PaceyCuff.com Discussion of Doppler Ultrasound Studies

Medical Value Creation for The Pacey Cuff

The fundamental Value of the Pacey Cuff incontinence device is provided by the preservation of penile blood flow during use. 

      The 100+ year old clamp designs attempted to protect circulation by use of substantial pressure which was moderated by foam cushions. This group of products generally blocks the blood supply when enough pressure is provided to get control of the urethral urine flow.

      The circular cuff designs to date have produced a strangulation effect because of the failure to protect blood flow and thus have pain and limited time of application before relief of the blood supply constriction demands removal.

           Figure 1. The unpopularity of older cuff and clamp designs can be seen here. The users     preference for treatment options have generally avoided the devices because of pain and   circulation issues.

      The prototyping period of Pacey Cuff development produced a great many devices that had variable success with control of the Urethral urine flow but all of the devices used the fenestrated hood design and the exceptionally effective hood covering the blood vessels of the dorsal area. The devices were applied to a degree necessary to control urine and then each was tested with the hand held Doppler device to locate an arterial signal on the right side and the left side. All of the prototypes passed this test confirming that the blood supply was unaffected. This testing does not however prove that every penis will have adequate circulation because the presence of extensive atherosclerotic vascular disease, previous trauma , or disease like Diabetes Mellitus can have unpredictable local effects.

    The clinical application of the device therefore requires some thought, at times, if expected pain free use is not experienced. The user should therefore  inquire of a Physician or Continence nurse specialist for a second opinion.

Figure 2. The Pacey Cuff

Figure 3. The handheld Doppler device is a mainstay tool for Vascular surgeons. The doppler shift caused by blood flow through the penile vessels produces an audible pulse recognition. This is the device used throughout the R and D period of the Pacey Cuff.

PaceyCuff.com will be supplemented by You Tube Channel

You Tube Channel for PaceyCuff.com

      The addition of a Pacey Cuff  You Tube Channel will be executed very soon to share the knowledge building every day on the use of our Flagship Product.

There are many questions incoming from users that could be usefully shared with our International Customers. The technology is now stable so experience is showing helpful application tips and practices.

      The development of an international base of users creates an educational opportunity that can best be fulfilled by internet Video teaching.

      The Channel will feature our experts and Pacey Medtech Team to give all of the details that one would like to know prior to ordering and also followup teaching that will assist the learning to use phase of ownership. There is a period of adaptation that focusses around the choice of the correct amount of pressure applied by the device that is just sufficient for regular use.

    The site will also offer a platform for our International Distributors and their Key Physician contacts to have a voice.

    Our goal is to have enthusiastic users who will spread the word about our device and help educate others on the nuances of skilled use of the device.

Innovative "Asept InMed " French Distribution of Pacey Cuff

Pacey Cuff Distribution with Asept Inmed for France and French Territories.

Pacey Medtech is pleased to announce that Pacey Cuff will be distributed in many countries by innovative Toulouse Based Asept Inmed , of Toulouse France ,a MediGlobe Company.

This is an exciting union of forces because the central Vision of changing Post Prostatectomy and Prostate Radiotherapy care is shared by the companies.  We believe that the incontinent patient is often not treated in an optimal way and therefore has major life disruption.

Post Prostatectomy transient and non transient incontinence remains a major health problem world wide. We plan to fill this void and bring patients back to Professional and Psychological normality.

PMT is exploring niche applications in Stroke care where we see potential to replace Condom care and Catheter use in post stroke patients.  The use of the Pacey Cuff during ambulation offers new freedom. Spinal Cord Injury may offer some opportunities for patients that we will discover with our systematic search.

The use of the Pacey Cuff will be explored in other Neurological problems to expand our ability to free patients in many niche applications.

France is a very innovative market for new ideas and this synchs well with Pacey Medtech ambition to create new markets for the Pacey Cuff among the millions of men who have incontinence that is severe and uncontrolled by current devices.

Go to Paceycuff.com for purchase

Pacey Cuff Meets the International Continence Society in Phoenix

Pacey Cuff at ICS Phoenix Arizona

Dec  8 - 9 2017

Purchase  at  PaceyCuff.com

The Pacey Cuff was displayed to members of the International Continence Society USA workshop in Phoenix Arizona to good effect.
The clinical need and utility of Pacey Cuff to treat Stress incontinence Post Prostatectomy was confirmed by feedback from attendees .
The Post Prostatectomy management teaching neglects the patient in an important way:

    1. The standard Pelvic Floor Exercise Protocols include referrals to Specialist Physiotherapists who do Pre and Post operative pelvic muscle training for patients . Many argue that the establishment of this training prior to surgery adds a degree of muscular strength that is beneficial post operatively. There would be a logical expectation that this is correct. The vigor of any exercise program probably has an impact on its effect.

   2. During this postoperative recovery period a large number of individuals have transient               (1-12 Months) of incontinence that results in counterproductive isolation and patient confusion . The incontinence aspect has been de-emphasized by Urologists who have a good measure of pride in their abilities. The application of the Pacey Cuff by patients during this period has created the "Confident Continence" that is our primary brand promise. It is clear that patients often take action on there own initiative to manage this leakage by means other than diapers or excessive pad use.

  3. Therefore it is incumbent on Urologists , Physiotherapists , and Continence nurses to include this in a "State of the Art" management program .

 4. Widely studied rates of Post Surgical  incontinence show approximately 15% long term need for the Pacey Cuff for an extended period.

Doris Pacey , Specialist Pacey Cuff Product advisor.

Go to Paceycuff.com for purchase of this great device!

Pacey Cuff Available in Austria-LIMBECK - Medizinische Spezialarticel

Pacey Medtech Distributed by LIMBECK - Medizinische Spezialarticel

Ganghofergasse 22 / A-1110 Wein

Pacey Medtech Ltd is pleased to collaborate with the Great Austrian company LIMBECK to bring the benefits of the Pacey Cuff continence device  to patients in Austria. The special Vascular protective device controls Incontinence while offering comfort and resumption of normal activities.

This is indicative of the strategy of PMT to link with very high performing companies around the world. The association with award winning companies is of great importance for the following reasons:

• Patient education is a core value of Pacey Medtech.
• Great customer service combined with  world class Product innovation is ideal.
• Always work with the best Medical Consultants and the Finest People.

       Pacey Medtech would like to thank Prof. Wilhelm Heubner , Landesklinikum Korneuburg for 

                   the kind introduction. Dr Heubner is a world renown Urological Consultant.

• Relentless product improvement is thereby made possible.
  

  
  Pacey Cuff Sales in Canada and the USA
  Https://paceycuff.com

  
  

11 Month Clinical Data- Cystoscopy Results

Pacey Cuff:  Clinical  Followup 

Cystoscopy Study-11 Months

Index Patient

Clinical Summary

    The Pacey cuff has been used in a post Radiation therapy patient who had Palladium Brachytherapy carried out by Dr Gregory Merrick of Schiffler Hospital in Wheeling , West Virginia in 2001. Then 50 Gray External Beam Radiotherapy was delivered at CCABC using a  Linac linear Accelerator to complete the treatment. The bladder outlet developed calcification and complete obstruction in 2008 when Surgical relief resulted in incontinence.

    Treatment with an AMS 800 device was effective for 2 years and was replaced once. Then the device was removed. The radiation induced vascular changes to the base of the bladder resulted in atrophic changes at the level of the upper urethra.
 
   Pacey Cuff treatment started in early december 2016 and has continued throughout the development period of the device. 24/7 use was practiced throughout the majority of days (275/310 days) . Initial Cystoscopy demonstrated excellent healing of former surgical approaches to the urethra.  The Cystoscopy followup q3months was completed Nov 20 2017 and shows no impact on the Urethra from this intense usage.  The plan to follow this sentinel case will include Cystoscopic examination to be certain that any urethritis will be seen and managed. The current Pacey Cuff has had design changes that make it tissue friendly and the excellent record is likely to continue as more follow up is recorded.

                    Example of Cystoscopic examination using a flexible fiberoptic Cystoscope. Continence management often requires Cystoscopy. 

Post Prostatectomy care and Post Radiotherapy care is greatly enhanced by use of this device.

Https://paceycuff.com
For Canada and USA sales

Treating Skin Changes with Pacey Cuff

Skin response to Pacey Cuff Use

       The use of Pacey Cuff may, from time , may rarely cause skin irritation that is in part associated with night pad use or soap contact effects as well. The development of any of these changes that are non- infective by nature will be treated primarily with a short period of avoiding Pacey Cuff use. The skin recovery should be prompt and may be assisted by use of a skin protective agend such as Zinc based cream. This type of cream is often used for diaper rash which is also caused by effects of local moisture and provides a moisture barrier for skin.  While Zinc is not recommended treatment for infection , it has been shown to have activity suppressing Staph Aureus which is a common skin resident.

   There are many compounds on the market with zinc that may be selected. An example would be that  referrenced below. Should any rash persist it would be valuable to have a physician consultation or perhaps a telemedicine based consult.
    True infection skin effects will usually require antibiotics but one would expect these changes to be rare with those accustomed to daily bathing and normal activities. Diabetes patients may require some extra vigilance in this regard.

Zincofax
Infant skin barrier cream. (Tm)

Dr John A Pacey MD FRCSc (CyberJack)

For Canada and USA sales
Https://paceycuff.com

Pacey Cuff Vascular Protective Effect Explained

Pacey Cuff Vascular Protective Effect Anatomically Explained 

What are the special design features that have made the Pacey Cuff UCD 

exceptional and revolutionary?

1. The majority of blood vessels supplying the Penis reside in the dorsal or top part of the penile structure . This is shown in the figure supplied. The dorsal arteries and veins reside above the Corpus Cavernosa  which are the spongy venous caverns that provide the erectile function of the penis. The corpus itself is home to a central artery and of course many veins all of which are protected by the hood of the Pacey Cuff Urethral Control Device ( UCD ).                                 
2.      The fenestrated hood has a large surface area which reduces the pressure exerted by the dorsal component and allows the circulation to continue in and out of the penis. The older clamp devices and the older strangulating cuff designs that have been available for in excess of 100 years cut the circulation at the same time as the urethra is compressed. No design effort was made with these older clamps to provide protection for the circulation.

       3.    The Urethral Compression ( lower component ) has the ability to be 

             deployed at any level  on  the  penis to protect the urethra itself. 

             The lower portion has only  enough pressure to  control  urine flow. 

              This pressure is regulated by the numeric indicators on  the Velcro strap. 

              Thus the device may be applied proximally or distally to vary the 

               point of  application of  Urethral  pressure and at a level of tension known to 

                prevent excessive leakage.

Purchase the Pacey Cuff for Confident Continence with vascular protection.
                       At         Https://paceycuff.com  

Penile Enlargement with The Pacey Cuff

Penile Enlargement with The Pacey Cuff

        Extended use of the Pacey Cuff UCD (Urethral Compression Device) may lead to increased length and diameter if the penis. This observation has been made on an individual who has used the device for 10 months during waking hours and at times night. The effect is likely due to the protracted mild stimulation coupled with the effect of preserving the arterial circulation during use. The strangulating clamp designs of the past were unlikely to produce this effect because the arterial obstruction inhibits blood flow and makes the metabolism less active.

       

       Innovation remains an active process at Pacey Medtech Ltd where new improvements in cuff performance can be expected in the coming months and years. Strategies to deal with any operational issues will be developed as well. The penile enlargement issue will be generally welcome by users who in many instances saw some reductions secondary to treatment. It is postulated that the pre treatment size will be likely restored but this will need to be the subject of future observation.

Purchase Confident Continence by Pacey Cuff

@        Https://paceycuff.com

PaceyCuff Available World Wide

CE Mark and Benefit Available Worldwide.

The availability of the PaceyCuff worldwide is enhanced by the CE Labeling. The cuff is now proving to have long term applicability. The usage pattern that is now suggested is as follows.
1. Use the cuff during waking hours.
2. Use a light pad for inevitable drips during use.
3. Use at night is possible with a reduced pressure when this is required (ie a long distance flight) but  this is best avoided as a routine as a tissue kindness measure.
4. The device is ideal for swimming and beach life where leaking is a severe irritation.
5. The cuff may be rinsed with warm water at end of day and dried over night.
6. Any evidence of skin irritation should lead one to avoid use for a week or use at reduced pressure to address the issue.
7. The delight at being free of continuous leakage is a true relief.

Pacey Medtech Achieves CE Mark Nov 1 2017

Pacey Cuff News

CE Mark News
 Nov 1 2017 the CE mark was assigned to the Pacey Cuff for the firat time. PMT has engaged Donawa Lifescience Consulting Sri , Plaza Albania, 10 00153, Rome Italy Tel: +39 06 578 2665 , as our European Authorized Representative.
N.B. This authorized representitive will be supplanted in the near future.

Pacey Medtech Ltd Online Sales
 Online sales in the USA and Canada have commenced to allow those with Male Urinary incontinence to begin to get benefits of our new technology.
European distribution can now begin in earnest as we Select High Quality Distributors in the Eurozone.
As expected most users are choosing the middle option for sizing. The smaller size is useful for sports such as swimming , skiing , and cycling because of the lower profile. Users may get benefit from having different size devices.

Dr John Pacey, has been very active meeting professionals and gaining expert Knowledge.

Pacey Cuff Choosing Size for Continence with comfort

           Pacey Cuff -How to choose the correct size Small, Medium or Large

The availability of different sizes of the Pacey Cuff Urethral Control Device creates a question of which size device should be selected to have the best chance of a good fit.

The overlap is somewhat forgiving so often a choice will still be serviceable even though the user will ultimately end up with a different size.
Therefore to  give some guidance this chart has been created.

Stand by for a new cuff chart.
The Pacey Cuff Large size is now reserved for those larger penis sizes based on experience with the size chart.

Please  visit paceycuff.com for the latest version of the Chart

Confident Continence post Prostatectomy /

Radiotherapy is possible and we know how to achieve it.

ICS Independent incontinence Advisor for Patients and Caregivers

International Continence Society

There is a shortage of objective sources of information on the WWW for those seeking advice on continence products . The International Continence Society  (ICS) has developed an unbiased site for caregivers and also patients.

The next meeting of this group is in Florence Italy early in September and will provide an excellent opportunity for  update.
The opportunity to become expert in handling of these continence issues is obvious and 

Pacey Medtech will be there!

Disruptive Innovation in the Male Incontinence Space

                            Pacey MedTech Ltd Incontinence fighter program

The research and development arm of Pacey Medtech Ltd. is vigorously attacking the problems of Male and Female incontinence. The recent market assessment by Christie Consulting Ltd. has shown that the product developments recently accomplished are important to change this market.

The Clamp is dead !

Urethral Control Devices emerge.

PMT will show that a new class of devices UCDs or urethral Control Devices will replace the 100 year old Clamping devices. The missing link in this area for males has been the inability of inventors to efficiently block the Urethra while preserving the circulation. This has now been convincingly accomplished and will be coming soon to the E Marketplace and Distributors.

There is great interest in trying to change the way that these problems are handled in the age of patient awareness.
Stand by for more news!

Urinary Incontinence - Pacey MedTech Ltd

 Incontinence Rx for Male and Female Patients .

           Introductory Posting from Pacey MedTech Ltd.

     The rapid advancement of Urinary Tract Surgery has resulted in a wide range of surgical procedures directed at the Bladder, Prostate, and Urethra. The result of some of this surgery is that a degree of urinary incontinence occurs when the bladder outlet or sphincter zone is affected. The loss of voluntary control may be mild and inconsequential or more problematic.

    Surgery that may cause these problems includes Trans Urethral Resection of prostate tissue for Benign Prostatic Hypertrophy , Prostatectomy for Prostate Cancer, and other interventions that occur in the patient especially with Radiotherapy damage to the bladder outlet area. 

    The development of incontinence results in some very inconvenient issues for he patient and as a result a wide range of surgical and non-surgical therapies have been developed.  The complexity of the field requires that a variety of useful devices and surgical solutions  will join together to provide what is needed for patients  seeking help to restore continence .

    Pacey MedTech Ltd. has Device solutions for management that are safe and effective for daily usage. Many current devices are hazardous because the treatment may lead to vascular impairment , skin damage, or infection with use. Dr Pacey, a Vascular Surgeon , has applied anatomic knowledge and vascular techniques to resolve the problems. This has been successful and as a result a  products are being readied to bring to market via Pacey MedTech Ltd. web and other resources when appropriate arrangements are complete. 

   Future Blog Posts will identify the relevant anatomic issues and describe solutions. The business will also begin a subscription model for users to continue to learn and benefit from the serial innovations that are planned in the future.

Go to Paceycuff.com for device purchase!