Description

The MIC-KEY Low Profile Gastric-Jejunal Tube, developed by Avanos, is an advanced medical device designed to meet the specific needs of both pediatric and adult patients requiring simultaneous jejunal feeding and gastric decompression. Its low-profile, skin-level design offers discretion and comfort, making it an ideal choice for long-term enteral nutrition management.

Key Features

• Dual Functionality: The device provides separate, clearly marked ports for effective jejunal feeding and gastric decompression, enhancing patient care.
• Secure Placement: Features such as a weighted jejunal portion and an inflatable silicone retention balloon ensure secure internal positioning, while a low-profile external bolster maintains external stability.
• Enhanced Safety: Radiopaque stripes allow for imaging and placement verification, and one-way valves in each port prevent backflow, ensuring safe and reliable operation.

Design and Materials

Crafted from medical-grade silicone, the tube is latex-free, minimizing the risk of allergic reactions. The tapered distal tip facilitates easier insertion, while the anti-reflux valve in the feeding port prevents leakage, accommodating both continuous and bolus feeding methods.

Customization Options

Available in various configurations, the tube offers French sizes ranging from 14 Fr to 22 Fr, with jejunal lengths between 15 cm and 45 cm. Stoma lengths vary from 1.0 cm to 7.0 cm, and balloon fill volumes are tailored for pediatric and adult needs. Connector types include ENFit® and Catheter Tip, providing flexibility to suit different clinical requirements.

Kit Contents

Each kit may include:

• ENFit® or Catheter Tip extension sets for continuous and bolus feeding
• 6 mL Luer Slip Syringe for balloon management
• 35 mL ENFit® or Catheter Tip syringe for flushing and priming
• Gauze pad

Care and Maintenance

Proper care involves regular cleaning of the tube and stoma site, with extension sets washed after each use. Balloon volume should be checked weekly, and appropriate syringes must be used for flushing and balloon management. The tube should not be rotated post-insertion and is intended for single use only, with placement and replacement handled by trained healthcare professionals.

Common Use Cases

The MIC-KEY Low Profile Gastric-Jejunal Tube is suitable for patients unable to meet nutritional needs orally, providing a reliable means for medication administration directly into the jejunum or stomach. It also facilitates gastric decompression and venting, supporting both continuous and bolus feeding regimens.

Maintenance and Troubleshooting

Routine flushing with water before and after feedings helps prevent blockages. Patients and caregivers should monitor for potential issues such as leakage or disconnection, addressing them according to clinical guidelines. Regular replacement of extension sets and the tube itself is recommended to ensure optimal performance.