SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION (SAL-PAC)

PROGRAMS FOR LARYNGECTOMIZED, TRACHEOSTOMIZED AND GLOSSECTOMIZED PATIENTS

Annual Communication Aids Guide Replacement Values and Quotas 2015 The Speech-Language Pathology Services of the CHUM and the CHU DE QUÉBEC

2015 revision

SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION (SAL-PAC) Programs for Laryngectomized, Tracheostomized and Glossectomized Patients

2015–2016 Annual Communication Aid Guide Table of Contents Page

INTRODUCTION .................................................................................................................. 3 COMMUNICATION AID DEVICES ....................................................................................... 4 Artificial Larynges .............................................................................................................. 4 Speech Synthesizers ......................................................................................................... 4 Voice Amplifiers................................................................................................................. 5 Telephones with Voice Amplifiers ...................................................................................... 5 COMMUNICATION ASSISTANCE SUPPLIES ..................................................................... 5 Standard Tracheoesophageal Prostheses ........................................................................ 5 Indwelling Tracheoesophageal Prostheses ....................................................................... 6 Accessories for Tracheoesophageal Prostheses............................................................... 7 Valves pour Tracheoesophageal Prostheses .................................................................... 7 Tracheostoma Vents, Stoma Buttons and Tube Holders ................................................... 8 Speaking Valves................................................................................................................ 8 Trachoestomy Tubes with Integrated Speaking Valves ..................................................... 8 OTHER SUPPLIES ............................................................................................................... 8 Foam Filters ...................................................................................................................... 8 ANNUAL QUOTAS APRIL 2015–MARCH 2016 ................................................................. 9

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SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION (SAL-PAC) Programs for Laryngectomized, Tracheostomized and Glossectomized Patients

2015–2016 Annual Communication Aid Guide INTRODUCTION The communication devices and supplies, in addition to the other supplies listed in this Annual Communication Aid Guide, are available to SAL-PAC users for the year beginning on April 1, 2015 and ending on March 31, 2016. The annual quotas presented in this guide are established for a full year, from April 1, 2015 to March 31, 2016. For patients who begin using a communication aid during the year, the quota is calculated on a pro rata basis. For all questions concerning these communication aids, please contact the SAL-PAC supraregional distribution centres.

FOR EASTERN QUÉBEC Centre hospitalier universitaire de Québec (CHU DE QUÉBEC) L’Hôtel-Dieu de Québec Service aux laryngectomisés-Programme d’aide à la communication 1565, 11 Côte-du-Palais Québec City QC G1R 2J6 Telephone: 418 691-5095 Fax: 418 691-5377

FOR WESTERN QUÉBEC Centre hospitalier de l’Université de Montréal (CHUM) -Hôpital Notre-Dame Service aux laryngectomisés-Programme d’aide à la communication K-3246, 3rd floor, Pavillon Mailloux 1560 Sherbrooke St. East Montréal QC H2L 4M1 Telephone: 514 890-8000, extension 25585 Fax: 514 412-7899 Email: [email protected]

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SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION (SAL-PAC) Programs for Laryngectomized, Tracheostomized and Glossectomized Patients

2015–2016 Annual Communication Aid Guide COMMUNICATION AID DEVICES A single device is loaned to a user. If the device no longer corresponds to the user’s needs, it must be returned, and another better-adapted device will be loaned.

ARTIFICIAL LARYNGES MODEL

REPLACEMENT VALUE

Oral model Cooper Rand Device Sound generator Cord Flexible or rigid tubes (10) “Extended grip” accessory Neck model Servox Inton Device Oral adapter Tube Charger Storage bag Blom-Singer Electrolarynx Device Oral adapter Tube TruTone Device Oral adapter Tube

$600.00 $130.00

$200.00

$1 000.00 $23.00 $250.00 $35.00

QUOTAS

1 per 10 years 2 per year 4 per year 3 per year 2 per year

1 per 10 years 1 per 2 years 24 per year 1 per 10 years 1 per 5 years

$255.00

1 per 10 years 1 per 2 years 24 per year

$700.00

1 per 10 years 1 per 2 years 24 per year

SPEECH SYNTHESIZERS MODEL Lightwriter French- or English-language device Charger Carry bag Franklin Device Oralys system with Panasonic Toughbook Device Carrying case Telephone connection system

2015 revision

REPLACEMENT VALUE

QUOTAS

$7 000.00 $100.00 $125.00

1 per 10 years 1 per 10 years 1 per 5 years

$545.00

1 per 10 years

$4 995.00 $150.00 $999.00

1 per 10 years 1 per 10 years 1 per 10 years

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SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION (SAL-PAC) Programs for Laryngectomized, Tracheostomized and Glossectomized Patients

2015–2016 Annual Communication Aid Guide Oralys system (mobile device) Device

$1 859.45

1 per 10 years

Replacement value

Quotas

$300.00 $30.00 $100.00 $100.00 $100.00

1 per 10 years 1 per 5 years 1 per 5 years 1 per 5 years 1 per 5 years 6 per year

Replacement value

Quotas

$150.00

1 per 10 years

VOICE AMPLIFIERS Model Chattervox Device Carrying case Gooseneck microphone Headset microphone Lapel microphone Foam microphone cover

TELEPHONES WITH VOICE AMPLIFIERS Model Ameriphone SL-25 Device

COMMUNICATION ASSISTANCE SUPPLIES

STANDARD TRACHEOESOPHAGEAL PROSTHESES Quota: 8 per year This quota is established over a full year, from April 1, 2015 to March 31, 2016. For patients who begin using a communication aid during the year, the quota is calculated on a pro rata basis. Standard tracheoesophageal prostheses with special lengths or specific characteristics are not kept in stock by the supraregional distribution centres. Therefore, there is a longer wait for delivery for such requests. The following are available:

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SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION (SAL-PAC) Programs for Laryngectomized, Tracheostomized and Glossectomized Patients

2015–2016 Annual Communication Aid Guide Inhealth – Blom-Singer Duck Bill standard- 16 Fr. Duck Bill special length- 16 Fr. Duck Bill special orders- 16 Fr. Low pressure standard - 16 Fr. Low pressure special length - 16 Fr. Low pressure special orders - 16 Fr. Low pressure special length - 18 Fr. Low pressure standard - 20 Fr. Low pressure special length - 20 Fr. Low pressure special orders - 20 Fr. Provox Provox Nid – 17.5 Fr. Provox Nid – 20 Fr.

INDWELLING TRACHEOESOPHAGEAL PROSTHESES Quota: 4 per year Note that the quota for indwelling tracheoesophageal prostheses of the TEP occludertype is two per year. Special lengths of indwelling tracheoesophageal prostheses are not kept in stock by the supraregional distribution centres. Therefore, there is a longer wait for delivery for such requests. The following are available: Inhealth – Blom-Singer Indwelling Classic regular - 16 Fr. Indwelling Classic special length - 16 Fr. Indwelling Classic regular - 20 Fr. Indwelling Classic special length - 20 Fr. Indwelling special orders - 16 Fr. Indwelling special orders - 20 Fr. Advantage – 16 Fr. Advantage – 20 Fr. Advantage special orders- 16 Fr. Advantage special orders – 20 Fr. TEP occluder -16 Fr. TEP occluder -20 Fr. TEP occluder special orders -16 Fr. TEP occluder special orders -20 Fr. Provox Provox 2 – 22.5 Fr. Provox Vega – 17.5 Fr. Provox Vega - 20 Fr. Provox Vega – 22.5 Fr.

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SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION (SAL-PAC) Programs for Laryngectomized, Tracheostomized and Glossectomized Patients

2015–2016 Annual Communication Aid Guide ACCESSORIES FOR TRACHEOESOPHAGEAL PROSTHESES Accessories for inserting standard tracheoesophageal prostheses: PRODUCTS

Annual quotas

Urethral catheter, 16, 18, 20 and 22 Fr. (to dilate the tracheoesophageal puncture)

6

Plug for urethral catheter

6

Adhesive tape - 1 inch

4

Pipet to clean tracheoesophageal prostheses

6

Cleaning brush for tracheoesophageal prostheses

12

Gel caps, 16 or 20 Fr. (gel caps for insertion into tracheoesophageal prostheses)

100

Other accessories for tracheoesophageal prostheses: PRODUCTS

ANNUAL QUOTAS

Plug insert for Blom-Singer Classic prosthesis, 16 or 20 Fr.

2

Valve insert for Blom-Singer Indwelling prosthesis, 20 Fr. only

2

Plug insert for Provox 2 tracheoesophageal prostheses

2

Plug insert for Provox Vega prostheses, 17.20 or 22.5 Fr.

2

VALVES FOR TRACHEOESOPHAGEAL PROSTHESES PRODUCTS

ANNUAL QUOTAS

Inhealth–Blom-Singer valve or Provox valve (light, medium or strong)

1

Blom-Singer replacement diaphragm or Provox replacement diaphragm (light, medium or strong)

1

Inhealth–Blom-Singer rigid silicone housing, standard or large or Inhealth–Blom-Singer PVC rigid valve housing, standard or large or Housing * TruSeal Adhesive Housing, standard * TruSeal Contour Adhesive, standard, round or oval * TruSeal Contour Low Profile Adhesive, standard, round or oval * Provox regular, oval or round * Provox optiderm, oval or round * Provox flexiderm, oval or round * Provox Xtrabase

12 rigid housings or 12 boxes of 30 per year or 18 boxes of 20

Inhealth–Blom-Singer, foam disk, standard or large or Inhealth–Blom-Singer, thin disk, standard or large

12 boxes of 30 per year

Skin-prep pads

8 50-unit boxes per year

Bottled adhesive

6

Bottled adhesive remover

6

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SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION (SAL-PAC) Programs for Laryngectomized, Tracheostomized and Glossectomized Patients

2015–2016 Annual Communication Aid Guide TRACHEOSTOMA VENTS, STOMA BUTTONS AND TUBE HOLDERS Tracheostoma vents, stoma buttons and tube holders are only available for SAL-PAC users who wear tracheoesophageal prostheses. PRODUCTS Inhealth - Blom-Singer laryngectomy tubes – standard or fenestrated or Provox Larybutton or Provox Larytube, standard or fenestrated or with ring or Bentec T Vent

ANNUAL QUOTAS

3

12 12

14 inch tube holder for stoma button 6 inch extension for tube holder

SPEAKING VALVES PRODUCTS Passy-Muir or Portex or Shiley

ANNUAL QUOTAS

12

TRACHEOSTOMY TUBES WITH INTEGRATED SPEAKING VALVES Please contact the supraregional distribution centres for information about what models are available. OTHER SUPPLIES

FOAM FILTERS PRODUCTS Kapitex Laryngofoam (30-unit packs)

2015 revision

ANNUAL QUOTAS

12

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SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION (SAL-PAC) Programs for Laryngectomized, Tracheostomized and Glossectomized Patients

2015–2016 Annual Communication Aid Guide SERVICE AUX LARYNGECTOMISÉS ET PROGRAMME D’AIDE À LA COMMUNICATION

LISTE DES QUOTAS À REMETTRE AUX PATIENTS Annual Quotas: April 2015–March 2016 LOANS/SUPPLIES Intra-oral or neck-type artificial larynx or voice synthesizer or voice amplifier or telephone with voice amplifier Flexible or rigid tube for artificial larynx Sound generator for Cooper-Rand or extended grip Cord for Cooper-Rand Oral connector for neck-type artificial larynges Servox charger Servox storage bag Cloth carrying bag for amplifier or voice synthesizer Carrying case for voice synthesizer Microphone for voice amplifier Standard prosthesis (duck bill or low pressure or NID) Indwelling prosthesis (Indwelling or Advantage or Provox 2 or Vega) TEP occluder Catheter for dilatation Catheter plugs Adhesive tape, 1 in. Pipet to clean prosthesis Brush to clean prosthesis Gel caps for insertion into prosthesis Plug insert for prosthesis Valved insert for prosthesis Inhealth or Provox valve Replacement diaphragm for valve Rigid valve housing (silicone or PVC) or Integrated valve housing (all brands and models) Foam disks or thin disks for rigid housing Skin prep pads Bottled adhesive Bottled adhesive remover (detachol) Speaking valve * Passy Muir or Portex or Shiley Tracheostoma vent or stoma button* / ** Inhealth laryngectomy tube or Provox Larybutton or Provox Larytube (standard or fenestrated or with ring) or Bentec T Vent or Bivona T Vent Tube holder for tracheostoma vent or stoma button Tube holder extension Tracheostomy tube with integrated speaking valve* Kapitex laryngofoam

ANNUAL QUOTAS 1 per 10 years 30 per year 2 per year 4 per year 1 per 2 years 1 per 10 years 1 per 5 years 1 per 5 years 1 per 10 years 1 per 5 years 8 per year 4 per year 4 per year 6 per year 6 per year 4 per year 6 per year 12 per year 5 packs of 20 per year 2 per year 2 per year 1 per year 1 per year 12 rigid housings per year or 12 boxes of 30 integrated housings per year 12 30-unit boxes per year 8 50-unit boxes per year 6 per year 6 per year 4 per year 3 per year

12 per year 12 per year 1 per 10 years 12 packs of 30 per year

* prescription required ** for tracheoesophageal prosthesis wearers only

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