Passy-Muir PMV 005 Mode D'emploi page 12

8. The patient's ventilator settings should be returned to previous levels after PMV is
removed.
WARNING: REMOVE PMV AND RETURN VENTILATOR SETTINGS TO PREVIOUS LEVELS
PRIOR TO REINFLATING TRACHEOSTOMY TUBE CUFF.
TRANSITIONING ISSUES
Excessive air loss through mouth and nose: If the patient reports discomfort due
to feeling a continuous rush of air through the mouth and nose, the following suggestions
should be considered:
a. Vocal cord and/or breathing retraining may be indicated due to reduced glottal
control.
b. Ventilator compensation may be useful in this situation to help control the rushing
of air through the upper airway. Adjustments made in flow rate, tidal volume and/or
mode may help to reduce the discomfort the patient is feeling.
c. Gradual cuff deflation prior to PMV use over a few days (as tolerated) may help the
patient adjust more comfortably to the sensation of airflow through the upper airway.
CARE AND LIFETIME OF THE PMV
The PMVs are packaged in single units. Ideally, the patient should have an additional PMV to
serve as a back-up so that one can be cleaned while the other is being used. The PMV and
PMV Secure-It™ should be cleaned daily after wearing.
1. Cleaning Procedure
The following cleaning instructions also apply to the PMV Secure-It™:
• Swish PMV in pure, fragrance-free soap and warm (not hot) water. Rinse
thoroughly with warm water. Allow PMV to air dry thoroughly. Do not apply heat to
dry PMV.
• DO NOT use hot water, peroxide, bleach, vinegar, alcohol, brushes or Q-tips to
clean PMV. Do not autoclave.
2. Lifetime of the PMV
Each PMV is guaranteed to last for a minimum of two months. Lifetime cannot be
guaranteed if cleaned or used improperly. Due to conditions of use and maintenance
beyond the control of the manufacturer, if PMV should become sticky, noisy or vibrate
prior to or after two months, the PMV should be replaced. The PMV can continue to
be used as long as it does not exhibit stickiness, noise, vibration, increased resistance
on inspiration or any other difficulties.
Disclaimer of Warranties: Passy-Muir, Inc. warrants that reasonable care has been used in
the manufacture of this device. This warranty is exclusive and in lieu of all other warranties,
whether expressed, implied, written or oral, including, but not limited to, any implied warranties
of merchantability or fitness. As a result of the biological differences of individuals, no product is
100% effective under all circumstances. Because of this fact and since we have no control over
the conditions under which the device is used, diagnosis of the patient, methods of administra-
tion or its handling after the device leaves our possession, Passy Muir, Inc. does not warrant
either a good effect or against an ill effect following its use. Passy-Muir, Inc. shall not be liable for
any incidental or consequential loss, damage or expense arising directly or indirectly from the
use of the device. Passy-Muir, Inc. will replace any device that we feel was defective at the time
of shipment. No representative of Passy-Muir, Inc. may change any of the foregoing or assume
any additional liability or responsibility in connection with this device.
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