The Peezy:Right-first-time midstream, analysis, diagnosis and treatment.

Giovanna ForteManaging Director

Funnelly Enough Limited

A Doctor’s dilemma.• In 2002, Suffolk GP Dr Vincent Forte had a difficult day in surgery• He asked five different women to provide a urine sample so he could

test, diagnose and treat their problem• He gave them the standard Universal Container into which they were

asked to deliver a mid-stream urine sample. They all complained

(Have you tried peeing into one of these?)

Delivering the Not-Very-MSUHold universal container close to body (but not quite between the legs)

START!STOP!

Now position the container directly underneath body …

AIM!GO!

Wipe loo seat, legs, floorWash hands. Wash bottle

Give damp container to the nice lady on Reception

The Female Freedom Funnel• Vincent decided there must be a solution to female MSU delivery• So he invented the Female Freedom Funnel - intended to be flushable

• Peezy is designed to collect a pure mid-stream, leading to right-first-time sample analysis, diagnosis and treatment

• The same year, this extraordinary looking device won the very firstMedical Futures Innovation Award

What next?• Vincent and I joined forces to develop Peezy, the only

collection system for women that guarantees:

Personal dignity and hygieneRight-first-time mid-stream urine sample

Improved infection controlImproved diagnosis and treatment

Reduced repeat visits saving time for GP, Staff andPatient

Success.

Peezy works like this…

Peezy benefits.

• NO contamination of sterile saline• NO contamination from rim to user• NO promotion or inhibition of growth of

urinary pathogens (13 species tested)• NO effect on protein or glucose or HCG

(pregnancy) testing in the lab• NO effect on near-patient urine multistix

(dipstick testing)

How to use Peezy.

Quality, InnovationProductivity and Prevention

Peezy meets the demands of QIPP, from NHSImprovement and Efficiency and satisfies toppriorities from the NHS Operating Framework2009-10

• Improving cleanliness• Tackling healthcare associated infections• Enhancing the patient experience

Peezy is approved by NHS PrescriptionServices and listed in the Drug Tarifffrom 1st May 2010.

NHS DRUG TARIFF PART IXBINCONTINENCE APPLIANCESTUBING AND ACCESSORIESPEEZY: ORDER NO D950

(Peezy is also on the GP EMIS system)

Clinical Trial 14 June - 20 August 2010

A prospective study with historical controls to compare therelative bacterial sample contamination rates betweenan automated mid-stream urinecollection system (AMSU) to astandard MSU collection methodacross all units at The Royal FreeHospital NHS Trust, and predictiveantibiotic prescribing rates.

A reduction in the percentage of samples whichare contaminated prior to bacteriologicaltesting would result in fewer contaminatedsamples needing to be repeated, or resultingin inappropriate antibiotic prescribing at anadditional cost to the NHS and causingdelays in treating patients and potentiallyreducing length of hospital stay.

(protocol extract)

What are we looking for?

The use of a novel urine collection device tocollect an MSU sample willreduce the contaminationrate by 50% whencompared with thestandard MSUcollection method.

(protocol extract)

What’s the hypothesis?

Peezy benefits: the patient.

“My daughter has learning difficulties and long-termhistory of chronic UTIs. Peezy helped me take thefirst ever mid-stream sample from her, easily, cleanlyand with no fuss. Now, at last, she can be correctlydiagnosed and treated.

Thank you Peezy.”Daily Mail ReaderFebruary 2010

Peezy benefits: the patient.

“Holding the assembled kit by the bottle, I cantake a sample from my child without causingdistress or unwelcome contact.

We can just chat and wait for "it" to happen!”Daily Mail ReaderFebruary 2010

Peezy benefits: the patient.

“Good! Good!Much better!Much better!”Elderly female with severe arthritisRoyal Free Renal Unit 08 June 10

Why women like Peezy.• There’s no mess. It’s so easy to

use. Its just brilliant!• Using Peezy would give me

confidence• The Peezy’s great! You can see

what you’re doing, you can seethere’s no mess. Its a greatinvention!

• Using Peezy is a lot easier and alot less of a fuss

• It’s convenient, simple and easyto use

Peezy benefits: the clinician.

“My patients are delighted as it dignifiesthe whole procedure. It also means thatI have confidence in the quality of theresults.”

Mr Adrian LowerConsultant GynaecologistWomen’s Health PartnershipThe Princess Grace Hospital London&Founder & Medical DirectorThe London Fibroid Clinic

Peezy benefits: the clinician.“We can use the Peezy for all types of patients. Pre-

assessment MSUs, MSU for cultures, weekly urinetesting prior to chemotherapy and so on. It has beeneasy to use with any age range or dexterity andproven to be cleaner than trying to get ladies tourinate directly into a bottle or risking crosscontamination by using a bed pan.”

Anthony BarrettActing Ward ManagerUrologyNorth Staffordshire Hospital Trust

Peezy benefits: the clinician.“I have just had a patient who used the Peezy. She

suffers from recurrent UTIs, has a poor flow andfound this very good and easy to use.”

Deirdre McFaddenHead of UrodynamicsLetterkenny General Hospital, Ireland

Peezy benefits: the clinician.“I saw a 60-year-old woman with a PMH of diabetes, stroke and

with learning difficulties who had been troubled with urgeincontinence for months. Peezy yielded the first ever urinesample from this patient followed by diagnosis and treatment. Ihave seen the patient since, obtained another Peezy sampleand things are improving.”

Barbara OldhamPractice NurseGreat Yarmouth and Waveney PCT

What the opinion formers say.

“UNISON and its 1.4 million members (mostly women) are proud tobe associated with Peezy and hopes to see it in every GPsurgery, maternity ward, out patients department and anywherethat women are required to give a sample. Well done Peezy!”

Karen JenningsNational Secretary HealthUNISON

• Winner: NHS East of England Health and SocialCare Technology Innovation Award 2009

• Finalist: NHS National Health and Social CareAwards 2009

Design Week Awards 2009.Winner: Best Industrial Product

Winner: Best of Show

(we beat the Apple MacBook Air)

Where is Peezy being used?

UK (NHS & Private Healthcare)

Europe

South East Asia

Ireland

And by the way …This is the sort of fan-mail we get (because people really love Peezy)

Thank you.