Don’t see an answer to your question below? Send an email to questions@pediatrichomeservice.com and we will get back to you shortly.

Troubleshooting

What about the cracking ENFit end on feeding bag or ENFit adapter piece? -

PHS has been ensured that the cracking and leaking issues with the temporary adapter have been resolved. If you continue to have issues with cracking/leaking of these items please reach out to a PHS clinician.

We also recommend the following steps to ensure a proper seal is formed. After removing product from packaging:
1. Remove the attached ENFit temporary adapter from the feeding bag tubing. Put temporary adapter back on, rotating one half turn. Do not over tighten, this may cause cracking.
2. Completely dry the temporary adapter prior to connecting to the feeding tube or extension.

How do I go about disconnecting the ENFit temporary adapter piece? -

Patient families have two options in this situation:

1. You can transition over to the complete ENFit system, eliminating disconnection due to the twist-in mechanism of the ENFit connection.

2. If you are not ready to transition, PHS recommends removing and thoroughly washing and drying the ENFit adapter between feedings. Left over formula may cause the ENFit temporary adapter to disconnect from the feeding tube or extension. ​

TIP: Use the AMT Clamp to help avoid disconnections. Watch this video for more information. Contact PHS to order this product.

Do you have any recommendations to eliminate the potential of a choking hazard with the ENFit temporary adapter? -

To eliminate the choking hazard, we recommend families transition over to the complete ENFit system. Transitioning will eliminate the use of the temporary adapter.

How do I use a clear ended AMT extension with the ENFit temporary adapter? -

Click here to see the PHS product alert with instructions.

Extensions & Tubing

Are you able to cap the extension, or does it have a valve that prevents leaking? -

The ENFit adapter has a cap, however this adapter does not have a valve.

Is there a way to use the new extensions with the old bags? -

No. Once the transition is complete, bags will no longer be packaged with the temporary adapter. However, the transition time frame will be generous to ensure the entire hospital and home care community is able to transition without waste. Because payers support ordering one month at a time, there should not be excess supply beyond one month in a patient home.

How do I use a clear ended AMT extension with the ENFit temporary adapter? -

Watch this video for more information on using an AMT clamp. Contact PHS if this is something you would be interested in.

Feeding & Venting

Will the diameter of the new connectors be the same in order to accommodate patients using home blended diets since these are thicker? -

The new ENFit connectors will be the same diameter as the current connectors and will work for thicker formula and Home Blended Formulas.

Will Farrell valve bag connections also be changing to fit the new products? -

Yes, the ENFit Farrell Valve Bag will be available spring 2017.

Temporary ENFit Adapter

Will the temporary adapter be automatically packaged with the bags, or will families need to order it separately? -

A temporary adapter will be included with each feeding set until the transition is complete.

Do you have any recommendations to eliminate the potential of a choking hazard with the ENFit adapter? -

To eliminate the choking hazard, we recommend families transition over to the complete ENFit system. Transitioning will eliminating the use of the temporary adapter.

How should I troubleshoot an ENFit temporary adapter piece that keeps disconnecting? -

Patients and families have three options:

1. You can transition over to the complete ENFit system, which will prevent the disconnection due to the twist in mechanism of the ENFit design.

2. If you are not ready to transition, PHS recommends removing and thoroughly washing and drying the ENFit adapter in between feedings. Left over formula may cause the ENFit temporary adapter to disconnect from the feeding tube or extension. ​

3. Use an AMT Clamp to help avoid disconnections. Watch this video for more information. Contact PHS to order this item.

What does the temporary ENFit temporary adapter look like? -

Syringes

Is the catheter tip syringe being redesigned to have a different type of tip, or will the extension fitting be the same design/fit as a luer lock syringe? -

Neither. This is an entirely new product line of syringes. PHS currently stocks 5, 10, 20, 35 and 60 mL ENFit syringes. 1 and 3 mL will be available spring 2017.

During the transition to ENFit PHS will continue to stock and provide the catheter, oral, and luer tip syringes. Once transition is complete oral and luer lock syringes will still be available for non-enteral use and the catheter tip syringe will be discontinued.

What are my options for low dose liquid medicine delivery? -

A medicine straw, also called a milk straw, (item #461000E) can be used to draw up liquid medicine. For more information visit our medicine delivery page.

PHS recognizes the challenges that ENFit connectors bring for low dose medicine delivery and counts. We are working with manufacturers on alternative solutions and anticipate having an additional product available in spring of 2017. In the meantime, families will need to develop an individual plan based on their medicine doses and frequency.

Medication Delivery

Many families use push in bottle adapters (PIBA's) to draw up liquid medications to be administered via the med port. Are manufactuers going to be making PIBA's that are compatible with the new ENFit connectors? -

While PHS does not dispense oral medications, this is a question we have heard quite a bit. We have received information that manufacturers are looking at creating this item and have heard of timelines as soon as spring of 2017.

A medicine straw, also called a milk straw, (item #461000E) is an alternative to the PIBA. Medicine straws are available through PHS. For more information visit our medicine delivery page.

Cleaning

What is the best method to clean ENFit products? -

As soon as the feeding is complete, place the extensions, syringes, and feeding bag tubing directly into hot soapy water. This prevents buildup of product in the tubes.

If you are not at home when a feeding or medication administration takes place, PHS recommends you pack a wide mouth water bottle filled with soapy water. Place used products in the water bottle to start the cleaning process.

Watch this video for more information on cleaning your ENFit products.

Are there specific products used to clean tube products such as extensions and medication straws? -

You may use a PEG brush or a pipe cleaner to clean the inside of the extension and medication straws. Keep in mind that not all insurances will pay for a PEG brush.

Watch this video for more information on cleaning your ENFit products.

Note- never use a tube cleaner or pipe cleaner while any product is attached to the patient.

How should I clean the ENFit connection ends? -

When not attached to the patient, PHS recommends families soak ENFit connection ends in mouthwash to loosen any built up medicine or formula. A toothbrush may then be used to clean the ENFit connection ends.

Watch this video for more information on cleaning your ENFit products.