Kimberly-Clark MIC-KEY - How to Connect Extension Set for Jejunal Feeding; How to Connect Extension Set for Gastric Decompression; Kit Contents

10. Advance the distal end of the tube over the guidewire until the proximal
end of the guidewire exits the introducer.
NOTE: Direct visualization and manipulation of the introducer and
guidewire may be required to pass the guidewire through the end of the
introducer.
11. Hold the introducer hub and jejunal feeding port while advancing the tube
over the guidewire into the stomach.
12. Rotate the tube as it is advanced to facilitate passage through the pylorus
and into the jejunum.
13. Advance the tube until the tip of the tube is 10–15 cm beyond the
Ligament of Treitz and the balloon is inside the stomach.
14. Ensure the external bolster is flush with the skin surface. Inflate the
balloon:
• For pediatric sized tubes (REF numbers ending in –15, –22, or –30), fill
the balloon with 3–5 ml distilled or sterile water. DO NOT EXCEED 5 cc
TOTAL BALLOON VOLUME. DO NOT USE AIR. DO NOT INJECT
CONTRAST INTO THE BALLOON.
• For adult sized tubes (REF numbers ending in –45), fill the balloon
with 7–10 ml distilled or sterile water. DO NOT EXCEED 10 cc TOTAL
BALLOON VOLUME. DO NOT USE AIR. DO NOT INJECT CONTRAST
INTO THE BALLOON.
15. Remove the guidewire through the introducer cannula while holding the
cannula in position. Remove the introducer cannula and flush the tube
with water to verify tube patency.
16. To avoid potential placement complications (e.g., bowel irritation or
perforation), ensure the tube is not looped within the stomach or small
bowel. Verify proper tube placement radiographically. THE JEJUNAL
PORTION OF THE TUBE CONTAINS
TUNGSTEN WHICH IS RADIOPAQUE AND CAN BE USED
TO RADIOGRAPHICALLY CONFIRM TUBE POSITION.
HOW TO CONNECT THE EXTENSION SET FOR JEJUNAL FEEDING
1. Remove the feeding port cover (Fig. A-3) from the top of the MIC-KEY
Transgastric-Jejunal Feeding Tube.
2. Insert the MIC-KEY Extension Set (Fig. B) into the port labeled
“JEJUNAL” by aligning the lock and key connector. Align the black
orientation marking on the set with the corresponding black orientation
line on the jejunal feeding port.
3. Lock the set into the jejunal feeding port by pushing in and rotating the
connector CLOCKWISE until you feel a slight resistance (approximately a
3/4 turn).
NOTE: DO NOT rotate the connector past the stop point.
4. Remove the extension set by rotating the connector COUNTER-CLOCK-
WISE until the black line on the set aligns with the black line on the
jejunal feeding port. Remove the set and cap the MIC-KEY gastric and
jejunal ports with the attached feeding port cover.
HOW TO CONNECT THE EXTENSION SET FOR GASTRIC
DECOMPRESSION
1. Remove the feeding port cover (Fig. A-3) from the top of the MIC-KEY
Transgastric-Jejunal Feeding Tube.
2. Insert the MIC-KEY Bolus Extension Set (Fig. C) into the port labeled
“GASTRIC” by aligning the lock and key connector. Align the black
orientation marking on the set with the corresponding black orientation
line on the gastric port.
3. Lock the set into the gastric decompression port by pushing in and rotat-
ing the connector CLOCKWISE until you feel a slight resistance (approxi-
mately a 3/4 turn).
N
OTE
: DO NOT rotate the connector past the stop point.
4. Remove the extension set by rotating the connector COUNTER-CLOCK-
WISE until the black line on the set aligns with the black line on the
gastric port. Remove the set and cap the MIC-KEY gastric and jejunal
ports with the attached feeding port cover.
KIT CONTENTS
1 Low-Profile Transgastric-Jejunal Feeding Tube
1 Introducer Cannula
1 6 ml Luer-Slip Syringe
1 35 ml Catheter Tip Syringe
1 MIC-KEY Extension Set with Secur-Lok Right Angle Connector and
2 Port “Y” and Clamp-12”
1 MIC-KEY Bolus Extension Set with Cath Tip, Secur-Lok Straight
Connector and Clamp-12”
4 Gauze Pads
1 Directions For Use
1 Use and Care Instructions
* Registered Trademark or Trademark of Kimberly-Clark Worldwide, Inc. or its affiliates.
© 2003 KCWW. All rights reserved.
Manufactured by Ballard Medical Products, Draper, Utah 84020 USA
Distributed in the U.S. by Kimberly-Clark Global Sales, Inc. Roswell, GA. 30076 USA
Kimberly-Clark N.V., Belgicastraat 17, 1930 Zaventem, Belgium
http://www.kchealthcare.com In USA call 1-800-528-5591; International call + 1 801 572 6800
Read
Instructions
Date of
Manufacture
Do Not Use If
Package Damaged
Rx Only
(USA)
Reorder Number
Lot Number
REF
Length
Diameter
LOT
Sterilized by
Gamma Irradiation
Use By
Quantity of Units
in Dispenser
Quantity of Units
in Case
DEHP (Di(2-ethylhexyl)
Phthalate) Free Formulation
Single Use
Figure A
Figure C
Figure D
Figure E
Figure B
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