Description
Overview
A skin-level, balloon-retained gastrostomy button designed for long-term enteral feeding, medication delivery, and/or gastric decompression in pediatric and adult patients. Suitable for initial placement under fluoroscopic, laparoscopic, or endoscopic guidance, or for replacement through a mature stoma tract.
Design and features
- Low-profile, discreet button that sits at skin level.
- Internal inflatable retention balloon.
- Feeding port with proximal anti-reflux valve that remains closed when no extension set is attached.
- SECUR-LOK twist-to-lock interface (align marks, push down, turn to lock; counter-clockwise to disconnect).
- Tapered distal tip with radiopaque stripe for visualization.
Sizing and balloon inflation
- French sizes: 12, 14, 16, 18, 20, 24 Fr.
- Stoma lengths (cm): 0.8, 1.0, 1.2, 1.5, 1.7, 2.0, 2.3, 2.5, 2.7, 3.0, 3.5, 4.0, 4.5, 5.0 (availability varies by size).
- Typical ranges: 12 Fr = 0.8–4.0 cm; 14–20 Fr = 0.8–5.0 cm; 24 Fr = 1.5–5.0 cm. Example: 18 Fr × 4.5 cm.
- Balloon inflation (sterile or distilled water): 12 Fr—recommended 3 mL (max 5 mL); 14–24 Fr—recommended 5 mL (max 10 mL).
Materials and safety
- Button tube: high-clarity, medical-grade silicone; radiopaque stripe contains barium sulfate. Components may include polyether imide and polycarbonate.
- Not made with natural rubber latex or DEHP.
Sterility and reuse
- Button: sterile (ethylene oxide); single-use only—do not reprocess or re-sterilize.
- Extension sets: non-sterile; reusable for a single patient only—do not share between patients.
Connectors and compatibility
- ENFit (ISO 80369-3) feeding-side connections to help minimize misconnections.
- Use only MIC-KEY extension sets with the MIC-KEY feeding port.
What’s in the ENFit kit
- MIC-KEY Low-Profile Gastrostomy Button.
- Two ENFit extension sets (approx. 12 in/30 cm each):
- Continuous Feed Extension: SECUR-LOK right-angle patient-end, two-port Y with medication port, integrated clamp.
- Bolus Feed Extension: ENFit feeding connector, SECUR-LOK straight connector with clamp.
- 6 mL Luer-slip syringe (balloon inflation/deflation).
- 35 mL ENFit enteral syringe.
- Gauze pad.
- Insertion stylet and water-soluble lubricant in some regional kits (e.g., US-only).
Extension set characteristics
- Materials: DEHP-free, not made with natural rubber latex; typical materials include PVC (citrate plasticizer) and ABS; clamp is polypropylene.
- Available separately in multiple lengths (commonly 30 cm and 60 cm) with SECUR-LOK right-angle connector, Y-connector with medication port, and integrated clamp.
Indications and contraindications (summary)
- Indicated for patients needing long-term gastric access for feeding, decompression, and/or medication delivery.
- Example contraindications (non-exhaustive): ascites, colonic interposition, portal hypertension, peritonitis, morbid obesity. Refer to the device IFU for full indications, precautions, and instructions for use.