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Peezy Midstream right-first-time urine collection, analysis, diagnosis, treatment

A: Not for current challenges

Clean catch midstream urine collection

  • Reduced contamination and false positives
  • Improved accuracy of diagnosis
  • Sample delivered in lab-compatible tube (no decanting)
  • Reduced burden on labs
  • Reduced prescribing
  • Improved infection control
  • Significant cost savings to NHS
  • Improved hand hygiene
  • Excellent clinical evidence

Peezy Midstream is designed for easy, non-touch urine collection by patients, ideal for primary care and antenatal settings in particular. It reduces unreliable samples sent to the lab, relieving them of wasting resources analysing unnecessary tests

How it works
Easy and clean to use for patients, Peezy Midstream rejects potentially contaminated first-void urine, collects undiluted clean-catch midstream into the analysier-compoatible 10ml Primary Tube.  Overflow urine is released into the toilet. Patient has dry hands and a dry, clean bottle is delivered to HCP improving infection prevention.

Published evidence
Clinical evidence shows 0% - 2.5% contamination rate against a national average 23%, and up to 70% reduction of false positives that will go unnecessarily to the lab for analysis. Recent evidence also shows reduced antibiotic prescribing, contributing to infection control and over use of antibiotics.

Cost savings
Peezy Midstream is shown to generate substantial savings on retests and repeat appointments as well as those samples that are sent to the lab needlessly. It is shown to reduce repeat appointments, administration and form-filling relating to those appointments and tests and relieves the burden on labs testing unreliable samples.

Have you validated this method, if so, how and what were the results of the validation?

  • Clinical trials with Public Health Wales (0% contamination, reduced false-positives, reduced prescribing) showing 66% decrease spending on lab services
  • Watford General Antenatal Clinic (70% reduction of false-positive urine samples) showing £8,073 annual saving for Clinic)
  • Royal Surrey General Hospital Antenatal Clinic (positive cultures reduced from 5% to 2.5%)
  • Northern Devon NHS Trust antenatal (reduced contamination) now used routinely through Roche Managed Laboratory Services, ordered by Director of Pathology / GIRFT Pathology Lead
  • Barts and the Royal London Urology Clinic (contamination reduction from 17.4% to 1.5%)
  • NIHR Usability study shows 100% IFU understanding / 94% easy midstream collection / 94% confidence in use 
  • NICE Medtech Innovation Paper published

How quickly could this be deployed and what are the dependencies?

No dependencies. 83p per kit through NHS Supply Chain.
Listed on Drug Tariff PIP CODE 356-5256

NHSSC ordering codes
FWV196: Peezy Midstream with 10ml Primary Tube MSU collection
GPB045: Peezy Midstream with 10ml Primary Tube with boric acid MSU collection
FWV195: Peezy Midstream with 30ml Universal Container MSU collection
FWV194: Peezy Midstream with 30ml Universal Container with boric acid MSU collection

Available 20 kits per case or as required.

What is the likely production volume?

100,000 per manufacturing run or as required to meet demand.

20,000 currently in stock.

What are the risks and barriers to using this at scale?

No known risks or barriers.

Who are you already partnering with on this?

NHS Supply Chain

edited on May 9, 2020 by Giovanna Forte
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Bev Matthews May 24, 2020

Status label added: A: Not for current challenges

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Bev Matthews May 24, 2020

Thank you Giovanna, our assessors have reviewed your solution and agreed that this does not quite help the current challenge but do please keep an eye out for future challenges. Thank you Bev

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Giovanna Forte May 27, 2020

Thanks for letting me know Bev; urine was included in the brief, but I suspected we may not succeed as urine generally doesn't seem to fit with COVID-19 testing, but things may change in the future, and if they do, we can help.

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