COOK Medical G22300, Руководство пользователя

Страница: 3 / 36

• Recent nasal, oral, esophageal or gastric surgery, or trauma
• Deviated septum
• Inability to pass the feeding tube through the nares
• Uncooperative patient
POTENTIAL ADVERSE EVENTS
Potential adverse events associated with placement and use of a nasal jejunal feeding tube
include, but are not limited to:
• Bleeding
• Clogged or leaking feeding tube
• Sinusitis
• Premature displacement of the tube
• Aspiration
• Nasal irritation
• Sore throat
PRECAUTIONS
The coordination of the endoscope accessory channel size and compatible devices is essential
in obtaining optimal results during a procedure. Wilson-Cook Nasal Jejunal Feeding Tubes are
available in 8 French, requiring a minimum channel size of 3.2 mm, and 10 French, requiring a
minimum channel size of 3.7 mm.
This device is not intended for use beyond 30 days.
WARNINGS
None known.
INSTRUCTIONS FOR USE
1. Pre-load wire guide, floppy tip first, through nasal jejunal feeding tube.
2. Advance pre-loaded feeding tube and wire guide unit through accessory channel of
previously placed endoscope until it reaches third or fourth portion of duodenum.
3. Once feeding tube is in proper position, slowly withdraw endoscope making sure to keep
feeding tube in place. Note: Distance markings are observed both endoscopically and
externally to assure proper positioning of feeding tube.
4. Once endoscope is withdrawn completely, gently remove wire guide from feeding tube.
5. Dispose of wire guide per institutional guidelines for biohazardous medical waste.
6. Generously lubricate blunt end of nasal transfer tube with water soluble lubricant.
7. Advance nasal transfer tube through nose until it exits in back of throat. (See fig. 1) Note: If
difficulty is encountered while attempting to advance nasal transfer tube, reaccess nares.
8. Grasp tip of nasal transfer tube and pull it out through mouth, leaving other end of nasal
transfer tube in place through nose.
9. If placing 8 French feeding tube, thread tip of feeding tube through oral end of nasal transfer
tube and advance until it exits through nasal end. If placing 10 French feeding tube, securely
connect tip of feeding tube to oral end of nasal transfer tube.
(See fig. 2)
10. Gently pull nasal transfer tube through nose until feeding tube emerges through
nostril. (See fig. 3)
11. Dispose of nasal transfer tube per institutional guidelines for biohazardous medical waste.
12. Cut feeding tube to desired external length, then place barbed fitting onto feeding tube.
13. Secure feeding tube in place using hypoallergenic tape.
14. Confirm proper tube placement using x-ray prior to initiating feedings.
3