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Instructions for use

ENTRAL™
NASOGASTRIC ENTERAL FEEDING TUBE

Description :
The ENTRAL feeding tubes are designed for nasogastric or nasointestinal enteral feeding. The tubes are made of biocompatible polyurethane and are radiopac or have a line which can be localised by X-rays. Certain references have a stainless steel stylet to make the insertion easier. The weighted tubes have a distal end of tungsten. TUBE EQUIPPED WITH A SAFETY CONNECTOR LUER LOCK MALE in line with EN 1615 European Standard.

Sterilized by ethylene oxide. Sterile if package undamaged. Do not resterilize. Single use. Store in a dry and clean place.

Instructions for use :
Warning: The following procedure is intended for reference only, particular situations may require modifications.
1 Explain procedure to patient.
2 Place the patient in sitting position, leaning slightly backwards.
3 Measure tube for placement. Extend tube from the patient's earlobe to the bridge of the nose and from there to the tip of the xiphoid process. Reference marks are located every 10 cm from the distal end of the tube.
4 ENTRAL tubes are prelubricated and do not need any particular preparation before insertion. It is possible to improve lubrication by applying some silicone gel on the tube.
5 Insert the tube following hospital procedure. Swallowing makes insertion easier (with or without liquid absorption).
6 Before removing the stylet the position of the tube must be checked by: - X-ray control- fiber optics- aspiration of stomach juice - stethoscope during air injection
7 Remove stylet.
8 Connect tube to administration set and start feeding.

Caution
Single use product, do not reuse. Do not insert the stylet into the tube without having removed the tube entirely from the patient. Use only ENTRAL stylets. The tube must be rinsed as soon as feeding is interrupted. Use only syringes with volumes of at least 50 cc's to check the correct position and for the rinsing of the tube. Replace tube after 3 to 4 weeks.

Other language : entral-instructions.pdf

ENTRAL™
NASOGASTRIC ENTERAL FEEDING TUBE

Description :
The ENTRAL Paediatric naso-gastric feeding tube are designed for continuous or intermittent enteral feeding. Radio-opaque medical grade polyurethane tube or with radio opaque stripe. The graduations in centimetres printed on the tube to make insertion and checking of migrations easier.

Positioning instructions :
Note: The following instructions are only recommendations for the use of this device. Specific situations may require amendments to this procedure. Determine the tube length needed to enter the stomach. Use the markings on the tube to avoid excessive length. Insert the tube through one of the nostrils. Slide the tube through the oesophagus into the stomach. Should the patient cough during this step of the procedure, the tube may have entered the trachea. Withdraw the tube immediately and start the procedure over again.
TUBE EQUIPPED WITH A SAFETY CONNECTOR LUER LOCK MALE in line with EN 1615 European Standard.

Sterilized by ethylene oxide. Sterile if package undamaged. Do not resterilize. Single use. Store in a dry and clean place.

Precaution before use :
Systematically check the position of the tube:
- either by sampling gastric juice (using a 50 or 60 ml syringe)
- or by using a stethoscope during air injection (with a 50 or 60 ml syringe).
For high risk patients, the tube’s position needs to be confirmed through radiology.
Inserting the tube in the trachea, bronchi or lungs may entail serious risks for the patient.
Always check that the tube does not coil in the patient’s back throat.
Never use a syringe with a less than 50 ml content when checking the tube’s position or rinsing. Smaller syringes create higher pressure and may seriously damage the tube and therefore harm the patient.
Rinse the tube with 20 or 30 ml of water (using a 50 or 60 ml syringe) at every feed interruption and systematically every 6 hours.
Should the tube be blocked, do not attempt to unblock it. It is strongly recommended to replace a malfunctioning tube and strictly forbidden to use a rod or any other device to unblock it.
Change the device every 3 to 4 weeks. Single use only. Do not re-use or re-sterilise the device.

  Other language : entral-pedia-instructions.pdf

ENTRAL™VAC
DOUBLE LUMEN NASOGASTRIC SUCTION TUBE TYPE SALEM

Description :
The ENTRAL VAC tubes are designed for gastric suction (nasogastric or nasointestinal). The double lumen allows the ability to limit depression and to protect the stomach wall. The tubes are of biocompatible polyurethane and radiopac or have a line which can be localised by X-rays.

Sterilized by ethylene oxide. Sterile if package undamaged. Do not resterilize. Single use. Store in a dry and clean place.

 Caution :
Single use product, do not reuse. Use only syringes with volumes of at least 50 cc's to check the correct position. Replace tube after 3 to 4 weeks.

Instructions for use :
Warning: The following procedure is intended for reference only, particular situations may require modifications. 1. Explain procedure to patient.
2. Place the patient in sitting position, leaning slightly backwards.
3. Measure tube for placement. Extend tube from the patient's earlobe to the bridge of the nose and from there to the tip of the xiphoid process. Reference marks are located 25, 50 and 75 cm from the distal end of the tube. 4. ENTRAL VAC tubes are prelubricated and do not need any particular preparation before insertion. It is possible to improve lubrication by applying some silicone gel on the tube.
5. Insert the tube following hospital procedure. Swallowing makes insertion easier (with or without liquid absorption).
6. Check the position of the tube by: - X-ray control - fiber optics - aspiration of stomach juice - stethoscope during air injection
7. Connect tube to vacuum source and start suction.

Other language : entral-vac-instructions.pdf

 

 



ENTRAL by Maxter Catheters - Rue Anne Gacon - 13016 MARSEILLE - France - Tel : (33) (0)4.91.46.73.05 - Fax : (33) (0)4.91.46.73.48