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Funnel gastric lumen, ENFit intestinal lumen and gastric decompression ventilation lumen

Originally launched in 1996, Freka Trelumina is the only triple lumen enteral tube available for use in Australia or New Zealand*.

It is a triple lumen, ENFit, transnasal, polyurethane tube suitable for intestinal feeding, gastric decompression and drainage in suitable patients.

Feeding lumen
1.9 mm, 9 FR, 150 cm lumen with ENFit connector. Two lateral openings and one terminal opening.

Gastric aspiration lumen
4.1 mm, 16 FR, 95 cm lumen with funnel connector, for aspiration of gastric fluid. Five lateral inlets.

Gastric decompression ventilation valve
1.2 mm lumen provides automatic pressure regulation. Not compatible with IV or ENFit syringes.

Clinical excellence: Speed of insertion

Freka Trelumina: Key features

Compact in design, Freka Trelumina allows an all-in-one tube for simultaneous feeding and decompression while also having a built in ventilation lumen to automatic enable pressure regulation during suction.

The intestinal tube (9 FR, 150 cm) has a flexible olive at the tube tip to facilitate quick insertion with two lateral openings and one terminal opening to allow feeding. A teflon-coated spiral mandrin (150cm) assists in insertion along with X-ray visibility using a barium sulphate additive in the tube.

The gastric decompression tube (16 FR, 95 cm) has five large lateral inlet holes and the tube is numbered at 10 cm steps and marked at 1 cm steps.

The Freka Trelumina is Latex free, PVC free and DEHP free.

Results for secondary end points of successful placement and problems encountered during clinical use were (n=60):

• Freka Trelumina tube stayed in place longer than the Dobbhoff tube at 37 days vs. 21 days (p = 0.034)
• nursing staff experienced significantly fewer problems with the Freka Trelumina experiencing only 1 problem, vs. 11 problems with the Dobbhoff tube (p < 0.001)

In another recent study (2) using a modified endoscopic Freka Trelumina placement technique, for which 72 patients were enrolled, the average catheterisation time was:

• 4.9 minutes (±1.7) in patients with normal upper digestive tract anatomy
• 6.6 minutes (±1.6) in patients with gastric cancer and pyloric obstruction
• 11.3 minutes (±-2.5) in patients with anastomotic block after gastroenterostomy

Freka Trelumina can be placed quickly saving valuable time in the ICU (1)(2).

In another study (3) investigating ultrasound vs endoscopy guided placement of the Freka Trelumina triple lumen enteral feeding tube in the treatment of acute pancreatitis:

• the average ultrasound guided tube placement for 49 patients was 18.4 minutes (± 12.8)
• the average endoscopy guided tube placement time for 62 patients was 16.5 minutes (± 5.7)

Freka Trelumina provides operator flexibility and can be placed effectively using ultrasound or endoscopic guidance (3).

In summary, the Freka Trelumina triple lumen enteral feeding tube can be placed quickly, saving valuable time in the ICU and allows operator flexibilty to achieve the goal of early enteral nutrition and gastrointestinal decompression.

In a study (1) 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:

• average placement time for Freka Trelumina was 5.5 minutes while the average placement time for the Dobbhoff tube was 11.5 minutes (95% CI for median [11.5, 20.0] minutes vs. [5.5, 7.5] minutes; p < 0.001)

Dobbhoff tube: 11.5 minutes
Freka Trelumina: 5.5 minutes

Insertion kit: Contents

Freka Trelumina 16/9 FR triple lumen enteral tube
150 cm, combined 9 FR gastric and 16 FR intestinal tube.

MCT oil
Two ampoules of MCT oil for lubrication.

Plaster set
For nasal fixation of the Freka Trelumina enteral feeding tube.

MediAdapter
Used to administer the MCT oil into the Freka Trelumina tube.

ENFit syringe
10 mL Freka Connect syringe.

Re-routing catheter
35 cm, 15 FR catheter used for re-routing from oral to nasal.

Insertion: Instructional videos

Support materials: Insertion guide and aftercare

Contents
 

  1. Conventional endoscopic insertion technique

  2. Seldinger insertion technique

  3. Product key features

  4. What's in the insertion kit

  5. MCT oil use

  6. Instructions for use

  7. Associated consumables

Contents
 

  1. Patient and Freka
    ​Trelumina aftercare suggestions

  2. What is Freka Trelumina?

  3. FAQ's

Product details

To view the specifications of the Freka Trelumina click here.

Note: samples are only available to registered healthcare professionals.

If you would like to request a sample of the Freka Trelumina 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

*Trelumina is the only triple lumen enteral tube registered for use in Australia and New Zealand as per tga.govt.au and medsafe.govt.nz, accessed on 8 February 2024.

1. Dieter Schwab, MD, Steffen Mühldorfer, MD, Gerhard Nusko, MD, Martin Radespiel-Tröger, MD, Eckhart G. Hahn, MD, FACP, Richard Strauss, MD. Endoscopic placement os nasojejunal tubes: a randomized, controlled, prospective trial comparing suitability and technical success for two different tubes. Gastrointestinal endoscopy, (2002) volume 56, No. 6.
2. 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.
3. 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.

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

PRODUCT FOCUS: FREKA TRELUMINA (7981834)

Freka Trelumina
Triple lumen transnasal gastric/intestinal tube

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