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Mediplus Ltd Suprapubic Foley Catheter Introducing Set
Educational only: videos on MedicalVideos.com are for general information and are not medical advice. Always consult your own doctor about your health.
A new and safer method of inserting a Foley catheter suprapubically. The technique allows the insertion to be carried out in an Outpatient setting, thus saving time, cost and effort. By using the Seldinger technique, the product reduces the chances of bowel or bladder perforation and resultant morbidity.
The product has been chosen by The NHS National Technology Adoption Centre to help facilitate adoption of the product.
See www.mediplus.co.uk for more information
This video in 30 seconds
A manufacturer demonstration of a suprapubic catheter introducing set. The narration walks through the insertion: filling and palpating the bladder, anaesthetising the skin and tract, passing a needle and guidewire, advancing the trocar and sheath over the wire, placing the catheter and inflating its retention balloon, and ending with urine draining freely.
Key points
- The set, catheter, bag and inflation syringe are prepared and connected in advance
- The bladder is filled and palpated before the insertion site is marked
- The skin and tract are anaesthetised and a small incision is made
- A guidewire, then the trocar and sheath, are passed into the bladder
- The catheter is placed, its balloon inflated, the sheath split away, and drainage checked
Chapters
- 0:03 — Introducing the suprapubic set
- 0:21 — Filling and palpating bladder
- 1:12 — Anaesthetising skin and tract
- 2:32 — Guidewire placed into bladder
- 3:05 — Trocar and sheath advanced
- 3:38 — Catheter placed, balloon inflated
- 4:11 — Checking free urine drainage
Video Transcript
A manufacturer's demonstration of the Mediplus suprapubic catheter introducing set. The narration walks through the whole insertion: filling and palpating the bladder, local anesthetic to the skin and down the tract, the needle and guidewire, the trocar and sheath passed over the wire, placing the catheter, inflating the retention balloon and splitting away the sheath, ending with urine draining freely.
Read the full transcript
Welcome to this video demonstration of the Mediplus Suprapubic catheter introduction set. The Suprapubic catheter introduction set is prepared. The catheter, bag and inflation syringe are connected in advance to allow speedy insertion when needed. The first step is to fill the bladder. In this case we're using a flexible sister scope, but a urethral catheter would be perfectly adequate. The bladder is palpated to ensure that it's full enough to safely insert the catheter. As usual this catheter will be positioned about 2-3 cm above the superior border of the pubic synthesis in the midline.
The small needle is used to infiltrate the skin over the insertion site with local anaesthetic. A small incision about 1 cm in length is made in the skin to allow easier insertion of the dilator later on. The long needle is then used to anaesthetize the tract down to the bladder. Once fluid can be aspirated from the bladder the needle is in position. The syringe is removed and the needle is left in place. The guide wire is inserted floppy end first through the needle into the bladder up to the first black mark.
Holding the guide wire steady the needle is now removed leaving the guide wire in position in the bladder. The trocar and sheath can then be inserted over the guide wire through the incision previously made in the skin. Down the anaesthetized tract until it reaches the second black mark when it will be safely in position in the bladder. The guide wire and trocar can be removed from the outer sheath and the catheter inserted to approximately the midpoint of its length. The retention balloon of the catheter is then inflated with 5 ml of sterile water for injection.
The syringe is detached and the sheath removed from the suprapubic tract and pulled apart. In this instance the position of the catheter was checked with a flexible sister scope but this isn't necessary. It's clear that fluid is draining freely from the bladder. A little bleeding is quite common initially. The patient should be encouraged to maintain a high fluid intake after the procedure. Addressing can now be applied to the site as normal.
Transcript auto-generated from the video’s audio for accessibility and study. Educational content only — not medical advice.
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