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perfect for medical use. Acknowledged as the world's best midstream urine sample collector.
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The Worlds First Automatic Urine Sample Collector

What is it?

The Whiz Midstream is a midstream urine sample collection device, designed and clinically proven to make urine sample collection automatic, patient and staff independent, delivering a clinically proven, significantly superior and more accurate sample, which is collected more hygienically, more easily, cleanly, cheaply and faster than anything currently available.

The Midstream (as stated in Jackson et al) “is not simply a funnel, but incorporates a flow-sensitive channel and diverter that, using urodynamic principles, excludes the initial low-flow portion of the urinary stream, thus discarding the contaminated early stream volume, and automatically collects the midstream volume without interrupting the stream.”

The Midstream is a quantum-leap forward in technology and product design for woman and for men. Whilst the equipment for the analysis of urine has improved dramatically in the last 100 years, the method of collection has barely changed at all and sometimes has regressed with poor practice, due to the increased cost in time and difficulty of giving a sample and the use of cheap mass-produced, non regulatory, disposable, poor quality containers. Thus fast modern analytic machines or high quality microbiology departments are rendered useless if the quality of the sample is poor. In addition, urine samples currently have a high inherent contamination rate – a national average of 31% (Lifshitz et al 2000) but going to 56% amongst GP’s collected samples (Garcia et al 2004).

General introduction to Urine Sample Collection:

International and national governmental as well as professional health care standards throughout the world ensure that a patient receives the best health care possible. Errors in diagnosis or treatment; delays that could have been avoided; faulty procedures, or failing to follow correct procedures, faulty equipment, health and safety issues to name a few, are all governed by not only professional body standards but by these national and international regulatory standards.

Today too patient choice and patient knowledge of the risks, procedures and results are considered integral to the system of health care.

It is a simple fact that all patient health care is dependent on diagnosis, and 70% of all diagnostic health care is reliant on pathology (Carter Review on Pathology, 2006). Urine samples form a substantial percentage of these pathology tests and, unlike blood collection, involves non invasive collection as an accurate method of analysing many health conditions. In ante natal care for example accurate and clean urine sample is a critical factor for both the health of the mother and the unborn child.

The message put out by Health Authorities around the world is simple, Quality of sample = quality of Diagnosis = Quality of Patient Care. A contaminated urine sample is no sample at all and worse if it’s a false positive, since a false positive may well lead the patient to be given unnecessary medical treatment. This in turn can lead to antibiotic resistance and to issues of MRSA and C.difficile etc. If it’s a false negative, it could have very serious if not fatal consequences without treatment for example amongst ante-natal patients. There are many more regulations since urine is classified as a hazardous substance “that is for example clearly a sample of urine that is infected with Aids poses a health risk to both medical professionals and staff and patients and even visitors.”

Yet despite the importance for the need of a Midstream urine sample contamination rates as clinical trials have shown can be as high as 56% -at this level diagnosis becomes a lottery with 1 out of 2 specimens being possibly incorrectly diagnosed. A national average of contamination (in the UK) is 31%. A contaminated sample is one that is the sample is analysed by the pathology laboratory but the results show only that the specimen is contaminated (usually heavy mixed growth) and no pathology analysis can be made. It is absolutely incumbent on the medical practitioner to inform the patient of this and allow the patient to decide if they wish to give another sample (the preferred route) or have their medical condition diagnosed without the benefit of any pathological analysis. All too often it appears the patient is not informed and may be prescribed unnecessary antibiotics or a course of action that is inappropriate.

Although health care analysis has progressed enormously in recent years with many diagnostic and analytic machines becoming automated (saving time and money) yet the process of collection the fundamental data on which these machines ability to perform i.e. the actual specimen urine sample, has remained a process and method unchanged and static for 80 plus years and simply unable to match the need and sensitivity for analysis in a modern world. Collection methods can be gross, with samples collected in plastic bags, in containers for false teeth, in unsterilized cups etc. the USA regulatory slogan of trying to encourage good quality specimen samples i.e. Garbage in = garbage out is correct. A collected sample that is not clean and the best available for analysis will lead to a rubbish result.
But there are other reasons as well today for the high contamination rates: Inappropriate collection equipment or equipment that is not sterile. An inappropriate method of given the sample i.e. by stop and starting; or by touching or handling the sample; or by allowing foreign items in as a result of transferring the sample to another test tube (this can occur with no automatic diagnostic machines which can only read a sample that is in a 10 ml tube yet no samples are initially collected in a 10 ml tube.

The sample that the health care practitioners prefer for routine use is the mid stream sample. This is best quality sample for analysis as it avoids contamination from the urethra and obtains the best or gold standard sample and a mid stream urine sample is defined by both regulatory and health care professionals as “The first part of voided urine is discarded and without interrupting the flow approximately 10ml is collected into a sterile container’ **.There are clear regulatory and professional guidelines on what is a sterile container.

But giving a urine sample can be a messy and embarrassing process especially if you are a woman or a child. And if you are a guy just think how difficult it is for women to produce a sample that can be collected without mess into a 30 ml bottle. Where larger bottles are used, these more often than not are not what is called Primary Collection containers but are secondary and the sample needs to be transferred to a smaller bottle that can then go to the lab or be used in the automatic machines.
Current methods and results are not only bad for you as a patient and for the community (infection control issues), but problematic to analyse in the lab. A rate of 56 percent of urine samples being contaminated and which signifies misdiagnosis or inappropriate antibiotics’ prescription is quite simply unacceptable in terms of patient care, use of resources and costs.


The Whiz Midstream

The Whiz Midstream is a unique product, it has a revolutionary and patented automatic channelling feature and diverter and a unique patented shield and it automatically rejects the unwanted contaminated first urine stream and captures what doctors want: a sample. And thanks to an air lock, there is no overfilling the bottle. No need to stop and start, no need to keep checking whether you are getting the sample into the bottle. The collection process is automatic. Because other collection methods require messy insertion of collection container into the flow of urine, thousands of urine samples become contaminated by contact with fingers. The Whiz Midstream differs from these funnel devices.

The Whiz Midstream is simple and ingenious; all you have to do is to attach the provided sterilized collection bottle on the bottom of the device. Then, as it is not a funnel and possesses a patented shield which ensures total hygienic collection, as well as, comfort, hold it against the body and let nature and gravity do the rest. There are different instructions for men and women.

The Whiz Midstream is the only product available which automatically allows the early stream to flow off before collecting the sample. It is also the only product which conforms to all regulatory directives such as: standard operating procedures for the collection of an MSU; standard regulations against hazard substances (urine while sterile on leaving the body is a potentially a hazardous substance), standard regulations on patient and staff safety, standard regulations on appropriate equipment etc.

Because other collection methods require messy insertion of collection container into the flow of urine, thousands of midstream urine samples become contaminated by contact with fingers. The Whiz Midstream differs from these funnel devices. It is not a funnel and possesses a patented shield which is held against the groin and which ensures total hygienic collection, as well as, comfort.

Supplementary Instructions for Use, 2011 – Download Whiz Midstream Pdf

Our Customer Testimonials

100 percent of all medical staff who have used the Midstream recommend it. Below some written comments from formal trials:

“Use of the device represents best medical practice and the significant benefits resulting there from, cannot be ignored.”

Senior Consultant Microbiology

“The Whiz Midstream is highly attractive to clinician and patient alike; it significantly lowered contamination rates and hence the need to repeat urinalysis. My patients were pleased to use this simple and hygienic device.”

Head of Obstetrics and Gynaecology

“My patients benefited from using the Whiz, it was easier to use than our current methods and for the staff it was an effective way of saving time.”

Outpatients Manager, Woman's Centre

“As a physiotherapy physican I have found that many women cannot use their pelvic floor muscles and would therefore be unable to do an efficient mid-stream sample of urine, this new device will be greeted with great glee by them – no more wet hands, no more wadding through puddles. Have I tried it? I most certainly have and as a person who is known to have frustrations with a a great many devices I found it a cinch – isnt it great to have good news to share?”

ACA Continence Advisor