avanos CORFLO Bedienungsanleitung Seite 3

AVANOS
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Nasogastric / Nasointestinal Feeding Tubes
Rx Only: Federal Law (USA) restricts this device to sale by or on the order
of a physician.
For use by for Healthcare Professionals only.
Description
The AVANOS* CORFLO* Nasogastric/Nasointestinal Feeding Tube is a medical
grade polyurethane feeding tube that has been specifically designed for
patient comfort and safety during tube insertion and use. It is intended for
use in patients who require intermittent or continuous tube feedings via the
nasogastric or nasointestinal pathway. Options include sterile/non-sterile,
weighted/non-weighted, and with/without stylet.
Available Connectors
• Universal Connector (Accepts Luer and Oral syringes)
• ANTI-IV* Connector
• ENFit® Connector
Indications for Use
The AVANOS* CORFLO* Feeding Tube is intended for use in those patients
who require intermittent or continuous tube feedings via the nasogastric or
nasoenteric route.
Tube Insertion
This feeding tube is to be inserted by trained and competent individuals or
clinicians, following institution/facility/hospital protocols.
1. Explain procedure to patient if applicable.
2. Position patient in sitting or Fowler's position as tolerated.
Warning: The patient should not lean forward, nor
should the head and neck be extended.
Caution: Do not use a stylet if the tube is not packaged with
one, as the stylet may exit the distal tip.
3. Remove tube from package. Close access ports.
4. Measure length of tube to be inserted to ensure that tip/bolus
enters the gastric region. Place exit port of tube at tip of nose.
Extend tube to earlobe, then to xiphoid process (Fig 8). Use the
printed centimeter marks on the tube to aid intubation and check
for tube migration.
Warning: Premeasurement of tubing length is essential.
Do not insert excess. Occlusion may result from kinking of
tube.
5. Determine preferred nostril for insertion. Provide cooperative
patient with glass of water and straw.
6. Prior to insertion, activate lubricant on tip by dipping in water.
7. Direct tube posteriorly, aiming tip parallel to nasal septum and
superior surface of hard palate. Advance tube to nasopharynx,
allowing tip to seek its own passage. As patient swallows sips of
water, advance tube through esophagus into stomach with gentle
motion.
8. Utilize printed centimeter marks on the tubes to aid insertion.
Warning: Coughing may indicate passage of tube into
trachea. If tracheal passage is suspected, remove tube.
Absence of coughing does not confirm tube placement in
the stomach.
If resistance is encountered, immediately remove tube.
Notify clinician. Care should be taken if any type of
endotracheal device is in place, as it may guide feeding tube
into trachea.
Misplacement of the feeding tube into trachea or lungs may
result in serious injury.
9. Confirm tube position and integrity per institution/facility/hospital
protocol (e.g. pH measurement, X-ray, etc.).
Warning: Tube position in the stomach must be
confirmed prior to flushing and use.
CORFLO
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10. For tubes packaged with a stylet: After tube position in the stomach
is confirmed, remove stylet by flushing tube through the side port
with up to 10 ml of water to activate internal lubricant immediately
prior to stylet removal.
Warning: Never reinsert stylet when tube is in patient.
11. Secure tube per institution protocol.
Tube Maintenance
1. Follow your institution/facility/hospital protocol or clinician's order.
2. It is recommended the tube be irrigated every 4 hours with up to
20 ml of water (up to 10 ml for infants or children) before and after
medication administration or when feeding formula is interrupted.
Warning: Vigorous syringe force should not be used to
irrigate, administer liquids or unblock the tube.
3. The feeding tube should be monitored, regularly assessed, and
replaced when clinically indicated based on functionality and
patient condition.
AVANOS* CORFLO* Nasogastric / Nasointestinal Feeding
Tubes with Universal Connectors
• Tube Capped (Fig. 1)
1
Feed Port
2
Auxiliary Port
• Tube Connected (Fig. 2)
3
Administration Set
4
Syringe
• Tube Uncapped (Fig. 3)
5
Irrigation Syringe Adaptor
Features
• Medical grade polyurethane
• Product identification printed on tube
• Centimeter markings (approx.) printed on tube to aid placement and
check migration
• Radiopaque tube and tip
• Tungsten filled insertion guide tip (weighted tubes only)
• Water-activated C-19* lubricant on tip
• Available with an exclusive anti-clog exit port
• Separate access port for irrigation, aspiration, or additives
• Irrigation adapter color coded for length
AVANOS* CORFLO* Nasogastric / Nasointestinal Feeding
Tubes with ANTI-IV* Connectors
• Tube Capped (Fig. 4)
6
Feed Port
7
Auxiliary Port
• Tube Connected (Fig.5)
8
Administration Set
9
Syringe
Features
• ANTI-IV* Y connector on proximal end of feeding tube will not accept
Luer Lock or standard Luer slip syringes
• Product identification printed on tube
• Centimeter markings (approx.) printed on tube to aid placement and
check migration
• Radiopaque tube and tip
• Tungsten filled insertion guide tip (weighted tubes only)
• Water-activated lubricant on tip
• Exit ports:
• Anti-clog bolus
• Bolus
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