A device for moving contents of a tube by acting on the exterior of the tube is provided. The device includes a housing having a tube passageway extending along a length thereof for holding a tube therein. A first roller and a second roller are moveable between a first position and a second position and configured to compress the tube in the second position. A first roller chassis is coupled to the housing for mounting the first roller therein and a second roller chassis is coupled to the housing for mounting the second roller therein. The first and second roller chassis are moveable between a first position in which the tube is disengaged and a second position in which the tube is engaged. A lever operably coupled to the housing causes the first or second roller to pivot and engage the tube positioned within the passageway.

A computer-implemented method of adjusting enteral feeding of a patient by an enteral feeding controller, comprising: computing an estimate of energy expenditure of the patient based on oxygen measurements and carbon dioxide measurements of the patient, computing a target composition and target feeding rate for the enteral feeding according to the computed estimate of energy expenditure, when the target composition and target feeding rate differ from a current enteral feeding composition and feeding rate by a requirement, generating instructions for adjustment, by an enteral feeding controller, of the rate of delivery of the enteral feeding according to the target composition, wherein the receiving the oxygen measurement, receiving the carbon dioxide measurement, and computing the estimate of energy expenditure are performing iteratively for every first time interval, and the generating instructions for adjustment are performed for a second time interval that is larger than the first time interval.

Various implementations include an endotracheal tube assembly including an endotracheal tube, an inflatable annular air cuff, an annular slider cuff, an air cuff tubing, and a pointer. The tube includes a visual indicator portion adjacent the proximal end of the endotracheal tube. The inflatable annular air cuff is disposed around the exterior surface of the endotracheal tube and is affixed to the distal end of the endotracheal tube. The annular slider cuff is slidably disposed around the endotracheal tube, and the slider cuff is affixed to the air cuff. The air cuff tubing is coupled to the slider cuff, and the pointer is coupled to the air cuff tubing proximal to the visual indicator portion. Axial movement of the slider cuff causes movement of the pointer relative to the visual indicator portion indicates movement of the endotracheal tube within the trachea during use.

A fluid delivery device and system is operable to fluidly couple a pair of fluid delivery conduits. One embodiment includes a fluid delivery device sized to meet ANSI/AAMI ID54:1996(R) 2005 and not mate with ANSI/HIMA MD70.1 or ISO 594/1 and ISO 594/2 standards for intravenous ports and connectors to prevent accidental intravenous delivery of fluids intended for enteral delivery. The system includes at least one of a locking tab and a stop flange configured to not mate with matching connectors not configured to satisfy the enteral feeding standards and not specifically configured to mate with the fluid delivery device.

A fluid delivery device and system is operable to fluidly couple a pair of fluid delivery conduits. One embodiment includes a fluid delivery device sized to meet ANSI/AAMI ID54:1996(R) 2005 and not mate with ANSI/HIMA MD70.1 or ISO 594/1 and ISO 594/2 standards for intravenous ports and connectors to prevent accidental intravenous delivery of fluids intended for enteral delivery. The system includes at least one of a locking tab and a stop flange configured to not mate with matching connectors not configured to satisfy the enteral feeding standards and not specifically configured to mate with the fluid delivery device.

A baby bottle, an insert for a baby bottle, a baby bottle including an insert, and a method of feeding an infant that serves to pace the infant's feeding rhythm. Generally, these devices and methods will be of use for a preterm infant who lacks coordination of the suck-swallow-breathe synchrony, but can also be used with full term infants who can benefit from rigid control of the flow of milk from a bottle, this includes, but is not limited to, infants with gastroesophageal reflux who can require pacing of feeds to allow for gastric emptying. The device generally cues the infant to swallow and breathe after each 1-4 sucks by stopping the flow of the fluid from the bottle after the infant has sucked sufficiently or a predetermined period of time has passed. Once the baby breathes or a period of time passes, the bottle resets for the next repetition. The device also serves to consistently slow the flow of milk during oral feeding.

Apparatus and associated methodology contemplating a securement device for securing a percutaneous feeding device having a tube operably forming a feeding passage through a stoma placed in a patient. The securement device has an adhesive-backed substrate configured to operably adhere to the patient's skin around the stoma. A connector is selectively extendable relative to the substrate and selectively moveable between an unsecured mode and a secured mode, the connector in the unsecured mode clearingly disengaging the feeding device, and the connector in the secured mode configured to impart a securement force to the feeding device to restrict its movement relative to the stoma.

A flow control apparatus comprising a housing capable of receiving a portion of the feeding set, a pumping device configured to receive the feeding set and may produce a fluid flow in the feeding set and deliver fluid to a subject, an ultrasonic sensor may be configured to produce a sensor signal indicative of a condition of the feeding set, and a control circuit in communication with the ultrasonic sensor for receiving the sensor signal from the ultrasonic sensor indicative of the condition of the feeding set. The ultrasonic sensor may comprise a plurality of sensor components which may be configured to emit an ultrasonic signal in a first direction, and in a second direction opposite the first direction through the feeding set.

Systems, methods, and apparatus for cleaning and sealing threaded connector ports are disclosed. An exemplary cleaning system includes a basin and cleaning apparatus including a sealing connector, an alignment peg, and an outer foam sleeve having a tubular portion. The sealing connector includes a body portion having a gripping portion, an internal thread cleaning portion, and a longitudinal axis. Another cleaning apparatus also includes a cap cleaning end having a cap cavity and an inner foam pad. Another system includes a threaded connector port and a cleaning apparatus including an alignment peg, a disposable foam platform, and a handle body, which includes a grip portion and a pair of cleaning arms. The cleaning arms and foam pads are adapted to engage the female threads of a threaded connector port. A sealing apparatus includes a disposable liner having locator flaps and a placement tool having a handle and locator fingers.

Disclosed is an NGT system, the system comprises a nasogastric tube having a diameter and length configured to pass through an esophagus such that the lumen of the NGT maintains fluid communication with a portion of the digestive tract, and a digestive tract sensor operatively associated with the NGT, the digestive tract sensor configured to sense from inside the body and transmit signals in response to one or both of conditions relating to nourishment states of the digestive tract, and positioning of the NGT.