Features

1. Koken Neobreath is available in the following 3 types: single-tube, multiple-tube, and speech types.
2. Equipped with an inner cylinder so that the cannula can be easily cleaned (for double-tube and speech types only).
3. Includes lumen to aspirate fluid deposited on the cuff.
4. An even pipe surface minimizes irritation to the opening of the tracheotomy or tracheal mucosa.
5. Allows the patient to perform vocal training with an attached one-way valve (only for speech type).

Contents

1. Main body
2. Inner cylinder (with 15M connector)
3. Dale Tracheostomy Tube Holder (#240)

Product No.	O.D. (A)	Packing
#3251	8mm	2pcs/box
#3252	9mm	2pcs/box
#3253	10mm	2pcs/box
#3254	11mm	2pcs/box
#3255	12mm	2pcs/box
#3256	13mm	2pcs/box

Precautions for Use

• Do not apply any type of lidocaine spray (such as xylocaine pump spray) to this product. The additive in the preparation may eliminate markings or break the cuff (produce pinholes).
• Please refer to Table 1 below for proper use.

Table 1

	Application	Inner tube	fenestration	Label color on the outer box and inner bag	Letter color on the flame	Size indication on the flame (in case of O.D. 11mm)	Cuff indicator color
Syngle-tube Type	For patients requiring strict respiratory management by connection with respirator, etc.	×	×	Green	Green	OD11 •	Green
Double-tube Type	For patients with much sputum, and in whom the cannula is apt to be obstructed	○	×	White	Black	OD11 • •	Transparent
Speech Type	For patients undergoing vocal training	○	○	Light Blue	Blue	OD11S	Blue

How to select the best size for each patient

• The outer diameter in the product list or indicated on each product corresponds to “Outer diameter (A)” in the table 2 below.
• Pay attention to the difference between the inner and outer diameter indications when another company's product is replaced.

Measurements

Measurement Table (mm)

O.D.(A)
	O.D.(B)	Outer tube I.D.	Inner cylinder I.D.(C)	Length of Pipe(D)
8	9	6.5	5	59
9	10	7	5.5	70
10	11.5	8	6.5	73
11	12.5	8.5	7	73
12	13.5	9.5	7.5	77
13	14.5	10	8.5	78

Spares

Inner Cylinder (with 15M connector) [sterile]

• Exclusive for Speech Type, Double-Tube Type.
• Select size according to the size of the main body O.D.(A).

Product No.	Main body O.D. (A)	Inner cylinder I.D.	Packing
#3281	8mm	5mm	5pcs/box
#3282	9mm	5.5mm	5pcs/box
#3283	10mm	6mm	5pcs/box
#3284	11mm	7mm	5pcs/box
#3285	12mm	7.5mm	5pcs/box
#3286	13mm	8mm	5pcs/box

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