Clinical Nutrition

CORTRAK® 2 ENTERAL ACCESS SYSTEM™

  1. Confident Placement without X-RAY™
  2. Safely Insert Feeding Tubes at the Bedside with Real Time Tip Tracking
  3. Begin Enteral Therapy Sooner
  4. CORTRAK® 2 EAS has FDA Clearance
CORTRAK® 2 ENTERAL ACCESS SYSTEM™

Confident Placement without X-Ray™

 

CORTRAK® 2 EAS has been designed to display in real-time the relative position of the tube tip during the placement of Nasoenteric feeding tubes into the alimentary tract. The CORTRAK® 2 EAS System has FDA clearance for feeding tube confirmation.

 

The CORTRAK® 2 EAS systems consist of the following components:

Electromagnetic Transmitting Stylet: The stylet comes inside a CORFLO® Feeding Tube. The stylet contains an electromagnetic transmitter that generates a real time signal as the feeding tube is inserted and advanced to the desired placement.

Smart Receiver Unit (SRU™): The signal from the transmitting stylet is tracked throughout the placement procedure via a lightweight Smart Receiver Unit (SRU™) that is placed on the patient’s Xiphoid process.

All-In-One Monitor with Integrated Visual Display Terminal, Touch Screen & Embedded Computing System: The All-In-One Monitor triangulated the signal from the SRU™ and displays a real time representation of the feeding tube tip’s passage as it proceeds down the esophagus and into the preferred placement position – gastric, duodenal, or jejunal. It provides both an anterior (2D) and a depth cross-sectional (3D) view.

 

Description of the components:

CORTRAK 2 ENTERAL ACCESS SYSTEM:

  • All-in-one Monitor, Integrated Visual Display Terminal (VDT), Touch Screen and Computing System
  • Smart Receiver Unit™
  • Interconnect Cable
  • Power Supply and Power Cord
  • Operator Guide and Service Manual
  • Operating and Troubleshooting Tips Booklet

 

HOW THE CORTRAK WORKS

 

THE SYSTEM

CORTRAK® 2 Enteral Access System (EAS™) What This Means For You
SAFE
Real-time display of relative position of tube tip during placement
  • Confidence in avoiding adverse events such as lung placement and pneumothorax1, 4, 8
  • Precise gastric, duodenal, and jejunal placements1-7
  • Track erase feature allows immediate retraction and reposition of tube if needed to avoid lung insertion1, 8
Compact, portable unit for immediate visual feedback of tube tip relative position during tube placement at the bedside
  • Significantly reduced need for X-ray verification1, 2
  • Easy maneuverability in the ICU
Sleek, ergonomic design with back-panel cable connections and advanced fault response technology
  • Reassurance of system function during tube placement
  • Immediate recognition of error conditions (Transmitting Stylet or Smart Receiver Unit™ faults) to allow correction and safe continuation of procedure
ACCURATE

All-In-One Monitor with integrated:

  • Visual Display Terminal (VDT)
  • Touch Screen
  • Embedded Computing system
  • User-friendly interface simplifies tube tip tracking for accurate placement
  • Track correlates with X-ray to help identify misplaced tubes and avoid adverse events
  • Additional depth cross-sectional view may more accurately predict tube tip location compared with X-ray1
Self-testing Smart Receiver Unit™ (SRU™) with status indicator lights
  • Assurance of system integrity before, during, and after placement
FAST
Significantly faster time to therapy following MD order versus “blind” NG tube placement
  • Earlier initiation of enteral nutrition for better outcomes9, 10
Immediate, at bedside printable views of tube placement track
  • Excellent documentation for patient records, reduced charting, less wasted time waiting for confirmatory X-ray
ECONOMICAL
FDA cleared for feeding tube placement confirmation
  • Elimination or significant reduction in need for X-ray verification, resulting in significant cost savings1, 2, 11
Reinsertable Electromagnetic Transmitting Stylet for feeding tube repositioning while tube is indwelling
  • Significant cost savings due to X-ray elimination and staff efficiency2, 11
  • Tube tip position can be confirmed daily or at shift change
Built-in expansion capabilities
  • Upgradable for long equipment life

THE EXPERIENCE

CORTRAK® 2 Enteral Access System (EAS™)       What This Means For You
Center of Reference hospitals provide peer support for implementation
  • Access to insight and expertise for smooth transition to CORTRAK® 2 EAS
CORTRAK® 2 Learning Center on CORPAK MedSystems website includes comprehensive set of feeding tube placement videos, skills checklist, and direct link to Mosby Nursing Skills on CORTRAK EAS placement
  • High-quality, on-demand training information
  • Copies of all materials available for integrating with hospital-based training modules
ADAPTABILITY
Field service capable (Battery Change)
  • Minimal to no down-time
Field upgradable
  • On-site integration of upcoming enhancements
FLEXIBILITY
Choice of operating mode allows data storage and review
  • Easy to upload saved placement files for training, review, or research
CORVIEW upgrade available at no charge
  • Option for export of patient data
EVIDENCE
Solid and growing clinical research base
  • Confidence in the safety and efficacy of the system
Documentation in Mosby’s Nursing Skills and AACN Procedure Manual for Critical Care, 6th ed.
  • Easily integrated with reliable guidelines from recognized clinical sources
Utilized by over 200 facilities worldwide
  • Confidence knowing that the system is successfully used around the world
CORTRAK® 2 Enteral Access System Correlates with X-ray
Example Jejunal Placement
CORTRAK® 2 Enteral Access System Helps Avoid Adverse Events by Identifying Misplacement Immediately*
Example Right Lung Placement

*CORTRAK 2 EAS should be used by qualified operators as determined by individual hospital competency programs.

 

PRESENTATION

Part Number Description Unit of Measure Pack Content
20-0950 CORTRAK® 2 EAS 1 1
20-0951 CORTRAK® 2 EAS ACCESSORY KIT 1 1
20-0918 CORTRAK® SYSTEM PRINTER, QL220 PLUS 1 1
20-0919 QUAD CHARGER FOR QL220 PLUS PRINTER 1 1
20-0916 BATTERY QL220 PLUS PRINTER 1 1
20-0911 PRINTER LABEL ROLLS FOR THE CORTRAK® SYSTEM BOX 3
20-0920 CORTRAK® STAND W/RU COVER HOLDER 1 1
20-0921 CORTRAK® DEVICE MOUNT ADAPTOR KIT 1 1
20-0922 CORTRAK® RECEIVER UNIT COVER HOLDER 1 1
20-0930 RECEIVER UNIT COVERS BOX 4
20-9368TRAK2 CORTRAK® ENTERAL ACCESS SYSTEM NG, 8FR, 36” (91 CM) PACK 10
20-9361TRAK2 CORTRAK® ENTERAL ACCESS SYSTEM NG, 10FR, 36” (91 CM) PACK 10
20-9438TRAK2 CORTAK® ENTERAL ACCESS SYSTEM NG, 8FR, 43” (109 CM) PACK 10
20-9431TRAK2 CORTRAK® ENTERAL ACCESS SYSTEM NG, 10FR, 43” (109 CM) PACK 10
20-9432TRAK2 CORTRAK® ENTERAL ACCESS SYSTEM NG, 12FR, 43” (109 CM) PACK 10
20-9551TRAK2 CORTRAK® ENTERAL ACCESS SYSTEM NG, 10FR, 55” (109 CM) PACK 10
20-9558TRAK2 CORTRAK® ENTERAL ACCESS SYSTEM NG, 8FR, 55” (140 CM) PACK 10

Distributed by Victus, Inc.

All technical information obtained from manufacturer’s website and technical sheets.

POWER REQUIREMENTS

External Power Supply (Jerome Industries, WSL515M V1)
Input: 100-240 Volts AC, 50-60 Hz, 140 VA
Output: 15 VDC, 4A
Battery: 11.1 Volts, 6.6 Ampere-hour Li-Ion rechargeable smart battery with thermal overload protection.

BATTERY OPERATION

A new battery, when fully charged, will operate the device in continuous placement mode for approximately two hours. Charging an empty rechargeable battery to full capacity will take approximately 4-6 hours when the Monitor Unit is off. The expected life for a rechargeable battery is approximately 2 years.

ENVIRONMENTAL OPERATING CONDITIONS

Operating Temperature range: 59ºF (15ºC) to 100ºF (38ºC).
Relative humidity range: 30% to 90%.

ENVIRONMENTAL CONDITIONS FOR TRANSPORT AND STORAGE

Temperature range: -40ºF (-40ºC) to 158ºF (70ºC).
Relative humidity range: 20% to 90%.
Atmospheric pressure range: 14.76 in Hg (500 hPa) to 31.30 in Hg (1060 hPa).

WARNINGS & ALARMS

Battery: A visual gauge is present to provide battery power level. Audio alert tones are activated if the battery power falls below acceptable levels. When the battery power reaches a minimum level threshold, an informational message is displayed and the system shuts down.
Internal System Temperature: An Audio Alert sounds if the internal temperature rises above acceptable levels, an informational message is displayed, and the system shuts down.

DIMENSIONS

All-In-One Monitor: 12.20” W x 13.30” H x 3.30” D
Smart Receiver Unit: 5.60” W x 5.60” H x 1.90” D

WEIGHT

All-In-One Monitor with Pole Clamp: Approx. 8.0 lbs.
Smart Receiver Unit: Approx. 0.5 lbs.

HOUSING MATERIALS

PBT/PC
No Latex is used in this product.

STANDARDS

Designed and Manufactured in accordance with UL 60601-1 Medical Electrical Equipment.

 

DIRECTIONS OF USE:

Product manual for more specific and detailed directions is included with every purchase.

 

PRECAUTIONS:

CORTRAK® 2 Enteral Access System should only be used by a qualified medical professional as determined by individual hospital competency programs.

 

FREQUENTLY ASKED QUESTIONS

 

We currently have no frequently asked questions for this product. If you have any questions please click here.

  1. Powers J, Luebbehusen M, Spitzer T, et al. Verification of an electromagnetic placement device compared with abdominal radiograph to predict accuracy of feeding tube placement. JPEN J Parenter Enteral Nutr. 2011;35(4):535-539.
  2. Gray R, Tynan C, Reed L, et al. Bedside electromagnetic-guided feeding tube placement: An improvement over traditional placement technique? Nutr Clin Pract. 2007;22:436-444.
  3. Holzinger U, Brunner R, Miehsler W, et al. Jejunal tube placement in critically ill patients: A prospective, randomized trial comparing the endoscopic technique with the electromagnetically visualized method. Crit Care Med. 2011;39(1):73-77.
  4. Trottier S, Karmally Z, Cyron M, Fowler K, Javaux V. Electromagnetic guided feeding tube insertion: Enhancing patient safety. Poster presentation at: 40th Society of Critical Care Medicine Conference; January 15-19, 2011; San Diego, CA. Abstract 264.
  5. Ackerman MH, Mick DJ. Technologic approaches to determining proper placement of enteral feeding tubes. AACN Adv Crit Care. 2006;17:246-249.
  6. Phang, Marsh W, Prager R. Feeding tube placement with the aid of a new electromagnetic transmitter [abstract]. JPEN J Parenter Enteral Nutr. 2006;30:S48-S49. Abstract SO82.
  7. Stockdale W, Nordbeck S, Kadro O, Hale L. Nasoenteric feeding tube insertion utilizing an electromagnetic tube placement system. Nutr Clin Pract. 2007;22:118.
  8. Koopman MC, Kudsk KA, Szotkowski MJ, Rees SM. A team-based protocol and electromagnetic technology eliminate feeding tube placement complications. Ann Surg. 2011;253(2):297-302.
  9. Taylor SJ, Manara AR, Brown J. Treating delayed gastric emptying in critical illness: metoclopramide, erythromycin, and bedside (Cortrak) nasointestinal tube placement. JPEN J Parenter Enteral Nutr. 2010;34(3):289-294.
  10. MacKay P, Villaran Y, Hampton D, Griffith D, Newton D. Corpak with Cortrak. [poster]. Presented at Saint Joseph Health System; January 2009; Lexington, KY.
  11. Maxwell DK, Melendez L, Leinbach H. Validating benefits of piloting an electromagnetic-guided enteral access system using a designated team in an intensive care unit [abstract]. JPEN J Parenter Enteral Nutr. 2010;34(2):181. Abstract 34-1.
  12. Deane AM, Fraser RJ, Foreman B, et al. Evaluation of a bedside technique for postpyloric placement of feeding catheters. Crit Care Resusc. 2009;11(3):180-183.
  13. Hemington-Gorse SJ, Sheppard NN, Martin RR. The use of the CORTRAK Enteral Access System™ for post-pyloric (PP) feeding tube placement in a burns intensive care unit. Burns July 2010.

CORTRAK® 2 ENTERAL ACCESS SYSTEM™