Our Story

A quick overview of our novel medication and fluid administration device and its history.

Quotation marks indicating the start of a client testimonial

The patient was amazed; within that first hour, the symptoms were already resolving.

Robert Parker DNP, RN, CENP, CHPN, CHP
Clinical and Compliance Officer; EVP Operations Hospice at Home – Intrepid USA Healthcare Services

Quotation marks indicating the start of a client testimonial

The patient was amazed; within that first hour, the symptoms were already resolving.

Robert Parker DNP, RN, CENP, CHPN, CHP
Clinical and Compliance Officer; EVP Operations Hospice at Home – Intrepid USA Healthcare Services

History of the Macy Catheter

The Macy Catheter was invented by Brad Macy, a veteran hospice nurse and the recipient of 2013’s National Hospice and Palliative Care Nurse of the Year Award.

His inspiration to invent the device came directly from a memorable patient interaction.

•••

Brad Macy, inventor of the Macy Catheter
Brad Macy, RN, BSN, BA, CHPN
Over the years, Brad observed thousands of difficult symptom management cases while assisting patients and their families in the middle of the night. The most challenging cases were when patients could not swallow medications, but their end-of-life symptoms were spiraling out of control.

One night, Brad had a patient who was experiencing severe terminal agitation. The patient was suffering; he was shouting, he was climbing out of bed, and he was clearly very frightened. Brad got orders to administer a sedative that would help calm the patient.

Since the patient was unable to swallow, the prescribed route of administration was per rectum. Brad administered the sedative in tablet form rectally as prescribed, and waited “that difficult wait” for the patient to relax while he emotionally supported the patient’s son.

An hour later, the patient was worse.

The patient and his family wanted him to be able to die peacefully and at home. Brad called the doctor again for another sedative dose. While he was preparing to administer it, Brad realized that the previous dose was still undissolved in the patient’s rectum.

Motivated to reduce the severe agitation and suffering of his dying patient, Brad improvised an administration method that enabled the medication to absorb quickly in the patient’s dry rectum. He crushed the sedative tablet, added water, and administered the medication suspension. The patient calmed down quickly and was sound asleep within thirty minutes.

The patient’s son was deeply grateful for this easy solution to his father’s symptoms, especially because his father experienced minimal subsequent discomfort or disruption. His father died peacefully at home a few days later per his own wish and the wish of his family.

Given the outcome of this case, Brad decided to co-found Hospi Corporation with the goal of making a commercial device available that could provide comfort and relief to patients and their loved ones on a much larger scale than would be possible as a lone practitioner.

Hospi developed the Macy Catheter to improve the patient and caregiver experience with serious or terminal illness. The Macy Catheter is designed to maintain patient comfort and dignity while leveraging the speed and efficacy of rectal administration. The Macy Catheter is of particular relevance during end of life, as it can help patients remain comfortable in their home.

The patented device can also reduce need for more costly and complex administration routes like intravenous delivery, which is seldom used in the hospice setting. The Macy Catheter has received 510(k) clearance from the U.S. FDA.

When should the Macy Catheter be considered as an option?

The rectal route of administration is ideal for rapid control of severe symptoms and is especially relevant when a patient has difficulty swallowing or when the oral route is otherwise compromised.

A senior woman sleeping soundly in a bed

Symptoms may include:
Pain • Agitation • Shortness of breath • Fever • Seizures • Nausea and vomiting

Macy Catheter Benefits

Learn why the Macy Catheter might be a good option for you, for your family member, and/or for your practice.
Do you have detailed questions about the Macy Catheter and/or the rectal route?

Testimonials

A Macy Moment with Heather Lazzaretti, RN

Testimonial | Ohio’s Hospice at Dayton
Dr. Wendy Schmitz, MD

A nurse shares her experience caring for a patient with end-stage dementia. Using the Macy Catheter helped to ease the patient’s pain in far less time than oral pain medication did previously.
A physician explains why the Macy Catheter became a standard of practice at her agency.

A Macy Moment with Heather Lazzaretti, RN

A nurse shares her experience caring for a patient with end-stage dementia. Using the Macy Catheter helped to ease the patient’s pain in far less time than oral pain medication did previously.

Testimonial | Ohio’s Hospice at Dayton
Dr. Wendy Schmitz, MD

A physician explains why the Macy Catheter became a standard of practice at her agency.

Is the Macy Catheter right for you?

Ask the Hospi team about the impact that the Macy Catheter can have on your agency or how to access the device through your healthcare provider.
Easily find product information, publications, training videos, testimonials, and webinars.
Ask the Hospi team about the impact that the Macy Catheter can have on your agency or how to access the device through your healthcare provider.
Easily find product information, publications, training videos, testimonials, and webinars.