MIC-KEY Low-Profile Gastric-Jejunal Feeding Tube Kit is a single-unit feeding and drainage device. It enters the stomach via a gastric stoma. A low-profile external support and an inflated balloon hold the tube in position (inside the stoma tract). The exterior bolster has two ports: one labeled "JEJUNAL" and one labeled "GASTRIC". Each port contains a one-way valve, which is opened by adding the required MIC-KEY Extension Set. MIC-KEY Extension Sets connect to the feeding and drain ports. The JEJUNAL port allows for feeding into the small intestine. The GASTRIC port is used to empty the stomach using modest intermittent suction or gravity drainage. To inflate and deflate the balloon, utilize a third port designated "BAL".

Features

• Low-profile design
• Tapered Distal Tip
• Gastric decompression port
• Silicone internal retention balloon
• Multiple gastric and jejunal exit ports
• Radiopaque weighted jejunal portion
• Lock-and-key style extension set connector
• MIC-KEY Gastric-Jejunal Feeding Tube Kit (Non-ENFit) with Extension Sets is designed for pediatric and adult patients requiring simultaneous jejunal feeding and gastric decompression.

MIC-KEY Low-Profile Gastric-Jejunal Feeding Tube Kit Includes:

• (4) 4 Gauze Pads
• (1) Introducer Cannula
• (1) 6 mL Luer Slip Syringe
• (1) 35 mL Catheter Tip Syringe
• (1) Low-Profile Gastric-Jejunal Feeding Tube
• (1) SECUR-LOK Straight Connector and Clamp
• (1) MIC-KEY Bolus Feed Extension Set with Cath Tip
• (1) MIC-KEY Continuous Feed Extension Set with SECUR-LOK Right Angle Connector and 2 Port Y and Clamp

Indications For Use

Avanos MIC-KEY Gastric-Jejunal Feeding Tube is recommended for patients with poor stomach absorption, intestinal motility issues, gastric outlet obstruction, severe gastroesophageal reflux, aspiration risk, or prior esophagectomy or gastrectomy.

Contraindications

Contraindications for placement of a Gastric-Jejunal Feeding Tube include, but are not limited to, ascites, colonic interposition, portal hypertension, peritonitis, and morbid obesity.

Balloon Maintenance

Check the water volume in the balloon once a week.

• Insert a Luer slip syringe into the balloon inflation port and withdraw the fluid while holding the tube in place. Compare the amount of water in the syringe to the amount recommended or the amount initially prescribed and documented in the patient record. If the amount is less than recommended or prescribed, refill the balloon with the water initially removed, then draw up and add the amount needed to bring the balloon volume up to the recommended and prescribed amount of water. Be aware that as you deflate the balloon, there may be some gastric contents that can leak from around the tube. Document the fluid volume, the amount of volume to be replaced (if any), the date, and time.
• Wait 10–20 minutes and repeat the procedure. The balloon is leaking if it has lost fluid, and the tube should be replaced. A deflated or ruptured balloon could cause the tube to dislodge or be displaced. If the balloon is ruptured, it will need to be replaced. Secure the tube into position using tape, then follow facility protocol and/or call the physician for instructions.

Note: Refill the balloon using sterile or distilled water, not air or saline. Saline can crystallize and clog the balloon valve or lumen, and air may seep out and cause the balloon to collapse. Be sure to use the recommended amount of water, as over-inflation can obstruct the lumen or decrease balloon life, and under-inflation will not secure the tube properly.

Balloon Longevity

Precise balloon life cannot be predicted. Silicone balloons generally last 1–8 months, but the life span of the balloon varies according to several factors. These factors may include medications, volume of water used to inflate the balloon, gastric pH, and tube care.

Warning

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, or
• Create a risk of contamination and cause the transmission of infectious diseases, resulting in patient injury, illness, or death.