Fahl LARYNGOTEC Mode D'emploi page 15

The options available to a patient depend on the clinical condition, such as status post laryngectomy or
tracheostomy.
The 22 mm combi adapter enables attaching compatible filters and valve systems with a 22 mm
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connector.
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).
For the Patient
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.
Check the use-by or expiry date. Do not use after this date.
It is advisable to use sterile disposable gloves.
Carefully examine the tube before first use to make sure that it is not damaged and that there are no
loose parts.
Should you notice any anomaly or anything unusual, DO NOT use the tube. Return the tube to the
manufacturer for inspection.
The neck flange respectively the funnel-shaped housing (retainer ring) must not be inserted into the
tracheostoma. Make sure that it is always outside the tracheostoma (see picture 2).
The tube must always be cleaned and, if necessary, disinfected as follows before re-inserting according
to the instructions provided below.
If secretions collect in the lumen of the Fahl tracheostomy tube and these cannot be removed by
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coughing or suctioning, the tube or stoma button should be removed and cleaned.
After cleaning and/or disinfection, carefully examine the Fahl tracheostomy tube for sharp edges, cracks,
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or other signs of damage, since these may impair function and/or injure the mucus membranes in the
airways.
Discard all damaged tubes.
When using Fahl silicone tubes the products may become infected with yeast (Candida), bacteria and
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other pathogens, which may discolour the material and shorten its service life. Should this occur, the tube
must be replaced immediately.
1. Insertion of the tube
Step-by-step instructions to insert Fahl tracheostomy tubes.
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Before application, users should clean their hands (see picture 3).
Remove tube from the package (see picture 4).
If you are inserting the tube yourself, use a mirror to make insertion of the Fahl tracheostomy tube easier.
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When inserting the Fahl tracheostomy tube, hold it by the neck flange with one hand (see picture 5).
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Pull the tracheostoma slightly apart with your free hand to allow the tip of the tube to fit into the
tracheostoma more easily.
Now carefully insert the tube into the tracheostoma during the inspiration phase (while breathing in) while
tilting your head slightly back (see picture 5).
Advance the tube into the trachea.
Straighten your head once the tube has been inserted further into the trachea.
Note the following application steps in addition when inserting the Fahl stoma button:
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The narrow end with the bulge (tube tip) is inserted into the stoma opening so the funnel-shape housing
(retainer ring) projects from the stoma (see picture 6).
The Fahl stoma button is compressed slightly by the funnel-shaped retainer ring during this procedure
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(see picture 7).
The button can be released once it has been inserted and has reached its final position in the
tracheostoma. It expands to its original shape to fit the stoma. The retainer housing is outside the
tracheostoma. Pull lightly to ensure that the button is airtight.
Standard filter and valve systems can be adapted via the 22 mm combi adapter of the LARYNGOTEC
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KOMBI versions of the Fahl tracheostomy tubes (see Section VII, 2).
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2. Removing the tube
CAUTION!
Accessories such as a tracheostoma valve or HME (Heat Moisture Exchanger) must be removed
first before proceeding to remove the Fahl tracheostomy tube.
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