Designed for direct enteral nutrition and hydration access, Avanos Medical Percutaneous Endoscopic Gastrostomy (PEG) Over-The-Wire (OTW) Kits provide clinicians with a complete, sterile setup for initial feeding tube placement using the "Push" (over-the-guidewire) insertion technique. Constructed from high-grade, medical-grade silicone, these feeding tubes feature a collapsible internal retention bumper designed to firmly anchor the tube against the gastric mucosa while enabling traction removal when clinically indicated. Each kit includes comprehensive procedural components—such as a flexible placement guidewire, introducer needle, retrieval snare, safety scalpel, local anesthetic components, skin prep antiseptics, and a SECUR-LOK* external retention bolster—to maintain strict aseptic technique, protect stoma site health, and establish reliable long-term enteral access in acute care and endoscopic settings.