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通过研发弗利导尿管导入器改进弗利导尿管插入程序:一项迟到了100年的创新。

Improving Foley Catheter Insertion Procedure by Developing Foley Introducer: A 100-Year Overdue Innovation.

作者信息

Kim Khae Hawn, Chung Kyung Jin

机构信息

Department of Urology, Chungnam National University Sejong Hospital, Chungnam National University College of Medicine, Sejong, Korea.

Department of Urology, Gachon University, Gil Medical Center, Gachon University School of Medicine, Incheon, Korea.

出版信息

Int Neurourol J. 2023 May;27(Suppl 1):S34-39. doi: 10.5213/inj.2346098.049. Epub 2023 May 31.

Abstract

PURPOSE

Foley catheter (FC) insertion is very basic yet one of the most widely performed procedures all across the fields of medicine. Since FC was first introduced in 19020's, no significant improvement has been made in view of methodology, despite the inconvenience associated with cumbersome preparation, procedure, and the patients' discomfort with having to have their genitalia exposed. We developed a new, easy-to-use FC insertion device, Quick Foley, that provides an innovative approach to introducing FC while simplifying and minimizing time spent without compromising the sterility.

METHODS

We developed an all-in-one disposable FC introducer contains all the necessary components in a single-device-kit. Minimal plastic components are necessary to keep accuracy and consistency, but the rest are made of the paper to minimize plastic waste. The preparation is done by connecting to the drainage bag, spurring the lubricant gel through gel insert, separating the tract, and connecting with the ballooning syringe. For the insertion, after sterilizing the urethral orifice, rotate the control knob to feed FC to the end of the urethra. After ballooning, dissembling of the device is done only by opening and removing the module, then only the FC remains.

RESULTS

As the device is all-in-one, there is no need to prearrange the FC tray, simplifies the FC preparation and catheterization procedure. This device not only makes it convenient for the practitioner, but ultimately, it will reduce the psychological discomfort experienced by patient by truncating perineal exposure time.

CONCLUSION

We have successfully developed a novel device that reduces the cost and burden of using FC for practitioners while maintaining an aseptic technique. Furthermore, this all-in-one device allows the entire procedure to be completed much more quickly compared to the current method, so this minimizes perineal exposure time. Both practitioners and patients can benefit by this new device.

摘要

目的

留置导尿管(FC)插入术是一项非常基础但在医学各个领域中执行最为广泛的操作之一。自20世纪20年代首次引入FC以来,尽管其在准备过程繁琐、操作过程复杂以及患者因生殖器暴露而感到不适等方面存在不便,但在方法学上并未取得显著改进。我们开发了一种新型的、易于使用的FC插入装置——快速导尿管(Quick Foley),它提供了一种创新方法来插入FC,同时简化并减少了操作时间且不影响无菌操作。

方法

我们开发了一种一体化的一次性FC导入器,在单个设备套件中包含所有必要组件。为保持准确性和一致性,只需最少数量的塑料部件,其余部分由纸张制成以尽量减少塑料废物。准备工作通过连接引流袋、通过凝胶插入器注入润滑凝胶、分离通道以及与球囊注射器连接来完成。插入时,对尿道口进行消毒后,旋转控制旋钮将FC送入尿道末端。球囊充气后,仅通过打开并移除模块即可拆卸设备,此时仅留下FC。

结果

由于该设备是一体化的,无需预先准备FC托盘,简化了FC准备和导尿过程。该设备不仅方便了从业者,最终还将通过缩短会阴暴露时间减轻患者所经历的心理不适。

结论

我们成功开发了一种新型设备,在保持无菌技术的同时,降低了从业者使用FC的成本和负担。此外,与当前方法相比,这种一体化设备能使整个操作过程更快完成,从而最大限度地减少会阴暴露时间。从业者和患者均可从这种新设备中受益。

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