COOK Medical Entuit Gastrostomy BR Mode D'emploi page 4

VERIFICATION OF TUBE PLACEMENT
Warning: Verify proper tube placement before feeding administration.
Note: This device incorporates ENFit connectors from the standards ISO 80369-1 and AAMI/CN3:2014 Part
3 for improved patient safety. The ENFit connectors are designed to reduce the risk of tubing misconnections
between unrelated medical devices.
1. Remove the cap from the device by rotating cap
counter-clockwise.
2. Draw 10mL of water into an ENFit compatible syringe and connect to the feeding port of the funnel
by rotating the syringe clockwise (do not overtighten).
3. Gently pull back on syringe plunger until stomach contents (typically yellow or clear unless food is in
patient' s stomach) are aspirated and visible in the feeding lumen.
Note: The presence of gastric contents in the feeding lumen confirms correct positioning and that
feeding tube is inside the stomach lumen. Flush contents with the 10mL of water in the syringe.
4. Flush contents with the 10mL of water in the syringe.
5. Disconnect syringe from device by rotating syringe counter-clockwise and reconnect cap by rotating
cap clockwise (do not overtighten).
FEEDING ADMINISTRATION
Caution: Only begin feeding administration after confirmation of proper feeding tube placement and
patency. Administration of feeding should be performed according to instructions provided by the physician.
Caution: Do not attempt to administer solid nutrients through feeding lumen.
Warning: This device is intended FOR ENTERAL USE ONLY.
Note: Verify the ENFit connector is connected to an enteral port only and not to an I.V. set prior to feeding.
1. Remove the cap from the "FEED" port by rotating the cap counter-clockwise.
2. If bolus feeding with an ENFit compliant syringe:
2.1 Fill ENFit compliant syringe with water and connect to the feeding port by rotating syringe
clockwise (do not overtighten).
2.2 Prime the feeding lumen with water using the water-filled syringe and inspect for leakage.
Note: The device may need to be replaced if leakage is present.
2.3 Disconnect syringe by rotating counter-clockwise. Remove remaining water, if any, and
plunger from syringe.
2.4 Reconnect the syringe without the plunger to the feeding port by rotating the syringe
clockwise (do not overtighten).
2.5 Pour feeding formula into syringe.
2.6 Raise or lower syringe to increase or decrease feeding flow rate.
2.7 Flush the feeding tube with the prescribed amount of water when feeding is complete.
2.8 Disconnect syringe by rotating counter-clockwise and reconnect the cap by rotating cap
clockwise (do not overtighten).
FEEDING ADMINISTRATION (continued)
3. If feeding continuously:
3.1 Attach enteral giving set connector to the feeding port by rotating connector clockwise (do
not overtighten).
3.2 Fill feeding container with feeding formula.
3.3 Allow for filling of feeding lumen. Inspect for leakage.
Note: The device may need to be replaced if leakage is present.
3.4 Connect enteral giving set to pump.
3.5 Set desired flow rate and begin feeding.
3.6 If feeding continuously for long periods of time, flush feeding tube with prescribed amount
of water and rinse connectors (on device and giving set) with warm water and/or mild soap
every 4-6 hours.
3.7 Disconnect enteral giving set from pump and feeding port (by rotating counter-clockwise)
when feeding is complete.
3.8 Flush the feeding tube with prescribed amount of water, rinse connectors (on device and
giving set) with warm water and/or mild soap as needed, and reconnect cap to the device
by rotating cap clockwise (do not overtighten).
MEDICATION ADMINISTRATION
Caution: Only administer medication after confirmation of proper feeding tube placement and patency.
Administration of medication should be performed according to instructions provided by physician.
Caution: Use medication in liquid form whenever possible. If only solid medication is available, seek advice
from a physician to determine if it is safe to crush solid medication and mix with water.
Warning: Do not crush medication that has an enteric coating or attempt to mix medication with feeding
formula.
Warning: This device is intended FOR ENTERAL USE ONLY.
Note: Verify the ENFit connector is connected to an enteral port only and not to an I.V. set prior to
administering medication.
1. Remove cap from the "MED" port by rotating cap counter-clockwise.
2. Before administering medication, flush feeding tube with prescribed amount of water using an
ENFit compliant syringe.
3. Medication may be administered by using an ENFit compliant syringe and connecting to the
medication port of the device (by rotating syringe clockwise - do not overtighten).
Note: If safe, solid medication may be pulverized into a fine powder and dissolved with water
before being administered.
4. Disconnect syringe by rotating counter-clockwise.
5. After medication administration is complete, flush the route used for medication with prescribed
amount of water and rinse connectors (on device and giving set) with warm water and/or mild soap
as needed.
6. Reconnect cap by rotating clockwise (do not overtighten).
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