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  • Peristeen Anal Irrigation System

    Would anyone know if the VA has approved the Peristeen system? I believe that I remember our SCI Hall of famer Ms. Dunn, mentioning something regarding the catheter's failure, holding up it's approval. Considerable time has passed since then and it would be wonderful for a number of us and the entire VA system if injured folks could use it.
    Last edited by forestranger52; 12-03-2014, 07:03 PM.
    C 5/6 Comp.
    No Tri's or hand function.

    Far better it is to try mighty things, to win glorious triumphs, even though checkered by failure. Than to take rank with those poor spirits who neither enjoy much or suffer much, because they live in the grey twilight that knows neither victory or defeat.

    Teddy Roosevelt

  • #2
    Originally posted by forestranger52 View Post
    Would anyone know if the VA has approved the Peristeen system? I believe that I remember our SCI Hall of famer Ms. Dunn, mentioning something regarding the catheter's failure, holding up it's approval. Considerable time has passed since then and it would be wonderful for a number of us and the entire VA system if injured folks could use it.
    I would suggest contacting Kade Agan 612 337 7864 at Coloplast. (Kade is pronounced the same as Katie.)
    stephen@bike-on.com

    Comment


    • #3
      No. I just had a meeting with our rep, and it still not VA approved, but it is finally Medicare approved, so you could ask you VA provider to prescribe product through you Medicare & then request the training through Fee-Basis. Coloplast will only supply after you have been trained by one of their certified RNs. They are busy training outpatient & inpatient RNs at larger non-VA rehab centers now.

      (KLD)
      The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

      Comment


      • #4
        Why is all the training required for what's basically an enema? I've been using this for a few months and it's a pretty simple concept - up your butt, pump balloon 3 times, pump in water, remove balloon, poop.

        Comment


        • #5
          I've actually been more afraid of using some of the items Stephen has talked about in the past that I purchased from Optimal Health Network. The peristeen can be a bit finicky sometimes and I'm getting closer and closer to trying those options out.

          Comment


          • #6
            I returned to using the Peristeen more than a year ago after a friend tried and failed to get results with it. He had leftover (unused) supplies and gave them to me. I'm now getting them through my insurance.

            I didn't go through the training program, after all I've been using the product everyday for a long time and had my doc write this on Coloplast's order form. There are potential risks using the Peristeen for someone with SCI, but they're common to using any type of enema. I would think the primary health concern is triggering autonomic dysreflexia if the bowel is over-filled, and users susceptible to AD likely have different thresholds for when that might kick in.
            stephen@bike-on.com

            Comment


            • #7
              Steve, that's good to know. I've been purchasing them myself for the past few months. The insurance route sounds like something I should look into. Since you've tried both, do you find the Peristeen easier to use than the OHN options? The only real complaint I have with the Peristeen is that they seem to be overly cautious with back pressure and sometimes I have trouble getting the thing to do anything but whistle at me. I know it's due to some kind of blockage (gas, mild constipation) but sometimes I wish it had a bit more push.

              Where do you get your Peristeen supplies from that will accept your insurance?

              Comment


              • #8
                Originally posted by Davey View Post
                Steve, that's good to know. I've been purchasing them myself for the past few months. The insurance route sounds like something I should look into. Since you've tried both, do you find the Peristeen easier to use than the OHN options? The only real complaint I have with the Peristeen is that they seem to be overly cautious with back pressure and sometimes I have trouble getting the thing to do anything but whistle at me. I know it's due to some kind of blockage (gas, mild constipation) but sometimes I wish it had a bit more push.

                Where do you get your Peristeen supplies from that will accept your insurance?
                The biggest selling feature of the Peristeen vs. the OHN supplies is the rectal cuff catheter. Being able to eliminate (or at least greatly reduce) having the water leak out as you're filling up is a big plus. (OHN does offer an rectal cuff catheter, but I never tried it.) Other than that, once your bowel is filled with water it doesn't make a difference how you filled it, Peristeen or regular enema.

                I experience the same high-pitched whistling sound from the bag lid when I'm filling. It takes about a minute or two to fill the bowel (1 liter) -- approx. 100 pumps -- so the whistling doesn't bother me too much.

                Other notes: I keep the bag in the sink next to the toilet rather than on the floor. Once my bowel is filled, I will wait a few minutes for things to get started on their own, but I do a lot of dig stim and abdominal massage to expedite things. After I fill my bowel, I will flush the toilet to rinse off the catheter and then I place it temporarily in the trash can. I wash it afterward. I find that I can get many days' worth (sometimes close to 2 weeks) of service from one catheter, which is the most expensive part of the system.

                I ordered my Peristeen through McKesson Patient Care Solutions (formerly National Rehab). To determine whether your insurance will cover the Peristeen, contact:

                Gloria Longona
                Verification Department
                Gloria.Longona@ Mckesson.Com
                800- 216-5500 ext:68167
                stephen@bike-on.com

                Comment


                • #9
                  Thanks! Great info.

                  I re-use my catheters too. Each one lasts me about a month before it pops (has only happened twice) or I decide it's time for a new one. Speaking of the OHN rectal cuff catheter, I purchased one of those things and there's no way I would have ever used it. It almost looks like there's a balloon that is attached to the catheter with dental floss that's been glued together. While I was un-packaging it, it actually cut my finger - ouch!

                  I'll give Gloria a call...

                  Comment


                  • #10
                    Any update regarding the VA and Peristeen? I need to try and start using the one I purchased a couple of years ago but I need a new bag and some catheters. Where are folks buying the replacement bags and such.

                    I noticed that they have a new style catheter which is much more expensive. Do these fit the same as the blue ones?
                    C 5/6 Comp.
                    No Tri's or hand function.

                    Far better it is to try mighty things, to win glorious triumphs, even though checkered by failure. Than to take rank with those poor spirits who neither enjoy much or suffer much, because they live in the grey twilight that knows neither victory or defeat.

                    Teddy Roosevelt

                    Comment


                    • #11
                      Get hold of Peristeen. They will be able to tell you if they are VA approved and the contract numbers to tell your primary to order.
                      If Chasmengr is still on here he is pretty sharp with that stuff.

                      Comment


                      • #12
                        They are now on VA contract, but are pretty slow in rolling out to VA facilities, including SCI Centers. There is still a requirement (from the FDA) that they only be prescribed by providers who, and training provided by nurses who, have completed the Coloplast training program on the Peristeen. So not just any VA provider can order them for you...

                        (KLD)
                        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                        Comment


                        • #13
                          Does anyone know where I can purchase Peristeen supplies? I bought the system from a company in Australia a few years ago, the bag needs replaced and I must buy new catheters.
                          C 5/6 Comp.
                          No Tri's or hand function.

                          Far better it is to try mighty things, to win glorious triumphs, even though checkered by failure. Than to take rank with those poor spirits who neither enjoy much or suffer much, because they live in the grey twilight that knows neither victory or defeat.

                          Teddy Roosevelt

                          Comment


                          • #14
                            Originally posted by forestranger52 View Post
                            Does anyone know where I can purchase Peristeen supplies? I bought the system from a company in Australia a few years ago, the bag needs replaced and I must buy new catheters.
                            This site seems to ship to the US https://www.owlmedical.com/collectio...nt=29425607299

                            Looks like ebay has them: http://www.ebay.com/itm/like/182361676877?lpid=82&chn=ps&ul_noapp=true


                            Last edited by t8burst; 12-12-2016, 09:18 PM.

                            Comment


                            • #15
                              Thanks a lot. Have a happy holiday!
                              C 5/6 Comp.
                              No Tri's or hand function.

                              Far better it is to try mighty things, to win glorious triumphs, even though checkered by failure. Than to take rank with those poor spirits who neither enjoy much or suffer much, because they live in the grey twilight that knows neither victory or defeat.

                              Teddy Roosevelt

                              Comment

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