Nutricia FLOCARE DirectPEG Gebrauchsanweisung Seite 42

DISPOSAL
Disposal of the device, its accessories and its packaging should be performed as followed and
taking internal and local requirements into account. Directly after the successful placement the
scalpel and trocar should be discarded via a sharps container (e.g. disposal sharp container).
The syringe, split-canulla, blister packaging, tray and tube can be discarded via residual waste.
The outerbox can be discarded via recycables.
REMOVING THE TUBE
The Flocare® DirectPEG should not be removed until the stoma has completely healed. Healing
of the stoma may be delayed in patients with infl ammatory reactions. As a result, the treating
physician must be consulted prior to replacement in these patients to verify whether the stoma
is completely healed. The tube may be removed or changed solely by a physician if the stoma is
completely healed and if the patient's health status allows this.
The Flocare® DirectPEG may be replaced by a replacement tube, e.g. a button. Oral feeding
following placement of a direct percutaneous tube should only be initiated with the physician's
approval.
To remove the Flocare® DirectPEG unblock the balloon completely with the Luer-Lock syringe.
Afterwards, gently pull out the Flocare® DirectPEG until the tube is completely out of the stoma.
Force should not be used to remove the Flocare® DirectPEG. If the balloon cannnot be unblocked
completely, clean the balloon valve with warm water. Then, retry to unblock the balloon and to
remove the tube. Moreover, it is possible to unblock the tube by cutting the tube of the Flocare®
DirectPEG on the side facing the balloon valve distal to the Y-connector to open the balloon fi lling
passage. If this is unsuccessful, it is recommended to remove the tube under medical instruction.
It is not recommended to:
fi ll the balloon to bursting as this can cause trauma.
1
cut the tube at skin level as the left part in the body can cause e.g. bowel obstruction.
2
empty the balloon via the tube with a needle as this poses certain risks to the patient.
3
In case of accidental removal of the Flocare® DirectPEG immediately introduce a new tube
of the same Charrière in the stoma to keep the fi stula open.
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