medicina gastrostomy devices - eurosteriel · pdf fileeach tube has a colour coded inflation...

devicesdevicesgastro

stomy

medicinagastrostomydevices

A gastrostomy is a stoma tract which

provides direct access into the stomach,

allowing food and water to be given,

whilst bypassing the mouth and throat.

The procedure is necessary when a

patient requires long-term nutritional

support of more than 30 days.

Unit 2, Rivington View Business Park, Station Road, Blackrod, Bolton BL6 5BNTelephone: +44(0)1204 695050 email: [email protected]

www.medicina.co.uk

GSBK001

Medicina believe that the equipment and devices

used to deliver the feed have a great bearing on

a patient’s quality of life.

med ic ina gastrostomy dev ices | 2 1 | med ic ina gastrostomy dev ices

A gastrostomy is a stoma tract which provides

direct access into the stomach, allowing food

and water to be given, whilst bypassing the

mouth and throat.

The procedure is necessary when a

patient requires long-term nutritional

support of more than 30 days.

Gastrostomies can be created surgically

or using a percutaneous technique. Initial

kits are used to create the tract and fit

the first feeding device then replacement

devices can be used when the first tract

has become established.

A gastrostomy will benefit patients who

have difficulties feeding. These can be

due to neurological or gastrointestinal

disorders or a problem with swallowing.

As gastrostomies are concealed under

clothing they do not hinder a patient’s

activities of daily living.

Our aim is to provide practical, safe and

comfortable feeding devices for both

adults and children. We are constantly

adapting and improving our products

following feedback from patients and

healthcare professionals. This results in

Medicina having a larger range of devices

than other companies who focus on the

nutritional formulae.

introduction to gastrostomytube feeding

hiddenunderneathclothing allowsa morecomfortableway of life

“ “A gastrostomy

will benefit

patients who

have difficulties

with feeding.

Each tube has a colour coded inflation

port to denote size allowing for quick

identification.

gastrostomy tubes

3 | med ic ina gastrostomy dev ices

A gastrostomy tube is a feeding tube which

allows direct access to the stomach after the

initial tract has been established.

They are secured using an internal

balloon and an external skin disc,

allowing them to be fitted/replaced on an

outpatient basis or in the community.

The Medicina gastrostomy tubes are

available in 12/14/16/18/20/22/24FR

sizes.

They are all made from silicone and are

provided in kit form. The kit ensures that

all necessary elements are at hand when

required, ensuring speedy and effective

placement.

gastrostomytube kits

Replacing theG-tube is easilydone by a parentor healthcareprovider.

“ “A gastrostomy adapter is attached to

each G-tube to prevent the tube from

becoming loose which can cause

leakage. The adapter also allows the

G-tube to be compliant with enteral

feeding devices (NPSA 19).

Medicina also provide a number of

extension sets to allow the patient to be

fed using a pump or via a bolus.

The maximum balloon volume for the

12FR, 14FR and 16FR tubes is 5ml and

for all the others is 20ml.

The volume of the balloon

should be checked weekly to

ensure the gastrostomy tube is

secure at all times.

each kit includes:• Gastrostomy feeding tube

blister pack containing:

1 x gastrostomy device with clamp,

1 x gauze pad,

1 x aqueous gel pouch,

1 x pre-filled syringe for inflating the balloon

• 30ml enteral syringe

• Keyhole dressing

• pH Indicator Strip

• Extension set

• Instructions for Use Booklet

• 2 x warning labels

med ic ina gastrostomy dev ices | 4

The Medicina RIG kit contains everything

required to allow the tube to be inserted

efficiently and comfortably.

med ic ina gastrostomy dev ices | 65 | med ic ina gastrostomy dev ices

A radiologically inserted gastrostomy

is often placed in patients where

access for an endoscope is difficult,

for example head and neck cancer or

oesophageal problems.

A radiologically inserted gastrostomy

(RIG) is a gastrostomy tube that is

inserted using x-rays and other

radiological imaging techniques.

The patient will usually swallow some

Barium Sulphate prior to the procedure

allowing the insertion site to be easily

found by the radiologist.

During the procedure air may be inserted

into the stomach using a nasogastric

tube to inflate the stomach and help

place the tube accurately and safely.

Medicina also provide a T-fastener kit

(see accessories) that is used to anchor

the anterior stomach wall to the

abdominal wall. This technique is often

used to ensure that the tract is secure

and the tube cannot be accidentally

pulled out into the peritoneum. Individual

technicians use different techniques to

place the T-fasteners.

radiologicallyinsertedgastrostomy(RIG)

allows patients tocontinue withtheir activities ofdaily living withas little intrusionas possible

“ “

each kit includes:

• Gastrostomy Tube

• Needle

• Trocar Introducer(Split Sheath)

• 4 x Dilators

• Guidewire

• Gastrostomy Tube

• Scalpel

The Medicina jejunostomy tubes are

available in both 7 and 9FR sizes and can

be accessed directly with the Medicina

range of oral/enteral syringes.

med ic ina gastrostomy dev ice | 87 | med ic ina gastrostomy dev ices

The Medicina jejunostomy kits are used to

surgically place a tube through the abdomen

and into the jejunum (small bowel) .

The tube can be used for the critically ill,

early post-operative patients and patients

with intestinal disease or injury.

The Medicina jejunostomy kits are

available in 7 and 9FR sizes.

Jejunostomies are normally created in

the operating theatre using an open

technique.

1. Firstly a tunnel is formed in the Jejunal

wall using an Introducer needle and the

tube is passed through the needle into

the jejunum.

2. When the needle is removed the tube

is fixed to the jejunal wall by means of a

purse string suture. The jejunum is then

sutured to the abdominal wall.

3. A second Introducer needle is used to

tunnel along the abdominal wall in the

opposite direction to the tunnel in the

jejunum, to create a safety loop. The

tube exits the second Introducer at the

skin site.

4. A skin disc then anchors the tube

externally.

A jejunostomy tube can be replaced

using a J-type guidewire. The new tube

is threaded over the wire which is then

removed.

jejunostomy kits

allows patients tocontinue withtheir activities ofdaily living withas little intrusionas possible

“ “

each kit includes:

• Jejunostomy Tube

• 2 x Introducer Needles

• Guidewire

• External Skin Disc

• Enteral Connector

The kits area solution forpatients requiring longterm feeding intothe jejunum.

“ “

Our jejunostomy

kits have a skin disc

that is specifically

designed for safety,

with any pressure

put on the tube

being absorbed by

the skin disc rather

than the stoma site.

placement


With help from patients and healthcare

professionals, Medicina has put together a large

range of accessories to help with the feeding

systems and to make the process more

comfortable and effective.

keyhole dressingsIf there are problems with a sore or

leaky gastrostomy site the keyhole

dressings help stop leakage and

reduces soreness, while the problems

causing the leakage are treated. They

are provided in three sizes to fit all

sizes of tube.

gastrostomy accessories

all accessoriesand connectorsare colouredpurple to ensureno wrong- routeadministrationscan occur.

“

“

extension setsMedicina have four different

extension sets to aid the process of

feeding down a gastrostomy tube.

One set allows the tube to be

connected to a pump. This set also

has a Y-site should any medications

need to be administered. The bolus

feeding set is for use when the rate

of delivery needs to be controlled. It

comes with a 60ml syringe attached

and also has a Y-site for medication.

We also have a paediatric (shorter)

version of this set that doesn’t have a

plunger or a Y-site.

clampA separate clamp is available for all sizes

of gastrostomy tubes. The clamp is used

to close off the tube before or after

feeding.

adapterThe gastrostomy adapter allows the

gastrostomy tube to be fitted to an

extension set. This adapter comes pre-

fitted to all Medicina gastrostomy tubes.

guidewireA separate J- guidewire is available should

the patient have a gastrostomy tract that is

not straight, or to help replace a

jejunostomy tube.

gastrostomy tidyThe gastrostomy tidy is a device

designed for patients who are body-

conscious or who pull on their

gastrostomy tube. The device allows the

tube to be kept tidy and secure in a

specially made pouch. The pouch comes

in child and adult sizes, and can be

adjusted to fit.

Medicina has a

large number of

accessories to

complement and

support the full

range of

gastrostomy

products,

allowing for ease

of use and patient

comfort.


productrange

FIVE GRAMLUBRICATINGJELLY

Reorder No. 82-281

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1

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EK12 12FR Balloon Gastrostomy Kit (1) NHS Code: FWM1729







gastrostomy tubes

balloon gastrostomy kits

med

icina

5cc INFLATIO

N

14Fr.5cc

med

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cina

cinaa

5cc INFLATIO

N

14Fr.5cc

med

icina

5cc INFLATIO

N

14Fr.5cc

med

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ina

cinaa

5cc INFLATIO

N

14Fr.5cc

ET12 12FR Gastrostomy Tube (1) NHS Code: FWM608




ET20 20FR Gastrostomy Tube (1) NHS Code: FWN613



gastrostomy tubes radiologically insertedgastrostomy tubes

DD12 12FR Balloon Gastrostomy Kit (1) Radiologically Placed NHS Code: FWM1726



jejunostomy tubes

med

icina

5cc INFLATIO

N

14Fr.5cc

med

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ina

cinaa

5cc INFLATIO

N

14Fr.5cc

NJ07 7FR Needle Jejunostomy Kit (5) NHS Code: FWM619

NJ09 9FR Needle Jejunostomy Kit (5) NHS Code: FWM621

jejunostomy kits

guide wire

accessories

GC01 Blue Gastrostomy Clip (50) NHS Code: FWM1771

M19400/V Gastrostomy Adapter (100) NHS Code: FWM746

GW01 Gastrostomy Guide Wire (10) NHS Code: FWM1772

gastrostomy accessories

T fastener kit

TS01 “T” Fastener Kit (10) NHS Code: TBA

keyhole dressings

KD01 10-14FR Keyhole Dressing (30) NHS Code: FWM1795



accessories

extension sets

accessories

GT01 Medium Gastrostomy Tidy (5) (75cm - 114cm) NHS Code: FWM1791

GT02 Large Gastrostomy Tidy (5) (117cm - 152.5cm) NHS Code: FWM1792

gastrostomy tidy

MGS01 Gastrostomy Extension Set (30) NHS Code: FWM1775

MGS02 Bolus or Gravity Gastrostomy Extension Set (30) NHS Code: FWM1776

MGS03 Short Gastrostomy Extension Set (30) NHS Code: FWM1777

MGS04 Paediatric Bolus Extension Set (30) NHS Code: TBA

REF: FFS01

FB1000 1000ml Enteral Feeding Bag (45) NHS Code: TBA

EV01 250ml Gastric Decompression System (30) NHS Code: FWM1933

EV02 500ml Gastric Decompression System (30) NHS Code: FWM1934



FB01 Flexifeed Gravity Set (30) NHS Code: TBA

FB02 Pre-Filled Bag Gravity Set (30) NHS Code: TBA

FFS01 Enteral Feeding Bag Stand (1) NHS Code: TBA

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feeding and drainage bags

flexifeed feeding bags

gastric decompression systems

feeding sets

NHS Code: FWM1521

MED1000W 1000ml Wide Bore Drainage Bag (50) NHS Code: TBA


medicina gastrostomy devices - eurosteriel · pdf fileeach tube has a colour coded inflation...

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