Avanos MIC gastrostomy feeding tubes enable the direct supply of enteral nourishment and medicines into the stomach, as well as gastric decompression.
Features
- Recessed distal tip.
- Radiopaque stripes.
- Medical-grade silicone structure.
- Compatible with ENFit connections.
- SECUR-LOK External Retention Ring.
- Inflated silicone internal retention balloon.
- The MIC bolus G feeding tube is used for patients who have a bolus feeding schedule.
Indications for Use
Avanos's series of MIC gastrostomy feeding tubes is suitable for patients who require long-term feeding, cannot tolerate oral feeding, are at minimal risk of aspiration, require gastric decompression, or need medicine delivered directly into the stomach.
Contraindications
Contraindications for placement of a gastrostomy feeding tube include, but are not limited to:
- Colonic interposition, Ascites, Portal hypertension, Peritonitis, Uncorrected coagulopathy, Uncertainty as to gastrostomy tract direction and length (abdominal wall thickness), Lack of adherence of the stomach to the abdominal wall (replacement only), Lack of established gastrostomy tract (replacement only), Evidence of infection around stoma site (replacement only), Presence of multiple stoma fistulous tracts (replacement only).
Complications
The following complications may be associated with any gastrostomy feeding tube:
- Nausea, vomiting, abdominal bloating or diarrhea, Aspiration, Peristomal pain, Abscess, wound infection and skin breakdown, Pressure necrosis, Hypergranulation tissue, Intraperitoneal leakage, Buried bumper syndrome, Peristomal leakage, Balloon failure or tube dislodgement, Tube clog, Gastrointestinal bleeding and/or ulceration, Gastric outlet obstruction, Ileus or gastroparesis, Bowel and gastric volvulus.
- Other complications, such as abdominal organ injury, may be associated with the procedure to place the feeding tube.
Placement
The Avanos family of gastrostomy feeding tubes may be placed in the following ways:
- Surgically
- Percutaneously under fluoroscopic (radiologic) guidance
- Percutaneously under endoscopic guidance
- A replacement for an existing device using an established stoma tract
Warning: A gastropexy must be performed to affix the stomach to the anterior abdominal wall, the feeding tube insertion site identified, and the stoma tract dilated before initial tube insertion to ensure patient safety and comfort.
Warning: Do not use the retention balloon of the feeding tube as a gastropexy device. The balloon may burst and fail to attach to the stomach to the anterior abdominal wall.
Warning: The insertion site for infants and children should be high on the greater curvature to prevent occlusion of the pylorus when the balloon is inflated.
Daily Care & Maintenance Check List
- Assess the patient for any signs of pain, pressure, or discomfort.
- Assess the stoma site for any signs of infection, such as redness, irritation, edema, swelling, tenderness, warmth, rashes, purulent discharge, or gastrointestinal drainage. Assess the patient for any signs of pressure necrosis, skin breakdown, or hypergranulation tissue.
- Clean the stoma site using warm water and mild soap.
- Use a circular motion, moving from the tube outwards.
- Rinse thoroughly and dry well.
- Assess the tube for any abnormalities such as damage, clogging, or abnormal discoloration.
- Clean the feeding tube using warm water and mild soap, being careful not to pull or manipulate the tube excessively.
- Rinse thoroughly and dry well.
- Clean the gastric and balloon inflation ports. Use a cotton tip applicator or soft cloth to remove all residual formula and medication.
- Rotate the tube 360 degrees plus a quarter turn daily.
- Verify that the external bolster rests 1–2 mm above the skin.
- Flush the feeding tube as described in the General Flushing Guidelines section above.
MRI Safety Information
The MIC Gastrostomy Feeding Tubes are MR Safe.
Warning: For enteral nutrition and/or enteral medication only.
Warning
Do not reuse, reprocess, or resterilize this medical device. Reuse, reprocessing, or resterilization may
- Adversely affect the known biocompatibility characteristics of the device
- Compromise the structural integrity of the device
- Lead to the device not performing as intended, or
- Create a risk of contamination and cause the transmission of infectious diseases, resulting in patient injury, illness, or death
.png){kind=small}