1 (877) 482 6043 ken@piemed.com

Indicated Applications

Pulsed Irrigation Evacuation or PIE* is a Class II Medical Device that works with the body to gently and comfortably evacuate stool from the colon. PIE* has become the treatment of choice for non-surgical acute fecal impaction removal from the colon. The PIE* device provides in-home routine bowel activity and maintenance for patients where traditional fecal evacuation programs are problematic or ineffective. The PIE* device has been clinically tested and proven safe and effective for long term use in pediatric as well as elderly patients. The PIE* device is the most advanced method for routinely removing stool from the colon. It provides patients a safe and effective non-surgical solution to their dysfunctional colon issues and offers the patient freedom from home confinement.

Indicated Applications

  • Fecal Impaction Removal
  • Chronic Constipation Elimination
  • Chronic Incontinence Elimination
  • Bowel Preparation and cleansing  for Colonoscopy Examinations
  • Bowel Preparation for Surgical and Radiological Procedures
  • Residual retention removal of orally induced chemicals prior to colon surgery
  • Post surgery procedures
  • Elimination of contrasting materials (barium) following X-ray examination
  • Bowel maintenance for Neurogenic Bowel associated with conditions such as: Spinal Cord Injury, Cerebral Palsy, Autism, Multiple Sclerosis, Spina Bifida, Stroke, Brain Injury, Nerve Damage to the Colon Muscles
  • Alternative to Nasal Gastric (NG) Tube & Golytley
  • Encopresis in Children
  • Routine Fecal Evacuation for most bowel dysfunctions
  • Alternative to Manual Disimpaction of the Rectal Vault and Associated Rectal Trauma
  • Elimination of Post Surgical Flatulence
  • Routine Fecal Evacuation for Immobile Patients
  • Maintenance Cleaning for Encopresis
  • Bowel Therapy and Training

Reported Therapies

  • Chronic Incontinence Elimination
  • Chronic Constipation Elimination
  • Retraining of Bowel Function
  • Reduction of Urinary Tract Infections
  • Reduction of Mega-Colon
  • Reduction of Hemorrhoids
  • Reduction of Decubitus Ulcers
  • Reduction of Prolapsed Rectum
  • Reduction of Colitis
  • Reduction of Bowel Related Autonomic Dysreflexia



There are a few medical conditions for which PIE* Therapy is contraindicated. Prescribing physicians please be advised; PIE* Therapy has not been evaluated for safety in patients with the following  and is contraindicated for patients with the following medical conditions. There are two categories of contraindications:

Absolute Contraindications:
  • Acute Abdomen
  • Perforated Colon
Relative Contraindications:
  • Bowel related surgeries within one year
  • Acute Diverticulitis
  • History of Diverticular Disease
  • Lower GI Bleed
  • Fecal impactions not in the colon


Electrolyte levels should be monitored and maintained within safe levels in patients  according to the prescribing physician.


Prescription Use Only

Only patients with a physician’s prescription may receive PIE* Therapy.