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PRODUCT FOCUS

FREKA PEG 9 FR (7755642), 15 FR (7755643) & 20 FR (7755644)
INTESTINAL TUBE 9 FR FOR PEG 15 FR (7755646) & 12 FR FOR PEG 20 FR (7755647)

Freka PEG & intestinal tube

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Freka Percutaneous Endoscopic Gastrostomy (PEG) is suitable for patients at risk of aspiration and/or gastric motility disorders and used for long-term intragastric feeding.

Freka PEG is available in a range of gauges (9 FR, 15 FR & 20 FR) with the option of two intestinal tubes (9 FR for PEG 15 FR & 12 FR for PEG 20 FR).

For long term maintenance of an in-situ tube, repair kits are available.

The Freka gastropexy device II (available separately) allows attachment of the gastric wall to the abdominal wall with sutures using a unique device available from only Fresenius Kabi in Australia and New Zealand*.

For more about gastropexy device II visit here.

​PEG 9 FR
Length: 30 cm, Ext. diameter: 2.9 mm, Int. diameter: 1.9 mm
Smallest feeding tube for paediatric use.

PEG 15 FR
Length: 35 cm, Ext. diameter: 4.8 mm, Int. diameter: 3.6 mm
Standard feeding tube with intestinal tube option and Freka Belly Button/Freka GastroTube as replacement.

PEG 20 FR
Length: 35 cm, Ext. diameter: 6.6 mm, Int. diameter: 5.0 mm
Large feeding tube for gastric decompression/medication administration with intestinal tube option and Freka Belly Button as replacement.

Intestinal tube 9 FR for PEG 15 FR
Length: 120 cm, Ext. diameter: 2.90 mm, Int. diameter: 1.90 mm
Double lumen feeding tube for jejunal feeding with Freka PEG 15 FR.  Comes with ENFit/funnel connector.

Intestinal tube 12 FR for PEG 20 FR
Length: 120 cm, Ext. diameter: 4.00 mm, Int. diameter: 2.80 mm
Double lumen feeding tube for jejunal feeding with Freka PEG 20 FR.  Comes with ENFit/funnel connector.

Freka PEG & intestinal tube: Key features

Freka PEG has been designed to make insertion effortless with safety in mind.  Innovative tools aid in improving safety for all such as - the puncture cannula with safety air valve, safety scalpel for incision and thread cutting or the introducer cone with double thread to assist in the pull method of insertion.

Freka PEG is made of biocompatible polyurethane and has been proven clinically to have excellent longevity results of 68.5% at five years (2).  The tubes include a tube clamp with side walls to minimise "false clamping" and a soft silicone fixation plate for patient comfort.

The fixation plate is designed for a low profile fit with the feeding tube being directed flat against the skin.

Freka intestinal tube, 9 FR for PEG 15 FR, comes with a pigtail to minimise the risk of dislocation in-situ.

Clinical excellence

3 years: 79.6%
1 year: 95.1%
5 years: 68.5%
Bard PEG: 19/57
Freka PEG: 9/51

Short term complications
In a randomised trial (1) the short term complications associated with polyurethane vs silicone PEG catheters was studied.

51 patients received a polyurethane Freka PEG resulting in:

  • 6 difficulties in placement

  • 3 PEG complications post-placement


57 patients received a silicone Bard PEG resulting in:

  • 2 difficulties in placement

  • 17 Silicone PEG complications post-placement

Use of a silicone PEG feeding tube was associated with a higher 28 day complication rate compared to a polyurethane PEG catheter. This finding is of particular relevance when PEG  feeding is used short term e.g. perioperatively.

Longevity
In another study (2), looking at the longevity of Freka PEG's placed in 277 patients with a median age of 74 years (IQR 59-82) PEG longevity was:

In summary, the Fresenius Kabi Freka polyurethane PEG:
 

  • has lower short term complications that the silicone BARD PEG (1)

  • is a suitable long term option for patients (68.5% survivability at five years) (2)


​Freka PEG tubes are secure and effective for the provision of enteral nutrition.

1 year: 95.1%
3 years: 79.6%
5 years: 68.5%​

Insertion kits: Contents

Freka 9 - 15 - 20 FR PEG tube
30 - 35 cm polyurethane PEG tube with proximal cone and fixation loop.

Puncture cannula
8 cm puncture cannula with safety air valve.

Reel of thread
To assist in pull method of placement.  Double thread at end with introducer tool.

Safety scalpel
PenBlade safety scalpel. Automatic retraction allowing precise thread cutting through safety slot.

Tube clamp, ENFit connector with fastening screw & fixation plate
    Freka PEG insertion kit 
Freka intestinal 9 FR or 12 FR tube
120 cm polyurethane intestinal tube. 9 FR for use with Freka PEG 15 FR or 12 FR for use with Freka PEG 20 FR.

Freka ENFit connector
Integral cap. ENFit. Connects to the click adapter.

Click adapter
Used to connect the ENFit connector to the Y-connector.

Y-connector
Connects to the Freka PEG tube and provides funnel connection for gastric access and ENFit connection for intestinal access.

Fastening screw
Secures the Y-connector to the Freka PEG tube.
    Freka intestinal tube for PEG insertion kit 

Insertion: Instructional videos

Support materials: Insertion guide and aftercare

Contents
 

  1. Insertion of Freka PEG

  2. Insertion of feeding tube

  3. Removal of feeding tube 

  4. Removal of Freka PEG

  5. Product key features

  6. What's in the insertion kit

  7. Instructions for use

  8. Associated consumables

Contents
 

  1. What is gastrostomy feeding

  2. Administration of medicines

  3. Flushing the tube

  4. Tube blockage

  5. Attaching a new connector

  6. Skincare

  7. Daily PEG care

  8. FAQ's

Contents
 

  1. Freka PEG Patient Implant Card (PIC)

Contents
 

  1. Implantable Medical Device letter to healthcare professionals

Contents
 

  1. Suggestions on rotation and maintenance of Freka PEG tube

Product details

To view the specifications of the Freka PEG and intestinal tube range select a product below:
PEG 9 FR
PEG 15 FR
PEG 20 FR
Intestinal tube 9 FR for PEG 15 FR
Intestinal tube 12 FR for PEG 20 FR

Note: samples are only available to registered healthcare professionals.

If you would like to request a sample of the products above or discuss the product in more detail with your local Fresenius Kabi Account Manager please complete the form below and we will be in touch ASAP.

Request a sample or discussion with your local Account Manager

Thanks for your enquiry. We will be in contact soon.

References

1. 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.

2. 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.

*Fresenius Kabi Data on file for configuration

For all Freka products always read the label and follow the instructions for use.

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