Freka Pexact II - Direct puncture Gastrostomy feeding tube

• CH/FR 15
• 21cm shaft length
• ENFit connector
• Gastropexy device with suturing material
• Trocar with peel away sheath
• External diameter: 5.0mm 

• Latex free silicone tube, balloon retained
• Gastropexy device with suturing material, single handed operation
• Trocar with peel away sheath, CH/FR 16
• Suturing material
• Scalpel
• Latex, PVC, DEHP free 
• Balloon with 90 day lifespan 

Long-term intragastric feeding and gastric decompression, especially for patients where a PEG cannot be placed by pull technique such as:

• severe stenosis of the oesophagus 
• oesophageal varices
• oesophageal diverticula
• corrosive burns in the upper gastrointestinal tract 
• tumors in the ENT area - tube placed before surgicsal procedure
• radiotherapy or surgery of the upper gastrointestinal tract 
• previous operations on the mouth or pharynx
• only nasal endoscopy possible 

Contraindications 

Absolute contraindications 

• no transillumination and positive needle aspiration test
• blood-clotting disorders
• severe general wound-healing disorders
• sepsis
• peritonitis
• acute pancreatitis 
• obstructions in the lower gastrointestinal tract 
• tumor infiltration at the puncture site 
• ulceration at pucture site
• visible liver tumor 

Relative contraindictions (to be decided case-by-case)

• immune suppression
• ascites
• peritoneal carcinosis
• peritoneal dialysis (PD) 
• ventriculoperitoneal shunt 
• severe pschoses 
• anorexia nervosa

It is recommended to replace the balloon tube after 90 days. The balloon tube can be replaced by Freka GastroTube or Freka Belly Button.

• For balloon fill volumes please refer to the Instruction for Use (IFU) or the aftercare sheet