Kimberly-Clark MIC Jejunal Feeding Tubes

MIC Jejunostomy Feeding Tube Features

SECUR-LOK external retention ring

• FDA approved and CE marked
• Latex-free feeding tube
• Medication port
• Trimmable distal tip
• Radiopaque stripe
• Inflatable silicone internal retention balloon
• Designed for visibility and drapability
• Universal connector, designed to preserve tube life and minimize unintentional disconnects

Indications

MIC J Feeding Tube is indicated for use in patients who:

• cannot absorb adequate nutrition through the stomach
• have intestinal motility problems
• gastric outlet obstruction
• severe gastroesophageal reflux
• are at risk of aspiration
• have had previous esophagectomy or gastrectomy

Contraindications

Contraindications for placement of a jejunal feeding tube include but are not limited to

• ascites
• colonic interposition
• portal hypertension
• peritonitis
• morbid obesity

MIC Jejunostomy Feeding Tube User Manual

Frequently Bought Together

• Kimberly Clark MIC PEG Universal Feeding Adapter 
• MIC-KEY Extension Sets 
• Kimberly-Clark MIC Jejunostomy Feeding Tube Accessories

How to use MIC Jejunal Feeding Tube?

Tube Preparation

1. Select the appropriate size MIC Jejunal Feeding Tube, remove it from the package, and inspect for damage.
2. Using a Luer slip syringe, inflate the balloon through the balloon port with 7-10 ml of sterile or distilled water for the standard balloon and 2-3 ml of sterile or distilled water for the LV balloon.
3. Remove the syringe and verify balloon integrity by gently squeezing the balloon to check for leaks. Visually inspect the balloon to verify symmetry. Symmetry may be achieved by gently rolling the balloon between the fingers. Reinsert the syringe and remove all the water from the balloon.
4. Using the Luer slip syringe, flush water through the jejunal port to verify patency.
5. Lubricate the distal end of the tube with water-soluble lubricant. Do not use mineral oil or petroleum jelly.
6. Generously lubricate the jejunal lumen with water-soluble lubricant. Do not use mineral oil or petroleum jelly.

General Flushing Guidelines

• Use a 30—to 60-cc catheter tip syringe. Do not use smaller syringes, as this can increase pressure on the tube and potentially rupture smaller tubes.
• Use room temperature tap water for tube flushing. Sterile water may be appropriate where the quality of municipal water supplies is of concern. The amount of water will depend on the patient’s needs, clinical condition, and type of tube, but the average volume ranges from 10 to 50 ml for adults and 3 to 10 ml for infants. Hydration status also influences the volume used for flushing feeding tubes. In many cases, increasing the flushing volume can avoid the need for supplemental intravenous fluid. However, individuals with renal failure and other fluid restrictions should receive the minimum flushing volume necessary to maintain patency.
• Do not use excessive force to flush the tube. Excessive force can perforate the tube and can cause injury to the gastrointestinal tract.
• Document the time and amount of water used in the patient’s record. This will enable all caregivers to monitor the patient’s needs more accurately.

Daily Care & Maintenance Instructions

• Assess the patient:
  • Assess the patient for any signs of pain, pressure, or discomfort.
• Assess the stoma site:
  • Assess the patient for any signs of infection, such as redness, irritation, edema, swelling, tenderness, warmth, rashes, purulent or gastrointestinal drainage.
  • Assess the patient for any signs of pressure necrosis, skin breakdown, or hypergranulation tissue.
• Clean the stoma site:
  • Use warm water and mild soap.
  • Use a circular motion moving from the tube outwards.
  • Clean sutures, external bolsters, and any stabilizing devices using a cotton-tipped applicator.
  • Rinse thoroughly and dry well.
• Assess the tube:
  • Assess the tube for any abnormalities, such as damage, clogging, or abnormal discoloration.
• Clean the feeding tube:
  • Use warm water and mild soap, and be careful not to pull or manipulate the tube excessively.
  • Rinse thoroughly and dry well.
• Clean the jejunal, gastric, and balloon ports:
  • Use a cotton tip applicator or soft cloth to remove all residual formula and medication.
• Do not rotate the external bolster
  • This will cause the tube to kink and possibly lose position.
• Verify the placement of the external bolster
  • Verify that the external bolster rests 2-3mm above the skin.
• Flush the feeding tube:
  • Flush the feeding tube with water every 4-6 hours during continuous feeding, anytime the feeding is interrupted, or at least every 8 hours if the tube is not being used.
  • Flush the feeding tube after checking gastric residuals.
  • Flush the feeding tube before and after medication administration.
  • Avoid using acidic irrigants such as cranberry juice and cola beverages to flush feeding tubes.