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Extending the Life of Your Kangaroo Joey and ePump Feeding Bags

**Update 5.18.20** This blog was originally published in October of 2019, while the shortage is still underway, PHS has been able to transition many of our patients from Joey and ePump bags to infinity bags. If you are a PHS patient and are unsure of the plan for your feeding supplies, please contact our customer service team (800-225-7477) to ensure we have a plan in place that provides you with continued access to feeding supplies. For all other patients, we recommend you work with your DME provider to come up with a plan given the limitations in access to Kangaroo™ Joey and ePump bags into the foreseeable future.

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PHS has been helping patients deal with an issue regarding the distribution of Kangaroo Joey and ePump feeding bags. In a letter from Cardinal Health, manufacturer of these products, they shared that Kangaroo Joey and ePump feeding bags are currently available in limited quantities and PHS expects to receive a small number of feeding bags each month.

You can read a letter we received from Cardinal Health below:

You can watch a video we have since received from Cardinal Health below:

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To ensure we can serve as many patients as possible during this shortage, PHS must temporarily limit the Kangaroo Joey and ePump feeding bags you can order to four each month. During this period, please follow the directions below to clean and reuse the feeding bag. Call PHS if you are unable to reuse a feeding bag. You can also find these instructions in PDF format here.

*Note: To extend life of feeding bag, do not remove bag from pump between feedings. Store pump and attached bag in refrigerator. 

Cleaning a Joey or ePump Feeding Bag

1. 

Joey_1

Disconnect feeding bag and feeding bag tubing from feeding tube extension.

2. 

image 2

Fill feeding bag with warm water. Press prime button to flush water through  feeding bag tubing into sink or empty container.

3. 

image 3

Fill feeding bag with cold water. Press prime button to flush water through  feeding bag tubing into sink or empty container.

4. 

image 4

Store pump with feeding bag attached in closed plastic bag. Place bag in  refrigerator between feedings.

5. 

Joey_9

Replace feeding bag if it looks dirty after thorough cleaning or if it no longer works with the food pump.

Using a Gravity Feeding Bag, Syringe, or Different Food Pump

Ask your doctor or PHS clinicians whether gravity bag or syringe feedings could work for your child. Go to PHSTIPS.com and click on Nutrition then on Bolus Feedings. Watch the videos on using a gravity feeding bag or a syringe to feed your child.

Contact PHS if you cannot use gravity bag or syringe feedings with your child. We may be able to provide a different kind of food pump.

Originally published: June 13, 2019
Showing 27 comments
  • Elizabeth Mossburg
    Reply to Elizabeth MossburgComment ID#: 49523

    Why are the Kangaroo Joey Pump Set with Flush bag on backorder? You show this item as a rolling backorder but not why they are. Unless the company that makes the bags Covidien is no longer in business. Recently this excuse “Item Is On Backorder” is the government trying to control distribution.

    • Pediatric Home Service
      Reply to Pediatric Home ServiceComment ID#: 49571

      Thank you for the question, Elizabeth. We have updated the blog to reflect that this was a past issue. The information was originally posted back in October. Thankfully we are no longer experiencing a shortage in bags. While the shortage is over, you can feel free to still use these tips in order to save on medical supply use. Have a great day!

  • Linda
    Reply to LindaComment ID#: 49677

    I cannot get the feed out of the small tube – HELP!!!

  • Russell
    Reply to RussellComment ID#: 49712

    Hi, I currently work for a medical provider of nutrition tube feeding and my company is being told that the major shortage is still going on and that Cardinal health is running extremely behind. Where are you getting your information from. Thank you

    • Pediatric Home Service
      Reply to Pediatric Home ServiceComment ID#: 49714

      Hello Russell, Thank you for the questions. We apologize for the confusion the original note in the blog caused. We have updated the blog to better reflect the global impact and the solution we have in place. PHS has been able to mitigate concerns for many of our patient families by transitioning to a different feeding bag.

  • David
    Reply to DavidComment ID#: 49722

    The shortage is NOT over!
    Just ask the Veteran’s Hospitals. They have run out in the last 2 weeks and are still backpedaling.

    • Pediatric Home Service
      Reply to Pediatric Home ServiceComment ID#: 49723

      Hi David, we understand the shortage is still causing challenges for patients. I’d encourage you to work with your DME provider and come up with a plan that ensures you have access to the needed supplies. While I can’t speak to your specific situation, we’ve had success transitioning patients to a different type of bag. That could be a helpful conversation to have with your provider. Best of luck!

  • Russell
    Reply to RussellComment ID#: 49747

    What other type of bags are you speaking of. I know of the 1000ml Joey and EJoey and 500ml Joey and EJoey and also the 500 and 1000ml Joey and EJoey Feed and Flush bags. These are all on manufacture back order with Cardinal. Cardinal is running at a 63% production rate right now. You can’t tell patients that the back order is almost over when it is not.

  • Russell
    Reply to RussellComment ID#: 49748

    While transitioning to the Infinity is a fantastic idea, patients that are on the dual feed and flush bags will not be able to transition due to infinity does not have the flush option on their pump. What are you going to suggest to your patients then?

    • Pediatric Home Service
      Reply to Pediatric Home ServiceComment ID#: 50044

      There are some cases when a pump switch would be more difficult to be made. In these cases, we understand if families do not want to change to an Infinity pump and would rather continue to order the feeding bags that work with the Kangaroo Joey pump. We will do our best to meet quantity requests. However, we may have difficulty keeping them in stock. If we run out of the bags, we will continue to do our best to obtain as many bags as we can. That being said, we suggest families plan for a continued backorder and reuse as many bags as they can. That is not the reality for all patients, but some can manage that. If you have questions on how to reuse your bags, please contact your PHS clinician or your DME provider. They will be able to help walk you through it.

  • David
    Reply to DavidComment ID#: 49790

    What type of bag? I need bags, flush and feed 1000ml that will work with a kangaroo joey pump. There are many others in the same boat. Thanks for your help.

    • Pediatric Home Service
      Reply to Pediatric Home ServiceComment ID#: 50043

      There are some cases when a pump switch would be more difficult to be made. In these cases, we understand if families do not want to change to an Infinity pump and would rather continue to order the feeding bags that work with the Kangaroo Joey pump. We will do our best to meet quantity requests. However, we may have difficulty keeping them in stock. If we run out of the bags, we will continue to do our best to obtain as many bags as we can. That being said, we suggest families plan for a continued backorder and reuse as many bags as they can. That is not the reality for all patients, but some can manage that. If you have questions on how to reuse your bags, please contact your PHS clinician or your DME provider. They will be able to help walk you through it.

  • Pam Vennerberg
    Reply to Pam VennerbergComment ID#: 50257

    I would also like to know why there continues to be a shortage of the bags. It appears that you need a new manufacturer .. a new distributor … a new contract. If the manufacturer, distributor .. maker of the bags — appears to be unable to fulfill a contract agreement, then that contract should be null and void. This sounds like a good opportunity for some other company. You need to find another company rather than creating more work for the patients and their families. Also, washing the bags is not sanitary. Also, these bags are expensive. Someone is making a lot of money from these products — private insurance — Medicare — Medicaid — etc. … need to step in and find out what’s going on.#

  • Natalie Johnson
    Reply to Natalie JohnsonComment ID#: 52682

    Is there references to use on the safety of reusing the bags and for how many days?

  • Denise
    Reply to DeniseComment ID#: 54290

    I work for a nursing home and we are still having trouble in July getting the epump bags and are being told January. We don’t have enough to make it till January! Is there another pump that will have feeding bag and flush bag? Or even spike bag and flush?
    Ty

    • Lydia deGrood
      Reply to Lydia deGroodComment ID#: 54517

      Hi Denise, thanks for reaching out with your question. Our team of PHS clinicians has had a lot of success with the Infinity pump and bags. We would recommend reaching out to your DME provider to see if that is something they offer and could help you to make the transition.

  • Sara
    Reply to SaraComment ID#: 55693

    The infinity system is not a viable option for us & we are unable to obtain more bags at this time. Please provide us with step by step recommendations on how to properly clean the kangaroo bags/ tubing so that they may be reused. Also, please advise for how many days we can safely reuse the bags if cleaned properly. Thank you.

    • Lydia deGrood
      Reply to Lydia deGroodComment ID#: 55725

      Hi Sara, please see the steps in the above blog for our recommended process for cleaning and extending the life of the bags and tubes. Each individual’s needs and use differ so rather than provide a guideline for how many days of use is appropriate, we advise you to replace the feeding bag if it looks dirty after thorough cleaning or if it no longer works with the food pump.

  • Hazel K. Rodriguez
    Reply to Hazel K. RodriguezComment ID#: 55888

    why do we have to put pump and feeding bag in the fridge after cleaning it?

    • Lydia deGrood
      Reply to Lydia deGroodComment ID#: 55960

      Hi Hazel, thank you for reaching out. We recommend you place the pump and feeding bag in the refrigerator after cleaning to prevent any remaining formula particles from growing bacteria and causing foodborne illness. We hope this helps!

  • KJ
    Reply to KJComment ID#: 56032

    Hello, could you tell me the difference between item number 773662 and 763662? Are they interchangeable? Is there any bag that you can substitute for model number 773662? Thank you

  • Loraine
    Reply to LoraineComment ID#: 56890

    Hello, when is the expected date for supply of Joey bags ref #773662?
    I feel this is totally unacceptable. That a company would prolong a shortage.
    What is the reason for shortage anyway? Please you have to know how desperate
    We all are these needing nutrition are our loved ones so precious to us.
    Please respond even privately if you chose to do so.
    Thanks so much

    • Pediatric Home Service
      Reply to Pediatric Home ServiceComment ID#: 57159

      Hi Loraine, we are following up with the manufacturer to see if they have any updates on the timeline. We completely understand the challenge and wish there was a way we could access the product to send to patients. We will follow up when we have more information.

      • Pediatric Home Service
        Reply to Pediatric Home ServiceComment ID#: 57187

        Hi Loraine,

        The most recent information we have received from Cardinal Health, who manufactures the Kangaroo enteral products, is that the new manufacturing lines required to support additional production of Kangaroo™ Enteral Feeding sets for the Kangaroo™ ePump and Kangaroo™ Joey Enteral Feeding pumps have arrived at their manufacturing facility and are undergoing installation and testing to ensure that it delivers the same quality Kangaroo™ Brand Products that you’re used to. They expect these new machines to begin producing additional Kangaroo™ Enteral Feeding pump sets very soon.

        They are also relaying that they continue to produce and ship feeding pump sets on a daily basis. While the shortage of Cardinal Health™ Kangaroo™ ePump and Kangaroo™ Joey pump sets was originally the result of the demand being higher than the amount we could produce, we are now experiencing additional unprecedented demand due to COVID-19.

        We continue to stay as up to date as possible on the shortage and any changes that impact our patients because we know what an impact this has on our patients, their families, and the enteral feeding community. In the meantime, they are also sharing updates and communicating with the community at this website, where you can sign up to receive any updates.

        Please feel free to reach out with any additional questions. Thank you!

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