On very few occasions, customers have reported problems with tracheostomy tubes splitting apart where the neckplate and the tube entering the throat connect. PHS feels obligated to point out this important information to you with a reminder to carefully examine all tracheostomy tubes prior to reinserting them in your child. After cleaning, re-attach the plastic swivel sleeve by firmly sliding the sleeve on until you reach the base of the hub. Correct placement of the sleeve is between the lip and the base of the hub. Inspect the swivel.
Correct placement allows the sleeve to move back and forth freely.
When the sleeve is in the correct position, continue the cleaning process following the cleaning instructions for Bivona custom and adult tracheostomy tubes. Wash tube and all components in a mild soap solution and rinse thoroughly. For best results use only distilled or bottled water. Allow the water to cool to a comfortable level before attempting to remove the tube and the obturator. Allow tube to air dry.