Enteral Feeding & Nutritional Supplements

Transcription

1 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:03 AM Page 125 Nutritional Supplements Abbott Nutrition Ensure Powder Reconstituted with water, a complete, balanced nutrition for supplemental use with or between meals. When consumed in appropriate amounts and reconstituted, can be used as a sole source of nutrition. For people on modified diets, elderly people at nutrition risk, patients recovering from illness/surgery or for those who need a low-residue diet. Lactose and gluten-free. For oral or tube feeding. 14 fl oz cans. 8 fl oz ROS00750 Cs6 B4150 Ensure Complete, Balanced Nutrition Complete, balanced supplemental nutrition for use between or with meals. When consumed in appropriate amounts, it can be used as a sole source of nutrition. For people on modified diets, at nutrition risk, experiencing involuntary weight loss, recovering from illness or surgery, or on low-residue diets. Features: An excellent source of 24 essential vitamins and minerals; Low in saturated fat (0.5g/8 fl oz) and low in cholesterol; Carbohydrate to provide energy; Zinc, and vitamins C and E to help maintain the immune system; Calcium, magnesium and vitamin D to help maintain bones and teeth; Antioxidants to help protect cells from damage; Kosher. Lactose and gluten-free. 8 fl oz cans. For supplemental or sole-source nutrition. For oral or tube feeding. 8 fl oz ROS50460 B4150 ROS50462 Chocolate B4150 ROS50648 Strawberry B4150 ROS51738 Coffee B4150 ROS51892 Butter Pecan B4150 Ensure Plus /Ensure Plus HN A great source of concentrated calories, high in protein to help patients gain or maintain a healthy weight. A complete and balanced oral nutritional supplement that can be used with or between meals or, in appropriate amounts, as a meal replacement. For those who have fluid restrictions or require volume-limited feedings. Lactose and gluten-free. Products containing high-nitrogen can be tube fed and are for those with elevated protein needs. For supplemental oral nutrition. 8 fl oz cans. 8 fl oz ROS B4152 ROS50466 Chocolate 355 B4152 ROS50646 Strawberry 355 B4152 ROS51740 Coffee 355 B4152 ROS51894 Butter Pecan 355 B4152 Ensure High Protein Complete, Balanced Nutrition For supplemental use between or with meals. Useful for people who need extra protein and nutrition in their diet. Suitable for use by people recovering from general surgery or hip fractures, and is a good source of nutrition for those who have or are at risk for pressure ulcers. For people who require additional calories, protein, vitamins, and minerals, such as patients recovering from general surgery or hip fractures, patients at risk for pressure ulcers, and people on low-cholesterol diets. Features: Low in saturated fat; Contains 6g of total fat and < 5mg of cholesterol per serving; Rich, creamy taste; Excellent source of protein, calcium, and other essential vitamins and minerals. For low-cholesterol diets. Lactose and gluten-free. For supplemental oral nutrition. 8 fl oz cans. 8 fl oz ROS52098 Chocolate 230 B4150 ROS B4150 ROS52104 Wild Berry B4150 Glucerna 1.0 Cal A reduced carbohydrate, modified fat, fiber-containing formula, designed to enhance blood glucose response in people with abnormal glucose tolerance when used as a nutritional component of therapy in patients prone to elevated blood glucose levels. Provides only 34.3% of total calories as carbohydrate. Unique fat blend, rich in monounsaturated fatty acids, provides the majority of the nonprotein calories. Formulation includes soy fiber to help maintain normal bowel function. For patients with Type 1 and Type 2 diabetes mellitus or with abnormal glucose tolerance resulting from metabolic stress, such as illness, trauma, and infection. Lactose and gluten-free. For tube feeding. 237cal per 8oz. 8 fl oz ROS B4154 Ready-to-Hang, 1000ml ROS51206 Unflavored 237 Cs8 B4154 Glucerna Shake Complete, Balanced Nutrition For People With Diabetes A great tasting oral supplement specifically designed for people with diabetes. Clinically shown to lower blood glucose when used in place of a standard nutritional beverage. Use under medical supervision. For people with diabetes or abnormal glucose tolerance or for anyone who would benefit from a low carbohydrate, modified-fat formula. For supplemental oral nutrition only. Lactose and gluten-free. 8 fl oz cans. 8 fl oz ROS54326 Butter Pecan 220 B4154 ROS B4154 ROS54544 Chocolate 220 B4154 ROS56052 Strawberry 220 B4154 How do you protect your bones? Eat 3 servings of dairy daily Take calcium & vitamin D supplements as prescribed Maintain regular exercise See our expanded line of respiratory products for home use! 125

2 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:03 AM Page 126 F eeding aand nd fl ushing hhave ave ggone one m ob i l e Feeding flushing mobile Kangaroo K angaro r o Joey Joey Enteral Pumps and Pump E nteral FFeeding eeding P ump s a nd P ump Sets Sets w ww.safeenteralconnections.com w ww.covidien.com C OV I D I EN, C OV I D I EN w ith llogo, o g o, C ovidien llogo ogo aand nd ppositive ositive rresults esult s ffor or llife i fe COVIDIEN, COVIDIEN with Covidien are U.S. U.S. and and internationally internationally registered registered trademarks trademark s of of Covidien Covidien AG. AG. Other O ther are brands are are trademarks trademark s of of a Covidien Covidien company. company Covidien. Co v i d i e n. brands U nique aambulatory mbulator y ffeeding eeding aand nd flflushing ushing ccapabilities apabilities Unique W ater aand nd sshock-resistant hock-resistant Water A ttitude iindependent ndependent Attitude Smart Smart pu mp sset et ttechnology echnology pump LLonger onger bbattery atter y llife ife In tuitive ATM-style ATM-st yle eease ase ooff ooperation peration Intuitive FFeeding eeding hhistory istor y uupp ttoo 7722 hours hours DEHP-free pump D EHP-free pu mp ssets ets

3 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:03 AM Page 127 Glucerna 1.5 Cal Glucerna 1.5 Cal is a calorically-dense formula with a unique carbohydrate blend for enhanced glycemic control. For patients with type 1 or type 2 diabetes. 8 fl oz Ready-to-Use, 8 fl. oz. Can ROS B fl oz ROS57333 Unflavored 355 B4152 Jevity 1cal An isotonic, fiber-fortified, high-nitrogen liquid formula providing complete, balanced nutrition for patients requiring short or long-term tube feeding. The fiber level helps patients maintain normal bowel function. Because it is isotonic, it reduces the potential for hyperosmotic diarrhea. For patients requiring acute-care or chronic tube feedings or for patients intolerant to low-residue feedings. Lactose and glucosefree. For tube feeding(should be used at room temperature). Jevity 1.5cal A high-protein, fiber-fortified liquid formula providing complete balanced nutrition for patients who may benefit from an increase in protein and caloric density. Contains a patented blend of soluble and insoluble fiber and fructooligosaccharides (FOS) to help moderate bowel function. For patients requiring acute-care tube feedings, chronic tube feeds or intolerant to low residue tube feedings. Lactose and gluten-free. For tube feeding (should be used at room temperature). 8 fl oz cans. Ketonex - 2 Amino Acid Modified Medical Food Branched-chain amino acid-free to allow greater intake of protein. Powder supplemented with L-carnitine (200 mg/100 g) and taurine (50 mg/ 100 g) to help supply amounts normally found in foods of animal origin. Provides approximately 30% of energy as fat to help supply essential fatty acids. Nutrient profile specifically designed for children and adults. 100g powder ROS51114 Unflavored 410 Cs6 B4157 Calories Ready-to-Use 8 fl. oz. Can ROS00143 Unflavored B4150 Ready-to-Hang, 1000ml ROS00682 Unflavored 1060 Cs8 B4150 Jevity 1.2cal A high-nitrogen, fiber-fortified liquid formula providing complete, balanced nutrition for patients who may benefit from a moderate increase in protein and caloric density. Contains a patented blend of soluble and insoluble fiber and fructooligosaccharides (FOS) to help moderate bowel function. For patients requiring 1200 or more calories per day, acute-care tube feedings, chronic tube feedings or for patients sensitive to hyperosmolar tube feedings or intolerant to low residue tube feedings. Lactose and gluten-free. For tube feeding (should be used at room temperature). Unflavored. Calories Ready-to-Use, 8 fl. oz. Cans ROS53118 Unflavored 285 B4150 Ready-to-Hang, 1000ml ROS53124 Unflavored 1200 Cs8 B4150 Pre-Filled Container, 1500ml ROS53114 Unflavored 1800 Cs6 B4150 Osteoporosis Osteoporosis is a disease that weakens bones, increasing the risk of sudden and unexpected fractures. Literally meaning porous bone, it results in an increased loss of bone mass and strength. The disease often progresses without any symptoms or pain. Nepro with Carb Steady Therapeutic nutrition specifically designed to help meet the needs and altered metabolism of patients on dialysis (Stage 5 kidney disease). New "Carb Steady" carbohydrate blend contains ingredients clinically shown to help manage blood glucose response. For tube or oral feeding. For supplemental or sole-source nutrition. Not for parenteral use. 8 fl. oz. ROS53624 Homemade 425 Ea, B4154 ROS53627 Butter Pecan 425 Ea, B4154 Osmolite 1cal A tube-feeding formula for patients with caloric requirements of less than 2000cal per day or for patients with increased protein requirements. For tube feeding and for supplemental or sole-source nutrition. May be used for oral feeding of patients with altered taste perception. Provides protein to help support lean body mass and wound healing. Meets or exceeds 100% of the DVs for 24 essential vitamins and minerals in 1400cal (1321ml). Low-residue, isotonic formula for those intolerant of hyperosmolar feedings. Lactose and gluten-free. Kosher. Contains milk and soy ingredients. 8 fl oz Ready to Use, 8 fl. oz. Cans ROS00735 Unflavored B4150 Bathroom safety products help reduce the likelihood of a bathroom fall. 127

4 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:03 AM Page 128 Osmolite 1.2cal A complete, balanced, high-protein, low-residue formula for tube-fed patients who may benefit from increased protein and calories. For tube feeding or for supplemental or sole-source nutrition. May be used for oral feeding of patients with altered taste perception. Concentrated calories (1.2cal/ml) and high in protein (18.5% of cal) to help people gain and maintain healthy weight. Protein is needed for lean body tissue maintenance and repair. Meets or exceeds 100% of the DVs for 24 essential vitamins and minerals in 1200cal (1 liter). Lactose and gluten-free. Kosher. Contains milk and soy ingredients. 8 fl oz ROS53120 Unflavored 285 CS24 B4150 Osmolite 1.5 Cal A source of complete balanced nutrition and a low-residue formula for tube-fed patients with increased calorie and protein needs, or for those with limited volume tolerance. High in calories (1.5 Cal/ml) and protein (62.7 g/l) to help patients gain and maintain healthy weight. Meets or exceeds 100% of the RDI for 24 essential vitamins and minerals in 1500 Cal (1 liter). Fat blend includes MCT oil. Patients with fat malabsorption may benefit from consuming a formula that contains MCT oil. Fortified with ultratrace minerals and conditionally essential nutrients-important ingredients for the tube-fed patient. 8 fl oz. ROS57469 Unflavored 355 B4152 Optimental A ready-to-feed elemental formula containing a specialized protein system, structured lipids, fructooligosaccharides (FOS), and elevated levels of antioxidants. It is scientifically designed for the dietary management of patients with malabsorptive conditions, such as Crohn s disease, short-bowel disease, metabolic stress, and acute trauma. Features: Complete, balanced nutrition. For sole-source or supplemental nutrition; Supplemented with L-arginine; Low residue; FOS to help support digestive tract health. Lactose and gluten-free. 8oz cans. 8 fl oz ROS B4153 Pulmocare A high-calorie, low-carbohydrate liquid formula designed to help reduce carbon dioxide production, thereby minimizing CO 2 retention resulting from chronic obstructive pulmonary disease (COPD), cystic fibrosis or respiratory failure. Appropriate for ambulatory or ventilator-dependent patients. For supplemental or sole-source nutrition. Lactose-free and gluten-free. For oral or tube feeding. Calories Ready-to-Hang, 1000ml ROS /1000 ml Cs8 B4154 Ready-to-Use, 8 fl. oz. Can ROS /8 oz B4154 Polycose Glucose Polymers An easily digestible source of carbohydrate calories for use when additional calories are required. Mixes easily with regular foods and beverages to provide extra calories for persons with increased caloric needs or for those whose normal diet does not meet their needs. May be used indefinitely as an enteral carbohydrate supplement. Not intended to be used as a sole-source nutritional product. Rapid absorption (peak glucose response in 30 minutes). Minimal sweetness to enhance patient acceptance. Lactose and gluten-free. 12.3oz cans. 100g Powder ROS00746 Unflavored 380 Ea,Cs6 B4155 Perative A ready-to-feed enteral product designed for use in the nutritional management of metabolically stressed patients with injuries such as multiple fractures, wounds, burns, decubitus ulcers, surgery, and the associated conditions of hypermetabolism and susceptibility to sepsis. Lactose and gluten-free. For tube feeding. 8 fl oz cans. 8 fl oz ROS50628 Unflavored 308 B4153 Propimex -2 Amino Acid-Modified medical food. Nutrition support of children and adults with propionic or methylmalonic acidemia. Methionine-and valine-free to allow greater intake of protein; low in isoleucine and threonine. Powder fortified with L-carnitine (1800mg/100g) to help supply amount normally found in food of animal origin and to help excrete toxic metabolites. Powder supplemented with taurine (50mg/100g) to help supply amount normally found in foods of animal origin. Provides approximately 30% of energy as fat to help supply essential fatty acids. Nutrient profile specifically designed for children and adults. 100g ROS51134 Unflavored 410 Cs6 B4157 Promote A high-protein liquid formula for patients who may have increased protein needs relative to their estimated caloric requirements. Ideal for patients with low caloric needs and those at risk for protein-energy malnutrition or pressure ulcers. Lactose and gluten-free. For supplemental or solesource nutrition. For oral or tube feeding. 8 fl oz cans. 8 fl oz ROS B Please call us if your patient would like to sample Invacare brand Incontinence care products!

5 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:03 AM Page 129 Promote with Fiber A complete, balanced, very-high-protein, and fiber-fortified liquid formula for patients who need a higher proportion of calories from protein. It is ideal for patients with low caloric needs and those at risk for protein-energy malnutrition or pressure ulcers. Lactose and gluten-free. For supplemental or sole-source nutrition. For oral or tube feeding. Calories Ready to Hang, 1000ml ROS /1000 ml Cs8 B4150 Ready to Use, 8 fl. oz. Cans ROS /8 oz B4150 Phenex -2 Amino acid-modified medical food. Phenylalanine-free to allow greater intake of intact protein. Fortified with L-tyrosine, an essential amino acid that is often deficient in patients with PKU. Powder supplemented L-carnitine (40mg/100g) and taurine (50mg/100g) to help supply amounts normally found in foods of animal origin. Provides approximately 30% of energy as fat to help supply essential fatty acids. Nutrient profile specifically designed for children and adults. 100g ROS51122 Unflavored 425 Ea,Cs6 B4157 or B4162 Suplena with Carb Steady A low-protein, therapeutic nutrition designed specifically for patients with reduced kidney function. New "Carb Steady" carbohydrate blend contains ingredients clinically shown to help manage blood-glucose response. For tube or oral feeding. For supplemental or sole-source nutrition. Not for parenteral use. Low in protein (10% of total calories). Low in phosphorus and sodium. High in vitamin B6 and folic acid. Abbott - Pediatric Nutritionals EleCare ELECARE is a nutritionally complete elemental formula specifically indicated for infants and children who need an amino acid-based medical food or who cannot tolerate intact or hydrolyzed protein. ELECARE is indicated for the dietary management of protein maldigestion, malabsorption, severe food allergies, short-bowel syndrome, eosinophilic GI disorders, GI-tract impairment, or other conditions in which an amino acid-based diet is required. For oral or tube feeding. Not for parenteral use oz (400-g) can (powder measuring scoop enclosed). 100g For both infants and children ROS54665 Unflavored 475 Cs6 For children age 1 year and older ROS Cs6 Pedialyte Oral Electrolyte Maintenance Solution To quickly replace fluids and electrolytes lost during diarrhea and vomiting to help prevent dehydration in infants and children; for maintenance of water and electrolytes following corrective parenteral therapy for diarrhea. Pedialyte is designed to promote fluid absorption more effectively than common household beverages. Used to encourage compliance in children 1 year of age and older. Ready To Use No mixing or dilution necessary. Product information and values are subject to change. Please refer to product label or packaging for the most current information. 1 Liter Liquid, 1 Liter (33.8 fl oz) Plastic Bottles ROS00336 Unflavored 100 Cs8 B4103 ROS00365 Fruit 100 Cs8 B fl oz ROS53636 Homemade 425 Ea, B4150 TwoCal HN Nutritionally complete, high-nitrogen, high calorie liquid formula designed to meet the increased protein and calorie needs of patients with severe fluid restrictions or for those with limited volume tolerance. Ideal for medication pass programs. Contains FOS. Lactose and gluten-free. For supplemental or sole-source nutrition. For oral or tube feeding. 8 fl oz cans. PediaSure With Fiber Enteral Formula - Complete, Balanced Nutrition A nutritionally complete, balanced formula especially designed for tube feeding children 1 to 13 years of age. May be used as the sole source of nutrition or as a supplement. Meets or exceeds 100% of the Dietary Reference Intakes (DRIs) for children 1 to 8 years of age in 1000ml, and for children 9 to 13 years of age in 1500ml. PediaSure Enteral Formula with Fiber contains a patented blend of soluble and insoluble fibers and fructooligosaccharides (FOS) at a level that is well tolerated by children. For supplemental or solesource nutrition. NOT for children with galactosemia. 8 fl oz cans. Note: Use under medical supervision. Not intended for infants under 1 year of age unless specified by a physician. For tube or oral feeding. 8 fl oz ROS B4152 ROS54064 Butter Pecan 475 B fl oz Type of Usage ROS Tube B4160 ROS Oral Ea, B4160 Hundreds of New Items have been added to our line check them out! 129

6 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:03 AM Page 130 Pediasure Enteral Formula Complete, Balanced Nutrition Designed to provide a source of complete, balanced nutrition for children 1 to 10 years of age, it is ideal for children whose nutrient needs are increased or who may be undernourished due to illness or poor appetite. Has been shown to support catch-up growth in children with failure-to-thrive and is well tolerated. The fiber level in PediaSure With Fiber helps maintain normal bowel function. For supplemental or sole-source nutrition. 8 fl oz cans. NOT for children with galactosemia. Vital Jr. A semi-elemental formula for the nutritional needs of children 1-13 years with malabsorption, maldigestion, and other GI conditions when hydrolyzed protein is indicated. Vital Jr. enhances macronutrient delivery through Macro 3 for Tolerance. For oral or tube feeding. For supplemental or sole-source nutrition. Not intended for infants under 1 year of age unless specified by physician.. 8 fl oz Type of Usage ROS Tube B4160 ROS51880 Strawberry 237 Oral B4160 ROS51882 Chocolate 237 Oral B4160 ROS51884 Banana Cream 237 Oral B4160 ROS Oral B4160 RCF Ross Carbohydrate Free Soy Formula Base With Iron Excellent use for persons who are unable to tolerate the type or amount of carbohydrate in milk or infant formulas; or seizure disorders requiring a ketogenic diet. Carbohydrate-free to allow physician to prescribe type and amount of carbohydrate (that can be tolerated) with the assurance that other nutrient needs will be met. Soy protein isolate to avoid symptoms of cow s-milk-protein allergy or sensitivity. 100ml Concentrated Liquid ROS00108 Unflavored 13fl oz (384ml) 81 Cs12 B4155 Similac NeoSure Advance Infant Formula with Iron A special formula for conditions such as prematurity. Features higher levels of protein, vitamins, and minerals per 100 calories than standard term formula and more calcium and phosphorus than standard term formula. Contains DHA (docosahexaenoic acid) and ARA (arachidonic acid), special nutrients found in breast milk. Use only under the supervision of a physician. Calories / fl. oz. Powder ROS Cs6 B4160 Similac Alimentum Hypoallergenic; contains a predigested protein to virtually eliminate allergic reactions in most babies who are allergic to cow's milk protein. Hydrolyzed casein supplemented with free amino acids for infants who are sensitive to or unable to digest intact protein. DHA and ARA to help support brain and eye development. Fast colic relief - starts reducing colic symptoms due to protein sensitivity in 24 hours in most infants. fl oz. ROS57508 Unflavored 20 Powder ROS Cs6 Ready-to-Feed ROS Cs6 8 fl oz. ROS B4150 ROS56391 Strawberry 237 B4150 American Institutional Products Thick & Easy Instant Food Thickener For those with dysphagia (impaired swallowing), creating the proper consistency of pureed foods and liquids is crucial. Makes pureed foods more appetizing and palatable by adding texture, thickness and height; quickly and easily turns applesauce texture into mashed potato texture without changing the taste. Leaves no aftertaste. Just a few teaspoons of thickener needed per meal. Size AIN oz Ea,Cs12 Global Unlimited Mead Johnson ProCel Protein Supplement 10oz Can less crystals dissolve instantly in full range of foods and liquids. Contains essential amino acids and is low in lactose. One scoop contains 5.3 grams of protein and 28 calories. 1,204 calories and 43 scoops per 10oz can. Size GBLGH80 10oz Ea,Cs6 B4155 Enfamil Pregestimil Lipil Pregestimil Lipil is an iron-fortified, lactosefree, sucrose-free, hypoallergenic infant formula with 55% of the fat from MCT oil. The unique formulation of Pregestimil is designed for feeding babies with diseases or disorders that make it difficult for them to absorb the fat blend in most other formulas. 100g MEJ Ea, Cs6 130 Do you have patients who suffer from pain? Help them live more comfortably. See our Pain Management Section.

7 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:03 AM Page 131 Portagen Portagen is a milk-protein based powder with medium- chain tryglycerides (MCT) for children and adults. Indications: defects in the intraluminal hydrolysis of fat (decreased pancreatic lipase, decreased bile salts); defective mucosal fat absorption ( decreased mucosal permeability, decreased absorptive surface); and or defective lymphatic transport of fat (ie, intestinal lymphatic obstruction). Nutramigen with Enflora LGG Nutramigen with Enflora LGG is a hypoallergenic formula for infants who are allergic to the intact protein found in milk-based and soy-based formulas. Nutramigen with Enflora LGG is the first and only hypoallergenic formula to feature a dual mechanism of action. Nutramigen with Enflora LGG contains extensively hydrolyzed protein to avoid an immune system response, and the probiotic LGG to support healthy and normal functioning of the GI tract. MEJ fl. oz. 20 Size 12.6oz powder Ea,Cs6 MEJ MEJ MEJ Size 16oz. Ea,Cs6 B4158 Cs12 Cs6 Nutramigen A hypoallergenic formula for infants who are sensitive to intact protein found in milk-based and soy-based formulas. Contains extensively hydrolyzed protein proven effective for colic due to cow's milk allergy. The formula includes docosahexaenoic acid (DHA) and arachidonic acid (ARA), nutrients also found in breast milk that promote brain and eye development. Iron fortified, lactose-free, sucrose-free. Enfamil EnfaCare Lipil Enfamil EnfaCare is designed with extra amounts of important nutrients for the nutritional management of infants born prematurely or low birth weight. It is typically used for infants from approximately 1800 grams in weight and can be used through the first year of life. fl. oz g 470 MEJ Size 12.8 oz. powder Cs6 2fl oz. powder Cs48 32 fl oz. RTU can Cs6 B4160 B4160 B4160 MEJ MEJ fl. oz Size 13 fl. oz. can 32 fl. oz. can Nestle Nutritional Crucial Promotes absorption and tolerance in critically ill patients with GI-Dysfunction. Immune support of critically ill patients. High protein to help support the body's demand during severe stress. Supplemental arginine and omega-3 fatty acids to help support immune function. Peptide-based protein and 50% of fat as MCT to help promote absorption and tolerance. Elevated levels of antioxidants, vitamins, and minerals associated with wound healing and tissue repair. Enfamil AR Lipil Enfamil A.R. is clinically proven to reduce frequent spit up by over 40%.* It is a nutritionally balanced, milk-based infant formula thickened with added rice starch. It has a nutrient profile similar to routine infant formula and includes docosahexaenoic acid (DHA) and arachidonic acid (ARA), nutrients also found in breast milk, that promote brain and eye development. Enfamil A.R. LIPIL is designed for babies who spit up frequently. ml 375 Unflavored B4153 ml Cans MEJ MEJ fl. oz Size 12.9 oz powder 32 fl oz. RTU can Cs6 Cs6 NES B4158 B4158 Enfamil Premium Enfamil PREMIUM includes Natural Defense Dual Prebiotics and is a milk-based, iron-fortified formula for full-term infants. Enfamil PREMIUM offers proven* clinical outcomes in 3 key areas: growth, brain and eye, and immune system development. MEJ MEJ fl. oz. Size oz. Ea,Cs6 20 Pwdr 25.7 oz. can w/iron Cs6 B4158 B4158 Nutren 1.0 NUTREN 1.0 complete liquid nutrition can be used for complete or supplemental nutrition support. NUTREN 1.0 Diet is an ideal short- or long-term tube feeding for patients with normal protein and calorie needs. NES ml Style Regular Fiber B4150 ml Cans NES Regular blood testing helps keep diabetes in control. See the Diabetic section for the widest array of products. B

8 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 132 Nutren 1.5 Complete high-calorie liquid nutrition. Nutritionally balanced high-calorie tube feeding high-calorie for increased energy requirements and/or restricted fluid volume. Balanced nutrient profile for short- or long-term tube feeding. Moderate osmolality to facilitate tolerance. 50% MCT to decrease potential for fat malabsorption. ml NES B4152 Nutren 2.0 Complete calorically dense liquid nutrition. Nutritionally balanced calorically dense tube feeding. Very high-calorie formula for increased energy requirements and/or severely restricted fluid volume. Balanced nutrient profile for shortor long-term tube feeding. 75% MCT to decrease potential for fat malabsorption. ml NES B4152 Replete Complete High Protein Liquid Nutrition Replete Diet is formulated to meet the nutritional requirements to support healing and protein repletion. Ready-touse ml cans require no mixing or diluting. Lactose-free, gluten-free, cholesterol free, low-residue, kosher. Style ml NES Regular B4150 NES Fiber B4150 Glytrol GLYTROL complete nutrition support with PREBIO1 for patients with Hyperglycemia is a balanced nutritional formula based on the dietary guidelines of the American Diabetes Association for patients requiring blood glucose control. Its unique carbohydrate blend includes amylose starch and a mixture of soluble and insoluble fibers. It also contains PREBIO1, a prebiotic fiber blend that helps promote a healthy gut microflora. MCT constitutes approximately 20% of the fat source, with the remainder as high-oleic safflower oil and canola oil to provide a diet rich in MUFA. GLYTROL is available in the ULTRAPAK Enteral Closed System, a prefilled, closed system designed to reduce set-up time, minimize the potential for bacterial contamination, decrease waste and provide the flexibility of a hang time of up to 48 hours. ml NES B4154 NES Unflavored Cs6 B4154 NES Unflavored Cs4 B4154 Peptamen / Peptamen Oral Developed specifically for the dietary management of those with impaired gastrointestinal function, PEPTAMEN is ideal for those who require complete or supplemental nutritional support. PEPTAMEN is formulated for the dietary management of patients with short-bowel syndrome, inflammatory bowel disease, malabsorption syndromes, pancreatic insufficiency, chronic diarrhea, radiation enteritis and delayed gastric emptying. ml NES B4153 NES Unflavored B4153 Peptamen AF PEPTAMEN AF is a moderately high calorie, very high protein, 100% whey, enzymatically hydrolyzed, complete elemental medical food for GI compromised patients. Featuring a balanced peptide profile, a comprehensive antioxidant system and lipid and fiber blends, PEPTAMEN AF is designed to meet the needs of the highly stressed individual where oxidative stress, inflammation and feeding intolerance are prevalent. PEPTAMEN AF contains no supplemental arginine and is a formula option for critically ill patients in which high arginine products may not be desirable. PEPTAMEN AF is available unflavored in ml cans and in a 1000ml ULTRAPAK Enteral Closed System, a non-air dependent closed system shown to reduce set-up time, minimize the potential for bacterial contamination, decrease waste and provide the flexibility of a hang time of up to 48 hours. ml NES Unflavored 300 B4153 Ultrapak Spikeright NES Unflavored 300 Cs6 B4153 Peptamen with Prebio1 PEPTAMEN with PREBIO¹ is formulated to provide complete or supplemental nutritional support as an easily absorbed oral or tube-fed formula for patients with impaired gastrointestinal function. PEPTAMEN with PREBIO¹ is designed for the dietary management of patients with chronic diarrhea, short-bowel syndrome, chronic pancreatitis, delayed gastric emptying, HIV/AIDS, radiation enteritis, malabsorption, hypoalbuminemia and cystic fibrosis. PEPTAMEN with PREBIO¹ may also be useful as a dual feeding with TPN or as a transition diet from TPN. PREBIO¹ helps to support healthy gut microflora. PEPTAMEN with PREBIO¹ is available in the ULTRAPAK Enteral Closed System, a prefilled closed system to reduce the set-up time, minimize the potential for bacterial contamination, decrease waste and provide the flexibility of a hang time of up to 48 hours. ml Ultrapak 1000 ml NES Unflavored Cs6 B4153 Ultrapak ml cans NES B4153 What are vitamins? Vitamins are essential nutrients that your body needs in small amounts to work properly. There are two types of vitamins: fat-soluble and water-soluble. 132 A code is not a guarantee of coverage or payment.

9 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 133 Carnation Instant Breakfast Lactose Free Plus Great-tasting high-calorie complete nutrition drink. Appropriate for these diets: lactose-free (not for individuals with galactosemia), gluten-free, low-cholesterol, low-sodium, low residue, kosher. PEPTAMEN 1.5 Complete high-calorie elemental diet is ready to use for complete or supplemental tube feeding. It is specifically formulated for easy digestion and absorption for patients with impaired gastrointestinal function and normal or increased caloric requirements. Patients who could benefit from PEPTAMEN 1.5 include those with malabsorption that is complicated by fluid restriction, elevated caloric requirements, volume sensitivity, shortened feeding cycle or aggressive goal-rate attainment. May also be useful as a nocturnal feeding, as a dual feeding with TPN or as a transition diet from TPN. Lactose-free, gluten-free. NES NES Unflavored ml B4153 B4153 Unflavored 375 Cs6 B4153 Ultrapak Spikeright NES Carnation Instant Breakfast Lactose Free A great-tasting, lactose-free oral supplement for those who need to augment their regular diet. Rich in vitamins and minerals, and featuring great flavor, NESTLÉ CARNATION INSTANT BREAKFAST LACTOSE FREE is the supplement your patients will enjoy drinking. 9 g protein per ml. Vitamin- and mineralfortified; Appropriate for low-sodium, low-cholesterol and carbohydrate-controlled diets; Kosher, lactose-free, gluten-free, cholesterol-free, low-residue. NES NES Chocolate ml B4152 B4152 Carnation Instant Breakfast Lactose Free VHC Balanced nutritional drink combines nutrient density and great taste to address unintentional weight loss and support Med Pass Program success. Each ml can provides 560 calories and 22.5 grams of protein, making it a nutritional solution for diminished appetites and fluid-restricted diets. The caloric density also makes it highly attractive as a medication pass beverage. Light, smooth consistency and pleasant mouth-feel to increase patient/resident satisfaction. Kosher, lactose-free, gluten-free, low-residue. NES ml 560 Where do you get your nutrition information? B4152 An ADA survey showed 72 percent of consumers rely on TV for their nutrition information, an increase of 24 percent from Magazines came in second, with newspapers a close third. In addition, the survey found that 86 percent of Americans view registered dietitians as highly credible sources on nutrition issues such as obesity. NES NES Chocolate ml B4152 B4152 BOOST Drink BOOST nutritional energy drink is a great-tasting source of supplemental nutrition for those who are unable to consume adequate nutrients from food alone. Its delicious taste promotes compliance to help patients achieve positive outcomes. Clinical results showed 85% compliance with a physician s recommendation for two servings per day of BOOST SND SND SND Chocolate Strawberry 237ml B4150 B4150 B4150 BOOST PLUS BOOST PLUS drink is a high-calorie, nutritionally balanced oral supplemental drink. It provides 50% more calories and 40% more protein than regular BOOST Nutritional Energy drink to help volume-restricted patients get the calories they need. SND SND SND Chocolate Strawberry 237ml B4152 B4152 B4152 B4150 BOOST HIGH PROTEIN BOOST HIGH PROTEIN drink is a great-tasting, highprotein, nutritionally balanced oral supplement. BOOST HIGH PROTEIN drink provides 15g of high quality protein in an 8 fl. oz. serving, 50% more protein than BOOST Nutritional Energy Drink (15g versus 10g in 8 fl. oz). SND ml 240 Help prevent skin breakdown with pressure relieving products throughout this catalog. 133

10 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 134 BOOST GLUCOSE CONTROL BOOST GLUCOSE CONTROL nutritional drink is a balanced nutritional supplement, containing a unique blend of carbohydrates designed to help manage blood glucose levels for persons with diabetes. (Formerly BOOST Diabetic). Isosource 1.5cal A high-calorie, high-nitrogen, complete liquid formula with fiber. For short and long-term feeding in patients with high caloric and protein needs and/or limited volume tolerance. Lactosefree, gluten-free. ml cans. 237ml SND Cs27 B4154 SND Chocolate Cs27 B4154 SND Strawberry Cs27 B4154 COMPLEAT A ready-to-use, blenderized tube feeding formulated from traditional foods including meat, vegetables and fruit. Suggested indications are for semi-synthetic, formula related intolerance such as diarrhea, abdominal distention, constipation, nausea, diabetes melitus, pressure ulcers, lactose intolerance and long-term tube feeding. Lactose and gluten-free. ml cans. ml SND B4152 NES Unflavored 375 Cs6 B4152 NES Unflavored 375 Cs6 B4152 Isosource HN ISOSOURCE HN nutritionally complete liquid formula is high-protein, standard, nutritional support. 100% of the RDI is in the 1400 Calories. ml SND Unflavored 265 B4149 Diabetisource AC DIABETISOURCE AC formula is an advanced-control tube feeding designed to meet the unique nutritional needs of patients with diabetes and stress induced hyperglycemia. It includes ingredients which are clinically shown to help improve insulin sensitivity. It has a unique blend of BENEFIBER soluble fiber and fructodigosaccharides to help promote good digestive health. Contains no sugar alcohols. Protected by Nutrishield - a proprietary combination of microbial inhibitors protecting from harmful bacteria, especially in open system. ml SND Unflavored 300 B4154 FIBERSOURCE HN FIBERSOURCE HN Nutritionally complete liquid formula is high-protein, standard nutritional support with fiber. It contains 1.2 calories per ml and 62 g of protein in a complete feeding. Protected by NutriShield a proprietary combination of microbial inhibitors protecting from harmful bacteria, especially in open system. ml Style SND Unflavored 300 ml Container B4150 NES Unflavored ml Container Cs6 B4150 SND Unflavored ml Container Cs6 B4150 Impact Glutamine Specialized medical nutrition for surgical and trauma patients. Each member of the IMPACT family of products has a unique and patented formula that has been demonstrated in clinical trials to improve patient outcomes. In clinical trials, patients who received an IMPACT formula developed fewer infections and had shorter hospital stays than those patients fed standard enteral formulas. IMPACT GLUTAMINE formula is designed for patients with GI impairment and high energy needs (1.3 cal/ml). In addition to supplemental levels of glutamine, it contains a unique blend of soluble and insoluble fibers. ml Style SND Unflavored 325 ml Container B4153 Microlipid A 50% fat emulsion for special dietary use in oral supplements, foods or in tube feeding formulas. Contains safflower oil which is a rich source of polyunsaturated fat. Intended Use: Increased caloric requirements, Anorexia, Decreased carbohydrate tolerance, Fluid or volume restriction. Calories NES Unflavored 300/ml B4150 NES Unflavored 1200/1000ml Cs6 B4150 NES Unflavored 1800/1500ml Cs6 B ml Style SND fl oz glass bottles Cs48 B Diabetics are prone to skin problems see our Skin Care Products Section.

11 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 135 Peptamen OS & Peptamen OS 1.5 PEPTAMEN OS Complete Nutrition is a trusted GI formula that tastes great, proven over years of clinical experience. It's balanced peptide profile promotes proximal through distal gut absorption and functional integrity. May be consumed orally or used as a tube feeding. RESOURCE 2.0 RESOURCE 2.0 Calorie and Protein Dense Nutritional Drink is great tasting. Appropriate for medication pass supplement programs, (As with all medications taken with food, drug/nutrient interactions should be evaluated by the physician and/or pharmacist prior to use), total Enteral feeding, and wound prevention and treatment programs. Style 237ml NES Regular 237 Cs27 B4153 NES Hi-calorie French 237ml Cs27 B4153 RESOURCE Fruit ed Beverage Delicious fruit-flavored, fat-free nutritional supplement for those who cannot consume a sufficient intake of food to meet their nutritional requirements. Clear, light alternative to milky type supplements. Can be used for clear liquid diets, and its low electrolyte content can be used with renal patients. 8 fl oz SND Crème 480 Cs27 B4152 Tolerex TOLEREX Nutritionally Complete, Truly Elemental Formula, contains 100% free amino acids with only 1.3% fat. 237ml SND Orange Cs27 B4150 SND Variety Case Cs27 B4150 SND Peach Cs27 B4150 SND Wild Berry Cs27 B4150 NOVASOURCE RENAL NOVASOURCE RENAL Formula is designed to meet the unique needs of renal-impaired patients. It is calorically dense for patients on a volume restricted diet. It has a protein, vitamin, and mineral profile specifically formulated for patients with chronic or acute renal failure or patients requiring electrolyte or fluid restrictions. 237ml Style SND fl oz. Tetra Brik Paks Cs27 B4154 NES Unflavored ml container Cs6 B ml SND Cs60 B4153 VIVONEX PLUS/VIVONEX RTF VIVONEX PLUS is a high-nitrogen, very low fat, elemental (100% free amino acids) diet for total enteral nutrition. Additional free glutamine (10g/L), enhanced arginine and branched-chain amino acid contents make it especially useful in stressed, catabolic patients. Vivonex Plus may be used post-operatively as an enteral alternative to TPN and may also benefit patients with gastrointestinal impairment. Each 2.8oz dry packet (79.5g of VIVONEX PLUS powder), when reconstituted with ml water, delivers 300ml of formula. Vivonex RTF is already reconstituted. Style SND Powder, Lactose-Free, Cs36 B4153 Gluten-Free, Low-Residue SND360 Ready-to-Feed Formula B4153 Water-soluble vitamins Water-soluble vitamins are not stored in the body, so you need to have them more frequently. They are found in fruit, vegetables and grains and can be destroyed by heat or by being exposed to the air. Boiling food results in loss of these vitamins. The best way to keep as much of the water-soluble vitamins as possible is to steam or grill, rather than boil. These vitamins are: vitamin B6, vitamin B12,vitamin C, biotin, folic acid, niacin, pantothenic acid, riboflavin, and thiamin. Our expanded mobility and ambulatory products help keep patients independent. 135

12 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 136 Peptamen Junior 1.5 Calorically dense product will provide a unique formula and therapy option for the very sick child Nestle - Pediatric Nutritionals Nutren Junior Complete liquid nutrition specifically designed to meet the nutritional needs of children ages 1-10 years. in ready-to-use, for oral or tube feeding. Can be used as total or supplemental nutrition for children who are unable to meet their nutrient requirements from regular food. Fiber blend contains PREBIO¹ to support complete gut health. NUTREN JUNIOR's protein source is 50% whey to facilitate gastric emptying. Provides 6 g of dietary fiber per liter to aid in bowel management. Lactose and gluten-free. NES ml B4160 B4160 NES Peptamen Junior PEPTAMEN JUNIOR is a complete or supplemental elemental diet specifically formulated for children ages 1 to 10 with impaired gastrointestinal function. Designed with Proven Blend, consisting of whey-based peptides, and a comprehensive antioxidant system and optimal lipid blend, PEPTAMEN JUNIOR provides nutrition support to children with digestion and absorption challenges such as Cystic fibrosis, pancreatitis, malabsorption, (e.g., cancer treatment, AIDS), cerebral palsy and growth failure. NES NES NES60120 NES NES Style Regular Regular Regular Regular Fiber Unflavored Chocolate Strawberry 136 ml Ea, SND Unflavored ml Ea, B4149 BOOST Kid Essentials BOOST KIDS ESSENTIALS (No Probiotic Straw) is the new name for RESOURCE JUST FOR KIDS. Specially designed packaging and formula for children ages 113. Child friendly packaging. Rich in calcium to help grow strong bones. may be consumed orally or used as a tube feeding. ml Peptamen Junior With Prebio1 Complete Elemental Liquid Diet for Children provides a specifically designed protein, lipid, vitamin and mineral profile for children ages 1 to 10 with impaired gastrointestinal function. Designed to be well tolerated by the most challenging pediatric patients, it features the prebiotic fiber blend PREBIO1, which helps support a healthy gut microflora. It also features Proven Blend consisting of whey-based peptides, a unique antioxidant system and an optimal lipid blend. Useful for the dietary management of children with chronic diarrhea/malabsorption, growth failure, short-bowel syndrome, bowel transplants, cerebral palsy, Crohn s disease, HIV/AIDS and cystic fibrosis. Provides complete or supplemental nutrition support and may also be used as a dual feeding with TPN or as a transition diet from TPN. NES ml COMPLEAT Pediatric A ready-to-use, blenderized tube feeding formulated from traditional foods including meat, vegetables and fruit, specifically designed for children ages 1 to 10. Suggested indications are for children requiring chronic or long-term, total or supplemental tube feeding, children with special health needs, failure to thrive, HIV/AIDS, developmental disabilities and chronic illnesses. Lactose and gluten-free. ml cans. With Fiber NES Unflavored NES NES NES French Classic Chocolate Creamy Strawberry 237ml Fat-soluble vitamins Cs27 Cs27 Cs27 B4160 B4160 B4160 Fat-soluble vitamins are found mainly in fatty foods such as animal fats (including butter and lard), vegetable oils, dairy foods, liver and oily fish. Your body stores them in your liver and fatty tissues for future use. They are: vitamin A, vitamin D, vitamin E and vitamin K. Positioning products help relieve pressure. There are many new positioning products in our Durable Medical Equipment Section.

13 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 137 Magellan M agellan SSafety afety P Products roducts Magellan M agellan IInsulin/Tuberculin nsulin n / Tuberculin Safety Safet y S Syringe yrin i ge Magellan Magellan S Safety af e t y B Blood lo o d C Collection ollec tiion Device D ev i c e Magellan Magellan H Hypodermic y p o d e rm ic S Safety afet y Needles N e e d le s Magellan Magellan S Safety afet y Products Produc ts iinclude nclude m many any innovative innovative ffeatures: eatures: t C Choice hoice ooff oone ne hhanded anded aactivation c t i va t i o n m methods ethods m minimizes inimizes training t rainin g t Ann iintegral, A ntegral, rrobust obust ssafety affet y sshield hie i ld ccompletely ompletely eencases ncasses tthe he nneedle e e dle t Bevel B evel oorientation rientation m minimizes inimizes change change iinn ttechnique e c h ni q u e t A ffull ull rrange ange ooff gauges gauges and and llengths engths w w w.covidien.com COVIDIEN, C OV I D I EN, C COVIDIEN OV IDIEN with with llogo, o g o, C Covidien ovidien logo logo and and ppositive ositive results result s ffor or llife ife are are U.S. U.S. and and internationally in te r na t i o nall y registered registered trademarks trademark s of of Covidien Covidien AG. AG. Other O ther brands brands are are trademarks trademark s of of a Covidien Covidien company. company Covidien. Co v i d i e n. W! E N All the Performance at the Right Price! Sample Program Now reserved. U.S.A. Copyright 2010 First Quality Products, Inc. c. All rights reserv ed. Made in the U. S.A.

14 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 138 BOOST Kid Essentials 1.5 A complete nutritional formula designed for children ages It is available with or without fiber. The product provides 1.5 calories/ml and is rich in calcium to help grow strong bones. It may be consumed orally or used as a tube feeding. Intended Use: Elevated caloric needs, Volume intolerance, Fluid restricted, Shortened feeding schedules. Lactose free. NES NES French French w/fiber 237ml Cs27 Cs27 B4160 B4160 E028 Splash A nutritionally complete, ready-to-feed amimo acid-based medical food for children ages Same nutrient profile as Neocate One+ powder. For the following indications: Gastrointestinal tract impairment, Eosinophilic esophagitis, Gastroesophageal reflux disease, short bowel syndrome, other medical conditions for which an amino acid-based diet is required. SHS11050 SHS12666 SHS12670 SND Unflavored 237ml Cs27 Cs27 Cs27 KetoCal 4:1 A nutritionally complete, ketogenic formula in a 4:1 ratio (fat: carbohydrate+ protein) for the dietary management of intractable epilepsy; designed for individuals over the age of one year. A medical food. VIVONEX Pediatric A nutritionally complete elemental (100% free amino acids) formula designed specifically for children ages Can be used as tube or oral feeding. Lactose and gluten-free, low-residue. 1.7oz packets. Cs36 Orange-Pineapple Tropical Fruit Grape SHS g 720 Ea,Cs6 B4154 Neocate Infant with DHA and ARA A nutritionally complete, powdered amino acid-based exempt infant formula with iron and enhanced with DHA and ARA. Includes important nutrients present in breast milk. For the following indications: Cow and soy milk allergy, Multiple food protein intolerance, short bowel syndrome, Eosimophilic esophagitis, Gastroesophageal reflux disease, Transition from parenteral to enteral nutrition, Other medical conditions for which an amino acid-based diet is required. Nutricia Neocate Junior A nutritionally complete, powdered amino acid-based medical food for children % non-allergenic free amino acids. High protein equivalent for GI tissue repair. Extra vitamins and minerals for malabsorptive conditions. Carbohydrate content formulated to minimize osmotic load. Indications: Gastrointestinal tract impairment, Malabsorption, Cow and soy milk allergy, Multiple food protein intolerance, Eosinophilic esophagitis, Short bowel syndrome. 100g 421 SHS12595 Cs4 Super Soluble Duocal A powdered medical food providing fat and carbohydrate or increased caloric intake. Super soluble without altering the taste or texture of foods and beverages. Gluten-, lactose-, sucrose-, and fructosefree. Energy distribution Carbohydrate 59%, Fat 41%. Suitable for oral and tube feedings. SHS11790 SHS12124 SHS Unflavored Tropical Chocolate 100g Cs4 Cs4 Cs4 SHS Unflavored 100g 492 Cs6 We are your most complete source of home health supplies! If you don t see it, ask us for it! B4155

15 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 139 THICK-IT PUREES Thick-It Purees are the perfect solution for providing proper nutrition with each serving in a safe reliable consistency, appealing and convenient manner for anyone suffering from dysphagia. Choose from a number of delicious comfort foods with 3-5 servings per 15 oz can. Freeze and thaw stable. They are easy to use just heat and serve. Neocate Infant Formula A nutritionally complete, powdered amino acidbased exempt infant formula with iron. 100% non-allergenic free amino acids. Amino Acid profile similar to breast milk. Indications: Cow and soy milk allergy, Multiple food protein intolerance, Short bowel syndrome, Eosinophilic esophagitis, Gastroesophageal reflux disease. SHS10804IF 100g 421 Cs4 Neocate One + A nutritionally complete, powdered amino acid-based medical food for children ages Hypoallergenic, 100% non-allergenic free amino acids. Neocate One+ can be utilized for the following indications: Cow and soy milk allergies, multiple food protein intolerance, Eosinophilic Esophagitis, Gastroesophageal reflux disease, short bowel syndrome, and other medical conditions for which an amino acidbased diet is required. SHS g 240 PCFH301 PCFH316 PCFH304 PCFH307 PCFH308 PCFH309 Cs15 Precision Foods Instant Food Thickener Designed to enhance the eating pleasure of the people with swallowing disorders or dysphagia. Effectively thickens hot or cold beverages and pureed foods without changing appearance or adding taste. Decreases the risk of aspiration, will not bind liquids and promotes hydration. Dissolves instantly and contributes calories without overthickening. Contains modified cornstarch and maltodextrin. Kosher approved, Gluten Free. 30 calories, 15 mg sodium and 7 g carbohydrates per serving (2 Tbsp.). Size 30oz 8oz Ea Ea Concentrated Instant Food Thickener Concentrated formula requires 50% less to obtain the desired consistency, and contains fewer calories and carbohydrates per serving. Frequently recommended for people with diabetes. Contains only modified cornstarch. Kosher approved, Gluten Free. 20 calories, 10 mg sodium and 4 g carbohydrates per serving (1 Tbsp.). Size 8oz 30oz Ea,Cs12 Ea,Cs12 Ea,Cs12 Ea,Cs12 Ea,Cs12 Ea,Cs12 New Whey Liquid Protein New Whey Liquid Protein is the most convenient, best tasting way to give your body the protein it needs. New Whey contains 42g of complete protein in 3.8oz and is made from high quality hydrolyzed (predigested) protein for rabid absorption. New Whey is lactose, gluten, caffeine, sugar, and fat free. TOP1364 TOP1371 TOP1487 TOP1784 TOP2606 TOP2996 TOP3115 Thick-It 2 PCF Thick-It 2 PCF Thick-It 2 81g TopSpin / IDS Sports Thick-It PCF4076 PCF4075 Chicken A La King Mixed Fruit and Berry Sweet Corn French Toast Beef Stew Beef in BBQ Grape Orange Fruit Punch Blue Raspberry Acai Berry Watermelon Green Apple Ea,Bx12,Cs96 Ea,Bx12,Cs96 Ea,Bx12,Cs96 Ea,Bx12,Cs96 Ea,Bx12,Cs96 Ea,Bx12,Cs96 Ea,Bx12,Cs96 Enteral Feeding Supplies Invacare Supply Group Enteral Nutrition Gravity Feeding Set Durable enteral feeding bag that comes with built in hangers and a large top fill opening with leak-proof cap to minimize spills and waste. Secure Lock Distal Tip, the cap for the G-tube is placed in the designated locking slot on the distal tip drastically minimizing unwanted disconnects, and reduce time consuming cleanups and unsanitary conditions. The tip has rounded flanges, which reduces wear and widening of the silicone on the G-tube. Latex and DEHP free. Ea Ea,Cs6 ISG We have a full line of Ostomy supplies! Ea,Cs30 B

16 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 140 Abbott Nutrition Flexiflo Top-Fill Enteral Nutrition Bag with Preattached Companion Pump Set Strong hanging ring and long, rigid neck for easy filling and handling. Easy-to-read graduations. Exit port allows complete product drainage. Flexiflo Top-Fill Enteral Nutrition Bag with Preattached Quantum Pump Set 1000ml enteral feeding bag with a strong hanging ring and long, rigid neck for easy filling. Easy-to-read graduations. Exit port allows complete product drainage. For feeding and automatic tube flushing. Capacity ROS ml Ea,Cs30 B4035 ROS ml Cs30 B4035 Flexiflo Companion Pump Set with Piercing Pin Piercing pin spikes into container. ROS00088 Cs30 B4035 Flexiflo Companion Ambulatory Transporter Carrying bag for Companion ambulatory enteral nutrition pump. Capacity With Flush Bag ROS ml Ea,Cs30 B4035 Without Flush Bag ROS ml Cs30 B4035 Patrol Enteral Pump Unique Safe-T-Valve feature on feeding set prevents accidental product free-flow if set is improperly loaded or becomes dislodged from pump. Free-flow alarm alerts caregiver to freeflow condition. Lock-out feature prevents unauthorized changes. Special holder for safe, convenient storage of feeding set cover when not in use. Flow rates of 1 to 300ml/hr in 1ml increments. Dose feature 1 to 9999ml in 1ml increments. Memory retention for RATE, DOSE and VOLUME FED. Unique programmable HOLD of 1 to 90 minutes. Easy-to-use dial control and display panel. ROS52034 Ea B9002 ROS00504 Ea B9998 Flexiflo Patrol Pump Set with Piercing Pin Piercing pin spikes into container. Flexiflo Companion Ambulatory Enteral Feeding Bag with Preattached Companion Pump Set 500ml. For use only with Companion ambulatory enteral nutrition pump. ROS52040 Cs30 B4035 ROS00507 Cs30 B4035 Top-Fill with Preattached Patrol Pump Set Strong hanging ring and long, rigid neck for easy filling and handling. Easy-to-read graduations. Exit port allows complete product drainage. Flexiflo Quantum Pump Set with Piercing Pin with Flush Bag Piercing pin spikes into container. Roller clamp regulates flow when set is used for gravity feeding. ROS50604 Cs30 B4035 Capacity ROS ml Cs30 B Help patients stay healthy! Home diagnostic items can help.

17 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 141 Flexiflo Easy-Feed Enteral Nutrition Bag with Preattached Patrol Pump Set Bag has rigid neck for easy filling and handling. Strong, dependable hanging ring. Easy-to-read graduations and easyview translucent bag. Bottom exit port allows complete drainage. Easy-Feed Enteral Nutrition Bag with Preattached Ross Gravity Feeding Set Bag has rigid neck for easy filling and handling. Strong, dependable hanging ring. Easy-to-read graduations and easy-view translucent bag. Bottom exit port allows complete drainage. Capacity ROS ml Ea,Cs30 B4035 Companion Enteral Nutrition Pump - Reconditioned Unique cassette is designed to prevent accidental product free-flow due to improper set loading. Lightweight pump fits into an ambulatory carrier to eliminate the need for an IV pole, if desired. A pressure sensor, rather than a drop sensor, means fewer alarms due to over filled sight chamber, condensation, or drops clinging to inside of sight chamber. The cassette is easy to load - it snaps in and requires no threading, looping, or wrapping of tubing. Flow rates of 5 to 300ml/hr in 1-ml increments. Compatible with a wide variety of Ross containers and sets. ROS54748 Ea B9002 Y-Port Connector Provides connection between feeding tube and feeding set. Two openings allow easy flushing and administering of liquid medications without disconnecting tube and feeding set. Caps help minimize risk of contamination. Side Port For Use With Fits Color ROS Fr or 16Fr Tubes Luer-tip Syringe Yellow Ea,Cs10 B9998 ROS Fr or 20Fr Tubes Luer-tip Syringe Orange Ea,Cs10 B9998 Magna-Port Gastrostomy Tube For use in an existing stoma as a replacement tube or as a primary catheter in place of a Foley or de Pezzer catheter (when the tract is created using the Stamm or Witzel procedure). Large side port fits irrigation-tip syringe. Y-Port connector permits irrigation and medication administration without disconnecting feeding set. Tube is 14" long. Medical grade silicone tube is biocompatible and flexible. Round skin disk is easily adjusted to maintain correct tube position. Open-end feeding port at distal end permits optimal flow. French Size Color ROS Fr Yellow Ea B4087 ROS Fr Tan Ea B4087 ROS Fr Orange Ea B4087 ROS Fr Green Ea B4087 ROS Fr Blue Ea B4087 ROS Fr Peach Ea B4087 Capacity ROS ml Ea,Cs30 B4036 ROS ml Ea,Cs30 B4036 Flexiflo Gravity Feeding Set Gravity Feeding Set with 40mm screw-on top. Roller clamp to regulate flow. ROS00061 Ea, B4036 Top-Fill With Preattached Gravity Feeding Set Strong hanging ring and long, rigid neck for easy filling and handling. Easy-to-read graduations. Capacity ROS ml Ea, B4036 Feeding Tubes and Irrigation Syringes Ballard Kimberly-Clark Gastrostomy Feeding Tube The new KIMBERLY-CLARK Gastrostomy Feeding Tube is designed to deliver optimal performance and value. Features of the new KIMBERLY-CLARK Gastrostomy Feeding Tube include: Recessed distal tip that extends the balloon beyond the distal tip at recommended fill volumes; Tapered distal tip for ease of catheter insertion; High-clarity medical grade silicone construction for visibility and drapability; Clearly marked feeding, medication and balloon ports for ease of identification; Ventilated external retention ring designed to allow air to circulate around the stoma and to reduce stoma site pressure; Radiopaque stripe to aid in catheter visualization; Graduated centimeter markings for tube position verification; Luer-Lok balloon port to ensure secure syringe connection (also compatible with Luer-slip syringes); Color-coded balloon port according to catheter French size for ease of identification. French Size Balloon Size BLD011214LV 14Fr 3-5ml Ea B4087 BLD011216LV 16Fr 3-5ml Ea B4087 BLD Fr 7-10ml Ea B4087 BLD Fr 7-10ml Ea B4087 BLD Fr 7-10ml Ea B4087 BLD Fr 7-10ml Ea B4087 We have a full line of Ostomy supplies! 141

18 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 142 MIC-KEY Low-Profile Gastrostomy Tube Kit Features medical grade silicone construction, low-profile design, tapered distal tip, silicone internal retention balloon, distal tip recessed at 5ml, proximal anti-reflux valve, SECUR-LOK extension set connector mechanism, radiopaque stripe, gamma sterilized. Kit includes a MIC-KEY low-profile feeding tube, a MIC-KEY extension set with a SECUR-LOK right angle connector and 2 port Y clamp, 12" length, a MIC-KEY bolus extension set with Blue Cath Tip, SECUR-LOK straight connector and clamp, 12" length, 6ml syringe, 35ml catheter tip syringe, gauze pads. French Stoma Length Size BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 14Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 16Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 18Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 20Fr Ea B4088 BLD cm 24Fr Ea B4088 BLD cm 24Fr Ea B4088 BLD cm 24Fr Ea B4088 BLD cm 24Fr Ea B4088 BLD cm 24Fr Ea B4088 BLD cm 24Fr Ea B4088 BLD cm 24Fr Ea B4088 BLD cm 24Fr Ea B4088 BLD cm 24Fr Ea B4088 BLD cm 24Fr Ea B4088 MIC Gastrostomy Tube Features medical grade silicone construction, silicone internal retention balloon, SECUR-LOK external retention ring, universal feeding port connector, medication port, tapered distal tip, dual exit ports, radiopaque stripe, gamma sterilized. Balloon French Size Size Size BLD010012LV Pediatric 3-5ml 12Fr Ea B4087 BLD010014LV Pediatric 3-5ml 14Fr Ea B4087 BLD010016LV Pediatric 3-5ml 16Fr Ea B4087 BLD Adult 7-10ml 18Fr Ea,Cs5 B4087 BLD Adult 7-10ml 20Fr Ea B4087 BLD Adult 7-10ml 22Fr Ea B4087 BLD Adult 7-10ml 24Fr Ea,Cs5 B4087 BLD Adult 7-10ml 26Fr Ea,Cs5 B4087 MIC-KEY Accessories Non-Bolus Extension Set With 2 port Y and clamp. For use with MIC-KEY Low Profile gastrostomy Tubes. Features SECUR- LOK key connection mechanism, clear tubing, medication port on non-bolus extension sets, individually packaged extension sets, tubing clamp. Nonsterile. Length Connector BLD " Right Angle Ea,Cs5 B9998 BLD " Right Angle Ea,Cs5 B9998 Bolus Extension Set With 2 port Y and clamp. For use with MIC-KEY Low Profile gastrostomy Tubes. Features SECUR-LOK key connection mechanism, clear tubing, individually packaged extension sets, tubing clamp. Non-sterile. Length Connector BLD " Straight Ea,Cs5 B9998 BLD " Straight Ea,Cs5 B9998 BLD " Right Angle Cs5 B9998 BLD " Right Angle Ea,Cs5 B9998 Covidien Enteral Feeding Irrigation Kit 500cc graduated container, luer tip adapter and patient label. Size KND cc Piston Syringe Ea,Cs20 B See our expanded line of respiratory products for home use!

19 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 143 Nasogastric Feeding Tube Entriflex polyurethane tube with Hydromer hydrophilic lubricant for easy insertion. Weighted, with Flow-Through Stylet, with Y-site. French Length Size KND " 8Fr Ea,Cs10 B4081 Argyle Feeding Tube French Length Size Style Vinyl Tube with 2 Staggered Eyes KND " 5Fr Ea,Cs50 B4083 KND " 8Fr Ea,Cs50 B4083 KND " 8Fr Ea,Cs50 B4083 X-Ray Opaque with Sentinel Line KND " 10Fr Depth Markings Ea,Cs50 B4083 and 2 Eyes KND " 8Fr Depth Markings Ea,Cs50 B4083 and 2 Eyes X-Ray Opaque with Sentinel Line KND " 8FrDepth Markings Ea,Cs50 B4083 and 2 Eyes Enteral Pumps and Pump Sets Kangaroo epump Enteral Feeding Pump Accurate volumetric delivery and over infusion safeguard. Retains all rate and volume settings until cleared. Intuitive "ATM" style interface makes programming quick and easy. Allows for both feed only and feed and flush programming, smart pump technology recognizes the type of feeding set that is loaded. Attitude independent, will pump in any orientation. Audio and visual alarms. 72 hours delivery history. Simplified setup in EZ mode. 15-hour battery. Detachable pole clamp. Weight 2.69lbs. w/ pole clamp. 1-year warranty. KND Ea B9002 Kangaroo Joey Enteral Feeding Pump Accurate volumetric delivery and over infusion safeguard. Small and compact design is optimal for ambulatory patients. Retains all rate and volume settings until cleared. Intuitive "ATM" style interface makes programming quick and easy. Allows for both feed only and feed and flush programming, smart pump technology recognizes the type of feeding set that is loaded. Attitude independent, will pump in any orientation. Audio and visual alarms. 72 hour delivery history. Simplified setup in EZ mode. 8-hr battery. Detachable pole clamp. Weight 1.7lbs. 1-year warranty. KND Ea B9002 Kangaroo Joey Enteral Feeding Pump Backpack Designed for use with the Kangaroo Joey Enteral Feeding Pump. Eliminates the need for an IV Pole. Kangaroo Gastrostomy Feeding Tubes with Y-Ports with Safe Enteral Connections The feeding port is incompatible with luer lock or IV connections, reducing the risk of accidental connection or infusion. with safe enteral connections to address the 2006 JCAHO Tubing Misconnections Sentinel Event alert. The Kangaroo gastrostomy tube is constructed of a 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. French Size Balloon Size KND Fr 5cc Ea,Cs5 KND Fr 20cc Ea,Cs5 B4087 KND Fr 20cc Ea,Cs5 B4087 KND Fr 20cc Ea,Cs5 B4087 KND Fr 20cc Ea,Cs5 Size KND Small Ea Kangaroo epump /Kangaroo Joey Enteral Feeding Pump Sets Pump sets for use with Kangaroo epump and Kangaroo Joey Enteral Feeding Pumps. DEHP Free, Integral Anti-Free-Flow design. Non IV compatible connectors. Size KND ml Bag Ea,Cs30 B4035 KND ml Bag Ea,Cs30 B4035 KND ml w/ 1000ml flush bag Ea,Cs30 B4035 KND Spike Set Ea,Cs30 B4035 KND Spike set w/ 1000ml flush bag Cs30 B4035 KND Sterile 1000ml pumpset Cs30 B4035 We have a complete selection of room deodorizers and air fresheners. 143

20 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 144 Kangaroo Joey Feeding Pump Sets Kangaroo Joey Pump Sets are DEHP-Free and incorporate Anti-Free Flow safety feature. Capacity KND Proximal Spike Set Ea, Cs30 B4035 KND ml Pump Set Ea, Cs30 B4035 KND ml Pump Set Ea, Cs36 B4035 KND ml Feed Set with 1000ml Flush Set Ea, Cs36 B4035 KND ml Burette Recertification Set Kangaroo Pump Set with Easy Cap Closure with Ice Pouch Kangaroo Pump Set with Easy Cap Closure with Ice Pouch. For use with all Kangaroo 324/624/PET & Control Enteral Feeding pumps. Non IV compatible connectors. Kangaroo Economy Pump Set with 1000ml Bag For all Kangaroo pumps. Non IV compatible connectors. Roller clamp. Does not include ice pouch. Non-sterile. KND Cs30 B4035 Nestle Nutritional Compat Dual Flo Pump Administration Set, Formula Bag and Water Bag The COMPAT DUALFLO pump sets were designed specifically for the DUALFLO Enteral pump (item # ). The 1000 ml formula vinyl bag with 1000 ml water bag has 50 ml graduations to make it easier for reading and gives better accuracy when filling. The different colored print on the bags make it easy to identify water and formula and the orders can be written directly on the formula bag for convenience. SND Ea,Cs30 Capacity KND ml Non-Sterile Ea, Cs30 B4035 KND ml Non-Sterile Ea, Cs30 B4035 KND ml Sterile Ea, Cs36 B4035 KND ml Sterile Ea, Cs36 B4035 Kangaroo Gravity Sets with Ice Pouch 1000ml capacity graduated bag with 7.5' tubing. Compat Piercing Spike with Preattached Pump Set The COMPAT pump set with the in line "Y" Adapter. It is easy to use - simply disconnect "Y" adapter cap and insert syringe for flushing. No need to disconnect set from the feeding tube when flushing medications, water and bolus feeding. DEHP and latex free. Ready to use. Single use only. SND Ea,Cs30 B4035 Sterility Easy Cap with Roller Clamp Feed Rate Control KND Non-sterile Ea,Cs30 B4036 With Screw Clamp Feed Rate Control KND Sterile Ea, B4036 With Large Bore Gravity Set KND705 Non-sterile Ea, B4036 Kangaroo Pump Sets with Easy Cap Closure For all Kangaroo pumps. Graduated bag. Compat 1000ml Vinyl Bag with Twist Cap and Preattached Pump Set The COMPAT pump set with the in line "Y" adapter. It is easy to use - simply disconnect "Y" adapter cap and insert syringe for flushing. No need to disconnect set from the feeding tube when flushing medications, water and bolus feeding. DEHP and latex free. Ready to use. Single use only. SND Ea,Cs30 B4035 Bard Interventional Button Device Tube For use with Bard Gastrostomy Button ONLY. Size Sterility KND ml pouch Sterile Ea,Cs36 B4035 KND ml pouch Sterile Ea,Cs36 B4035 French Length Size Bolus Type with Straight Adapter BIV " 18Fr Ea,Bx12 B9998 BIV " 24Fr Ea,Bx12 B9998 Continuous Type with 90 Degree Adapter BIV " 18Fr Ea,Bx12 B9998 BIV " 24Fr Ea,Bx12 B Encourage patients to exercise and monitor their fitness regularly.

21 06_Enteral CFO.qxp:131_Enteral.ps 1/10/11 10:04 AM Page 145 Enteral Pump Set Accessories Corpak The Farrell Valve, Gastric Pressure Relief Device The Farrell Valve, Gastric Pressure Relief Device is designed to help patients who suffer from poor gastric motility, pain and bloating. The Farrell Valve maximizes enteral feeding by providing a channel to constantly decompress the stomach, allowing the stomach to empty at its own pace. By allowing for a reservoir channel, the clinician can maximize enteral feeding and minimize the need for TPN. Ea,Cs30 COR Vertical Drain/Tube Attachment Device Features attached synthetic skin barrier with ElastaFlex backing and microporous adhesive. Secures a variety of catheters, surgical drains and tubes parallel to the body from 5 40Fr. B9998 HOL9782 Hollister Feeding Tube Attachment Device Fits tubes from 5-18Fr Adhesive synthetic barrier with butterfly configuration conforms to facial contours. Sterility Sterile Ea,Bx5 A5200 Superior Surgical Supply G-Tube Holder For use in securing feeding tubes. Adjustable waistband allows one size to fit all. Washable and reusable. Ea,Bx20 HOL9786 B9998 Ea,Bx10 SUP75 We have Kids Covered. Day and Night & Priced Right! Sample Program Now Underpants designed for both Boys & Girls Copyright 2010 First Quality Products, roducts, Inc. All rights reserv reserved. ed. Made in the U. U.S.A. S.A. Bathroom safety products help reduce the likelihood of a bathroom fall. 145

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