OptimizeNutritionInadvertent tube dislodgement interrupts nutrition

and the AMT Bridle™ system has been shown to

dramatically reduce feeding tube pullouts, resulting

in improved caloric intake. Consistent nutritional

support is essential to the best outcomes for patients

of all ages.

Improving Nutritional Outcomes with the AMT Bridle™ Nasal Tube Retaining System

The management of nutritional deiciencies is part of the standard of care to reduce risks including:

Aspiration

Pneumothorax

Radiographic Exposure

Early and Unnecessary Transition to PEG/TPN

Skin Breakdown Due to Adhesive Devices

Sinusitis

Pressure Necrosis

Interruptions to Nutritional Support

Applied Medical Technology, Inc.

ReduceCostsTube replacement is expensive and decreases

clinician productivity. Studies have suggested the

incidence of unintentional tube removal is 40% or

more. The AMT Bridle has been shown to reduce

pullouts by 72%.*

The AMT Bridle nasal tube retaining system may reduce:

Cost of clinicians’ time to replace nasal tube

Cost of extended length of stay due to

sub-optimal nutrition

Cost of new nasal tube, formula and supplies

Cost of X-Ray or luoroscopyUnreimbursed expenses under managed care

+

+

+

+

+

+ Safety Stylet

Designed to prevent advancement of handle into nare

Smaller Probe Smaller than alternative brands with optimal pliability

Depth Indicator Marks For easy alignment of probe and catheter

Less Abrasive Softer umbilical tape for reduced friction

Attached Clip Smaller than alternative brands with rounded edges for

decreased irritation

Removal Tool Place removal tool in the groove of the attached clip to easily open for

removal or adjustment.

2 4 53

BridlePlacement

Slowly remove blue probe,

drawing the white catheter

around the vomer bone & out

the opposite nare.

Cut catheter of and discard. Place tube and umbilical

tape in clip.

Securely close clip 1cm

below nose. Tie 2-3 knots

and cut of excess.

Advance catheter stylet & blue probe in

opposite nares until magnets connect.

Remove orange stylet from catheter.

1

Optimal Ease of Placement for Clinician Superior Comfort for Patient

The AMT Bridle and Micro Bridle work by passing magnets through the nasopharynx to draw umbilical tape through

one nare, around the vomer bone and out the other nare. The umbilical tape is then anchored to the nasal feeding

tube with a clip.

Full ranges of sizes

No sedation required

Reduced x-ray exposure

Reduced risk of aspiration

Secured without adhesive or sutures

Streamlined packaging for quickest handling by clinician

Placement requires fewer steps than alternative brands

Cleared for use with all tube brands

Lubricant included in each package

40% smaller clip

20% smaller length

10% smaller diameter

AMT MicroBridle™

Smaller size for smaller patients.

AMT Standard B

ridle

™

AMT M icro B

rid

le™

Made In USA

MR Safe

An ISO 13485 Registered Company

© 2015 Applied Medical Technology, Inc.

US Patent Nos. 6,631,715, 6,837,237 and 7,534,228 C-3802-J

For a complete list of products visit us at www.AppliedMedical.net

800 869 7382

CS@AppliedMedical.net

Applied Medical Technology, Inc.

8006 Katherine Boulevard

Brecksville, OH 44141

www.AppliedMedical.net

Bridle Every Patient Every Time.A new standard of care.

*Additional References:

Routine bridling has become the standard of care

for many ICUs due to improved nutritional outcomes

and cost management. Rather than restrict bridling

to suspected “problem” patients, the cost savings

have compelled universal use on all nasal tubes.

The Routine Bridling of Tubes Is a Safe and Efective Method of Reducing Dislodgement in the Intensive Care Unit.” Christopher W. Seder, MD; Randy Janczyk,

MD: NCP Nutrition in Clinical Practice 2008-2009; 23 (6) 651-654. Nasojejunal

Nasal Bridling Decreases Feeding tube Dislodgement and May Increase Caloric

Intake in the Surgical Intensive Care Unit: A Randomized, Controlled Trial.”

Christopher W. Seder, MD; William Stockdale, RN; Linda Hale, RN; Randy J. Janczyk,

MD, FACS: Critical Care Medicine 2010, Vol. 38 No. 3.

The Bridle: Path to Improved Enteral Nutrition Eiciency.” Marc J. Popovich, MD, FACCM: Critical Care Medicine 2010, Vol. 38 No. 3.

Gunn SR, Early BJ, Zenati MS, Ochoa JB:

Use of a nasal bridle Prevents Accidental

Nasoenteral Feeding Tube Removal. JPEN

Journal of Parenteral and Enteral Nutrition

2009; 33(1):50-54

In conclusion, we found that, by using

this unique bridle that can be placed by a

nurse instead of physician as a routine tube

ixation strategy, we signiicantly reduced the proportion and rate of accidental tube removal

and found an increased tube ‘survival’.”

“

AMT Bridle

AMT Micro Bridle

KitContents

Clip Size

Clip Size

Clip Color

Clip Color

Order #

Order #

Spare Clip Order #

Spare Clip Order #

Standard & Micro Bridle

WHITE

TEAL

BLUE

YELLOW

YELLOW

LT. BLUE

LT. Yellow

Purple

White

8FR

10FR

12FR

14FR

16FR

18FR

5FR

6FR

8FR

4-4108

4-4110

4-4112

4-4114

4-4116

4-4118

4-4105M

4-4106M

4-4108M

4-4508

4-4510

4-4512

4-4514

4-4516

4-4518

4-4505M

4-4506M

4-4508M

Retrieval probe

Removal tool

Bridle catheter with attached umbilical tape & stylet

Lubricant packet

FR (French) size speciic clip to correspond with tube size

All AMT Bridle and Micro Bridle products are packed 5 units/box

•

•

•

•

•

Based on our experience we enthusiastically encourage placement of the bridle via the

magnet system...”

“

Popovich MJ, Jahan A, Aabharwal V,

Walsh MR: Umbilical tape Bridle/Magnet

placement system: A Safe, Simple Technique

to Prevent The Unintentional Removal of

Nasoenteric Feeding Tubes.

The Cleveland Clinic Foundation

AMTBridle™

Improving Nutritional Outcomes &Reducing Pullout Costs

Nasal Tube Retaining System

AMT is the original Bridle™ manufacturer

with a history of improvements and

innovations. The only clinically documented

nasal tube retaining system on the market;

the AMT Bridle™ may be imitated, but

never duplicated.