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Freka portfolio
Clinical evidence

Product
Purpose
Reference
Web Link
Freka GastroTube
Balloon durability has been shown to last 154.8 days +- 10.2 days.
Villela, E.L., et al., Endoscopic gastrostomy replacement tubes: long-term randomized trial with five silicone commercial models. Clin Nutr, 2014. 33(2): p. 221-5.
Freka PEG
How long do percutaneous endoscopic gastrostomy feeding tubes last? A retrospective analysis.
Siau K, Troth T, Gibson E, Dhanda A, Robinson L, Fisher NC. How long do percutaneous endoscopic gastrostomy feeding tubes last? A retrospective analysis. Postgrad Med J. 2018 Aug;94(1114):469-474. doi: 10.1136/postgradmedj-2018-135754. Epub 2018 Jul 24. PMID: 30042184.
Freka PEG
Review of morbidity and mortality related to a five year period covering 350 patients and 571 years of gastrostomy follow up.
Emily Clarke, Stephen Lewis. Low incidence of complications with Freka PEG tubes. Derriford Hospital - Gastroenterology, Plymouth, UK. Frontline Gasteroenterology, October 2016, Vol 7, No 4.
Freka PEG
Review of the longevity of Freka PEG's placed in 277 patients with a median age of 74 years.
Keith Siau, Tom Troth, Elizabeth Gibson, Anita Dhanda, Lauren Robinson, Neil C Fisher. How long do percutaneous endoscopic gastrostomy feeding tubes last? A retrospective analysis. Postgrad Med J, 2018;94:469-474.
Freka PEG
The short term complications associated with polyurethane vs silicone PEG catheters was studied.
S.J. van den Hazel, G. dan Hartog, J.E. Thies and C.J.J Mulder. PEG feeding tubes: polyurethane (Freka PEG) versus silicone (BARD PEG). A randomised trial. Department of Gastroenterology, Rijnstate Hospital, Arnhem, The Netherland. Abstracts of the Netherlands Gastroenterology and Hepatology Societies, A27. 1998.
Freka Pexact
Safety and subsequent use of prophylactic percutaneous gastrostomy placement by endoscopically assisted gastropexy and direct puncture using the Fresenius Kabi Freka Pexact kit in head and neck cancer patients.
Habib SF, Noorullah O, Stern N, et alPMO-085 Safety and subsequent use of prophylactic percutaneous gastrostomy placement by endoscopically assisted gastropexy and direct puncture using the fresenius® pexact kit in head and neck cancer patientsGut 2012;61:A108.
Freka Pexact
New introducer PEG gastropexy does not require prophylactic antibiotics: multicenter prospective randomized double-blind placebo-controlled study.
Shastri YM, Hoepffner N, Tessmer A, Ackermann H, Schroeder O, Stein J. New introducer PEG gastropexy does not require prophylactic antibiotics: multicenter prospective randomized double-blind placebo-controlled study. Gastrointest Endosc. 2008 Apr;67(4):620-8. doi: 10.1016/j.gie.2007.10.044. PMID: 18374024.
Freka Pexact
A consecutive series of 31 amyotrophic lateral sclerosis patients in whom endoscopic gastrostomy was considered too dangerous to perform underwent CT-guided percutaneous gastropexy and gastrostomy. All procedures were performed with a 15 FR Freka Pexact gastrostomy kit.
Maximilian de Bucourt, Federico Collettini, Christian E Althoff, Florian Streitparth, Johannes Greupner, Bernd Hamm and UK Teichgraber. CT fluoroscopy-guided percutaneous gastrostomy with loop gastropexy and peel-away sheath trocar technique in 31 amyotrophic lateral sclerosis patients. Acta Radiologica 2012; 53: 285–291. DOI: 10.1258/ar.2011.110662.
Freka Pexact
319 Freka Pexact insertions were identified in 317 patients with an average age of 58 years. 99% (n=316) patients had a head and neck cancer as the indication.
Suhail Ahmed, Katherine Bowering, Naveen Polavarapu, Roger Nicholson, Paul Thomas, Richard Sturgess. Pexact: Analysis of 319 Procedures Performed at the Digestive Diseases Unit, University Hospital Aintree. Gastroenterology, Volume 138, Issue 5, Supplement 1S-1-S-906, 2010 DDW Abstract Supplement.
Freka Pexact
89 patient procedure were performed under conscious sedation using Freka Pexact. Review of complications at 30 days.
H. Gupta, R. Manikandan, A. Byrne, R. Nicholson, P.A. O’Toole. Pexact Direct-Puncture PEG Placement: Our First 12 Months Experience. Volume 65, No. 5 : 2007 Gastrointestinal Endoscopy AB279.
Freka Pexact
Direct gastric puncture and gastropexy (Freka® Pexact) insertion technique for percutaneous endoscopic gastrostomy reduces peristomal infection rates compared with standard pull-through insertion in patients with head and neck cancer
Disney BR, Nizamuddin M, Tanajura A, et alPMO-203 Direct gastric puncture and gastropexy (Freka® Pexact) insertion technique for percutaneous endoscopic gastrostomy reduces peristomal infection rates compared with standard pull-through insertion in patients with head and neck cancerGut 2012;61:A156.
Freka Trelumina
Investigating ultrasound vs endoscopy guided placement of the Freka Trelumina triple lumen enteral feeding tube in the treatment of acute pancreatitis.
Zhijun Liu, Jintao Guo, Weidong Ren, Shaoshan Tang, Ying Huang, Liping Huang, Siyu Sun and Lianjie Lin. Evaluation of ultrasound-guided Freka Trelumina enteral nutrition tube placement in the treatment of acute pancreatitis. BMC Gastroenterology, (2020) 20:21.
Freka Trelumina
Use of three lumen catheter facilitates bowel movement after pancreato-duodenectomy.
Hallay J, Micskei C, Fülesdi B, Kovács G, Szentkereszty Z, Takács I, Sipka S, Bodolay E, Sápy P. Use of three lumen catheter facilitates bowel movement after pancreato-duodenectomy. Hepatogastroenterology. 2008 May-Jun;55(84):1099-102. PMID: 18705337.
Freka Trelumina
X-ray guided placement of Freka Trelumina using a guide wire for treatment of acute pancreatitis.
Yuan, Lin & Jiang, Jun & Zhang, Ping & Yang, Gui-Fang. (2017). X-ray guided placement of Freka Trelumina using a guide wire for treatment of acute pancreatitis. World Chinese Journal of Digestology. 25. 369. 10.11569/wcjd.v25.i4.369.
Freka Trelumina
Comparing the suitability of the Freka Trelumina triple lumen tube against the Dobbhoff tube, where the primary end point was the time required for tube placement.
Dieter Schwab, MD, Steffen Mühldorfer, MD, Gerhard Nusko, MD, Martin Radespiel-Tröger, MD, Eckhart G. Hahn, MD, FACP, Richard Strauss, MD. Endoscopic placement of nasojejunal tubes: a randomized, controlled, prospective trial comparing suitability and technical success for two different tubes. Gastrointestinal endoscopy, (2002) volume 56, No. 6.
Freka Trelumina
To compare the success rates of correct jejunal placement of a new self-advancing jejunal tube (Tiger Tube) against the gold standard, the endoscopic guided technique (Freka Trelumina), in a comparative intensive care unit (ICU) patient population.
Holzinger U, Kitzberger R, Bojic A, Wewalka M, Miehsler W, Staudinger T, Madl C. Comparison of a new unguided self-advancing jejunal tube with the endoscopic guided technique: a prospective, randomized study. Intensive Care Med. 2009 Sep;35(9):1614-8. doi: 10.1007/s00134-009-1535-z. Epub 2009 Jun 16. PMID: 19529912.
Freka Trelumina
Using a modified endoscopic Freka Trelumina placement technique to review average catheterisation time.
Feng Yankang, Cui Ming, He Yun, Zhao Xilong. Establishment and clinical application of modified endoscopic Freka Trelumina placement. Chinese Journal of Gastrointestinal Surgery, January 2019, Vol.22, No.1.
Gastropexy device
T-fastener migration after percutaneous gastropexy for transgastric enteral tube insertion.
Sydnor RH, Schriber SM, Kim CY.
Gastropexy device
Complication rates of direct puncture and pull-through techniques for percutaneous endoscopic gastrostomy,
Leonie Schumacher, Christian Bojarski et. al, Complication rates of direct puncture and pull-through techniques for percutaneous endoscopic gastrostomy -Results from a large multicenter cohort, DOI: 10.1055/a-1924-3525, 08/2022
Gastropexy device
Gastropexy allows early tube mobilisation minimising buried bumper syndrome.
Devia J, Santivañez JJ, Rodríguez M, Rojas S, Cadena M, Vergara A. Early Recognition and Diagnosis of Buried Bumper Syndrome: A Report of Three Cases. Surg J (N Y). 2019 Aug 22;5(3):e76-e81. doi: 10.1055/s-0039-1692148. PMID: 31448333; PMCID: PMC6706275.
Gastropexy device
After gastropexy, the outer PEG plate can be loosely fixed against the abdominal wall to enhance stoma healing.
Sartori, S., et al., Longevity of silicone and polyurethane catheters in long-term enteral feeding via percutaneous endoscopic gastrostomy. Aliment Pharmacol Ther, 2003. 17(6): p. 853-6
Gastropexy device
Gastropexy lowers PEG complication rates.
Kishta J, Reich V, Bojarski C. Hybrid-PEG – Erfahrungen nach über 300 Hybrid-PEGs an der Charité. Endo-Praxis 2021; 37: 95–99 (article in German)
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For all Freka products always read the label and follow the instructions for use.

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