Description

The 20Fr MIC-KEY Low Profile Balloon Gastrostomy Feeding Tube, developed by Kimberly-Clark / Avanos Medical, is a specialized medical device designed for patients requiring long-term enteral feeding. Its discreet, low-profile "button" design offers comfort and ease of concealment, making it suitable for both pediatric and adult patients.

Key Features

• Material and Construction: Made from high-clarity, medical-grade silicone, this gastrostomy tube ensures biocompatibility and durability. The tube's 20 French (Fr) outer diameter is complemented by various stoma lengths to accommodate individual patient needs.

• Retention and Insertion: The tube features an inflatable internal retention balloon, with a recommended fill volume of 5 mL using sterile or distilled water. Its tapered, recessed distal tip aids in easier insertion, minimizing trauma.

• Visibility and Safety: A radiopaque stripe allows for visualization under imaging, while the proximal anti-reflux valve at the feeding port prevents backflow. The SECUR-LOK extension set connector mechanism and ENFit® connectors enhance secure attachment and enteral safety.

Usage and Maintenance

Placement of the tube can be achieved through various methods, including fluoroscopic, laparoscopic, or endoscopic guidance. It is designed for use in the stomach, distal duodenum, or proximal jejunum, depending on the prescribed tube type.

Daily cleaning with mild soap and water is recommended for both the tube and stoma site. The tube should be rotated 360° plus a ¼ turn before cleaning. Flushing with warm water before and after use helps prevent clogging, and balloon volume should be regularly checked to avoid dislodgement.

Kit Components

The kit may include:

• Continuous and bolus feed extension sets
• Luer slip syringe for balloon management
• ENFit enteral feeding syringe
• Gauze pad
• Patient use and care guide

These components support effective feeding, venting, flushing, and placement checks.

Additional Considerations

The tube is latex-free and sterilized using ethylene oxide or gamma methods. It is prescription-only and not compatible with extension sets from other brands. Contraindications include conditions such as ascites, colonic interposition, and portal hypertension.

Regular monitoring for potential issues like leakage or blockage is advised, with replacement parts available through clinical channels. The MIC-KEY Low Profile Balloon Gastrostomy Feeding Tube typically lasts up to 12 months, with replacement determined by a clinician.