AIRWAY MANAGEMENT MEDICAL DEVICES 2017 FOR LARYNGECTOMY AND TRACHEOTOMY CARE I L E E - A N N I V E R S A I L Ä U M J U B I R E I O - A N

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1 I V E R S A R I O J U B - I O I L Ä U M I V E R S A R - J U B I L E E - A N N I V E R S A 25 JAHRE - YEARS - A N I R E AIRWAY A N N - MANAGEMENT MEDICAL DEVICES 2017 FOR LARYNGECTOMY AND TRACHEOTOMY CARE

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3 CONTENTS TRACHEOSTOMY TUBES 4 TRACHEOSTOMY TUBES - LINGO / PHON 12 TRACHEOSTOMY TUBES - CUFF 18 TRACHEOSTOMY TUBES - LINGO CUFF / PHON 23 TRACHEOSTOMY TUBES - SUCTION 28 VOICE PROSTHESES 31 SPEAKING VALVES 34 TRACHEOSTOMA VALVES 36 HME FILTER CASSETTES / BASE PLATES 37 TRACHEAL COMPRESSES 45 CLEANING AND CARE OF CANNULAS 48 TUBE HOLDERS 51 TRACHEOSTOMA PROTECTION 54 INHALATION AND AIR HUMIDIFICATION 59 TRACHEAL SUCTION DEVICES 61 SPEECH AIDS/VOICE AMPLIFIERS 63 EMERGENCY AIDS 64 HOSPITAL PRODUCTS 66 FURTHER INFORMATION 67 3

4 TRACHEOSTOMY TUBES We provide a wide range of tracheostomy tubes made from various materials and with different design patterns. This diversity is due to the fact that tracheostomy tubes should be ideally matched to the individual requirements of each patient. The doctor, who individually selects and adjusts the tubes for each patient, should be made aware of the complete range to allow him to select the best product for his patients. SILVERVENT 1 IC B v SILVERVENT 2 IC C v SILVERVENT 1 IC + 1 ICU C v U DURAVENT A l X DURAVENT XL A l DURAVENT 1 IC B v l 4

5 TRACHEOSTOMY TUBES X DURAVENT XL 1 IC B v l DURAVENT 2 IC C v l DURAVENT UNI 1 ICU B U l DURAVENT UNI 1 IC + 1 ICU C v U l X DURAVENT UNI XL 1 IC + 1 ICU C v U l DURAVENT UNI 2 ICU C U l DURAVENT KOMBI 1IC + 1 ICK C v K l 5

6 TRACHEOSTOMY TUBES K U DURAVENT SOLO-ADAPTER KOMBI DURAVENT SOLO-ADAPTER UNI LARYNGOTEC A l a LARYNGOTEC KOMBI A p l a LARYNGOTEC KOMBI CLIP A p l a DURATWIX JUNIOR PED UNI A z l i a DURATWIX JUNIOR PED L UNI A z l i a SPIRAFLEX UNI A z a 6

7 TRACHEOSTOMY TUBES SPIRAFLEX MRT UNI A z l a S SPIRAFLEX SHORT UNI 2 ICX C a TRACHEOTEC VARIO A. l a FAHL BIESALSKI 2 IC + Speaking valve C F v l a FAHL BIESALSKI Speaking valve S F l a FAHL BIESALSKI Speaking valve M F l a FAHL BIESALSKI Speaking valve L F l a 7

8 TRACHEOSTOMY TUBES DURATWIX UNI A z l a S DURATWIX UNI short A z l a DURATWIX UNI-VARIO 1 ICU + 1 ICV C U V l a S DURATWIX UNI-VARIO short 1 ICU + 1 ICV C U V l a DURATWIX IC v a S DURATWIX IC short v a DURATWIX ICU U a S DURATWIX ICU short U a 8

9 TRACHEOSTOMY TUBES DURATWIX ICV V a S DURATWIX ICV short V a DURATWIX ICU contrast U a DURATWIX ICK K a S DURATWIX ICK short K a DURATWIX SOLO-ADAPTER KOMBI 3 22 mm K a DURATWIX SOLO-ADAPTER VARIO 3 15 mm V a DURATWIX SOLO-ADAPTER UNI 3 15 mm U a 9

10 TRACHEOSTOMY TUBES LARYNGOTEC Stoma Button FIX u S LARYNGOTEC Stoma Button FIX short u LARYNGOTEC Stoma Button u S LARYNGOTEC Stoma Button short u LARYNGOTEC KOMBI Stoma Button FIX p u S LARYNGOTEC KOMBI Stoma Button FIX short p u LARYNGOTEC KOMBI Stoma Button p u S LARYNGOTEC KOMBI Stoma Button short p u FAHL T-Tube

11 TRACHEOSTOMY TUBES FAHL Tracheo-Safe C 1 45 mm a FAHL Tracheo-Safe P 1 70 mm a SENSOTRACH Foam OVAL SENSOTRACH Foam PRO OVAL SENSOTRACH Foam ROUND SENSOTRACH Foam PRO ROUND

12 TRACHEOSTOMY TUBES - LINGO / PHON These tracheostomy tubes have an opening in the upper (convex) wall of the tube shaft facing the larynx, the so-called sieve-fenestration. While most conventional tracheostomy tubes have one or two simple holes the Fahl tracheostomy tubes have an elaborate sieve consisting of many small holes to reduce micro-aspiration and the ingrowth of granulation tissue. If an inner cannula is present, it has an oval opening corresponding to the sieve in the outer cannula. Sieve-fenestrated cannulas are used by tracheostomized patients with intact larynx who are able to speak, or by laryngectomized patients with voice prosthesis who still need a tracheostomy tube to stabilize the trachea and keep the tracheostoma open. In that case the sieve supports the speaking facility provided by the voice prosthesis. Sieve-fenestrated tracheostomy tubes are usually used in combination with a speaking valve. LARYNGOTEC LINGO A E l a LARYNGOTEC KOMBI LINGO A p E l a LARYNGOTEC KOMBI CLIP LINGO A E p l a LARYNGOTEC KOMBI CUT A p y l a PHONTRACH KOMBI LINGO-PHON A p E F l 12

13 TRACHEOSTOMY TUBES - LINGO / PHON S SPIRAFLEX SHORT UNI LINGO-PHON 1 ICX + 1ICFX + Speaking Valve C E F c a DURATWIX UNI-VARIO LINGO 1 ICV + 1 ICFU C E U V c l a S DURATWIX UNI-VARIO LINGO short 1 ICV + 1 ICFU C E U V c l a DURATWIX UNI LINGO A. E l a S DURATWIX UNI LINGO short A. E l a DURATWIX PHON ICF F c a S DURATWIX PHON ICF short F c a 13

14 TRACHEOSTOMY TUBES - LINGO / PHON DURATWIX ICF v c a S DURATWIX ICF short v c a DURATWIX ICFU U c a S DURATWIX ICFU short U c a DURATWIX ICFV V c a S DURATWIX ICFV short V c a DURATWIX ICFK K c a S DURATWIX ICFK short K c a K a V a DURATWIX SOLO-ADAPTER KOMBI DURATWIX SOLO-ADAPTER VARIO 3 22 mm mm

15 TRACHEOSTOMY TUBES - LINGO / PHON U a DURATWIX SOLO-ADAPTER UNI 3 15 mm DURATWIX PLUG 5 15 mm v a SILVERVENT LINGO-PHON 1 ICF B E F v c SILVERVENT MULTI 1 ICU + 1 ICF-O C E F U O c DURAVENT UNI-KOMBI LINGO 1 ICFU + 1 ICFK C E U K c l DURAVENT LINGO-PHON 1 IC + 1 ICF 1 3, C w E F v c DURAVENT UNI LINGO-PHON 1 ICU + 1 ICF 1 3, C w E F U c X DURAVENT UNI LINGO-PHON XL 1 ICU + 1 ICF C w E F U c 15

16 TRACHEOSTOMY TUBES - LINGO / PHON DURAVENT KOMBI LINGO-PHON 1 IC + 1 ICFK + 1 COMBIPHON C w E F v K c l DURAVENT UNI-KOMBI LINGO-PHON 1 ICU + 1 ICFK + 1 COMBIPHON C w E F U K c l C w E F U K c l X DURAVENT UNI-KOMBI LINGO-PHON XL 1 ICU + 1 ICFK + 1 COMBIPHON DURAVENT MULTI 1 ICU + 1 ICFK + 1 COMBIPHON O C w E F U K O c l K U DURAVENT SOLO-ADAPTER KOMBI DURAVENT SOLO-ADAPTER UNI DURAVENT PLUG w 16

17 TRACHEOSTOMY TUBES - LINGO / PHON SENSOTRACH Foam OVAL SENSOTRACH Foam PRO OVAL SENSOTRACH Foam ROUND SENSOTRACH Foam PRO ROUND

18 TRACHEOSTOMY TUBES - CUFF Cuffed tracheostomy tubes are used to seal the cannula against the tracheal wall. This is a requirement for artificial ventilation and/or to prevent accidental aspiration of secretions. The soft cuff with very thin walls is typically designed as a high volume/low pressure cuff (hv/lp) and fits snugly into the trachea to ensure a reliable seal. The inflation line is integrated into the wall of the (outer) cannula thus providing a rounded and smooth outer shape to avoid friction and irritations of the delicate mucosa, particularly around the tracheostoma. DURACUFF VARIO A. Y / a M DURACUFF VARIO M A. Y / a X DURACUFF VARIO XL A. Y / a DURACUFF UNI-VARIO 1 ICU + 1 ICV C Y U V / a M DURACUFF UNI-VARIO M 1 ICU + 1 ICV C Y U V / a X DURACUFF UNI-VARIO XL 1 ICU + 1 ICV C Y U V / a 18

19 TRACHEOSTOMY TUBES - CUFF M DURACUFF UNI M 1 ICU-O B Y U O / a DURACUFF CLIP SPIRAFLEX UNI CUFF A z Y / a SPIRAFLEX MRT UNI CUFF A Y z / l a S SPIRAFLEX SHORT UNI CUFF 2 ICX C Y / a X SPIRAFLEX UNI CUFF XL A Y z X a TRACHEOTEC VARIO CUFF A. Y / a 19

20 TRACHEOSTOMY TUBES - CUFF DURATWIX UNI CUFF A z Y / a S DURATWIX UNI CUFF short A z Y / a DURATWIX UNI-VARIO CUFF 1 ICU + 1 ICV C Y U V / a S DURATWIX UNI-VARIO CUFF short 1 ICU + 1 ICV C Y U V / a DURATWIX IC v a S DURATWIX IC short v a DURATWIX ICU U a 20

21 TRACHEOSTOMY TUBES - CUFF S DURATWIX ICU short U a DURATWIX ICV V a S DURATWIX ICV short V a DURATWIX ICK K a S DURATWIX ICK short K a DURATWIX ICU contrast U a DURATWIX SOLO-ADAPTER KOMBI 3 22 mm K a DURATWIX SOLO-ADAPTER VARIO 3 15 mm V a DURATWIX SOLO-ADAPTER UNI 3 15 mm U a 21

22 TRACHEOSTOMY TUBES - CUFF MUCOPROTECT Cuff pressure gauge MUCOPROTECT Connection tube for cuff pressure gauge SENSOTRACH Foam OVAL SENSOTRACH Foam PRO OVAL SENSOTRACH Foam ROUND SENSOTRACH Foam PRO ROUND

23 TRACHEOSTOMY TUBES - LINGO CUFF / PHON These tracheostomy tubes combine the features of a cuffed tracheostomy tube with a sieve-fenestrated one: Cuffed tracheostomy tubes are used to seal the cannula against the tracheal wall. This is a requirement for artificial ventilation and/or to prevent accidental aspiration of secretions. The soft cuff with very thin walls is typically designed as a high volume/low pressure cuff (hv/lp) and fits snugly into the trachea to ensure a reliable seal. The inflation line is integrated into the wall of the (outer) cannula thus providing a rounded and smooth outer shape to avoid friction and irritations of the delicate mucosa, particularly around the tracheostoma. Sieve-fenestrated tracheostomy tubes have an opening in the upper (convex) wall of the tube shaft facing the larynx, the so-called sieve-fenestration. While most conventional tracheostomy tubes have one or two simple holes the Fahl tracheostomy tubes have an elaborate sieve consisting of many small holes to reduce micro-aspiration and the ingrowth of granulation tissue. If an inner cannula is present, it has an oval opening corresponding to the sieve in the outer cannula. Sieve-fenestrated cannulas are used by tracheostomized patients with intact larynx who are able to speak, or by laryngectomized patients with voice prosthesis who still need a tracheostomy tube to stabilize the trachea and keep the tracheostoma open. In that case the sieve supports the speaking facility provided by the voice prosthesis. Sieve-fenestrated tracheostomy tubes are usually used in combination with a speaking valve. DURATWIX UNI-VARIO LINGO-CUFF 1 ICV + 1 ICFU C E Y U V c / a S DURATWIX UNI-VARIO LINGO-CUFF short 1 ICV + 1 ICFU C E Y U V c / a DURATWIX PHON ICF F c a S DURATWIX PHON ICF short F c a 23

24 TRACHEOSTOMY TUBES - LINGO CUFF / PHON DURATWIX ICF v c a S DURATWIX ICF short v c a DURATWIX ICFU U c a S DURATWIX ICFU short U c a DURATWIX ICFV V c a S DURATWIX ICFV short V c a DURATWIX ICFK K c a S DURATWIX ICFK short K c a DURATWIX SOLO-ADAPTER KOMBI 3 22 mm K a 24

25 TRACHEOSTOMY TUBES - LINGO CUFF / PHON DURATWIX SOLO-ADAPTER VARIO 3 15 mm V a DURATWIX SOLO-ADAPTER UNI 3 15 mm U a DURATWIX PLUG 5 15 mm v a C E Y F c / a S SPIRAFLEX SHORT UNI LINGO-PHON CUFF 1 ICX + 1 ICFX + Speaking Valve DURACUFF UNI-VARIO LINGO 1 ICV + 1 ICFU C w E Y U V c / a M DURACUFF UNI-VARIO LINGO M 1 ICV + 1 ICFU C w E Y U V c / a 25

26 TRACHEOSTOMY TUBES - LINGO CUFF / PHON X DURACUFF UNI-VARIO LINGO XL 1 ICV + 1 ICFU C w E Y U V c / a DURACUFF VARIO-KOMBI LINGO 1 ICV + 1 ICFK C w E Y K V c / a M DURACUFF VARIO-KOMBI LINGO M 1 ICV + 1 ICFK C w E Y K V c / a X DURACUFF VARIO-KOMBI LINGO XL 1 ICV + 1 ICFK C w E Y K V c / a DURACUFF CLIP

27 TRACHEOSTOMY TUBES - LINGO CUFF / PHON MUCOPROTECT Cuff pressure gauge MUCOPROTECT Connection tube for cuff pressure gauge SENSOTRACH Foam OVAL SENSOTRACH Foam PRO OVAL SENSOTRACH Foam ROUND SENSOTRACH Foam PRO ROUND

28 TRACHEOSTOMY TUBES - SUCTION Tracheostomy tubes with suction line are cuffed tubes which offer the option of removing secretions which have accumulated above the inflated cuff. This is achieved by a fine tube which is integrated into the (outer) cannula to retain a rounded and smooth outer shape of the cannula to avoid friction and irritations of the delicate mucosa, particularly around the tracheostoma. The suction line can be connected to any suction unit. It has an orifice right above the cuff to ensure that all secretions can be removed. DURACUFF VARIO SUCTION A. Y W / a M DURACUFF VARIO SUCTION M A. Y W / a X DURACUFF VARIO SUCTION XL A. Y W / a TRACHEOTEC VARIO CUFF-SUCTION A. Y W / a 28

29 TRACHEOSTOMY TUBES - SUCTION DURACUFF UNI-VARIO SUCTION 1 ICU + 1 ICV C Y W U V / a M DURACUFF UNI-VARIO SUCTION M 1 ICU + 1 ICV C Y W U V / a X DURACUFF UNI-VARIO SUCTION XL 1 ICU + 1 ICV C Y W U V / a DURACUFF VARIO-KOMBI LINGO-PHON SUCTION 1 ICV + 1 ICFK + 1 COMBIPHON C w E Y W F V K c / a C w E Y W F V K c / a M DURACUFF VARIO-KOMBI LINGO-PHON SUCTION M 1 ICV + 1 ICFK + 1 COMBIPHON

30 TRACHEOSTOMY TUBES - SUCTION C w E Y W F V K c / a X DURACUFF VARIO-KOMBI LINGO-PHON SUCTION XL 1 ICV + 1 ICFK + 1 COMBIPHON DURACUFF CLIP MUCOPROTECT Cuff pressure gauge MUCOPROTECT Connection tube for cuff pressure gauge SENSOTRACH Foam OVAL SENSOTRACH Foam PRO OVAL SENSOTRACH Foam ROUND SENSOTRACH Foam PRO ROUND

31 VOICE PROSTHESES The voice of a laryngectomized patient can be restored by placing a voice prosthesis during or after laryngectomy between the esophagus and the trachea. It restores two vital functions of the larynx: It facilitates a continuous air flow from the lungs via the lower trachea, through the voice prosthesis and the esophagus into the oral cavity. The exhaled air can be used for phonation. And it seals the trachea against the esophagus during eating and drinking. Thus no accidental aspiration of food can occur. There are basically two types of voice prostheses: Indwelling prostheses which need to be exchanged by the physician and non-indwelling prostheses which may be exchanged by the patient himself. A voice prosthesis needs to be replaced for various reasons. E.g. after a certain time the valve may not close properly anymore due to Candida growth or other sediments which may lead to aspiration or an enhanced air flow resistance. For details on this kind of surgical voice rehabilitation a specialized physician should be consulted. Blom-Singer Classic Indwelling Fr Fr Blom-Singer Classic Indwelling - sterile Fr a Fr Blom-Singer Advantage Soft Valve Fr Blom-Singer Advantage Hard Valve Fr Blom-Singer Dual Valve Fr

32 VOICE PROSTHESES Blom-Singer Dual Valve Large Flange Fr Blom-Singer Special Order Special Length (SL) Fr Fr Blom-Singer Special Order Large Esophageal Flange/ Special Length (LESL) Fr Fr Blom-Singer Special Order Large Esophageal Flange (LEF) Fr Fr Blom-Singer Special Order Large (Esophageal + Tracheal) Flange (LF) Fr Fr Blom-Singer Special Order Increased Resistance (IR) Blom-Singer Special Order Large Esophageal Flange/Increased Resistance (LEIR) Fr Fr Fr Fr Blom-Singer Special Order Large Esophageal Flange/ TEP Occluder (LETO) Fr Fr

33 VOICE PROSTHESES Blom-Singer Duckbill patient-changeable Fr Blom-Singer Low-Pressure patient-changeable Fr Fr Blom-Singer Plug Insert 1 16 Fr. 20 Fr Blom-Singer Indwelling Valved Insert 1 20 Fr Blom-Singer Dilator for 16 and 20 Fr. voice protheses 1 18 Fr. 22 Fr Blom-Singer Dilator-r for 16 and 20 Fr. voice protheses Blom-Singer Replacement Gel Caps 1 18 Fr. 22 Fr Fr. 20 Fr LARYVOX DUO BRUSH incl. Clip LARYVOX Stoma Light

34 SPEAKING VALVES Speaking valves facilitate speaking for tracheotomized patients with a partly or fully intact larynx. They allow the patients to speak without finger occlusion of the tracheostoma. They open during inhalation and close during exhalation thereby guiding the exhaled air through the larynx, the vocal cords and the mouth cavity. Thus the patient is able to speak. They also provide enhanced hygiene since finger occlusion is no longer necessary. Speaking valves with 15 mm standard connector The plastic housing is equipped on the patient side with a central opening with a 15 mm internal diameter, thereby allowing connection to a 15 mm standard connector. Speaking valves with 22 mm connector In addition, there is also the variant of a 22 mm connector, which is compatible with all commonly used 22 mm receptacle systems. Speaking valves fitted with a multi-adapter combine both variants (15 and 22 mm). Low resistance speaking valves are fitted with a laterally suspended valve membrane. At rest, the valve membrane is slightly opened. Only slight blowing pressure is necessary to close the speaking valve. The HUMIDOPHONE speaking valve features an additional filter medium which serves the thermal and humidity exchange of the breathing air and its filtration. COMBIPHON 1 15 mm 22 mm a COMBIPHON O mm 22 mm O a COMBIPHON Low Resistance 1 15 mm 22 mm COMBIPHON O 2 Low Resistance 1 15 mm 22 mm O COMBIPHON SLIM 1 15 mm

35 SPEAKING VALVES COMBIPHON SLIM O mm O HUMIDOPHONE mm HUMIDOPHONE PLUS mm 22 mm HUMIDOPHONE PLUS O mm 22 mm O 35

36 TRACHEOSTOMA VALVES These tracheostoma valves facilitate speaking for laryngectomized patients with a voice prosthesis. They allow the patients to speak without finger occlusion of the tracheostoma. They open during inhalation and close during exhalation thereby guiding the exhaled air through the voice prosthesis, the esophagus and the mouth cavity. Thus even a laryngecotmized patient is again able to speak. They also provide enhanced hygiene since finger occlusion is no longer necessary. Tracheostoma valves come with 22mm adapters for attachment to stoma buttons and base plates. LARYVOX Hands-Free Valve Low Resistance 1 22 mm LARYVOX Hands-Free Valve Kombi HME Low Resistance 1 22 mm LARYVOX Hands-Free Valve Kombi HME Normal Resistance 1 22 mm LARYVOX Hands-Free Valve TrachiNaze Normal Resistance 1 22 mm LARYVOX Hands-Free Valve TrachiNaze Low Resistance 1 22 mm LARYVOX Hands-Free Set 1x LARYVOX Hands-Free Valve Kombi HME Low Resistance 6x LARYVOX DUO BRUSH x 5x LARYVOX HME LARYVOX Tape COMFORT 5x OPTIGARD 5x OPTICLEAR 1 22 mm

37 HME FILTER CASSETTES / BASE PLATES The HME (Heat-Moisture-Exchanger) filter cassettes condition the air, protect the lower airways, improve the quality of speech and are simple to use. A tracheostomy results in a loss of mouth/nose breathing, this means that the filtering, warming and humidification of the air has to happen in a different way. To prevent irritation of the airways, due to dry air, dust or harmful substances contained in the air, a filter is required. After surgery, tracheostomised/laryngectomised patients frequently suffer from increased production of mucous and coughing. These symptoms can impair speech rehabilitation and breathing. The regular use of HME filter cassettes with Heat and Moisture Exchangers alleviates the symptoms and increases the quality of life. Comfortable tracheostoma closure The housing of the HME filter cassettes facilitates speaking for laryngectomised patients with a voice prosthesis. The tracheostoma is closed for speaking with the simple touch of a finger, even through clothing. As soon as the finger is removed, the air can pass though the HME to facilitate unimpaired inhalation and exhalation. Inconspicuous Thanks to their low profile the HME filter cassettes are very inconspicuous. They are either connected to tracheostomy tubes or to stoma buttons or to special base plates. The user must take care to select the right connector/adapter. Most tracheostomy tubes have a 15mm connector, stoma buttons and base plates have a 22mm adapter. Fahl HMEs are available with either 15mm connectors or 22mm adapters or the unique combi-adapter which facilitates the connection to both types. Base Plates are used by laryngectomized patients. They are self-adhesive carrier systems for HMEs or tracheostoma valves (speaking valves for laryngectomized patients). We offer many types of base plates with various shapes and sizes, made of different materials and with different adhesive strengths. They are selected according to the anatomy of the tracheostoma and the type of skin in order to achieve a long wearing period with an optimal attachment. An HME or tracheostoma valve may be fitted in the central opening with its 22mm adapter. They can be changed separately from the base plate. LARYVOX HME mm LARYVOX HME HighFlow mm LARYVOX O 2 HME mm 22 mm O 37

38 HME FILTER CASSETTES / BASE PLATES LARYVOX STYLE HME HighFlow SET 1 22 mm x LARYVOX STYLE HME HighFlow 9x LARYVOX STYLE TOP lamella (3x gold / 3x silver / 3x blue metallic) 9x LARYVOX STYLE CAP round (3x gold / 3x silver / 3x blue metallic) LARYVOX STYLE HME SET 1 22 mm x LARYVOX STYLE HME 9x LARYVOX STYLE TOP lamella (3x gold / 3x silver / 3x blue metallic) 9x LARYVOX STYLE CAP round (3x gold / 3x silver / 3x blue metallic) LARYVOX STYLE HME HighFlow Suitable for use with other LARYVOX STYLE products mm LARYVOX STYLE HME Suitable for use with other LARYVOX STYLE products mm LARYVOX STYLE TOP lamella - Set x 3x 3x gold silver blue metallic LARYVOX STYLE TOP lamella - blue metallic

39 HME FILTER CASSETTES / BASE PLATES LARYVOX STYLE TOP lamella - gold LARYVOX STYLE TOP lamella - silver LARYVOX STYLE TOP lamella - beige LARYVOX STYLE CAP round - Set x 3x 3x gold silver blue metallic LARYVOX STYLE CAP round - blue metallic LARYVOX STYLE CAP round - gold LARYVOX STYLE CAP round - silver LARYVOX STYLE CAP round - beige LARYVOX TOUCH HME HighFlow - blue metallic mm

40 HME FILTER CASSETTES / BASE PLATES LARYVOX TOUCH HME HighFlow - gold mm LARYVOX TOUCH HME HighFlow - silver mm LARYVOX TOUCH HME HighFlow - beige mm LARYVOX TOUCH HME HighFlow - clear mm LARYVOX TOUCH HME HighFlow Set x 5x 5x 5x 5x blue metallic gold silver beige clear LARYVOX PRO HME HighFlow mm LARYVOX PRO HME mm

41 HME FILTER CASSETTES / BASE PLATES LARYVOX Tape STANDARD 15 round LARYVOX Tape STANDARD 15 oval LARYVOX Tape STANDARD 15 XL oval LARYVOX Tape FLEXIBLE 15 round LARYVOX Tape FLEXIBLE 15 oval LARYVOX Tape FLEXIBLE 15 XL oval LARYVOX Tape HYDROSOFT 15 round LARYVOX Tape HYDROSOFT 15 oval LARYVOX Tape HYDROSOFT 15 XL oval LARYVOX Tape COMFORT 15 round

42 HME FILTER CASSETTES / BASE PLATES LARYVOX Tape COMFORT 15 oval LARYVOX Tape COMFORT 15 XL oval LARYVOX Tape HYPOALLERGEN 15 round LARYVOX Tape HYPOALLERGEN 15 oval LARYVOX Tape HYPOALLERGEN 15 XL oval LARYVOX Tape EXTRA FINE 15 rectangular LARYVOX Seal 3 22 mm LARYVOX Connect 1 22 > 15 mm LARYVOX Adapt 3 15 > 22 mm FAHL Decannulation-Set 15x LARYVOX Tape EXTRA FINE 1x LARYVOX Seal 1x COMBIPHON O mm 22 mm

43 HME FILTER CASSETTES / BASE PLATES LARYVOX Starter Set 1 22 mm x 3 LARYVOX Tape oval / rectangular 15x OPTICLEAR 15x OPTIGARD 15x LARYVOX HME 15x LARYVOX HME HighFlow 1x LARYVOX SECUTRACH LARYVOX TOUCH HME HighFlowStarter Set x 3 LARYVOX Tape oval / rectangular 15x OPTICLEAR 15x OPTIGARD 15x LARYVOX TOUCH HME 15x HighFlow - clear LARYVOX TOUCH HME HighFlow - beige 1x LARYVOX SECUTRACH LARYVOX Foam S LARYVOX Foam M LARYVOX Foam L Blom-Singer HME mm Blom-Singer TruSeal 30 standard

44 HME FILTER CASSETTES / BASE PLATES Blom-Singer TruSeal contour 30 round Blom-Singer TruSeal contour 30 oval Blom-Singer TruSea contour 30 standard HUMIDOTRACH mm O HUMIDOTWIN mm 22 mm HUMIDOSTOM Junior mm i HUMIDOFIX mm a HUMIDUAL mm O a HUMIDOSTOM O mm O 44

45 TRACHEAL COMPRESSES Tracheal Compresses (Dressings) are basically used for two reasons. They cushion the neck flange of a tracheostomy tube against the skin to avoid leasons, pain and pressure necroses. They further absorb tracheal secretions. Tracheal compresses are available in numerous types, differing in material, number of layers, size, shape and colour. Aluminium coated compresses and foam compresses reduce the adhesion of the compress to dried secretions or clotted blood and thus facilitate an atraumatic replacement. Compresses with a slit facilitate the replacement without the need to use a pair of scissors to cut them open or to remove the tracheostomy tube. For immediate post-operative use and open wounds a sterile compress should be used. SENSOTRACH ALU 10 8 x 10 cm SENSOTRACH ALU SLIT 10 8 x 10 cm SENSOTRACH ALU SLIT 10 8 x 9 cm SENSOTRACH UNO 10 9 x 9,8 cm SENSOTRACH UNO SLIT 10 9 x 9,8 cm SENSOTRACH UNO PED 10 6 x 7 cm i 45

46 TRACHEAL COMPRESSES SENSOTRACH UNO PED SLIT 10 6 x 7 cm i SENSOTRACH UNO PED ALU SLIT 10 6 x 7 cm i SENSOTRACH DUO 10 9 x 9,8 cm SENSOTRACH DUO SLIT 10 9 x 9,8 cm SENSOTRACH DUO PED 10 6 x 7 cm i SENSOTRACH DUO PED SLIT 10 6 x 7 cm i SENSOTRACH DUO ALU 10 9 x 9,8 cm SENSOTRACH DUO ALU SLIT 10 9 x 9,8 cm SENSOTRACH DUO SKIN 10 9 x 9,8 cm

47 TRACHEAL COMPRESSES SENSOTRACH DUO SKIN SLIT 10 9 x 9,8 cm SENSOTRACH 3-Plus 10 9 x 9,8 cm SENSOTRACH 3-Plus SLIT 10 9 x 9,8 cm a SENSOFOAM - sterile 10 10,0 x 9,0 x 0,5 cm a SENSOFOAM - sterile, small 10 6,5 x 6,5 x 0,5 cm SENSOFOAM PAD - sterile 10 7,8 x 3,8 cm a SENSOFOAM PAD Professional - sterile 10 7,8 x 3,8 cm a SENSOFOAM Professional - sterile 10 9 x 9,8 cm a 47

48 CLEANING AND CARE OF CANNULAS For reasons of hygiene and to avoid the risk of infection, the tracheostomy tubes should be cleaned thoroughly at least twice a day. And appropriately more often during heavier secretion production. Our range of aids offers a variety of products for gentle and hygienic cleaning, disinfection and preparation of tracheostomy tubes. Great care should be taken in the handling of tracheostomy tubes, especially when cleaning with a cannulacleaning brush. Should sharp edges or even cracks ever appear on a tracheostomy tube, on no account continue to use it, as this could lead to injury of the mucous membranes in the trachea. Constant checking avoids danger! OPTIBRUSH SET OPTIBRUSH CLEAN g OPTIBRUSH CONT OPTICIT ml OPTIFLUID Stoma oil 1 25 ml OPTIFLUID Stoma oil towel OPTIBRUSH

49 CLEANING AND CARE OF CANNULAS OPTIBRUSH PLUS OPTIBRUSH Basic OPTIBRUSH Swab 30 small OPTIBRUSH Swab XL 30 large OPTIFAHL Stoma cleaning wipes OPTIFAHL Stoma cleaning wipes box OPTICLEAR Adhesive remover OPTIGARD Protective dressing wipes LARYVOX Distance holder

50 CLEANING AND CARE OF CANNULAS LARYVOX Tracheospreizer LARYVOX Tracheospreizer PED i LARYVOX Tweezers FAHL Gauze Dressings 8-fold x FAHL Non-Woven Compress / 4-fold x 10 cm

51 TUBE HOLDERS We offer an extensive range of tracheostomy tube accessories. A tube holder is indispensable for securely fixing the tube in the tracheostoma. Tube holders are available in a large selection and should be matched to the tracheostomy tube. We provide tube holders, in differing material qualities and fastening techniques. H - with plastic hook HM - with metal hook K - with hook-and-loop fastener KACLIP HM beige cm KACLIP H beige cm KACLIP H white cm KACLIP Clear H transparent cm i i i i i SUPRAFIX 11 H PED cm SUPRAFIX 11 K PED cm SUPRAFIX 13 H PED cm SUPRAFIX 13 K PED cm SUPRAFIX 15 H PED cm

52 TUBE HOLDERS i SUPRAFIX 15 K PED cm SUPRAFIX 18 H cm SUPRAFIX 18 K cm SUPRAFIX 25 H cm SUPRAFIX 25 K cm SUPRAFIX 30 H cm SUPRAFIX 30 K cm SUPRAFIX 36 H cm SUPRAFIX 36 K cm OPTIFLAUSCH K cm OPTIFLAUSCH K beige cm OPTIFLAUSCH H cm OPTIFLAUSCH K PED cm i 52

53 TUBE HOLDERS i OPTIFLAUSCH Slim K cm i OPTIFLAUSCH Slim K PED cm NECKFIX K 1 45 cm NECKFIX Blue K 1 45 cm NECKFIX Blue PED K 1 34 cm i NECKFIX Beige K PED 1 34 cm i NECKFIX Beige K 1 46 cm NECKFIX Beige K XL 1 50 cm NECKFIX Duo K cm NECKFIX Duo K beige cm NECKFIX ENDO cm Endotracheal tube fixation 53

54 TRACHEOSTOMA PROTECTION The tracheostoma reacts particularly sensitive to all outside influence. Since after a tracheostomy or a laryngectomy breathing occurs no longer through the mouth and the nose but through the tracheostoma some of the body s natural protective measures are lost. It is therefore important to attach specific care to the protection of the tracheostoma. This refers particularly to the humidification, warming and filtering of the inhaled air. The lack of these protective mechanisms may have an adverse effect on the health. For example, a chilled trachea often results in damaging the delicate mucous membranes. These, in turn, perform such important tasks as the transportation or fluids and the movement of foreign bodies out of the upper and lower airways were they normally can be coughed up. The dissication of the tracheal mucosa will cause irritations and increased secretion, partially with the formation of encrustations. Our products for trachestoma protection replace the necessary protective mechanisms. On the one hand they protect the tracheostoma and trachea from the cold and from drying out on the other hand they prevent the ingress of dirt particles and absorb leaking secretions. Without tracheostoma protection the inhaled air would enter through the tracheostoma too cold and too fast. Specific protection items provide a barrier, reducing the speed or the airflow, warming and humidifying the air. At the same time tracheostoma protection products provide visual protection and with it, a certain degree of security. Our tracheostoma protection products combine aesthetics with comfort. The neckerchiefs and scarves, for example, are offered in fashionable, attractive design patterns. Please refer to our colour sample card for the full range. You can find the current version at 3L - 3 layers 5L - 5 layers 8L - 8 layers 12L - 12 layers TRACHEOTEX BIB 3L cm TRACHEOTEX BIB 5L cm TRACHEOTEX BIB 8L cm TRACHEOTEX BIB 12L cm

55 TRACHEOSTOMA PROTECTION TRACHEOTEX BIB 3L PED cm i TRACHEOTEX BIB 5L PED cm i BUCHANAN BIB L 10 max. 95 cm x 19 cm BUCHANAN BIB S 10 max. 65 cm x 12 cm TRACHEOTEX Scarf cm TRACHEOTEX EASY 1 max. 55 cm TRACHEOTEX Shirt 1 min. 20 cm TRACHEOTEX ROLLI ZIP 1 min. 18 cm TRACHEOTEX ROLLI ZIP FINE 1 min. 18 cm

56 TRACHEOSTOMA PROTECTION TRACHEOTEX ROLLI KLETT cm TRACHEOTEX ROLLI KLETT FINE cm LARYNGOFIX S beige 10 4 x 5,5 cm LARYNGOFIX L beige 10 4,8 x 6,7 cm LARYNGOFIX S white 10 4 x 5,5 cm LARYNGOFIX L white 10 4,8 x 6,7 cm LARYNGOFIX PLUS S beige 10 4 x 5,5 cm LARYNGOFIX PLUS L beige 10 4,8 x 6,7 cm LARYNGOFIX PRO S 10 4,0 x 5,5 cm 5 mm

57 TRACHEOSTOMA PROTECTION LARYNGOFIX PRO L 10 4,8 x 6,7 cm 5 mm TRACHEOSTOMA-FIX S beige 10 6 x 6,5 cm TRACHEOSTOMA-FIX L beige 10 7 x 7,5 cm TRACHEOFIX S white 10 5,5 x 6 cm TRACHEOFIX L white 10 7 x 7 cm TRACHEOFIX S beige 10 5,5 x 6 cm TRACHEOFIX L beige 10 7 x 7 cm TRACHEOFIX PLUS S beige 10 5,5 x 6 cm TRACHEOFIX PLUS L beige 10 7 x 7 cm

58 TRACHEOSTOMA PROTECTION LARYNGOFIX TOUCH L 10 4,8 x 6,7 cm LARYTAPE S 10 4 x 5,5 cm LARYTAPE L 10 4,8 x 6,7 cm LARYTAPE TOUCH S 10 4 x 5,5 cm LARYTAPE TOUCH L 10 4,8 x 6,7 cm LARYVOX SECUTRACH Shower guard 1 22 mm 15 mm SECUTRACH Shower guard

59 INHALATION AND AIR HUMIDIFICATION Following laryngectomy or tracheotomy, the patient breathes via a tracheostoma (surgical opening of the trachea). When breathing through the nose, the inhaled air is kept moist in a natural manner. After the loss of continuous physiological humidification of the mucous membranes a different method is required in order to prevent severe irritation of the tissue. In most cases this type of irritation leads to increased secretion, coughing and encrustation. To avoid these consequences, it is essential for the patient to inhale regularly and ensure that his environment are kept at a constant air humidity of approx %. NEBUFIRST NEBUPORT LARYVOX Nebulizer NEBUJUNIOR Bear NEBUJUNIOR Penguin

60 INHALATION AND AIR HUMIDIFICATION HUMIDOBAC / HME a HUMIDOBAC FAHL FLEX Catheter mount XL 1 40 cm FAHL FLEX Catheter mount 1 15 cm FAHL Nebulizer Set FAHL Oxytube

61 TRACHEAL SUCTION DEVICES Tracheal suction devices are an important aid for providing care after laryngectomy or tracheotomy. After surgery, patients generally experience increased secretion. This places a great strain on the respiratory system, leading to irritation and coughing. A tracheal suction device is an important aid, helping to remove secretions from the respiratory tract. The tracheal suction device is also a great help in other situations. In such cases, endotracheal suctioning with the tracheal suction device alleviates breathing, as deep-seated bronchial secretion can be removed professionally. Suction takes place through sterile tracheostoma catheters, which are available in various sizes and types. TRACHEOPORT COMPACT Battery 1 24 l TRACHEOFIRST COMPACT 1 24 l a Stoma catheter Metric L cm CH a Tracheostoma catheter Metric S cm CH a TRACHFLOW Metric S cm CH a TRACHFLOW Metric L cm CH

62 TRACHEAL SUCTION DEVICES RESPITRACH Permanent suction catheter a TRACHFLOW Finger-Tip a TRACHFLOW Stepconnector TRACHFLOW Line Pro 1 1,30 m TRACHFLOW Silicone suction tube S 1 28 cm TRACHFLOW Line Connect 1 30 cm

63 SPEECH AIDS/VOICE AMPLIFIERS After successful laryngectomy, it is most important for the patient to be able to speak as quickly as possible again and to be well understood. That is why we recommend speech therapy by a certified speech therapist. The speech therapist will usually start speech rehabilitation with the esophageal voice. Parallel to this, speaking with an electronic speech aid can also be a part of the voice rehabilitation. The electronic speech aid generates sound oscillations, these are transmitted to the mouth/pharynx area when the device is slightly pressed to the neck, and can thereby transform the normal speech motions into comprehensible speech. The VOICETEC voice amplifier enables excellent amplification of a quiet oesophageal voice and is also well suited for patients/users with vocal chord damage. It can be used whenever a louder conversation volume is desired, to, e.g., be understood even with high levels of background noise. With the help of the VOICETEC voice amplifier, it is possible, even without strenuous attempts, to speak loudly. The wireless, radio-controlled transmitter unit enables the greatest of mobility. This extends the patient s comfort and field of application. VOICETEC ElectroLarynx Speech Aid

64 EMERGENCY AIDS Patients with a tracheostomy unit are generally more prone to emergency situations. On the one hand, the limited or lacking option of speaking can possibly impede effectively calling for help. On the other hand, modified respiration via the tracheostoma cannot be recognised immediately by paramedics or be assigned to appropriate measures. In order to provide those affected with the greatest possible security in emergencies and the fastest possible emergency care (e.g. air supply), we offer special aids which could prove life-saving in individual cases. LARYVOX SOS safe-mask LARYVOX SOS mask LARYVOX Smell 1 22 mm LARYVOX Safety Set 1x LARYVOX SOS safe-mask 1x LARYVOX Tweezers 1x LARYVOX Connect 5x LARYVOX O 2 Connect 5x LARYVOX O 2 HME 5x LARYVOX Tape COMFORT / XL oval 1x Oxygen connecting tube 1 15 mm 22 mm

65 EMERGENCY AIDS LARYVOX Emergency Set 1x LARYVOX SOS safe-mask 1x TRACHEOTEC VARIO CUFF, 7 1x LARYVOX Tracheospreizer 1x LARYVOX Connect 5x LARYVOX O 2 Connect 5x LARYVOX Tape COMFORT / XL oval 3x OPTIFLUID Stoma oil towel 1x Oxygen connecting tube 1 15 mm 22 mm FAHL KONIOTOMIE-SET LARYVOX Alarm

66 CLINICAL PRODUCTS Blom-Singer Voice Prosthesis Placement Surgical Kit The Blom-Singer Surgical Kit is a complete surgery set for single use and serves the intraoperative primary or secondary puncture for placing a Blom-Singer Classic indwelling voice prosthesis. Next to the separately packaged voice prosthesis it contains the following components: ➊ Guide catheter (disposable item) ➋ Trocar (disposable instrument) ➌ Pharynx protector (disposable instrument) Blom-Singer Adjustable Bi-Flanged Fistula Prosthesis The individually adjustable bi-flanged fistula prosthesis was developed for the healthcare management of hypopharyngeal fistulas - in particular, pharyngo-cutaneous fistulas. It offers the user a further innovative option as part of the general professional management of fistulas. Blom-Singer Voice Prosthesis Placement Surgical Kit 1 16 Fr. 20 Fr Blom-Singer Adjustable Bi-Flanged Fistula Prosthesis 25 mm 1 25 mm SMALL Blom-Singer Adjustable Bi-Flanged Fistula Prosthesis 38 mm 1 38 mm MEDIUM Blom-Singer Adjustable Bi-Flanged Fistula Prosthesis 50 mm 1 50 mm LARGE Blom-Singer Fistula Prosthesis Insertion and Removal Catheter For SMALL (25 mm) and MEDIUM (38 mm) 66

67 BEFORE THE LARYNGECTOMY/TRACHEOSTOMY VOICE LARYNX VOCAL FOLDS OESOPHAGUS TRACHEA 67

68 AFTER THE TRACHEOSTOMY VOICE VOCAL FOLDS SPEAKING VALVE OESOPHAGUS AIRFLOW FROM AND TO LUNGS TRACHEOSTOMY TUBE WITH SIEVE 68

69 AFTER THE LARYNGECTOMY VOICE VOICE-PRODUCING PE SEGMENT TRACHEOSTOMA AIRFLOW FROM AND TO LUNGS OESOPHAGUS TRACHEA 69

70 AFTER THE LARYNGECTOMY WITH VOICE PROSTHESIS VOICE VOICE-PRODUCING PE SEGMENT VOICE PROSTHESIS (SHUNT VALVE) OESOPHAGUS AIRFLOW FROM AND TO LUNGS TRACHEOSTOMY TUBE 70

71 AFTER THE LARYNGECTOMY WITH SPEECH AID VOICE ELECTRONIC SPEECH AID OESOPHAGUS AIRFLOW FROM AND TO LUNGS TRACHEA 71

72 AFTER THE LARYNGECTOMY WITH HME VOICE VOICE PROSTHESIS (SHUNT VALVE) OESOPHAGUS VOICE-PRODUCING PE SEGMENT RETAINING PLATE (BASE PLATE WITH FILTER (HME) AIRFLOW FROM AND TO LUNGS TRACHEA 72

73 Edition/date: 04/2017 The manufacturer reserves the right to alterations to the products listed, especially technical alterations. Copyright The contents of this catalogue, including all of its parts and images are protected by copyright. Any use beyond the narrow limits of the copyright without the consent of the author is prohibited and subject to prosecution. This applies, in particular, to reproductions, translations, microfilming and the storage and processing of the data in electronic systems. This brochure contains only a small selection of our product range. More about our range of products you will find in our full-line catalog Airway Management and LOCATIONS Andreas Fahl Medizintechnik-Vertrieb GmbH August-Horch-Str. 4a Köln - Germany Phone +49 (0) 22 03/ Fax +49 (0) 22 03/ info@fahl.de Local branch Berlin Am Borsigturm Berlin - Germany Phone +49 (0) 30/ Fax +49 (0) 30/ Local branch Munich Aurbacher Straße München - Germany Phone +49 (0) 89/ Fax +49 (0) 89/ Overseas branch Austria Triester Straße 14 / Bürohaus Wiener Neudorf - Austria Phone +43 (0) 22 36/ Fax +43 (0) 22 36/ HOW TO FIND US - HEAD OFFICE COLOGNE Düsseldorf / Olpe 4 Hotel ibis Köln Porz Lina-Bommer-Weg Alter Deutzer Postweg Köln Frankfu Aachen S12 S13 S BUS Köln Frankfurter Straße S Köln Airport- Businesspark August-Horch-Straße Von-der-Wetten-Straße BUS Neuenhofstraße 152 Ettore-Bugatti-Straße Frankfurter Straße Köln- Gremberghoven Köln-Rath Maarhäuser W 559 Rather Straße BONN Airport Köln/B 73

74 SIZING TRACHEOSTOMY TUBES Tracheostomy tubes are available in different materials and different versions. A good fit of the cannula is essentially determined by two factors, the cannula diameter and the cannula length. As the sizing of the individual cannula manufacturers is based on different measuring principles, these cannot always be directly compared. Exact measurement is often necessary, whereby certain aids can be helpful in measuring, e.g., a flexible measuring tape. The following overview shows how the cannula diameter and length can be determined. It also illustrates which measurements are most commonly used. LARYNGOTEC PHONTRACH DURAVENT standard / XL LARYNGOTEC Button standard / short SILVERVENT O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) Length (mm) O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) Length (mm) O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) I.D. IK (mm) Length (mm) O.D. Shield (mm) I.D. AK (mm) Length (mm) O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) I.D. IK (mm) Length (mm) / / / / / / 62 / / / 62 / / / / 62 / / / / 62 / / / / 62 / / 62 / / 62 / / / / / / CIRCULAR TEMPLATES To determine the outer diameter at the cannula tip in mm. From 3 18 mm in 0.5 mm steps In the selection of tracheostomy tubes of different materials, it should be noted that the material strength could also influence the inner lumen of the cannula. For example, because of the thick-walled material, a non-metal cannula has a smaller inner volume than the thin-walled silver cannula.

75 SIZING TRACHEOSTOMY TUBES DURACUFF standard / medium / XL DURATWIX standard / short DURATWIX JUNIOR PED SPIRAFLEX / SPIRAFLEX MRT SPIRAFLEX XL O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) I.D. IK (mm) Length (mm) O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) I.D. IK (mm) Length (mm) O.D. Tip (mm) I.D. AK mm Length (mm) O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) Length (mm) O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) Length (mm) / max / 75 / / max max / 80 / / max max / 85 / / max max / 95 / / max max / 97 / / 100 / max max. 155 CIRCULAR TEMPLATES To determine the outer diameter at the cannula tip in mm. From 3 18 mm in 0.5 mm steps In comparison, the inner diameter at the cannula tip will therefore play a role. In some tracheostomy tubes, the lengths of the middle radius or the middle length are also stated. These are the mean bending radius of the cannula tube, i.e., the radius of the (geometric) middle layer of the tube bend.

76 SIZING TRACHEOSTOMY TUBES SPIRAFLEX short TRACHEOTEC FAHL BIESALSKI O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) I.D. IK (mm) Length (mm) O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) Length (Midline) (mm) Length (mm) O.D. Tip (mm) O.D. Shield (mm) I.D. AK (mm) I.D. IK (mm) Length (mm) CIRCULAR TEMPLATES To determine the outer diameter at the cannula tip in mm. From 3 18 mm in 0.5 mm steps The table is intended to facilitate the determination of the outer diameter at the cannula tip. The diameter can simply be determined by placing the cannula (tip) on the template.

77 PICTOGRAM LEGEND Pictogram Description Outer cannula A Outer cannula with no inner cannula B Outer cannula with one inner cannula C Outer cannula with two inner cannulas D Outer cannula with three inner cannulas z Outer cannula including 15 mm-connector (UNI) p Outer cannula including 22 mm-connector (KOMBI). Outer cannula including 15 mm-swivel connector (VARIO) u Stoma button w Decannulation plug E Several small fenestration holes in a specific arrangement in the center of the tube, is referred to as sieve (LINGO) x Outer cannula fenestrated y Outer cannula with a slit Y With low-pressure cuff (CUFF) W With suction device ( SUCTION) F Speaking valve (PHON) Inner cannula v Inner cannula with low profile U Inner cannula with 15 mm-connector (UNI) V Inner cannula with 15 mm-swivel connector (VARIO) K Inner cannula with 22 mm-connector (KOMBI) c Inner cannula With oxygen support O Mit einem O2-Anschluss General S Length short M Length medium X Length XL l MRT suitable i Specially for children / For artificial ventilation a Sterile LIST OF ABBREVIATIONS Abbreviation Description LINGO Sieve-fenestrated CUT With a slit CUFF With low-pressure cuff SUCTION With suction device MULTI Multi function XL Length XL M Length medium Short Length short PHON With speaking valve UNI With 15 mm-connector VARIO With 15 mm-swivel connector KOMBI With 22 mm-connector FIX Button with fastening eyelets SV Speaking valve HP HUMIDOPHONE Abbreviation Description CP COMBIPHON SZ IC Inner cannula ICF Inner cannula, fenestrated ICU IC with 15 mm-connector (UNI) ICFU IC with 15mm-connector (UNI), fenestrated ICV IC with 15 mm-swivel connector (VARIO) ICFV IC with 15 mm-swivel connector (VARIO), fenestrated ICK IC with 22 mm-connector (KOMBI) ICFK IC with 22 mm-connector (KOMBI), fenestrated ICX IC flexible ICFX IC flexible, fenestrated O2 IC with oxygen support

78 - I V E R S A R I O Andreas Fahl Medizintechnik-Vertrieb GmbH August-Horch-Str. 4a Köln - Germany Phone +49 (0) 22 03/ Fax +49 (0) 22 03/ info@fahl.de Local branch Berlin Am Borsigturm Berlin - Germany Phone +49 (0) 30/ Fax +49 (0) 30/ Local branch Munich Aurbacher Straße München - Germany Phone +49 (0) 89/ Fax +49 (0) 89/ J U B I O I L Ä U M I V E R S A R - A N N J U B - I L E E - A N N I V E R S A 25 JAHRE - YEARS - A N I R E Overseas branch Österreich Triester Straße 14 / Bürohaus Wiener Neudorf - Austria Phone +43 (0) 22 36/ Fax +43 (0) 22 36/ EN-2017 Fb 1685/03 Product Selection Airway Management short EN 04/2017