RightSpotpH Indicators for Nasogastric Tube Insertion in the ICU

Using pH to Confirm NG/OG Tube Placement is Evidenced-Based Best Practice

Immediate confirmation of gastric acidity for nasogastric tube insertion and gastric pH testing, without exposure to x-ray.

In 2005 and 2010, 45% of all cases of harm caused by misplaced NG/OG tubes reported by the United Kingdom’s National Patient Safety Agency were due to misinterpreted X-rays.

The RightSpotpH Indicator, used to safely and accurately check NG tube insertion and orogastric tube placement


Immediate Confirmation

  • No radiation exposure
  • Possible delays reading x-ray can compromise care in already critically ill patients, e.g. suction tubes accidentally placed against
    • Lungs tissue can cause a pneumothorax
    • Esophageal tissue can perforate
    • Post-pyloric can perforate
  • If your hospital is reimbursed for bedside glucose testing, reimbursement may also be available for RightSpotpH® indicators with CPT Code 83986QW.

In the ICU, it is crucial to confirm the accurate placement of feeding or medication tubes for optimal patient care. A gastric pH test plays a vital role in determining the position of NG/OG tubes, and reliable nasogastric tube insertion is essential. Our RightSpotpH® Indicator simplifies this process, allowing medical professionals to rapidly verify tube placement. After inserting the RightSpotpH® Indicator into the protruding end of the tube, a plunger is used to extract gastric fluid into the glass vial, which instantly displays a pH reading on the enclosed pH strip. With the RightSpotpH® Indicator, you can confidently ensure the well-being of your patients in the ICU.

We invite you to read the growing body of evidence that supports using pH to confirm gastric tube placement.

Frequently Asked Questions

Accurate Nasogastric Tube insertion in the ICU is paramount as patients in intensive care are often critically ill or unstable. Any complications from misplacement could exacerbate their condition, making timely and accurate placement essential.

The RightSpotpH Indicator provides immediate pH feedback during the insertion process, indicating that the tube is correctly placed in the stomach. This rapid confirmation minimizes the risk of complications associated with misplacement.

Absolutely. ICU patients may have multiple medical devices attached, be on mechanical ventilation, or have altered anatomy due to surgeries or trauma, making the NG Tube or OG Tube insertion more complex.

While traditional methods like X-rays are effective, the RightSpotpH Indicator offers real-time confirmation, which can be especially valuable in the ICU's time-sensitive environment. It reduces radiation exposure and can speed up the patient care process.


The RightSpotpH Indicator provides almost instantaneous feedback upon insertion, making it an invaluable tool for ICU professionals who often need immediate results.

While the RightSpotpH Indicator is designed for intuitive use, ICU staff should undergo training to ensure they harness the device's full potential and enhance patient safety.

Yes, the immediate feedback from the RightSpotpH Indicator can often negate the need for X-rays, leading to quicker patient care and reduced radiation exposure in the ICU setting.

In the ICU, patients on mechanical ventilation, with altered gastric pH due to medications, or with a risk of aspiration can greatly benefit from the rapid confirmation provided by the RightSpotpH Indicator.

Scroll to Top