HALYARD MIC and MIC-KEY Introducer Kit Presentation Chart

MIC*, MIC-KEY* INTRODUCER KITS INITIAL PLACEMENT. SIMPLY REDEFINED.

Kit Contents: Gastrointestinal Anchor Set with 4 ea SAF-T-PEXY* T-Fasteners 1 ea Hemostat 1 ea 18 ga Safety Introducer Needle 1 ea .035” J-tip Guidewire 1 ea #11 Scalpel 1 ea 12ml Syringe 1 ea Dilator (specified below) Product Code New Product Name Quantity 98430 Introducer Kit for Gastrostomy Feeding Tube, For use with: 12 1 Kit / Case Fr MIC* tube, 12 Fr MIC-KEY* tube, 14 Fr MIC-KEY* SF tube. Tube not included 98431 Introducer Kit for Gastrostomy Feeding Tube, For use with: 1 Kit / Case 14 Fr MIC*tube, 14 Fr MIC-KEY* tube, 16 Fr MIC-KEY* SF tube. Tube not included 98432 Introducer Kit for Gastrostomy Feeding Tube, For use with: 16 1 Kit / Case Fr MIC* tube, 16 Fr MIC-KEY* tube, 18 Fr MIC-KEY* SF tube. Tube not included 16Fr 98433 Introducer Kit for Gastrostomy Feeding Tube, For use with: 18 1 Kit / Case 18Fr Fr MIC* tube, 18 Fr MIC-KEY* tube, 20 Fr MIC-KEY* SF tube. 20Fr Tube not included 22Fr 24Fr 98434 Introducer Kit for Gastrostomy Feeding Tube, For use with: 20 1 Kit / Case Fr MIC* tube, 20 Fr MIC-KEY* tube. Tube not included

11 MIC* G 11 MMIICC** GG SSSuuuttutuurrereesssttrtraraannnddd LLuueerrSSlliipp Placing the Gastropexy Suture strand SSyyrriinnggee MMICIC**GG LLuueerrSSlilpip SSyyrirninggee PP•ll aacciPinnlaggctethhaeesGGkianassmttrroaorppkeeaxxtytyhe tube insertion site LLoocckkiinnggTTaabb PPl•PPaPPl llaaacllaaccciccnaPeeieennlgtaaathdghcsrtsreeikhtenkiehnietenahesmskmrGkteGiarnianaieraarkmskmnssatakagatrtritrrolknteokthshpsepmpeeeeetaqtauqxutuxrbutbyikeydeidesrisiinnsietntasqasenenurtrttiftidforioroinosnmtmsasitinteet from the tube insertion site LLoocckkininggTTaabb •Ptth PlhaeleactceAtuuebtabteaaeskcisniinkhnsisneaemrmrtltaiuoiaronekrnkrsasaisttittletiethphaaeensntdytduuribinibnneagaienttrrsicaieaonrntgngioltelenanisnsiittneeg 1-2 ml of sterile water or PppPalaaltacttecseerearntnlhtihnrereeeetsoskkitnihnmemanarekrksesdeeqlequuihdiduisibstatannttfrforomm SSuuttuurreeLLoocckk •••gamIAotplagRmoIAonamgRloAIn hamgpAotIoaffanaethntssacsafsaeafaettcasssstsssailseatiaetkressrenlstsntitattrkeiaerekttkcnicerttgItPhdaRnrerrettaktgkenguicnrrecetahrreiiteuhgnhrgnrreaocsuuciteeitrlglhbrhdntcsrstiidcberlgelnedlshitdldhaebltilaweleoeleelehltelahuauctleelesesctat,cuucrrlseulaTsewatnmowihmhwhuoulbtilnmowhpShmowSuhbuc-gsreaeaSerSeaireatsarnuteAeaoAeebneathearrrnrhoAnoeAntstlFrhFenrrppnsrntsueeantFee-s-pFneusrpe.teerh-Tdo.us-T.srrt.rthlrrmttlrtstTrTir-siittl-RhhhsttlusrhpnSRpoiooP-Rhhiefu-RhPtopoaopreolerPeePrrhAeonereorerruuEseEserfwrumusfEseunmfXEssnXfeymFssymasstsnXussoXsyYtsYsyataher.ttro-shiYa*htYbhe*atroottiitrtitfllT*eeRtv*ntnnriehiliiueeltetvdhvnrtsnisnnaieda-tghhgnseanntsedelerrghlaeognttPerlogeroleeroelnesemrleroienooendeseomstaniEtatiuydtcatcrtadtoyutyh,usdonctrioeocXegth,oemonornnebrgtiiuehgggoitbdonhniuediYvringtnntgdhenhgtbsdnhnulnahhehngbaeadetl*tnloentg,lgnegaatenaoenbnten,eoeralalenpdoeaegieskiseeeninpdennditnwinnieeuniinntilynreenaeeteunneetnoir,ietdishetoenrtdniaasdoedishidtonothboealniteoegotghennlfdlleototgenefdlgrfdedtchtetgtlgi1hf1ttwhehtlhgtlcneo1ltwweh1ldhhe-h-eeteeeehel-2i-2hdehereeetiw2hi2hnhentthuemmhuhutmumebaehobbllbelrllleusdatlolenoefrdcwthkhsiiulnteihbdgterattioaatshnbidnegeoglspenlueloittnsuhythreoteahnrtlephoeeeTcthd-kbrleuasrt SSuututurreeLLoocckk •Rini RnenenleeleeCrarashlhsaeuuembtbhtihpeninetswtoosuutittthuthhuereerhoeosueusttmrtteaerranrohndhsud,utb,abbbtetteontonoddddettehtpephelmoleoyyptothherearily hold suture in place •lToT l-o-cbbckaakiRrnirnaegagnpntdteadaabwbwtiootithnhddetrhraapewwrnnotetehcheeeeddndlnleeeueehrehdeudulbelube, n,pputiuslhsahltlhttehheree anchor sets are in place SSlloottteeddNNeeeeddllee TT--BBaarr •iPnP inununllelePTrTr-uh-bhbluaulabrborflinflnuutstsohhtetahhagesgeauaoiotniunuuststertteerggrshaahustsuotbtrbritcaioctpwodwpeadaoplelsllpaoeanlynotdtdhyheethsetomach to anterior SSlolottteteddNNeeeeddllee TT-B-Barar TssT-lilb-dibdaeaearrtbathahndenedosdsmuwuwttiuitiuntrhhreaeddllrolwaocwcakkltdldhoaoewnwndnnetcetoodldotltlheehsee the suture lock with the hemostat PaaPbubudlldlolTuomT-mnb-ibtaninialraarlafllflwnuwusaasahlhluladaggiabailniensst“tcgglaiacsstkrt”irciicswwhaaelllalarandndd sCCsllilaldiadmemeptpthhwweeitistshuhuththuueerrmemeololosostcctakakttddttooowtteenmmttpopoootrthrahaereriliylyhhooldld assabuubtdtuduororememiininnpapllalwaccaeell CRRCleaelpampemepaaptwtwtthihtiehtehphphreroemocmcoeeosddstuautratretetotuuontnettteimlilmapalpollotrtharharrreirelieyleyhaahonnolcdclhdhoorr ssssueeutttsutsurareaerreienininipnppllpaalaclcaececee RPPReuuepllpeloeoananttttthhthheeeespspuruorttuocurcereeedsdsuturtoeoreauapunppntpoitloislasealelltltthhhtehreersesetetooamamnnacacchchhohorr sttoseoetasatnsnatatreeerrreiioinoirnrpaaplbabldacdoceomemininaallwwaalllaannddcclolosseetthhee PssPuuuutltullulorroenenltolhotcheckekswsuwutituitthurhertethshseteothoheaeampmppopoososststaeaetttuhtuhnenetstilistlaotaonmnmaacchh taaotuoudadainbinbtlteeleerr“i“iococrlrilcaiacbkbk”d”iosismmhhieinenaaaarlrldwdwaalllaannddcclolosseetthhee ssuututurreelolocckkwwiitthh tthe hemmoossttaattuunntitlilaann aauuddibibllee““cclilcickk””isishheeaardrd

SSaaffeettyyIInnttrroo GGuuiiddeewwiirree MIC* G NNeeeeddllee GGuuidideewwiriere MMIICC** GG NSSNaeaefeefedetdylteylIenIntrtoro MMCIICrCe**aGGting the Stoma Tract CC•rr eeaatItniinsngegrttthhtheeeSSSttaoofmemtayaITnTrrtaraoccdttucer needle into the gastric lumen CC•rIIrn enesaseaetArtrittdintnthvghgeaentSthSchaaeefefeeSttStyhytetIoInonmJtmtr-roaotdaidpuTuTcrcgreaeuarcricndnteteeeewddlielreeinintthtoortothhueegh the needle into the •ggIARARn((snsgn gIARn(saakkRA(snnaaeeakesakddaeeeasseedsedffeeeesemmsvvftteeeeefmeevmvteeRpsrrrddteeaapttprdooadrrtiiatptllyyoptlncncioetieeiilyovvcnalytncnneiveiccvhmtccneenllccmcchiiggecuuleeelennooiguigeueenoettnommottggllhhmtttamSlltg)oohtglthhhtaalSuuvoleeeeohcahauaeeaueeeerrettiiannehreddftirShhSntindeShdfhSJJeeeeetaaJJdeteeae--ahwwytff--ttwsswfyeeftiisetaseepptiitIiittrrpitoonptiIctyyrtoreeonSyggymmteetgmgrmtIIauuiiiIrnonIuvnnaaiuinfnoiinanatdtddaieccitrrddtppcdcureeptrhhoopteullhoeehoycaawwlddlawcdawdeccuusIiiceucurrrineeiccarerreecec))neeetef)e)nerettaaerrtaohhrtaernnethhnnnrrneyndndddrrooeedddoeoeuluueecaaelueueaaecggddoccgdgdiccehhllnttileehlhltniilteertvviaittovtvthhtaaonrhahaeettteeteeehtteeheeedle (keeping guidewire in SSaaffeettyy JJ--GGuuiiddeewwiirree CCoolllaarr JJ-G-Guuidideewwiriere CSCSaooalfellfaletarytry

Serial Dilator MIC* G SSeeriraiallDDilialatotorr MIC* G Red sheath MMDIICiCl*a*tGGion RReeddsshheeaathth D•i latCiorenate a small skin incision with the #11 safety scalpel Dilator Hub DDiCsillaaraefteattaitihotlyoeoensnnacfgaasssmlpicdaeiaelllasotlkhofinentghignseuicdiaiesdbieotdhwneowimgreiuti,hindttaehhlwremoi#rue1ug,1shcuthlaetusruebcutaneous tissue and DDilialatotorrHHuubb ••tsCfAtafah ftsCahrahnasrdrefsrsroeecdfvoaocceuIAThaitautuaniiytigenawtaandyggeshostvchavohoosiecfaseetafcfrtahsttthnttahshhttmblehhthpemleeecthpeeeaeeshesaesaseeullaealdulutlbabnltbosbdibabdhlnslckdmadoclciaokueoileotonunauaimdotnnxmmgtattdcrviagaitonsninhiiiaonnsnnnlidcera.dainvecaeadioilehtseIoillcoleosmuanirumumuoteisstrhotutsbsnodhuehuentosteisrtreswtcsiitgvwcscsoisgugiteunssutuhiuluhutiurarltldeehaiaeioedetdttetuthalntheueuaewhatrenewrewrhenenaeidxe#rdeidsitg#rer1teeedt1htu,1shh,1iettileedoah-emewpaiecreehlaaunwndtailyinastlhol detaihlatehtostrosmleaecvehs. Peel-Away •At AoddrvvaiAnantdncocveteahtnhethceseetdoditlmihalataeotcorphroeouvevneletr-irlathtawhelleagdgyuiluaisdithdeoeewrwasirtlierheeivnetso the stomach Sheath •htaho tahTanaoaranwwvdrvdvieniieaRiesnnitbynteotbtboeottsmeeothehhteteehnhtoeennheedaavesaaitsedstlhddasottvovotvttmaoohamamnmarnenacachccacecdhueechdhibddhul.au.ntntIotnIoitnlrisrlesae,aellrlellertldattadishtlivhaeleaietntotnhongreeresxtsxpltheltedeeedeievlialpvle-a-ees-sel-away sheath in place PPeeeel-lA-Awwaayy TaAsTawwtwwdoiavsimasyatytantshtcschhehheeeedatdahitlhitaelhatpotoerrehhlu-uabbwtotaoyrreeslehleaeasasetehthtihneetoppeteheeel-l- SShheeaathth AsRsAstdhotedovemmvmaaaaontanchvcccheeihentthhtpheelaedpcpieeleaeetlo-l-ara,wlweaaayvysinshhgeeatahthtehipninetoteolt-htaheweay RReemmoovveeththeeddilialatotor,r,leleaavvininggththeeppeeeel-l-aawwaayy sshheeaaththininpplalaccee

MIC* G MMTIuICCb**eGGPlacement • Advance the tube down the peel-away sheath and into the TTuubbeesPtPollamaccaecemhmeenntt • Ensure the balloon is in the stomach •A AddvvRaanencmceeothtvheeettuthubbeeepddoeowewln-nathtwheeapypeeesehl-l-aeawawtahayy •s shheeaInathtfhlaaatnenddtinhinteotobthtahelelsostootomnmawaccihthh 7-10 ml of sterile or distilled water •E EnnssuPurureellthtthheeebbaballalolololoonnoisinsiniunpththeteossttothomemaasctchohmach wall •R ReemmSoloivdveeethttheheeppeSeeEel-Cl-aaUwwRaayEy-ssLhhOeeaKatht*hring toward abdomen until it ress InInflfla2at-ete3thmtheembbaaalllboloooonvnewwittihhthe77-s-1k10i0nmml looffssteterrilieleoorr •d disistiVtlilleelerddifwywapatetlaercr ement PPuullllththeebbaalllolooonnuupptotoththeesstotommaacchhwwaallll SSlildideeththeeSSEECCUURREE--LLOOKK**rrininggtotowwaarrdd aabbddoommeennuunntitlilititrreessss22--33mmmmaabboovvee ththeesskkinin VVeerrifiyfypplalacceemmeenntt

KIMBHERLAY-LCYLAARRK*D* MIC* J / TJ Introducer Kits MIC* J / TJ Introducer Kits Kit Contents: GKiat sCtornotienntetss:tinaGl Aanschtorroseint wtiethstinal Anchor set with 4 ea H1S8AemgF-aoTs-SPtaaEfteX14tYy*eeInTaa-trFoaHdSsutAeecneFmerr-NsToee-sdPlteaEtXY* T-Fasteners 1 ea 1 ea 1 ea 5 Fr Seeki1ngeCaath1et8er 0g.3a8 gSuiadefweirteycoImnptartoiblde ucer Needle 1 ea #1121mSl Scyarlpin1egleea 1 ea 5 Fr Seeking Catheter 0.38 guidewire compatible 1 ea Dilator (sp1eceifiaed#be1lo1w)Scalpel 1 ea 12ml Syringe Quantity Product Code T1itlee/aDesDcriipltaiotnor (specified below) 1 Kit / Case 98435 MIC* J / TJ - 16 Introducer Kit Includes 20 Fr Dilator For Use With MIC* 16 Fr Jejunal / Transgastric Jejunal Feeding Tube, Tube not included 98436 MIC* J / TJ - 18 Introducer Kit 1 Kit / Case ProIndcluudcets 2C2 oFrdDeilator New Product Name Quantity 1 Kit / Case For Use With MIC* 18 Fr Jejunal / Transgastric Jejunal Feeding Tube, Tube not included 98437 Introducer Kit for Jejunal/Transgastric- Jejunal Feeding Tube, For use with: 16 Fr MIC* tube, 16 Fr MIC-KEY* tube. Tube is not included. 20 Fr 98438 Introducer Kit for Jejunal/Transgastric- Jejunal Feeding Tube, 1 Kit / Case 22 Fr For use with: 18 Fr MIC* tube, 16 Fr MIC-KEY* tube. Tube is not 20Fr included. 22Fr MIC* J / TJ

11 MIC* J / TJ 11 MMIICC** JJ // TTJJ SSSuuuttutuurrereesssttrtraraannnddd LLuueerrSSlliipp Placing the Gastropexy Suture strand SSyyrriinnggee MMICIC**GJ / TJ LLuueerrSSlilpip SSyyrirninggee PP•ll aacciPinnlaggctethhaeesGGkianassmttrroaorppkeeaxxtytyhe tube insertion site LLoocckkiinnggTTaabb PPl•PPaPPl llaaacllaaccciccnaPeeieennlgtaatahdghcsrtsreeikhtenkiehnietenahesmskmrGkteGiarnianaieraarkmskmnssatakagatrtritrrolknteokthshpsepmpeeeeetaqtauqxutuxrbutbyikeydeidesrisiinnsietntasqasenenurtrttiftidforioroinosnmtmsasitinteet from the tube insertion site LLoocckkininggTTaabb •Ptth PlhaeleactceAtuuebtabteaaeskcisniinkhnsisneaemrmrtltaiuoiaronekrnkrsasaisttittletiethphaaeensntdytduuribinibnneagaienttrrsicaieaonrntgngioltelenanisnsiittneeg 1-2 ml of sterile water or PppPalaaltacttecseerearntnlhtihnrereeeetsoskkitnihnmemanarekrksesdeeqlequuihdiduisibstatannttfrforomm SSuuttuurreeLLoocckk •••agmIAotpmlagRoAIonmalgRoAIn hagmtpAIooaffanaetnhtscassafsaeafaettcsassstsssailesatiaetkressrenlstsntitattrkeiaerekttkcnicertttgaIhRPdnrerrettaktgkenguicnrrecetahrreiiteuhnghrgnrreaocsuuciteeitrlglhbrhdntcsrsitidcberlgelnedlshitdldhaeblitlaweleoeleelehltelahuacutleelesesctat,cucurrlseulaTsewatnmowihmhwhuoulbtilnmowhpShmowSuhbuc-gsreaeaSerSeaireatsarnuteAeaoAeebneathearrrnrhoAnoeAntstlFrhFenrrppnsrntsueeantFee-s-pFneusrpe.teerh-Tdo.us-T.srrt.rthlrrmttlrtstTrTir-siittl-RhhhsttlusrhpnSRopiooP-Rhhiefu-RhPtpooaopreolerPeePrrhAeonereorerruuEseEserfwrumusfEseunmfXEssnXfeymFssymasstsnXussoXsyYtsYsyataher.ttro-shiYa*htYbhe*atroottiitrtitfllT*eeRtv*ntnnriehiliiueeltetvdhvnrtsnisnnaieda-tghhgnseanntsedelerrghlaeognttPerlogeroleeroelnesemrleroienooendeseomstaniEtatiuydtcatcrtadtouytyh,usdonctrioeocXegth,oemonornnebrgtiiuehgggoitbdonhniuediYvringtnntgdhenhgtbsdnhnulnahhehngbaeadetl*tnloentg,lgnegaatenaoenbnten,eoeralalenpdoeaegieskiseeeninpdennditnwinnieeuniinntilynreenaeeteunneetnoir,ietdishetoenrtdniaasdoedishidtonothboealniteoegotghennlfdlleototgenefdlgrfdedtchtetgtlgi1hf1ttwhehtlhgtlcneo1ltwweh1ldhhe-h-eeteeeehel-2i-2hdehereeetiw2hi2hnhentthuemmhuhutmumebaehobbllbelrllleusdatlolenoefrdcwthkhsiiulnteihbdgterattioaatshnbidnegeoglspenlueloittnsuhythreoteahnrtlephoeeeTcthd-kbrleuasrt SSuututurreeLLoocckk •Rini RnenenleeleeCrarashlhsaeuuembtbhtihpeninetswtoosuutittthuthhuereerhoeosueusttmrtteaerranrohndhsud,utb,abbbtetteontonoddddettehtpephelmoleoyyptothherearily hold suture in place •lToT l-o-cbbckaakiRrnirnaegagnpntdteadaabwbwtiootithnhddetrhraapewwrnnotetehcheeeeddndlnleeeueehrehdeudulbelube, n,pputiuslhsahltlhttehheree anchor sets are in place SSlloottteeddNNeeeeddllee TT--BBaarr •iPnP inununllelePTrTr-uh-bhbluaulabrborflinflnuutstsohhtetahhagesgeauaoiotniunuuststertteerggrshaahustsuotbtrbritcaioctpwodwpeadaoplelsllpaoeanlynotdtdhyheethsetomach to anterior SSlolottteteddNNeeeeddllee TT-B-Barar TssT-lilb-dibdaeaearrtbathahndenedosdsmuwuwttiuitiuntrhhreaeddllrolwaocwcakkltdldhoaoewnwndnnetcetoodldotltlheehsee the suture lock with the hemostat PaaPbubudlldlolTuomT-mnb-ibtaninialraarlafllflwnuwusaasahlhluladaggiabailniensst“tcgglaiacsstkrt”irciicswwhaaelllalarandndd sCCsllilaldiadmemeptpthhwweeitistshuhuththuueerrmemeololosostcctakakttddttooowtteenmmttpopoootrthrahaereriliylyhhooldld assabuubtdtuduororememiininnpapllalwaccaeell CRRCleaelpampemepaaptwtwtthihtiehtehphphreroemocmcoeeosddstuautratretetotuuontnettteimlilmapalpollotrtharharrreirelieyleyhaahonnolcdclhdhoorr ssssueeutttsutsurareaerreienininipnppllpaalaclcaececee RPPReuuepllpeloeoananttttthhthheeeespspuruorttuocurcereeedsdsuturtoeoreauapunppntpoitloislasealelltltthhhtehreersesetetooamamnnacacchchhohorr sttoseoetasatnsnatatreeerrreiioinoirnrpaaplbabldacdoceomemininaallwwaalllaannddcclolosseetthhee PssPuuuutltullulorroenenltolhotcheckekswsuwutituitthurhertethshseteothoheaeampmppopoososststaeaetttuhtuhnenetstilistlaotaonmnmaacchh taaotuoudadainbinbtlteeleerr“i“iococrlrilcaiacbkbk”d”iosismmhhieinenaaaarlrldwdwaalllaannddcclolosseetthhee ssuututurreelolocckkwwiitthh tthe hemmoossttaattuunntitlilaann aauuddibibllee““cclilcickk””isishheeaardrd

SSaaffeettyyIInnttrroo GGuuiiddeewwiirree MIC* J / TJ NSNaeefeeedtdylleeIntro Guidewire NSeaefdeltey Intro Guidewire MMIICC** JJ // TTJJ Needle MCICre*aJt/inTgJ the Stoma Tract MIC* J / TJ SSaaffeettyy SCCaoolflelatayrr CCC•rrr eeeaaattItniiinnsnggegrtttthhhtheeeeSSSStttaooofmmemtaayaITTnTrrrtaaraocccdtttucer needle into the gastric lumen CSoallfaerty C•Ir InenssaeeArtrtditntvthghaeentScShaeaeffeeatStyygtIouInnimtdtrroeoaddwuTucicrreeaerrctnhnteereoeddulelgeihnintttohoe needle into the fundus of the Collar tthheIenggsaeassrsttttrorticihmcelulauSmcmahefeennty Introducer needle into th•eA AIgnddasvvRseaatrnerntcimccteheloeuaavmSgegaeuufntiedihdteeeywwISniriarterefoetthdthyrurocoIuneugrgthrhnotethdheeuednlcneeeeiernedtdnoleleeedle (keeping guidewire in initnhttAoeodtgthvhapeaeslnftafurcucinecneddal)uuuagsmsnuoeoidfdnftetahhweceitrsisevttoaotmhtmeraoactuchhgheh sthaefenteyecdolellar is((n(skkiakn•ateefeRRot feeRRAoeeetppteedpthytmmiiymhmvnntALiecnooheacggiodooggfvvneouvfvvggleeauclgenealauugmnaeuttdrniithhtudrddihuhadeeecuieeesedengeswwSSwoSeSutoaaiitfawiarrihofffdreetfeefehteeiefhttriietwyytnneiTeynysrsIIieppiIrsnneIptnnenlleotttaailotrrttatmkrtccrooozmchooieeddanerddat))uucog)huucaacchuacchennceegneeddrrhasdrrnnttaatnnhaoheecceecemeetteetiitddvvinddevallaaeeelalrceetteteehoedttvltahheheeenerdth1e0-g1u5idcemwibree,ymonadnitphuelate s(ak•fAe eAedtdypvvRiacnaneogncmlclgeaeuortithvdheeeewstsehiereeeekkiisninneggpeclkcaaiacnttehgh)eeatcteneardrtohoavevceettreirvtrthahelteeeathvieng the guidewire in place ggsuuaAidifdedeetvwywaicnriroecel,el,ammtrhaaennispipeuuelalkatitneegtthcheaetgghuueiditdeeerwwoivrireerinitnhttoeotthhee sgstutooidmAmedaawvccaihrhneaca,nenmddtah11n0e0i-p-s11ue55leaccktmemintbghbeecyyaogotnuhndiedtteethwhreeoirLvLeiegigiranamtmhoeeetnhntet osogtfofuTmTirdreaeeictiwtzhziraen, dm1a0n-i1p5ulcamtebtehyeognudidtheewLiriegainmtoentht e osftRToRrmeeemiamtzcoohvveeatnthhdee1s0se-ee1e5kkicninmggcbcaeatythhoeenttederrtlheleeaavLviinigngagmtthheeent ggouufRidiTdeeremewwiotizrivreeitninhpeplalsaecceeking catheter leaving the guidReewmioreveinthpelasceeeking catheter leaving the guidewire in place

Serial Dilator MIC* J / TJ SSeeriraiallDDilialatotorr MIC* J / TJ Red sheath MMDIICiCl*a*tJJio//TnTJJ RReeddsshheeaathth D•i latCiorenate a small skin incision with the #11 safety scalpel DDiilCslaaraetfteatiaihotltooyeennnsafcgaasssmlicpdaieaelllaotshlkfoeintnhggiensuicdaiidesbeiodtwhnoeimwrgeiuit,nhitdahtehlrwemoiu#rue1gs,1hcuthlaetusruebcutaneous tissue and •Cs ftCsahrarefsreefoacAseatutliytdeeatygesvehaoscaavfctasnehtasmlhcspemlpeaeehsaellalulatlalbshbavslkdocelekoionuninndmbgtiaginseiilnnsniacediecatdinesooilesimuotriahotsnhduoentesvwvigwcsaegiustniurhutildhcaitedtehtehteuawhedewrneei#rdgi#re1uet1,1h,i1deewire. Continue until all dilator ••tf AChaftharsodrsocnvoTAcuiatuawiidgannghovicuhosafeettfhttnhhttutehchheeneeesetsauiadlutbbdahbibdlcialdecloluatoudmottpmatiorlaienaniornneetavoeaholle-rolumuramussbutwlsehutstieesacsiocsvysugseuulrusuasleeaihetdlhutaeeeuaarnaawrenvdestedihertehthti.enheteopteheelaswtoamy aschheath •ACba TbAbCewodweeodenvaeenivsRnatsynniathntneiannsaeactumdhhcuddaeeveeeevvotatuahaahdtunvnthnneinhecilteccnaitedlieettdldaiohpddlaialrlellalatlhdotdcdouirlieriablolaatovtottovoeroerrrsrrest,lhetllleeheeeaeevagsvegvueesuiisndtihhdgheaeeawvtwvpehiereiereee.lg.-uidewire and peel-away aTaAswTwwtwdoaiavsimysayttsantshhtcchheeheeeadattdhihtlihaelatpotoerrehhlu-uabbwtotaoyrreeslehleaeasasetehthtihneetoppeteheeel-l- AsaRAstndoteddovmmvmapaaoneancvceccheelhe-ttahhtwheeeadpypieleaseehtlo-le-araa,wltwehaaayivnysinsphhgleaeatcahtehtehigninutotidotehtwheeire RReemmoovveeththeeddilialatotor,r,leleaavvininggththeegguuidideewwiriree aannddppeeeel-l-aawwaayysshheeaaththininpplalaccee Dilator Hub DDilialatotorrHHuubb Peel-Away Sheath PPeeeel-lA-Awwaayy SShheeaathth

MIC* J / TJ MMTIuICC*b*eJJ/P/TlTaJJcement • Advance the tube over the guidewire, into the stomach and 10- TTuubbee1P5Plcalmaccebememyeoennntdt the Ligament of Treitz • Ensure the balloon is in the stomach •A AddvvPaanenceceletthhtheeetsutuhbbeeeaotovhveerartwhtheaeygguuidideewwiriere, , •iL nLiingtiogtaoIamtnhmthefeleenasnttstteootoofmtfmThaTraeecrecihtbihztaazanllndodo110n0-1-w155cictmhmb7be-ey1yo0onndmdtlhtheoef sterile or distilled water •E EnnssuPuruerellthttheheebbaballalolololoonnoisinsiniuntphtheteossttothomemaasctchohmach wall •P PeeeeSal ltblhitdoheeevseshthheteehaateShthesakcawiwunaray-yLok* ring toward abdomen until it rest 2-3 mm ••PId nIPdiunsfliulsfltlaliVRtallttilhleteetelheeedrmtedihtbfwheybowaeaalvbpaltlboealetloaoaelrlotlncrolhnooeueonumpnpgwtewuotiontiithdtththhee7re7a-ws1-ds1t0iorit0ooemmmmglarlaocaocfhpfhswshtwetiaecrailrallilellleloyorr SSlildideeththeeSSeeccuur-rL-Lookk**rirninggtotowwaardrdaabbddoommeenn uunntitlilititreresst t22-3-3mmmmaabboovveeththeesskkinin RReemmoovveeththeegguuidideewwiriere VVeerirfiyfypplalacceemmeennt traraddioioggrarapphhicicaalllyly

KIMBEHRLAY-LCYLAARKR*D* MIC-KEY* G Introducer Kits MIC-KEY* G Introducer Kits Kit Contents: KGiat sCtornotienntetss:tinaGl AancshtorroSeitnwtiethstinal Anchor Set with 14 ea SAF-T-PEX4Y*eT-aFasSteAneFrs-T-PEXY* T-Fasteners 1 ea H18emgaosStaafte1ty ea eInatrodHuceermNeoedsletat 1 ea .035\" J-tip1Gueidaew1ire8 ga Safety Introducer Needle 1 ea #D1il1atSocra(lsppe1elceifiead 1 ea b.0elo3w5) ” J-tip Guidewire 1 ea Over-the-w1ireeSato#ma1M1eaSscurainlgpDeevlice 2 ea 12ml Syrin1geea Dilator (specified below) Product Code T1itlee/ DaesOcripvtieonr-the-wire Stoma MeaQsuuanrtiitny g Device 98430 M2ICe-KaEY*1G2-m12lInStryodruicnegr Keit 1 Kit / Case Includes 16 Fr Dilator For Use With MIC-KEY* 12 Fr Low-Profile Gastrostomy Feeding Tube, Tube not included 98431 ObMInscIoClu-lKdeeEsYt*e18GCF-ro1D4idlIanettorroduNceer wKit Product Name1 Kit / Case Quantity 98432 1 Kit / Case 98433 For Use With MIC-KEY* 14 Fr Low-Profile 1 Kit / Case 984Ga3s0trostomy Feeding TuIbnet,rToubdeuncoet irncKluitdefod r Gastrostomy Feeding Tube, For use with: 12 1 Kit / Case MIC-KEY* G - 16 IntroduFcrerMKiItC* tube, 12 Fr MIC1 K-iKt /ECYa*setube, 14 Fr MIC-KEY* SF tube. Includes 20 Fr Dilator Tube is not included. 16 Fr 18 Fr For Use With MIC-KEY* 16 Fr Low-Profile 20 Fr 22 Fr Gastrostomy Feeding Tube, Tube not included 24 Fr 984M3IC1-KEY* G - 1D8ilIanttorrodu1Icn4etrrFKoritdMuIcCe*rtKuibtefo, 1r4GFarsMt1rKoICist t/-oCKamEsYey*Fteuebdei,n1g6TFurbMe,ICFo-Kr EuYs*e with: 16Fr SF tube. 18Fr Includes 22 Fr 20Fr For Use With MIC-KEY*T1u8 bFreLoisw-nPorotfiliencluded. Gastrostomy Feeding Tube, Tube not included 98434 984M3IC2-KEY* G - 20 IntroduIcnetrrKoitducer Kit for Gast1rKoist t/ oCamsey Feeding Tube, For use with: 16 IFGnoacrsluUtrdsoeesstWo2m4ityhFrFMeDeIiClda-itKnogErYT*uFTb2ure0,bMFTreuILbCoiesw*n-noPttourointbfcileielnu,dc1el6ud dFer dM. IC-KEY* tube, 18 Fr MIC-KEY* SF tube. 98433 Introducer Kit for Gastrostomy Feeding Tube, For use with: 18 MIC-KEY* G 1 Kit / Case Fr MIC* tube, 18 Fr MIC-KEY* tube, 20 Fr MIC-KEY* SF tube. Tube is not included. 98434 Introducer Kit for Gastrostomy Feeding Tube, For use with: 20 1 Kit / Case Fr MIC* tube, 20 Fr MIC-KEY* tube. Tube is not included. 22Fr 24Fr

11 MIC-KEY* G 11 MMIICC--KKEEYY** GG SSSuuuttutuurrereesssttrtraraannnddd LLuueerrSSlliipp Placing the Gastropexy Suture strand SSyyrriinnggee MMICIC*-KGEY* G LLuueerrSSlilpip SSyyrirninggee PP•ll aacciPinnlaggctethhaeesGGkianassmttrroaorppkeeaxxtytyhe tube insertion site LLoocckkiinnggTTaabb PPl•PPaPPl llaaacllaaccciccnPaeeieennlgtaaathdghcsrtsreeikhtenkiehnietenahesmskmrGkteGiarnianaieraarkmskmnssatakagatrtritrrolknteokthshpsepmpeeeeetaqtauqxutuxrbutbyikeydeidesrisiinnsietntasqasenenurtrttiftidforioroinosnmtmsasitinteet from the tube insertion site LLoocckkininggTTaabb •Ptth PlhaeleactceAtuuebtabteaaeskcisniinkhnsisneaemrmrtltaiuoiaronekrnkrsasaisttittletiethphaaeensntdytduuribinibnneagaienttrrsicaieaonrntgngioltelenanisnsiittneeg 1-2 ml of sterile water or PppPalaaltacttecseerearntnlhtihnrereeeetsoskkitnihnmemanarekrksesdeeqlequuihdiduisibstatannttfrforomm SSuuttuurreeLLoocckk •••mgaIoAtpAoIamgRlongRlaomIAn hgmaIotApofafanaetnhtscsasafsaeaafettcasssstssasilesatiaetkressrenlsstnttiattkreiaerekttkcnicerttIPtgadRhnerrrettaktgkenguicnrrecetahreriiteuhgnhrgnrreaocsuuctieetirlglhbrhdntcsrsitidcberlgelnedlshitdldhaelbitlaweloeeelelehltelahuacutleeelsesctat,ucucrrlseulaTsewatnmowihmhwhuoulbtilnwmohpShwmoSuhbuc-gsreaeaSerSeaireatsarnuteAeaoaeebnaethaerrrnrhoanoeantstlFrhenrrppnfsrntsueeatnee-spnfesu-rpfe.teerhTdo.su-.s-rTrtr.thlrrmttlrtstrTirT-siitltRhhhsttl-usrhpnSRopiooPRhhief-uRht-PopoaopreolereePrrhaePonereorerruuEseserefwrumusfseunemfXfssnefeymssymassxtsn-ussoysYtsysaxtaherx.trtoshiya*htbTheartoottiirttiytflyleeRtvnt*nnriehiliiuee-ltetvdh*vnrtsn*innaiedatghhgneannPtedeslerrghaeogntterlsogesreeroenelsemrlereienoeondleseolmstaniatiuyodtocacrtxadtouyttyh,usdoncrioocegth,oetmonorynnbrgtiiuthgetggoitbonnhiuedeivrinegtnnt*ghenhgtbsnhdnulnahhehngbadeadetdltleontg,lgnegaatesaeonbnte,eoneralalnpdoeaneginlekiseeninpdnenditonwinnieuniienntiyenrenaeteunneetnir,ietishteetoenretdniaaseodishidttonothbeoanieeodgdotgehnndflleolotgnedflgrdfeeldtchlttgltdegi1ehf1tthehlthgltcneo1ltweh1lhhew-h-eeteeeehewlw-n2-2hdehereeew2hi2hihentuetiemimuthuhttmumbaehehhobbllblrdllleuslateloenofwrdcthkihstiuhlneibdgaterttisoaatihnnbdeggeollspeenulosittnhuhytareoterhpntlehoeteehTcd-krublesatr SSuututurreeLLoocckk •Rini RnenenleeleeCrarashlhsaeuuembtbhtihpeninetswtoosuutittthuthhuereerhoeosueusttmrtteaerranrohndhsud,utb,abbbtetteontonoddddettehtpephelmoleoyyptothherearily hold suture in place •lToT l-o-cbbckaakiRrnirneagagnpntdteadaabwbwtiootithnhddetrhraapewwrnnotetehcheeeeddndlnleeeueehrehdeudulbelube, n,pputiuslhsahltlhttehheree anchor sets are in place SSlloottteeddNNeeeeddllee TT--BBaarr •iPnP inununllelePTrTr-uh-bhbluaulabrborflinflnuutstsohhtetahhagesgeauaoiotniunuuststertteerggrshaahustsuotbtrbritcaioctpwodwpeadaoplelsllpaoeanlynotdtdhyheethsetomach to anterior SSlolottteteddNNeeeeddllee TT-B-Barar TssT-lilb-dibdaeaearrtbathahndenedosdsmuwuwttiuitiuntrhhreaeddllrolwaocwcakkltdldhoaoewnwndnnetcetoodldotltlheehsee the suture lock with the hemostat PaaPbubudlldlolTuomT-mnb-ibtaninialraarlafllflwnuwusaashlhluladaggiabailniensst“tcgglaiacsstkrt”irciicswwhaaelllalarandndd sCCsllilaldiadmemeptpthhwweeitistshuhuththuueerrmemeololosostcctakakttddttooowtteenmmttpopoootrthrahaereriliylyhhooldld assabuubtdtuduororememiininnpapllalwaccaeell CRRCleaelpampemepaaptwtwtthihtiehtehphphreroemocmcoeeosddstuautratretetotuuontnettteimlilmapalpollotrtharharrreirelieyleyhaahonnolcdclhdhoorr ssssueeutttsutsurareaerreienininipnppllpaalaclcaececee RPPReuuepllpeloeoananttttthhthheeeespspuruorttuocurcereeedsdsuturtoeoreauapunppntpoitloislasealelltltthhhtehreersesetetooamamnnacacchchhohorr sttoseoetasatnsnatatreeerrreiioinoirnrpaaplbabldacdoceomemininaallwwaalllaannddcclolosseetthhee PssPuuuutltullulorroenenltolhotcheckekswsuwutituitthurhertethshseteothoheaeampmppopoososststaeaetttuhtuhnenetstilistlaotaonmnmaacchh taaotuoudadainbinbtlteeleerr“i“iococrlrilcaiacbkbk”d”iosismmhhieinenaaaarlrldwdwaalllaannddcclolosseetthhee ssuututurreelolocckkwwiitthh tthe hemmoossttaattuunntitlilaann aauuddibibllee““cclilcickk””isishheeaardrd

SSaaffeettyyIInnttrroo GGuuiiddeewwiirree MIC-KEY* G NSNaeefeeedtdylleeIntro MMIICC--KKEEYY** GG NSeaefdeltey Intro Guidewire MMCIICrCe--KaKEtEYiYn**gGGthe Stoma Tract Needle Guidewire CCCC••rrIrIrn eeneesaaseaaettIArttnriititdinnstnnthvggehggearentttStthhSchthahaeeefeefeeeSSttSStyhSyttteatIooInoofnmmJtemmtr-rtoaaoytadaidpuITTunTTcrrcgrtreaaerauaroccrcicnddnttetteeueewcddelielrreeinninttehtooertodthhlueeegihnttohethneegeadsletriicntloumtheen IggnaassesttsrrrtitciocthlmuleummaSecaenhfnety Introducer needle into the •gA IAandsdvtevRraaricnetncmtlchueeemotthSveheeanefJetJ-ht-tytiepipInSggtaurufoidieddeteuywwcIierinrreetnrttohehredrodouuluecggehihnrttthonheeetheedle (keeping guidewire in Angneadeesvepdtadrllnielaceccielniuenttmt)ohoaeetthnhJede-tsisapttocogmtmuivaiadaccethhewsiraefethtryoucgohllathre RnRAeedemmvdoaloevnvecienetthohteheteShSeaJaf-sfetetitoptyymgIInauntcitrdrhooeddwuuicrceeerrthnnreeoeeuddglelhethe R((knkeeeemeeepodpivlnieneggitnghgtueouidiStdheaeewfwesitrityreoemIinninatrpcpolhaldacucece)e)arannndedeaadccltetivivaattee s(skRaaeeffeemepttyoiynvccgeoogltlhaluaerirdSeawfeirtey iInntprloadcuec) earnndeaecdtlievate s(akfeeetypicnogllgauridewire in place) and activate safety collar SSaaffeettyy JJ--GGuuiiddeewwiirree SCCaoolflelatayrr CSoallfaerty J-Guidewire Collar J-Guidewire

SSttoommaa SSeerriiaallDDiillaattoorr MIC-KEY* G MMeeaassuurriinngg SSeeriraiallDDilialatotorr DDeevviiccee RReeddsshheeaatthh MMIICC--KKEEYY** GG SStotommaa RReeddsshheeaathth MMeeaassuurirningg DMDMDiilIlaICaiCtlt-iai-oKoKtnnEiEoYY*n*GG DDeevvicicee DDiisscc DDisiscc • Create a small skin incision with the #11 safety scalpel BBaallloooonn DDCsiCsilarlaarefaefetaeattitttyihotelyoeoesnasnncacfasgaasmlssmplpicaedaeillalellasaslotkolkhoifnninentggihnsignseicudicdiesiaesdibotieothdnhwneeowwgimgriuetiuthii,hdindtetahehhwlewreimo#ri#reu1e1u,1g,1shcuthlaetusruebcutaneous tissue and BBaallolooonn •tsCtfAtfAhha tsCaahrhdarsrdrefrsrovoeecfvoaoceauuIsAatiautuaniytnggleatndygegeschhoschavoheseecfaettafcvrtahhsttthnttashhethmleehhpemleectepeaieesshnesaesaluudlaeludutlbabbiltbsolbiabdhalnslcckdaoclcoktuueoiteotnounuimhottnnxmgrtaatdreiagaitnsonniniionnsnnlidcveesadaivecaedietooiletseoillooerosmuuairmuuotimtsstrhotutshsnohuhenttoseateiistrewcssiigvcwcssgissgugieunsuhstuuiuluhutiuraltideehaidioedetdttetuehaatheueawhatrwennwrewheneneiddi#rdeidrig#rer1etteet1hhtu,1shh,1eetieedoemwaicreh.aAnddvianntoceththeestroemd dacilaht.or faafnansdscdcinaiinatotooftfthhteheesastatboobdmmdoaoamcmchinhi.na. aIlInlmnsmsueeusrrstctctuthuhlealeatnutnuererexxett AaddddaAniidlliindaalldvaadvttattoioanooinrrnntrrcotsicnisoelneetltehttoteohhteehvteevtheeshesedtediotinioslnimaslttmatototoaootamotcmrthcrhhaoeaheo.cvc.svheIshtenI.rton.orstmAsemhAtehdaredartevctvcgtahghathunhuenicedicdneeeneewtewxthhxiteritereerreedd Mddilialeatotaorrisnintuotorthtihenessgtotommtahaccheh.. ASAddtvvaoannmcceetahtheeTrreredad ct MMdedieliaalaatsotsoururrsrsilielnenegegvvetethihnienteotoSSthtthtoeoemsmstotaoammTaTracracahhcctt • Remove the dilator MM•R eReeaeammsAsouoduvvrvereiaintnnthghecgeetddthihtliealhaetetoSoSrsrtttooommmaaaTmTrraeacacstturing device over the guidewire and AAddvvianantncoceetththheeessstttooommmaaamcmheeaassuurrininggddeevvicicee •Ro oRveveememrIrnotothvfhvleaeettghgetuheuietdihdedieelwiawlabtiroitaroerelrlaoannoddnininwttooitththhee5ssmttoomlmoaacfchwh ater •APIo IPnAovnudfluvdefllvealvrtPlatrthatthtneuhhetneechleetcltehesdhetdgetehtegeouhtvbuehvibemidaieciadcdeslelaesetwoleowtctovotoiomhorniimwnrecwaewaeawaamarinmrttidntehddohedaaw5aia5nbsibnsmuatdmduotrrooloridltnmoimhotngfhaeefgewednbwnsdeasdtuaeuvottontvoeinmectimmrtcirealileatecthchhneheuntil the balloon rests against •Ib bnIanafllfllaolSaotoletoiendnthetrhreeetshsbtbtsaesalalapolgogolaaoanisnnintwswisctitithttdhhhe5ies5smcsmttoldolomomofafwwacwcnahhatetteorr the abdomen, record the SPSPluiludildlmeltehtthetehheaedesdepupelvalrviaecsiscmtetiecitceotdodnwiwsitsacacarrdnddodaoawbwbadnnddotodmtoomet4tehnh-nee5uunmntitlimlththeteo the measured shaft length •Saab aaSbadbldbialdddlildddoRdel4ooeo4mee-tmo-n5htvme5nheeimrnecmnreop,eem,spmrvlsrtaelesetatscstocsoattoiatohtgcirthgcrdhaededaeidtniiwtmshnimhsscesaetecetdtatmamdhteoshesoruweeuawrasinrsnestsneuotdtudotortmrhosemsethamehhtmaacheaecbfheeftnhatnltelltelanoanngnogdtdtnhh. Remove the stoma measuring RaRabeebdmmdooomovmveeentnth,h,reerewcwcoaoartrdtedertrhtihnienetmthmheeeababsasaululrolreoeomomnne.e.nRntRteaeamnmndoodvvee atthadheddeds4st4-too-5m5mmamammmmteoetaoatshstuhuererimninmgegeaddaseesuvuvricireceededsshhaaftftlelennggthth RReemmoovveeththeewwaateterrininththeebbaallolooonn.. RReemmoovvee ththeesstotommaammeeaassuurrininggddeevvicicee

Dilator Hub MIC-KEY* G DDilialatotorrHHuubb MIC-KEY* G Peel-Away Sheath MRMReIIsCeCu-s-mKuKeEEmYDY*ie*laGGDtioinlation PPeeeel-lA-Awwaayy SShheeaathth • Advance the dilator over the guidewire and resume dilation RR•ee AassnduudvTumamrwnenetiecsislueDtDamttilhheillelaeddatdiidtliliaaioliaotltnaiotonotrnorsorulvneheteuirlvbatehltsleodhgilruaaeivtdloeeerawbseieretnheadpveaenlcaweday sheath •A sAdledvevAaavndencvsceaehntahtchveeeddtbihliealaeetotnoprraeoodevvvele-ararntwhctheeaedgyguusidhideeewawitrihreeinto the stomach •as TasalnewwlnedediasResvrhyvreteeeeestsmhssuahhuemotehamhdaaveveitveeilhdnaedbittlbiohpaelaerteeliatehoniocdnunaneibaludaudtnvtonvatoiatrnlirenlacalacleelneldaddddsiliealgattouthorierdpeeweilr-e, leaving the peel-away •Ta AsTawwtwwdoiavsimPasyatyetantshetcschhehlheeeetdahtdahitlehitaelhatspotoherreehhlau-utabhbwtotdaoyroreweslehlenaeasatsetoehthstihnkeetionppetelheeeelv-l-el ARAdedvmvaaonnvcceeththeedppieleaeetlo-l-arawawnaadyygsshuheideaeatwhthirniento,tolethtaheveing •s tsthoteomAmpadeacvechalh-nacweaythsehetautbheindpolawcne the peel-away sheath and into the RPReeememsoltotovhvemeethstahheceehdadiltiahlatodtororwaannnddtoggusuikdidienewlweirvireee,l,leleaavviningg •t htheeEppeneeselu-l-araewwatahyyesshbheaealatlhothoininppilsalacicneethe stomach •P PeeeeRl ltehthmeesoshvheeaaththheddopowwenentlo-toaswskkianinylelesvhveeel lath • Ensure the external bolster is flush with the skin • AdvInanflcaetethtehetub12e dfrowbanlltoheonpeweli-tahw3ayml of sterile or distilled water; sheiantfhlaatnedthineto1t4hefrsotormlaarcgher balloons with 5 ml of sterile or distilled AEAdndvsvwauanranectceetehrtehthebeatutlulbobeoenddoioswwinnththeepspteoeemel-la-acwwhaayy •s RshheeemaVatoehtvhraiefanytndhdpeilniapntcoetoeethltm-heaeewssntaottoymmsahacechahth EEEnnnsssuuurrreeetththheeebebaxaltloelooronnnailsisbioninlsthttheeersistsotoflmmuasachchhwith RtRheeemmsookvvieneththeeppeeeel-l-aawwaayysshheeaathth EIEnnsflsuaurtreeththeee1e2xxtfetrerbrnnaalllobboonlslswteteirtrhisis3flflmuuslshohfwwsittiehthrile tohthreedsiskskitniinlled water; inflate the 14 fr or larger IobwnIornaflradflladtliaoestiestotreitnltilhteslheedwed1wi1w2t2hafatrf5etrebrmbr;a;aillnlioonlflofoflaosnatntetewewrtihittlihhetehe3o1314rm4mdflrfilrsoootofriflrsllseatleatdrerrgrigelieelrer bVbaeallroliofoyonnpsslawwcietihtmh5e5nmmtl looffssteterrilieleoorrddisistitlileledd wwaateterr VVeerrifiyfypplalacceemmeenntt

KIMBEHRLAY-LCYLAARKR*D* MIC-KEY* J / TJ Introducer Kits MIC-KEY* J / TJ Introducer Kits Kit Contents: GKiat sCtornotienntetss:tinaGl AancshtorroSeitnwtiethstinal Anchor Set with 4 ea SAF-T-PEX4Y*eT-aFasSteAneFrs-T-PEXY* T-Fasteners 1 ea 1H8emgaosStaafte1ty 1 ea eInatrodHuceermNeoedsletat 1 ea 5 Fr Seekin1g eCaathe1te8r 0g.38aguSidaefweirteycoImnptartiobleducer Needle 1 ea D#1il1atSocra(lsppe1elceifiead 1 ea b5eloFwr) Seeking Catheter 0.38 guidewire compatible 1 ea Over-the-w1ireeSato#ma1M1eaSscurainlgpDeevlice 2 ea 12ml Syrin1geea Dilator (specified below) Product Code T1itlee/ DaesOcripvtieonr-the-wire Stoma MeaQsuuanrtiitny g Device 98437 M2ICe-KaEY*1J2/mTJl- S16yInrtirnodguceer Kit 1 Kit / Case Includes 20 Fr Dilator For Use With MIC-KEY* 16 Fr Low-Profile Jejunal / Transgastric Jejunal Feeding Tube, Tube not included 98438 ObIMnscIoClu-ldKeeEsYt*e22JCF/rToDJidl-ae1to8rIntNrodeuwcerPKirtoduct Name1 Kit / Case Quantity 1 Kit / Case For Use With MIC-KEY* 18 Fr Low-Profile Jejunal / 20 Fr 22 Fr 984Tr3an7sgastric Jejunal FeeInditnrgoTdubuec, eTurbKe intoftoinrclJuedejud nal/Transgastric- Jejunal Feeding Tube, For use with: 16 Fr MIC* tube, 16 Fr MIC-KEY* tube. Tube is not included. 20Fr 98438 Introducer Kit for Jejunal/Transgastric- Jejunal Feeding Tube, 1 Kit / Case For use with: 18 Fr MIC* tube, 18 Fr MIC-KEY* tube. Tube is not included. 22Fr MIC-KEY* J / TJ

11 MIC-KEY* J / TJ 11 MMIICC--KKEEYY** JJ // TTJJ Suture strand LLuueerrSSlliipp Placing the Gastropexy SSuuttuurreessttrraanndd SSyyrriinnggee MMICIC*-KGEY* J / TJ Suture strand LLuueerrSSlilpip SSyyrirninggee PP•ll aacciPinnlaggctethhaeesGGkianassmttrraoorppkeeaxxtytyhe tube insertion site LLoocckkiinnggTTaabb PPl•PaPl alclaacicnaPeiennlgaaadgcstseikhtnkhiintenahemmrGteGaraaieraarksknsstakagtrtitrolnteothhppmepeeeattauxutxrbtbykeyeesrininensqseeurrittdiiooinsntsasiintteet from the tube insertion site LLoocckkininggTTaabb •PtPtP PhlhlalealaeaccctceAteueuetbabtttaheahesrkcrsieineinkhneseisneasemsrkmrktltaiiuinioanroeknrmnmkrasasaastiitrtrtletkiekthpshsaaeeensentqydqtduuuruibiibinninddegiaiassienttttararsicniaenaotnrtntfngfrgirooltoleenanmmisnsiittneeg 1-2 ml of sterile water or PppPlaaaltactttceseeerartnnlhtihnrereeeetsoskkitnihnmemanarekrksesdeeqlequuihdiduisibstatannttfrforomm SSuuttuurreeLLoocckk ••IoAptamoIAnamoAI hpIoAtnfnatfnhtsfsaafetsttastsssesatetiasrestitanreatettcknerthtagRIcetrekteucgnrecthreeuhtgrnhreaurtetrhblrhntrsidbrtilendshitdlaleblithaoeeleehleahateecese,crrlseuewaliwuowhltuilnowpShwuSucgserSaSeiratsaauAeneeAatharnhrAreAtlFtrhrFesrptutFeee-spFr-etseeh-Todrs-stThlrrrmtlTsrTir-itlisl-hrpnSiooPop-hie-tPpoaoporPePhAonerrrEsurEswrfusEsnfXEseysFXssyssXtusoXsyYytYara.h-triYa*Yhatrt*iirttfilT*lR*nentiehnliiuieltnshinnnis-tghnsegnnseltrghargletPeoerrleoeleemoreoenoioenetniEatttucatrtdtcuttosdoctnoocXetoeegmoneogtehoigoteddhYvringtntdnhtdhnunalhhnaedtl*etnoeneaatnoebntnaeraalaeneskiiseeneniditnnninnieentilyreeneeneenoitr,eiiedtnrdoiaddinidoeontboeanitelgnnllgoefdttgenefdgdedtcehgtlg1h1tlwgelhno1ltwwee1ldhe-eee-ehle-2-di2herei2hit2hnhentthumhmuhutmumeebhobbllberlleusdtloleoefrcwthkhiiuntehbgtrattioaasnbidngeoglpenleloitnshytheotahnrtepheeeTthd-brleuasrt SSuututurreeLLoocckk •mgalgRgRl ogmaoaaesaaceacssailsrnklsetkiterktPdnritrgakinrarieingouciecsilgcsdcgeledlwelelltululsctautucaTstnmhmhobmhomhb-eareerteabnoeerononsnrpnnseannepu..u.r.rtrtttsthttRhshuRRhfuRholeeerreeoerrueeufmeumfnmmasnstssteoshthbeoottetvretevdvrtaaedhaedeotnglrnlserseodmsaidyayyuh,irh,rnnribgiugbniuingngsenhbhebgaltgnlg,gen,oeeloepdegepdnwiinunauntetshetasshtohoeothleolrfttiftthhtchhhteeeheeweall and slide the suture lock •Rii nRnenenleeleeCarrashlhsaeuuembtbhthipeinnetswtoosuuitttthuthhuereerhoeoseuusttmrteaerranronhdhsdu,ut,babbbtetteontonodddettehtepphelmleooyyptothhreearily hold suture in place SSlloottteeddNNeeeeddllee TT--BBaarr •lToT l-o-cbbckaakiRrnirneagagpnntdteadaabwbwtoioitthnhddetrhraapewwrnnotetehcheeeedddnlnleeeuehereheuddublleube, n,pputiuslhsahltlhttehheree anchor sets are in place SSlolottteteddNNeeeeddllee TT-B-Barar •iTPsnPs iT-lnulbi-nuidnbldaleeleaeaPrTrTrrtb-auht-hbhahbndlueaulneadobrbdosrsmwfluinfluwnututiuittiustnstohrhhrheaedtedtlahhalrlogweaosgecauwcaoakoiktinulnuutdlsdthsteroatoteeerwngwgrsnhadnahneutssuotcebtttorobrdlditoaictloctlthepehsowedwepedaaotplelhsllpoaeealynnotsdtdhyuheetthuserteolmocakchwtiothatnhteerhioermostat PaaPubbuldldlolTuoTm-mnb-ibtainnialraaraflllflwnuwusaasahlhulladaggiabailniensst“tcgglaiacsstkrt”irciicswwhaaelllalarandndd assCsCsalbuilullbdaidtatdudmeumoerorptmepemthhwiiweinneniistaptsphuhllulatwahthucuceeaerremelmel ololoossctctakakttddttooowtteenmmttpopoootrthrahaereriillyy hhoolldd sCsRRssCuleeeauelttaptmutspsumerepareaaapertrwetiewnittnihihtiniphentpehlplhppaaplhcerlacraoeemoceccmceoeeeosddstuautartretetotuuontnettteimillmapaplollorttahrharrriereliyeleyhaahonnolcdcldhhoorr sRtPPtsRoeeoueutepalsatlpelsnnoaeoatatrneanteerrtttreithhiitohnohieerenrepapsaspplburabuloradtcdtoucucoeocrerememeedsidsuinnutratoaeorlelawuawpunpapantplioltloliaslaaseanlenlldtdltthhhtccherelelroosesestseteoeoamamtnthnhcaaecehcchohhorr PssPuuuulttlululorroenenltlohothcecekkswsuwutiuitthurhertetshhseteothohaeeapmmppopoososststeaaettthutuhennetstiilstloataomnnmaacchh taaotuouaddaniibnbtlteleerr“i“iooccrrlliaicacbkbk”d”oiissmmhhiienenaaarlrldwdwaalllaannddcclolosseetthhee ssuututurreelolocckkwwiitthh tthe hemmoossttaattuunntitlilaann aauuddibibllee““cclilcickk””isishheeaardrd

SSaaffeettyyIInnttrroo GGuuiiddeewwiirree MIC-KEY* J / TJ NNeeeeddllee GGuuidideewwiriere NSSNaeaefeefedetdylteylIenIntrtoro MMIICC--KKEEYY** JJ // TTJJ MMCIICrCe--KaKEtEYiYn**gJJt//hTTeJJStoma Tract SSaaffeettyy CCoolllaarr CC•rr eeaaIttniinsneggrttthhtheeeSSSttaoofmemtayaITnTrrtaraoccdttucer needle into the gastric lumen CSSCaoaolfleflaeltayrtry CC•rr IeInenassaeteAtirrdinttntvgthghaeentthScSheaeaeffeSeaSttytygtoIouInmnimtdtrraoeoaddwTuTuriccrraeeaecrrctnthnteereoeddullegehiinntttohoe needle into the fundus of the tthheesggtaaossmttrriaiccclluhummeenn •It AiAinhnItnnhdsetdtoseveovpRgeartagtarlthenhnatstecmecschttehrtfeeefrioueucai)aSncvnSalgdaeugdlanuuufmuueftmisdeisdhtedytoeeoenaeyfnwIfwcnISttnihttihrairrteeveroefoaedststdhtttuhteoyurocromcometIuneuharagrgtecnchrhnheohsetethadhedefuedelelcnneteyeieniernectdotdnoolleeelleadr le (keeping guidewire in ••RAit( AR(gtnARg(thkRA(itkhkhneuhkdedteueeeeddeoetemievmveidemovmvdeRtALseasatpsoepahsoaaepihaotpndoenagiavwinhvnefnwienfvicvcmvnfeefneeacecgeeigeeeaiggftrgtemerttuytftoeygnthgeytahuuytghgnth,ahucveeuc,cehniuceucgdmedeeiomionegdedioSdiouuSdlSdealSuustelaleltisasaaeltaeldnaweisahwnawehofdfrworweifeeferierpeoeeiefipfiwtrkrtiriukftwyrtyueretTseiyyseiihlnetlnrreaIihIeaieigiIreneInnigtnnieneentnenetitescttrtkttprcpkshrtprtoozptaoihltaooltoihrnaldahlntdoarotdamdehtcgucehoumgcuhucueeaceeugceggceacetc)cce)tguee)hue)eceaahrahairrsairadrhrttndnnttnonhhtnenonhodedheevdedweevewemeeeaaeeetanaitdrdciercnrdderceaclelttteeerletltreihtcieehviveiilvdeivnhoaeeandaalttevttaloteateoeeeevnirndtgh1e0th-ge1u5giducemidweibrweei,yremoniandnpitphlaueclaete gguuAtLgRLtiRtLihdAtLghiduihhdegigieeeuegdegieevmadamwiavwasdasmemssoamtmtoientiwortovnereovwoceeemeemcninemmenrniietatiretanttantatheocoh,chtocopce,hfpmhfehefhflmheTlTasTaaasTasrraecaarsrecenneeneneeenneeeiidiedtipdtikdetkztpzkzu1iz1kin1iu1n0ln0i0ag0ln-g-ga--t11gc1et1c5c5e5a5cataccthtactcthhmmhehtmmeeheegtbebttebgbeueetereueriyrydyilyroldoeoeoeoonenavwnanvdwedvdvdeiirritnitrntrhethtghhehgteehieeentitehnhtoeteo gguuRidRideeeemwmwoiorivreveeeitnihtnhpepelaslasececeeeekkininggccaaththeeteterrleleaavvininggththee

SStotommaa SSeeriraiallDDilialatotorr MIC-KEY* J / TJ MMeeaassuurirningg SSeeriraiallDDilialatotorr DDeevvicicee RReeddsshheeaathth MMIICC--KKEEYY**JJ//TTJJ SStotommaa RReeddsshheeaathth Dilation MMeeaassuurirningg DMDMiilIlaICaCtti-i-oKoKnnEEYY**JJ//TTJJ DDeevvicicee DDisiscc DDisiscc • Create a small skin incision with the #11 safety scalpel BBaallolooonn DDsCiCsilarlaarefaeefateatttitytihoetlyoeosenasncnacfasgaasmlspsmlpiacedaelillaelalsasloktolkhoifnninengtighnsignsiecduicdiesiaesdibotiehotndhewneowgwimgriuteiuhtiid,hindtethtaehwhelwreimo#ri#re1ue1u,1g,1shcuthlaetusruebcutaneous tissue and BBaallolooonn •AtftCshaftAh CstahadrhsrardrefsrovroceefovaocaeuuiAsIatauatuninytggleatndygegechsohschavoheseefcatetafcvhrttashtthhnttahsehtemlehhpemelecetpesaieeshnesaaesudullaeludubtlbiabltblsoibabdahclnslckdaoclcotkuueoiteootnunumihtotnnxmragtatdreiagiatonnsnniiionnsnnlivedcaesdaivecaeedoitloietseoillooremuosuairmuuotimtsstrhotuhtssnohuhtensteoaiteistrewcssiigvcwcsgssuisggieunsuhsuutuiluuhutaiurltiedehaidioetdedtteuteahatheueawhartwnenwreewhnendeidi#rdeidrig#reret1tehet1htu,1shh,1eetieedoemwaicreh.aAnddvianntoceththeestroemd dacilaht.or afaafnansdscdciinaiinatootooftfhtthhteheeesastaotbobmdmdoaoamcmchinhi.na. aIlnIlmnsmseueursrtsctctuhtuhlealeatnutnuererxexett ••dddAaddd ddaAiiinidlllliiiniaadaalldllvaaaadttvttaoottRAiioottannooioonrrrrndentrrtrrcisotsiomcvnnsioesillnneaetetltleohttetototeneohhhoteeehvvtvcteeevhtvhteeeesheheeesedtseiediottninititsoslhninmhasotsltttmaotoetottoteomaoootomamtotcdmrmhtshtcarhahhaeitoeahalceoco.ecavc.cssvhhhemtIsshthtenIo..ortotn..orsoamrAtmAsemhAtmAehdmadaredadartevcvctvcvgcateahhghatahuhnnahuenniccsediccdenueeeneeerwtteiwhxthtnhxhiteeritegerererreredeeddeddvice over the guidewire and • Inflate the balloon with 5 ml of water •R ReemmPoouvvleleththheeeddiliealavtotiocrre toward abdomen until the balloon rests against AAddvvtaahnneccesetthothemessatotcomhmaammeeaassuurrininggddeevvicicee ••PIoRAo nIPoARovuvnedflvuveedelflmvealemrvrRmdSalatrtroathtetltenoehthihvetneedhchvvmeteeecaheteeeeidhcegtsdegoehgttegetuueuhhtvvbehuuhivribeeideadiieceeiddadceledsemlietesepwoltwlihawolotwtoaleootiteioamronroitimwnrenrosewraweewttraaawaiamacaarainnmtrdinntnhtdedddehdedada5iairianb5snsiinbnsmaictdutmnotduotdorolodoriltmdottnihtmhotnohfghheeefg4eweweendw-snsdaesbnstu5taeotutvotanoetvotminmmeltcomirmlitcroaleaimaleattccohthcchhhnehheteo. aRtbehdmeoommveeeants,hureerecsdtoorsmdhatahftmeleenagsuthring bIbnIanafllfllaolaotoetoennthtrhreeeessbtbstasalalaolgogoaoaninninwswstittithththhe5e5smsmtotlolmomofafwacwchahateterr SPSPluiludildleltehtthhteheededpepelvalviasciscteitecitcotdodwiwsisacacrrddddoaowabwbndndotoomtomtehtenheneuunntitlilththee ababbabadlldooloomomonenenrnre,e,srsretsetcscaoaogrgrdadaitnihtnhsestetmtmhtheeeeaassstsuotuormrememamacechenhnttaanndd aSaSdldilddidde4e4-t-5ht5hemempmpmlalatsotsotittcihtchededimsimsceceadadsosouwuwrnrenedtdotsoshthhtaheafetftlelennggthth RaRaebebmdmdooomovmveeeentnht,h,erereewcwcoaoartrdetdertrhtihnienetmhtmheeeeababsasaululrolreooemonmne.e.nRntRetaemanmnododvvee tahtadheddeds4st4o-to-5m5mmamammmmetoetaoasthstuhuererinminmgegedadaesesuvuvircireceededsshhaaftftlelennggthth RReemmoovveeththeewwaateterrininththeebbaallolooonn.. RReemmoovvee ththeesstotommaammeeaassuurrininggddeevvicicee

Dilator Hub MIC-KEY* J / TJ DDilialatotorrHHuubb MIC-KEY* J / TJ Peel-Away Resume Dilation Sheath MMReIICsCu--mKKEeEYDY*i*laJJti/o/TnTJJ PPeeeel-lA-Awwaayy SShheeaathth • Advance the dilator over the guidewire and resume dilation RR•ee AassnududvTumamwrnneetiecsislueDtDamttilhhilleleaedadtdiidtlilaiiaoliaotltnaoitnootrnorsroulevnheetuirlvbatehltsleodhgirlauaevitdloeeerawbseieretnheadpveaenlc-aewd ay sheath •A AsdldevvAeaavndnecvcseaehnthatcheveeddtbihliaelaeteotnoprreaoodevvvele-ararntwhtcheeaedgyguusidhideeewawitrihreeinto the stomach •sa TpaslnewlneededeiRsevsrlhv-reeeteaeesstmswhsuahuemothaamhaydvevevieesildneahdbittlebihopaelaaerteeliatteohnihocdnnuaneibaludaudntvtonvatoiatnlrirnlea,caclleleleeldadaddsivliealianttothgorerthe guidewire and peel-away TTAwwdisvistattnhtcheeedtdihlialeatotporerehhlu-ubabwtotaoryreeslelheaeasasetehthtihneeto the pspeteeoelm-l-aaawcwhaayysshheeaathth •A ARdedvmvIananosncveceerettthhttheeheedppielieaneetlto-lr-aroa,wwdleauaaycyvsiesnhrhgeecatahathtenhingninuutotilodatehtihweneitroe the Jejunal port •s satotnomdPmapeaceechelhlt-hawe asyheshaethathdoinwpnlactoe skin level •R ReemmAodovvveeatnhtheceedditliahlateotort,ru,lelbeaeavvioningvgethtrhetehggeuuidgideuewiwdireirewe ire, into the stomach and 10- aanndd1p5peeecelm-l-aawbwaeayyyosshnhedeaatththhieninLppilgalacaceme ent of Treitz • Ensure the balloon is in the stomach • IJnesjEuernntastluhperoeirnttthroedbuocelsrtcearnisnufllausinhtowtihteh the skin ••IJ nIAPJenseedjseujevIReurnnalnrteatftnathlmlhctalehpeetpoeoesoitrvhnhirttneettehrtarotetothudhdbbueudecacgoelolewurovricneodcarnteanotnwhnsneuikurlgiealnau.iliniRedntveeoteowmtlhtihroeeev, einttohe introducer cannula •P PteheeeeVlsltethtohreimefsyashhcpeehlaaatachtnheddmdo1ow0ew-nn1nt5totrocasmsdkkiibnionegleylerovavenpeldlhtihceally AALdidgvvaaamnncecenetthtohefeTtutruebbietezoovveerrththeegguuidideewwiriree, ,inintoto thEthenessustortoemmtahacechhbaaanlnldodo11n00-i-1s15i5nccmtmhebbeseytyooomnndadcththhee LELigingasamumreeenntthtoeoffbTTrorelesititztezr is flush with the skin EIEnnnsflsuaurtreeetththheeebbbaaallllolooooonnnisisininththeesstotommaacchh EREnnessmuuroreevtehthtehebebogolsulstietdererwisisiflrfleuu.sshRhewwmitiohthvtehthetehseskkinin InIinnfltflaraotetdeuthtcheeerbbcaaallnolonoounnla RRVeeemrmiofoyvvepeltahthceeegmguueidindetewrwaidrireieo. .gRrRaeepmmhoiocvveaeltlyhthee inintrtroodduucceerrccaannnnuulala VVeerrifiyfypplalacceemmeennttrraaddioioggrraapphhicicaallyly

Dilator Specifications Dilator Specifications 16f Serial Dil1a6ftSoerrial Dilator 16f Peel-Away 12f Dilator 18f Serial Dil1a8ftSoerrial Dilator 18f Peel-Away 16f Dilator 8f Dilator 20f Serial Dil2a0ftoSerrial Dilator 20f Peel-Away 18f Dilator 12f Dilator 22f Peel-Away Halyard Australia Pty. Limited 16f Dilator 8f Dilator Phone: 1800 101 021 20f Dilator 12f Dilator Halyard New Zealand Phone: 0800 482 211 16f Dilator 8f Dilator 20f Dilator 12f Dilator www.halyardhealth.com.au 22f Serial Dil2a2ftoSerrial Dilator 22f Dilator 16f Dilator 8f Dilator Infection Prevention Product Solutions Halyard Australia Pty. Limited 20f Dilator 12f Dilator Halyard* Education Foundation Phone: 1800 101 021 24f Dilator 16f Dilator 8f Dilator Tools & Best Practice 24f Serial DilatorCommitment to Excellence and Sustainability 24f Serial DilaHtoalryard New Zealand Experienced Customer Support Phone: 0800 482 211 Knowledgeable Sales Force www.halyardhealth.c2o4mf .Paueel-Away Innovation & Technology www.halyardhealth.com.au Halyard Health makes no representation that its products described in this catalogue will provide complete protection from exposure to contaminants, fluids or micro-organisms or will eliminate the risk of contracting infectious diseases. *Registered Trademark or Trademark of Halyard Health, Inc. or its affiliates. © 2015 HYH. All rights reserved.