9
2. Instructions for use
2.1 Choose size of the Voice prosthesis
• Selecting shaft diameter
The Clinician should determine the proper diameter of the prosthesis appropriate for
the patient.
inserted.
puncture shrinks to the appropriate diameter.
• Selecting shaft length
To select the correct length, you may use the current prosthesis as its own measuring
device.
Flange of the old prosthesis and the mucosal wall, a shorter prosthesis should be
used.
Note:
2.2 Preparation
(Fig. 3-6)
Position voice prosthesis
attached, and with the tip of the pin positioned all the way into the blue ring of
Pin shall be snapped into the Folding Tool).
Loading Tube until it locks in place (Fig. 5).
Load
ring on the Loading Tube (Fig. 6).
Remove the old voice prosthesis
prosthesis is then pushed into the esophagus for passage through the intestinal
before using this method.
Prepare the puncture (optional)
7. The puncture may be dilated to prepare for the insertion of the voice prosthesis.
This is usually not necessary but may facilitate insertion in patients with angled
or tight punctures that easily collapse.
2.3 Insertion, Anterograde replacement procedure
(Fig. 7-10)
CAUTION:
means that the whole prosthesis is deployed in the esophagus and then retracted to
the intended position.
1. Remove the Folding Tool (Optional)
After the prosthesis has been pushed into the Loading Tube, remove the Folding
Tool by unlocking and disconnecting it from the Loading Tube (Fig. 7).
2. Enter the TE-puncture
resistance, dilatation and/or lubrication can ease the insertion.
3. Insert the voice prosthesis
is fully deployed in the esophagus, (Fig.9).
prosthesis is fully deployed in the esophagus, (Fig. 9).
4. Release the voice prosthesis
Pull the Loading Tube straight out from the puncture. The prosthesis remains in the
5. Finalize the procedure
