Clinician FAQ

   

How long can the Macy Catheter remain in the rectum?
The Macy Catheter can remain in the rectum for up to 28 days.  If it is removed for (or expelled by) defecation, the catheter can be immediately reinserted or a new catheter can be placed, depending on your institution’s policy.
What if the patient has to have a bowel movement?
The Macy Catheter is designed to be expelled with a bowel movement. If requested by the patient, the catheter may also be removed by a clinician or trained caregiver prior to a bowel movement.  The Macy Catheter will not inhibit normal bowel function and if expelled, can be immediately reinserted per agency protocol.
How is the device discarded after use?
After use this product may be a potential biohazard. Handle in accordance with local, state and federal laws and regulations.
How often should the balloon inflation be checked?

The balloon only needs to be checked if leakage is noted from the rectum.

Is it necessary to wear gloves during medication administration?

Medication administration into the Macy Catheter is not a sterile procedure and gloves do not need to be worn for administering medications. As always the user should perform proper hand washing before and after patient contact.

What are common Macy Catheter patient use examples?

The Macy Catheter is used to administer medications and liquids to patients whose oral route is compromised and for whom parenteral access is difficult or not indicated. Rectal administration is a proven route of delivery and can be particularly relevant for patients with presenting with dehydration, pain, agitation, seizures, fever, or nausea/vomiting. It has been used in hospice and palliative care, skilled nursing facilities, and emergency departments.

When should I introduce the Macy Catheter into a patient’s care?

In hospice and palliative care, the Macy Catheter enables patients to remain in the setting of their choice through symptom management. The Macy Catheter can first be introduced to a patient/caregiver when the patient’s oral route is starting to become compromised, or it can be more emergently introduced after the patient has lost the oral route and symptoms need to be immediately managed (symptom crisis). In the emergency department the catheter can be immediately introduced and used to bridge until easier IV access is possible after the patient is rehydrated and calm, or used to bridge until the oral route is again viable, or used whenever a retention enema is needed. In skilled nursing facilities, it can be introduced upon a patient’s change in condition with a transient loss of the oral route and administration of medications and liquids is necessary.

If leakage occurs from the Medication Administration Port following medication administration what should I do?

If leakage occurs from the Medication Administration Port following medication administration, using the 3ml enteral syringe, quickly inject 3 ml of water over less than 1 second.

Can Routine Perineal Care be performed with the catheter in place?

Yes, per your facility’s protocol, routine perineal care may be performed with the Macy Catheter in place.

Can the Macy Catheter be used if my patient has a Colostomy?

Yes, the Macy Catheter can be used in any patient with an intact rectum. Note: the Macy Catheter should only be placed in the rectum. Never place the Macy Catheter in an ostomy or stoma.

What are the contraindications for using the Macy Catheter?

Device should not be used for patients with rectal lesions, tumors, active rectal bleeding, recent bowel surgery (less than 6 weeks), or if rectal mucosa is compromised. Diarrhea or more than 1 liquid stool per day is not strictly a contraindication because the use of the device itself would not present a patient safety hazard, but the device could be frequently expelled and therefore might not be convenient to use, and medication might also be expelled instead of being fully absorbed.

What if leakage of medication is noted from the rectum?
Leaking of medication from the rectum can occur in infrequent circumstances. Follow the steps below only if leakage is noted.

  • Tug lightly on the Macy Catheter to assure it is snug against the rectal sphincter.
  • Check the balloon inflation to assure balloon is inflated to 15ml (by deflating the balloon into a graduated luer syringe and noting the volume). Re-inflate the balloon to 15ml, tug lightly to assure the balloon is snug against the rectal sphincter and recheck inflation in a few days.

Contact us to learn more about the Macy Catheter.

Hospi Corporation

1650 S. Amphlett Blvd
Suite 201
San Mateo, CA 94402
T: 888.509.3732
F: 510.648.3529

When the oral route is compromised, knowledgeable clinicians turn to the Macy Catheter®. The Macy Catheter is the best alternative for rapid administration of medication and fluids. Patented and FDA cleared, the Macy Catheter provides access to the clinically proven rectal route of delivery. It can be used in multiple settings, including hospice and palliative care, skilled nursing facilities, and the emergency department. The Macy Catheter improves patient care and nursing efficiency while decreasing the cost of care.

*Disclaimer: Anecdotal testimonials were provided by clinicians and are shared for general educational purposes with their permission. The Macy Catheter is a prescription device indicated to provide rectal access to administer liquids/medications. Hospi Corporation does not promote the use of particular medications to address particular conditions, and does not claim that the Macy Catheter can treat a particular condition. The prescribing healthcare professional is responsible for selecting medications for treatment, their dosage, and the route of delivery. The Macy Catheter can facilitate administration when the rectal route is prescribed.

Hospi Corporation

1650 S. Amphlett Blvd
Suite 201
San Mateo, CA 94402
T: 888.509.3732
F: 510.648.3529

 

When the oral route is compromised, knowledgeable clinicians turn to the Macy Catheter®. The Macy Catheter is the best alternative for rapid administration of medication and fluids. Patented and FDA cleared, the Macy Catheter provides access to the clinically proven rectal route of delivery. It can be used in multiple settings, including hospice and palliative care, skilled nursing facilities, and the emergency department. The Macy Catheter improves patient care and nursing efficiency while decreasing the cost of care.

*Disclaimer: Anecdotal testimonials were provided by clinicians and are shared for general educational purposes with their permission. The Macy Catheter is a prescription device indicated to provide rectal access to administer liquids/medications. Hospi Corporation does not promote the use of particular medications to address particular conditions, and does not claim that the Macy Catheter can treat a particular condition. The prescribing healthcare professional is responsible for selecting medications for treatment, their dosage, and the route of delivery. The Macy Catheter can facilitate administration when the rectal route is prescribed.