Description

Overview and intended use

A low-profile, skin-level gastric-jejunal (GJ) feeding tube designed for post-pyloric (jejunal) nutrition while permitting simultaneous gastric decompression/venting via a separate lumen. Placed through a gastric stoma with the distal limb positioned in the jejunum, it is suitable for pediatric and adult patients and is a prescription device (Rx only).

Design and retention

• Low-profile external bolster with three labeled access points: JEJUNAL (feeding/medications), GASTRIC (decompression/venting; medications only per clinician direction), and BAL (balloon inflation/deflation).
• Internal inflatable silicone balloon for retention; medical-grade silicone construction; latex-free.
• Sterile (gamma sterilized) and single-use.

Ports and operation

• JEJUNAL and GASTRIC ports incorporate one-way valves that open when a compatible MIC-KEY low-profile extension set is attached; there is no dedicated medication port.
• Requires MIC-KEY low-profile extension sets for administration of feeds, fluids, and medications.

Connectivity and configurations

• Available in ENFit configuration to support enteral-only connections; non-ENFit (catheter-tip) variants also exist.
• Extension sets are available for continuous and bolus feeding.

Key features

• Weighted jejunal portion to help maintain jejunal placement.
• Multiple jejunal exit ports for distribution of feeds.
• Radiopaque stripe for imaging visibility.
• Tapered distal tip to aid placement.
• Clearly labeled gastric and jejunal ports.

Sizes and options

• French sizes: 14 Fr, 16 Fr, 18 Fr, 22 Fr.
• Jejunal limb lengths (size-dependent): 15 cm, 22 cm, 30 cm, 45 cm.
• Stoma length options: approximately 1.0 cm to 7.0 cm (availability varies by tube diameter).

Balloon specifications and maintenance

• Fill balloon with sterile or distilled water only. Do not use saline, tap water, or air.
• Balloon fill volume varies by device size and jejunal length. Typical ranges: for 15–30 cm jejunal length, minimum 3 mL and maximum 5 mL; for 45 cm jejunal length, minimum 5 mL and maximum 10 mL.
• Check balloon water periodically (at least weekly) and adjust to maintain a snug fit against the abdomen. Stabilize the tube during inflation/deflation to avoid dislodgement.

Use notes and cautions

• Do not rotate jejunal or gastric-jejunal tubes; rotation can cause torque and retraction into the stomach.
• The gastric port is intended for decompression/venting; use for medications only as directed by the care team.

Accessory compatibility

• Compatible with the FARRELL Decompression System for venting and relief of gastric distention.