Gastrostomy tubes and systems and methods for implanting them are provided. In one example, the gastrostomy tube includes an elongate tubular member including a first end sized for introduction into the patient's mouth, a second end including an expandable member or other bumper, and a feeding lumen extending between the first and second ends. A bolster is connectable around the first end after the first end has been directed from within the patient's stomach through intervening tissue and extends from the patient's skin and the bumper is placed against the wall of the stomach. An adapter is connectable to the bolster after the first end and excess material of the tubular member beyond the bolster has been separated, the adapter including a connector for removably connecting to a feeding tube.

A gastric jejunal (GJ) feeding tube device for GJ feeding of an infant or child is provided. The device comprises a GJ button comprising a GJ button body, a gastric port, a jejunal port, a gastric channel, and a jejunal channel. The device also comprises a multi-lumen tube comprising a multi-lumen tube body, a multi-lumen tube proximal end, and a multi-lumen tube distal end. The device also comprises a jejunal tube comprising a jejunal tube body, a jejunal tube proximal end, a jejunal tube distal end, a spring, and a ring. The spring provides a kink-resistant feature. The ring is positioned at the jejunal tube proximal end. The jejunal tube and the GJ button are operatively connected at the ring and the mating surface by radial compression. The ring has a higher durometer than the jejunal tube body and an outer diameter that does not substantially decrease distally.

A novel nasogastric tube, that when properly inserted within a person, blocks the esophagus of the person to prevent gastric contents from being aspirated. The tube can be left in place during direct langroscopy and the device can include a preferably inflatable balloon for obstructing the person's esophagus. This balloon can be preferably provided on a slidable tube that allows for head movement/flexion without movement of the balloon placement. The tube can be a dual or single lumen device. With a duel lumen device, a first lumen can be connected to a suction tubing to suction gastric contents from the distal end of the tube, while the other lumen can open up above the cuff to allow for easier ventilation with a bag valve mask/BVM.

There is provided a system for managing reflux during an enteral feeding, comprising: (i) a non-transitory memory having stored thereon a code for execution by at least one hardware processor of a computing device, the code comprising: code for receiving electrical signals outputted by at least one reflux event sensor disposed within a digestive system of a patient; code for determining a gastric reflux event based on an analysis of the electrical signals; code for outputting instructions to pause enteral feeding of the patient by a feeding controller that regulates enteral feeding of the patient using an enteral feeding tube positioned within the digestive system of the patient; and (ii) an evacuation controller that directs back-flow of digestive contents from the digestive system of the patient to an external evacuation reservoir through an evacuation tube.

An appliance (1) for enteral nutrition by means of a probe of the type comprising a tubular element of elongated shape and substantially flexible which defines a feeding channel open at the extremities for the introduction of nutritional substances in the stomach of a patient and which comprises at least a first inflatable balloon for detecting the pressure inside the esophagus of a patient, the tubular element comprising at least a first inlet/outlet mouth for the air in/from the first balloon, the appliance (1) further comprising: at least a pneumatic circuit (3) having pumping means (4) associable at least with the first inlet/outlet mouth for inflating/deflating the first balloon; processing means (8) comprising: detection means which can be connected to the first balloon to detect the patient's oesophageal pressure (p.sub.es); reading means of the pressure of the respiratory tract (p.sub.aw) which can be connected to an external detection device; calculation means operatively connected to the detection means and to the reading means and able to calculate at least the transpulmonary pressure (p.sub.tp); graphic display means (10) operatively connected to the processing means (8) and able to display at least one of the oesophageal pressure (p.sub.es), the pressure of the respiratory tract (p.sub.aw) and the transpulmonary pressure (p.sub.tp).

An enteral feeding system including: an enteral feeding tube, a pump configured to draw a liquid from a reservoir to the enteral feeding tube; a switching mechanism associated with at least four vacuum lumens provided with the enteral feeding tube; and a controller configured to automatically control the pump and the switching mechanism wherein controlling the pump and the switching mechanism includes coordinating the operation of the switch with the operation of the pump.

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.

The enteral feeding tube (100) with an inflatable cuff includes a mother tube (110) having a proximal end (112a) and an opposing distal end (112b) and a lumen extending therebetween, an inflatable cuff (115) disposed at the distal end (112a) of the mother tube (110), and a secondary tube (120) having a proximal end (122a) and an opposing distal end (112b) and a lumen extending therebetween. The enteral feeding tube (110) can be inserted into a patient's intestine through the mouth or nose of the patient. The inflatable cuff (115) can be inflated to engage and seal the pylorus of the patient's stomach, so that the distal end (122b) of the secondary tube (120) may extend into the jejunum to permit delivery of food thereto.

The invention relates to a system for recording breathing efforts of a patient, which comprises a pressure determination device for determining a transpulmonary pressure at the point in time of the breathing effort of the patient. The invention moreover relates to a unit for recording the optimum filling volume of the balloon of an esophageal catheter.

A system comprising a nasogastric tube comprising a nasogastric location element, a feeding mechanism, a suction mechanism configured to sealingly draw an inner wall of an esophagus against said nasogastric tube, and a gastric decompression mechanism.