Freka. Enteral Feeding Tube Product Range ENTERAL NUTRITION



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ENTERAL NUTRITION Freka Enteral Feeding Tube Product Range Fresenius Kabi Limited, Cestrian Court, Eastgate Way, Runcorn, Cheshire WA7 1NT tel: 01928 533533 fax: 01928 533520 email: nutrition.service@fresenius-kabi.com www.fresenius-kabi.co.uk Date of preparation: February 2015 EN00233 Fresubin is a registered trademark of Fresenius Kabi AG. Fresenius Kabi Ltd is an authorised user. Complan is a registered trademark of Complan Foods Ltd Fresenius Kabi Ltd. February 2015

ENTERAL S PRODUCT RANGE 01 Contents S 02-07 Freka CH 6.5 Naso-Gastric Feeding Tube - Paediatric 50cm 02 Freka CH 8 Naso-Gastric Feeding Tube - Paediatric 60cm 02 Freka CH 8 Naso-Gastric Feeding Tube 80cm 03 Freka CH 8 Naso-Gastric Feeding Tube 120cm 03 Freka CH 10 Naso-Gastric Feeding Tube 120cm 04 Freka CH 12 Naso-Gastric Feeding Tube 120cm 04 Freka GastroTube (CH 15) 05 Freka Button (CH 15) 05 Freka Belly Button 08 Freka CH 9 PEG 06 Freka CH 15 PEG 06 Freka CH 20 PEG 07 Freka PEXACT (CH 15) 07 JEJUNAL S 08-10 ACCESSORY ITEMS 11-13 Positive/Negative Luer 11 Lock Adaptor Y for PEG-J 11 Measuring Device 11 Right Angled Adaptor 11 Red Stopper for Tubes a Male 11 Luer Connector Freka UK Funnel Adaptor 11 Male Luer Lock Adaptor (CH 9) 12 Male Luer Lock Adaptor (CH 15) 12 Male Luer Lock Adaptor (CH 20) 12 Fixation Plate (CH 9) 12 Fixation Plate (CH 15) 12 Fixation Plate (CH 20) 12 Repair Set for Freka PEG (CH 9/15/20) 13 Extension Set (30 cm) 13 Extension Set (100cm) 13 Cone Adaptor 13 Roller Clamp extension 13 Easy Bag Bolus Adaptor 13 ORDERING INFORMATION 14 Freka Endolumina Naso-Jejunal Feeding Tube 08 Freka Easy In Naso-Jejunal Feeding Tube 09 Freka Trelumina Naso-Jejunal Feeding Tube 09 Freka Surgical Jejunostomy Tube 10 Freka PEG J Feeding Tube 10 All Freka feeding tubes and accessory items are NPSA compliant* Alert 19 Promoting safer measurement and administration of liquid medicines via oral and other enteral routes. *Freka Pexact - still to be adapted, luer slip access route can be removed prior to placement. This tube must be changed in 29 days.

02 ENTERAL S PRODUCT RANGE 03 S Product code: 7755811 Product code: 7755741 CH 6.5, 50cm External diameter: 2.2mm Internal diameter: 1.5mm CH 8, 8, 60cm, 80cm Product code: 7981101 External diameter: 2.8mm External diameter: 2.8mm Internal diameter: 2.1mm Internal diameter: 2.1mm FOR CHILDREN PAED- (PAEDIATRIC) Tissue compatible tube made from polyurethane end staggered outlet ports open tube end Radio-opaque strip along tube length Interval markings every 10cm *No guidewire S OR JEJUNAL Tissue compatible tube made from polyurethane male male luer luer lock lock end end and and Spiral guide wire connection for for the the injection injection of of radiological radiological contrast contrast medium medium or lubricating or lubricating fluid fluid Flexible side polyurethane outlet ports olive tip closed 2 openings at the tube end tube end 3 radio-opaque strips offering enhanced visibility Three-piece nasal adhesive tape set for secure tube fixation Three-piece Tube marked nasal to confirm fixation size, tape manufacturer set for secure and tube article fixation code Outlet holes in tip to help prevent kinking Product code: 7755751 Product code: 7755721 CH 8, 8, 60cm, Product code: 7981101 External diameter: 2.8mm External diameter: 2.8mm Internal diameter: 2.1mm Internal diameter: 2.1mm CH 8, 8, 60cm, 120cm Product code: 7981101 External diameter: 2.8mm External diameter: 2.8mm Internal diameter: 2.1mm Internal diameter: 2.1mm S Tissue compatible tube made from polyurethane male male luer luer lock lock end end and and Spiral guide wire connection for for the the injection injection of of radiological radiological contrast contrast medium or lubricating fluid side ports closed closed tube tube end end 3 radio-opaque strips offering enhanced visibility Three-piece Tube marked nasal to confirm fixation size, tape manufacturer set for secure and tube article fixation code Outlet holes in tip to help prevent kinking S OR JEJUNAL (PAEDIATRIC) Tissue compatible tube made from polyurethane male male luer luer lock lock end end and and Spiral guide wire connection for for the the injection injection of of radiological radiological contrast contrast medium medium or lubricating or lubricating fluid fluid Flexible side polyurethane outlet ports olive tip closed 2 openings at the tube end tube end 3 radio-opaque strips offering enhanced visibility Three-piece nasal adhesive tape set for secure tube fixation Three-piece Tube marked nasal to confirm fixation size, tape manufacturer set for secure and tube article fixation code Outlet holes in tip to help prevent kinking

04 ENTERAL S PRODUCT RANGE 05 Product code: 7755211 Product code: 7755621 CH 8, 10, 60cm, 120cm Product code: 7981101 External diameter: 3.4mm External diameter: 2.8mm Internal diameter: 2.2mm Internal diameter: 2.1mm CH Gastric 8, 60cm, CH 15 Product code: 7981101 Funnel end 13cm shaft length External diameter: 2.8mm External diameter: 5mm Internal Internal diameter: diameter: 2.1mm 3.6mm S OR JEJUNAL GASTRO BALLOON Tissue compatible tube made from polyurethane male luer lock end and integral Spiral guide cap wire connection for the injection of radiological contrast medium Spiral or lubricating guide wire fluid connection for the injection of radiological contrast medium Flexible polyurethane or lubricating olive fluidtip 2 openings at the tube end 3 radio-opaque strips ports offering closed enhanced visibility tube end Interval markings along tube length Tube marked to confirm size, manufacturer and article code Three-piece Outlet holes nasal in tip fixation to help prevent tape set kinking for secure tube fixation REPLACEMENT S RETAINED REPLACEMENT GASTRONOMY intragastric feeding Tissue Latex free compatible silicone tube - made balloon from retention polyurethane male luer lock end and integral Funnel adaptor cap sealing tab Spiral Rounded guide wire opening connection for the injection of radiological contrast medium Long life or span lubricating balloon1fluid Introducer device ports closed tube end 10ml luer syringe (for tube inflation only) Tube clamp Radio-opaque ring and strip Three-piece Step connector nasal fixation tape set for secure tube fixation Product code: 7755731 S OR JEJUNAL FREKA BUTTON BALLOON (FUNNEL END) CH 8, 12, 60cm, 120cm Product code: 7981101 Funnel end External diameter: 3.9mm External diameter: 2.8mm Internal diameter: 2.9mm Internal diameter: 2.1mm Tissue compatible tube made from polyurethane male luer lock end and integral Spiral guide cap wire connection for the injection of radiological contrast medium Spiral or lubricating guide wire fluid connection for the injection of radiological contrast medium Flexible polyurethane or lubricating olive fluidtip 2 openings at the tube end 3 radio-opaque strips ports offering closed enhanced visibility tube end Interval markings along tube length Tube marked to confirm size, manufacturer and article code Three-piece Outlet holes nasal in tip fixation to help prevent tape set kinking for secure tube fixation REPLACEMENT S LOW PROFILE RETAINED using a low profile feeding device Freka CH 8, Button 60cm, Product Gastrostomy code: 7981101 Single Set CH 15 External diameter: 2.8mm External diameter: 4.5mm Internal diameter: 2.1mm Internal diameter: 3.6mm Shaft lengths Product Codes: KEY 1.1cm FEATURES 7751241 1.4cm 7751251 1.7cm 7751261 2.0cm 7751271 2.5cm 7751281 3.0cm 7751291 Tissue 3.5cm compatible 7751301 tube 4.0cm made 7751311 from polyurethane 4.5cm 7751321 male luer lock end and KEY Spiral FEATURES guide wire connection for the injection of radiological contrast medium or lubricating fluid Medical grade silicone button single SINGLE SET ports closed tube end bonded seam for durability1 Single button set contains: Horizontal and vertical radio-opaque strips CH 15 button specific shaft length Interval Flat open markings end along length of tube 10ml luer syringe (for tube inflation only) Three-piece Anti-reflux valve nasal fixation tape set for secure tube Button fixation introducer device Valve for balloon filling 5 Right angled adaptors Retention balloon 7.5ml fluid filled capacity Reference: 1. Dormann A J et al (2001) Skin level gastrostomy using a novel balloon-type device - Long term results in oncological patients. Nutrition in Clinical Practice 16:355-358 Reference: 1. Dormann A J et al (2001) Skin level gastrostomy using a novel balloon-type device - Long term results in oncological patients. Nutrition in Clinical Practice 16:355-358

06 ENTERAL S PRODUCT RANGE 07 Freka Belly Button Gastrostomy Product code: 7755641 CH 12, 14, 16, 18, 20, 24 CH 8, 60cm, Product code: 7981101 CH 8, 1560cm, blue Product code: 7981101 External diameter: 12(4mm), 14(4.7mm), 16(5.3mm), 18(6mm), 20(6.7mm), 24(8mm) External diameter: 2.8mm Wide lumen, gastric External Length: diameter: 35cm2.8mm Internal diameter: 12(2mm), 14(2.4mm), 16(3mm), 18(3.6mm), Internal diameter: 2.1mm External diameter: 4.8mm Internal Internal diameter: diameter: 2.1mm3.6mm 20(4mm), 24(5mm) REPLACEMENT S LOW PROFILE FREKA BELLY BUTTON BALLOON RETAINED using a low profile feeding device Freka Belly Button Containing: 1 Freka 1 Introducer (simple) 1 Syringe for balloon filling 10 ml Ampoule Aqua dest. 1 Lubricant 2 Gauze Pads Tissue compatible tube made from polyurethane male luer lock end and Belly Button Spiral guide wire connection for the injection of radiological contrast medium or lubricating fluid ports closed tube end FR size/shaft length FR 12 FR 14 FR 16 FR 18 FR 20 FR 24 1,0 cm 7751612 7751622 7751632 7751642 7751652 7751662 1,5 cm 7751613 7751623 7751633 7751643 7751653 7751663 Medical grade silicone Flat end Valve for balloon filling Flat and small button head 2,0 cm 7751614 7751624 7751634 7751644 7751654 7751664 2,5 cm 7751615 7751625 7751635 7751645 7751655 7751665 3,0 cm 7751616 7751626 7751636 7751646 7751656 7751666 3,5 cm 7751617 7751627 7751637 7751647 7751657 7751667 4,0 cm 7751618 7751628 7751638 7751648 7751658 7751668 4,5 cm 7751619 7751629 7751639 7751649 7751659 7751669 5,0 cm 7751620 7751630 7751640 7751650 7751660 7751670 Anti-reflux valve Button introducer device Syringe + 10ml ampoule for balloon filling PERCUTANEOUS S ENDOSCOPIC USING THE PULL TECHNIQUE PEG STANDARD CH 15 Tissue Polyurethane compatible tube tube radio-opaque made from polyurethane strip and silicone disc male luer lock end and integral External cap colour and size coded fixation plate (silicone) for Spiral securing guide tube wire (CH 15 blue) connection for the injection of radiological contrast medium Puncture or cannula lubricating safety fluid (air) valve Introducer cone ports double closed thread tube end Scalpel adaptor Interval markings every 2cm (from 2cm - 16cm) Three-piece Tube clamp nasal fixation tape set for secure tube fixation Freka UK funnel adaptor Product code: 7755641 Product code: 7755631 CH 8, 9 60cm, yellow Product code: 7981101 Fine lumen, gastric External Length: diameter: 30cm2.8mm External diameter: 2.9mm Internal Internal diameter: diameter: 2.1mm1.9mm CH 8, 2060cm, purple Product code: 7981101 Wide lumen, gastric External Length: diameter: 35cm2.8mm External diameter: 6.6mm Internal Internal diameter: diameter: 2.1mm5.0mm PERCUTANEOUS S ENDOSCOPIC USING THE PULL TECHNIQUE PEG STANDARD CH 9 Tissue Polyurethane compatible tube tube radio-opaque made from polyurethane strip and silicone disc male luer lock end and integral Radio-opaque cap retention disc made from silicone Spiral Puncture guide cannula wire connection safety (air) valve for the injection of radiological contrast medium Introducer or cone lubricating double fluid thread Scalpel ports closed tube end External colour and size coded fixation plate (silicone) for securing tube (white/yellow) adaptor Three-piece Interval markings nasal every fixation 2cm tape (from set 2cm for - secure 16cm) tube fixation Tube clamp Freka UK funnel adaptor PERCUTANEOUS S ENDOSCOPIC USING THE PULL TECHNIQUE PEG STANDARD CH 20 Tissue Polyurethane compatible tube tube radio-opaque made from polyurethane strip and silicone disc male luer lock end and integral External cap colour and size coded fixation plate (silicone) for securing Spiral tube (CH guide 20 wire purple) connection for the injection of radiological contrast medium Puncture or cannula lubricating safety fluid (air) valve Introducer cone ports double closed thread tube end Scalpel adaptor Interval markings every 2cm (from 2cm - 16cm) Three-piece Tube clamp nasal fixation tape set for secure tube fixation Freka UK funnel adaptor

08 ENTERAL S PRODUCT RANGE 09 DIRECT S PUNCTURE PEXACT Product code: 7601362 CH Gastric 8, 60cm, CH 15 Product code: 7981101 21cm shaft length Gastropexy device suturing External material diameter: 2.8mm Trocar peel away sheath Internal diameter: External diameter: 2.1mm 5.0mm Tissue Latex free compatible silicone tube, made balloon from retained polyurethane male luer lock end and integral Gastropexy capdevice suturing material, single handed operation Spiral Trocar guide peel wire away sheath, connection FR 16for the injection of radiological contrast medium Suturing or material lubricating fluid Scalpel ports closed tube end 5ml luer syringe (for tube inflation only) JEJUNAL EASY IN Product code: 7755781 Double lumen polyurethane tube suitable for intestinal feeding and gastric decompression/drainage Intestinal: CH 8, 270cm Internal diameter: 1.8mm 4 lateral openings Number markings every 5cm Gastric: CH 16, 100cm Internal diameter: 4 lateral openings Number markings every 5cm Tissue compatible polyurethane double lumen 270cm tube Feeding lumen: 4 lateral openings, open ended, interval markings every 5cm Gastric lumen: 5 large outlet ports, interval markings every 5cm Y connector Pack contains 2 MCT oil ampoules for lubrication Blue re-routing catheter JEJUNAL S Product code: 7755761 Product code: 7755771 JEJUNAL ENDOLUMINA CH 8, 270cm External diameter: 2.6mm Internal diameter: 1.9mm Tissue compatible tube made from polyurethane for endoscopic placement via the instrumental channel of the endoscope (cut to size required after placement) Five staggered outlet ports round closed end adaptor (attached after tube placement) Radio-opaque Interval markings every 10cm Re-routing catheter 35cm long, CH 15 Blue ACCESSORY Freka -Endo introducer 280cm long teflon coated stainless steel seldinger guide wire is available separately Product code: 7980321 AND JEJUNAL TRELUMINA Triple lumen polyurethane tube suitable for intestinal feeding and gastric decompression/drainage Intestinal: CH 9, luer lock, 150cm Gastric: CH 16, funnel connector, 95cm Pressure regulation lumen Internal diameter: Feeding lumen 1.4mm, Aspiration lumen 4.1mm Pressure regulation lumen 1.2mm Tissue compatible polyurethane triple lumen 150cm tube Feeding lumen: Flexible olive tip 2 lateral outlets ports, open ended Aspiration lumen: Five large outlet ports Automatic pressure regulation lumen Teflon coated guidewire 150cm Radio-opaque strip along tube length Interval markings every 10cm Lumen identification marks Pack contains 2 ampoules of MCT Oil for lubrication of the tube and guidewire

10 ENTERAL S PRODUCT RANGE 11 ACCESSORY ITEMS Product code: 7755671 CH 9 Length: 75cm External diameter: 2.9mm Internal diameter: 1.9mm CLICK CONNECTOR STOMA MEASURING DEVICE To be ordered separately when using the single set FINE-NEEDLE CATHETER JEJUNOSTOMY FOR SURGICAL INSERTION SURGICAL JEJUNOSTOMY Polyurethane tube radio-opaque strip, open ended male luer lock connection External fixation plate (silicone) clamp and suture holes (for securing to the abdomen sutures) Interval markings every 5cm split cannulae (10.5cm and 13cm), blunt introducer in the longer split cannula White clamp For Freka PEG Intestinal Product code: 798138Y For Freka PEG Intestinal Pack of 5 Product code: 7981392 Used to measure stoma tract length prior to button insertion Pack of 1 Product code: 7750921 For postoperative enteral feeding following abdominal or laparoscopic procedures PERCUTANEOUS ENDOSCOPIC USING THE PULL TECHNIQUE PEG UNIVERSAL INTESTINAL CH 15 Gastric CH 15, 35cm Product code: 7755651 Intestinal CH 9, 120cm Product code: 7755661 Double lumen External diameter: (CH9) 2.9mm Internal diameter: (CH9) 1.9mm Tube and accessories (see Freka PEG universal gastric) Additional radio-opaque polyurethane tube (120cm, CH 15/CH 9) teflon coated guidewire, olive tip and 5 lateral exit ports The gastric tube acts as the introducer for the small intestine tube Special connections available, depending on clinical requirements (straight or Y) Interval markings Gastric tube-every 2cm Intestinal tube-every 10cm RIGHT ANGLED Adaptor for feed, fluid or medicine administration Pack of 20 Product code: 7750801 RED STOPPER For tubes a male luer connector Product code: 798136Y UK FUNNEL For catheter tip syringe Easy to flush tube Can be closed after use Female luer connector Product code: 7755681 intra-jejunal feeding

12 ENTERAL S PRODUCT RANGE 13 MALE LEUR LOCK MALE LEUR LOCK MALE LEUR LOCK REPAIR SET EXTENSION SET (30CM) EXTENSION SET (100CM) For Freka PEG CH 9 (yellow) For Freka PEG CH 15 (blue) For Freka PEG CH 20 (purple) For Freka PEG CH 9/15/20 1 external fixation plate 1 clamp 1 luer lock adaptor 2 red stoppers For use balloon gastrostomies Additional tube offering increased length Funnel end For use balloon gastrostomies Additional tube offering increased length Product code: 7981311 Product code: 798137Y Product code: 7751651 Product code: CH 9 7750391 CH 15 7750401 CH 20 7751391 Pack of 3 Product code: 775593W Pack of 1 Product code: 7980281 FIXATION PLATE FIXATION PLATE FIXATION PLATE CONE ROLLER CLAMP EASYBAG BOLUS Freka PEG CH 9 Freka PEG CH 15 Freka PEG CH 20 Resealable funnel connection spiked end For bolus feeding EasyBag Pack of 5 Product code: 7903002 Pack of 5 Product code: 7904002 Pack of 5 Product code: 7751541 Pack of 1 Product code: 7751561 Pack of 10 Product code: 7752221 Product code: 7755691

14 ENTERAL S Ordering Information S AND BUTTONS Item Pack Size Product Code Freka Paed Tube 1 7755811 Freka Naso-gastric Feeding Tube (Paed) 1 7755751 Freka Naso-gastric Feeding Tube 1 7755741 Freka Naso-gastric Feeding Tube 1 7755721 Freka Enteral feeding tube (Funnel End) 1 7755731 Freka GastroTube (CH 15) 1 7755621 Freka Pexact (CH 15) 1 7601361 Freka Button Gastrostomy 1.1cm 1 7751241 Freka Button Gastrostomy 1.4cm 1 7751251 Freka Button Gastrostomy 1.7cm 1 7751261 Freka Button Gastrostomy 2.0cm 1 7751271 Freka Button Gastrostomy 2.5cm 1 7751281 Freka Button Gastrostomy 3.0cm 1 7751291 Freka Button Gastrostomy 3.5cm 1 7751301 Freka Button Gastrostomy 4.0cm 1 7751311 Freka Button Gastrostomy 4.5cm 1 7751321 Freka PEG standard gastric (CH 9) 1 7755641 Freka PEG universal gastric (CH 15) 1 7755651 Freka PEG universal gastric (CH 20) 1 7755631 Freka Belly Button Containing: 1 Freka Belly Button 1 Introducer (simple) 1 Syringe for balloon filling 10 ml Ampoule Aqua dest. 1 Lubricant 2 Gauze Pads FR size/shaft length FR 12 FR 14 FR 16 FR 18 FR 20 FR 24 1,0 cm 7751612 7751622 7751632 7751642 7751652 7751662 1,5 cm 7751613 7751623 7751633 7751643 7751653 7751663 2,0 cm 7751614 7751624 7751634 7751644 7751654 7751664 2,5 cm 7751615 7751625 7751635 7751645 7751655 7751665 3,0 cm 7751616 7751626 7751636 7751646 7751656 7751666 3,5 cm 7751617 7751627 7751637 7751647 7751657 7751667 JEJUNAL S Item Pack Size Product Code Freka Endolumina 1 7755761 Freka Easy In 1 7755781 Freka Trelumina 1 7755771 Freka Surgical Jejunostomy 1 7755671 Freka Intestinal Tube (CH 9) 1 7755661 ACCESSORY ITEMS Item Pack Size Product Code Positive/negative luer lock adaptor CH 15 1 x 15 798138Y Y Connection positive luer lock adaptor CH 15 1 x 5 7981392 Measuring Device for Freka Button Gastrostomy 1 7750921 Right angled adaptor for Freka Button Gastrostomy 1 x 20 7750801 Red stoppers for tubes male luer lock connectors 1 x 15 798136Y Freka UK Funnel Adaptor 1 x 15 7755681 Positive luer lock adaptor, CH 9 1 x 15 7981311 Positive luer lock adaptor, CH 15 1 x 15 798137Y Positive luer lock adaptor CH 20 1 x 15 7751651 Fixation plate for PEG, CH 9 1 x 5 7903002 Fixation plate for PEG, CH 15 1 x 5 7904002 Fixation plate for PEG CH 20 1 x 5 7751541 Repair set for Freka PEG, CH 9 1 7750391 Repair set for Freka PEG, CH 15 1 7750401 Repair set for Freka PEG CH 20 1 7751391 Extension set (30cm) 1 x 3 775593W Extension set (100cm) 1 x 1 7980281 Cone adaptor 1 x 1 7751561 Roller clamp 1 x 10 7752221 Bolus adaptor 1 x 15 7755691 Freka Endo Introducer (280cm) 1 7980321 4,0 cm 7751618 7751628 7751638 7751648 7751658 7751668 4,5 cm 7751619 7751629 7751639 7751649 7751659 7751669 5,0 cm 7751620 7751630 7751640 7751650 7751660 7751670 PRODUCT RANGE