An enteral feeding catheter that provides access to both the stomach and the
jejunum
for feeding, aspiration and decompression. The catheter includes a dual lumen "D"
tube that joins to an external "Y" connector at the proximal end of the tube. The
connector serves both lumens as a source for fluid or aspiration. The gastric lumen
and the jejunal lumen of the "D" tube both connect to a transitional connector
bolus in the stomach. The gastric lumen of the "D" tube joins with a lumen in the
transitional bolus that communicates with a gastric port. The gastric port is recessed
to the level of its full internal lumen, thereby providing maximum protection against
occlusion and maximum area for outflow. The "D" jejunal lumen connects in the bolus
with a lumen that transitions from a "D" shape to a full circle shape. The latter
provides for the attachment of a smaller, round, single lumen tube that extends
into the jejunum. At the distal end of the jejunal tube is a bolus containing an
improved port that is also recessed to the level of the floor of the internal tube
lumen to provide maximum protection against occlusion and maximum area for outflow.
Both the gastric port in the transitional bolus and the jejunal port in the tip
bolus include a structural arch protruding radially outwardly therefrom. The arch
is effective to prevent the body segment of either bolus from bending and restricting
the ports. The invention also provides for the insertion of the tube over a guidewire
rather than with an internal stylet, as is normally the case with nasally inserted tubes.