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SPIKERIGHT® PLUS

SPIKERIGHT® PLUS

Taking the Lead in Tube Feeding Safety

Nestlé Health Science's SpikeRight® PLUS port for closed enteral feeding containers is designed to reduce the risk of dangerous tubing misconnections. It is the first proximal end enteral connection system designed to be incompatible with IV equipment.

The Issue: Tubing Misconnections

Tubing misconnections can lead to injury or even death and thus pose a real risk to patient safety. The Joint Commission has recommended increased awareness of this issue and in 2006 released a Sentinel Event Alert to highlight the problem. In addition, the Joint Commission Journal on Quality and Patient Safety has stated that preventing misconnections will require a multi-faceted effort involving clinicians, patient care facilities, purchasing groups, manufacturers and others, and reiterated the Joint Commission's call for product redesign to improve safety.1

SpikeRight® PLUS Connection System: The Next Generation Enteral Safety Technology from Nestlé Health Science

Nestlé has been at the forefront of improving patient safety since 1994 when it introduced the SpikeRight® design in Europe. The SpikeRight® port used a threaded design to connect with  enteral specific screw-top spike sets to reduce the risk of misconnection with intravenous equipment. In 2008 the SpikeRight® design was introduced into the US in Nestlé's closed system products in its ULTRAPAK® bags and in 2009 in its closed system bottles.

In 2011 Nestlé Health Science introduced its next generation safety technology, the SpikeRight® PLUS system, to further reduce the risk of dangerous tubing misconnections. It is the first available proximal end connector which is designed to be incompatible with I.V. ports and spikes as well as other medical equipment. The SpikeRight® PLUS system consists of COMPAT® enteral pump sets with the SpikeRight® PLUS connector (introduced in 2011) and ULTRAPAK® bags with the SpikeRight® PLUS port (2012 availability by quarter is provided below). Please note that actual product availability may vary based on production schedules and inventory levels. For more information on the issue of tubing misconnections, and a brief demonstration on proper use of the SpikeRight® PLUS system, click on the video player below.


An instructional video is available here.

For customer convenience, Nestlé has available an Enteral Spike Adapter with SpikeRight® PLUS Connector. Makes either a SpikeRight® compatible spike or a universal enteral spike compatible with the SpikeRight® PLUS port.  Clicking on the image of the adapter provides an instruction poster explaining how to convert an enteral spike or SpikeRight® spike to a SpikeRIght® PLUS compatible connector. Module 3 of the SpikeRight® PLUS video  provides detailed instruction on how to use the Enteral Spike Adapter.


View instructional poster click here.

Other enteral pump manufacturers such as Covidien, will offer SpikeRight® PLUS compatible administration sets beginning in the second quarter of 2012.  During the interim period when SpikeRight® PLUS compatible pump sets may not be available, it will be necessary to use the Enteral Spike Adapter with the SpikeRight® PLUS connector. For more information on the availability of SpikeRight® PLUS compatible pump sets from Covidien, click here.  Other support materials such as a “shelf talker” label indicating proper use of the Enteral Spike Adapter with the Covidien set are available from your Nestlé Health Science representative.  For an electronic version of this label, click here.

Click here to learn more about Best Practices in Enteral Feeding Safety.

For complete indications and instructions for use for COMPAT® pump sets and the Enteral Spike Adapter, see labeling supplied with the product.

Ordering Information:

Product Description Product Code Case UPC (GTIN) NDC Format Number Availability by Quarter*
Availability by Quarter*
COMPLEAT® SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 14180100 100-43900-14180-7 212141814 Q2
COMPLEAT® SpikeRight® PLUS, 4 x 1500 mL UltraPak® Containers 4390014183 100-43900-14183-8 212182414 Q3
FIBERSOURCE® HN SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 18580100 100-43900-18588-7 00212-1858-14 Q2
FIBERSOURCE® HN SpikeRight® PLUS, 4 x 1500 mL UltraPak® Containers 4390018583 100-43900-18583-2 212885214 Q2
IMPACT® Glutamine SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 16280100 100-43900-16288-8 212162814 Q2
IMPACT® PEPTIDE 1.5 SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 4390097371 100-43900-97371-2 43900097370 Q2
NOVASOURCE® RENAL SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 35180100 100-43900-35180-0 212351814 Q1
NUTREN® 1.5 SpikeRight® PLUS, 6 x 1000mL UltraPak® Containers 9871626354 107-98716-26354-9 212120414 Q2
NUTREN® 2.0 SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871644146 007-98716-44146-9 212414661 Q1
NUTREN® Pulmonary SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871622392 107-98716-22392-5 212239261 Q3
NUTREN JUNIOR® SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871677380 007-98716-77380-5 00212-7380-61 Q1
NUTREN JUNIOR® Fiber SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871677400 007-98716-77400-0 00212-7410-61 Q1
PEPTAMEN® 1.5 SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871628194 107-98716-28194-9 212819461 Q2
PEPTAMEN® AF SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871676390 007-98716-76390-5 212639061 Q2
PEPTAMEN® Bariatric SpikeRight® PLUS, 6 x 1000mL UltraPak® Containers 4390097267 100-43900-97267-8 43900097266 Q1
PEPTAMEN® with Prebio1TM SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871622804 107-98716-22804-3 212280461 Q1
PEPTAMEN® with Prebio1TM SpikeRight® PLUS, 4 x 1500 mL UltraPak® Containers 9871622805 107-98716-22805-0 212280561 Q2
PEPTAMEN 1.5 Prebio1TM SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 4390034957 100-43900-34957-9 4300-0349-57 Q2
PEPTAMEN JUNIOR® SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871677360 007-98716-77360-7 00212-7400-61 Q1
PEPTAMEN 1.5 JUNIOR® SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871618543 007-98716-18543-1 00212-8415-15 Q1
REPLETE® SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871626356 107-98716-26356-3 212457914 Q2
REPLETE® Fiber SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871626358 107-98716-26358-7 212635861 Q2
REPLETE® Fiber SpikeRight® PLUS, 4 x 1500 mL UltraPak® Containers 9871626359 107-98716-26359-4 212635961 Q2
VIVONEX® RTF SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 36280100 100-43900-36280-6 212362814 Q2
VIVONEX® RTF SpikeRight® PLUS, 4 x 1500 mL UltraPak® Containers 4390036283 100-43900-36283-7 212628214 Q2
ISOSOURCE® 1.5 SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 18180100 100-43900-18181-0 00212-1818-14 Q3
ISOSOURCE® 1.5 SpikeRight® PLUS, 4 x 1500 mL UltraPak® Containers 4390028182 100-43900-28182-4 00212-1820-14 Q3
DIABETISOURCE® AC SpikeRight® PLUS, 4 x 1500 mL UltraPak® Containers 4390036583 100-43900-36583-8 00212-3658-14 Q4
DIABETISOURCE® ACSpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 36508100 100-43900-36508-1 00212-3650-14 Q4
IMPACT® Fiber SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 35880100 100-439002-3051-8 00212-3588-14 Q3
GLYTROL® SpikeRight® PLUS, 4 x 1500 mL UltraPak® Containers 9871632391 007-98716-32391-8 00212-2391-61 Q3
GLYTROL® SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 9871622390 107-98716-22390-1 00212-2390-61 Q2
ISOSOURCE® HN SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 18480100 100-43900-18480-4 00212-1848-14 Q3
ISOSOURCE® HN SpikeRight® PLUS, 4 x 1500 mL UltraPak® Containers 4390028466 100-43900-28466-5 00212-8462-14 Q3
IMPACT® SpikeRight® PLUS, 6 x 1000 mL UltraPak® Containers 35810800 100-43900-35818-2 00212-3581-14 Q2

* Actual availability may be different due to changes in production and inventory levels, please verify the final date with your Nestlé Health Science Representative.

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