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Zach Hawkins Kristen Heck Amy Klemm Amanda Streff. A ccessible incontinence control device. What is Urinary Incontinence?. Urge Incontinence Involuntary loss of urine associated with abrupt and strong desire to void Stress Incontinence
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Zach Hawkins Kristen Heck Amy Klemm Amanda Streff Accessible incontinence control device
What is Urinary Incontinence? • Urge Incontinence • Involuntary loss of urine associated with abrupt and strong desire to void • Stress Incontinence • Involuntary loss of urine during coughing, sneezing, laughing, etc • Overflow Incontinence • Involuntary loss of urine associated with over distension of bladder • Functional Incontinence • No recognition of need to void, inability to make it to the toilet in time
Causes • Neurological disorders • Parkinson’s, Multiple Sclerosis, Alzheimer‘s • Stroke, brain tumor, spinal injury • Hormone imbalances • Menopause • Prostate cancer • Loss of muscle tone • Childbirth, old age
Prevalence • 13 million people in the U.S. • 10-35% of adults • 50% of the 1.5 million residents in nursing homes • leading cause of admission to a nursing home • may lead to pressure sores and ulcers, possibly resulting in secondary infections http://www.emedicine.com/med/topic3085.htm
Treatment Options • Surgery • Sling • Catheterization • Artificial Urinary Sphincter • Exercises • Electrical stimulation • Timed voiding/ bladder training • Medication
AvailableExternalDevices • Penile clamp • Puts external pressure on the male urethra • Sling • completely inside your body • places pressure on the urethra, reducing the possibility of urine leakage • Absorbent pads
AvailableInternal Devices • Catheter • Indwelling catheter • Drainage bag secured to inside of leg • Intermittent (short-term) catheter • Suprapubic catheter • placed directly into the bladder through the abdomen • Mama-sure Ultima • Internal electrical stimulator • AMS 800 • artificial urinary sphincter • implantable, fluid-filled, solid silicone elastomer
Specifications Desired • Comply with industry standards for urological medical devices • Be able to remain indwelling for 30 days • Easily operated by patient with disabilities • Allow emptying of the bladder when desired • Prevent urine flow when not desired • Provide an indication of the status of the bladder.
Completed Work • Set up with appointment with Dr. Doug Milam • Researched externally controlled implantable stimulation device
Current Work • Continuing to correspond with Dr. Katherine Cameron • Meeting with Dr. Doug Milam at 5:00pm
Future Work • Interview patients with incontinence control devices to determine needs and desires • Establish a way to indicate bladder status
Acknowledgments • Jao Ou • Dr. Katherine Cameron • Chris Constantinou • Qiyu Peng • Dr. Zhang • Any Questions?