Description

The MIC Bolus Balloon Gastrostomy Tube by Avanos is a specialized medical device crafted from medical-grade silicone, designed to support patients requiring long-term enteral feeding. Its versatile design accommodates both adult and pediatric patients, offering compatibility with bolus or continuous feeding regimens. This tube is particularly beneficial for those unable to tolerate oral feeding, at low risk for aspiration, or in need of gastric decompression and direct medication delivery.

Key Features

• Internal Retention Balloon: The tube is secured within the stomach using an inflatable silicone balloon, which should be filled with sterile or distilled water. This feature ensures reliable placement and minimizes the risk of displacement.

• Connector Options: Available with ENFit or catheter tip connectors, including a patented universal connector in some models, to reduce accidental disconnects.

• Size Variability: Offered in a range of sizes from 12Fr to 30Fr, with balloon volumes tailored to each size for optimal functionality.

• Design Specifications: The tube features a low-profile design for comfort, a radiopaque stripe for visibility under imaging, and a SECUR-LOK external retention ring for secure external fixation.

Placement & Maintenance

The tube can be placed surgically or percutaneously, and is suitable for bedside replacement by trained personnel. Regular maintenance includes:

• Balloon Care: Weekly checks and adjustments of the balloon water volume.
• Flushing: Regular flushing with water to maintain patency, especially during and after feeding and medication administration.
• Cleaning: Thorough cleaning of the tube and extension sets with warm soapy water.

Usage Instructions

Feeding is administered via syringe or feeding bag, with the system requiring flushing before and after use. Medication should preferably be in liquid form, and any solid medications must be properly dissolved if safe. The tube also facilitates gastric decompression by allowing drainage of stomach contents.

Troubleshooting & Precautions

Potential issues include blockages, leakage, and balloon deflation. Proper flushing techniques and careful monitoring can mitigate these risks. In case of accidental tube removal, reinserting the old tube can help maintain the stoma until replacement.

Additional Considerations

The MIC Bolus Balloon Gastrostomy Tube's longevity and effectiveness depend on diligent care, including regular site cleaning and verification of tube placement. Keeping an extra tube on hand is recommended for emergencies. This device provides a reliable solution for managing complex nutritional and medical needs directly through the stomach, enhancing patient care and comfort.