logo-m3atM3AT's mission

M3AT is committed to being a global supplier of the least invasive medical equipment there is, respecting the physiology of the human being and bringing comfort, dignity and autonomy to patients in hospital or receiving home care.
Our guiding principle consists of making available the simplest and most affordable solutions to such people.

Making hospitals as efficient as they can be and enabling care staff to add that human touch that makes a hospital not only a "place of care" but also a "place for living" are also values we defend at M3AT.

And our mission also includes making savings. It was when it saw the figures in the policy report of June 22, 2006 to the National Assembly and the Senate on combating nosocomial infections that M3AT committed itself to cutting the figures by at least 10%, in other words: €240 to €600 million per year.

These urine bags cost very little and generate the savings all want to see by optimising excreta management in hospitals.

Excreta Management

For more than 1,000 years hospitals have been using a system deemed indispensable and yet that affects the quality of care. Indeed, it is not uncommon to see it enthroned on the bedside table, between the salt and the pepper, at mealtimes (see: photos of bedside tables).
This system is the urinal for men and the "bedpan" for women.
They present major inconveniences:
- They reduce the patient's dignity, autonomy and safety.
- They can be tipped over and, foul-smelling, they pollute beds which means sheets have to be changed, increasing staff costs.
- They force patients to move and thus are a cause of accidents.
- They are time-consuming because one nurse in eight is taken up solely by managing the need to urinate and its consequences. Must the nurse remain a toilet attendant?
- Washing the receptacles is hit-or-miss. They are placed in bedpan washers in which they are mixed in and mixed up with those of other patients. These machines are just like dish-washers.
Given these facts, who would agree to use a receptacle that had previously been used by a patient with an STD, with Hepatitis B or with AIDS? According to studies carried out and published 65% of bedpan washers breakdown and are not used in the way stipulated by manufacturers. In 1970 the exact same problem was identified concerning the use of glass syringes.
- Their "wandering" through hospital departments was a factor in the spread of germs. Their manipulation exposes both patients and those who come near them to a strong risk of bacterial and viral contamination.
- Cleaning and rinsing them is often a random business carried out somewhere unsuitable and far away. (Technical room: see photo)
- Unfortunately they are stored together and it is common to find them all jumbled up, in the middle of mops and brooms. (see: photo shelf).
-Unusable in the prone position, they render a urinary catheter necessary for want of alternative and innovative solutions.
When entering a hospital, does a patient sign a consent form for all these risks? Is the patient informed about these practices?

The history of the urinal

Without championing the urinal, the Emperor Vespasian, in the year 80 BC, was its originator and the man behind the famous saying: "Money does not stink".* However, despite its out-dated use, nothing has been done to create a replacement product worthy of the 21st century. (* pecunia non olet).

The problem with urinary management

The only alternative currently proposed is the urinary catheter which itself is more than 100 years old.
This long-term urinary catheter is one of the "problems" in a hospital and is responsible for infections acquired in the hospital environment. These are known as nosocomial infections of urinary origin.
The report presented to the National Assembly and the Senate (June 2006), very clearly explains this problem.
http://www.assemblee-nationale.fr/12/rap-off/i3188.asp
40% of nosocomial infections are urinary in origin because of the proximity of the point of entry to that of the emission of germs: the anal margin.
What has been suggested since to reduce the risks?
What measures have been introduced to limit the risk of infection to the patient?
Explanation:
Germs are spread through aersoloization, by volatilization and by the creation of highly contaminating bacterial-dust complexes, but also by direct contact with and around the patient which renders any invasive procedure high risk.
Bacteria are volatile, very light and can settle at a distance.
Do you know the weight of a bacteria such as the Escherichia Coli? (intestinal flora bacteria)
Weight: 1 thousandth of a nano gram or 10 billion times lighter than a small mosquito.
The pathogenicity comes from each intestinal biotope. This is what is called: the faecal peril. It is fully recognised and has been written about.
There are between 1,000 and 100,000 billion bacteria per faeces of which 80% are unidentifiable. We do not know what they are.
The proximity of natural orifices (the point of entry of the infection) such as the urethra, or the respiratory tracts during inhalation, accentuates the risk of contamination.
The nearer we get to the anal margin, the greater the risk of contamination.
So there is more of a risk via the urethra than via the respiratory tracts.
The morbidity/mortality created by the multiple drug resistance of bacteria aggravates the situation.
Fighting against infection involves limiting invasive procedures, so inserting fewer catheters, at least in the short term, and containing this intestinal biotope when it is emitted.
The number of infections is increasing.
The Ministry for Health is already talking about a health plague and will soon be talking about an economic plague.

News

There has been a great technical advance over the last few years:
In the hospital environment it is being recommended that people wash their hands to fight against the risk of infection and prevent the spread of germs.
This new theory that we should wash our hands has existed since the 19th century.
In fact in 1847 Dr. Semmelweis° made it compulsory that hands should be washed in bleach in between each medical or paramedical procedure.
It has taken us 170 years to progress from bleach to a hydro-alcoholic gel. That is innovation.
Ignaz Philipp Semmelweis (1818-1865) proved the usefulness of washing hands after dissecting a corpse and before delivering a baby.
So in May 1847 he ordered hands be washed with a calcium hypochlorite solution (bleach with calcium). That was 170 years ago.
Managing infectious risk is about coming up with technically innovative solutions and assessing the effectiveness of existing medical measures.
Where are the bacteriological and economic studies of medical equipment such as the urinal and the bedpan given to patients? There are none
Furthermore, on the economic front we have to counter financial logic and requirements by clearly showing that the indirect costs linked to using old medical practices are far superior to the direct costs of the new method which meets the needs and problems of the moment.
Where is the scope for innovation faced with this known plague on our health and health budgets?
There is a need for a proper debate at a European and global level.

 

Food and urine on the same table - what a smell
Food and urine on the same table - what a smell

 

Patient's room. The reality of daily hospital life. It's all there!
Patient's room. The reality of daily hospital life. It's all there!

 

Cleaning and storing…. What a mix!
Cleaning and storing…. What a mix!
What about hygiene?
The reality Hygiene rules are flouted.

 

Favourite spot: mops and medical equipment. A far cry for the hygiene standards demanded of restaurants.
Favourite spot: mops and medical equipment.
A far cry for the hygiene standards demanded of restaurants.