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What is a Nasal Bridle?

A nasal bridle is a securement method used to discourage patients, from pulling on their nasoenteric feeding tube. Reports show that 40 percent of nasogastric feeding tubes are dislodged, which may lead to the unnecessary surgical placement of a feeding device or conversion to parenteral nutrition support.* A nasal bridle is an effective and safe way to secure a patient’s nasal tube, retaining the nutrition flow to the patient.

*Seder CW, Janczy R. The Routine Bridling of Nasojejunal Tubes is Safe and Effective Method of Reducing Dislodgement in the Intensive Care Unit. NCP Nutrition in Clinical Practice. 2008-2009:23(6) 651-654

How Does a Bridle Work?

Once the bridle tubing is passed through both nostrils and around the vomer bone, it uses the structure of the nasal cavity, specifically the vomer bone, to hold the feeding tube in place. If patients pull on the tube, they will feel a little pressure on the bone, making the bridle uncomfortable for a moment, but not painful.

The AMT Bridle™ Family may reduce the risk of complications from using a feeding tube without damaging the nose or causing pain to the patient. It deters pulling and also helps to prevent accidental dislodgement of the feeding tube, giving the patient more freedom to move normally.

With a device like the AMT Bridle™ or Bridle Pro™, there is no reason to tape or suture the feeding tube into place. This cost-effective AMT Bridle™ Family is barely visible and takes around a minute to properly place. Through better tube securement the patient will experience enhanced nutrition and fewer complications like aspiration or sinusitis. Use of the AMT Bridle™ Family can dramatically reduce the occurrence of accidental tube dislodgement, avoid skin breakdown and lead to cost savings. It is a superior solution to prevent nasal tube dislodgement.

Bridle Features

Introducing Bridle Standard

Adult Bridle, when NG tubes won’t stay in place Bridle affords clinicians valuable time to determine the most appropriate nutritional program for their patients.

Easily placed by passing tiny catheter-mounted magnets, Bridle’s clip grips the NG Tube to positively secure it in place. Early & potentially unnecessary PEG tube placements can be avoided. Available in paediatric & adult sizes.

Introducing Bridle Pro

The AMT Bridle Pro™ family of devices work by passing magnets through the nasopharynx to draw bridle tubing through one nare, around the vomer bone & out of the other nare.

The bridle tubing is then secured to the nasal feeding tube with a clip. The Pro Range Clip, can accommodate more then one French Size for nasal tubes.

Bridle Support

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Bridle Standard

Instructional Video

Bridle Standard

Nasal Tube Retaining System

Read our Bridle Family Pocket Guide

Flip through our Bridle Family pocket guide.

What our healthcare professional say about the Bridle

“I have used the Nasal Bridle product since 2007, and can wholeheartedly support its usage as an essential part of our tool-kit to achieve artificial feeding at LTHT.  Prior to its introduction, patients were either fed more intermittently with NGTs, were referred for early PEG, with the potential for increased risk of complications, or had their NGT sutured to maintain it.

We have a vast experience in placing Nasal Bridles in a variety of patient groups including:

Stroke population, Pre-op, Post-op supplementary feeding, Neurological patients

Since its introduction we have been able to demonstrate through formal audit, a significant reduction in our PEG mortality from over 25% to >6% (Donaldson E, Earley T and Shields P 2008).  This is due to being able to secure a NGT successfully to improve nutrition and facilitate access for medications in order to treat co-morbidities.  In 2008, (Earley T 2008), we also demonstrated that over a third of patients whom we placed NGT with Nasal Bridles avoided the need for PEG placement and managed to achieve oral nutrition after a period of time with only NGT and Bridle.”

Tracy Earley RGN, RSCN, BSc, MSc
Consultant Nurse Lancashire Teaching Hospitals NHS Foundation Trus

Product Codes

Bridle Standard

System consists of a retrieval probe, a flexible white catheter which houses a removable stylet guide, a pre-attached clip, a clip opening device, and a packet of water-soluble lubricant.

Product CodeSizeProduct DescriptionPack SizeNHS Code
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box

Bridle Standard Spare Clip

Product CodeSizeProduct DescriptionPack SizeNHS Code
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box

Bridle Pro

System consists of a retrieval probe, a flexible monofilament bridle catheter (bridle tubing) which houses a removable stylet guide, a pre-attached clip, a clip opening device, and a packet of water-soluble lubricant.

Product CodeSizeProduct DescriptionPack SizeNHS Code
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box

Bridle Pro Spare Clip

Product CodeSizeProduct DescriptionPack SizeNHS Code
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box
4-4205065Fr-6FrPURPLE - Pro Range Kit11 per box

Frequently Asked Questions

We have provided this information as an educational resource tool. This is not intended as a substitute for professional medical care. Your FIRST source of information should be your healthcare provider.

What are the main differences between the Bridle and the Bridle Pro?

Bridle

  • White umbilical tape
  • Lubricant is needed for placement and is included in the product packaging
  • Bridle Clips – French size specific clips come pre-attached to the white umbilical tape

Bridle Pro

  • Blue monofilament bridle tubing
  • No lubricant is needed, however, it is included in the product packaging
  • Bridle Pro Range Clips – Accommodate a range of French sizes and come pre-attached to the blue bridle tubing
  • Bridle Pro Clips – French size specific clips come pre-attached to the blue bridle tubing

What are the main differences between the Bridle Pro range clips, Bridle Pro Clips and Bridle Clips?

Bridle Pro Range Clips

  • Available in 5-6F and 8-10F
  • Pre-attached to blue bridle tubing

Bridle Pro Clips

  • Available in 8, 10, 12, 14, 16, and 18F (French size specific clips)
  • Pre-attached to blue bridle tubing

Bridle Clips

  • Available in 5, 6, 8, 10, 12, 14, 16, and 18F (French size specific clips)
  • Pre-attached to white umbilical tape

Can the bridle family of devices be used with pediatric patients?

Absolutely, the family of nasal tube retaining devices are FDA cleared for both pediatric and adult patients. They are also cleared for use with any brand of nasal tube.

How does the bridle family of devices save money for the patient and hospital?

OPTIMAL NUTRITION – OPTIMAL RECOVERY – It is generally believed that early aggressive enteral feeding facilitates faster patient healing with a resultant decrease in ICU and hospital stays. Use of the Bridle Family of Devices minimizes interruption of tube feedings, thereby enhancing patient nutrition and lowering healthcare costs.

SAVINGS ON TUBES, X-RAYS, AND NURSING TIME – Use of the Bridle Family System results in significant cost-savings, especially when every tube is Bridled. A study conducted at the University of Pittsburgh Medical Center estimated that using the Bridle for all their tubes (1440 per year) would result in 275 fewer tubes, 330 fewer X-Rays, and 45 fewer nurse-days (Gunn, et. al., JPEN Vol 33, Feb 2009).

SAVINGS ON ENTERAL NUTRITION FORMULA – If a tube is pulled out, replacement can take several hours which can result in the need to discard expensive enteral nutrition formula. Use of the Bridle dramatically reduces pull-outs, so waste is also minimized.

SAVINGS ON STAFF TIME AND LAUNDRY COST – If a tube is pulled completely out, the formula is pumped onto the patient’s bed. The result is a messy cleanup which wastes staff time and adds to laundry costs. Bridling prevents most pull outs so these expenses are avoided.

Is there an increased risk of infection or sinusitis with the bridle family of devices?

To date, hundreds of thousands of Bridles have been placed in over hundreds of institutions and there has been no documented increase of incidents of sinusitis associated with the use of the Bridle Family of Devices. Specifically, the Bridle Pro has the new bridle tubing which is a monofilament. This bridle tubing offers approximately 60% less surface area than umbilical tape bridles and is easy to clean.

Will the bridle family of devices damage the nasal septum?

All tubes passing through the nasal cavity can irritate the nasal mucosa.

The Bridle Pro™ bridle tubing is very soft and was designed with patient comfort in mind. No lubricant is needed while placing the Bridle Pro™ device due to the soft and smooth material, however, lubricant may be used if desired.

The Bridle™ umbilical tape should be lubricated before placement. The Bridle tape should rest without tension in the nose when properly applied. Any minor irritation of the nasal mucosa will heal rapidly when the Bridle and tube(s) are removed.

What happens if the patient pulls on the bridle devices?

If a patient pulls on the tube secured with the Bridle™ or Bridle Pro™, they will create pressure on the vomer bone at the back of the nasal septum/vomer bone, which will cause discomfort. This negative reinforcement will deter most patients from pulling further on their tube. Despite this, some patients will continue to pull. The increased force on the tube will cause the outside diameter of the feeding tube to narrow and slip through the clip before damage occurs to the vomer bone at the back of the nasal septum.

How long can the bridle devices stay in place?

The AMT Bridle™ and Bridle Pro™ devices are FDA cleared for 30 days of continuous use.

Why shouldn't I use a "homemade" bridle?

SAFETY – The Bridle Pro™ clips and Bridle™ clips are designed to allow some slipping should a patient pull so hard that they might hurt themselves. To date, over hundreds of thousands of Bridles have been placed in hundreds of institutions. For the user, you have the assurance that you are working with a clinically proven, FDA cleared product, not something that has been pieced together.

PATIENT COMFORT – The magnetic retrieval system allows for a gag-free interface with the patient since you are not reaching into their mouth, as is required in the homemade technique.

TIME SAVINGS – The Bridle Pro™ and Bridle™ can be placed in under a minute. Published studies on unplanned tube removal suggest an incidence of 40% (Seder and Janczy, Nutr. Clin. Pract., Dec 2008). In the event of unintentional dislodgement or migration, the Bridle can save hours in reinsertion time.

OPTIMAL MATERIALS – A clinical study NOT sponsored by, Seder and Janczyk (Nutr. Clin. Pract., Dec 2008), determined that the use of red rubber catheters in homemade bridles resulted in 4 cases of nasal ulceration per 800 tube feeding days. However, they observed NO ulceration with umbilical tape. The rate of tube pull out was also decreased with the umbilical tape. All materials used in the Bridle Family of Devices have been specifically chosen to optimize performance and safety.

What is the safety record of the bridle systems?

Bridle techniques have been used for more than 20 years. The Bridle™ Family of Devices, in use for over fifteen years, builds on the safety record of the “homemade” version by making the loop around the vomer bone easy to create and more comfortable for the patient.

Remember, both the Bridle™ and Bridle Pro™ are FDA cleared for pediatric and adult patients.

What is the safety record of the bridle systems?

Bridle techniques have been used for more than 20 years. The Bridle™ Family of Devices, in use for over fifteen years, builds on the safety record of the “homemade” version by making the loop around the vomer bone easy to create and more comfortable for the patient.

Remember, both the Bridle™ and Bridle Pro™ are FDA cleared for pediatric and adult patients.

Why can't the bridle systems be re-used?

The Bridle and Bridle Pro is designed to be a single-use disposable product.

Will the bridle system magnets disturb a pacemaker?

The rare earth magnets within the Bridle and Bridle Pro devices are used only to create the loop around the vomer and do not stay in place. Once the device is placed, the magnet sections of the Bridle devices are to be discarded and not kept with the patient. For added safety of patients with pacemakers, it is recommended to keep the magnets near the placement site (patient’s head and neck area).

Is the bridle family of devices mr safe?

Yes – the main portion of the kit, the probe and bridle catheter, have tiny but powerful magnets at their tips and are integral to making the connection between the two pieces. However, after proper placement, the Bridle and Bridle Pro are MR safe.

Do not attempt to use the Bridle™ or Bridle Pro™ without also reviewing the product’s complete Directions for Use (DFU).

Contact us

Please feel free to contact us and our customer service team will be in touch with you as soon as possible.

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Our contact details

GBUK Enteral Ltd.,Woodland House, Blackwood Hall Business Park, North Duffield, Selby, North Yorkshire, YO8 5DD

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