Passy-Muir PMV 005 User manual
PASSY-MUIR
®
TRACHEOSTOMY & VENTILATOR
SWALLOWING AND SPEAKING VALVES
PATIENT EDUCATION HANDBOOK
David A. Muir
Inventor of the Passy-Muir Tracheostomy & Ventilator
Swallowing and Speaking Valves
“I was diagnosed with muscular dystrophy at age five. Over the years I
gradually weakened and became a quadriplegic. I was twenty-three and studying
biochemical engineering in college when I had a respiratory arrest and became
ventilator dependent. I had accepted that I could not walk and I accepted the
other difficulties of my disease. However, when I realized I could not talk, I
wanted to give up. Then I realized I was not ready yet. I said to myself, ‘Wait a
minute, you’ve never given up this easily before and you’re not going to this
time. There has to be a way around this problem.’ These thoughts became my
theme for three agonizing months while I was working on my design for the
speaking valve. As corny as it sounds, every rain cloud has a silver lining. This
is absolutely true. Ask me, I know first hand.
It has been very rewarding to know my valve has helped to improve the quality
of life for so many people.”
David A. Muir
© Passy-Muir, Inc.
All rights reserved.
0050
PH/R0718
EMERGO EUROPE
Prinsessegracht 20
2514 AP The Hague
The Netherlands
David’s Legacy
The Passy-Muir®Valves were designed by David Muir. He was twenty-three years old and a
quadriplegic when he had a respiratory arrest that left him ventilator
dependent and unable to speak.Although medically frail, David had courage,
genius, determination and a spirit that led him to invent his tracheostomy &
ventilator swallowing and speaking valves for his own communication needs.
David also had the commitment, the caring and the motivation to share his
valves with other tracheostomized and ventilator dependent patients. His
valves have given the gift of communication to thousands of tracheostomized
and ventilator dependent patients throughout the world.
his humor. However, through our efforts to educate clinicians, patients and
families about speaking with David’s valves, his spirit continues. We at
Passy-Muir Inc. believe that communication is the essence of the human
spirit and it is essential to individual rights and dignity. We are committed
in our efforts to offer tracheostomized and ventilator dependent patients a
step towards independence and dignity through speech.
Additional educational materials on the Passy-Muir Tracheostomy &
Ventilator Swallowing and Speaking Valves are available free of charge
from Passy-Muir and can be obtained by calling 800.634.5397.
(PMV should be evaluated for replacement after two months)
❑ PMV®005 (white) ❑ PMV®❑ PMA
®❑PMV®™)❑ PMV®™)
❑
❑
❑
❑
Yes
❑
No
WARNING: IF YOU ARE HAVING ANY DIFFICULTY WHILE WEARING THE
PMV, REMOVE THE PMV IMMEDIATELY AND CONTACT YOUR DOCTOR.
and Medicaid reimbursable. If you have any questions about the PMV, need any
assistance or more information on PMV use, please call our respiratory and speech
Passy-Muir Inc. 800.634.5397.
PASSY-MUIR®TRACHEOSTOMY & VENTILATOR
SWALLOWING AND SPEAKING VALVE (PMV®) USER INFORMATION
I. INTRODUCTION
dependent patients, their caregivers and families. Each person involved
with the care and use of the Passy-Muir®Tracheostomy & Ventilator
®) requires the appropriate training
to ensure patient safety and appropriate PMV use. This handbook covers
™),™) valves and it should be used along
with hands-on training as well as with the PMV Instruction Booklet and
WARNING: YOU MUST BE EVALUATED AND MONITORED BY A QUALIFIED
HEALTHCARE PROFESSIONAL WHEN TRYING THE PMV FOR THE FIRST TIME
TO ENSURE YOUR SAFETY AND PROPER USE OF THE PMV. NEVER ATTEMPT
TO USE THE PMV UNTIL AFTER YOU HAVE BEEN EVALUATED AND TRAINED
TO USE IT BY A QUALIFIED HEALTHCARE PROFESSIONAL.
Notebold letters
ventilator will require additional instructions found at the end of each
section denoted by a For Ventilator Use.
CAUTION: This booklet should be used as a guide only. Additional and patient
specific instructions will be provided by your doctor, nurse, respiratory therapist,
and/or speech-language pathologist.
PATIENT EDUCATION HANDBOOK
TABLE OF CONTENTS
I.
Introduction ...................................................................................
II.
Passy-Muir®
.............................................................
What is a PMV®?..........................................................................Types of PMVs .........................................................................................................................................................
III.
Placement of the PMV..................................................................
......................................................................................................................................................................................................................................................................................................5. PMV Placement.....................................................................................................................................................................
IV.
Troubleshooting .........................................................................
V.
..................................
VI.
Tracheostomy Tubes ..................................................................
............................................................................................................................................................Metal Tracheostomy Tubes.........................................................Neonatal and Pediatric Tracheostomy Tubes.................................................................
VII.
...............................................................PMV Benefits ...................................................................................................................................................................................................................................................................Assists With Ventilator Weaning...................................Assists With Decannulation..........................................Quality of Life Issues ...................................................
VIII.
....................................................................................
IX.
Resources ...................................................................................
X.
..........“Although I cannot tolerate having my tracheostomy tube plugged, I do
tolerate wearing the PMV very well. I can cover my tracheostomy tube
and the PMV with a scarf to minimize their presence while still being able
to work and talk. I have found that the PMV reduces airway irritation
and facilitates secretion control so that I can go for long periods without
coughing. The PMV is terrific! It has helped to normalize life for me.”
Mimi Collins, M.D.
Bilateral Vocal Cord Paralysis
Philadelphia, PA
All of the PMVs covered by this handbook fit directly on the tracheostomy
tube and can be adapted to use with a ventilator. PMVs can be used on almost
all types and sizes of tracheostomy tubes including neonatal, pediatric and
Use of the PMV
®
with Different Types of Tracheostomy
Tubes
Types of PMVs
All PMVs
covered by this handbook
can be used with adults, children and
be placed directly on the hub of the tracheostomy tube or used with various
adapters in-line with the ventilator as described later in this booklet.
WARNING: T
HE TRACHEOSTOMY TUBE CUFF MUST BE
COMPLETELY
DEFLATED
BEFORE PLACING THE PMV. AN INFLATED CUFF WILL BLOCK THE
SPACE IN THE AIRWAY AROUND THE TRACHEOSTOMY TUBE AND PREVENT THE
PMV USER FROM EXHALING. THE PMV USER WILL BE UNABLE TO BREATHE IF
CUFF IS NOT
COMPLETELY DEFLATED
TO ALLOW AIR TO BE EXHALED AROUND
THE TRACHEOSTOMY TUBE AND OUT OF THE MOUTH AND NOSE.
The PMV 005 (white) Tracheostomy & Ventilator
it is more commonly used by non-ventilator dependent
persons, it can also be used with a ventilator using non-
your healthcare provider.
™) Tracheostomy & Ventilator
be needed to adapt the PMV to pediatric ventilator tubing
Profile Tracheostomy &
™) Low
Profile Tracheostomy &
to be much smaller in size
PMV
2000 (clear)
with PMV Secure-It
PMV 007 (Aqua Color™
)
PMV 005 (white)
PMV
2001 (Purple Color
™
)
with PMV Secure-It
Open Position Speaking
Valves have Air Leak During
Exhalation and Do Not
Provide a Closed
Respiratory System
(1) PMVs Close Completely at End of Inhalation with No Air
Leak, thereby Providing a Closed Respiratory System and
More Normal Breathing Pattern. (2) Closed Position “No Leak”
Design Maintains a Column of Air in Tracheostomy Tube
Redirecting Airflow and Secretions Up the Trachea (Airway)
and Out of the Mouth and/or Nose.
Fig. 1 All Other
Speaking Valves
Fig. 2 PMV® Closed Position “No Leak” Design
12
II. PASSY-MUIR®TRACHEOSTOMY & VENTILATOR
SWALLOWING AND SPEAKING VALVES (PMVs)
What is a PMV®?
Your doctor has ordered a Passy-Muir Tracheostomy & Ventilator
(hub) of your tracheostomy tube. It will enable you to talk without using
™™) are the
only closed positionclosed position “no leak”
the PMV opens letting air enter the tracheostomy tube and the lungs. At
the end of inhalation, the PMV automatically closes and remains closed
VII, Understanding Your Tracheostomy/PMV Benefits,column of air stays inside the tracheostomy tube and keeps secretions
secretions (if present) are redirected around the tracheostomy tube and
closed position of the PMV restores a closed respiratory system and a
mouth and nose instead of through your tracheostomy tube.
CAUTION: PMV®must be completely clean and dry before placing it in
container to prevent growth of bacteria that can cause respiratory infection.
Container should also be cleaned occasionally to prevent bacterial growth.
3. Instruction Booklet - a clinician’s guide to use of the PMV.
both on and off the ventilator as well as cleaning guidelines.
4. Bedside Label - this nonadhesive durable label is designed
to be placed near you, the PMV user (i.e. at the head of the bed
or on the wall). It provides important information to caregivers
about the PMV.
5. Chart Warning Label - this adhesive label can be placed in
your medical chart or care plan to alert all caregivers that you are
currently using a PMV.
6. Pilot Balloon Labels - if you have a cuffed tracheostomy
tube, these small durable stickers must be applied to the pilot
balloon of your tracheostomy tube as a reminder that the cuff of
your tracheostomy tube must alwayswearing the PMV.
7. Patient Parameters Chart Label - this adhesive label is used in
your medical chart or care plan to alert all caregivers to your use of
level of supervision needed, etc.).
8. Patient Handbook - the instruction booklet you are now
reading on use, care and cleaning of the PMV. Designed for
patient, family and caregiver use.
9. PMV®Secure-It®- is designed for use with the PMV®(clear) and PMV®™rubber attachment that connects the PMV to the tracheostomy tube
PMV®®™) are designed to be used
with the PMV®
®
, a device that will keep the PMV®connected to the
tracheostomy tube tie to prevent PMV loss.
PMV Patient Care Kit
Each PMV Patient Care Kit contains the following items :
1. PMV
™™2. PMV Storage Container - a small plastic cup to allow you to
store your clean PMV when it is not being used.
Fig. 3 PMV Patient Care Kit Contents: (1) PMV (2) PMV Storage Container
(3) Instruction Booklet (4) Bedside Label (5) Chart Warning Labels (6) Pilot
Balloon Labels (7) Patient Parameters Chart Label (8) Patient Handbook
(9) PMV Secure-It (with the PMV 2000 series only)
2
1
7
6
5
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This manual suits for next models
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Table of contents
