EN
T-0005-V1-0313
BRIDLENG TUBERETAINING SYSTEM
1. Seder CW, Janczyk R: The Routine Bridling of Nasojejunal Tubes Is a Safe and Effective Method of Reducing Dislodgement in the Intensive Care Unit. NCP Nutrition in Clinical Practice. 2008-2009: 23(6) 651-6542. Gunn SR, Early BJ, Zenati MS, Ochoa JB: Use of Nasal Bridle Prevents Accidental Nasoenteral Feeding Tube Removal. JPEN J of Parenteral and Enteral Nutrition 2009; 33(1):50-543. Efficacy of nasal bridles in avoiding percutaneous endoscopic gastrostomy placement. Gwilym Webb, Prakash Gupta, Jo Fitchett, Jon Simmons, Aminda De Silva4. Impact of Nutrition status on DRG Length of stay J. Parenteral Nutrition 1987;(11(1)49-54 Frontline Gastroenterol2012;3:109-111 doi:10.1136/flgastro-2012-1001105 NICE clinical guideline 68. Stroke: diagnosis and initial management of acute stroke and transient ischaemic attack (TIA) 6 NHS institute for innovation and improvement7 A Young, L Leedham, Gut2011;60:A52 doi:10.1136/gut.2011.239301.102
Increase Safety
• “Retrospectivereviewofapproximately1,100Nasoentericfeeding tube placements”…
- “estimatedactualmisplacementrateashighas20%”
- “eachoftheincidentshasthepotentialtobealethaleventand can be avoided with the reduction in tube replacement provided2
Reduce Cost
• Malnutrition in the UK cost ≈ £1.3billion (Bapen 2007) “ImprovedNutritioncouldresultinsubstantialfinancialreturns”4
• Undernourished patients stay in Hospital on average 5 days longer.4
• Average Hospital cost £225 /day6therefore£225x5=£1125perpoorly fed patient!
• “…useofthebridlewouldresultinuseof275fewertubes,330lessradiographs, and 45 fewer nurse days.”2
• “Couldsaveabout£2571over3months($4038)”1
• “avoidingunnecessaryPEGandtheassociatedcomplicationsandcost” 3
NICE clinical guideline 68 “Be considered for a nasal bridle tube or gastrostomy if they are unable to tolerate a nasogastric tube” 5
10
Increase Patient safety by reducing harm caused by misplacement or displacement of NGT (Nasogastric Tube)(Supporting the aims of NPSA/2012/RRR001)
AMT Nasal Bridle: Benefits for NHS
INCREASE SAFETY AND REDUCE COST
Enteral UK LTD, Blackwood Hall Business Park,North Duffield, Selby, North Yorkshire, YO8 5DD
T: +44 (0)1757 282 945 F: +44 (0)1757 600 545
Enteral UK is a trading name of GBUK Enteral LTD© Copyright 2013
AMT Bridle are trademarks of Applied Medical Technology Inc. The products in this brochure are manufactured by Applied Medical Technology Inc.
EN
T-0005-V1-0313
BRIDLENG TUBERETAINING SYSTEM
Kit Contents •RetrievalProbe
•BridleCatheterwithattached umbilical tape & stylet guide
•Feedingtuberetainingclip
5 clips per box
Warning: Excessivetraction on the AMT Bridle may cause tube displacement ornasalinjury;analternativemeans of securing the feeding tube should be explored.
Spare ClipsDirect Code
NHS Code
4-4505 FWM1563
4-4506 FWM1564
4-4508 FWM1565
4-4510 FWM1566
4-4512 FWM1567
4-4516 FWM1568
ClipSize
ClipColour
Bridle KitDirect Code
NHS Code
5FR ClipisLt.YELLOW 4-4105 FWM1392
6FR ClipisPURPLE 4-4106 FWM1389
8FR ClipisWHITE 4-4108 FWM993
10FR ClipisTEAL 4-4110 FWM1120
12FR ClipisBLUE 4-4112 FWM995
14FR ClipisYELLOW 4-4114 FWM1533
16FR ClipisYELLOW 4-4116 FWM1388
18FR ClipisLt.BLUE 4-4118
Indications For UseForusewithNasalGastricandNasalEnteralFeedingTubes. Topreventinadvertentdisplacementorremovalofnasaltube from patients requiring one.
Contraindications For UseThisdeviceiscontraindicatedforpatientswithnasalairwayobstructions and abnormalities, and facial and/or cranial fractures. Do not use on patients that may pull on the AMT Bridle to such a degree as to cause serious injury.
Athoroughnasalexaminationisrecommended before AMT Bridle placement to check for deviations and abnormalities.
NOTE: System is supplied non-sterile, for single use only.
5-12Fr
14-18Fr
Reduce risk of:
• Skindamageduetotape
• AccidentalDislodgement/Removal
• Misplacementduetorepeatedprocedure
• “PlacementofPEGinpatientsthatareatincreaserisk from a 30 days mortality perspective”7
Nasal Bridle is more effective & less invasive than:
• Multiple(NGT’s)
• PEG
• IV’s/Parenteralnutrition
Nasal Bridle allows:
• Timeformedicalsituationtostabilise
• Adequatedeliveryofnutrition,hydrationanddeliveryofdrugs
• Abridleallowstimetoassessthepatients’response to nutritional support without proceeding to PEG7
• Peaceofmindathome
• DischargefromhospitalearlierwithoutPEG
AMT Nasal Bridle: Benefits for Patient & Carer
©CopyrightEnteralUKLTD2013
INCREASE SAFETY AND REDUCE COST
AMT Bridle
Enteral UK LTD, Blackwood Hall Business Park,North Duffield, Selby, North Yorkshire, YO8 5DD
T: +44 (0)1757 282 945 F: +44 (0)1757 600 545
Enteral UK is a trading name of GBUK Enteral LTD© Copyright 2013
AMT Bridle are trademarks of Applied Medical Technology Inc. The products in this brochure are manufactured by Applied Medical Technology Inc.