1.4 WARNINGS
• Always use a Provox LaryButton of an appropriate size.
If the Provox LaryButton is too wide or too long it may
cause tissue damage or irritation. If it is too long it may also
cause dislodgement of the voice prosthesis or XtraFlange.
Furthermore, insertion or removal of the HME Cassette as
well as pressing on the HME Cassette to speak may exert
pressure on the voice prosthesis if the Provox LaryButton
is too long.
• Always make sure that the HME Holder part is large enough
in relation to the size of the patient's stoma. If the product is
pushed too far into trachea it may obstruct breathing.
• DO NOT cut off the wings or otherwise mechanically
modify the Provox LaryButton since it will change the outer
diameter and/or the mechanical stability of the product. This
may result in the LaryButton being pushed into the trachea,
which may obstruct breathing. A modified LaryButton may
also cause irritation and/or bleeding.
• DO NOT fenestrate the LaryButton as the fenestration
might cause dislodgement of the voice prosthesis or
XtraFlange.
• DO NOT reuse the Provox LaryButton between patients.
The device is intended for single patient use only. Reuse
between patients may cause cross contamination.
• Always insert and remove the Provox LaryButton according
to the instructions below.
DO NOT use force and do not fold the part of the
LaryButton that holds the HME Cassette during insertion.
If the product is pushed too far into trachea it may obstruct
breathing and the use of force during insertion may cause
bleeding.
• If used, DO NOT push the tip of the hemostats or forceps
through the Provox LaryButton (Fig. b-2). If the instrument
tip is protruding from the button during insertion, the tissue
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