessories.
The options available to a patient depend on the clinical condition, such as status post
laryngectomy or tracheostomy.
Connectors/adapters are attached to the outer cannula by means of a rotary fastener.
A 15 mm standard connector enables secure connection to required accessories.
3. Cannula tube
The cannula tube borders directly on the neck flange and directs the airflow into the trachea.
The neck flange is attached to the cannula tube and can be variably affixed to the tube by
means of a screw.
The tube tip is rounded to prevent irritation of the mucus membranes in the trachea.
3.1 Cuff
In the product versions with cuff, the very thin-walled, high-volume cuff adapts well to the
trachea and ensures reliable sealing if inflated correctly. The cuff can be inflated like a balloon.
The small pilot balloon on the inflation tube indicates whether the tracheostomy tube is in sealed
(inflated) or non-sealed condition.
The cuff itself is inflated via a tube with one-way valve and pilot balloon.
3.1.1 Leakproofness test of the cannula and the cuff (if such exists)
The cannula and the cuff must be tested for leakages directly before and after every insertion
and thereafter at regular intervals.
For this purpose, fill the cuff with 15 to 22 mmHg (1 mmHg corresponds to 1.35951 cmH2O) and
observe whether a spontaneous pressure drop occurs.
There should be no substantial drop in pressure in the cuff during the observation period.