The EndoVive Standard PEG Kit 24F is a medical device kit used for Percutaneous Endoscopic Gastrostomy (PEG), similar to the 20F kit but with a larger diameter tube. The 24F refers to the French size of the tube, indicating it is wider (24 French gauge), which is suitable for certain patients requiring larger-diameter feeding tubes for more efficient delivery of nutrition, medications, or drainage.

Components of the EndoVive Standard PEG Kit 24F:

The components are designed to facilitate the safe and sterile placement of a PEG tube into the patient's stomach. A standard PEG kit typically includes:

1. 24F Feeding Tube: This is the primary tube that delivers nutrients and medication directly into the stomach. The larger diameter allows for better flow, especially for thicker nutrition formulas or for patients requiring more rapid feeding or drainage.
2. Trocar/Catheter: A puncture device that allows access to the stomach through the abdominal wall. It’s used to create a path for the guidewire and feeding tube.
3. Pusher/Obturator: A tool that helps insert the PEG tube into the proper position in the stomach.
4. Guidewire: A thin, flexible wire that is passed through the abdominal wall and into the stomach, helping guide the feeding tube placement.
5. External Fixation Device: Secures the feeding tube on the outside of the body to prevent it from slipping or moving.
6. Internal Retention Disk/Bumper: A soft, internal bumper that holds the feeding tube in place from the inside of the stomach, preventing it from being pulled out.
7. Endoscope Accessories: Accessories for endoscopic guidance, such as snares or retrieval tools, that help grasp the guidewire during the procedure.

Procedure Overview:

1. Endoscopic Visualization: The procedure begins with an endoscope (a flexible tube with a camera) inserted through the patient's mouth into the stomach. This allows the physician to visualize the stomach lining and find a suitable location for the PEG tube insertion.
2. Puncture Site: Using external pressure and visualization with the endoscope, a puncture is made in the abdominal wall to access the stomach.
3. Guidewire Placement: A guidewire is threaded through the puncture site into the stomach and is then pulled out through the mouth using the endoscope.
4. PEG Tube Insertion: The 24F PEG tube is passed over the guidewire and pulled through the abdominal wall into the stomach.
5. Securing the Tube: Once in place, the tube is secured with an internal bumper that remains inside the stomach and an external fixation device on the outside.
6. Confirmation: The position of the PEG tube is confirmed with the endoscope, ensuring it is placed correctly and securely.

Key Features of the EndoVive PEG Kit 24F:

• Larger Size (24F): The 24 French size is larger than standard sizes (e.g., 20F) and is ideal for patients who require a higher flow rate or have thicker nutritional formulas.
• Single-Use: Disposable components ensure sterility and prevent cross-contamination.
• Endoscopic Guidance: The kit is designed for safe and accurate placement with the assistance of an endoscope, reducing the risk of complications.
• Long-Term Feeding: Suitable for patients who need long-term enteral nutrition due to swallowing difficulties, neurological conditions, or head/neck cancers.

Indications:

• Patients with high nutritional needs: The larger tube allows for quicker delivery of nutrition or medications, making it ideal for patients with higher caloric or nutritional demands.
• Patients with viscous or thick feeding formulas: The larger diameter helps prevent clogging and facilitates the flow of thicker liquids.
• Drainage needs: The 24F size can also be used in cases where stomach decompression or drainage is required.

Potential Advantages:

• Larger diameter: Better suited for preventing tube blockages or clogging, especially with more viscous feeding formulas.
• Reduced feeding time: The wider tube allows for more rapid feeding, which can be beneficial in some clinical settings.
• Versatile use: Can be used for a range of purposes, including long-term feeding, medication administration, or drainage.

Would you like more information on when a larger PEG tube size like 24F would be chosen or potential complications of PEG tube placement?