Medtronic COVIDIEN Shiley Mode D'emploi page 5

Cuffless models (CFS, CFN, LGT) also feature inner cannulae with low-profile
connectors. This type of inner cannula is designed to reduce tube protrusion at the
neck but is not compatible with respiratory equipment.
The red Decannulation Plug (DCP) can be used to occlude the proximal end of the
outer cannula, forcing the patient to breathe through the fenestrations and upper
airway tract during the weaning process. The Decannulation Plug is available in all
four sizes of the Shiley Tracheostomy Tubes and can be purchased separately.
Indications for Use
The devices are intended for use in providing tracheal access for airway management.
The fenestrated devices (FEN, CFN) are also indicated when the use of fenestrations is
desirable in order to safely and effectively wean a tracheostomy patient. When used
in conjunction with the Decannulation Plug (DCP), the fenestrated tracheostomy
tube can provide a means of weaning and/or phonation for the patient. Use of the
Decannulation Plug (DCP) with the fenestrated tracheostomy tubes forces air through
the fenestrations and around the tube, and into the upper airway and vocal cords.
CAUTION:
The Shiley™ Tracheostomy Tube is classified as a disposable medical device.
The manu facturer recommends that the Tracheostomy Tube usage not exceed
twenty-nine (29) days. Frequent and routine changes of the Tracheostomy Tube
and accessories are recommended and should be evaluated by the attending
physician.
Instructions
Tube Preparation
1. Selection of the tracheostomy tube size is left to the discretion of the physi cian.
Patients in the home care environment should be carefully instructed by their
home health care provider in the proper use and handling of this device.
Pre-Insertion Cuff and Inflation Test
NOTE: Refer to Table 1 for Leak Test Inflation Volumes. Inflation volumes are for
test purposes only. Consult the physician or Home Health Care Provider for the
appropriate inflation volume/pressure when the tube is positioned within the
trachea.
2. With Shiley Cuffed models (LPC, FEN) the cuff and inflation system should be
tested for leakage before inserting the tube. This test can be performed as follows:
Inflate the cuff with the volume of air indicated in Table 1. Then either observe for
deflation over several minutes or immerse the tube in sterile saline and observe
for air leakage. Deflate the cuff prior to insertion.
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