The Insides System refeeds chyme back into the distal intestine, improving patient health outcomes.

Chyme Reinfusion is recommended by the European Society of Clinical Nutrition and Metabolism (ESPEN) and the American Society for Parenteral and Enteral Nutrition (ASPEN) for nutrition in patients with acute intestinal failure.

Chyme reinfusion restores intestinal function and reduces stoma or fistula losses. Patients can recommence oral nutrition for nutrition and hydration, resulting in weight gain, restoration of liver and kidney function, and enabling the patient to mobilise untethered.

The Insides System is a purpose-built medical device for performing chyme reinfusion therapy in adult patients with intestinal failure

The Insides® Driver

Connects magnetically to The Insides Pump via the outside of the patient's ostomy appliance

The Insides Pump to treat fistuloclysis, distal feeding, best, alternative to parenteral nutrition, fistula, ostomy, ileostomy, chyme, enteral, oral nutrition, enteromate, intestinal failure, colon cancer, bowel cancer, gut cancer, ostomy appliance, high output, chyme, dehydration, defunctioned, ileus, lars, microbiome, lower interior resection syndrome, incontinent, incontinence, gut health, reversal surgery

The Insides® Pump

Sits within the ostomy appliance, and pumps the chyme into the distal intestine via The Insides Tube

The Insides Tube - fistuloclysis, distal feeding, best, alternative to parenteral nutrition, fistula, ostomy, ileostomy, chyme, enteral, oral nutrition, enteromate, intestinal failure, colon cancer, bowel cancer, gut cancer, ostomy appliance, high output, chyme, dehydration, defunctioned, ileus, lars, microbiome, lower interior resection syndrome, incontinent, incontinence, gut health, reversal surgery

The Insides® Tube

Inserted into the distal intestine and connected to The Insides Pump, serving as a conduit for chyme

Key Clinical Benefits of Chyme Reinfusion

Earlier return to oral feeding

Patients able to recommence oral feeding

Improved nutritional outcome

Increase in nutritional risk index by 10.9 (± 9.5) with a 85% reduction in intestinal losses

Improved restoration of gut function

Limiting gut atrophy and inflammation

Improved renal function

Prevents dehydration and reduces the potential for chronic kidney disease

Improved liver function

53% reduction in plasma liver test abnormalities

Wean off Parenteral Nutrition

>91% of patients weaned off parenteral nutrition within a median of 2 days (± 9)

How to Use The Insides System

1. Check Patient Eligibility

  • Ensure can intubate distal limb
  • Check distal limb patency
  • Check patient eligibility here

2. Install The Insides System

  • Insert tube into the distal limb
  • Cut tube to length, push on pump
  • Install stoma bag, start pumping!

3. Manage the Patient

  • Change the pump every 3 days
  • Change the tube every 28 days
  • Support the patient
This is a summary only. Before choosing The Insides System , please ensure you have viewed the complete training on The Insides Training Hub, available here

A world-first device pioneered and
co-developed with colorectal surgeons.

Ian with The Insides System - fistuloclysis, distal feeding, best, alternative to parenteral nutrition, fistula, ostomy, ileostomy, chyme, enteral, oral nutrition, enteromate, intestinal failure, colon cancer, bowel cancer, gut cancer, ostomy appliance, high output, chyme, dehydration, defunctioned, ileus, lars, microbiome, lower interior resection syndrome, incontinent, incontinence, gut health, reversal surgery

Professor Ian Bissett
Co-Founder & Chief Medical Officer

Caution:Investigational device. Limited by United States law to investigational use.

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