• Nutrition
Pivot® 1.5 Cal - Unflavored

Pivot® 1.5 Cal

Peptide-based, high protein, therapeutic nutrition for metabolic stress

PIVOT 1.5 CAL is peptide-based complete, balanced therapeutic nutrition for short- or long-term tube feeding for metabolically stressed surgical, trauma, burn, or head and neck cancer patients who could benefit from an immune-modulating enteral formula. For tube feeding. For sole-source nutrition. Use under medical supervision.


Hospitals and institutions can order Abbott Nutrition products by calling 800-551-5838, Monday – Friday, 8:00 a.m. to 5:30 p.m. ET.
Established Abbott accounts can register and order online at e-Abbott.com.

AVAILABILITY

LIST NUMBER
ITEM
62719
Pivot 1.5 Cal / 33.8 fl oz (1 L) Ready-To-Hang Prefilled Container / 8 ct
65007
Pivot 1.5 Cal / 8 fl oz (237 mL) Recloseable Carton / 24 ct

FEATURES

  • Provides very high protein (93.8 g/L, 25% of calories) to support protein synthesis, tissue repair and wound healing.1,2
  • Provides 1.5 Cal/mL—concentrated calories for fluid-restricted patients.
  • Immune support:
    • Arginine (13 g/L, 3.5% of calories) to support proliferation and function of immune cells.2
    • Glutamine (inherent) (7.6 g/L) for GI-tract integrity and energy for immune cells.3,4
    • Omega-3 fatty acids (EPA, 2.6 g/L; DHA, 1.1 g/L) to help modulate inflammation and support immune function.5,6
  • Tolerance:
    • Advanced blend of hydrolyzed protein, structured lipid, and prebiotics (NutraFlora® scFOS®*) to promote absorption and tolerance.
    • Hydrolyzed, peptide-based protein system.
    • MCT/fish oil structured lipid, a well-tolerated7,8 and absorbed8 next generation fat to promote absorption of fatty acids.
    • 1.8 g of scFOS/8 fl oz (7.5 g/L). scFOS are prebiotic soluble fibers that stimulate the growth of beneficial bacteria in the colon.9,10,11
  • Elevated antioxidants vitamins C and E, selenium and beta carotene to help reduce free radical damage.12,13
  • 1500 Calories (1000 mL) provides at least 100% of the RDIs for 23 essential vitamins and minerals.
  • Halal.
  • Gluten-free.
  • Suitable for lactose intolerance.

PRECAUTIONS

  • Not for IV use.
  • Not for people with galactosemia.

* NutraFlora® and scFOS® are not registered trademarks of Abbott Laboratories.

1 Demling RH. Eplasty. 2009;9:65-94.

2 Weitzel LR, et al. Curr Opin Anaesthesiol. 2009;22(2):177-183.

3 Rao RK, Samak G. J Epithel Biol Pharmacol. 2012;5(Suppl 1-M7):47-54.

4 Cruzat V, et al. Nutrients. 2018;10(11):1564-1594.

5 Calder PC. Prostaglandins Leukot Essent Fatty Acids. 2008;79(3-5):101-108.

6 Calder PC. Clin Nutr. 2010;29(1):5-12.

7 Kenler AS, et al. Ann Surg. 1996;223(3):316-333.

8 McKenna MC, et al. J Pediatr Gastroenterol Nutr. 1985;4(1):45-51.

9 Bornet FR, et al. Nutr Rev. 2002;60(11):326-334.

10 Tokunaga T, et al. Bifidus. 1993;6(2):143-150.

11 Bouhnik Y, et al. Nutr J. 2007;6:42-48.

12 Institute of Medicine (US) Panel on Dietary Antioxidants and Related Compounds. Dietary Reference Intakes for Vitamin C, Vitamin E, Selenium, and Carotenoids. Washington (DC): National Academies Press (US);2000.

13 Sies H. Redox Biol. 2015;4:180-183.

PREPARATION

  • Instructions for Use:

    8 fl oz carton

    • Store unopened at room temperature; avoid extreme temperatures.
    • Shake well prior to opening.
    • Once opened, reclose, refrigerate and use within 48 hours.

    Tube Feeding:

    • Follow physician's instructions.
    • Adjust flow rate and volume according to patient's condition and tolerance.
    • Feed at room temperature using a feeding pump or syringe.
    • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.
    • Avoid contamination during preparation and use.


    Ready-To-Hang Container

    All liquid medical foods, regardless of type of administration system, require careful handling because they can support microbial growth. Follow these instructions for clean technique and proper setup to reduce the potential for microbial contamination.

    NOTE: Failure to follow the Instructions for Use increases the potential for microbial contamination and reduces hangtime.

    • Administer product at room temperature.
    • THOROUGHLY wash hands with soap and water before handling container or feeding set.
    • Turn container upside down and SHAKE VIGOROUSLY, using a twisting motion for at least 10 seconds.
    • DO NOT touch any part of the container or feeding set that comes into contact with the formula.
    • When initiating feeding, follow physician's instructions. Adjust flow rate and volume according to patient's condition and tolerance.
    • Additional fluid requirements should be met by giving water between or after feedings or when flushing the tube.


    For Use with Enteral Feeding Pumps:

    • Remove dust cover from RTH Safety Screw Cap.
    • Remove dust cover from feeding set connector.
    • Insert feeding set connector into port of RTH Safety Screw Cap and completely pierce foil.
    • Turn connector collar clockwise until it is securely fastened.
    • Close clamp on set before inverting container.
    • Invert container and suspend, using hanging ring on bottom of container.

    Precautions

    • Follow directions for use provided by manufacturer of feeding sets.
    • Unless a shorter hang time is specified by the set manufacturer, hang product for up to 48 hours after initial connection when clean technique and only one new set are used. Otherwise hang for no more than 24 hours.

NUTRITION

Unflavored

  • Pivot 1.5 Cal / 33.8 fl oz (1 L) Ready-To-Hang Prefilled Container / 8 ct
  • Pivot 1.5 Cal / 8 fl oz (237 mL) Recloseable Carton / 24 ct

Serving size: 8 fl oz (237 mL)

  • Amount per Serving
  • % DV
  • % RDI
  • Nutrient Data
  • Protein, g
  • 22.2
  •  
  •  
  • Fat, g
  • 12
  •  
  •  
  • Carbohydrate, g
  • 40.9
  •  
  •  
  • Dietary Fiber, g
  • 1.8*
  •  
  •  
  • Total Sugars, g
  • 4
  •  
  •  
  • Added Sugars, g
  • 4
  •  
  •  
  • L-Carnitine, mg
  • 36
  •  
  •  
  • Taurine, mg
  • 36
  •  
  •  
  • Water, g
  • 178
  •  
  •  
  • Calories
  • 355
  •  
  •  
  • Vitamins
  • Vitamin A, mcg RAE
  • 427†
  •  
  •  
  • Beta-Carotene, mg
  • 0.7
  •  
  •  
  • Vitamin D, mcg
  • 6.6
  •  
  •  
  • Vitamin E, mg
  • 6.4
  •  
  •  
  • Vitamin K, mcg
  • 30
  •  
  •  
  • Vitamin C, mg
  • 72
  •  
  •  
  • Folate, mcg DFE
  • 145
  •  
  •  
  • Folic Acid, mcg
  • 87
  •  
  •  
  • Thiamin (Vitamin B1), mg
  • 0.47
  •  
  •  
  • Riboflavin (Vitamin B2), mg
  • 0.50
  •  
  •  
  • Vitamin B6, mg
  • 0.55
  •  
  •  
  • Vitamin B12, mcg
  • 1.2
  •  
  •  
  • Niacin, mg NE
  • 6.0
  •  
  •  
  • Choline, mg
  • 180
  •  
  •  
  • Biotin, mcg
  • 7.1
  •  
  •  
  • Pantothenic Acid, mg
  • 2.1
  •  
  •  
  • Minerals
  • Sodium, mg
  • 350
  •  
  •  
  • Potassium, mg
  • 470
  •  
  •  
  • Chloride, mg
  • 380
  •  
  •  
  • Calcium, mg
  • 240
  •  
  •  
  • Phosphorus, mg
  • 230
  •  
  •  
  • Magnesium, mg
  • 100
  •  
  •  
  • Iodine, mcg
  • 40
  •  
  •  
  • Manganese, mg
  • 1.2
  •  
  •  
  • Copper, mg
  • 0.52
  •  
  •  
  • Zinc, mg
  • 7.3
  •  
  •  
  • Iron, mg
  • 5.6
  •  
  •  
  • Selenium, mcg
  • 19
  •  
  •  
  • Chromium, mcg
  • 25
  •  
  •  
  • Molybdenum, mcg
  • 40
  •  
  •  
  • * 1.8 g of dietary fiber supplied by short-chain fructooligosaccharides.
  • † 283 mcg RAE of vitamin A activity supplied by 0.7 mg of beta-carotene.

Unflavored

  • Pivot 1.5 Cal / 33.8 fl oz (1 L) Ready-To-Hang Prefilled Container / 8 ct
  • Pivot 1.5 Cal / 8 fl oz (237 mL) Recloseable Carton / 24 ct

Serving size: 33.8 fl oz (1 L)

  • Amount per Serving
  • % DV
  • % RDI
  • Nutrient Data
  • Protein, g
  • 93.8
  •  
  •  
  • Fat, g
  • 51
  •  
  •  
  • Carbohydrate, g
  • 172.4
  •  
  •  
  • Dietary Fiber, g
  • 7.5*
  •  
  •  
  • Total Sugars, g
  • 17
  •  
  •  
  • Added Sugars, g
  • 17
  •  
  •  
  • L-Carnitine, mg
  • 150
  •  
  •  
  • Taurine, mg
  • 150
  •  
  •  
  • Water, g
  • 750
  •  
  •  
  • Calories
  • 1500
  •  
  •  
  • Vitamins
  • Vitamin A, mcg RAE
  • 1800†
  •  
  •  
  • Beta-Carotene, mg
  • 3
  •  
  •  
  • Vitamin D, mcg
  • 27.8
  •  
  •  
  • Vitamin E, mg
  • 27
  •  
  •  
  • Vitamin K, mcg
  • 126
  •  
  •  
  • Vitamin C, mg
  • 304
  •  
  •  
  • Folate, mcg DFE
  • 610
  •  
  •  
  • Folic Acid, mcg
  • 366
  •  
  •  
  • Thiamin (Vitamin B1), mg
  • 1.98
  •  
  •  
  • Riboflavin (Vitamin B2), mg
  • 2.11
  •  
  •  
  • Vitamin B6, mg
  • 2.32
  •  
  •  
  • Vitamin B12, mcg
  • 5.1
  •  
  •  
  • Niacin, mg NE
  • 25.3
  •  
  •  
  • Choline, mg
  • 760
  •  
  •  
  • Biotin, mcg
  • 30
  •  
  •  
  • Pantothenic Acid, mg
  • 8.9
  •  
  •  
  • Minerals
  • Sodium, mg
  • 1475
  •  
  •  
  • Potassium, mg
  • 1983
  •  
  •  
  • Chloride, mg
  • 1603
  •  
  •  
  • Calcium, mg
  • 1013
  •  
  •  
  • Phosphorus, mg
  • 969
  •  
  •  
  • Magnesium, mg
  • 421
  •  
  •  
  • Iodine, mcg
  • 169
  •  
  •  
  • Manganese, mg
  • 5.1
  •  
  •  
  • Copper, mg
  • 2.19
  •  
  •  
  • Zinc, mg
  • 30.8
  •  
  •  
  • Iron, mg
  • 23.6
  •  
  •  
  • Selenium, mcg
  • 78
  •  
  •  
  • Chromium, mcg
  • 105
  •  
  •  
  • Molybdenum, mcg
  • 168
  •  
  •  
  • * 7.5 g of dietary fiber supplied by short-chain fructooligosaccharides.
  • † 1195 mcg RAE of vitamin A activity supplied by 3 mg of beta-carotene.

INGREDIENTS

Unflavored

  • Pivot 1.5 Cal / 33.8 fl oz (1 L) Ready-To-Hang Prefilled Container / 8 ct
  • Pivot 1.5 Cal / 8 fl oz (237 mL) Recloseable Carton / 24 ct

Water, Corn Syrup Solids, Hydrolyzed Sodium Caseinate, Whey Protein Hydrolysate, Structured lipid (Interesterified Marine Oil [Contains One or More of the Following: Anchovy, Cod, Menhaden, Pollock, Salmon, Sardine, Tuna] and Medium Chain Triglycerides), Soy Oil, Canola Oil, L-Arginine, Short-chain Fructooligosaccharides. Less than 0.5% of: Potassium Citrate, Citric Acid, Calcium Phosphate, Magnesium Chloride, Soy Lecithin, Magnesium Phosphate, Choline Chloride, Natural & Artificial Flavor, Ascorbic Acid, Cellulose Gel, Potassium Chloride, Carrageenan, Potassium Hydroxide, Taurine, L-Carnitine, Cellulose Gum, Zinc Sulfate, Ferrous Sulfate, d-Alpha-Tocopheryl Acetate, Niacinamide, Manganese Sulfate, Calcium Pantothenate, Copper Sulfate, Thiamine Hydrochloride, Pyridoxine Hydrochloride, Riboflavin, Beta-Carotene, Vitamin A Palmitate, Chromium Chloride, Folic Acid, Sodium Molybdate, Sodium Selenate, Potassium Iodide, Phylloquinone, Biotin, Vitamin D3, and Vitamin B12.

Contains milk and soy ingredients.

SUPPORTING MATERIALS

Medicare Rates and HCPCS Codes (PDF 267 KB)

Locate a Sales Rep

If you would like to speak with an Abbott Nutrition sales representative, please contact: 1-800-551-5838.

Let us know your area of specialization and the product you are inquiring about, and our product experts will be happy to assist you.

You can also locate a sales rep via email.

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