Urodynamics

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  • Cath secure

    As part of our urology department, we stock an excellent range of cath secure devices by the M.C. Johnson Company – including tube holders for both adults and children. These all comply with the highest healthcare standards, yet are available for an affordable price. And they’re designed to increase nursing productivity and significantly improve patient comfort and quality of care. Take a look through the full range and, for more information, please feel free to contact us.
    [su_accordion][su_spoiler title="What can a cath secure be used for?" open="no" style="default" icon="plus" anchor="" class=""] A cath secure is a medical securement device, designed to offer practicality and comfort. Primarily, they’re used to secure indwelling urinary catheters – also known as Foley catheters – in place. But they’re also suitable for use with many other types of medical tubing, including (but not limited to):
    • Central line ports
    • Gastrostomy
    • Jejunostomy
    • Peritoneal dialysis tubing
    • Hemovac wound drainage
    • Jackson-Platt wound drainage
    • EKG lead wires
    • Prostatectomy tubes
    • Leg bag tubing
    • Condom catheters
    • PICC lines
    By holding the tube securely for up to a week, the device allows for repeated adjustments – without the need for continuous retaping – and improves the patient’s overall comfort and mobility. [/su_spoiler] [su_spoiler title="What are the benefits of using a cath secure tube holder?" open="no" style="default" icon="plus" anchor="" class=""]First and foremost, catheter holding devices can help to improve clinical outcomes. The open-close tabs allow quick, repeat access to the tubing – greatly improving nurse productivity and eliminating the need for constant retaping. Not only does this lower the risk of medical tube trauma, it also reduces the chance of a catheter-associated urinary tract infection (CAUTI). Secondly, all of the cath secures available in our range are very simple to use. They can be fitted with most types of medical tubing, anchoring the tube in place without restricting flow. And the application process is quick and easy. The device is simply pressed onto the skin, where it’s held down via the alcohol-soluble adhesive, and Velcro strips are used to lock in the tube. Finally, one of the greatest benefits of a cath secure device is patient comfort. As the device has a very low profile – with no hard parts – it’s very unlikely to catch on clothes and linens. The adhesive strip successfully prevents any uncomfortable rolling. And the device is DEHP-free, hypoallergenic, and not made from rubber latex. Therefore, it can remain in place for approximately one week, without causing any skin irritation or altering the skin integrity. Overall, it allows the safe, secure and efficient use of catheters within a clinical setting – improving the quality of care for patients, whilst also helping to lower healthcare costs long-term. [/su_spoiler] [su_spoiler title="Which is the right cath secure device for my patient?" open="no" style="default" icon="plus" anchor="" class=""]This will depend on several factors, including:
    • whether it’s for an adult or child
    • the type of tube that needs to be secured
    • the size of the tube
    Here at Digitimer, we stock a comprehensive range of cath secure devices, with a design to suit all medical needs and preferences. Further information to help you choose a suitable product be found in our urology and urogynaecology brochure. Two of our most popular devices include the Cath Secure Original – which is the manufacturer’s original multi-purpose tube holder – and the Cath Secure Dual Tab. This features two central tabs, which wrap around the tube and fix them to the patient using a hook-and-loop system. Whichever option you choose, rest assured, all of our cath secures conform to the highest standards of quality and are OSHA (Occupational Safety and Health Administration) and CDC (Centers for Disease Control) compliant. They offer an efficient, standardised way to secure medical tubing and they all benefit from the same competitive and affordable pricing structure. [/su_spoiler] [su_spoiler title="How is a cath secure applied?" open="no" style="default" icon="plus" anchor="" class=""]Successfully applying a cath secure involves three simple steps:
    1. Prep
    Proper skin preparation is essential to the success of any cath secure tube holder. Start by helping the patient to fully extend their hip. This will help to prevent undue traction in the catheter or medical tube. Then, thoroughly clean the application area with either alcohol or warm soapy water (for sensitive skin). It’s important to clean an area that’s larger than your chosen cath secure device and make sure the skin has completely dried before starting the application.
    1. Peel and press
    Next, peel the adhesive backing off the device. Position it on the upper front of the thigh and press both sides of the cath secure down firmly. It should stick comfortably to the patient’s skin.
    1. Fasten
    Finally, the last step is to fasten the medical tube to the device. Start by placing the tab (or tabs) on the same side of the fastening strip. Position the tube at the base of the tab and wrap the tab around the tube in one complete rotation. Make sure the tube is wrapped quite tightly and, to secure it firmly in place, press the end of the loop onto the fastening strip. The cath secure can stay in this position for up to a week before it will need replacing. To remove it, simply unfasten the hook-and-loop tabs to release the catheter – and peel the product off like a plaster. The adhesive is alcohol soluble. So if you find that removal is difficult or causing the patient discomfort, simply dampen the base with alcohol and it should peel away much easier. [/su_spoiler] [su_spoiler title="How many cath secure tube holders are in each pack?" open="no" style="default" icon="plus" anchor="" class=""] Our paediatric catheter holding devices are currently available in packs of 50. Whilst, for adult cath secures, you can select from a pack of 10, 20, or 50 to suit your needs. The bigger the pack, the lower the cost per item. And the pricing structure is exactly the same regardless of which particular device you choose. Cath secures are designed to be an affordable securement option. And compared to other similar products on the market (which tend to come in smaller packs) they offer much better value for money. They provide superior securement, without the need for plastic parts – and ultimately, that results in lower costs for the end-user. [/su_spoiler][/su_accordion]

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  • Pessaries

    As a leading online supplier of urodynamic products, we stock a diverse range of pessaries for a competitive price – including ring pessaries, cube pessaries, cerclage pessaries, Hodge pessaries and more. Whatever the nature of your patient’s urological or gynaecological issue, we have a pessary style to suit. Browse the full online range and, if you have any questions, please don’t hesitate to get in touch.
    [su_accordion][su_spoiler title="What is a pessary?" open="no" style="default" icon="plus" anchor="" class=""] A pessary is a medical device that can be used for the non-surgical treatment of prolapse – as well as a variety of other gynaecological problems (e.g. cystocele, rectocele, stress urinary incontinence). Typically they’re made from silicone and are small enough to be placed inside the vagina or rectum, without causing harm or discomfort. Once inserted, they provide necessary support and prevent organs (e.g. the uterus) from slipping into an unnatural position and causing unpleasant symptoms. [/su_spoiler] [su_spoiler title="What can a pessary be used for? " open="no" style="default" icon="plus" anchor="" class=""] Pessaries can be used to treat a range of pelvic defects and gynaecological issues, including:
    • Prolapse
    Whilst surgery may be possible, vaginal pessaries are the primary non-surgical treatment for uterine and vaginal prolapse. They can be used to manage all degrees and types of prolapse, including cystocele, rectocele, vault prolapse and enterocele – successfully preventing the affected pelvic organs from falling (i.e. prolapsing) into the vagina and reducing the associated symptoms.
    • Pelvic support defects
    Pessaries can also be useful if the musculature of the pelvic floor has been weakened in some way. This could be due to a hysterectomy (or another form of pelvic surgery) or a condition that involves repetitive bearing down – such as chronic constipation, chronic coughing, repetitive heavy lifting. Although surgical repair offers a more permanent solution, some patients are poor candidates for surgery or may simply choose to use a vaginal pessary as a temporary measure.
    • Stress urinary incontinence
    In addition, pessaries can also be used to prevent the involuntary loss of urine during exercise and exertion – particularly in patients for whom ‘conservative’ management is deemed most appropriate. This includes pregnant women, elderly women – for whom a surgical procedure would be too risky – and women who have previously had an operation for stress incontinence that failed. Once inserted, the device presses the urethra against the symphysis pubis and elevates the bladder neck – increasing outflow resistance and correcting the angle between the bladder and urethra. Some types of pessary – specifically, perforated and non-perforated cerclage pessaries – can also be used for pregnant patients with a short cervix. By supporting the cervix, the pessary can help to prevent miscarriage and spontaneous preterm birth, particularly in patients with additional complaints of prolapse, physical strain, or increased intrauterine pressure (e.g. due to multiple pregnancies). [/su_spoiler] [su_spoiler title="Which pessary style will my patient require?" open="no" style="default" icon="plus" anchor="" class=""] Here at Digitimer, we stock a wide range of  pessary styles and sizes – with a suitable device for the effective management of all gynaecological issues and pelvic defects. These include: Even as an experienced physician, choosing the right one for your patient can be challenging. Ultimately, it will depend on the condition you need to treat, and fitting is often a case of trial and error. The patient should try several different styles and/or sizes – therefore allowing you to identify the pessary that works best for them, in terms of fit, comfort and effectiveness. After the initial fitting, the patient should be followed up a few days later to recheck the fit. The pessary will need to be removed, so that the vagina can be examined for irritation, pressure sores, or allergic reaction. And at this stage, having to change the size/style of the pessary is not uncommon. [/su_spoiler] [su_spoiler title="How is a pessary fitted?" open="no" style="default" icon="plus" anchor="" class=""] Pessaries for prolapse and other gynaecological conditions must initially be fitted by a physician. First things first, it’s important to consider any possible contraindications – such as active infections of the pelvis or vagina (e.g. vaginitis), non-compliance, or allergies to silicone or latex. If you’re happy to proceed, a complete pelvic examination should then be performed and a small or average-sized pessary – in the simplest style possible – inserted directly into the vagina. The fit and effectiveness of this pessary will need to be checked. If it fits correctly, the physician should be able to pass a finger easily between the pessary and the vaginal wall. The patient will need to stand, sit, squat, and perform Valsalva’s manoeuvres, to ensure the device doesn’t become dislodged. And if it’s being fitted for incontinence, ask the patient to cough to test for urine leakage. Ideally, the patient should also successfully void before leaving the appointment. If they are unable to void with the pessary in position – or report any discomfort or difficulty during urination or defecation – the device should then be removed and replaced with the next smallest size. Several follow-up appointments are essential. The first should be approximately one week after the initial fitting, followed by an appointment 2-3 weeks later – and every 2-3 months after that. At each appointment, the pessary will need to be removed and cleaned with soap and water, whilst the vagina is inspected for any signs of erosion, irritation, pressure necrosis or allergic reaction.[/su_spoiler][/su_accordion]

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  • Urodynamic Consumables

    Here at Digitimer we pride ourselves in being a market leader of Urodynamic Consumables from specialist pump fusion sets to help in the smooth running of urodynamic testing, alongside urodynamic catheters and transducer domes.

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