Description
The MIC-KEY Low Profile Gastric-Jejunal Tube, developed by Avanos, is a specialized medical device designed for patients requiring both gastric decompression and jejunal feeding. Its low-profile, skin-level design offers comfort and discretion, making it suitable for both pediatric and adult patients.
Key Features
- Dual Functionality: Provides simultaneous access for jejunal feeding and gastric decompression, allowing direct administration of nutrition, fluids, and medications into the gastrointestinal tract.
- Secure Placement: Inserted through a gastric stoma, it is held in place by an internal inflatable silicone balloon and an external low-profile bolster.
Design and Ports
- Low-Profile Design: Often referred to as a "button" tube, it sits close to the skin for enhanced comfort.
- Multiple Ports:
- Jejunal Port: For feeding and medication administration into the small intestine.
- Gastric Port: For decompression, venting, or medication administration into the stomach.
- Balloon Port: For inflating and deflating the internal retention balloon.
- One-Way Valves: Each port includes a one-way valve, accessed via the appropriate MIC-KEY Extension Set.
Compatibility and Construction
- Extension Sets: Compatible with ENFit or Catheter Tip extension sets, ensuring secure access to the ports.
- Weighted Jejunal Portion: Aids in maintaining tube position.
- Radiopaque Stripe: Allows visualization under imaging for accurate placement.
- Tapered Distal Tip: Facilitates non-traumatic insertion.
- Material: Made from medical-grade silicone, offering biocompatibility and flexibility.
- SECUR-LOK Connector: Ensures secure attachment of extension sets.
Available Configurations
- Tube Diameters: Available in 14, 16, 18, and 22 French (Fr).
- Jejunal Lengths: Options include 15, 22, 30, and 45 cm.
- Stoma Lengths: Ranges from 1.0 to 7.0 cm.
- Connector Types: Includes ENFit and Catheter Tip options.
Care and Maintenance
- Balloon Volume:
- For pediatric tubes (15, 22, 30 cm), do not exceed 5 mL.
- For adult tubes (45 cm), do not exceed 10 mL.
- Use distilled or sterile water for balloon inflation, checking regularly for leakage.
- Flushing: Regular flushing with water is recommended to prevent blockages, using a 60 mL ENFit syringe.
- Cleaning: Daily cleaning of the stoma area and regular cleaning of the tube and ports are advised.
- Extension Set Care: Change extension sets as recommended and use only compatible MIC-KEY sets.
Usage Notes
- Placement: Requires endoscopic or surgical placement and cannot be replaced at home.
- Feeding Compatibility: Suitable for both pump and bolus feeding regimens, and can accommodate blended table food as advised by a dietitian.
- Troubleshooting: Common issues include leakage, blockage, and site irritation, which can be managed with proper care and maintenance techniques.
The MIC-KEY Low Profile Gastric-Jejunal Tube is a discreet and effective solution for managing complex enteral feeding needs, emphasizing patient comfort and ease of use.