Atos Medical Provox XtraMoist HME

Why use XtraMoist Heat and Moisture Exchanger (HME)?

• Helps to reduce mucus production and coughing by humidifying
• Filters the air you breathe through your stoma
• After a total laryngectomy, you breathe through the stoma in your neck. This means the air that reaches your lungs is cooler and less humid than it should be. Your lungs react by producing more mucus, and your windpipe can feel irritated. You may start to cough a lot and have to clean your stoma more regularly, which can be uncomfortable to do in public. Most people find that wearing HMEs can help.
• HME will most likely have a significant impact on your daily life. Other users report less less stoma cleaning and better sleeping

How to operate Provox HME?

• Insert the Provox XtraHME Cassette into the connector of the attachment device
• Breathe normally
• To speak, press the top lid of the Provox XtraHME Cassette down with a finger
• Note: Always release the lid completely at inhalation to avoid increased breathing resistance
• To remove the Provox XtraHME Cassette, hold the attachment device in place with two fingers and remove the HME Cassette from the holder

Device lifetime and disposal

The HME is for single use and must be replaced at least every 24 hours, or more often if needed. Always follow medical practice and national requirements regarding biohazard when disposing of a used medical device.

Atos Medical Provox XtraMoist HME User Manual
 

What to buy with Provox XtraMoist HME

• Atos Medical Provox HME Cap
• Atos Medical Provox Non-Sterile Reusable Brush
• Atos Medical Provox Plug

Precautions to take while using Provox XtraMoist HME

• Always test the function of the Provox XtraHME Cassette prior to use. The top lid should immediately return to its open position after releasing the finger.
• Do not disassemble the Provox XtraHME Cassette since this will interfere with its proper function.
• Do not reuse the Provox XtraHME Cassette or attempt to rinse it with water or any other substance. This will substantially reduce the function of the HME. Additionally the risk of potential infections may increase due to bacterial colonization of the foam.
• Do not use the Provox XtraHME Cassette longer than 24 hours. The risk of potential infections may increase with the time of use due to bacterial colonization of the foam.
• Do not administer medicated nebulizer treatment over the device since the medication can become deposited in the device.
• Do not use humidifiers or heated humidified oxygen via a mask over the tracheostoma while using the device. The HME will become too wet. If oxygen therapy is required, use only non-heated humidified oxygen.

Atos Medical Provox HME Contraindications

The Provox XtraHME Cassette is not intended to be used by patients unable to remove or operate the device, unless the patient is under constant supervision of a clinician or a trained caregiver. For example, patients who are unable to move their arms, patients with decreased levels of consciousness, or patients with diseases that put them at risk for unpredictable periodic loss of consciousness. Do not use the Provox XtraHME Cassette in combination with cuffed tracheal cannula; breathing may be restricted and suffocation may occur. Do not use on patients with a low tidal volume, as the added dead space (5 ml) may cause CO 2 (carbon dioxide) retention at too low tidal volume.