Description

The Montgomery Salivary Bypass Tube is an advanced medical device crafted by Boston Medical Products, Inc., designed specifically for the management of complex conditions in the cervical esophagus and hypopharynx. This stent is essential for healthcare professionals dealing with strictures and fistulae resulting from various causes such as surgery, radiation, malignancy, trauma, or caustic ingestion.

Key Features

• Saliva Management: By directing saliva into the distal esophagus, the tube promotes healing and closure of fistulae, preparing the tissue for potential further surgical interventions.
• Versatility: It can accommodate a feeding tube, providing additional support in preventing impending fistulae and strictures when used alone or post-dilation.

Material and Design

• Material Options: Available in two versions, clear and radiopaque, both crafted from implant-grade silicone. The radiopaque version includes barium sulphate and titanium dioxide for enhanced visibility.
• Design Specifications: Features a funnel-shaped proximal end and comes in various sizes, ranging from Size 8 to Size 20, with specific dimensions tailored to meet diverse clinical needs.

Safety and Compatibility

• MRI Safe: The device is MRI safe but should not be exposed directly to laser therapy, argon plasma coagulation, or high-frequency surgery.
• Sterility: Each tube is supplied sterile, with one tube per carton, ensuring readiness for immediate clinical use.

Duration and Monitoring

• Application Duration: The expected maximum application duration is up to six months, necessitating regular monitoring by a physician to manage potential complications such as foreign body sensation, dislocation, or impaired motility of the arytenoids.

Potential Complications

Healthcare providers should be aware of possible complications, including hoarse voice, formation of aorto-esophageal or subclavian artery-esophageal fistulae, and ensure appropriate management through continuous monitoring.

The Montgomery Salivary Bypass Tube stands as a crucial tool in the therapeutic arsenal for specialists, offering a sophisticated solution to challenging esophageal and hypopharyngeal conditions, thereby enhancing patient outcomes through meticulous design and material excellence.