162 results about "Enteral feedings" patented technology

An intubation device is provided for use with a guide apparatus having a track that is adapted to be associated with an endoscope such that bending of the track is substantially decoupled from bending of the endoscope. The intubation device includes an elongated, flexible tube and a mating member attached to the tube and adapted to slidingly engage the track external of the endoscope. The intubation device further includes a tissue bolster disposed on the proximal portion of the tube and changeable between a collapsed and an expanded configuration. The tube is positionable inside the upper gastrointestinal tract of a patient such that the proximal end of the tube is externalized through the gastric and abdominal walls of the patient, and wherein the tissue bolster is securable against the inner gastric wall when the tissue bolster is in the expanded configuration.

A balloon catheter having a balloon disposed upon an elongate shaft near a relatively rigid distal insertion tip, a fluid lumen for fluid communication with a body cavity and an inflation lumen for fluid communication with the balloon. The balloon holds the catheter tip within a body cavity such as the stomach for long-term enteral feeding. The balloon is configured such that upon inflation, the balloon distends distally to cover the distal tip thus insulating it from sensitive anatomy.

A prebiotic, composition comprising a probiotic and prebiotic, and method of delivering a probiotic, prebiotic or composition directly into the intestinal tract of a mammal are disclosed. The probiotic is any beneficial bacteria and the prebiotic is a substance beneficial to a probiotic. Most preferably, the prebiotic includes a mucopolysaccharide. The method preferably involves delivering the prebiotic, probiotic or composition via a delivery tube, such as an enteral feeding tube, directly to a position downstream of the stomach, most preferably to the jejunum.

An enteral feeding unit or system that minimizes the occurrence of gastro-esophogeal-pharynegal reflux during feeding is described. The enteral feeding unit or device includes an automatable feeding pump with a feedback sensor for sensing a relative pressure in a patient's stomach and esophagus, and a regulator system for controlling or monitoring feeding rate to said patient as a function of said relative gastro-esophageal pressure. The system includes a stomach probe that has a fluid-tight closure of the esophagus. The stomach probe, according to the invention, is characterized by a tampon-bladder for watertight closure of the esophagus, in which the tampon-bladder forms from flexible and / or elastic material at least a closed inner cavity for the reception of a fluid medium, through a means (11) of establishing a prescribed pressure for the medium in the tampon-bladder (16) by an inner lumen forming the actual stomach probe, from which an outer hose-like lumen (18) extending to the tampon-bladder (16) is so arranged that between the outer lumen (18) and the inner lumen (17) a channel is formed connected to the inner cavity of the tampon-bladder (16) arranged on the outer lumen (18) by a number of openings (20), whereby the inner cavity of the tampon-bladder (16) is connected via the canal formed between the inner and outer lumina (17, 18) with the means of production of pressure in the tampon-bladder, that is, with a suitably graded reservoir or equalizing vessel (11) for the liquid medium situated above the tampon-bladder and outside the patient.

A nasogastric / orogastric (Ng / Og) airway protection device includes an elongate device body having a distal end for insertion into the stomach through the esophagus and a proximal end. A main lumen extends the length of the device and is configured for at least one of gastric decompression, enteral feeding and enteral medication administration. A sump port is at the distal end. A sump lumen is formed the length of the device body and configured for venting gas and preventing adherence of the device against the gastric wall. An inflatable esophageal cuff is carried by the device body mid-esophagus and an inflation lumen is formed within the device body and connects the inflatable esophageal cuff through which the esophageal cuff is inflated and deflated. Upon inflation of the esophageal cuff, emesis and / or reflux is blocked from passing out of the stomach past the esophageal cuff positioned mid-esophagus to protect a patient's airway.

An enteral feeding unit or system that minimizes the occurrence of gastro-esophogeal-pharynegal reflux during feeding is described. The enteral feeding unit or device includes an automatable feeding pump with a feedback sensor for sensing a relative pressure in a patient's stomach and esophagus, and a regulator system for controlling or monitoring feeding rate to said patient as a function of said relative gastro-esophageal pressure. The system includes a stomach probe that has a fluid-tight closure of the esophagus. The stomach probe, according to the invention, is characterized by a tampon-bladder for watertight closure of the esophagus, in which the tampon-bladder forms from flexible and / or elastic material at least a closed inner cavity for the reception of a fluid medium, through a means (11) of establishing a prescribed pressure for the medium in the tampon-bladder (16) by an inner lumen forming the actual stomach probe, from which an outer hose-like lumen (18) extending to the tampon-bladder (16) is so arranged that between the outer lumen (18) and the inner lumen (17) a channel is formed connected to the inner cavity of the tampon-bladder (16) arranged on the outer lumen (18) by a number of openings (20), whereby the inner cavity of the tampon-bladder (16) is connected via the canal formed between the inner and outer lumina (17, 18) with the means of production of pressure in the tampon-bladder, that is, with a suitably graded reservoir or equalizing vessel (11) for the liquid medium situated above the tampon-bladder and outside the patient.

An enteral feeding unit that reduces the occurrence of gastro-esophogeal-pharynegal reflux during feeding includes an automatable feeding pump with a feedback sensor for sensing a relative pressure in a patient's stomach and esophagus, and a regulator system for controlling and monitoring feeding rate to the patient as a function of the relative gastro-esophageal pressure. The system includes a stomach probe that provides a fluid-tight closure of the esophagus. The stomach probe includes a tampon-bladder for watertight closure of the esophagus, in which the tampon-bladder is formed of flexible and / or elastic material. At least an inner cavity of the bladder is provided for the reception of a fluid medium. A prescribed pressure for the medium in the tampon-bladder (53) is maintained by an inner lumen forming the stomach probe, from which an outer hose-like lumen (62) extending to the tampon-bladder (53) is so arranged that between the outer lumen (62) and the inner lumen (61) a channel is formed connected to the inner cavity of the tampon-bladder (53) arranged on the outer lumen (62) by a number of openings (57). The inner cavity (58) of the tampon-bladder (53) is connected via a canal formed between the inner and outer lumina (62) with a suitably graded reservoir or equalizing vessel for the liquid medium situated above the tampon-bladder and outside the patient.

A catheter assembly incorporating a pre-biased indicator, the assembly includes a catheter having a proximal end, a distal end, and catheter walls defining a catheter lumen. The assembly further includes a base located at the proximal end of the catheter, the base defining an opening to the catheter lumen, the base having a first end and a second end. An inflatable balloon having a predetermined fill volume is located at a distal end of the catheter. An inflation valve is located on the base; the inflation valve is in fluid communication with the balloon through an inflation lumen defined by the catheter walls. The pre-biased indicator located on the base in fluid communication with the balloon is configured to provide a discrete visual signal that the pressure of a fluid in the balloon is different from a predetermined level of pressure or the volume of the balloon is different from the predetermined fill volume.

A method and apparatus for controlled feeding of an infant provides a safer and less expensive apparatus for the enteral feeding of a neonatal infant, as well as a mechanism for minimizing separation of fluid for any enteral feeding patient. The apparatus allows for dispensing the feeding solution from conventional baby bottles or breast pump reservoirs, or other convenient reservoirs in combination with a peristaltic pump. The feeding system helps reduce the risk for contaminating the feeding solution by minimizing the handling of the feeding solution. By utilizing a pump which is less expensive than current neonatal feeding pumps, the feeding system is more cost effective in all environments and more suitable for home use.

An enteral feeding assembly is described which includes a base and a catheter positioned through the base. A portion of the catheter extends distally away from the base, and has a retainer provided on a distal end of the catheter. The retainer includes a plurality of struts having a flexible, preformed configuration which cooperate to form at least a portion of a spherical shape with openings between the struts. A shroud is positioned over at least a proximal portion of the struts to prevent the struts from causing irritation or embedding in a body lumen. The retainer is movable between an insertion configuration and a deployed configuration. An obturator and actuator are used to move the retainer between positions. A method for inserting and removing an enteral feeding assembly is also provided.

An enteral feeding adapter system for use with a bottle cap having a dispensing opening, and an oral syringe having a male syringe element. The system includes a cap adapter having a male adapter element configured to be insertable into the dispensing opening to place the cap adapter in fluid communication with the bottle cap. The cap adapter further includes a male ENFit connector in fluid communication with the male adapter element. The enteral feeding adapter system further includes a syringe adapter having a female ENFit connector configured to be selectively engageable with the male ENFit connector to place the syringe adapter in fluid communication with the cap adapter. The syringe adapter further includes a female adapter element in fluid communication with the female ENFit connector and configured to receive the male syringe element to place the syringe adapter element in fluid communication with the oral syringe.

An enteral feeding device and methods of using such device to unclog a feeding tube are described herein, wherein the device includes a first tube having a distal end and a proximal end. The first tube defines a feeding lumen that extends longitudinally through at least a portion of the first tube. The first tube has at least one distal opening capable of allowing introduction of nutrients and / or medicaments from within the feeding lumen through the opening into a gastrointestinal area of a patient when the enteral feeding tube is implanted in a patient. The device also has a wall having a distal end and a proximal end, which extends longitudinally within at least a portion of the first tube. The wall has an exterior surface and an interior surface. At least a portion of the exterior surface of the wall contacts the feeding lumen. The interior surface of the wall and / or the first tube define an inflatable lumen having a proximal end and a distal end, wherein the inflatable lumen extends longitudinally through at least a portion of the feeding lumen, and wherein the wall is capable of changing a volume of the feeding lumen by allowing for deflation of the inflatable lumen through removal of a fluid from the inflatable lumen and / or inflation of the inflatable lumen through introduction of a fluid into the inflatable lumen.

Detection of fluid conditions in an administration set. A light source is positioned to transmit an infrared light through administration set tubing and any fluid therein. A light sensor senses the infrared light transmitted through the tubing and generates an output signal. A frequency of the output signal is a function of an intensity of the light transmitted through the tubing. A processor receives and determines the frequency of the output signal, and compares the determined frequency to threshold frequency values to determine whether fluid is in the tubing. The processor also monitors the generated output signal to determine if the frequency of the output signal changes over time, and determines whether fluid is flowing in the tubing as a function of the determined change in frequency.

An enteral feeding catheter (5) that provides access to both the stomach and the jejunum for feeding, aspiration and decompression. The catheter includes a dual lumen “D” tube (30) that joins to an external “Y” connector (25) at the proximal end of the tube. The connector serves both lumens as a source for fluid or aspiration. The gastric lumen (37) and the jejunal lumen (38) of the “D” tube both connect to a transitional connector bolus in the stomach. The gastric lumen of the “D” tube joins with a lumen in the transitional bolus that communicates with a gastric port (27). The gastric port is recessed to the level of its full internal lumen, thereby providing maximum protection against occlusion and maximum area for outflow. The “D” jejunal lumen connects in the bolus with a lumen that transitions from a “D” shape to a full circle shape. The latter provides for the attachment of a smaller, round, single lumen tube that extends into the jejunum. At the distal end of the jejunal tube is a bolus (11) containing an improved port that is also recessed to the level of the floor of the internal tube lumen to provide maximum protection against occlusion and maximum area for outflow. Both the gastric port in the transitional bolus and the jejunal port in the tip bolus may include a structural arch protruding radially outwardly therefrom. An arch is effective to prevent the body segment of either bolus from bending and restricting the ports. The invention also provides for the insertion of the tube over a guidewire (21) rather than with an internal stylet, as is normally the case with nasally inserted tubes.

An enteral feeding tube provides a conduit for the flow of liquid nutritional material. Most of the enteral feeding tube that is external to the patient is generally horizontal when the device is positioned in a stoma of a user lying in a prostrate position. A housing surrounds the horizontal portion enteral feeding tube, provides a low profile, aids in holding the enteral feeding tube in place, and protects the enteral feeding tube. The bottom surface of the housing comprises a resilient material that contacts the skin of the patient. The enteral feeding tube comprises a balloon that is positioned in the stomach to retain the device in the stomach. An air conduit extends generally vertically from an upper portion of the housing and through the enteral feeding tube to communicate with the balloon.

The present invention provides a one-piece bottle containing enteral feeding material and having a top end with a threaded section and a bottom end comprising a funneled connector port; and a threaded cap dimensioned to mate with the threaded section of the one-piece bottle; wherein the funneled connector port connects to an enteral feeding assembly; wherein the threaded cap provides a leak proof seal such that there is no exposure point until it is used for feeding, thereby preventing contamination.

A method and system for determining the residual volume within a patient having a naso-enteral feeding tube. A collection container is coupled to the naso-enteral feeding tube and a physical force is applied to the collection container to prevent stomach fluid from flowing into the collection container. The physical force is removed from the collection container and the stomach fluid is allowed to flow into the collection container. The volume of fluid within the collection container is determined, which represents the gastric residual volume of the patient. At least a portion of the collected volume of stomach fluid is returned to the patient from the collection container.

A nasogastric / orogastric (Ng / Og) device includes a main lumen configured for at least one of gastric decompression, enteral feeding and enteral medication administration. An expandable esophageal cuff is carried by the device body and configured in a normally expanded position such that when inserted within the esophagus, the esophageal cuff conforms to the interior surface of the esophagus and emesis and / or reflux is blocked from passing out of the stomach and past the esophageal cuff. A vacuum lumen is carried by the device body and connected to the expandable esophageal cuff. When vacuum is applied, the esophageal cuff is contracted against the device body to permit the device to be inserted and placed within the esophagus. When the vacuum is released, the esophageal cuff expands against the interior surface of the esophagus.

Systems, devices and methods for enteral feeding that, in some arrangements, are powered by energy produced by a user of the system. Other arrangements utilize an external source of power. Generally, the systems include a storage assembly configured to hold a nutritional substance to be delivered to the gastrointestinal system of a user, such as through a feeding tube. The systems may include a pump unit, which can be manual, mechanical, hydraulic or electric. In some arrangements, the pump unit is separate from the storage assembly.

The present invention relates to the field of medical devices. Specifically, the invention relates to an enteral feeding device comprising expandable means which prevents or significantly reduces aspirations from the alimentary tract to the respiratory system. In further aspects, the invention relates to systems comprising said enteral feeding device, methods and uses thereof.

A balloon catheter device, for example an enteral feeding catheter, includes a catheter having a proximal end, a distal end, and catheter walls defining a catheter lumen. A base is located at the proximal end of the catheter and has an opening to the catheter lumen. An inflatable balloon is located at a distal end of the catheter and is inflated through an inflation valve located on the base. An internal cavity is defined in the base and is in fluid communication with the inflatable balloon such that fluid used to inflate the balloon to an operational fill volume fills the internal cavity as well. A translucent window is disposed over the internal cavity such that an interior volume of the cavity is externally viewable. Introduction of a colored fluid through the inflation valve to inflate the balloon results in the colored fluid also being present in the internal cavity, thereby providing an externally visual indication of the inflation state of the balloon.

An inflatable retention system for an enteral feeding tube having a base deployed outside the human body and an indwelling retainer which is deployed within a lumen or cavity of the body by insertion through a stoma from outside the body. The retention system includes a tube having a proximal end, a distal end, an external tube diameter, and tube walls defining a feeding lumen and an inflation lumen. The retention system also includes an inflatable balloon located at a distal end of the tube in fluid communication with the inflation lumen, the balloon having thin, flexible walls, a predetermined spheroid shape, and a volume at which a fluid in the balloon is under no pressure such that upon inflation with a fluid to pressurize fluid in the balloon, the balloon assumes a stable spheroid shape and exhibits a substantially linear pressure versus volume curve.

An in-line connector for use in an enteral feeding system includes a first component connectable to a first feeding device of the feeding system, and a second component connectable to a second feeding device of the feeding system. A releasable coupling is configured between the first and second components, wherein in a connected state the first and second components define a fluid passage between the different feeding devices. Each of the first and second components includes a one-way automatic shutoff valve configured therein such that in a disconnected state of the components, the shutoff valve in the first component prevents flow out of the first component in a first direction and the shutoff valve in the second component prevents flow out of the second component in a second direction that is opposite from the first direction.

Embodiments of the disclosure are drawn to an enteral feeding device for hydrolyzing triglycerides in a nutritional formula. The device may include a body housing a chamber, an inlet configured to fluidly couple with a source of nutritional formula, and an outlet configured to fluidly couple with an enteral feeding tube. The device may include a headspace and a plurality of particles contained within the chamber, wherein the lipase is covalently bonded to the plurality of particles. The device may include an inlet filter located between the inlet and the chamber, wherein the inlet filter contains a first plurality of openings, and an outlet filter located between the chamber and the outlet, wherein the outlet filter has a second plurality of openings smaller than the plurality of particles.

An enteral feeding unit that reduces the occurrence of gastro-esophogeal-pharynegal reflux during feeding includes an automatable feeding pump with a feedback sensor for sensing a relative pressure in a patient's stomach and esophagus, and a regulator system for controlling and monitoring feeding rate to the patient as a function of the relative gastro-esophageal pressure. The system includes a stomach probe that provides a fluid-tight closure of the esophagus. The stomach probe includes a tampon-bladder for watertight closure of the esophagus, in which the tampon-bladder is formed of flexible and / or elastic material. At least an inner cavity of the bladder is provided for the reception of a fluid medium. A prescribed pressure for the medium in the tampon-bladder (53) is maintained by an inner lumen forming the stomach probe, from which an outer hose-like lumen (62) extending to the tampon-bladder (53) is so arranged that between the outer lumen (62) and the inner lumen (61) a channel is formed connected to the inner cavity of the tampon-bladder (53) arranged on the outer lumen (62) by a number of openings (57). The inner cavity (58) of the tampon-bladder (53) is connected via a canal formed between the inner and outer lumina (62) with a suitably graded reservoir or equalizing vessel for the liquid medium situated above the tampon-bladder and outside the patient.

Abstract of the Disclosure A prebiotic, composition comprising a probiotic and prebiotic, and method of delivering a probiotic, prebiotic or composition directly into the intestinal tract of a mammal are disclosed. The probiotic is any beneficial bacteria and the prebiotic is a substance beneficial to a probiotic. Most preferably, the prebiotic includes a mucopolysaccharide. The method preferably involves delivering the probiotic, prebiotic or composition via a delivery tube, such as an enteral feeding tube, directly to a position downstream of the stomach, most preferably to the jejunum.

A balloon catheter having a balloon disposed upon an elongate shaft near a relatively rigid distal insertion tip, a fluid lumen for fluid communication with a body cavity and an inflation lumen for fluid communication with the balloon. The balloon holds the catheter tip within a body cavity such as the stomach for long-term enteral feeding. The balloon is configured such that upon inflation, the balloon distends distally to cover the distal tip thus insulating it from sensitive anatomy.