MIC Gastro-Enteric Feeding Tube Kit allows for both jejunal feeding and gastric decompression. It has many feeding exit holes that enhance flow and reduce clogging. Contains clearly defined gastric and jejunal ports for simple identification. A specially-designed MIC Gastro-Enteric Tube has been inserted into your stomach through the abdominal wall. It delivers nutrition beyond the stomach into the small intestine. This tube permits the intake of the food and water that your body requires. The tube also will remove any gas or secretions which may build up in your stomach. Your doctor has selected the proper tube for you and has given you instructions on its care and maintenance. This booklet will help you remember those instructions. You have also been given instructions about diet and medications to be administered through the tube. Follow these instructions closely and never use any other diet or medication.

Features

• FDA approved and CE marked.
• Silicone internal retention balloon.
• Medical-grade silicone construction.
• Multiple gastric and jejunal exit ports.
• Jejunal feeding port, gastric decompression port.
• Full opaque jejunal tubing with an additional tungsten-weighted tip.
• Secure-lok external retention ring allows air circulation around the stoma site, and helps prevent tube migration.

MIC Gastro-Enteric Feeding Tube Kit Includes:

• (1) Gastroenteric Tube
• (1) Directions for Use
• (1) Guidewire (0.025 inch) for 16 Fr., 18 Fr. Tubes
• (1) Guidewire (0.035inch) for 20 Fr., 22 Fr., 24 Fr., 26 Fr., 28 Fr., 30 Fr. Tubes

Balloon Capacity:

• 25.4 cm Jejunal Length: 3-5ml Balloon.
• 57.9 cm Jejunal Length: 7-10ml Balloon.

Indications

MIC Gastro-Enteric Tube for enteral feeding and gastric decompression is wide and varied. The MIC Gastro-Enteric Tube can be used for gastric motility complications, gastroparesis, head injury or stroke complications, or other situations where gastric decompression and enteral feeding distal to the stomach are indicated.

Care and Use

The MIC Gastro-Enteric Tube must be cared for daily. Care is simple and easy, consisting mainly of keeping the tube and the skin around the tube (stoma) clean and dry.

Keep the following supplies on hand to make your cleaning task easier and remember to wash hands before touching your tube.

• Soap and water
• Tissues or 4 x 4s
• Disposable syringe
• Cotton-tipped swabs
• Diet soft drink for use as a cleaning solution

Inspect both the skin around the tube (the stoma) and the tube routinely at feedings and make sure they are clean.

Lift the edges of the ventilated SECUR-LOK ring and gently clean the skin around the tube (stoma) with cotton-tip swabs, a soft cloth, or 4 x 4s, using soap and water. Rinse and dry the stoma after cleaning.

Inspect and Clean the Tube

Clean and dry the outside of the tube and both sides of the ventilated SECUR-LOK* ring using cotton-tipped swabs. The ring can be cleaned in place or can be moved up the tube to clean.

Flush the Tube

After every feeding, flush the jejunal port of the tube with 20–30 ml of water (adults) or 10–15 ml for children or infants. If you are on continous feeding, the tube should be flushed at least 3–5 times daily. The tube should be clear of medicine or feeding solutions. Wipe down the feeding port and its plug using a swab, soft cloth, or 4 x 4s to remove any build-up of oils or feeding materials.

The gastric port should also be irrigated on a regular basis to prevent any accumulation of stomach secretions which could block the tube.

Contraindications

Contraindications for placement of a GE feeding tube include, but are not limited to:

• Ascites
• Peritonitis
• Portal hypertension
• Colonic interposition
• Uncorrected coagulopathy
• Uncertainty as to gastrostomy tract direction and length (abdominal wall thickness)

Complications

The following complications may be associated with any GE feeding tube:

• Aspiration
• Tube clog
• Perforation
• Hemorrhage
• Intussusception
• Peristomal pain
• Pressure Necrosis
• Peristomal leakage
• Ileus or gastroparesis
• Hypergranulation Tissue
• Intraperitoneal Leakage
• Buried bumper syndrome
• Gastric outlet obstruction
• Bowel and gastric volvulus
• Balloon failure or tube dislodgement
• Gastrointestinal bleeding and/or ulceration
• Abscess, wound infection, and skin breakdown
• Nausea, vomiting, abdominal bloating, or diarrhea

Other complications, such as abdominal organ injury, may be associated with the procedure to place the feeding tube.

DO’S

• DO use a feeding pump.
• DO keep the feeding port clean.
• DO keep the gastric port clear.
• DO keep the exterior of the tube clean.
• DO use commercially prepared liquid medications.
• DO wash your hands before handling the tube or your stoma.
• DO irrigate the tube with each use—no less than 3–5 times a day.
• DO adjust the SECUR-LOK ring properly (1–2 mm from the stoma site).
• DO Report unusual symptoms such as abdominal pain, abdominal discomfort, abdominal tenderness, abdominal distension, unexplained fever or an unusual amount of bleeding through or around the tube to your health care practitioner.

DON’TS

• DON’T clamp the tube.
• DON’T fill the balloon with air.
• DON’T used blenderized diets.
• DON’T used crushed medication.
• DON’T put pressure on the stoma.
• DON’T let feeding solutions stand in the tube.
• DON’T use any diet not prescribed by the physician.
• DON’T push the SECUR-LOK ring onto the abdomen.
• DON’T use oil-based lubricants or petroleum jelly on the tube.
• DON’T Secure the tube in place with tape or other appliances.
• DON’T cover the SECUR-LOK ring or healthy skin with tape or gauze.

Warning

You or your caregiver should not attempt to remove or change the MIC Gastro-Enteric Tube.

If the skin around the tube appears red or irritated, consult your physician at once.

Patients receiving elemental diets through the jejunal lumen of the MIC GastroEnteric Tube must be placed on a feeding pump to assure precise delivery and tube patency.

Do not reuse, reprocess, or resterilize this medical device. Reuse, reprocessing, or resterilization may:

• Adversely affect the known biocompatibility characteristics of the device.
• Compromising the structural integrity of the device.
• Lead to the device not performing as intended.
• Create a risk of contamination and cause the transmission of infectious diseases, resulting in patient injury, illness, or death.

Caution: Follow your physician’s instructions for proper gastric maintenance. If you are on continuous feeding, the tube should be flushed at least 3–5 times daily. Avoid puncturing any part of the MIC Gastro-Enteric Tube.

Note:

• Verify package integrity. Do not use if the package is damaged or the sterile barrier compromised.
• The risk for perforation may be higher in patients weighing <10kg.

 

 

Model No	Diameter (Fr)	Jejunal Length (cm)	Silicone Internal Retention Balloon Volume (ml)
0210-16	16	57.9	7-10
0210-16LV	16	25.4	3-5
0210-18	18	57.9	7-10
0210-18LV	18	25.4	3-5
0210-20	20	57.9	7-10
0210-22	22	57.9	7-10
0210-24	24	57.9	7-10
0210-26	26	57.9	7-10
0210-28	28	57.9	7-10
0210-30	30	57.9	7-10