Patients often need medications and fluids when the oral route is compromised. Patented and FDA cleared, the Macy Catheter provides access to the clinically proven rectal route of delivery. It is designed to make the rectal route a practical, painless and discreet alternative for those medications that can be prescribed per rectum.

The Macy Catheter Rectal Medication Administration System Kit contains: Macy Catheter, LiquiPill Grinder, Reservoirs, 20 mL Syringe, 10 mL Syringe, 3 mL Syringe, Water Soluble Lubricant, 1 pair Gloves, Procedure Drape, Catheter Securement.

Guidelines for use

• MD/NP order for use
• Non-sterile placement
• Can remain in place up to 28 days
• Initial placement by RN/LPN/LVN. Once placed, if expelled, caregivers/family can be taught to reinsert and administer medications

When to use

The Macy Catheter is used to administer medications and liquids to patients whose oral route is compromised. Rectal administration is a proven route of delivery and can be particularly relevant for patients presenting with symptoms such as:

• Pain
• Fever
• Seizures
• Terminal agitation
• Shortness of breath
• Nausea and vomiting

Using the Macy Catheter

Steps for insertion

• Lubricate
• Insert
• Inflate
• Secure

Why rectal delivery works so fast

• Mucosa is highly vascularized
• High percentage of absorptive cells
• Liquefied medications are absorbed more quickly than suppositories
• Rapidly enters the circulation vs. oral

Benefits

• The catheter is comfortable; it is small and soft.
• Insertion of the catheter is painless and takes minutes
• If desired, the patient can move freely and continue with Activities of Daily Living.
• Medications usually work more quickly and more effectively when administered via this route.
• If desired, the patient may receive hydration via the catheter as prescribed by a clinician (water, Pedialyte).
• The rectal route can be used to administer a wide variety of medications, facilitating rapid symptom management.

Why choose the Macy Catheter?

Medication and fluid administration is easy, quick, and comfortable for the patient.

• Easy set-up, maintenance, and drug disposal
• Non sterile placement; can be placed by any licensed clinician
• Caregivers/loved ones can administer medications and reinsert if necessary
• Patented and FDA-cleared to provide rectal access for administration of medications and fluids
• Safer and more comfortable method of medication administration than other options like IV and SubQ
• Discreet (After the initial insertion, which is painless, the catheter is accessed at the patient's thigh or abdomen)

• The product warranty is applicable as per the terms and conditions provided by the product manufacturer.

Please call us for specific details.

• No returns will be accepted after 30 days from the date of shipment.
• All returns are subject to a restocking fee as per manufacturers terms and conditions.
• All returns must have an RGA number (Returned Goods Authorization), unauthorized returns will not be accepted.
• We do not guarantee fulfillment of any desired purpose or product suitability to the user and this will not be considered as a valid reason for return.
• The products must be new, unused condition, not tampered with, in original packaging and returned at the customers expense in the original packaging.
• If your return is not due to any manufacturing defect then the original shipping cost will be deducted from the total refund.
• Hygiene, bath and toilet items cannot be returned once opened or used.
• Standard manufacturer terms and conditions apply for return policy of this product.

Please call us for specific details.

Which medications can be used via the rectal route?

Most medications used for symptoms such as pain, nausea, agitation, and shortness of breath and even some antibiotics can be given effectively with rapid onset of action via the rectal route.

Do I need to change dosing when using the Macy Catheter?

• Sometimes, depending on the medication. Dosing is the same as oral for the majority of medications.
• The prescriber is responsible for the route and the dose of delivery. If you have specific questions, ask a pharmacy specialist.

Which fluids can be administered via the Macy Catheter and at what rate?

• Per the literature, hypotonic solutions such as water, Pedialyte, ½ NS, and ¼ NS are typically used, and infusion rates of 250ml/hr are tolerated well.
• Hospi’s Policy and Procedure template includes a fluid administration procedure.
• The template is for illustrative purposes only. Further modification by the agency and its prescribers is intended/expected.

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 a 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 the contraindications for using the Macy Catheter?

The device should not be used for patients with rectal lesions, tumors, active rectal bleeding, recent bowel surgery (less than 6 weeks), or if the rectal mucosa is compromised.

Diarrhea (more than 1 liquid stool per day) is not strictly a contraindication. However, patients who are having frequent bowel movements will continually expel the catheter and therefore medication may not be absorbed.

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

The Macy Catheter can be used for medication administration 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 a stoma.

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.

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

Quickly inject 3 ml of water over less than 1 second using the 3ml enteral syringe.