Percutaneous Feeding Tubes

A perfect long-term solution

Mother changing PEG

For every need we find the right solution

Nutrition can sometimes be difficult for a variety of reasons, e.g. in case of neurological swallowing disorders or passage disorders in oncological patients. Also, children or adults with disabilities may not be able to get sufficient food intake.
Such underlying conditions can give rise to the early assumption that enteral nutrition will be necessary for these patients over a longer period. If the nutritional support is foreseen to exceed 4 weeks, placement of a percutaneous feeding tube should be considered.

 

Freka - the percutaneous feeding tube range by Fresenius Kabi

  • To meet the needs of the healthcare professionals and their patients

  • Sophisticated design developed in collaboration with users and healthcare professionals

Freka


 

Placement and advantages of percutaneous tubes

Placement:

A percutaneous feeding tube is placed through the abdominal wall
directly into the stomach:

Endoscopically - Laparoscopically - Surgically

Why percutaneous?

  • It is more convenient for the patient
  • The nasopharyngeal cavity is free and no tube disturbs breathing
  • Hygienic aftercare is easier
  • The percutaneous tube has a better fixation, and therefore the risk of an accidental tube dislocation is lower

 

 

 

Variants of percutaneous tubes also known as G-tubes

A long-established team of experts from Fresenius Kabi have been constantly developing and improving the tube range for almost 40 years. Percutaneous tubes can be classified into initial placement tubes and replacement tubes. Initial placement tubes must ensure safe fixation of the stomach wall to the abdominal wall until a stoma is formed. They can be placed either endoscopically, laparoscopically or surgically. Replacement feeding tubes have usually a balloon as the inner retention device, which can be inflated or deflated for easy exchange in a mature stoma tract.

 

 

Initial placement feeding Tubes

Freka PEG Pro

  • For gastric feeding and/or gastric decompression
  • Placement by the pull-method
  • By endoscopy
Freka PEG FR 14

Freka Pexact

  • For gastric feeding and/or gastric decompression
  • Placement via direct puncture method
  • By endoscopy
Freka Pexact

Freka Intestinal Tube

  • For jejunal feeding 
  • A Freka PEG serves as a guiding tube
  • Placement by endoscopy
Freka Intestinal Tube

Freka FCJ

  • For jejunal feeding
  • Placement surgically after major surgery or laparoscopically
Freka FCJ

 

 

Replacement Feeding Tubes

Freka Belly Button

Freka Belly Button
  • For gastric feeding and/or gastric decompression
  • Flat decent design
  • Balloon retention

Freka Belly Button

Freka Belly GastroTube FR 16_hero
  • For gastric feeding and/or gastric decompression
  • Balloon retention

 

 

Initial placement feeding Tubes

 

 

Over the years a Percutaneous Endoscopic Gastrostomy (PEG) has become standard for initial placement of a percutaneous feeding tube.

The Freka PEG Pro from Fresenius Kabi is made of polyurethane, a proven and soft material. Well-engineered details make the use of the Freka PEG Pro reliable and comfortable for both, the healthcare professional and the patient.

Freka PEG FR 15 in patient

 

 

In case of gastric outlet obstructions, jejunal feeding might be required. The Freka Intestinal Feeding Tube can be inserted through a Freka PEG. The PEG serves as a guiding tube.

Freka Intestinal Tube FR 15_in patient

 

 

The Freka PEG Pro Hybrid Set is a procedure pack with a Freka PEG Pro and a Gastropexy Device. A gastropexy performed prior to a PEG placement ensures a safe fixation of the gastric wall to the abdominal wall. This enables a better wound healing.

Freka PEG Pro Hybrid Set

 

 

As an alternative to a PEG, a similar feeding tube can be placed by using the direct puncture method. For this, the stomach wall is sutured to the abdominal wall by gastropexy before puncturing the stomach. A Balloon feeding tube can be placed initially. Fresenius Kabi offers a sophisticated kit with a special gastropexy device.

Freka Pexact_puncture

 

 

The Freka FCJ (Fine Needle Catheter Jejunostomy) is a jejunal feeding tube, that can be placed at the end of a major abdominal surgery or by laparoscopy. The Freka FCJ supports early post-operative feeding for a longer period.

 

 

 

Replacement Feeding Tubes

 

 

Freka Belly Button can be used in a mature stoma tract. An inflatable balloon serves as the inner retention. The shaft length corresponds to the individual stoma tract length. A special stoma measuring device is available for determining the stoma tract length.

Belly Button

 

 

The Freka Belly GastroTube is a replacement feeding tube with an inflatable balloon as the inner retention. It is made of soft silicone rubber.

Freka Belly GastroTube FR 16