Description
The Avanos MIC-KEY Low-Profile Gastric-Jejunal (GJ) Feeding Tube Kit (ENFit) is a skin-level, double-lumen “button” designed for patients who require post-pyloric feeding. Placed through a gastric stoma with the distal limb positioned in the jejunum, it enables simultaneous jejunal feeding and gastric decompression/venting in pediatric and adult populations under clinical direction.
Design and access ports
- Low-profile external bolster with clearly marked ports: JEJUNAL (feeding), GASTRIC (decompression/venting; medications per clinical direction), and BAL (balloon inflation/deflation)
- Internal inflatable silicone retention balloon
- One-way valves in JEJUNAL and GASTRIC ports that open when a MIC-KEY extension set is attached
- Separate gastric and jejunal lumens, multiple jejunal exit ports, and gastric drainage openings
- Tapered distal tip for catheter advancement
- Radiopaque stripe and tungsten-weighted jejunal portion for visualization and position maintenance
Connectivity
- MIC-KEY twist-to-lock (SECUR-LOK/lock-and-key) interface at the button
- ENFit feeding connectors on the extension sets; ENFit-compatible kit
- Same extension set type fits across all tube sizes
Materials and formulation
- Medical-grade silicone tube; not made with natural rubber latex
- Not formulated with DEHP, DBP, or BBP
- Components may include polyether imide, polycarbonate, barium sulfate, stainless steel spring
- Extension sets: PVC (citrate plasticizer) and ABS; clamp polypropylene
Sterility and regulatory
- Gamma sterilized; single-use; prescription only
- CE marked (Class IIb under 93/42/EEC)
Sizes and selection
- French sizes: 14, 16, 18, 22 Fr
- Jejunal lengths: 15, 22, 30, 45 cm
- Stoma length options: approximately 1.0–7.0 cm (availability varies by size)
- Jejunal length measured from distal aspect of the retention balloon to the catheter tip
Balloon inflation guidance
- 15–30 cm jejunal lengths: recommended 3 mL; maximum 5 mL
- 45 cm jejunal length: recommended 7 mL; maximum 10 mL
Placement and replacement
- Intended for endoscopic or radiologic placement by a clinician; not for at-home replacement
Kit contents (ENFit kit)
- MIC-KEY GJ tube
- MIC-KEY ENFit extension sets: continuous feed (right-angle) and bolus (straight), each approximately 12 in (30 cm)
- 35 mL female ENFit syringe and 6 mL luer-slip syringe
- Gauze pads
Validated variant specifications
- 16 Fr tube diameter
- Stoma length: 1.5 cm
- Jejunal length: 30 cm
- Includes low-profile button design, silicone balloon retention, separate gastric decompression and jejunal feeding ports, tungsten-weighted radiopaque jejunal limb, tapered distal tip, and ENFit-compatible extension sets