OptimizeNutritionInadvertent tube dislodgement interrupts nutrition
and the AMT Bridle™ system has been shown to
dramatically reduce feeding tube pullouts, resulting
in improved caloric intake. Consistent nutritional
support is essential to the best outcomes for patients
of all ages.
Improving Nutritional Outcomes with the AMT Bridle™ Nasal Tube Retaining System
The management of nutritional deiciencies is part of the standard of care to reduce risks including:
Aspiration
Pneumothorax
Radiographic Exposure
Early and Unnecessary Transition to PEG/TPN
Skin Breakdown Due to Adhesive Devices
Sinusitis
Pressure Necrosis
Interruptions to Nutritional Support
Applied Medical Technology, Inc.
ReduceCostsTube replacement is expensive and decreases
clinician productivity. Studies have suggested the
incidence of unintentional tube removal is 40% or
more. The AMT Bridle has been shown to reduce
pullouts by 72%.*
The AMT Bridle nasal tube retaining system may reduce:
Cost of clinicians’ time to replace nasal tube
Cost of extended length of stay due to
sub-optimal nutrition
Cost of new nasal tube, formula and supplies
Cost of X-Ray or luoroscopyUnreimbursed expenses under managed care
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+ Safety Stylet
Designed to prevent advancement of handle into nare
Smaller Probe Smaller than alternative brands with optimal pliability
Depth Indicator Marks For easy alignment of probe and catheter
Less Abrasive Softer umbilical tape for reduced friction
Attached Clip Smaller than alternative brands with rounded edges for
decreased irritation
Removal Tool Place removal tool in the groove of the attached clip to easily open for
removal or adjustment.
2 4 53
BridlePlacement
Slowly remove blue probe,
drawing the white catheter
around the vomer bone & out
the opposite nare.
Cut catheter of and discard. Place tube and umbilical
tape in clip.
Securely close clip 1cm
below nose. Tie 2-3 knots
and cut of excess.
Advance catheter stylet & blue probe in
opposite nares until magnets connect.
Remove orange stylet from catheter.
1
Optimal Ease of Placement for Clinician Superior Comfort for Patient
The AMT Bridle and Micro Bridle work by passing magnets through the nasopharynx to draw umbilical tape through
one nare, around the vomer bone and out the other nare. The umbilical tape is then anchored to the nasal feeding
tube with a clip.
Full ranges of sizes
No sedation required
Reduced x-ray exposure
Reduced risk of aspiration
Secured without adhesive or sutures
Streamlined packaging for quickest handling by clinician
Placement requires fewer steps than alternative brands
Cleared for use with all tube brands
Lubricant included in each package
40% smaller clip
20% smaller length
10% smaller diameter
AMT MicroBridle™
Smaller size for smaller patients.
AMT Standard B
ridle
™
AMT M icro B
rid
le™
Made In USA
MR Safe
An ISO 13485 Registered Company
© 2015 Applied Medical Technology, Inc.
US Patent Nos. 6,631,715, 6,837,237 and 7,534,228 C-3802-J
For a complete list of products visit us at www.AppliedMedical.net
800 869 7382
Applied Medical Technology, Inc.
8006 Katherine Boulevard
Brecksville, OH 44141
www.AppliedMedical.net
Bridle Every Patient Every Time.A new standard of care.
*Additional References:
Routine bridling has become the standard of care
for many ICUs due to improved nutritional outcomes
and cost management. Rather than restrict bridling
to suspected “problem” patients, the cost savings
have compelled universal use on all nasal tubes.
The Routine Bridling of Tubes Is a Safe and Efective Method of Reducing Dislodgement in the Intensive Care Unit.” Christopher W. Seder, MD; Randy Janczyk,
MD: NCP Nutrition in Clinical Practice 2008-2009; 23 (6) 651-654. Nasojejunal
Nasal Bridling Decreases Feeding tube Dislodgement and May Increase Caloric
Intake in the Surgical Intensive Care Unit: A Randomized, Controlled Trial.”
Christopher W. Seder, MD; William Stockdale, RN; Linda Hale, RN; Randy J. Janczyk,
MD, FACS: Critical Care Medicine 2010, Vol. 38 No. 3.
The Bridle: Path to Improved Enteral Nutrition Eiciency.” Marc J. Popovich, MD, FACCM: Critical Care Medicine 2010, Vol. 38 No. 3.
Gunn SR, Early BJ, Zenati MS, Ochoa JB:
Use of a nasal bridle Prevents Accidental
Nasoenteral Feeding Tube Removal. JPEN
Journal of Parenteral and Enteral Nutrition
2009; 33(1):50-54
In conclusion, we found that, by using
this unique bridle that can be placed by a
nurse instead of physician as a routine tube
ixation strategy, we signiicantly reduced the proportion and rate of accidental tube removal
and found an increased tube ‘survival’.”
“
AMT Bridle
AMT Micro Bridle
KitContents
Clip Size
Clip Size
Clip Color
Clip Color
Order #
Order #
Spare Clip Order #
Spare Clip Order #
Standard & Micro Bridle
WHITE
TEAL
BLUE
YELLOW
YELLOW
LT. BLUE
LT. Yellow
Purple
White
8FR
10FR
12FR
14FR
16FR
18FR
5FR
6FR
8FR
4-4108
4-4110
4-4112
4-4114
4-4116
4-4118
4-4105M
4-4106M
4-4108M
4-4508
4-4510
4-4512
4-4514
4-4516
4-4518
4-4505M
4-4506M
4-4508M
Retrieval probe
Removal tool
Bridle catheter with attached umbilical tape & stylet
Lubricant packet
FR (French) size speciic clip to correspond with tube size
All AMT Bridle and Micro Bridle products are packed 5 units/box
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•
•
•
•
Based on our experience we enthusiastically encourage placement of the bridle via the
magnet system...”
“
Popovich MJ, Jahan A, Aabharwal V,
Walsh MR: Umbilical tape Bridle/Magnet
placement system: A Safe, Simple Technique
to Prevent The Unintentional Removal of
Nasoenteric Feeding Tubes.
The Cleveland Clinic Foundation
AMTBridle™
Improving Nutritional Outcomes &Reducing Pullout Costs
Nasal Tube Retaining System
AMT is the original Bridle™ manufacturer
with a history of improvements and
innovations. The only clinically documented
nasal tube retaining system on the market;
the AMT Bridle™ may be imitated, but
never duplicated.