New NICE-evaluated Catheter Innovation

Urethral Catheterisation Device (UCD®)

Developed to prevent urethral injury
  • Simple and ready-to-use 
  • Safe and Cost-effective 
  • Purpose designed regulated Medical Device
  • Efficient patient care
  • can be used by qualified Doctors and Nurses

Prevention of Urethral Injury:

How many urinary catheters are inserted?

  • 15 – 25% of patients admitted to Hospital are catheterised ¹.
  • ca. 1 in 14 patients in community care have a permanent urinary catheter in place requiring regular change.
  • 4 Million Foley catheters are used annually in the UK alone.
How many men suffer catheterisation complications?

  • 4 – 7% of men undergoing cardiac surgery are at risk of traumatic catheterisation ²
  • 3.2 – 13.4 per 1000 male catheterizations ³
  • 81% sustain a complication Clavien-Dindo grade 2 or greater.
  • 40% develop urosepsis ³
  • 5% die from urosepsis
  • 78% develop a urethral stricture
How much does CAUI cost?

    • Iatrogenic urethral catheterization injury  (CAUI) is reported to occur in 0.7 per 1,000 adult male hospital admissions ⁷ 
    • The average cost of CAUI is about £7,285.00 (€8,500.00) per case based on a reported incidence of 6.7 per 1000 catheters inserted ². 
    • Additional healthcare costs of £215 million per year in the UK alone. These costs are exclusive of managing long-term complications of urethral strictures or any potential medico-legal costs ⁸.
    How does the UCD perform?

    • 7% of urethral injuries in men undergoing Cardiac Surgery may be preventable with the Urethrotech UCD® ².
    • Urology Nurses can solve difficult catheterization cases independently and avoid patient care delay ⁶.
    • Applied across a single Hospital, 81% of men were successfully catheterised with the Urethrotech UCD® when standard Foley catheterisation had failed ⁵.

    Utilisation and success rate in one large Swiss Kanton Hospital. Over a 12-month period the Urethrotech UCD® was used in 21 men after failed standard Foley-catheterisation.  Training for all emergency department and theatre staff was provided:

    • Managing failed standard catheterisation with the Urethrotech UCD® was time and cost effective.
    • In 4 men, mild urethral bleeding was recorded as the result of standard Foley-catheterisation that did not interfere with UCD-catheterisation.
    • All staff were highly satisfied with the new device and would use it again as the next step to solve difficult urethral catheterisation.

    Reference

    1.  Guideline for Prevention of Catheter-Associated Urinary Tract Infections (2009). Available from: https://www.cdc.gov/

    2.  Bugeja S, Mistry K, Yim IHW, Tamimi A, Roberts N, Mundy AR. A new urethral catheterisation device (UCD) to manage difficult urethral catheterisation.World J Urol. 2019;37(4):595-600.

    3. Davis NF, Quinlan MR, Bhatt NR, et al. Incidence, cost, complications and clinical outcomes of iatrogenic urethral catheterization injuries: a prospective multi-institutional study. J Urol. 2016;196(5):1473-1477.

    4. Davis NF, Bhatt NR, MacCraith E, et al. Long-term outcomes of urethral catheterisation injuries: a prospective multi-institutional study. World J Urol. 2020;38(2):473–480.

    5.   Fluckiger S, John H. A new Urethral Catheterisation Device for safe urethral catheterisation in difficult cases. J Clin Urol. 2019;12(83).

    6.  Dragova M, Bamfo A, Holmes K, Attard K, Frost A, Mundy A. Managing difficult catheterisation in nurse-led catheterisation services: Does guidewire-assisted urethral catheterisation make a difference? Int J Urol Nurs. 2020;1–7.

    7.  Kashefi C, Messer K, Barden R, Sexton C, Parsons JK (2008) Incidence and prevention of iatrogenic urethral injuries. J Urol 179(6):2254–22 

    8.  Awad MA, Ostenberg EC, Chang H, Gaither TW, Alwaal A, Fox R, Breyer BN (2016) Urethral catheters and medical malpractice: a legal database review from 1965 to 2015. Transl Androl Urol 5(5):762–773


    Take a closer look

    Patient Experience

    Urology Nurse Specialist shares the problems her patients encounter when difficult catheterisation occurs.

    Clinical Need & Solution

    Catheterisation-associated Urethral Injury (CAUI) is preventable.

    “Urethral Catheterisation is one of the most common invasive medical procedures. About time that we prevent procedure related complications!”

    CAUI is a serious problem and contributes directly to CAUTIs (Catheterisation-associated Urinary Tract Infection) and can lead to urethral long-term complications.
    — Professor of Urology

    Rational Resource Allocation

    Your Plan B for safe & simple catheterisation
    A simple Catheterisation Algorithm which is easy to implement in every clinical environment. Procedure efficiency that is safe for everyone!

    Instruction for Use

    Please watch this Instruction for Use video and learn about indications and contraindications of the Urethrotech UCD®

    Further questions?


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