Fahl Duratwix Mode D'emploi page 23

The inner cannulas differ in colouring according to their respective lengths. The standard-
length inner cannulas are transparent, the inner cannulas of the short versions are tinted
in different colours. Inner cannulas with fenestration can be recognized by the turquoise
connector.
The inner cannulas are, depending on specification, either equipped with a standard
attachment or permanently connected to particular adapters/connectors, or they can be
connected to detachable accessories such as for instance speaking valves.
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.
tracheostomy tube series was designed as a modular system, i.e. for
The DURATWIX
®
every tracheostomy tube delivered as standard with inner cannula you can later on order
further fitting inner cannulas. DURATWIX
their size.
CAUTION!
Inner cannulae with a white-coloured cannula tube are radiopaque and facilitate x-ray
visualisation and positional control. Inner cannulae with a transparent cannula tube,
on the other hand, cannot be depicted on an x-ray.
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.
Some DURATWIX
®
attached to the inner cannula.
The HUMIDOPHONE
available. These can be used by tracheotomised patients who for instance use a perforated
tracheostomy tube (with inner cannula) with 22 mm combi-adapter.
In tracheostomy tubes with silicone speaking valve, the speaking valve can be
detached from the inner cannula by pulling it off.
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
pulmonary disease (COPD)! In such cases, the decannulation plug must not under
any circumstances 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.
®
inner cannulas (REF 19841/REF 19842) have a speaking valve
speaking valve or the COMBIPHON
®
inner cannulas have a labelling that indicates
speaking valve are also
®
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