Frequently Asked Questions

Clinician 1: What are the benefits of the Shikani Speaking Valve?

The Shikani Speaking valve is an adaptable valve that can function as both a bias open valve (notch in the 12:00 position) and a bias closed valve (notch in the 6:00 position). Therefore, many patients can tolerate the Shikani Speaking Valve that cannot use other traditional speaking valves. This revolutionary valve is also HME capable and is found to be less resistant than other speaking valves based on invitro airflow testing.

Clinician 2: What patients would benefit from using the valve in the bias open position
(notch at 12:00)?

Patients with unique anatomy (stenosis, partial airway obstruction) that cannot tolerate every breath through the upper airway, patients with severely compromised respiratory function, and patients that are anxious about using a speaking valve are good candidates for the bias open position. This position is also excellent for pediatric patients, because it allows for easier introduction of the valve. Many times, the Shikani Speaking valve is used in the bias open position for the initial evaluation. The patient can then transition to the bias closed position as they become accustomed to airflow through the upper airway, if medically appropriate.

Clinician 3: What patients would benefit from the bias closed position
(notch at 6:00)?

Patients who can tolerate every single breath through the upper airway, patients who are working towards weaning from a tracheostomy tube, and patients who are receiving nutrition by mouth are excellent candidates for the bias closed position.

Clinician 4: What are the benefits of the Shikani HME?

The Shikani HME functions as an artificial nose and improves pulmonary health by providing normalized humidity, temperature, and particle filtration for the patient. These functions are lost with a tracheotomy, because the upper airway is bypassed.

Clinician 5: How do patients wear the HME in conjunction with the speaking valve?

To receive the full benefits of the HME, exhaled air has to flow through an open media. Therefore, the HME should be placed on top of the SSV2 in the bias open position to receive the full benefit of the HME. With the Shikani Speaking Valve and Shikani HME combination, patients can receive the benefits of both communication and increased pulmonary health.

Instructional Videos
Learn how to use the Shikani Speaking Valve in this easy, step-by-step video
Learn how to use the Shikani Speaking Valve in conjuction with the Shikani HME in this easy, step-by-step video