COOK Medical Entuit Gastrostomy BR Mode D'emploi page 5

DECOMPRESSION
1. Remove cap from either the "FEED" or "MED" port of the device by rotating cap counter-clockwise.
2. Perform decompression according to physician instructions.
3. After decompression is performed, flush device with prescribed amount of water.
4. Reconnect the cap to the device by rotating cap clockwise (do not overtighten).
TUBE REMOVAL
Caution: Never attempt to remove feeding tube unless trained by physician or healthcare provider. Before
removing feeding tube, verify that the feeding tube may be replaced at bedside.
1. Obtain equipment and supplies required for removal of device. Clean hands and use powder-free
gloves before touching stoma site.
2. Gently rotate the feeding tube to ensure the tube moves freely and easily.
Warning: Do not apply excessive force when removing device. If resistance is felt, apply water
soluble lubricant and manipulate tube by pushing and rotating until tube moves freely and easily.
Contact physician if not able to remove feeding tube.
3. Remove any contents inside the balloon using a syringe.
4. Pull device out of stoma while simultaneously applying counter-pressure to the patient' s abdomen.
5. Clean stoma site with mild soap and water. Allow area to dry.
6. Dispose of device following the guidelines for biohazardous waste provided by the healthcare
institution.
7. If a replacement device is required, follow instructions provided in "DEVICE PREPARATION" and
"DEVICE PLACEMENT" instructions above.
Caution: Stoma tract may begin to close in the first hour following device removal.
TUBE MAINTENANCE
1. The stoma site should be inspected and cleaned regularly. Cleaning should be performed with
mild soap and water, remove moisture afterwards. Notify physician if signs of infection or
irritation are observed.
2. Clean residual contents from the external area of the feeding tube with mild soap and water as
needed; remove moisture afterwards.
3. Rotate device daily to allow for adequate air circulation. Consult with physician if device does not
rotate freely.
4. In order to prevent feeding tube clogging, always flush feeding lumen with prescribed amount
of water after feeding administration, every 4-6 hours during continuous feeding, before
administering medication and after medication administration is complete.
Note: The amount of water used for flushing will depend on patient' s need, clinical condition
and if patient is an infant or adult.
5. Assess the feeding tube daily for damage, clogging or abnormal discoloration.
6. Check balloon volume weekly, or as recommended by the physician, and compare to initial
volume used to inflate balloon in order to determine balloon integrity.
7. A loss of volume over time may be compensated for by refilling the balloon. A large drop in fill
volume may indicate the need for device replacement.
8. Replace device as or if necessary following the "DEVICE PREPARATION" and "DEVICE PLACEMENT"
instructions in the section above.
MRI SAFETY INFORMATION
This device is MR Conditional.
Non-clinical testing demonstrated that this device is MR Conditional. A patient with this device can be
scanned safely, immediately after placement under the following conditions:
• Static magnetic field of 3 Tesla or 1.5 Tesla
• Maximum spatial gradient magnetic field of 1,500-Gauss/cm or less
• Maximum MR system reported, whole body averaged specific absorption rate (SAR) of 4-W/kg for
15 minutes of scanning (i.e., per pulse sequence) in the First Level Controlled Operating Mode of
operation for the MR system
MRI-RELATED HEATING
Under the scan conditions above, this device is expected to produce a maximum temperature rise of less
than 2.3ºC after 15 minutes of continuous scanning.
ARTIFACT INFORMATION
The maximum artifact size as seen on the gradient echo pulse sequence at 3-Tesla extends approximately
30-mm relative to the size of the shape of this device.
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