GentleCath Intermittent Catheters Designed to reduce tissue deformation ™

Transcription

GentleCath Intermittent Catheters Designed to reduce tissue deformation ™
TM
INTERMITTENT URINARY CATHETER
GentleCath™ Intermittent Catheters
Designed to reduce tissue deformation
Intermittent catheters are known to cause
discomfort during insertion.1 One explanation
may be that catheter eyelets deform urethral
mucosal tissue.2
GentleCath™ Intermittent Catheter eyelets
have a long thin shape, which is designed to
reduce tissue deformation, without reducing
the speed of urine flow through the catheter.
Tissue Deformation
Narrow eyelet shape
designed to reduce
tissue deformation
Tissue Deformation Height
GentleCath Intermittent Catheter eyelets
have been shown to cause significantly
lower tissue deformation than the Bard
Clean-Cath™, Coloplast Self-Cath™ and
Cure Medical Cure Catheter™.2*
™
Bard Clean-Cath™
Cure Medical Cure Catheter™
Learn more
www.gentlecath.com/gentleeyelets
* As demonstrated in an in vitro study
Coloplast Self-Cath™
ConvaTec GentleCath™
In vitro testing of tissue deformation by
catheter eyelets – a comparative study
TM
INTERMITTENT URINARY CATHETER
Using an in vitro animal model and a 3D scanner, surface urethral mucosa
tissue has been mapped and analysed to observe the maximum height of
tissue deformation into the eyelet for different manufactured catheters.
Test Method
In Vitro Animal Model
Each test was carried out by conducting the following steps:
1. T
he catheter eyelet was pressed onto a section of
porcine urethral tissue.
2. A
force representative of internal urethral sphincter
pressure was applied.*3,4
3. A 3D scan of the tissue surface was taken.**
Measurement
Internal Catheter View
Measurement of the deformation of the tissue into the eyelet
was calculated from the 3D scan by using the maximum
distance of the urethral tissue from where the outer surface
of the catheter would have been if there was no eyelet.
Catheter
Maximum tissue height
Catheter thickness
Urethral tissue
Evaluated Catheters
Eyelet Tissue Deformation Height
4 catheter brands of size 18Fr male were evaluated.
1.5
1.4
Results
Randomization: A batch of 16 tests were conducted which consisted of testing the
four catheter brands by two operators performing two repetitions. All tests were
randomized with a limit that all four tests on any one urethra have to be consecutive
to minimize possible drying out of the urethra when exposed to air.
1.3
Height (mm)
The 95% confidence interval of maximum tissue height for
the GentleCath™ product does not overlap the confidence
levels for the other brands tested. This provides a 95%
confidence that there is a statistically significant difference
between the maximum heights of tissue deformation in
the eyelets tested. (P < 0.05)1
1.2
1.1
1.0
0.9
0.8
1.27
1.33
0.7
0.6
Cure Medical
Cure Catheter™
* 60cm H2O
** Calibrated scanner has a resolution of 6µm
References: 1. Dellimore KH, Helyer AR, Franklin SE (2013). A scoping review of important urinary catheter induced complications.
Journal of materials science. Materials in Medicine, 24(8):1825–1835. 2. Walker M, Lambrethsen J, Winther T (2014). In vitro testing
of Tissue Deformation by Catheter Eyelets. Data on file. 3. Weber AM (2001) Leak point pressure measurement and stress urinary
incontinence. Current womens’ health reports, 1(1): 45–52. 4. Marti F, Leippold T, John H, Blunschi N, Müller B (2006) Optimization
of the artificial urinary sphincter: modelling and experimental validation. Physics in Medicine and Biology 51: 1361-1375
GentleCath is a trademark of Unomedical a/s. All other trademarks are the property of their respective owners.
©2014 ConvaTec Inc. AP-014757-MM
Bard
Clean-Cath™
1.14
Coloplast
Self-Cath™
.78
GentleCath™