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Enteral Feeding System

Easy to Feed
Safe to Use

Benny Hong
V1.1-2019-09-17 Marketing Dept
Welcome to Medcaptain

Infusion In-Vitro
Management Diagnostics

Rehabilitation Inhalative
Care Sedation

Integrated Perioperative Solutions Provider


Enteral Feeding System

Enteral Nutrition
Indications

⚫ Prolonged anorexia
⚫ Severe protein-energy
undernutrition Feeds

⚫ Coma or depressed sensorium


⚫ Liver failure
Pump
⚫ Inability to take oral feedings
due to head or neck trauma
Enteral
giving set
⚫ Critical illnesses (eg, burns)
causing metabolic stress Feeding tube

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From Merck Manual
Benefits

✓ Maintain intestinal structure and function


✓ Improve immuno-competence
✓ Fewer hyperglycaemia or sepsis
✓ Reduce length of stay
✓ Reduce cost

Seres, David S et al. “Advantages of enteral nutrition over parenteral nutrition”Therapeutic advances in gastroenterology vol. 6,2 (2013): 157-67
Nature Clinical Practice Gastroenterology & Hepatology volume 4, pages 260–265 (2007)
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Contraindications

absence of
intestinal
function

severe
complete
intra-
intestinal
abdominal
obstruction
infection

Howard, Pat. "Basics in clinical nutrition: Enteral nutrition." e-SPEN, the European e-Journal of Clinical Nutrition and Metabolism 5.4 (2009): e223-e225.
© Medcaptain 2019 All rights reserved.
Methods

Gravity Syringe Pump

⚫ Delivery rate cannot ⚫ Over speed ⚫ Recover gastrointestinal


tract function
be set ⚫ Abdominal distention
⚫ Stable and continuous
⚫ Tube occlusion & pain feed

⚫ Bad absorption ⚫ High workload ⚫ Bionics, gastrodynamics

⚫ Painful ⚫ Bad absorption ⚫ Reduce gastrointestinal


complications

⚫ Good absorption

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Routes

Nasogastric tube Gastrostomy tube


Nasoduodenal tube Jejunostomy tube

Short term<30/45 days Long term>30/45 days

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Application
1. ICU

2. Paediatrics

3. Oncology

4. Neurology Dept.

5. Stomatology Dept.

6. Gastroenterology Dept.

7. Geriatric Dept.

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Enteral Feeding System

Publications
Guidebook

In chapter 【ICU essential devices 】:

(Ⅴ)… … Must equip with a certain


number of Enteral Feeding Pumps。
--China ICU construction and management Guidebook

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ESPEN
✓ Medical nutrition therapy shall be considered for all patients taying in the ICU, mainly for
more than 48 h
✓ If oral intake is not possible, early EN (Enteral Nutrition) (within 48 h) shall be performed/
initiated in critically ill adult patients rather than early PN (Parenteral Nutrition)
✓ Grade of Recommendation: GPP - strong consensus (100% agreement)

ESPEN, the initials of European Society


for Parenteral and Enteral Nutrition, is
one of the most significant
organizations in EN.

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HCUP
Malnutrition is associated with an up to 5 times higher risk of in-hospital deaths, may
result in 2 times longer hospital stays, creates an estimated $42 billion1 burden to
the healthcare system and is associated with a more than 50% higher rate of
readmission within 30 days2.

HCUP, the initials of Healthcare Cost and Utilization Project, which is


sponsored by the AHRQ of United States Department of Health and
Human Services, aims to help research on illness, cost and policy
based on data from multi-channels.

1 Weiss AJ, et al. Characteristics of Hospital Stays Involving Malnutrition, 2013. HCUP Statistical Brief #210. Weiss AJ
2 Fingar K, et al. All-Cause Readmissions Following Hospital Stays for Patients With Malnutrition, 2013. HCUP Statistical Brief #218.
© Medcaptain 2019 All rights reserved.
Enteral Feeding System

Current Situation
Lack of
Enteral Feeding Pump
Lack of
Dedicated Heater
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What’s More … …
✓ Operate with keys, hard to train
✓ Long giving set, hard to prime
✓ Large and heavy, hard to transfer
✓ Easy occlusion, hard to unclog
✓ Open system is inaccurate
✓ Close system is expensive
✓ Housing is weak
© Medcaptain 2019 All rights reserved.
Slide
To discover EP-60

Enteral Feeding Pump


Enteral Feeding Pump

We care

Patients
Top Class Accuracy

Accuracy:±
5%
Like Real Meal

Can reduce irritations in gastrointestinal tract


They Know Each Other

Pump controls heater

Heater knows pump

Heater works and stops simultaneously with the pump


Enteral Feeding Pump

We care

Medical Personnel
First of All Time

4.0” Colourful Touch Screen


Touch to set parameters
Teaching videos inside
Two user interface themes
Touch to Set Parameters
Touch to Set Parameters
Touch to Set Parameters

Intuitive

&

Clear

Set mode Prime


Teaching Videos Inside

Installation of Enteral Giving Set


Teaching Videos Inside

Installation of Heater
Auto Anti Occlusion

Even between two meals, feeds will not clot


Smart Prime

Fast prime at 2000 ml/h


Automatically stops when prime is finished
Enteral Feeding Pump

We care

Partners
USB Upload & Download

Upload and download with a USB disk


Robust Housing

High ingress protection level IP34


Housing protects pump in case of feed solution leaks
Robust
Housing
Enteral Feeding Pump

We Care
in
Every Aspects
Compact Design

1.2 kg weight

Anti-skid hidden handle Unique clamp


allows installation and removal
In 1 second
Unique Clamp
Strong Battery

Ultra Duration 22H Flash Charge 4H


EP-60 Enteral Feeding Pump

Feedbacks
Peking
Shenzhen Hospital
University

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Peking Uni. Shenzhen Hospital
Beds
Floor area
1670
59000㎡

Construction Outpatient per year


area
212000㎡ Hospital 2,921,000

Equipment value Inpatient per year

$180 million 74100

Clinics Surgery per year


48900
53

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No Need
Training,

One Sec
to Use
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Feedback from Chief Nurse
✓ Duration: 4 months
Pro:
✓ Compact design, easy transfer
✓ Touchscreen, easy operation
Con:
✓ Alarm volume too low (we improved)
✓ Heater not clear to see (we improved)

© Medcaptain 2019 All rights reserved.


Easy to Feed, Safe to Use
Enteral Giving Set Enteral Giving Set
(Spike) (Bag)

Enteral Syringe Enteral Feeding Catheter


We Offer a System

Enteral Feeding System


Enteral Feeding System
1 Nutrition

2 Enteral
External body, giving set

temporary use, 3 Enteral


syringe

less than 24hr


0
Pump

Internal body, 4 Enteral


feeding catheter
short term use,

less than 30 days


© Medcaptain 2019 All rights reserved.
Enteral Feeding System

Configurations
Enteral Giving Set

Spike/Bag
Vent Enplus and wide neck Integrated bag

Silicon
Enteral part
Non-dedicated Dedicated

giving
Injection
port
set
Luer Enfit Enfit 3-way Enfit transfer to Luer

Recommended configuration
Adapter (in red circle)
Enplus
Enlock Enfit Enfit transfer to Enlock Enfit injection port
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Enfit transfer to Enlock adapter
Enteral syringe

✓ Enfit tip syringe with cap


✓ Available for 1, 3, 5, 10, 20, 35, 60 ml
✓ Visible dosing marks
✓ Color identity (distinguish from IV use)
✓ Safe material for enteral delivery

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Enteral feeding catheter
Mix and Match

PVC None Stomach 8 Fr

Enteral
10 Fr
Guide Duo-
PU
Feeding wire denum
12 Fr
Catheter
Silicon Ryle Jejunum
14 Fr

Recommended configuration: Note


PU or silicon PU is easier for insertion. Silicon is better for biocompatibility.
Guide wire Ryle cannot be used in NMR.
According to your needs. Only Funnel available at the moment.
© Medcaptain 2019 All rights reserved.
Enteral Feeding System

Advantage & Benefit


High Standards & Professional
✓ DHEP free
✓ Latex free
✓ Enfit

Enteral feeding catheter:


✓ Radiopaque line in tube, centimetre position mark and transparent for easy use
and observation
✓ Corrosion resistance, no memory kink resistance
✓ Soft and atraumatic rounded closed tip
✓ Colour coded connector and cap to prevent contamination

© Medcaptain 2019 All rights reserved.


Enteral Feeding System

Product List
Great Match to Your Needs

✓ Previous slides show the possible configuration in


the market, which help you understand the
market.
✓ Excel on the right is the product list, which help
you make orders.
✓ If you have special requirement, please let us Product List
know. We will try our best to match your need.

© Medcaptain 2019 All rights reserved.


Thank you

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