COVID-19 global epidemic- “Mobile Urologist`s Bag III” (MUBIII)- safety modifications

Neymeyer J1, Barthelheimer T1, Brecher S1, Kittner B1, Weinberger S1, Schlomm T1, Weißhaupt K2

Research Type

Clinical

Abstract Category

Prevention and Public Health

Abstract 613
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1. Medical University Charité, Department of Urology, Berlin, Germany, 2. Medical University Charité, Department of Obstetrics, Berlin, Germany
Presenter
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Abstract

Introduction
The Mobile Urologist's Bag III (MUBIII) was developed for a rapid complication management of urogenital diseases or injuries. It is a mobile urology emergency kit which includes among others a wireless portable ultrasound probe. This short note describes how the MUBIII and the usage of its wireless ultrasound probe could be an advantage for urological examination during the global COVID-19 epidemic. 
The MUBIII kit can be utilized for urological emergencies such as urinary retention, overflow bladder, voiding disorders, congested kidney, kidney and bladder stones, urosepsis, abscesses, tumor complications, postoperative complications, hematuria, priapism, bladder or rectum and urogenital injuries. The mobility of MUBIII is beneficial during the COVID- 19 epidemic, as it enables to examine patients in emergency room or during isolation.
Design
In general, in order to treat COVID- 19 positive patient safely, health care professionals must use personal protective equipment (PPE)- gown, medical mask/ respirator, gloves and eye protection (goggles/face shield).
In order to use the wireless ultrasound probes safely, we suggest utilizing a sterile pair of gloves. This technic is the cheapest and available one. One glove is for covering the wireless ultrasound probe, the second one is cut to create a rubber band as a closing device. 

The steps for preparation of the wireless ultrasound probe protective cover is as following :1) Take the first glove and put ultrasound gel inside the glove, then put the probe inside. 2) Close the probe- cover with the self-made rubber band. 3) Before using the probe, move the gel inside the cover (the first glove) to the tip of the probe so there is no air that can distort the image. 4) Then put a bit of gel on top of the probe to start examination.
The probe is connected to a tablet or phone. The modality has to be chosen before using the probe. Attention do not touch the screen or any other devices while using the probe, avoid any risk for contamination. The bottom on the probe is using for stop, save, freeze and record the exam.
In order to remove the cover safely after examination: Remove the rubber band and squeeze the probe out of the glove carefully without touching it. Then disinfect the probe carefully. The probe can be next restored in the MUBIII or covered again as described above for the next usage.
Results
Currently known, COVID- 19 is transmitted by small droplets from the nose or mouth of an infected person. These droplets are spread by COVID- 19 infected patient and contaminate patient’s clothes, skin and other objects and surfaces at the surrounding. This contamination can enhance the transmission of to COVID- 19 to other persons. Therefore, it is highly important to avoid contamination of the MUBIII kit and especially its wireless ultrasound probe. 
The mobility of MUBIII is beneficial during the COVID- 19 epidemic, as it enables to examine patients in emergency room or during isolation.
Conclusion
Handling of the portable devices in the MUB III is a rapid and efficient way for emergency treatment even in case of outdoor patients. The application of MUB III in clinical practice saves time and reduces costs.
Disclosures
Funding No Clinical Trial No Subjects Human Ethics not Req'd No Helsinki Yes Informed Consent Yes
17/12/2024 00:15:22