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ENGLISH
INTENDED USE
This device is used for percutaneous endoscopic placement to provide enteral nutrition to
patients requiring nutritional support.
CONTENTS
1 Gastro-Jejunal Feeding Tube, 1 - 240 cm Wire Guide, 1 Twist Lock, 1 Cable Tie, 1 Air Plug,
2 pks. Water-Soluble Lubricant (USA only), 1 Instruction Manual, 1 Patient Care Manual.
NOTES
Do not use this device for any purpose other than stated intended use.
Store in a dry location, away from temperature extremes.
Use of this device restricted to a trained healthcare professional.
System also allows decompression as prescribed by physician.
CONTRAINDICATIONS
Those associated with placement and use of a PEG-J tube include, but are not limited to: sepsis,
severe gastroesophageal reflux, large ascites, or diffuse inflammatory, infectious, or neoplastic
disease involving walls of abdomen or anterior stomach, gastrointestinal obstruction or proximal
small bowel fistulae.
WARNINGS
This device is designed for single use only. Attempts to reprocess, resterilize, and/or reuse may
lead to device failure and/or transmission of disease.
If package is opened or damaged when received, do not use. Visually inspect with particular
attention to kinks, bends and breaks. If an abnormality is detected that would prohibit proper
working condition, do not use. Please notify Cook for return authorization.
Excessive traction on feeding tube may cause premature removal, fatigue or failure of device.
POTENTIAL COMPLICATIONS
Those associated with placement and use of PEG-J tube include, but are not limited to:
bronchopulmonary aspiration and pneumonia, respiratory distress or airway obstruction,
peritonitis or septic shock, colocutaneous, gastrocolocutaneous or small bowel fistula, gastric
dilatation, sigmoid intra-abdominal herniation and volvulus, persistent fistula following PEG-J
removal, esophageal injury, necrotizing fasciitis, candida cellulitis, improper placement or inabi lity
to place PEG-J tube, tube dislodgment or migration, hemorrhage, and tumor metastasis.
Others include, but are not limited to: pneumoperitoneum, peristomal wound infection and
purulent drainage, stomal leakage, bowel obstruction, gastroesophageal reflux (GERD), and
blockage or deterioration of PEG-J tube.
PRECAUTIONS
Benefit of a PEG-J tube to patient must be weighed against risks associated with any indwelling
gastrostomy feeding tube.
During placement and use, care must be taken to avoid cutting, crimping, or damaging components.
Do not modify PEG, J-tube or adapters in any way.
Follow the instructions and the Patient Care Manual supplied with each kit. It is essential for the
Patient Care Manual to accompany the patient and be explained to all people responsible for the
care of the patient.
All PEG Systems, including PEG-J and FLOW-J, are radio paque. Proper location and integrity of any
internal component can be visualized by x-ray.
Proper positioning of gastro-jejunal feeding tube must be verified by x-ray.
Device is only compatible with appropriate Cook PEG tube. This device is not compatible with
Cook Replacement PEG Tube.
Manufacturer guidelines are not intended to replace physician’s recommendations.
