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Catheter

David S. Sheridan "existed but were usually made in France and the approach of World War II threatened to cut off supplies. Then reusable, catheters were made of strands of cotton braided around piano wire molds, then varnished, heated, ground down and polished." As a result, Mr Sheridan is credited with saving thousands of lives. Red rubber tubes

Some reusable catheters consisted of braided cotton tubes, which were varnished, heat-treated and polished. As these were primarily produced in France, the advent of World War II threatened the supply chain.

Norman Gibbon "Noting that many of his long- term catheterized patients, especially those with sensory loss, had high rates of urethritis, epididymitis, perineal abscess and ascending infection he blamed the catheters used. Being short, thick-walled and chemically irritant, they inevitably led to catheter-associated infection. Hence, Gibbon developed the catheter that bears his name (1958). It was long, fine (2.5mm), thin- walled (0.5mm) and required minimal fixation; consisting of polythene it also did not irritate the urethra. This led to reduced rates of infection. Thus, Gibbon revolutionized the urological management of paraplegic patients and deservedly earned the prestigious St Peter’s Medal (1986)" BRITISH ASSOCIATION OF UROLOGICAL SURGEONS

"at Southport in 1948, with a visiting urologist, Cosby Ross and a neurosurgeon in charge of the unit. Very rapidly, the importance of urology was recognised and a young surgeon in training, Norman Gibbon elected to do his Mastership thesis on the management of the bladder in spinal patients. He used to cycle to the unit from the Southport railway station carrying his urology manometers in one hand. He carried out urological research upon these patients and subsequently became the visiting consultant, doing pioneering research on the management of the bladder, particularly external sphincterotomy and outflow surgery and the development of the Gibbon catheter. "

"At the same time he became concerned with the prevention of infection and invented his own, beautifully simple catheter - now known by his name - which was narrow, easy to pass and to keep in place and did not irritate the urethra".

"A NEW TYPE OF CATHETER FOR URETHRAL DRAINAGE OF THE BLADDER. SUMMARY 1 It is suggested that the time is opportune for a reconsideration of present apparatus and techniques for urethral drainage of the bladder. The advent of new materials makes it possible to adopt smaller diameters and improved designs.

2 A new catheter is presented which appears to offer many advantages. Made up in a dry sterile pack, and used in combination with a plastic collecting bag, it should postpone and minimise urethritis and cystitis, and contribute to the elimination of cross-infection."

Additional catheter info Foley, other history More, read this... History, read

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