Kokoelma: Rest of the pricelist

• IMPROVED - Longer Length. 
• This set connects bilateral chest tubes to a single vacuum source.
• Luers allow easy disconnect and reconnect.
• Bubble tubing can be cut to accommodate various underwater seal sets. 
• Works well with Item #175420 and #175425 (Chest Tube Adapter with Stopcock).

• The leak proof adapter is assembled to include a three-way stopcock; clamp; and barbed adapter for 18-34Fr tubes.
• Fits most flare end chest tubes.
• Can be used with a variety of patient tubes such as drains and nasogastric.

• Very Kink Resistant.
• Radiopaque, single lumen, open-end with multiple side holes.
• Use for drainage of air or fluid.
• Surgically placed or use Kelly clamp.
• Includes clamp, barbed adapter or stopcock.

• Continuous gentle suction.
• 360° spinning luer lock adapter for secure attachment to MILA Guidewire Chest Tube.  Resists twisting and kinking of the catheter during movement. 
• Avoids acccidental unscrewing.
• Add barbed adapter (Item #2350) for flared chest tube.
• Volume marking provides easy measurement.
• Internal anti-reflux valve to help prevent backflow of fluid to the patient.

Use this one-stage esophageal balloon dilation feeding tube for palliative management of benign esophageal stricture and for feeding of cats and dogs.  This is an effective, single-procedure alternative to repeated expensive balloon dilations and incorporates the esophageal feeding tube.

DESIGN:  The E-tube has a double balloon surrounding the tube.  A compliant outer balloon covers a non-compliant inner balloon for optimal, low profile, long term, routine at home dilation of strictures.

• BE-tube is clear, non-irritating polyurethane ideal for long term use.
• Lateral ports minimize catheter occlusion.
• Radiopaque line for x-ray visualization aids exact placement.
• Latex free.
  
• Accessory kit contains 2 Hydrophilic Nitinol wires with steerable tip - .035in x 80cm and .035in x 150cm, a Centesis Valve (#175450NB) and a stopcock (#2405).
• Items needed for placement and operation of the BE-Tube are the accessory kit (#BE-ACC), peel-away introducer, and the inflation device (#BE-BIG60)

Antegrade Technique (Tube Passer for Esophageal Feeding Tube Placement)

Designed to facilitate placement of E-Tubes and reduce the risk of bleeding and subsequent skin infections.
It is available in three sizes and is compatible with all E-Tubes as well as Esophageal Balloon Dilation Feeding Tubes used for management of esophageal strictures.

INSTRUCTONS FOR USE USING BALLOON DILATOR PDF

BIG60 Instructions

Instructions for Feeding Tube Passer 

MILA Esophageal Balloon Dilation Feeding Tube Video

 BE Tube Inflation Demo Video

MILA Esophagastomy Tube Placement with Tube Passer

Pet Owner Instructions for Use Video

Esophagostomy Feeding Tube Tunneler 

Retrograde tunneling (easier and faster)

• Greatly improves your ability to easily, safely and quickly position the MILA length adjustable Esophagostomy Feeding Tubes.
• This technique allows the distal tip of the catheter to be manually passed through the mouth into the esophagus. 
• The proximal end of the tube is pulled through the neck with the tunneler. 
• Trim length and replace hub. 
• Designed to be used with Esophagostomy tubes (Item Numbers:  E1030, E1430, E1450 and E1830). 
• All stainless steel construction which can be reprocessed and reused.

Retrograde E Tube Placement Video

• Mic-Key Low Profile G Feeding Tube has replaced the CUBBY.
• Balloon style cuff which enables insertion and removal without trauma after a stoma is formed.
• Can be easily replaced by the client.
• Kit includes patient care kit with a 6cc & 35cc syringes, right angle feeding set, bolus feeding set and care giver guide.
• Available in 12Fr, 14Fr, 16Fr; 18Fr, 20Fr and 24Fr sizes and lengths of 0.8cm, 1.0cm, 1.2cm, 1.5cm, 2.0cm, 2.3cm, 2.5cm, 2.7cm, 3.0cm, 3.5cm, 4.0cm, 4.5cm and 5.0cm. Length is from the proximal side of the balloon to the skin surface.
• Stoma Measuring Device available - (#M5555).
• Special order item, allow five days for delivery.

• Must be placed through either a 16Fr or 20Fr MILA PEG tube.
• Continuous nutritional support via a jejunostomy tube positioned in duodenum or jejunum.
• Sealed Twoomey adapter permits evacuation of stomach from side port and placement of J-tube through top port.
• GRIP TIP on tube for grasping with endoscope.
• Purple luer locks to indicate for enteral nutritution only.

*For surgically placed J-tubes; refer to Nasogastric Feeding Tubes.

• Radiopaque polyurethane material is non-irritating and stronger than silicone.
• Collapsible bumper to facilitate insertion and removal.  Less traumatic removal than mushroom style.
• Right angle fixation device that holds tube securely.
• Locking Y-adapter for feeding, irrigation, decompression and medication without disconnection.
• In large dogs, suture the disk securely.

• SURGICAL PLACEMENT - Surgical Kit includes 50cm (20in)  PEG tube, right angle fixation device, silicone fixation bar, Y-adapter and clamp.

• ENDOSCOPIC PLACEMENT - Endoscopic Kit includes introducer needle, guidewire with loop, 62.5cm (25in) PEG tube with loop, right angle fixation device, silicone fixation bar, Y-adapter and clamp.

MILA Peg Tube Placement Video

Jejunostomy/Gastrostomy Video

Gastrostomy Video

• Used for lavage of the feline penis and anal gland.
• Stainless steel needle with small atraumatic olive tip.
• Female luer designed to fit any syringe.

• Use for anal sacculectomy.
• Silicone catheter and balloon construction.
• Stiff low profile tip allows catheter to navigate into the anal sac orifice.

Instructions for Use:

The balloon catheter is placed into the anal sac through the anal sac orifice and inflated with 2-3 cc of saline to distend the anal sac making identification and palpation of the gland simple. The protruding catheter allows the surgeon to place gentle traction on the gland during dissection. A 360°  degree skin incision is made around the protruding catheter. Metzenbaum scissors are used to dissect to the level of the anal sac wall. Identification of the wall is made by the grayish to blackish color of the wall in comparison to the red color of external anal sphincter muscle fibers being dissected off of the wall. As the dissection progresses constant traction is placed on the catheter to accentuate and retract the sac. Dissection is continued until the sac is completely free from its surrounding tissue. Any injured fibers of the external anal sphincter muscle are sutured with 3-0 Maxon and the skin closed using a subcuticular suture.

Anal Sacculectomy procedure video 

• Percutaneous cannula-over-needle placement facilitates controlled, minimally invasive catheter introduction.
• For emergency drainage of nephrostomy and abscess drainage.
• Soft, flexible, kink resistant, radiopaque polyurethane catheter.
• Side holes positioned within catheter pigtail for effective drainage.
• Locking string system prevents accidental uncoiling of the pigtail.
• Includes:  Cannula, direct puncture needle, pigtail catheter, collection line, and 600cc collection bag.

• Surgically placed open ended silicone catheter with 20cc balloon; radiopaque stripe; fixation ring; Y-port; and clamp.

• Introduction uses Seldinger wire, followed by peel-away sheath.
• Open ended silicone catheter with 20cc balloon, depth markings and radiopaque stripe.
• 20Fr x 25cm (10in) catheter with Y-port and fixation ring.
• Short catheter tip design reduces gastric mucosa irritation.
• Large funnel Y-port with locking caps.
• Adjustable fixation ring prevents catheter migration.
• Kit includes catheter, catheter-over-needle introducers, guidewire, peel-away sheath with dilator, 12Fr dilator, scalpel, drape, gauze, suture, syringe and clamp.
• Ideal for goats.

The MILA Retropulsion™ Catheter is a Short-Term Canine Urinary Drainage Catheter for sampling and drainage of the bladder in male dogs. The catheter allows for comprehensive retrograde hydropulsion of lodged urethral calculi into the urinary bladder. If clinically required, the catheter allows for rapid easy exchange to a Long-Term Foley using an open ended silicone Foley and guidewire.

• Radiopaque polyurethane catheter with a tapered soft flexible tip designed to be atraumatic and safely pass the urethra into the bladder.  The rigidity/stiffness is a hybrid between polypropylene and red rubber.
• Multiple side holes with end-hole for maximum velocity saline vortex retrograde hydropulsion.
• Blue color catheter ideal for accentuating the urethra during urethrostomy.
• End-hole at the catheter tip allows passage of the guidewire (up to 0.035in) for rapid over the wire catheter exchange.
• Centimeter markings for precise depth placement.
• Luer lock end for easy connection to drainage bag or syringe.

MILA Retropulsion™Urinary Catheters for Male Canine Video

• Guidewire inserted foley catheter for female dogs.
• Open ended foley catheter with balloon cuff.
• Hydrophilic Nitinol guidewire with angled tip.
• Water activated lubricant facilitates wire removal.
• Introducer with depth markings and flexible tip.
• Radiopaque silicone material.
• Kit includes:  Catheter, guidewire, dilator, drape, lubricant, suture, suture wing, female luer lock, christmas tree, gauze and syringe.

Closed Urine Collection Systems Video