22
EN
CAUTION!
Contraindicated in patients with increased bleeding tendency (e.g. during anticoagulant
therapy). In such cases, the Suction tracheostomy tube with suction opening may not be
used, since suctioning entails an increased risk.
4. Inner cannula
The inner cannulas can easily be removed from the outer cannula, thus allowing the air supply
to be increased quickly if necessary (for instance in case of dyspnoea).
Inner cannulas must never be used without outer cannula but must always be affixed to the
outer cannula.
4.1 Speaking valves
Tracheostomy tubes with speaking valve (LINGO/PHON) are used after tracheotomy with a
complete or partially retained larynx and enable the user to speak.
5. Decannulation plug
The decannulation plug is included in delivery of the tracheostomy tubes with speaking valve
and may only be used by tracheotomised patients who have retained their larynx. It may only be
inserted under supervision by a doctor/physician. It allows the tracheostomy tube to be sealed
and the air supply to be interrupted for a short time and helps the patient train to regain control
of breathing via mouth/nose.
CAUTION!
Contraindicated in laryngectomised patients and patients with chronic obstructive pul
-
monary disease (COPD)! In such cases, the decannulation plug must not under any cir
-
cumstances be inserted!
The decannulation plug must never under any circumstances be used when the
tracheostomy tube is in sealed condition! The decannulation plug may only be used with
perforated outer cannula without inner cannula.
CAUTION!
A decannulation plug is enclosed with the tracheostomy tubes with speaking valve for
the purpose of preparing for possible decannulation following temporary tracheotomy.
The plug can be used to block the air supply via the tracheostomy tube for a short time
so that the patient can get used to breathing via mouth/nose again. Decannulation may
only be carried out under medical supervision. The plug may only be inserted upon
instruction by the doctor/physician. There is a risk of suffocation! Please also make sure
you observe the description of indications provided with the respective product variants/
specifications!
CAUTION!
Make sure to read all accompanying product information, instructions for use, indications
and contraindications. Discuss use of the product with your doctor/physician before first
use.
VIII. DIRECTIONS FOR TUBE INSERTION AND REMOVAL
For the Doctor/Physician
The appropriate tracheostomy tube must be selected by a doctor/physician or trained medical
professionals.
Select a tube that fits the patient’s anatomy to optimise comfort and ventilation (breathing in
and out).
The inner cannula can be removed at any time to increase air supply or for cleaning. This can
for instance be necessary if the cannula is clogged up with secretion residues which cannot be
removed by coughing or because no equipment for suctioning off the secretions is available.
For the Patient
CAUTION!
Always insert the tracheostomy tube with the cuff in fully deflated condition (see picture
7a)!
CAUTION!
Carefully examine the sterile packaging to ensure that it has not been tampered with or
damaged. Do not use the product if the packaging has been damaged.
Содержание SPIRAFLEX
Страница 1: ...SPIRAFLEX GEBRAUCHSANWEISUNG INSTRUCTIONS FOR USE ...
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