Delivering Safer Solutions
For the past thirty years, the Kangaroo™ brand has been the name for safe, innovative
nutritional delivery products. Now offering you a complete safety solution with both
engineered controls and a visual indicator to help prevent tubing misconnections,
the Kangaroo brand continues to deliver a best in class portfolio to meet and exceed
healthcare needs across the continuum of care.
Safe
Innovative
Complete
Covidien’s Kangaroo™ enteral
feeding tube ports are designed to
be incompatible with luer lock or IV
connections, reducing the risk of
accidental misconnection or infusion.
All feeding set stepped connectors
have been designed with a larger
tip to help prevent connection to
IV tubes while providing a secure
connection with our feeding tubes.
Additionally, all enteral products
are colored purple to help identify a
nutritional port, not for IV access.
Covidien continues to offer the
market innovative solutions
whether it is a truly programmable
feed and flush feeding pump, an
integrated Salem Sump™ system
that offers feeding, suctioning,
irrigating and medicating, or
being the first to offer a complete
system of engineered controls and
visual indicators to help prevent
misconnections.
Covidien’s Kangaroo™ nutritional
delivery portfolio offers your
facility a complete, safer solution
of enteral feeding pumps and sets,
small bore feeding tubes, large bore
decompression tubes, placement
confirmation devices, a pediatric
feeding system, and long-term
PEG replacement devices.
Safe. Innovative. Complete. Simply, Kangaroo .
™
Feeding Pumps
Adult Feeding Tubes
Safe Enteral Connections
Pediatric Feeding System
Replacement Tubes
Confirmation Device
Decompression Tubes
settings. The consequences of even mild
dehydration can be severe. Covidien’s
enteral pumps address this risk. With
30 years of enteral feeding excellence,
Kangaroo™ enteral feeding pumps offer a
full spectrum of capabilities including fully
programmable feed and flush pumps and
ambulatory pumps for patients on the go,
all on a dependable, easy-to-use platform.
Kangaroo™ Joey and Kangaroo™ ePump
enteral feeding pump key features
• Only enteral feeding pumps on the market capable of
delivering programmable flushing protocol as part of a
feeding regimen
• “Smart Pump Technology” ensures that a set is
properly loaded and all mandatory programming
options are entered
Kangaroo™ Joey
Enteral Feeding Pump
The first hydrating ambulatory enteral
device, the Kangaroo Joey feeding
pump assures clinicians of accurate
and reliable function while providing
patients with freedom and mobility.
• Unique 72 hour history ensures reliability and accuracy
reflecting what has been fed and flushed to a patient
Kangaroo™ ePump
Enteral Feeding Pump
When patients require nutrition
through continuous feeding,
intermittent feeding or feeding and
flushing, the Kangaroo ePump feeding
pump delivers in one compact, easyto-use device.
Covidien offers an interactive in-service
program for the Kangaroo™ line of enteral
Kangaroo Safety Screw Spike Feeding Set
Provides connection to ready-to-hang formula,
and fosters incompatibility with IV ports,
hemodialysis lines, and central venous catheters
™
Anti-Free-Flow Valve
Provides ease of use to nursing
staff and helps reduce waste
Purple Stepped Connector
Redesigned stepped connector
has large tip and fewer steps
to reduce misconnections
feeding pumps. Please consult our website
www.KangarooPumpTraining.com for more
information and a complete product overview.
Safe Enteral Connections
Feeding Pumps
Feeding Pumps
Dehydration is a serious risk across all
Feeding Pumps
Adult Feeding Tubes
In April of 2006, JCAHO issued a Sentinel
Event Alert titled “Tubing misconnections–a
persistent and potentially deadly occurrence”1.
The alert cited several misconnections specific
to Nasogastric feeding tubes, including
infusions intended for IV administration
Kangaroo™
connection to an intravenous catheter, and an
Nasogastric Feeding Tubes
enteral feeding set connection to a dialysis
Covidien offers a full portfolio of weighted polyurethane
feeding tubes for Nasogastric and Nasoduodenal feeding
designed with a safety engineered feeding port and a visual
indicator to help reduce the risk of tubing misconnections.
All of Covidien’s weighted adult feeding tubes are
constructed of DEHP-Free radiopaque polyurethane material
that is MRI conditional once the stylet is removed.
catheter. In response, Covidien now offers a full
line of Nasogastric feeding tubes with safety
engineered feeding ports and a visual indicator,
to help reduce the risk of tubing misconnections.
Kangaroo™
Adult Feeding Tubes
connected to NG tubes, an enteral feeding set
Kangaroo™
Nasojejunal Feeding and Gastric Decompression Tube
Kangaroo Endo-Tube Feeding Tube
This feeding tube provides gastric decompression while
simultaneously providing jejunal feeding, which can be
helpful for patients with short bowel syndrome. The tube is
constructed of DEHP-Free radiopaque polyurethane material
that is MRI conditional once the stylet is removed. The jejunal
tube can be retracted within the gastric portion of the tube.
This tube is designed for precise placement in the small
bowel using either endoscopy and/or fluoroscopy. The
tube has a unique hollow weighted tip allowing the tube
to be inserted over the guidewire and is constructed of
radiopaque polyurethane material that is MRI conditional
once the stylet is removed.
1
Sentinel Event Alert, Joint Commission on Accreditation
of Healthcare Organizations, Issue 36, April 3, 2006.
Safe Enteral Connections
Pediatric Feeding System
Kangaroo™
Adult Feeding Tubes
Extension Set
Extension sets are offered in 10", 35" and 60"
lengths with both offering a bifurcated option.
The bifurcated set provides a second port for
irrigation and medication delivery, without
having to disconnect the extension set.
Pediatric Feeding System
Monoject™
Oral Syringes
Monoject™ purple oral syringes offered
in 1 mL, 3 mL, 6 mL, 10 mL, 12 mL, 35 mL
and 60 mL.
Covidien’s Pediatric Feeding System offers
both engineered safety controls and a visual
indicator to help reduce tubing misconnections.
The feeding ports on the feeding tubes and
Kangaroo™
Nasogastric Enteral Feeding Tubes
Tubes are constructed of DEHP-free polyurethane or
PVC with a purple radiopaque stripe and centimeter
markings (every centimeter from 5–25 cm) to assist
in tube placement. Additionally, feeding ports are
designed to be incompatible with luer lock syringes,
reducing the risk of accidental misconnection.
extension sets are designed to be incompatible
with luer lock or IV connections, reducing the
risk of an accidental misconnection or infusion.
The stepped connector on the extension set has
been enlarged to help prevent misconnections
to IV tubes while still providing a secure fit with
our feeding tubes. Lastly, Covidien’s feeding
system has been color coded purple to indicate a
nutritional port, not for IV access.
Safe Enteral Connections
Decompression Tubes
Kangaroo™
Feed
Multi Function Access Port
Universal feeding adapter
is designed to attach
securely when used with
Kangaroo™ pump sets
The Kangaroo multi function access port is the first allin-one enteral system that allows for feeding, suctioning,
irrigating and medicating all through one closed port.
With a sleek and ergonomic design, it allows clinicians
an easy, one-handed technique and ensures that patients
can shift positions without discomfort.
Medicate
Medication/irrigation port has
a one-way “duck bill” valve
Pediatric Feeding System
Irrigate
Integral anti-reflux valve
prevents stomach wall
invagination during suction
and accepts catheter tip
syringe for air or fluid irrigation
Suction
Universal suction adapter
connects to all standard
suction tubing
Decompression Tubes
Feed. Medicate. Irrigate. Suction.
The purpose of a stomach tube is to drain
stomach contents without damaging the gastric
mucosa. A single lumen (Levin Tube) may
cause the tube to adhere to the mucosal surface
causing irritation, ulcers and mucosal damage.
Covidien offers a full line of dual lumen Salem
Salem Sump™
Stomach Tube with Anti-Reflux Valve
The Salem Sump™ anti-reflux valve allows atmospheric air to enter the vent
lumen while preventing gastric fluids from exiting, all without changing protocol
for use of the Salem Sump tube. Clinical studies indicate that use of the Salem Sump
anti-reflux valve reduces gastric reflux.
Sump tubes with the second lumen acting as an
• NEW centimeter markings allow the clinician to easily determine tube depth during placement
air vent, allowing air to continually irrigate the
• Allows for more accurate confirmation of final placement to assist in tube maintenance
distal tip of the tube, reducing the likelihood
• Can reduce patient care costs
of the complications mentioned above.
• Reduced potential of contamination of wound dressings, tubing, catheters and nursing staff
Additionally, Covidien offers an Anti-Reflux
• Nurses spend less time cleaning spills, leaving more time for clinical care responsibilities
Valve allowing for visualization of reflux in
• Patient discomfort and embarrassment are decreased
the vent lumen while preventing contaminated
gastric content from exiting.
Safe Enteral Connections
Safe Placement Device
When placing a Nasogastric feeding or
decompression tube, inadvertent tracheal
placement could lead to a pneumothorax,
bronchopleural fistula, pneumonitis,
or pneumonia. Covidien’s CO2nfirm
Now™ CO2 detector provides an effective
assessment tool to assist in confirming
correct esophageal tube placement—
immediately, safely and reliably helping to
prevent inadvertent tracheal placement.
CO2nfirm Now™
Feeding Tube Placement Confirmation Device
Only the CO2nfirm Now™ device displays an easy-to-detect change
in color from purple to yellow within seconds when the presence
of CO2 is detected. Particularly appropriate for high-risk patients
who may be intubated, unconscious or mentally impaired, the
CO2nfirm Now™ detector ensures that there is no waiting time,
no need for a second x-ray and no more guesswork for proper
gastric tube placement.
Proprietary Colorimetric Paper Technology & Design
• Detects presence of CO2 within seconds
• Reduces unnecessary waiting time and minimizes the number
of X-rays needed for procedure
• Ends the guesswork about proper gastric tube placement
• Easily attaches to either a bellows or syringe
• Requires no change in insertion technique
• Universally adapts to all feeding and NG tubes
Convenient Bellows Device
• Clears mucus and obstructions from distal tip
• Prevents exhaled CO2 from entering tube prematurely
Decompression Tubes
• Facilitates proper airflow for quickest results
The CO2 Safety Zone
The CO2 safety zone is the point at which the presence of CO2 or lack thereof at the distal tip of a gastric tube
can be safely identified prior to causing damage to the lung, if accidental tracheal cannulation has occurred. For
an adult NG tube, this is typically at 30 – 35 cm. For adult OG tube placement, this is typically at 20 – 25 cm.
Tube in trachea
www.covidien.com/CO2nfirmNow
Safe Enteral Connections
Safe Placement Device
Tube in esophagus
Replacement Tubes & Stoma Care
A main concern with a Gastrostomy
placement is tissue granulation at the stoma
site, causing skin trauma/irritation and
patient discomfort. Covidien’s Kangaroo™
replacement tubes have a unique “raised
feet” design which allows air and moisture
to circulate promoting a healthier stoma site
and less irritation. Additionally, Covidien
offers an AMD Fenestrated foam that can
Safe Placement Device
be used to effectively kill yeast and fungi.
Kangaroo™
Balloon Skin Level Devices
Covidien’s Kangaroo™ skin level devices are constructed
of 100% silicone material for maximum patient comfort
and durability. The device has a unique “raised feet”
design which allows air and moisture to circulate
promoting a healthy stoma site and less skin irritation.
Additionally, the device offers 4x longer balloon life
versus competitive skin level balloon devices, allowing
for fewer unnecessary tube replacements.
Kangaroo™
Kendall™
Gastrointestinal Tubes
AMD Fenestrated Foam
Covidien’s Kangaroo™ gastrostomy tubes are constructed
with medical-grade silicone tubing for durability and
longevity. The device has a unique “raised feet” design
which allows air and moisture to circulate promoting a
healthy stoma site and less skin irritation. Additionally,
the tube is designed with a replaceable Y-Port for easy
replacement without needing to replace the entire tube
should the port become stretched.
The AMD fenestrated disc dressing is simple, effective
and kills microbes such as yeast, fungi, MRSA and VRE.
AMD dressings act as a barrier to help prevent microbial
penetration through the dressings and resist microbial
colonization within the dressings. AMD products do not
require any activation; this is important to nurses as the
only action required on their part is to simply apply the
dressing to promote a microbial barrier.
Stoma Tubes and Care
Safe Enteral Connections
Safe Enteral Connections
In a 2006 sentinel alert, JCAHO identified tubing misconnections as “a persistent and
potentially deadly occurrence.”1 Clinicians agree that a non-IV, non-luer enteral connection
is important in a safe connection system. In 2007, a US survey confirmed that clinicians accept
the global purple color standard for designating enteral feeding products.2 The Kangaroo
complete nutritional delivery system provides both engineered controls and a visual indicator
to help prevent tubing misconnections.
Engineered Safety Controls
• Feeding ports are designed to be incompatible with luer lock or IV connections, reducing the risk of accidental
misconnection or infusion.
• Larger stepped connector helps prevent connection to IV tubes and provides a secure fit with feeding tubes.
Y-port connects only with
Medication or Oral Tip Syringes
Incompatible with luer connectors
Visual Indicator
Redesigned stepped connector has a
larger tip and fewer steps to reduce
misconnections
• Purple color indicates nutritional port — not for IV access.
www.covidien.com/SafeEnteralConnections
www.covidien.com/co2nfirmNow
www.KangarooPumpTraining.com
1
Sentinel Event Alert, Joint Commission on Accreditation of Healthcare Organizations, Issue 36, April 3, 2006.
2
Data on file.
Background photos credit: Thinkstock
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are U.S. and internationally registered trademarks of Covidien AG
Other brands are trademarks of a Covidien company.
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