Description
Overview
The Avanos Medical MIC-KEY Low-Profile Gastric-Jejunal (GJ) Feeding Tube Kit (ENFit) is a skin-level, low-profile enteral device designed for placement through a gastric stoma, with the distal limb positioned in the jejunum. It supports pediatric and adult patients who require simultaneous post-pyloric (jejunal) feeding and gastric decompression or venting via separate lumens.
Intended Use
- Provides jejunal feeding while allowing gastric venting/decompression through independent ports.
- For use per clinician direction in home, acute, or long-term care settings.
Design and Features
- Low-profile “button” with balloon-retained internal bolster.
- Weighted jejunal portion to help maintain position in the small intestine.
- Multiple jejunal exit ports for distribution of formula.
- Radiopaque stripe to assist with imaging verification.
- Tapered distal tip to aid placement.
- Clearly labeled JEJUNAL and GASTRIC ports for correct access.
Ports and Access
- External bolster with three access points:
- JEJUNAL port: feeding.
- GASTRIC port: decompression/venting.
- BAL port: balloon inflation/deflation.
- One-way anti-reflux valves in JEJUNAL and GASTRIC ports open when a MIC-KEY ENFit extension set is attached.
- No dedicated medication port; administer medications via the jejunal or gastric port as directed by the care team.
Connectivity and Kit Contents
- ENFit connectors for standardized enteral connectivity.
- Uses MIC-KEY ENFit extension sets; kit includes extensions suitable for continuous/pump and bolus feeding.
Sizes and Options
- Outer diameter (Fr): 14, 16, 18, 22.
- Jejunal limb lengths: 15, 22, 30, 45 cm (availability varies by tube diameter).
- Stoma length options: approximately 1.0–7.0 cm (availability varies by tube diameter).
Balloon Fill Guidance
- For 15, 22, or 30 cm jejunal lengths: recommended 3 mL (maximum 5 mL).
- For 45 cm jejunal length: recommended 7 mL (maximum 10 mL).
- Verify fill volumes per institutional protocol and device labeling.
Materials and Sterility
- Medical-grade silicone; latex-free.
- Sterile, gamma sterilized.
- Single-use device; prescription only (Rx).
Clinical Considerations
- Confirm placement and ongoing position per clinical practice; radiopaque stripe supports imaging assessment.
- Select size based on patient anatomy, nutritional plan, and stoma length.
- Use only with compatible ENFit accessories to maintain enteral-only connectivity.