Atos Medical Provox Fenestrated LaryTube

Atos Medical Provox LaryTube Features

• Atos Medical Provox Fenestrated LaryTube is made of soft, flexible, yet sufficiently rigid silicone
• Conical, anatomical shape helps to ensure an optimal seal around the stoma
• The different parts of the Provox LaryTube are
  • Tube
  • Shield (conical)
  • HME and accessory holder
  • Wings
  • Ring for adhesive connection
  • Fenestration holes
• Note: Prescription required and can be faxed to 1.203.616.2851

What to buy with Atos Medical LaryTube

• CareFusion AirLife Tracheostomy Tube Holder
• Luminaud Cover-up Shower Collar
• Also available (separately):
  • Atos Medical Provox Micron Heat and Moisture Exchanger (Code 7247)

How to use Provox LaryTube?

Provox Fenestrated Lary Tube Preparation

Choosing correct size

• Diameter: The Provox larry tubes 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.
• CAUTION: During fitting always make sure that the LaryTube does not catch on to the tracheal flange of the voice prosthesis

Provox Lary Tube - 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. 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-soluable lubricant. The following water-soluble lubricants are recommended for use with the Provox Larrytube:
  • KY Jelly
  • SurgiLube

• Caution: Only use water-soluble lubricants. Oil-based lubricants (e.g. Vaseline) may weaken, damage, or destroy the product and should not be used at any time.
• Make sure that you do not lubricate the HME Holder, HME Cassette or any accessory which is to be held by the Provox LarryTube. This may lead to accidental detachment.

Provox Fenestrated Lary Tube Operating Instruction

• Provox LarryTube standard and fenestrated Gently insert the provox larrytube directly into the tracheostoma.
• Attach these tubes with either Provox Larryclip or Provox Tubeholder

Fenestrated LaryTube Device Removal

1. Hold the provox larrytube in place and remove the provox HME system component from the tube.
2. Remove the provox larrytube from the stoma.

Note: Insertion and/or removal of the larrytube may ocasionally cause some slight bleeding, irritation or coughing. Inform your clinician if the symptoms persist.

Cleaning and Disinfecting the Provox LarryTube

CAUTION: Do not clean the device while inside the stoma. This can cause injury. Always remove the device from the stoma before cleaning.
Clean the Provox LaryTube after each use. Do not use any water other than drinking water to clean and rinse the device.
Be careful not to burn your fingers in the warm cleaning water.

1. Rinse the Provox LaryTube in drinking water
2. Place the Provox LaryTube in non-oil based dish soap
3. Clean the inside ofthe tube with the Provox TubeBrush
4. If a fenestrated tube is used the holes should be cleaned with a Provox Brush, see ordering information
5. Rinse the Provox LaryTube in drinking water
6. Disinfect the Provox LaryTube at least once a day with one of the following methods:
   • Ethanol 70% for 10 minutes
   • Isopropylalcohol 70% for 10 minutes
   • Hydrogenperoxide 3% for 60 minutes

• Do not use the device until it is completely dry.
• Inhalation of disinfectant fumes can cause severe coughing and irritation of the airways.
• If the Provox LaryTube looks dirty or has air dried in an area with a risk of contamination the device should be both cleaned and disinfected before use.
• A risk of contamination could exist if the device has been dropped on the floor or if it has been in contact with a pet, someone with a respiratory infection, or any other gross contamination.
• During hospitalization it is important to both clean and disinfect the Provox LaryTube after use but also before use since there is an increased risk of infection and contamination.
• In a hospital it is better to use sterile water for cleaning and rinsing, rather than drinking water.

Atos Medical LarryTube Storage Instructions

• When not in use, clean and disinfect the device as described above and then store the provox larrytube in a clean and dry container at room temperature.
• Protect from direct sunlight

When to use Provox Fenestrated LaryTube?

• The provox larrytube is a holder for devices in the provox HME system intended for vocal and pulmonary rehabilitation after total laryngectomy.
• For patients with a shrinking tracheostoma it is also used to maintain the tracheostoma for breathing.
• The provox larrytube is intended for single patient use

Contraindications
Provox Larytube is not intended to be used by patients that:

• are under any form of mechanical ventilation.
• have damaged tracheal or tracheostoma tissue.

Provox Fenestrated LaryTube User Manual
Atos Medical Provox Fenestrated LaryTube