The development of a small, portable, user friendly haemodialysis machine would make short daily dialysis and nocturnal dialysis accessible to many more patients, and also enable patients to travel freely.

Quanta Fluid Solutions were invited to present the SC+ in a review of the exciting new developments in machines for home haemodialysis (HD) at the Annual Dialysis Conference in New Orleans earlier this month. The SC+ is intended to be small enough to use when travelling but capable of providing a wide range of treatment options when used in self-care units, or at home with a single-patient water purification system. Using standard concentrates and dialysers, it has the capability to carry out short or long sessions with no restriction on frequency. A travel option using bagged fluid is under development.

The SC+ is still undergoing clinical evaluations but should soon join the NxStage System One on the market. The System One led to a dramatic rise in the uptake of home HD in the USA, with patient numbers increasing from around 2000 to almost 8000 in the seven years after it was launched in 2005. Hopefully with the increased availability of portable, patient-focussed equipment, many more UK patients will be able to benefit from home HD.’

The NIHR Devices for Dignity HTC has provided clinical input to the development through the expertise and experience of the staff at the Leeds and Sheffield renal centres, who care for over 1000 dialysis patients, and patient involvement through the active kidney patient associations associated with the centres.

Image: Peter Hoyer from Quanta Fluid Solutions showing dialysis pioneer, Dr Zbylut Twardowski, how dialysate is prepared in the SC+ cartridge.

A CUTE and simple teddy bear leg bag could revolutionise care for small babies and children, their parents and carers when urinary catheters need to be fitted due to surgery or health problems.

The child-friendly bags, developed by the National Institute for Health Research’s (NIHR) Devices for Dignity Healthcare Technology Co- operative offer a far less unpleasant experience for young children and are imprinted with Mummy and Baby bear images.

They come in two small sizes (150ml and 250ml) and are much more comfortable and lighter for small children than typical adult sized bags (350ml to 1,000ml) – which often do not fit correctly around a child’s leg and can be uncomfortable as well as dragging on the catheter. This could cause discomfort if not anchored correctly. The bags are now being made available by Great Bear Healthcare Limited to healthcare organisations thanks to NIHR Devices for Dignity Healthcare Technology Co-operative, a flagship initiative set up by the Department of Health to develop new medical devices and technologies that improve treatment and quality of life for patients.

Shaped like a cuddly teddy bear, the newly designed bags come with accessorised fun, paw-printed straps, and aims to reduce the unpleasant experience young patients, their parents and carers often endure when necessary urinary catheters have to be fitted when young children are unable to control their bladder properly due to a health problem or after surgery.

The leg bags are usually worn by the child on a leg, and enable them to move around freely. They can also be worn all day long and offer an aesthetically pleasing alternative to conventional, medical-looking leg bags which are attached to a child’s legs when a catheter is placed in the bladder.

Incorporating a soft, smooth fabric backing which feels comfortable against the skin and allows the skin to breathe, both versions of the teddy leg bags can also be linked to a larger capacity “night bag”, which are used overnight and placed by the child’s bedside when in hospital or at home.

The product has been manufactured by Great Bear Healthcare Limited, who have over 100 years’ experience of designing and manufacturing products and accessories helping make life more comfortable for people with bladder problems.

The mummy and baby bear leg bags are designed to be used by newborns and young children.

Nicola Heron, programme director for the NIHR Devices for Dignity Healthcare Technology Co-operative, said: “Coming into hospital when you are a very young child can often be a very emotional and stressful time, both for the child and their parents or carers. Wearing a leg bag can be an uncomfortable and unpleasant experience, so we’re delighted that this fun, new look bag with a number of unique design features has been launched that will appeal to the young audience.

“The new bags look and feel a lot less medical, and one child who used to hide her bag behind her back because she was so ashamed of it says she wears it like a handbag because she’s so proud of it.”

Pippa Bowkett, marketing director for Great Bear Healthcare Limited, who was heavily involved in the development of the product, added: “There is always a stigma to wearing any bodily worn appliance and, for the very young, it is sometimes hard to accept that these types of appliances will be with them for the short and/or long term. Great Bear is passionate about improving the quality of life for those who use urinary drainage bags and we saw an opportunity for a niche product that could really make such an experience easier for both the child and their respective parents/guardians. We are delighted to bring this product to market with the help of the NIHR Devices for Dignity HTC.”

For further information visit http://www.greatbearhealthcare.co.uk/our-products/mummy- baby-bear-leg-bag

BBC Radio Sheffield presenter Rony Robinson spoke exclusively to Nicola Heron, programme manager, and Oliver Wells, commercial director from D4D about the Sheffield support snood and their bid to win £10,000 as part of the NHS Innovation Challenge Prizes ‘Acorn Challenge’. The interview, which is broadcast to 200,000-plus listeners, outlined how the special motor neurone disease support snood was developed, what the benefits would be for patients, and what D4D intend to do with the £10,000 prize money if they win. The presenter even gave his personal backing to the team – informing listeners that ‘all of Sheffield was behind them!”

Medical technology designers are to pitch a new contoured support snood helping to improve the quality of lives of motor neurone disease sufferers whose neck muscles have weakened to a panel of Dragons’ Den style judges as part of a £10,000 innovation challenge.

A team of experts from the National Institute for Health Research (NIHR) funded Devices for Dignity Healthcare Technology Co-operative have been singled out from hundreds of entries across the country to showcase the work as part of the NHS Innovation Challenge Prizes ‘Acorn Challenge’.

The NHS Innovation Challenge Prizes is being run by NHS England and aims to recognise and reward small ideas that have the potential to make a big difference to patients.

The Sheffield support snood is a lightweight neck collar that sits along the contours of the patient’s neck muscles, allowing patients’ freedom to move their neck.

The unique design – which has been tested on 26 patients suffering with motor neurone disease – could be used for patients suffering with other devastating neurological conditions, such as stroke and trauma, and makes everyday tasks such as eating and speaking easier for patients whose quality of life is already severely impaired by debilitating illnesses.

The Sheffield support snood has been designed and developed thanks to a collaboration between the NIHR Devices for Dignity Healthcare Technology Co-operative, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield Hallam University and the University of Sheffield.

Nicola Heron, programme manager for the NIHR Devices for Dignity Healthcare Technology Co-operative, said: “The Sheffield support snood was created in response to patients living with motor neurone disease and other neurological conditions who told us existing neck collars provide insufficient support or completely immobilise the neck, negatively impacting on the quality of their life.

“Although we cannot stop the disease itself from worsening, the collar has the potential to make life more comfortable for patients already suffering with a debilitating illness by alleviating pain and discomfort caused by weakened neck muscles.

“We’re delighted that we’ve been given this fantastic opportunity to showcase the significant improvement in wellbeing our newly-designed collar offers. If successful we will use the prize money to manufacture a new batch of collars for patients with motor neurone disease, which can market in the UK and other big countries such as the USA. We are also keen to explore if the product can be used to support patients with other neurological conditions.”

The team will present in front of the Dragons’ Den NHS Innovation Challenge Prizes judges on Wednesday 3 December. The judging panel will consist of leading figures from the NHS, industry and third sector.

Winners will be announced on or after Thursday 8 January 2015.

To find out more about the NHS Innovation Challenge Prizes visit www.england.nhs.uk/ourwork/innovation/challenge-prizes

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The National Institute for Health Research Devices for Dignity Healthcare Technology Co-operative (D4D) has achieved much in its first five years. This booklet is a celebration of our work and successes, focussing on real examples of how we have collaboratively developed new technologies and treatments, and helped pave the way for the HTCs of today and tomorrow

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