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International Provox® XtraHME™

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International

Provox® XtraHME™

Pressure Drop (Pa) at 30l/min(Lower value = easier to breathe)

20 706050403010 80

XtraMoist

XtraFlow

Normal

HiFlow

Moisture Output (mg/l)(Higher value = better humidifaction)

18 232221201917 24

XtraMoist

XtraFlow

Normal

HiFlow

Provox® XtraHME™ The next generation of HME Cassettes� e � rst Provox HME Cassettes were introduced in 1995. � e Provox HME has set the standard, and is the most extensively clinically tested HME for laryngectomees in the world. Now we are proud to present the next generation of HME Cassettes; the Provox XtraHME. Now with even better humidi� cation from which many patients breathing through a tracheostoma will bene� t.

Improved features� e Provox XtraHME is available in two versions:

XtraMoist HME has capacities close to normal nasal function. � e humidi� cation is improved and the XtraMoist is still keeping the good air� ow for easy breathing. XtraMoist is recommended for patients who have recently undergone a total laryngectomy, and for accustomed users.

XtraFlow HME is focusing on having superior air� ow. XtraFlow is great to use when exercising and when adapting to the breathing resistance after having been without an HME for a longer time.

Many users experience the following benefi ts of using an HME:• Reduced mucus production• Reduced coughing• Improved pulmonary function• Improved speech• Hygienic stoma occlusion• Improved quality of life

Side openings for secure breathing

Can - and should - be used both day and night

Easy, and silent, occlusion of the stoma for voicing

Low profi le design

Pressure Drop (Pa) at 30l/min(Lower value = easier to breathe)

20 706050403010 80

XtraMoist

XtraFlow

Normal

HiFlow

Moisture Output (mg/l)(Higher value = better humidifaction)

18 232221201917 24

XtraMoist

XtraFlow

Normal

HiFlow

Increased volume of highly effi cient HME media

Discreet color

Choosing voice prosthesis• Provox Vega• Provox ActiValve

Choosing HME• XtraMoist• XtraFlow• Micron

Attaching the HME• Adhesive• LaryButton• LaryTube

Finding an individual combination of voice prosthesis, HME and attachment is important for good speech and pulmonary rehabilitation.

The Provox System has a wide range of products, assuring that an optimal combination of the three can be obtained for every person.

Combination of three

Protective rimreduces risk foraccidential closure

Choosing voice prosthesis

person.

AntimicrobialAntimicrobialAntimicrobial

Designed for easy removal of mucus

XtraFlow

XtraMoist

Atos Medical products and expertise are developed in close cooperation with leading institu-tions, doctors, researchers, speech language pathologists and patients from all over the world. All our claims and arguments rest on the results of clinical studies. Atos Medical started the research and development on the first Provox voice prosthesis in 1987. Throughout the years, we have worked hard to develop Provox as the leading voice and pulmonary rehabilitation system on the market. We continue to allocate substantial resources for product development and training programs for Ear, Nose and Throat specialties. Our goal is clear: Atos Medical will continue to lead the way in ENT.

Head office:Atos Medical ABP.O. Box 183, SE-242 22 Hörby, SwedenTel: +46 (0)415 198 00 • Fax: +46 (0)415 198 [email protected] • www.atosmedical.com

Asia - Pacific:Atos Medical ABRoom 1003, 10th FloorWorld-Wide House19 Des Voeux RoadCentral, Hong KongTel: +852 3656 7780Fax: +852 3656 [email protected]

Belgium: Atos Medical BVBA / SPRL Koningsstraat 266 Rue Royale BE - 1210 Brussel / BruxellesTel: 02 / 218 55 50 Fax: 02 / 218 55 51 [email protected]

Germany:Atos Medical GmbH Mülheimerstr. 3-7DE - 53840 TroisdorfTel: (0)2241 14 93 - 0 Fax: (0)2241 14 93 - 72 [email protected]

The Netherlands:Atos Medical B.V.Postbus 574 NL - 2700 AN ZoetermeerTel: 079 593 5000 Fax: 079 593 [email protected]

Spain:Atos Medical Spain S.L. C/Aragón, 208-210, 3º1ª08011 Barcelona, EspañaTel: 93 323 9196 Fax: 93 451 3695 [email protected]

Switzerland: Atos Medical, Switzerland Mainaustrasse 15 CH-8008 Zürich, SchweizTel: 044 380 60 90Fax: 044 380 60 [email protected]

U.K.:Platon Medical LtdP.O. Box 2568, EastbourneEast Sussex BN21 3HZ, Tel: 01323 431 930Fax: 01323 732 [email protected]

U.S.:Atos Medical Inc.11390 West Theodore Trecker WayWest Allis, WI 53214-1135, USA Customer Service: 1-800 217 0025 Fax: 1-414 227 [email protected]

Ordering Information

Provox XtraHME, 5 / box

Provox XtraMoist HME 7297

Provox XtraFlow HME 7298

Provox XtraHME, 30 / box

Provox XtraMoist HME 7290

Provox XtraFlow HME 7291

Provox HME Casssette Adaptor* 7246

Provox® is a registered trademark owned by Atos Medical AB, Sweden. Provox® HME is covered by US 5,738,095, JP 3,553,955, CA 2,179,661 and other patents and patents pending.

Reference list:• Hilgers FJM, Ackerstaff AH, Balm AJM, Gregor RT. A new heat and moisture exchanger with speech valve (Provox® [HME] Stomafilter). Clin Otolaryngol 1996; 21: 414-418.• Hilgers FJ, Ackerstaff AH, Van As CJ, Balm AJ, Van den Brekel MW, Tan IB: Development and clinical assessment of a heat and moisture exchanger with a multi-magnet automatic tracheostoma valve (Provox FreeHands HME) for vocal and pulmonary rehabilitation after total laryngectomy. Acta Otolaryngol 2003 Jan;123(1): 91-9.• Zuur JK, Muller SH, de Jongh FH, van Zandwijk N, Hilgers FJ. The physiological rationale of heat and moisture exchangers in post-laryngectomy pulmonary rehabilitation: a review. Eur Arch Otorhinolaryngol. 2006 Jan;263(1):1-8. Epub 2005 Jul 7. Review. • Zuur JK, Muller SH, Sinaasappel M, Hart GA, Van Zandwijk N, Hilgers FJ. Influence of heat and moisture exchanger respiratory load on transcutaneous oxygenation in laryngectomized individuals: a randomized cross-over study. Head Neck 2007 Dec; 29(12): 1102-1110.• Zuur JK, Muller SH, Vincent A, Sinaasappel M, de Jongh FH, Hilgers FJ. Assessment of tracheal temperature and humidity in laryngectomized individuals and the influence of a heat and moisture exchanger on tracheal climate. Head neck 2008 Aug; 30(8): 1072-1082.• Zuur JK, Muller SH, Vincent A, Sinaasappel M, de Jongh FH, Hilgers FJ. The influence of a heat and moisture exchanger on tracheal climate in a cold environment. Med Eng Phys. 2009 Sep;31(7):852-7. Epub 2009 May 28. • Bien S, Okla S, van As-Brooks CJ, Ackerstaff AH. The effect of a Heat and Moisture Exchanger (Provox HME) on pulmonary protection after total laryngectomy: a randomized controlled study. Eur Arch Otorhinolaryngol. [Epub ahead of print] 27 June 2009. • Scheenstra RJ, Muller SH, Vincent A, Sinaasappel M, Zuur JK, Hilgers FJ. Endotracheal temperature and humidity measurements in laryngectomized patients: intra- and inter-patient variability. Med Biol Eng Comput. 2009 Jul;47(7):773-82. Epub 2009 May 26. • Scheenstra RJ, Muller SH, Vincent A, Sinaasappel M, Hilgers FJ. Influence of breathing resistance of heat and moisture exchangers on tracheal climate and breathing pattern in laryngectomized individuals. Head Neck. 2009 Dec 1. [Epub ahead of print]• Scheenstra RJ, Muller SH, Vincent A, Ackerstaff AH, Jacobi I, Hilgers FJM. Short term endotracheal climate changes and clinical effects of a heat and moisture exchanger with an integrated electrostatic virus and bacterial filter developed for laryngectomized individuals. Acta Otolaryngologica 2009, [Epub ahead of print] December 10.• van den Boer C, Muller SH, Vincent A, Ackerstaff AH, Jacobi I, Scheenstra RJ, van den Brekel MWM, Hilgers FJM. Postlaryngectomy tracheal climate effects and clinical feasibility of a new generation Heat and Moisture Exchangers (Provox XtraMoist and XtraFlow). Manuscript in preparation.The above references represent a selection. For more information contact Atos Medical AB or your local representative.

PMS

BLACK

CMYK

5 MM BLEED

* This product is not available in the USA.

©Atos Medical AB, 200912A, REF 7987