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Poiesis Duette Catheter - Balloons Fluid Loss

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  • #16
    I brought this balloon deflation discussion to the attention of Charlene Johnson, Vice President of Operations and Clinical Education. See her reply, in part, at post number 7 in this thread.

    She sent me 4 Curas Prefilled Syringes filled with Aqueous Glycerine Solution 10% to try. I've just changed my catheter (catheter in place for 5 weeks) for the first time since using two of the syringes 10cc in the non black ballloon port and 5cc in the black balloon port. I deflated the balloons by withdrawing the solution from the balloons with a lurlock type syringe and measured the amounts. I had mixed results that I don't understand.

    I got a return of approximately 9.75cc from the non black balloon. Minimal or really no deflation (loss of solution at all).

    I got a return of approximately 2.50cc from the black balloon, a loss of 50% of the solution.

    I'll send these results to Charlene. Hope she has some insights.

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    • #17
      I received an email from the President of Poiesis with the following comments. He did not answer my question as to where I can purchase the Curas Prefilled Aqueous Glycerin syringes. I sent another email asking that question again. I'll post that information when/if I get another response.
      • It is important to understand that attempting to have the same amount of fluid removed as went in will never align. Some fluid will always remain in the catheter. The non-colored black port will typically have more remaining then the colored port. Averaging around 1 CC while the colored port may vary from 1 to .5CC. Also here is wear the varying comes into play (other than ones mentioned above), going past the recommended use time of 4 weeks, a user of the product may see more osmosis. However reviewing the osmosis and the variables involved the specs are within tolerance.


      • Regarding the osmosis the most important item is how are you doing respectful? Some individuals become aware if they are experiencing more osmosis during the 30 days use and have added small amounts respectful. It is not uncommon for individuals to replace balloon level with 1-3 CC especially if they make the decision to use the product past the labeling. As a user this is your option but as a company we cannot recommend. This is why I mentioned how you were feeling, goes back to the saying “if it aint broke don’t fix it”.


      • The use of syringes has been reviewed by our FDA firm and their use is available.


      • Regarding the insertion, yes this can be a difficult item to address with 100% confidence. As stated above each individual can present with their unique situation so as to providing assistance (other than mentioned) would be of little use I am afraid. We have heard that there are stoma plugs out on the market. One user stated he employs a slightly larger plug then the catheter during each change. He pulls the cath then inserts the plug which is slightly larger, then comfortably prepares the new catheter for insertions. He seems to appreciate the relaxed nature of the change. Again each person has their own method for their own individual situation.



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      • #18
        Originally posted by Scaper1 View Post
        They're kindly sending me a sample of the glycerine syringes, so I'll report back too. Currently we're using sterile water, and draining and refilling the balloons every week.
        who is "they?" the duette maker or a different company?
        "courage is fear that has said its prayers"

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        • #19
          Originally posted by jennypenny View Post
          who is "they?" the duette maker or a different company?
          Poiesis Medical, manufacturer of the Duette catheters sent me the samples of the aqueous glycerin solution syringes.

          Contact Derek: derek@poiesismedical.com or Charlene: charlene@poiesismedical.com for samples of the catheters and syringes.

          Read the instructions carefully. You fill one balloon with 10cc of solution, the other balloon with 5cc of solution.

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          • #20
            anyone out there w/experience with the stoma plugs mentioned above in the comments of Poiesis Medical?? are they used only when changing a catheter or do they remain in the stoma?
            "courage is fear that has said its prayers"

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            • #21
              Originally posted by jennypenny View Post
              anyone out there w/experience with the stoma plugs mentioned above in the comments of Poiesis Medical?? are they used only when changing a catheter or do they remain in the stoma?
              I sent an email to the employee at Poiesis who wrote that in an email to me. If he replies with information, I will post it on this thread.

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              • #22
                Originally posted by jennypenny View Post
                anyone out there w/experience with the stoma plugs mentioned above in the comments of Poiesis Medical?? are they used only when changing a catheter or do they remain in the stoma?
                I received a reply with these images for stoma plugs:
                Attached Files

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                • #23
                  Originally posted by HACKNSACK44 View Post
                  50 catheters? How often do you change your catheter? 50 would last me about 4 yrs.
                  Yes, ha ha - so I don't run out. I get it changed monthly. Sometimes twice a month if it gets clogged or is a faulty catheter.
                  So far I've had about five or six that were faulty
                  C5/C6 Complete since 08/22/09

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                  • #24
                    Originally posted by Mac85 View Post
                    Yes, ha ha - so I don't run out. I get it changed monthly. Sometimes twice a month if it gets clogged or is a faulty catheter.
                    So far I've had about five or six that were faulty
                    I assume you are talking about the Duette catheter. What was wrong with the catheters that were "faulty?" Same problem each time? Different problems each time?

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                    • #25
                      Originally posted by gjnl View Post
                      I assume you are talking about the Duette catheter. What was wrong with the catheters that were "faulty?" Same problem each time? Different problems each time?
                      Yes duette - sometimes caregiver was unable to get the saline out from the balloon once filled, other times the balloon would not fill up mostly due to port issues.
                      A few times the catheter was hard to remove due to some saline staying inside the balloon
                      C5/C6 Complete since 08/22/09

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                      • #26
                        Originally posted by Mac85 View Post
                        Yes duette - sometimes caregiver was unable to get the saline out from the balloon once filled, other times the balloon would not fill up mostly due to port issues.
                        A few times the catheter was hard to remove due to some saline staying inside the balloon
                        Did you contact Poiesis? Did they have any answers as to why you had these problems? Did they offer replacement catheters?

                        To try to get as much saline out of the balloon as possible, I use a luer lock syringe, which docks tightly with the balloon port. Ideally pressure within the balloon will force the plunger back and the syringe will fill with water. Then, I remove the plunger from the barrel of the syringe and insert the lure lock tip on the barrel into the balloon port and depress the valve a couple of times. Usually, I will get several drops of fluid that run down the inside of the barrel and drip into a collection tray or bowl. If you are using an older syringe, the plunger may not move with the force in the balloon. In that case, you can slowly aspirate the fluid out of the balloon by pulling the plunger back. Then repeat as above with the barrel only to "milk" the last few drops out of the balloon.
                        Attached Files

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                        • #27
                          Originally posted by gjnl View Post
                          Did you contact Poiesis? Did they have any answers as to why you had these problems? Did they offer replacement catheters?
                          No, I did not contact them. I just figured it would be a faulty catheter. I will buy one of the syringes – thanks a lot
                          C5/C6 Complete since 08/22/09

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                          • #28
                            Originally posted by Mac85 View Post
                            No, I did not contact them. I just figured it would be a faulty catheter. I will buy one of the syringes – thanks a lot
                            They sent me a few syringes. I'm trying to go a size bigger 20 French, do you guys know if they have them in stock?
                            C5/C6 Complete since 08/22/09

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                            • #29
                              Originally posted by Mac85 View Post
                              They sent me a few syringes. I'm trying to go a size bigger 20 French, do you guys know if they have them in stock?
                              Do you mean that Poiesis sent you a few of the Curas Prefilled Aqueous Glycerin Syringes? If they work for you and you don't lose as much fluid out of the balloons, unfortunately, these syringes are not available in the open market place. Unless you can persuade Poiesis to continue to send free samples, they are not easily or readily available. SCI Nurse KLD wrote

                              Originally posted by SCI-Nurse View Post
                              If you are really motivated to use this, you could consider making your own. It would require taking the sterile water or normal saline pre-filled 10ml. syringe from your catheter insertion kit, squirt out 1ml, and use it to then suck up 1ml. of 100% liquid glycerin. If you use this for the balloon filling, be sure that the glycerin is mixed well in the syringe before use (shake it well).

                              https://www.walgreens.com/store/c/af...uId=sku4117393
                              (KLD)
                              No, I haven't heard that Poiesis has a 20 Fr Duette catheter as of now. Why do you want to go to a larger French size?

                              Comment


                              • #30
                                Originally posted by gjnl View Post
                                No, I haven't heard that Poiesis has a 20 Fr Duette catheter as of now. Why do you want to go to a larger French size?
                                I usually get a lot of sediment and blood clots so they are having a hard time passing through the catheter
                                C5/C6 Complete since 08/22/09

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