Why Choose Bard Lubricath™ Tiemann Foley Catheter

Tiemann Coude Tip for Challenging Anatomy
The Tiemann medium-olive coude tip features a more pronounced curve than standard coude catheters, providing enhanced directional control during insertion. This specialized tip design is specifically engineered for navigating around enlarged prostate tissue, urethral strictures, or tortuous urethral anatomy where standard straight catheters fail—making it the preferred choice for difficult catheterizations in male patients with BPH or anatomical variations.

Lubricath™ Hydrogel Coating for Reduced Trauma
The proprietary Lubricath™ hydrogel coating activates upon contact with moisture to create a smooth, lubricious surface that significantly reduces insertion force and urethral friction. This advanced coating technology minimizes urethral trauma during insertion and throughout the catheter's dwell time, improving patient comfort and reducing the risk of urethral injury—especially important for patients requiring indwelling catheters in challenging anatomical situations.

Single Drainage Eye for Minimal Mucosal Contact
Unlike multi-eye catheters, the single drainage eye design minimizes contact with bladder mucosa and reduces the risk of tissue irritation or bladder spasms. The strategically positioned single eye provides reliable urine drainage while maintaining a lower profile within the bladder—particularly beneficial for patients with sensitive bladders or those prone to irritation from catheter contact.

Key Features & Benefits

Tiemann Medium-Olive Coude Tip

• More pronounced curve than standard coude tips
• Enhanced directional control during insertion
• Medium-olive shape provides optimal navigation
• Essential for enlarged prostate or difficult anatomy
• Reduces insertion attempts and patient discomfort

Lubricath™ Hydrogel Coating

• Activates with moisture for lubricious surface
• Reduces insertion force by up to 40% compared to uncoated latex
• Maintains low-friction properties throughout dwell time
• Minimizes urethral trauma and irritation
• Improves patient comfort during insertion and removal

Single Drainage Eye

• Large, smooth drainage opening for consistent flow
• Minimizes bladder mucosal contact
• Reduces tissue irritation and bladder spasms
• Lower profile within bladder
• Adequate for clear to moderately thick urine

14 French / 5cc Balloon Configuration

• 4.7mm diameter—standard adult male sizing
• 5cc balloon provides secure retention
• Appropriate for routine indwelling catheterization
• Inflate with exactly 5cc sterile water only (never saline)

2-Way Design

• Separate drainage lumen for urine flow
• Dedicated balloon inflation channel
• Compatible with all standard closed drainage systems

Radiopaque Construction

• Visible on X-ray imaging
• Allows verification of catheter position
• Important for confirming proper bladder placement
• Useful in post-procedure imaging

Color-Coded Funnel

• 14 Fr = Green color coding
• Quick visual size identification
• Reduces setup errors in clinical settings
• Facilitates efficient inventory management

⚠ Contains Natural Rubber Latex: Not suitable for patients with latex allergies or sensitivities

Clinical Applications

Benign Prostatic Hyperplasia (BPH)

• Primary indication for Tiemann coude catheters
• Enlarged prostate creates urethral narrowing and angulation
• Coude tip navigates prostatic urethra more easily than straight catheters
• Often successful when standard catheters fail

Difficult or Failed Catheterization

• After unsuccessful attempts with straight catheters
• Tortuous or angulated male urethra
• Post-surgical anatomical changes
• Experienced operator placement in challenging cases

Urethral Strictures

• Areas of urethral narrowing requiring directed placement
• Coude tip can navigate past stricture points
• Reduces risk of creating false passages
• Gentler on compromised urethral tissue

Post-Prostate Surgery

• After TURP (transurethral resection of prostate)
• Post-prostatectomy patients
• Changed anatomy requiring specialized tip
• During healing period when standard catheters are difficult

Acute Urinary Retention with BPH

• Emergency bladder decompression
• When standard catheters cannot pass
• Hospital and emergency department use

Understanding Tiemann vs. Standard Coude

Tiemann (Medium-Olive) Design
The Tiemann tip features a more angular, pronounced curve compared to standard coude catheters:

• Sharper angle: Provides more directional control
• Olive-shaped: Medium-olive configuration balances size and maneuverability
• Enhanced navigation: Better for severe prostatic obstruction
• Skilled placement: Requires experienced operator due to more pronounced curve

When Tiemann is Preferred

• Severe BPH with significant prostatic enlargement
• Failed attempts with standard coude catheters
• Known difficult anatomy requiring maximum directional control
• Experienced clinician performing catheterization

How Lubricath™ Hydrogel Coating Works

Moisture Activation Technology
The Lubricath™ coating is a thin hydrogel layer bonded to the catheter surface that:

1. Activates on contact with body fluids or pre-wetting
2. Forms lubricious layer that reduces friction coefficient significantly
3. Maintains coating throughout the insertion process
4. Continues to provide low-friction properties during dwell time
5. Eases removal with reduced pulling and discomfort

Clinical Benefits

• Reduces insertion force requirements
• Minimizes urethral trauma and microabrasions
• Improves patient comfort and tolerance
• May reduce urethral inflammation
• Eases catheter removal at end of use

Usage & Application

Healthcare Professional Use Only

Pre-Insertion

• Verify correct catheter size and balloon capacity
• Prepare sterile field and gather all necessary supplies
• Optional: Pre-wet catheter with sterile water to activate hydrogel coating
• Apply additional sterile lubricant per facility protocol

Insertion Technique

1. Position: Standard supine position for male catheterization
2. Cleanse: Perform appropriate antiseptic preparation per protocol
3. Orient tip: Ensure Tiemann curve is facing UP (anterior/toward belly)
4. Insert: Advance catheter gently with controlled, steady pressure
5. Navigate prostate: The curved tip will guide around prostatic urethra
6. Confirm placement: Continue until urine flows freely
7. Advance slightly: Insert 1-2 inches further after urine flow begins
8. Inflate balloon: Inject exactly 5cc sterile water into balloon port
9. Verify retention: Gentle traction should show resistance from inflated balloon
10. Connect drainage: Attach to closed urinary drainage system

Critical Orientation
⚠ The Tiemann curve must face UP (anterior) during insertion. Incorrect orientation can cause urethral trauma.

Maintenance

• Maintain closed drainage system at all times
• Keep drainage bag below bladder level
• Monitor for proper drainage and catheter patency
• Follow facility protocols for catheter care

Removal

• Deflate balloon completely before removal
• Remove catheter gently and steadily
• Expect smooth removal due to hydrogel coating

Replacement Schedule

• Replace per clinician order or facility protocol
• Typical indwelling use: Short- to medium-term
• Replace if obstruction, leakage, or infection suspected

Latex Allergy Considerations

⚠ IMPORTANT: This catheter contains natural rubber latex and should NOT be used on patients with:

• Known latex allergy
• History of latex sensitivity or reactions
• Spina bifida (higher latex sensitivity risk)
• Multiple surgical procedures (increased latex exposure)
• Healthcare workers with occupational latex sensitivity

For latex-sensitive patients: Choose 100% silicone Foley catheters with coude tips.

Storage & Handling

• Storage: Room temperature in original sterile packaging
• Shelf life: Check expiration date on package
• Sterility: EO (ethylene oxide) sterilized; do not use if package damaged
• Single-use only: Never reuse; discard after removal
• Disposal: Follow facility protocols for biohazard waste
• Pre-wetting: May pre-wet with sterile water to activate hydrogel before insertion