1. Insertion of the tube
Step-by-step instructions to insert Fahl
Before application, users should clean their hands (see picture 3).
EN
Remove tube from the package (see picture 4).
If you are inserting the tube yourself, use a mirror to make insertion of the Fahl
When inserting the Fahl
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.
To facilitate insertion of the tracheostomy tube, it is advisable to lubricate the outer tube by wiping with
FAHL
OPTIFLUID
®
Please observe the instructions for use for the respective product.
CAUTION!
Only use water-based lubricants!
Oil-based lubricants can damage or destroy the product.
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
Proceed very carefully to avoid injury to the mucus membranes.
Step-by-step instructions to remove the Fahl
The tracheostomy tubes should be removed with the head slightly tilted back. Grip the tube or button at
the side by the neck flange or the housing (see picture 5).
Carefully remove the tracheostomy tubes.
IX. CLEANING AND DISINFECTION
CAUTION!
For reasons of hygiene and to avoid the risk of infection, you should thoroughly clean the Fahl
tracheostomy tube at least twice a day, more often during heavier secretion production.
In case of an unstable tracheostoma, the airways must always be secured before removing the
tracheostomy tube and a replacement tube must be kept ready for insertion. The replacement
tube must be inserted immediately, even before cleaning and disinfecting the changed tube.
Keep this in mind, your personal cleaning schedule, including additional disinfection if required, must
always be determined in consultation with your doctor/physician and according to your individual needs.
General cleaning may be insufficient to meet the special hygiene requirements to prevent
infections for patients with specific problems (e.g. MRSA, ORSA etc.), who are subject to an
increased danger of re-infection. We recommend chemical disinfection of the tubes according to
the instructions provided below. Please consult your doctor/physician.
CAUTION!
the tracheostomy tubes must not be cleaned using a dishwasher, a steam cooker, a microwave
oven, a washing machine or similar appliances!
CAUTION!
Cleaning agent and disinfectant residues on the tracheostomy tube can lead to irritations of the
mucus membranes or other health impairments.
Tracheostomy tubes are considered as belonging to the category of instruments with hollow cavities.
Special care must therefore be taken when performing cleaning or disinfection that the tube is fully
wetted with the solution used and is unobstructed (see picture 6).
The solutions used for cleaning and disinfection must be freshly prepared prior to each use.
1. Cleaning
Fahl
tracheostomy tubes must be cleaned / replaced regularly in accordance with the individual patient's
®
needs.
Only use cleaning agents if the tube is outside the tracheostoma.
A mild, pH-neutral washing lotion can be used for cleaning the tube. We recommend using the special
cannula-cleaning powder (REF 31110) as directed by the manufacturer.
Never clean Fahl
Never use aggressive household cleaners, detergents, high-concentration alcohol or denture cleaners.
tracheostomy tube, hold it by the neck flange with one hand (see picture 5).
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Lubricant Gel (REF 31600, 36105).
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tracheostomy tubes with cleaning agents that are not approved by the manufacturer.
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tracheostomy tubes.
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tracheostomy tube.
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tracheostomy tubes:
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12
tracheostomy tube easier.
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