How do I administer an antegrade enema (aka, ‘perform a flush’ or ‘irrigation’) with the MiniACE®?

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  • WARNING: This device has the potential to misconnect with small bore connectors of other healthcare applications. Only use this device to connect to compatible irrigation devices.
  1. Check everything in the kit for damage. If damaged, do not use. Obtain another package.
  2. Attach the irrigation set (Fig. 2) to the MiniACE® Button by lining up the dark line on the irrigation set connector with the dark line of the interlock on the MiniACE® Button (Fig. 1). Press irrigation set connector to insert into the MiniACE® Button. Make sure the irrigation set connector is fully pressed down and turn 3/4 to the right (clockwise) to lock the irrigation set into place.
    • NOTE: Do not turn the connector past the stop point.
  3. Attach the irrigation set adapter (e.g. purple bolus adapter) to the connector of the irrigation delivery set. If using a bolus or Luer connector, firmly insert the connector while using a slight rotation into the irrigation set to lock in place. If using a rotating connector, firmly rotate the connector CLOCKWISE into the irrigation set to lock in place, but do not force the set to lock. Be sure the white pinch clamp is closed until you are ready to begin the irrigation/enema (the “flush”).
    • WARNING: Only tighten by hand. Never use force or a tool to tighten a rotating connector. If this is not done correctly, the connector may crack, leak, or have other problems.
    • WARNING: Be sure the MiniACE® is connected to an irrigation port only and NOT to an IV set.
    • WARNING: If the irrigation set is not placed and locked the correct way, it might leak. When twisting the connector, hold the MiniACE® Button in place so the button does not twist while placing the irrigation set. Do not try to put the irrigation set connector into the balloon inflation port. This may cause the balloon inside to lose water and the tube may fall out or lead to the balloon breaking if the wrong solution is put into the balloon.
  4. Once connected, open the pinch clamp to let the fluid which your healthcare professional ordered to flow into the button.
  5. When irrigation is finished, flush through the irrigation set with 5-10 ml water, or with an amount recommended by your healthcare provider. Use a catheter tip or ENFit® syringe. Remove the irrigation set by holding the MiniACE® Button in place, hold the irrigation connector, twist and turn 3/4 to the left (counterclockwise) to unlock, and gently remove the irrigation set from the MiniACE® Button. Snap the Bowel MiniACE® Button plug in to keep the inside of the button clean.
  6. The irrigation set should be washed with soap and water and rinsed well.
    • WARNING: In case of fever, the belly swelling up, infection, blockage, or damage to the skin at the stoma, patients should see their healthcare provider immediately.
    • WARNING: DO NOT PLACE ANY FOREIGN OBJECTS INTO THE IRRIGATION PORT.
    • WARNING: If using a transition connector, be sure that it is not connected to an IV set before use.
    • WARNING: When using a bolus style irrigation set, this device can also fit other sets such as a breathing system, a blood pressure cuff, and other monitor connectors.
  • Irrigation set tubing can be secured to the skin or to other surfaces using AMT’s tube securement device, the CINCH®. The CINCH® keeps tubing lines organized and helps avoid inadvertent pulls and tugs on the tubing which can make the “flush” more comfortable. Refer to the Accessories section of the AMT One Source™ app for more information.