Avanos Medical 8110-18 - MIC Bolus Gastrostomy Feeding Tube with Enfit Connector - 18 FR, 5 EA/CS

Avanos Medical 8110-18 - MIC Bolus Gastrostomy Feeding Tube with Enfit Connector - 18 FR, 5 EA/CS

The Avanos 8110-18 MIC Bolus Gastrostomy Feeding Tube is utilized for patients who are on a bolus feeding regimen. This feeding regimen relies upon a syringe to deliver meals through a feeding tube. The Avanos 8110-18 MIC Bolus G Feeding Tube is made of a high clarity, medical-grade silicone, designed for visibility and drapability. Also featured is a patented universal connector, designed to preserve tube life and minimize unintentional disconnects. Additionally, an inflatable internal retention balloon is also part of the design to help with patient comfort.Compatible with ENFit Connectors.

Avanos 8110-18 MIC Bolus Gastrostomy Feeding Tube With Enfit Connector Features

• Compatible with ENFit Connectors
• Medical grade silicone construction
• Recessed distal tip
• Inflatable silicone internal retention balloon
• SECUR-LOK external retention ring
• Radiopaque stripe

The Avanos 8110-18 MIC Bolus Gastrostomy Feeding Tube is utilised for patients who are on a bolus feeding regimen.

• Medical-Grade Silicone Construction
• Recessed a-traumatic Tip (except 12 Fr)
• Inflatable Silicone Internal Retention Balloon
• SECUR-LOK External Retention Ring
• Male ENFit Feeding Port
• Tapered Distal Tip matching tube size
• Radiopaque Striping
• Not formulated with natural rubber latex nor DEHP / DBP / BBP
• Gamma sterilised
• 7-10ml Balloon

About Avanos 8110-18 MIC Bolus Gastrostomy Feeding Tube A: Balloon inflation port B: ENFit feeding port C: External retention disk D: Internal silicone retention balloon The Avanos 8110-18 MIC Bolus Gastrostomy Feeding Tube or ENTRAL Balloon Gastrostomy tube (or G-tube) is a special feeding tube which connects the inside of your stomach to the outside so that you can receive the food and fluids you need. The MIC and ENTRAL G-tubes are held in place by an internal retention balloon. Water was injected into the balloon through the balloon inflation port. The maximum fill volume of the balloon is printed on the balloon inflation port. The balloon rests against the inside of your stomach wall. The tube is kept in its position from the outside with an external retention disk (C) that rests approx. 2-3mm above your skin. The combination of these two features holds the tube in place. The shaft of the G-tube contains centimeter marking, allowing to easily check the correct position of the tube inside the stomach. (see further). At the end of the G-tube is an ENFit port, allowing connection of ENFit feed adminstration sets or ENFit syringes. Initial Placement: first 72 hours care: if you have any of the following symptoms, stop using your tube, and seek immediate medical attention: Pain during feeding Fresh bleeding Leaking of gastric contents at stoma site.

Avanos 8110-18 MIC Bolus Gastrostomy Feeding Tube With Enfit Connector Maintenance and Stoma Care

Indications for Use

The Avanos 8110-18 MIC Bolus Gastrostomy Feeding Tube are indicated for use in patients who require long term feeding, are unable to tolerate oral feeding, who are at low risk for aspiration, require gastric decompression and / or medication delivery 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

AVANOS MIC Bolus Gastrostomy Feeding Tube 8110-18 Placement

The AVANOS MIC Gastrostomy / Bolus feeding tubes may be placed surgically, percutaneously under fluoroscopic or endoscopic guidance or as a replacement to an existing device using an established stoma tract.

AVANOS MIC Bolus Gastrostomy Feeding Tube 8110-18 Preparation

Select the appropriate size MIC gastrostomy feeding tube, remove from the package and inspect for damage.

1. Using a male Luer syringe, inflate the balloon (Fig. D) with water through the Balloon Inflation Port (Fig. A). Do not use air.
• Inflate the balloon with 2-3 ml of water for 12 Fr low volume tubes identified by LV following the REF code number.
• Inflate the balloon with 35 ml of water for 14 Fr and 16 Fr low volume tubes identified by LV following the REF code number.
• Inflate the balloon with 710 ml of water for standard tubes.
2. Remove the syringe and verify balloon integrity by gently squeezing the balloon to check for leaks. Visually inspect the balloon to verify symmetry. Symmetry may be achieved by gently rolling the balloon between the fingers. Reinsert the syringe and remove all the water from the balloon.
3. Check the external retention bolster (Fig. C). The bolster should slide along the tube with moderate resistance.
4. Inspect the entire length of the tube for any irregularities.
5. Lubricate the tip of the tube with a water soluble lubricant. Do not use mineral oil. Do not use petroleum jelly

AVANOS 8110-18 MIC Bolus Gastrostomy Feeding Tube Daily Care & Maintenance Check List

Assess the patient: Assess the patient for any signs of pain, pressure or discomfort.

Assess the stoma site: Assess the patient for any signs of infection, such as redness, irritation, edema, swelling, tenderness, warmth, rashes, purulent or gastrointestinal drainage. Assess the patient for any signs of pressure necrosis, skin breakdown or hypergranulation tissue.

Clean the stoma site:

• Use warm water and mild soap.
• Use a circular motion moving from the tube outwards.
• Clean sutures, external bolsters and any stabilizing devices using a cottontipped applicator.
• Rinse thoroughly and dry well.

Assess the tube: Assess the tube for any abnormalities such as damage, clogging or abnormal discoloration.

Clean the feeding tube:

• Use warm water and mild soap being careful not to pull or manipulate the tube excessively.
• Rinse thoroughly, dry well.

Clean the gastric and balloon ports: Use a cotton tip applicator or soft cloth to remove all residual formula and medication.

Rotate the tube: Rotate the tube 360 degrees plus a quarter turn daily.

Verify placement of the external bolster: Verify that the external bolster rests 23 mm above the skin.

Flush the feeding tube: Flush the feeding tube with water using a catheter tip or slip tip syringe every 4-6 hours during continuous feeding, anytime the feeding is interrupted, or at least every 8 hours if the tube is not being used. Flush the feeding tube after checking gastric residuals. Flush the feeding tube before and after medication administration. Avoid using acidic irrigants such as cranberry juice and cola beverages to flush feeding tubes.

AVANOS 8110-18 MIC Bolus Gastrostomy Feeding Tube 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 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 underinflation will not secure the tube properly

AVANOS MIC Bolus Gastrostomy Feeding Tube 8110-18 Device Characteristics