inhealth Blom-Singer 16 Fr Serie Manual Del Usuario página 11

Blom-Singer ® Patient-changeable Voice Prostheses
to remove and clean their voice prosthesis once a week, while
others may leave it in for a considerably longer period of time. It
is suggested that users alternate between two prostheses.
Each time the prosthesis is removed for cleaning, a Blom-
Singer Puncture Dilator, of the appropriate diameter, should be
inserted into the puncture to help prevent leakage of esophageal
contents into the trachea; and, to slightly expand the puncture,
making prosthesis reinsertion easier. For instructions on using the
puncture dilator, refer to the Blom-Singer Dilation-Sizing System
instructions for use.
After removing the tape from the prosthesis neck strap, grasp the
prosthesis securely and withdraw it gently out of the puncture.
Immediately insert a clean puncture dilator, of the appropriate
diameter, by positioning the tapered tip into the puncture. Avoid
touching the portion of the dilator that will enter the puncture.
Gently push the dilator into the puncture completely to the neck
strap (diagram 3). Secure the dilator near the edge of the stoma
with adhesive tape across the strap so it will not slide out.
Voice Prosthesis Cleaning
Please refer to the Voice Prosthesis Cleaning System instructions
for use supplied with the cleaning device.
1. The visible portion of the prosthesis may be cleaned carefully
with blunt-tipped, long handled tweezers to remove obvious
organic matter while the prosthesis is in the puncture.
2. When the prosthesis has been removed for cleaning, wash
the prosthesis thoroughly with a mild detergent and rinse
under a strong flush of tap water. Dry the prosthesis with sterile
gauze. Once a prosthesis or dilator has been cleaned and dried
completely, it should be stored in a clean, resealable plastic bag.
Always handle with clean hands and avoid touching portions of
the prosthesis or dilator that will enter the puncture.
3. Inspect the voice prosthesis routinely for structural damage.
Warning: When the valve fails to close completely a few drops
of fluid may pass back through the valve from the esophagus to
the trachea, which may cause coughing. The valve closure can be
verified by looking at it with a mirror, while it is still positioned in
the puncture, to see if fluids leak through it during swallowing.
37531-01F | 11