Cyranose® HME
Transcription
Cyranose® HME
c a t a l o g G lobal solution for pulmonary and phonatory rehabilitation after a total laryngectomy C = 100 M= 60 J= 00 N= 15 40 50 Your confidence inspires us Cyranose® Global System Global solution for pulmonary and phonatory rehabilitation after a total laryngectomy C yranose® Global System consists of a series of devices made for practitioners and laryngectomy patients for the pulmonary and phonatory rehabilitation of the latter, with or without a voice prosthesis. The immediate care of the patients after the total laryngectomy begins with the CyTubeMajor™, a laryngectomy tube and tracheostoma support connecting : • The CyAdaptor™ with the foam filter and secretion trap of the Cyranose® HME*, for pulmonary rehabilitation at the hospital. • The Cyranose® HME*, upon the patient’s return home. CyAdaptor™ CyValveFreedom™ Cyranose® HME* Tracheodouche™ CyGripOne™ • The automatic valve or CyValveFreedom™ by means of the universal adaptor or CyAdaptor™ for phonatory rehabilitation, combined with the secretion trap and foam filter of the Cyranose® HME* for pulmonary rehabilitation. These devices will help laryngectomy patients in their pulmonary and phonatory rehabilitation during their entire lifetime. For laryngectomy patients requiring a tube at home, the CyGripOne™ is specially designed to be worn under the Cyranose® HME*, thereby avoiding the need to wear a tube fastener. CyTubeMajor™ Cyranose® HME* • The shower protector or Tracheodouche™, allowing a shower to be taken without any risk for the lungs during the entire lifetime of the patient. Simple and easy to position, the devices proposed as part of the global solution provided by the Cyranose® Global System, are also characterised by optimised efficacy, since the Heat and Moisture Exchanger may be used almost immediately after the operation. C = 100 the In short, the Cyranose® Global System significantly helps optimise M= 60 quality of life of laryngectomy patients, improve their well-being on a daily J= 00 N= 15 basis and naturally render their image more positive. *Heat and Moisture Exchanger C = 100 M= 60 40 J= 00 50 N= 15 40 50 J= 00 N= 15 50 CyTubeMaj r LARYNGECTOMY TUBE AND TRACHEOSTOMA SUPPORT CyTubeMaj r LARYNGECTOMY TUBE AND TRACHEOSTOMA SUPPORT Laryngectomy tube and tracheostoma support for pulmonary and phonatory rehabilitation CyTubeMaj r LARYNGECTOMY TUBE AND TRACHEOSTOMA SUPPORT CyTubeMaj r LARYNGECTOMY TUBE AND TRACHEOSTOMA SUPPORT C = 100 M= 60 J= 00 N= 15 C = 100 M= 60 40 J= 00 50 N= 15 40 50 CyTubeMaj r The !During hospitalisation : The CyTubeMajor™ may be used with : • The Cyranose®, Heat and Moisture Exchanger. • The Tracheodouche™**, protection during a shower. • The CyAdaptor™ with the Cyranose® foam filter. LARYNGECTOMY TUBE AND TRACHEOSTOMA SUPPORT Laryngectomy tube and tracheostoma support for pulmonary and phonatory rehabilitation CyTubeMaj r LARYNGECTOMY TUBE AND TRACHEOSTOMA SUPPORT CyTubeMaj r LARYNGECTOMY TUBE AND TRACHEOSTOMA SUPPORT CyTubeMaj r !Upon discharge from the hospital after cicatrisation and radiotherapy : The CyTubeMajor™ may be used with : • The Cyranose®, Heat and Moisture Exchanger. • The CyValveFreedom™, a hands-free valve for phonation, by means of the CyAdaptor™. A tube for laryngectomy patients, the CyTubeMajor™ is also a support that, immediately after the surgery or even a long time after surgery, is used to receive the different components of the Cyranose® Global System, in particular the Cyranose® HME* . !After the end of radiotherapy : For laryngectomy patients that have to continue to wear a tube on an occasional or permanent basis, the CyTubeMajor™ may be used with : • The Cyranose® Heat and Moisture Exchanger. • The CyValveFreedom™, a hands-free valve for phonation, by means of the CyAdaptor™. • The Tracheodouche™**, protection during a shower. Made of medical silicon, it is extremely comfortable to wear and does not damage the tracheal mucosa of the patient when put in place or removed on a daily basis. Fully corresponding with the movements of the neck, it does not provoke discomfort in the everyday life of the laryngectomy patient. Available in several lengths and diameters to adapt to all sizes of tracheostoma, the CyTubeMajor™ also comes in a fenestrated version for patients with a voice prosthesis, in order to allow for the passage of air in the prosthesis at the time of the obstruction of the tracheostoma during phonation. The main With the CyAdaptor™ and foam filter Immediate pulmonary rehabilitation The L A R CyTubeMajor™, Y N G E C T O M Y T U Bimmediately E AND TRACHEOSTOMA after the operation, provides optimum pulmonary rehabilitation with the Cyranose® HME* of the CyTubeMajor™ With the CyValveFreedom™ automatic valve SUPPORT *Heat and Moisture Exchanger **By checking that the permeability is satisfactory between the tracheostoma and the CyTubeMajor™ advantages of the CyTubeMajor™ •Exceptional suppleness and true comfort and ease due to the use of silicon. •Perfectly adapted to all types of tracheostoma, in particular the difficult morphologies. •Absence of deformation of the support receiving the elements of the Cyranose® Global System. •Use perfectly compatible withCradiotherapy sessions. = 100 C = 100 M= 60 M= 60 40 40 •Possible pre-fenestrated for patients with a voice prosthesis. J= 00 J= 00 50 50 N= 15 N= 15 the Cyranose® •Immediate pulmonary rehabilitation by connecting HME*, or phonatory rehabilitation with the CyValveFreedom™ automatic valve. H E A T A N D M O I S T U R E E X C H A N G E R H E A T A N D M O I S T U R E E X C H A N G E R PULMONARY AND PHONATORY REHABILITATION H E A T A N D M O I S T U R E E X C H A N G E R H E A T A N D M O I S T U R E E X C H A N G E R C = 100 M= 60 J= 00 N= 15 C = 100 M= 60 40 J= 00 50 N= 15 40 50 Operating Principle E X C H A N G E R Expiration Inspiration PULMONARY AND PHONATORY REHABILITATION Expiration of air at 35 °C and 100% of relative humidity A N D M O I S T U R E E X C H A N G E R T he Cyranose® HME* improves the everyday well being of the laryngectomy patient. Small, light and comfortable, the Cyranose® HME* simply provides optimum quality of life for all users. H E A T H E A T A N D A N D M O I S T U R E M O I S T U R E E X C H A N G E R E X C H A N G E R The secretion trap made of medical stainless steel : decisive assets ! The use of medical stainless steel provides exceptional performance to create the condensation and recover heat and humidity A laryngectomy induces a major change in the respiratory system : absence of filtration, reheating and humidification. Every season and everywhere, the laryngectomy patient is fully subject to variations in the ambient air: dryness in summer as well as in winter with certain systems of heating, sudden cooling in winter as well as in summer with air-conditioned rooms, pollen in the spring… Since the air inhaled is no longer filtered or heated or humidified by the upper respiratory tract, the respiratory system is particularly exposed: hypersensitivity of the epithelium, pollution and inhalation of particles, increase in the volume of the mucus, dryness and irritation, mucous scabs and plugs. The Cyranose® HME* aims at reducing these disagreements by restoring a system of air-conditioning that compensates for the elimination of the natural system. *Heat and Moisture Exchanger ORIFICE H E A T Filtration Deposit of humidity Condensation by difference in temperature Warming The air is warmed up in contact with the metal surface, itself warmed on expiration. TRACHEAL M O I S T U R E ORIFICE A N D TRACHEAL H E A T Humidification The humidity deposited on previous expiration is picked up on inspiration. The filter is brought to the temperature of the inhaled air. Cyranose® is made up of 5 elements The of the Cyranose® HME* !With all of its components, Cyranose® HME* restores an air-processing system that is close to natural breathing : Double sided adhesive Hypoallergenic, for normal or sensitive skin. Base In medical silicon. Its diameter ensures easy cleaning of the tracheostoma and the voice prosthesis, where fitted. Secretion Trap : Double grid with tight mesh made of medical stainless steel. Easy to clean using lukewarm and soapy water or boiling water. Filter Open-cells polyurethane foam. Casing 100 % medical stainless steel, closed by a springoperated obstruction valve for the voice prosthesis. Air-filtering performance similar to that of the upper respiratory tract, Reduction in coughing, and hence secretions Humidification of the respiratory tract, preventing the formation of mucous scabs and plugs Improvement in breathing Improved performances in terms of heat and humidity recovery because of the metal composition !From a practical point of view, the Cyranose® HME*: Makes it possible to breathe while coughing Facilitates cleaning of the tracheostoma since it is not necessary to remove the adhesive C = 100 C = 100 60 M= 60 40 Can be easily hidden under aM= shirt base or a scarf thanks to its J= 00 J= 00 50 side openings. N= 15 N= 15 40 50 C = 100 M= 60 J= 00 N= 15 2 COULEURS CJMN 40 50 Trache douche S H O W E R P R O T E C T O R Trache douche S H O W E R P R O T E C T O R Trache douche protection during the shower S H O W E R P R O T E C T O R Trache douche S H O W E R P R O T E C T O R C = 100 M= 60 J= 00 N= 15 C = 100 M= 60 40 J= 00 50 N= 15 40 50 Trache douche S H O W E R P R O T E C T O R protection during the shower Trache douche S H O W E R P R O T E C T O R F or laryngectomy patients, the most common everyday activities are difficult since their respiratory system is more fragile. With the Tracheodouche™, patients can rediscover the pleasure of a shower « like before ». Trache douche S H O W E R P R O T E C T O R Patients especially dread a shower, as it may lead to serious discomfort when water enters the tracheostoma and the lungs resulting in highly disagreeable fits of coughing. A device incorporated in the Cyranose® Global System, the Tracheodouche™ permanently avoids these disadvantages. C T O R This shower protector makes it possible to have a shower without any regrettable consequences for the lungs, even ten days after the operation, in association with the CyTubeMajor™, to which it is connected. It may then be worn by patients after hospitalisation, without limit in time, each time that they want to have a shower. Trache douche S H O W E R Safety and freedom during a shower The pleasure of having a shower that nothing changes over time. P R O T E C = 100 M= 60 J= 00 N= 15 C = 100 M= 60 40 J= 00 50 N= 15 40 50 J= 00 N= 15 50 CyValveFreed m H A N D S - F R E E V A L V E CyValveFreed m H A N D S - F R E E V A L V E Hands-free valve for the phonation with VOICE PROSTHESIS CyValveFreed m H A N D S - F R E E V A L V E CyValveFreed m H A N D S - F R E E V A L V E C = 100 M= 60 J= 00 N= 15 C = 100 M= 60 40 J= 00 50 N= 15 40 50 CyValveFreed m H A N D S - F R E E V A L V E Hands-free valve for the phonation with VOICE PROSTHESIS The CyValveFreed m H A N D S - F R E E V !Upon discharge from the hospital after cicatrisation and radiotherapy : T he hands-free or automatic valve, the L V E CyValveFreedom™ is fastened on the CyAdaptor™ universal adaptor and assembled, either on the CyTubeMajor™ tube/support, or on the base of the Cyranose® HME*. This device allows the laryngectomy patient with a voice prosthesis to speak, without having to manually obstruct his tracheostoma. The CyValveFreedom™ is based on a simple principle, that of a pre-formed silicon membrane that, during a more sustained or forced expiration, spreads out to close the opening of the valve. During this period, the CyValveFreedom™ may be used with the CyTubeMajor™ under the control of the practitioner and speech therapist. A !After the end of radiotherapy : When the patient has acquired a good tracheo-oesophageal voice and his tracheal breath, he may then wear the CyValveFreedom™ with the Cyranose® HME*. CyValveFreed m H A N D S - F R E E V It is Loften tedious for the largyngectomy patient to adjust an A V E automatic valve, in particular when the components are too small or difficult to manipulate. To overcome these disadvantages, the CyValveFreedom™ comes with a half-moon shaped stop device that is embedded in the CyAdaptor™ and, along with the rotation of the valve, allows the opening to be suitably adjusted in order to breathe and speak. It may be used on a support such as the CyTubeMajor™ and Acombined L V with E the foam filter and the secretion trap of the Cyranose® HME*, the CyValveFreedom™, in both cases, proves to be a perfect Heat and Moisture Exchanger. CyValveFreed m The « half-moon » stop device H A N : D S - Easy to use and directly adjust. with the «half-moon» stop device. F R E E V *Heat and Moisture Exchanger of the CyValveFreedom™ The main advantages of the CyValveFreedom™ •Easy to use and directly adjust with the « half-moon » stop device. •Easy to clean because of the design. with CyTubeMajor™ with Cyranose HME* base ® •Possible to wear with both the CyTubeMajor™ and the Cyranose® C = 100 HME*, due to the CyAdaptor™.C = 100 M= 60 M= 60 J= 00 N= 15 40 J= 00 50 N= 15 40 50 J= 00 N= 15 50 CyAdapt r U N I V E R S A L A D A P T O R CyAdapt r U N I V E R S A L A D A P T O R UNIVERSAL ADAPTOR FOR Cyvalvefreedom™ AUTOMATIC VALVE CyAdapt r U N I V E R S A L A D A P T O R CyAdapt r U N I V E R S A L A D A P T O R C = 100 M= 60 J= 00 N= 15 C = 100 M= 60 40 J= 00 50 N= 15 40 50 CyAdapt r U N I V E R S A L A D A P T O R UNIVERSAL ADAPTOR FOR Cyvalvefreedom™ AUTOMATIC VALVE CyAdapt r U N I V E R S A L A D A P T O R CyAdapt r U N I V E R S A L A D A P T O P T O Fastened to the CyTubeMajor™, the CyAdaptor™ allows for the use of foam filters of the Cyranose® HME*. A !Upon discharge from the hospital after cicatrisation and radiotherapy : Fastened to the CyTubeMajor™, the CyAdaptor™ enables use of the CyValveFreedom™ automatic valve. Specially designed to receive the CyValveFreedom™ automatic valve (for laryngectomy patients with a voice prosthesis who want to speak without having to manually obstruct their tracheostoma) the CyAdaptor™ may also be used with the CyTubeMajor™ equipped with a foam filter and the secretion trap of the Cyranose® HME*. !After the end of radiotherapy (only for patients with a voice prosthesis) : CyAdaptor™ enables use of the CyValveFreedom™ on the Cyranose® HME*. If the patient still needs to wear a tracheostoma tube, the CyAdaptor™, fastened to the CyTubeMajor™, enables use of the CyValveFreedom™ automatic valve. R CyAdapt r with CyTubeMajor™ and Cyranose® HME* foam filter R *Heat and Moisture Exchanger of the CyAdaptor™ !During hospitalisation : daptor fastened to the CyTubeMajor™ or the base of the Cyranose® HME*, the CyAdaptor™ connects different devices used for pulmonary and phonatory rehabilitation. Optimum support The CyAdaptor™ is a perfect support for the CyValveFreedom™ U N I V E R S A L A D A automatic valve, or more specifically, the patient can set it on himself The with Cyranose® HME* and the CyValveFreedom™ hands-free valve The main advantages of the CyAdaptor™ C = 100 C = 100 •Highly polyvalent, a considerable advantage M= 60 M= 60for40 the hospital 40 J= 00 J= 00home. practitioner as well as the patient when he returns 50 50 N= 15 N= 15 •Easy to position and remove. L A R Y N G E C T O M Y T U B E L A R Y N G E C T O M Y T U B E Silicon laryngectomy tube with holding tab L A R Y N G E C T O M Y T U B E C = 100 M= 60 J= 00 N= 15 L A R Y N G E C T O M Y T U B E C = 100 M= 60 40 J= 00 50 N= 15 40 50 L A R Y N G E C T O M Y T U B The E Silicon laryngectomy tube with holding tab L L A A R R Y Y N N G G E E The holding tab** L A R Y N G E A Ceredas innovation **Patent pending C C C T T T O O O M M M Y Y Y T T T U U U B B B E E E S ilicon laryngectomy tube for patients requiring a tube after the operation and even subsequently, the CyGripOne™ benefits from a major innovation, a holding tab**. This tab is used to remove the tube and insert it easily, in particular when worn under the Cyranose® HME*. Above all intended to calibrate the patient’s tracheostoma, the CyGripOne™ may be worn alone, with a fastener, or under the Cyranose® HME*. Made of medical silicon, it is extremely comfortable to wear and does not damage the tracheal mucosa of the patient when put in place or removed on a daily basis. Fully corresponding with the movements of the neck, it does not induce any discomfort in the everyday life of the laryngectomy patient. The holding tab is specially designed to facilitate the placement or removal of this tube both by the patient himself as well as by the professional, with or without the Cyranose® HME*. Available in several lengths and diameters to adapt to all sizes of tracheostoma, the CyGripOne™ also comes in a fenestrated version for patients with a voice prosthesis, in order to allow for the passage of air in the prosthesis at the time of the obstruction of the tracheostoma during phonation. *Heat and Moisture Exchanger of the CyGripOne™ !During hospitalisation : The CyGripOne™ may be used with the Tracheoclean® disposable tracheal protection. !Upon discharge from the hospital after cicatrisation and radiotherapy : The CyGripOne™ may be used with the Tracheoclean® disposable tracheal protection. !After the end of radiotherapy : For patients that have to continue to wear a tube, on an occasional or regular basis, the CyGripOne™ may be used with : • The Cyranose®, Heat and Moisture Exchanger. • The CyValveFreedom™, a hands-free phonation valve, by means of the CyAdaptor™. The main advantages of the CyGripOne™ •Exceptional suppleness and comfort and real ease due to the use of silicon. •Perfectly adapted to all types of tracheostoma, in particular the difficult morphologies. C = 100 C = 100 J= 00 J= 00 •Use perfectly compatible with radiotherapy sessions. M= 60 M= 60 40 50 •Possible pre-fenestrated for patients prosthesis. N= 15 with a voice N= 15 • Easy placement and removal due to the holding tab.** 40 50 Pulmonary and phonatory rehabilitation after a total laryngectomy A full series of solutions throughout the life of laryngectomy patients Post-surgical period D+0 At the hospital If tube needed Post-radiotherapy period • Cicatrised skin Fragile skin: Adhesive for sensitive skin Removal of the CyTubeMajor™ D+10 Removal of the CyTubeMajor™ • Narrowing of the tracheostoma • Apprehension / Psychological factor Normal skin: Standard adhesive During the entire life of the laryngectomy patient + Cyranose® HME* (with standard casing) Without voice prosthesis Without voice prosthesis CyTubeMajor™ Laryngectomy tube and tracheostoma support + CyAdaptor™ + Tracheodouche™ + Cyranose® HME** Cyranose® HME* (with standard casing) Silicon laryngectomy tube + Protection during the shower Universal adaptor CyGripOne™ Tracheodouche™ Protection during the shower + Foam filter with voice prosthesis CyTubeMajor™ (fenestrated) Laryngectomy tube and tracheostoma support + CyValveFreedom™ Hands-free valve for phonation + Cyranose® HME* (with obturator casing) with voice prosthesis CyGripOne™ (fenestrated) Cyranose® HME* (with obturator casing) Silicon laryngectomy tube Cyranose® HME** + CyValveFreedom™ Hands-free valve for phonation Tracheoclean® accessories / complements Disposable Tracheal Protection Tube Fastener If the skin needs a rest (ex: redness, allergy) and/or at night accessories / complements Tracheoclean® C = 100 M= 60 J= 00 N= 15 C = 100 M= 60 40 J= 00 50 N= 15 Disposable Tracheal Protection If the skin needs a rest (ex: redness, allergy) and/or at night Cyranose® HME (without adhesive): * Secretion trap + filter + standard casing / valve - ** Secretion trap + filter Tube Fastener 40 50 ITEM L mm 0459 ITEM ITEM CODE Size 8 Ø I.D. 9,5 mm Ø O.D. 12 mm Size 9 Size 10 Size 12 Ø I.D. 10,5 mm Ø O.D. 13,5 mm Ø I.D. 12 mm Ø O.D. 15 mm Ø I.D. 13,5 mm Ø O.D. 17 mm 27 CBC0827 CBC0927 CBC1027 CBC1227 Laryngectomy tube and tracheostoma support 36 CBC0836 CBC0936 CBC1036 CBC1236 • Standard 55 CBC0855 CBC0955 CBC1055 CBC1255 CyTubeMajor™ 27 CBCF0827 CBCF0927 CBCF1027 CBCF1227 Laryngectomy tube and tracheostoma support 36 CBCF0836 CBCF0936 CBCF1036 CBCF1236 • Fenestrated 55 CBCF0855 CBCF0955 CBCF1055 CBCF1255 CyTubeMajor™ ITEM CyGripOne™ Silicon laryngectomy tube • Standard CyGripOne™ Silicon laryngectomy tube • Fenestrated ITEM CyValveFreedom™ Hands-free valve The Cyranose® HME* STANDARD CASING : 1 Standard casing, 3 Secretion traps, 2 bases, 6 foam filters, 20 adhesives, 1 adhesive-guide The Cyranose® HME* ITEM CODE L mm 0459 Size 8 Ø I.D. 9,5 mm Ø O.D. 12 mm Size 9 Size 10 Size 12 Ø I.D. 10,5 mm Ø O.D. 13,5 mm Ø I.D. 12 mm Ø O.D. 15 mm Ø I.D. 13,5 mm Ø O.D. 17 mm ITEM CODE CyAdaptor™ Universal adaptor 20701 • Base : E2 • Adhesive : E2 20702 Obturator : with voice prosthesis obturator CASING : 1 obturator casing, 3 Secretion traps, 2 bases, 6 foam filters, 20 adhesives, 1 adhesive-guide • Base : A2 • Adhesive : A2 20703 • Base : E2 • Adhesive : E2 20704 The Cyranose® HME* • Adhesive : A2 20705 • Adhesive : E2 20706 SPARES KIT 3 disposable foam filters, 100 adhesives The Cyranose® HME* COMPONENTS REFERENCES 18 CNS0818 CNS0918 CNS1018 CNS1218 27 CNS0827 CNS0927 CNS1027 CNS1227 Standard casing C2BTESTDNI 36 CNS0836 CNS0936 CNS1036 CNS1236 Obturator casing (to voice prosthesis) C2BTEOBTNI 55 CNS0855 CNS0955 CNS1055 CNS1255 Secretion trap C2PGESTD1 18 CNSF0818 CNSF0918 CNSF1018 CNSF1218 Base A2 C2EMBRFCA 27 CNSF0827 CNSF0927 CNSF1027 CNSF1227 Base E2 C2EMBRFCE 36 CNSF0836 CNSF0936 CNSF1036 CNSF1236 Foam filter (x3) 55 CNSF0855 CNSF0955 CNSF1055 CNSF1255 C2FILTRE ITEM CODE KMLDC Accessories ITEM ITEM Standard : without voice prosthesis • Base : A2 • Adhesive : A2 ITEM CODE AUCDC ITEM CODE Tracheoclean® Disposable Tracheal Protection • 50 units TRCLN-050 Tracheoclean Disposable Tracheal Protection • 100 units TRCLN-100 ® ITEM Tracheodouche® Shower protector ITEM CODE C2TRDBTE *Heat and Moisture Exchanger C = 100 M= 60 J= 00 N= 15 C = 100 M= 60 40 J= 00 50 N= 15 40 50 C = 100 M= 60 J= 00 N= 15 40 50 Your confidence inspires us 191, rue Adolphe Pajeaud • 92160 ANTONY • FRANCE Tél. : +33 (0) 1 42 37 11 12 • Fax : +33 (0) 1 42 37 90 91 Email : ceredas@ceredas.com • Internet : www.ceredas.com Your confidence inspires us CHGE208-GB - © Ceredas 2010 Your confidence inspires us