Stoma site protection devices, kits, assemblies and methods are provided that prevent or minimize leakage from a stoma. A stoma site protection device includes a conformal plug that can adapt to the stoma track. Kits and assemblies include additional components such as flexible external bumpers and bandages that provide multiple sealing of the stoma.

A PEG tube having a new internal bumper design is provided that prevents, or at least reduces the chances of, unintended dislodgement of the PEG tube. The internal bumper is disposed on a proximal end of the tubing of the PEG tube and is in a first, placed state when the PEG tube is in a feeding position inside of a patient. In the first, placed state, the internal bumper is a substantially solid structure having a preselected shape and a preselected maximum outer diameter or width. Initiation of a removal process converts the internal bumper from the first, placed state to a second, removal state in which the internal bumper is a generally elongated structure that has an outer diameter or width that is smaller than the maximum outer diameter or width. The smaller diameter or width of the generally elongated structure facilitates withdrawal of the generally elongated structure through the tract in the patient's stomach.

A stoma dilation device that includes a tubular support defining a continuous pathway through the device; an inflatable dilation balloon located on the tubular support, the inflatable dilation balloon including a dilation region forming a first portion of the device and a retention region forming a second portion of the device; and a balloon inflation lumen. The retention region of the balloon is configured to have a diameter upon full, unrestrained inflation that is greater than the diameter of the dilation region.

An improved feeding catheter is provided for feeding/recycling chyme to a distal stoma. The improved catheter includes a hollow tube having an end for insertion into stoma, and a second end adapted to be connected to a fluid source. The first end includes a retention feature comprising a plurality of ribs extending outwardly and longitudinally away from the tube and terminating at a nose junction. Web walls extend between at least one pair of adjacent ribs and the ribs further define a side facing opening configured for fluid to exit into the gastrointestinal tract. Further the retention feature can be moved between a relaxed condition and a stretched condition for insertion through the distal opening, wherein the maximum width of the retention feature in the stretched condition is less than the maximum width of the retention feature in the relaxed condition.

In some embodiments a PEG feeding device includes a tube sized to bridge a channel between a stomach and an outer abdominal surface; an internal bolster, and an external bolster. Optionally the bolsters are connected to the tube. The internal bolster may be sized to resist movement out of the stomach through the stoma. The external bolster may be sized to resist movement into the stoma from the outer abdominal surface. The external bolster may include an underside which extends from the tube in a radial direction between the external bolster and the outer abdominal surface. The underside of the outer bolster may contact the outer abdominal surface at a distance from an external opening of the stoma. Optionally the distance between the internal bolster and the external bolster is adjustable. Optionally an angle between one or both of the bolsters and the tube is adjustable.

A gastric port system for transport of materials to the interior of a body cavity that may include a port configured to be disposed between a first body cavity and an area adjacent to the first body cavity. The gastric port system may further include a first bolster disposed on the port where the first bolster includes a magnet, and a second bolster disposed on the port where the second bolster includes a magnet, and the magnets are attracted to each other.

The present disclosure describes a gastric jejunal tube having a gastric lumen and a jejunal lumen that run the length of the tube. The cross-sectional sizes of the lumens change from above to below the most distal gastric port. A method of making the gastric jejunal tube is also described.

A jejunostomy tube (J-tube) is presented. The J-tube is amenable for placement via total laparoscopic approach, without the need for any percutaneous, endoscopic, or open operative assistance. The presently-disclosed device allows delivery of nutrients, water, and medications to the intestinal tract of an individual in a safe manner, without the disadvantages associated with the use of conventional tubes.

The present invention provides a sheath for gastrostoma (1), a sheathed dilator, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma. The sheath for gastrostoma (1) includes a sheath body (11) in which a gastrostomy catheter (2) is inserted and a handle (12). The sheath for gastrostoma (1) lowers the insertion resistance of a gastrostomy catheter when inserted in a fistula before insertion of the gastrostomy catheter in the fistula for replacement in the patient's body. According to the invention, a sheath for gastrostoma, a sheathed dilator, a sheath for gastrostoma with insertion aid, a gastrostomy catheter kit and a method of splitting a sheath for gastrostoma which can lower the insertion resistance during placement of a catheter in the patient's body, facilitate air supply control of an endoscope and stabilize endoscopic visual field during surgery are provided.