Fahl SPIRAFLEX, Инструкция по эксплуатации

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26
EN
1. Cleaning
Fahl
®
tracheostomy tubes must be cleaned / replaced regularly in accordance with the individual
patient’s needs.
Only use cleaning agents if the tube is outside the tracheostoma.
A mild, pH-neutral washing lotion can be used for cleaning the tube. We recommend using the
special cannula-cleaning powder (REF 31110) as directed by the manufacturer.
Never clean Fahl
®
tracheostomy tubes with cleaning agents that are not approved by the
manufacturer. Never use aggressive household cleaners, detergents, high-concentration
alcohol or denture cleaners.
This may be very hazardous to health. The tube may also be destroyed or damaged.
Tubes can also be cleaned by thermal disinfection at not more than 65 °C. Use clean water with
a temperature of not more than 65 °C for this purpose. Make sure that the temperature is kept
constant (use a thermometer to monitor the temperature) and never under any circumstances
expose the tubes to boiling water for disinfection. This could seriously damage the tracheostomy
tube.
Cleaning Steps
Cleaning the inner cannula
Do not use cleaning powder or a cleaning brush for the inner cannula!
Cleaning is carried out under running water. Gentle and careful kneading movements can be
used to remove secretion residues (see picture 18).
Cleaning the tracheostomy tubes without cuff
Remove any additional items before cleaning.
The inner cannula must also be removed from the outer cannula.
First, rinse the tube thoroughly under running water (see picture 9).
Use only lukewarm water to prepare the cleaning solution and observe the instructions for use
of the cleaning agent.
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 cannula 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.
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, the tube must not be used under any circumstances.
The accessories (adapter/speaking valve/cough cap/decannulation stopper) can be cleaned in
the same way as the tracheostomy tube.
Insertion aids are single-patient products and are intended for single use only. They must not
be cleaned or disinfected.
Cleaning the tracheostomy tubes with cuff
The indwelling time and thus the replacement intervals of the tracheostomy tube must be
determined individually in consultation with the treating doctor/physician.