Description

The MIC-KEY Low Profile Gastric-Jejunal Tube by Avanos is expertly crafted for patients requiring simultaneous jejunal feeding and gastric decompression. This specific model features a 14 French diameter, a stoma length of 1.7 cm, and a jejunal length of 30 cm, making it suitable for both pediatric and adult patients.

Key Features

• Low-Profile Design: The tube sits close to the skin, offering comfort and discretion while minimizing the risk of dislodgement. Often referred to as a "button," this design enhances patient comfort.
• Material: Constructed from medical-grade silicone, ensuring durability and biocompatibility.
• Retention Mechanism: An internal inflatable balloon secures the tube, requiring 5–10 mL of sterile or distilled water for inflation. Saline or air should not be used.

Port Functionality

• Jejunal Port: Facilitates feeding and medication delivery directly into the small intestine.
• Gastric Port: Allows for decompression, venting, or medication administration as advised.
• Balloon Port: Utilizes a Luer-slip syringe for easy inflation and deflation of the retention balloon.

Advanced Features

• ENFit Connectors: Provide secure, leak-resistant connections compatible with ENFit extension sets and syringes.
• Multiple Jejunal Exit Ports: Enhance nutrient distribution.
• Weighted Jejunal Portion: Helps maintain proper positioning within the jejunum.
• Radiopaque Stripe: Ensures visibility under X-ray for accurate placement.
• Anti-Reflux Valve: Prevents backflow of stomach contents.

Design Enhancements

• Tapered Distal Tip: Eases insertion and reduces trauma.
• External Bolster: Rests slightly above the skin to allow air circulation and secure placement.

Kit Contents

The kit includes:

• MIC-KEY Low Profile Gastric-Jejunal Tube
• ENFit extension sets for both continuous and bolus feeding
• 6 mL Luer slip syringe for balloon management
• 35 mL catheter tip syringe for priming and flushing

Intended Use

This tube is designed for use in both home and clinical settings, serving as a transition tube after initial placement with a different device. It is not intended for primary tube insertion.

Care and Maintenance

Regular cleaning of the stoma site, external tube, and ports is essential. Flushing the tube and extension sets with warm water before and after feedings and medication administration is recommended. Balloon water volume should be checked weekly, and extension sets should be replaced as advised.

Safety Guidelines

Proper connection of extension sets is crucial, and the tube should not be rotated to avoid kinking. Replacement of the tube is typically recommended every 4–6 months or as directed by the care team. The balloon inflation valve should not be used for feeding or medication purposes.

Usage Notes

Position confirmation via imaging is necessary if tube migration is suspected. Immediate medical attention is required for any pain, bleeding, or leakage around the tube. Only the feeding port should be used for administering food and medication, with medications in liquid form or appropriately prepared. Blended table food may be used if recommended by a dietitian.