MIC-KEY Low-Profile Jejunal Feeding Tube Kit is recommended for patients who cannot absorb adequate nutrition through the stomach, have intestinal motility issues, gastric outlet obstruction, severe gastroesophageal reflux, are at risk of aspiration, or have had a previous esophagectomy or gastrectomy. The MIC-KEY Low-Profile Jejunal Feeding Tube can be inserted percutaneously under fluoroscopic or endoscopic guidance, or as a replacement for an existing device with an established stoma tract.

Features

• Radiopaque Strip.
• Low-profile design.
• Proximal Anti-Reflux Valves.
• Silicone Internal Retention Balloons.
• SECUR-LOK Extension Set Connector.
• Trimmable Distal Tip: 81 cm from distal end to balloon tip.
• Medical-grade silicone, low-profile design, proximal anti-reflux valve, secur-lok extension set connector, tapered distal tip.

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

• 4 gauze pads
• (1)6mL syringe
• (1 )directions for use
• (1)Introducer cannula
• (1) 35mL catheter tip syringe
• (1)MIC-KEY bolus extension set with cath tip
• SECUR-LOK right-angle connector and clamp – 12-inch length

Indications For Use

The Avanos MIC-KEY Low-Profile Jejunal Feeding Tube is recommended for patients with intestinal motility issues, gastric outlet obstruction, severe gastroesophageal reflux, aspiration risk, or previous esophageal or gastrectomy.

Contraindications

Contraindications for placement of a jejunal feeding tube include, but are not limited to, ascites, colonic interposition, portal hypertension, peritonitis, and morbid obesity.

Complications

The following complications may be associated with any transgastric jejunal feeding tube:

• Skin Breakdown, Infection, Hypergranulation Tissue, Stomach or Duodenal Ulcers, Intraperitoneal Leakage, Pressure Necrosis, Perforation, Intussusception.

Note: Verify package integrity. Do not use if the package is damaged or the sterile barrier compromised.

Note: The risk for perforation may be higher in patients weighing <10kg.

Placement

The Avanos MIC-KEY Low-Profile Jejunal Feeding Tube may be placed percutaneously under fluoroscopic or endoscopic guidance or as a replacement to an existing device using an established stoma tract.

Caution: A gastropexy must be performed to affix the stomach to the anterior abdominal wall, the feeding tube insertion site identified, the stoma tract dilated and measured before initial tube insertion to ensure patient safety and comfort. The length of the tube may be adjusted using a razor blade or scalpel. Ensure that the cut is smooth and blunt, and the length is sufficient. It should be sufficient to be placed 10–15 cm beyond the Ligament of Treitz.

Caution: 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.

Balloon Maintenance

Check the water volume in the balloon once a week.

• Insert a slip tip 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 must 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 overinflation can obstruct the lumen or shorten balloon life, and underinflation will not properly secure the tube.

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
• This led 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.