Enteral Nutrition Clinical Trial
Official title:
A Feasibility Study to Evaluate the Clinical Safety of ENvizion Medical™ Enteral Feeding Tube Placement Using the ENvizion Medical™ ENVUE™ System in Patients
This is a single center, non-randomized feasibility clinical evaluation that is designed to affirm the safety of the ENVUE™ System guidance during the placement of the ENvizion Medical™ enteral feeding tubes.
Enteral nutrition is the preferred route for the provision of nutritional support in most
critical ill patients with functional gastrointestinal tract. Achieving early enteral
nutrition (EN) in critically ill patients is associated with fewer major complications,
reduced mortality and length of hospital stay, and significant cost savings. It is estimated
that approximately 1.2 million feeding tubes are placed blindly each year in the United
States alone. Despite the obvious advantages of the enteral tube feeding, inadvertent
placement of Enteral Feeding Tube (EFT) into the airway is relatively common and can result
in significant pulmonary injury including pneumothorax and pneumonia. Airway misplacement
occurs in 1.2- 4 % of blind EFT insertions, with 0.2 to 1.2% of all the feeding tube
placements cause pulmonary complications to patients. The gold standard for detecting
inadvertent placement of a feeding tube in the lungs is radiography. However, because of its
cost, possible delay of feedings while waiting for radiography, and risk for radiation
exposure, clinicians continue to seek for alternative methods to confirm correct placement.
All the above mentioned, emphasizes the fact that safe and effective delivery of nasoenteral
tube feedings requires assurance that the feeding tube tip is in a proper position. The
ENVUE™ System is an electromagnetic tracking system which tracks the path of the feeding tube
during placement. The benefit of the system when EFT is misdirected into the pulmonary system
is a real-time visual tracing, which may prompt users to withdraw the tube and reinsert it.
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