avanos MIC Mode D'emploi page 4

• Assess the stoma site 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.
• Use warm water and mild soap.
• Use a circular motion moving from the tube outwards.
• Rinse thoroughly and dry well.
• Assess the tube for any abnormalities such as damage, clogging, or abnormal discoloration.
• Use warm water and mild soap being careful not to pull or manipulate the tube excessively.
• Rinse thoroughly and dry well.
• Clean the Jejunal, Gastric, and Balloon Inflation Ports. Use a cotton tip applicator or soft cloth to remove all residual
formula and medication.
• Verify that the external bolster rests 1–2 mm above the skin.
• Flush the feeding tube as described in the General Flushing Guidelines section above.
Caution: Do not rotate the external retention bolster. Rotating the bolster may cause the tube to kink and possibly lose
position.
Tube Occlusion
Tube occlusion is generally caused by:
• Poor flushing techniques
• Failure to flush after measurement of gastric residuals
• Inappropriate administration of medication
• Pill fragments
• Thick formulas, such as concentrated or enriched formulas that are generally thicker
• Formula contamination that leads to coagulation
• Reflux of gastric or intestinal contents up the tube
To Unclog a Tube
1. Make sure that the feeding tube is not kinked or clamped off.
2. If the clog is visible above the skin surface, gently massage or milk the tube between fingers to break up the clog.
3. Connect a 30 to 60 ml ENFit® syringe filled with warm water into the appropriate access port of the tube and gently pull
back on then depress the plunger to dislodge the clog. Do not use smaller size syringes as this can increase pressure on
the tube and potentially rupture smaller tubes.
4. If the clog remains, repeat step #3. Gentle suction alternating with syringe pressure will relieve most obstructions.
5. If this fails, consult with the physician. Do not use cranberry juice, cola drinks, meat tenderizer or chymotrypsin, as they
can actually cause clogs or create adverse reactions in some patients. If the clog is stubborn and cannot be removed, the
tube will have to be replaced.
Caution: Do not insert foreign objects through the tube.
MRI Safety Information
Non-clinical testing has demonstrated the MIC* GJ enteral feeding tube is MR Conditional. A patient with this device can be
safely scanned in an MR system meeting the following conditions:
• Static magnetic field of 1.5 T and 3 T only
• Maximum spatial field gradient of 4,000 Gauss/cm (40 T/m)
• 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
Using the scan conditions defined above, the MIC* GJ enteral feeding tube is expected to produce a maximum temperature
rise of 3.0 °C after 15 minutes of continuous scanning (i.e. per pulse sequence).
In non-clinical testing, the image artifact caused by the device extends approximately 5 mm from the MIC* GJ enteral feeding
tube when imaged using a gradient echo pulse sequence and a 3 T MRI system.
Warning. For enteral nutrition and/or enteral medication only.
For more information, please call 1-844-4AVANOS (1-844-428-2667) in the United States,
or visit our web site at www.avanos.com.
Educational Booklets. "A Guide to Proper Care" and "A Stoma Site and Enteral Feeding Tube Troubleshooting Guide" are
available upon request. Please contact your local representative or contact Customer Care.
Diameter
Do not resterilize Product is NOT made with DEHP as a plasticizer
4
Length Single Use Only
Sterilized by Gamma Irradiation
RX Only MR Conditional
Do not use if package is damaged
Caution Consult instructions for use