CORTRAK^® 2 EAS™ FACT SHEET PRODUCT LITERATURE

Confident Placement Without X-ray™

THE SYSTEM

CORTRAK® 2 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 Precise gastric, duodenal, and jejunal placements1-7 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 rack 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 EAS™	What This Means For You
SUPPORT
RN team of clinicians for on-site training	Assistance with protocol development, bedside training, staff education, and access to extensive implementation training materials
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

HOW IT WORKS

References

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.