THE MACY CATHETER® A New Option for Patient Comfort

• RAPID, EASY FACILITATES RAPID SYMPTOM RELIEF AND SAFE • An immediate way to administer medications when the oral route is compromised • Utilizes medications already in the home; no waiting for delivery • COMFORTABLE of compounded or parenteral medications1 AND DIGNIFIED • Suspensions or are generally absorbed more quickly than suppositories2 • COST EFFECTIVE PR MEDICATION ADMINISTRATION IS COMMONLY USED IN SYMPTOM MANAGEMENT FOR3: • Pain, Agitation, Anxiety, Dementia • Dyspnea, Terminal Fever • Acute ,

MINIMIZE ADDITIONAL MEDICATION COSTS

ELIMINATE DELIVERY CHARGES

DECREASE FREQUENCY OF NURSE VISITS

FDA INDICATION: “The Macy Catheter truly enhances the care experience for patients and families coping with serious or advanced illness, helping To provide rectal patients to remain comfortable in the setting of their choice.”

access to administer Brad Macy RN, BSN, CHPN Co-founder of Hospi, Recipient of 2013’s National Hospice liquids/medications and Nurse of the Year Award 4 EASY STEPS FOR MACY CATHETER PLACEMENT

LUBRICATE INSERT INFLATE SECURE

FACTORS AFFECTING RECTAL ABSORPTION THE MACY CATHETER STORY The Macy Catheter was invented by • Mucosa is highly vascularized Brad Macy, RN, a practicing hospice • High % absorptive cells nurse for 20 years. One night Brad had a patient who was terminally agitated • Small, dry surface area and not responding to a solid form of • Increased bioavailability Inferior a rectally delivered medication. He vena cava administered the same medication in Inferior a semi-liquid form with a small tube mesenteric vein inserted into the rectum. Brad saw his patient's agitation rapidly diminished, and the patient was sleeping within 30 minutes.

Macy Catheter Brad co-founded Hospi and developed the Macy Catheter specifically to meet the need for a fast, effective and easy to use intervention in hospice Distal 1/3 of the and palliative care, especially in rectum (Venous the home setting. return bypasses liver)

Rectal sphincter

Hospi Corporation improves quality of life by innovating practical, high- impact medical devices to enhance patient comfort and wellbeing, ease To order the Macy Catheter visit caregiver burden and reduce cost. www.hospicorp.com or call us at 888-509-3732. Our patient-centric focus, informed by a nursing perspective, guided development of the Macy Catheter. 1. Please consult a pharmacist or physician for detailed information about specific medications, their available formulations and rectal absorbency. 2. De Boer AG, Moolenaar F, de Leede LG, Breimer DD. Rectal drug administration: clinical pharmacokinetic considerations. Clin Pharmacokinetics. 1982 July-Aug; 7(4):285-311. 3. Davis MP, Walsh D, LeGrand SB, Naughton M. Symptom control in cancer patients: the clinical pharmacology and therapeutic role of suppositories and rectal suspensions. Support Care Cancer. 2002 Mar;10(2):117-38. © 2016 Hospi Corporation. All rights reserved.