Development of a wheelchair mounted urinary toileting device for a client with complete amelia

A recent "no lift" policy for carers has led to the development of a urinary device integrated into the client's wheelchair to allow her to void her bladder while remaining seated in her wheelchair. The client has complete amelia (ie. congenital absence of limbs) and sits in a foam-in-place custom cushion into which is integrated a polyethylene funnel to collect the urine. The urine is ducted down a silicone tube supported by a retractable boom that extends over a suitable receptacle. Following urination, the external genitalia is flushed with a disinfectant, the excess being ducted through the same urine tube. Following disinfectant flushing, the genitalia is dried with heated air from an air pump. This also has the effect of drying the remaining urine and disinfectant from the urine tube. Once this urination/disinfection/drying process has been completed, the boom is retracted and stowed discretely under the seat. This system is a further enhancement of the custom made wheelchair described by Bingham and Jones at the 2001 ARATA Conference.

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