Why is the chyme not moving up The Insides Tube?

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  • Blocked Pump – Try the following Troubleshooting Tips to unblock The Insides® Pump otherwise, change The Insides® Pump. To stop The Insides® Pump from blocking, stop eating stringy fibrous food which blocks The Insides® Pump.
  • The Insides® Pump – Ensure The Insides Pump is fully submerged in the chyme.
  • The Insides® Driver – Ensure all speeds on The Insides Driver have been tried for a minimum of 30 seconds each, to ‘pump’ the chyme up The Insides Tube. Sometimes the thicker chyme viscosity’s move slowly up The Insides Tube.
  • Not coupled correctly – Ensure the flat surface of The Insides Pump has been cleared of debris and intuitively couple The Insides Driver with The Insides Pump through the ostomy appliance. Carefully hold The Insides Driver up and The Insides Pump should remain coupled. This demonstrates they are coupled effectively.
  • The Insides Driver bounces off The Insides® Pump – This can happen at speed 5 or if The Insides Pump is blocked.
  • Tube not anchored below the fascia – The bulbous anchor may have slipped underneath the fascia. The patient may be in discomfort or you will see an increased length of tube in the ostomy appliance that could indicate it has slipped out. If The Insides Tube is not intubated correctly, there will not be effective chyme reinfusion.
  • Chyme is water thin, I have tried everything, but it is still not pumping – This may happen with a balloon retained tube. A bubble of air may be trapped within the tube, creating an airlock. ‘Milk’ the tube by pinching and folding the tube to break the air bubble. This may need to be done several times. Manipulate the tube in and out about 1cm to ensure free movement of the tube.
  • Stool on the tip of the tube – If The Insides Tube or balloon retained tube is showing an increased length of tube in the ostomy appliance and it is not painful for the patient, but chyme is not transiting though the tube, there could be stool coating the tip of the tube. See images below. This may happen due to the patient not having effective bowel preparation before surgery or high levels of anti-motility medication. Inserting a new tube is recommended. 

 

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