PROVOX LaryTube Manual De Instrucciones página 17

• Patients with bleeding disorders or patients on anticoagulants should not use
the device if it causes bleeding that re-occurs.
• Stop using the device if granulation tissue forms in the tracheostoma.
• DO NOT clean the device while inside the stoma since this could cause
tissue damage. Always remove the device from the stoma before cleaning.
2. Instructions for use
2.1 Preparation
Choosing correct size
Diameter: The Provox LaryTubes are available in 4 different diameters, 8, 9,
10 and 12. Measure the size of the tracheostoma (largest diameter) with a ruler
and fit the Provox LaryTube accordingly. In irregularly shaped tracheostomas,
it may be difficult to achieve an airtight fit.
Length: The Provox LaryTubes are available in 3 different lengths, 27, 36
and 55 mm.
To help choose the size(s) of LaryTube to prescribe to the patient, the clinician
can use a Provox LaryTube Sizer Kit. The Sizer Kit contains samples ("sizers")
of commercially available Provox LaryTubes.
CAUTION: During fitting always make sure that the LaryTube does not catch
on to the tracheal flange of the voice prosthesis (Fig. 3).
Preparing for insertion
Before first use check that you have the correct size and that the package is not
damaged or opened. Do not use otherwise.
Make sure that your hands are thoroughly clean and dry before placing them
in the area of the stoma or handling the Provox LaryTube and/or accessories.
Have a mirror and sufficient light to illuminate the stoma.
Always carefully inspect the Provox LaryTube BEFORE EACH USE (i.e.
before insertion), and ensure that it is undamaged and shows no signs of tears,
cracks, or crusts. If you detect any damage, do not use the product, and obtain
a replacement.
Before insertion, rinse the device with drinking water to remove any
disinfectant residues (Fig. 2). Make sure that you only insert clean devices.
In a hospital setting it is better to use sterile water rather than drinking water.
If needed, lightly lubricate the Tube with a small amount of water-soluble
lubricant. The following water-soluble lubricants are recommended for use
with the Provox LaryTube:
®
• KY Jelly
®
• SurgiLube
®
• Xylocaine /(lidocaine)
CAUTION: Only use water-soluble lubricants. Oil-based lubricants (e.g.,
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