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PRODUCT FOCUS

FREKA PEG PRO 12 FR (M90800346), 14 FR (M90800347), 16 FR (M90800349) & 20 FR (M90800348)
INTESTINAL TUBE 9 FR FOR PEG 16 FR (M90800373) & 12 FR FOR PEG 20 FR (M90800350)

Freka PEG Pro & intestinal tube

coming later in 2024

coming later in 2024

Freka Percutaneous Endoscopic Gastrostomy (PEG) Pro 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 with the option of two intestinal tubes (9 FR for PEG 16 FR & 12 FR for PEG 20 FR).

Each intestinal tube comes with the option of an ENFit/ENFit connector to allow the use of a single ENFit syringe type for feeding or aspiration or the traditional ENFit/funnel connector.

The Freka gastropexy device II (available separately) allows attachment of the gastric wall to the abdominal wall with sutures.

For more about gastropexy device II click here.

PEG 12 FR
Length: 35 cm, Ext. diameter: 4.0 mm, Int. diameter: 2.90 mm
Smallest tube for paediatric placement with option of Freka Belly Button as replacement.

PEG 14 FR
Length: 35 cm, Ext. diameter: 4.66 mm, Int. diameter: 3.45 mm
Small adult feeding tube with option of Freka Belly Button/Freka GastroTube as replacement.

PEG 16 FR
Length: 35 cm, Ext. diameter: 5.33 mm, Int. diameter: 4.05 mm
Standard feeding tube with intestinal tube option and Freka Belly Button/Freka GastroTube as replacement.

PEG 20 FR
Length: 35 cm, Ext. diameter: 6.60 mm, Int. diameter: 5.00 mm
Large feeding tube for gastric decompression/medication administration with intestinal tube option and Freka Belly Button as replacement.  Comes with both ENFit and funnel connector options.

Intestinal tube 9 FR for PEG 16 FR
Length: 120 cm, Ext. diameter: 2.90 mm, Int. diameter: 1.90 mm
Double lumen feeding tube for jejunal feeding with Freka PEG Pro 20 FR.  Comes with both ENFit/ENFit and ENFit/funnel connectors as options.  Available separately is a 9 FR/PEG 20 FR ENFit/ENFit or ENFit/funnel connector if required.

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 Pro 20 FR.  Comes with both ENFit/ENFit and ENFit/funnel connectors as options.

Freka PEG Pro & intestinal tube: Key features

Freka PEG Pro is an evolution of the well established Freka PEG and available later in 2024.  It comes in a wider range of sizes (12/14/16/20 FR) than the original Freka PEG while maintaining the same quality and design that has led to longevity of 68.5% at five years (2).

Freka PEG Pro includes the redesigned safety puncture cannula to minimise accidental injury which also has a safety air valve built in to assist with retaining the insufflation of the stomach.

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 16 FR, comes with a pigtail to minimise the risk of dislocation in-situ.  Both intestinal tubes come with ENFit/ENFit or ENFit/funnel connectors to allow options for use of a single ENFit syringe type if required for feeding and aspiration.

Clinical excellence

Use of a silicone PEG feeding tube was associated with a higher 28 day complication rate (19/57) compared to a polyurethane PEG catheter (9/51). This finding is of particular relevance when PEG feeding is used for a 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:

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

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 Pro 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 12 - 14 - 16 - 20 FR PEG tube
35 cm polyurethane PEG tube with proximal cone and fixation loop.

Safety puncture cannula
10 cm cannula used to penetrate the abdominal wall with safety air valve and tip retraction.

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 (PEG Pro 20 FR also comes with funnel option)

Patient support
Each kit includes a patient support brochure, stickers with batch number and patient ID card.
    Freka PEG Pro insertion kit 
Freka intestinal tube
  • 120 cm polyurethane intestinal tube
  • 9 FR for use with Freka PEG Pro 16 FR or 12 FR for use with Freka PEG Pro 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 Pro tube and provides two options:
  • funnel connection for gastric access
  • ENFit connection for gastric access

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

Insertion: Instructional videos

Support materials: Insertion guide and aftercare

Contents
 

  1. Insertion: Freka PEG Pro

  2. Insertion of feeding tube

  3. Removal of feeding tube 

  4. Removal: Freka PEG Pro

  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. Suggestions on rotation and maintenance of Freka PEG tube

Product details

To view the specifications of the Freka PEG Pro and intestinal tube range select a product below:
PEG Pro 12 FR
PEG Pro 14 FR
PEG Pro 16 FR
PEG Pro 20 FR
Intestinal tube 9 FR for PEG Pro 16 FR
Intestinal tube 12 FR for PEG Pro 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.

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

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