MIC* Jejunostomy Feeding Tube

The MIC* Jejunostomy Feeding Tube is indicated for patients requiring jejunal feeding. It is surgically placed directly into the small bowel, utilizing the Witzel Tunnel technique for secure placement and to help minimize leakage. Featuring a large 9 French internal diameter to help prevent clogging.

    • Medical Grade Silicone Construction
    • Trimmable Distal Tip
    • Suture Wings
    • Large 9 French Internal Diameter
    • Radiopaque Stripe

     

Q: What is the purpose of the syringes?


A 6 ml slip tip syringe is included with the feeding tube. It should be used to fill and empty the retention balloon when periodic volume checks are made and when the feeding tube is replaced. The 35 ml catheter tip syringe should be used when priming and flushing the extension sets and when checking for proper placement of the feeding tube.

Q: What are the steps for daily maintenance of the feeding tube?


  1. Wash hands with soap and water then dry hands thoroughly before touching the tube.
  2. Inspect the skin around the stoma before and after feeding. Make sure the skin is clean and dry, free of infection, and check for any gastric leakage.
  3. If a dressing is used, change it when it becomes wet or soiled. Dressings are not recommended for long-term use and should be avoided unless absolutely necessary.
  4. Gently clean the skin around the stoma using soap and warm water and cotton-tip applicators or a soft cloth, followed by a thorough rinsing and drying well.
  5. Inspect the tube and rotate the bolster 360◦ plus a quarter turn to prevent tissue from adhering to the tube, to relieve pressure on the skin and to allow for air circulation. Do not rotate jejunal tubes as they extend into the jejunum and rotating may cause them to torque and retract into the stomach.
  6. Gently clean the feeding port with a cotton-tip applicator or soft cloth.
  7. Flush the feeding tube with water every 4-6 hours during continuous feeding, before and after every intermittent or bolus feeding, or at least every 8 hours if the tube is not being used.

Q: How do I prevent the feeding tube from becoming clogged?


Proper tube flushing is the best way to avoid clogging the tube. Flush the tube with water every 4-6 hours during continuous feeding, before and after every intermittent or bolus feeding, or at least every 8 hours if the tube is not being used.

The feeding tube should also be flushed before and after administration of medications and after checking for stomach residuals. Medications should be given in liquid form. If a medication is only available in tablets or capsules, make sure it can be crushed and mixed with water. Medication should not be mixed with formula. Never crush enteric-coated medication. Before and after giving medication, the port should be flushed with water.

When flushing a tube, use water and a 30cc-60cc catheter tip syringe. Do not use smaller sizes as this can increase pressure on the tube and potentially rupture the tube. The amount of water used to flush the tube will depend on the individual's needs, clinical condition and type of tube, but the average volume ranges from 10-50 ml for adults, and 3-10 ml for children. Do not use excessive force to flush the tube as this can perforate the tube and can cause injury to the gastrointestinal tract.

Q: How should medications be given?


Medications should be given in liquid form. Thick medication can plug the feeding port.

If a medication is only available in tablets or capsules, make sure it can be crushed and mixed with water.

Medication should not be mixed with formula as they may harden together and cause the tube to become occluded.

Never crush enteric-coated medication.

Before and between each medication the port or tubing should be flushed with water.

Q: What if the feeding administration set becomes disconnected?


If the feeding administration set becomes disconnected from the MIC-KEY* extension set tubing, stop the pump and estimate the amount of formula lost. Thoroughly wipe the tube connections with soap and water or alcohol. Clean inside the MIC-KEY* extension set feeding port with a cotton-tipped applicator and alcohol. Irrigate the tube with warm water. Dry the connections and firmly reconnect the tubes with a quarter turn. Resume feeding.

Q: How should the end user/patient be positioned during feeding?


Correct feeding position is essential to avoid aspiration of stomach contents through the esophagus and potentially into the lungs. The end user/patient should be placed in an upright position or at least at a 30-degree angle during, and one hour after feeding.

Q: What types of skin and stoma problems can occur?


Be on the alert for the following signs and symptoms of stoma problems:

  1. Persistently red and sore stoma with a red area larger than 2.5 cm in diameter
  2. An odor coming from the stoma
  3. Swollen skin around the stoma
  4. Pus around the stoma
  5. Fever
  6. Granulation, which is the body's attempt to repair the surgical incision

If any of these conditions occurs, contact your clinician for advice on how to treat the problem.

MIC* Feeding Tube Accessories

For use with MIC* Gastrostomy, Bolus Gastrostomy, PEG, Jejunal, Gastro-Enteric and Transgastric-Jejunal Feeding Tubes, DEHP-Free Formulation [Di-(2-Ethylhexyl)phthalate]

 

DEHP-Free

Formulation Stock #

Standard Formulation Stock #

Length

Description

Packaging

0105-06

0205-06

6 in.

Extension Tubing with Bolus and Stepped Connectors at Opposite Ends

1 each

0105-12

0205-12

12 in.

Extension Tubing with Bolus and Stepped Connectors at Opposite Ends

5 each

• 1 Jejunostomy Tube

• 1 Subcutaneous Extraducer

• 1 Feeding Port Adapter

• 1 Luer Lok® Cap