Mobile FEES: The Gold Standard in Swallowing Diagnostics

What is FEES?

Flexible Endoscopic Evaluation of Swallowing (FEES) is an instrumental examination performed by a qualified Speech-Language Pathologist. A small, flexible endoscope is gently passed through the nose to directly view the throat and swallowing structures while the patient eats and drinks real food in their natural environment. It provides real-time, high-definition video of swallowing function — allowing for accurate diagnosis and targeted treatment planning.

Otolaryngologist examining a patient's throat during a swallowing evaluation

No Radiation

Unlike modified barium swallow studies, FEES uses no radiation and no barium contrast.

Real Food Testing

Patients are evaluated eating their actual food and drink in their normal eating position. No barium-coated substitutes.

Bedside Procedure

Performed at the patient’s location with the Atmos Scope HD. No hospital transport required.

Reports Within 24 Hours

Detailed clinical reports with high-quality color images, diet recommendations, therapy suggestions, and referral recommendations.

Repeatable

FEES can be repeated as often as needed to track progress and adjust treatment. No cumulative radiation concerns.

Safe for Complex Patients

Appropriate for bariatric patients, medically fragile patients, those on ventilators, and patients with feeding tubes.

What We Bring

We arrive fully equipped. Your facility provides nothing but the patient.

+Atmos Scope HD
+Camera & Processor
+Light Source
+Microphone
+Recording Software
+Monitor/Laptop
+Transport Cart
+PO Trial Supplies
+Food & Drinks
+Thickener
+Cups, Spoons & Straws
+Food Dye
+Lubricant & Decongestant
+PPE
+Disinfecting Solution

FEES vs. Hospital MBSS

Mobile FEES
CA Mobile FEES
Hospital MBSS
Location
Patient’s bedside at your facility
Hospital radiology department
Scheduling
Within 1–3 business days
Often 3+ months
Transport Cost
$0
$900–$1,700 per trip
Radiation
None
Yes
Barium Required
No
Yes
Food Used
Patient’s real food
Barium-coated food
Staffing Required
CA Mobile FEES SLP only
Radiologist + rad tech + hospital SLP + possibly RT/nurse
Results
Within 24 hours
Days to weeks
SLP Productivity
Treating SLP can bill same day
Lost therapy time during transport
Repeat Studies
Easy — no cumulative radiation
Additional scheduling + radiation

Clinically Proven. Evidence-Based.

96%

agreement between FEES and MBSS for detecting aspiration

Leder et al., 1998

More Sensitive

FEES is more sensitive to residue detection than MBSS

Pisegna & Langmore, 2016

91%

of nursing home residents could tolerate higher-level diets after instrumental assessment

Groher & McKaig, 1995

Doctor providing attentive clinical care to a senior patient during evaluation
Senior patient consulting with a nurse about swallowing symptoms during a clinical assessment

What FEES Can Assess

+Mastication skills and bolus preparation
+Swallow timeliness and delay
+Posterior bolus control
+Laryngeal penetration and aspiration (including timing)
+Presence and cause of pharyngeal residue
+Secretion management
+Effectiveness of swallowing strategies and compensatory techniques

Who We Serve

Skilled Nursing Facilities (SNFs)
Hospitals and Rehabilitation Centers
Long-Term Acute Care (LTAC) Facilities
Sub-Acute Care Facilities
Outpatient Clinics
ENT Practices

Service Area

Kern CountyVenturaSan Diego CountyLos AngelesCountyOrangeCountyInland EmpireSan Bernardino Co.Riverside Co.PomonaOur LocationService AreasPrimary Service AreaExtended CoverageBusiness Location
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Bring Mobile FEES to Your Facility

Schedule a free consultation to learn how CA Mobile FEES can support your patients and clinical team.