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The Limitations of Today's Tools
Risky
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Catheterization is associated with catheter-associated urinary tract infections (CAUTIs), which is a leading cause of healthcare associated infections.
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Urine collection bags use adhesives NOT designed for neonates and may be harmful to small patients with sensitive skin.
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Difficult to Use
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Catheter-based solutions are difficult or impossible in patients with small urethras; as such, placement is often unsuccessful even after multiple attempts.
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Urine output quantification with cotton and/or diaper weights is challenging due to contamination with stool and urine evaporation.
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Collecting urine samples with cotton balls and other absorbent materials can lead to inaccurate tests due to protein absorption.
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Urine collection bags fit poorly on small patients, can damage skin, leak, and are highly susceptible to contamination from skin and stool.
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Poor Economics
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CAUTI is a CDC healthcare-associated infection (HAI) measure.
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Current non-invasive urine collection solutions can alter urine analysis tests which may lead to inappropriate medical decisions and delays in treatment.
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Not only are CAUTI's associated with morbidity and mortality, they are a significant financial burden on the health care system and lead to reductions in payments from payers to hospitals.
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Costs associated with hospital-acquired UTIs in pediatric patients are substantial and have been shown to raise total hospital costs to >$10k per patient.
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Uncomfortable
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Catheterization can be painful for small patients and traumatic for parents.
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Sources: 1. Foster CB, et al. Pediatrics (2020) 146 (4): e20192057. 2. Askenazi DA, Zorro-Flow® an external urine collection device for female newborn and small female children. Poster for PICAN conference 2022. 3. Harer MW, Charlton JR. Clin J Am Soc Nephrol. Jul 2022;17(7):939-941. 4. De Mul, A. et al. Clin J Am Soc Nephrol 17, 949-956 (2022). 5. Boohaker L, Halloran B, Wilson L, et al. Clin Chem Lab Med. May 27 2019;57(6):e134-e137. 6..Kaufman J. Br J Gen Pract. 2020 Jan; 70(690): 42–43. 7. Pellowe CM, et al.. Infant. VOLUME 3 ISSUE 4 2007. 8. https://www.cdc.gov/uti/about/cauti-basics.html. 9. Hollenbeak CS, Schilling AL., et al. Am J Infect Control. Jul 2018;46(7):751-757. 10. Spencer JD, et al. Pediatr Nephrol. 2010 Dec; 25(12): 2469–2475.
The Benefits of Zorro-Flow
Finally, a non-invasive solution designed to be safe, effective, and painless...Even in the smallest patients!
Accurate
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Offers highly accurate urine output monitoring without the need for catheterization.
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Designed to be highly precise, even at small volumes (+/- 1 ml).*
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Provides a simple way to collect urine samples, without compromising the test as with cotton balls or absorbent materials.
Easy to Use
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Collaboratively developed by physicians, nurses, and wound specialists to be effective and easy to use.
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Designed to maintain adherence to patient to minimize leaks and reduce medical staff rework.
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Designed to be placed seamlessly, effectively avoiding leaks while adhering safely to sensitive skin.
Safe, Effective, and Gentle
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Uses silicon-based technologies engineered specifically for small patients with sensitive skin.
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Developed under an IRB study in ~100 patients where all safety and efficacy endpoints were met (no skin breakdowns).
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Patented design is ergonomic, comfortable, and is offered in multiple sizes to accommodate a variety of patient dimensions.
Positive Healthcare Economics
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Provides a non-invasive assessment of urine output to empower clinicians to diagnose acute kidney injury (AKI) early and prescribe appropriate fluid therapy.
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Unlike invasive catheter solutions that are linked to catheter-associated urinary tract infections (CAUTIs), Zorro-Flow is an external system.
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Can be used up to 24-hours, minimizing healthcare provider time and effort.
*Internal research. Document on file.
Healthcare Economics
Why is Early Identification of Acute Kidney Injury (AKI) so Important?
$70K
A recent evaluation of data from the Pediatric Health Information System found that adjusted charges for pediatric patients with AKI exceeded $70k per case, 8% higher then routine hospitalizations. Proper diagnosis of AKI is crucial in ensuring appropriate DRG coding and subsequent reimbursement.
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25%
>25% of high-risk neonates and infants in the NICU, CICU, and PICU develop at least one episode of AKI.
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27%
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4x
Neonatal patients with AKI have >4 times greater odds of death, even after controlling for potential confounders.
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Why is Prevention of Catheter Associated UTIs (CAUTIs) so Important?
Catheter-associated urinary tract infections (CAUTIs) are a leading cause of healthcare associated infections and are regarded as hospital-acquired conditions (HACs), which can lead to a reduction in reimbursement.
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~$10K
Costs associated with hospital-acquired UTIs in pediatric patients are substantial and have been shown to raise total hospital costs to >$10k per patient.
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How Does Zorro-Flow Help?
Safe, Effective, and Gentle
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Provides non-invasive, continuous monitoring of urine output to empower clinicians to diagnose AKI early when oliguria occurs.
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Offers a non-invasive option to catheter-based solutions for urine collection to help eliminate trauma and CAUTI risk.
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Prompt diagnosis of oliguria is critical as it alerts clinicians that organ perfusion is compromised, allows for early intervention to prevent severe/sustained AKI, and directs appropriate fluid provision.
Easy to Use
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Simple, effective, and easy to use design reduces hospital staff rework.
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Indicated for use up to 24-hours, eliminating the need to replace urine collection bags repeatedly, weigh diapers, and cause confusion when diaper has stool and urine.