Specialty Feeding System

Sepal are proud to offer a new feeding option for babies with complex feeding needs

A system developed to support the feeding needs of babies with cleft lips and palates.

The unique Sepal teat requires infants to be able to generate suction to allow liquid to flow from the teat.

By incorporating our Specialty Feeding Valve, infants can now feed from the Sepal system using compression of the teat.

The Specialty Feeding Valve can be placed on any Sepal bottle and combined with any Sepal teat providing you with the option of four teat sizes and five flow rates.

To offer the maximum support for infants with complex feeding needs, the Sepal Squeezy bottle allows the caregiver to provide additional support. By flexing the ergonomic bottle, liquid can be released into the teat barrel to assist the infant to feed by compressing the teat.

Simple system

When we asked for feedback from experienced users of cleft feeding systems the strong message was keep it simple.

We have clearly labelled the top of the valve so you know which way is up. Plus the assembled valve is similar in size to a 50c piece so it is harder to misplace.

“Parents have appreciated using a bottle and teat system, seeing it as a step closer to transitioning to a traditional feeding system in comparison to offering a dummy, and allowing them more time to bond with their newborn around feed times”


Speech Pathologists from across Australia were enthusiastic to participate in trialing the Pre-Feeder teat, describing it as "an option that continues to work on facilitating transition to oral feeding".

36 skilled professional users, from 15 hospitals, responded to the survey.

80% were working in a NICU/SCN of a Metro tertiary hospital, with the other 20% working in smaller Special Care Nurseries.

All used the trial teat with infants who were NPO - nil orally.

Additionally, 30% also trialed the teat with infants displaying oral aversion.


"Currently we are using the No Flow teat to support neonates who are physiologically stable and demonstrating readiness cues for feeding but are unsafe for oral feeding while they await further corrective surgery often for a prolonged period”

90% of respondants linked use of the Pre Feeder teats with timing of NG feeds - used simultaneously.

90% of infants who used the trial Pre Feeder had their first oral feed using the Sepal Extra Small Teat Ultra Slow Flow.

The trial teat was used predominantly with neonates from 0 - 3 months of age.

"They are great. Nursing staff have had wonderful feedback
as they provide the babies with the visual of a bottle and encourage sucking whilst being NG fed - to support the oral and enteral association for positive long-term feeding outcomes.

I often transition those infants NPO home with the Pre-Feeder as a part of their oral stimulation plan, whilst awaiting further growth/maturity to re-try oral feeding."

Complex Needs

The trial teathas been beneficial in use pre-operatively with patients who have oesophageal atresia +/- TOF, laryngeal abnormalities, such as laryngeal clefts and bilateral vocal cord palsy. It has allowed for us to safely start non-nutritive feeding experiences and promote safe suck swallow coordination in pre feeders."

"As a clinician, using the no flow teat has allowed for a seamless transition to the ultra-slow and slow flow Sepal teats as the shape and size of teat doesn’t change. The “No Flow” teat allows parents to keep the dummy for comfort/settling."

How to Use

Attach the "Pre-Feeder" to a Sepal 50ml vial to simulate a normal oral feeding position.

Liquid can be added to the vial to change the texture and pressure in the teat.

Support neonate in a safe and appropriate position to facilitate non-nutritive sucking.

Reprocessing Instructions

Extra Small Teats - Technical Data Sheet

Contact us

If you would like to receive an introductory sample box of the XTNF send through your details


The Pre Feeder (No Flow) teat is available for purchase in either bags of 50 or bags of 10.

This item is not available in the Sepal retail range