Regarding the Shikani Speaking Valve™

How is the Shikani Speaking Valve™ different from other valves?

The Shikani Speaking Valve™ (SSV) is a dynamic valve based on a ball design rather than the traditional flapper membrane design. With this valve, you have complete control over how airflow is directed within the upper airway. Depending on how you turn the notch, the valve has two modes of use – “valve up,” i.e. “biased open,” or “valve down,” i.e. “biased closed” – each with its own unique benefits. Always remember to deflate the cuff completely if you have a cuffed tracheostomy tube.

What valve position should I start with?

Many patients start with the valve with the notch up in the 12:00 o’clock position (“biased open”). When you use the valve in this position, you are breathing through the tracheostomy tube as if there is no valve in place, until you go to voice. When you attempt to voice, exhale gently, and you will find that you are able to speak freely. You may find that this position is an ideal starter position for you to get used to the valve. However, you should always talk to your doctor or speech pathologist to determine which position is right for you.

When should I use the “valve down” position?

With the notch down in the 6:00 o’clock position, every single breath is going through the upper airway. You may be a good candidate for this position if you can tolerate every breath going through the upper airway, if you are weaning from your tracheostomy tube, if you are receiving nutrition by mouth, or if you wish to speak for extended periods of time. However, you should always talk to your doctor or speech pathologist to determine which position is right for you.

How often does the valve need to be replaced?

As with other speaking valves, the Shikani Speaking Valve™ should be replaced every 2-3 months.

Regarding the Shikani Speaking Valve™ used in conjunction with the Shikani HME™

How do the Shikani Speaking Valve™ and Shikani HME™ work together?

When coupled with the Shikani Speaking Valve™, the Shikani HME™ allows effective speech and simultaneous humidification, warming, and filtration of air. You can therefore realize the benefits of both devices by using them together. That said, the Shikani HME™ can also be used independently by placing it directly onto any standard 15mm tracheostomy tube cannula. While these devices can be used independent of one another, the combination of the two can help restore your quality of life in an unmatched way.

How do I position the valve when also using the HME?

If you have a cuffed tracheostomy tube, make sure to deflate the cuff completely. Then, place the Shikani Speaking Valve™ with the notch up in the 12:00 o’clock position (“biased open”). Place the Shikani HME™ on top of the valve. With this combination, you can receive the benefits of both speech and improved pulmonary health.

How often does the HME need to be replaced?

As with other HMEs, the Shikani HME™ should be replaced after 24 hours of use. Some patients go through 2 or more HME’s per day, depending on their needs.