WO1993010845A1 - Valve operated catheter for urinary incontinence and retention - Google Patents

Valve operated catheter for urinary incontinence and retention Download PDF

Info

Publication number
WO1993010845A1
WO1993010845A1 PCT/IT1992/000051 IT9200051W WO9310845A1 WO 1993010845 A1 WO1993010845 A1 WO 1993010845A1 IT 9200051 W IT9200051 W IT 9200051W WO 9310845 A1 WO9310845 A1 WO 9310845A1
Authority
WO
WIPO (PCT)
Prior art keywords
valve
duct
catheter
seat
catheter according
Prior art date
Application number
PCT/IT1992/000051
Other languages
French (fr)
Inventor
Luigi Gigante
Original Assignee
Luigi Gigante
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Luigi Gigante filed Critical Luigi Gigante
Priority to US08/244,541 priority Critical patent/US5445626A/en
Publication of WO1993010845A1 publication Critical patent/WO1993010845A1/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0022—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse placed deep in the body opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0009—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse placed in or outside the body opening close to the surface of the body

Definitions

  • the invention relates to the technical field con ⁇ cerned with the production of vesical catheters- Such kind of catheter are commonly applied to pa- tients to eliminate, or at least relieve, inconvenien ⁇ ces resulting from problems caused by the urinary in ⁇ continence and retention.
  • valve operated vesical catheters made of plastic material or, more generally, of sin- thetic resin. These catheters generally consist of flexible ducts produced in various standardized lengths.
  • a catheter having a certain length must be chosen in accordance with the actual necessity.
  • a catheter that is presently used is provided with a valve of elastic material, housed inside the duct at a small distance from the outer opening.
  • the valve can be operated by the patient through a slight pressing action exerted from outside on a section of the penis situated in correspondence with the point of location of the valve.
  • This point can be located by the patient thanks to a series of protuberances specially formed on the outside surface of the duct, near to the valve.
  • the distal end of the duct is positioned inside the bladder and has a spiral shape.
  • the main object of the present invention is to propose a catheter provided with a system that allows the patient to operate the valve directly and not through the penis, with a simple and safe action.
  • a further object of the present invention is to propose a simply adaptable catheter that can be used by any patient without causing traumas of any of the urinary system organs.
  • valve operated catheter for urinary incontinence and retention comprising a flexible duct designed to be inserted into the patient's urethra and having a spiral shaped distal portion 12, that is designed to be housed inside the bladder.
  • the terminal section of the catheter near to the distal end, is provided with a plurality of holes for the outflow of the urine from the bladder to the insi ⁇ de of the duct.
  • a seat is made at the end of the catheter that remains outside and houses a valve elastically defor- able and provided with a slit normally elastically closed.
  • the valve can be operated by the patient through a pressing action on two winglets fixed at the end of the duct that is placed outside, resting against the top of the glans.
  • the main advantage of the present invention is the fact that it provides a catheter with a system for operating the valve that is of immediate localization by the patient and being therefore, of simple and safe use.
  • a further advantage of the present invention is the fact that it provides a catheter of a simple con ⁇ formation and such that it can be used by any patient without provoking traumas of any urinary system or ⁇ gans.
  • the winglets remains located outside of the penis so that they can be quickly and easily located, even if the patient has a poor touch sensibility.
  • - fig. 1 is a sectional view of the catheter, that is the subject of the present invention
  • - fig. 2 is a cross section view according to the line II-II of fig. 1
  • - fig. 3 is a sectional view of the valve indicated as the particular A of fig. 1 when it is open;
  • - fig. 4 is a sectional view of the valve indicated as the particular A of the fig. 1 when it is closed;
  • the catheter includes a duct 2 made of flexible material, for instance a siliconated material.
  • the duct 2 is particularly adapted to be inserted in the urethra by means of a rigid body, generally called a mandrel, designed to be removed afterwards.
  • the distal portion 12 of the duct near to the distal end of the duct and designed to be positioned inside the bladder, has a shape of a spiral and is e- lastically deformable.
  • the axis of the spiral is perpendicular to the duct.
  • the distal portion 12 has a plurality of holes 16, the last of which has a form of a slot, through which the urines in the bladder may freely flow into the catheter.
  • a capsule 18 holding a substance having a disinfecting and antibacterial action.
  • the spiral shaped distal portion 12 may be un ⁇ rolled in a measure such as to achieve the length ne- cessary for the other end to reach outside.
  • a seat 21 inside which there is located a valve 20 made of elastic material and having a slit 22 for the passage of the urines.
  • the slit 22 is normally closed, as a result of the elasticity of the material of which the valve is made.
  • the portion of the duct 2, corresponding to the seat 21, is harder than the remaining part of the cat ⁇ heter, and this hardness is obtained by a special pro ⁇ cessing of the material in this zone while manufactu- ring the catheter.
  • two winglets 25 are fi ⁇ xed to the outside end of the duct 2, simmetrically to the longitudinal axis of the catheter and of the valve 20. The winglets 25 remain outside and rest against the top of the glans.
  • the winglets have a double function: first they prevent the catheter from sliding inside the urethra and second they allow the patient to operate from out- side the valve 20 to evacuate the urine.
  • winglets 25 are harder than the rest of the catheter, thanks to a different hardness of the material of which they are made.
  • the pressing action on the winglets causes, also thanks to the reinforcement ribs, the deformation of the duct part correspondent to the seat 21, which in turn causes a pressing action on the sides of the val ⁇ ve and the opening, because of the elastic deformation of the latter, of the slit 22.
  • the patient who normally retains the urines with the valve 20 closed makes the valve to open (position H, fig.3) by perfor ⁇ ming a light pressure on the winglets 25.
  • the pressure will be kept during the whole period of time necessary to evacuate the urines completely.
  • both valve and seat may be made with polygonal (fig. 5) or oval (fig. 6) profile.
  • one or more blocking protrusions can be formed on the outside surface of the valve (fig. 7) which are designed to engage with correspondent groo ⁇ ves made inside the seat.
  • the polygonal form of the fig. 5 is obtained by two plane opposing extention of the surface of the valve 20.
  • the catheter manufactured in accordance with the present invention allows many people obtain an impro ⁇ vement in quality life avoiding many physical and psy- cological problems.

Abstract

A valve operated catheter for urinary incontinence and retention comprises a flexible duct (2) designed to be inserted in the patient's urethra, provided with a spiral shaped end portion (12), having a plurality of holes (16) for the passage of urine, said duct (2) is provided, in correspondence with the other end, with a seat (21) in which there is housed a valve (20) made of elastic material, that is usually closed because of the elastic action; the valve (20) may be operated by the patient through light compressive action on two winglets (25) which are fixed to the end of the duct near to the valve and positioned symmetrically to the longitudinal axis of the same valve, outside the top of glans in such a way as to cause the opening of the passage (22) because of the elastic deformation of the valve (20).

Description

VALVE OPERATED CATHETER FOR URINARY INCONTINENCE AND RETENTION
TECHNICAL FIELD
The invention relates to the technical field con¬ cerned with the production of vesical catheters- Such kind of catheter are commonly applied to pa- tients to eliminate, or at least relieve, inconvenien¬ ces resulting from problems caused by the urinary in¬ continence and retention.
BACKGROUND ART
There are known valve operated vesical catheters made of plastic material or, more generally, of sin- thetic resin. These catheters generally consist of flexible ducts produced in various standardized lengths.
A catheter having a certain length must be chosen in accordance with the actual necessity.
A catheter that is presently used is provided with a valve of elastic material, housed inside the duct at a small distance from the outer opening.
The valve can be operated by the patient through a slight pressing action exerted from outside on a section of the penis situated in correspondence with the point of location of the valve.
This point can be located by the patient thanks to a series of protuberances specially formed on the outside surface of the duct, near to the valve.
The distal end of the duct is positioned inside the bladder and has a spiral shape.
There are numerous holes provided along the ter- minal section of the catheter near the distal end, for the entrance of the urine into the catheter.
The principal drawback connected with the use of the above described catheters, results from the fact that it is difficult for the patient to locate the valve by the touch, what is a consequence of poor touch sensibility of the major part of the patients who have the catheters fit on.
A further inconvenience that has been found when such a type of catheter is used, results from the fact that the patient must perform a pressing action on the penis to operate the valve.
In the long run this pressing action, that often is not light, could provoke more or less serious local traumas, with a damage for the penis.
DISCLOSURE OF THE INVENTION
The main object of the present invention is to propose a catheter provided with a system that allows the patient to operate the valve directly and not through the penis, with a simple and safe action.
A further object of the present invention is to propose a simply adaptable catheter that can be used by any patient without causing traumas of any of the urinary system organs.
The above indicated objects are achieved by means of a valve operated catheter for urinary incontinence and retention comprising a flexible duct designed to be inserted into the patient's urethra and having a spiral shaped distal portion 12, that is designed to be housed inside the bladder.
The terminal section of the catheter, near to the distal end, is provided with a plurality of holes for the outflow of the urine from the bladder to the insi¬ de of the duct. A seat is made at the end of the catheter that remains outside and houses a valve elastically defor- able and provided with a slit normally elastically closed.
The valve can be operated by the patient through a pressing action on two winglets fixed at the end of the duct that is placed outside, resting against the top of the glans.
In this way the deformation of the part of the duct correspondent to the seat consequently causes the elastic deformation of the valve until the slit opens.
The main advantage of the present invention is the fact that it provides a catheter with a system for operating the valve that is of immediate localization by the patient and being therefore, of simple and safe use.
The system that is the subject of this invention allows the patient to operate the valve of the cathe¬ ter without acting on the penis that is not subjected to any pressing action. A further advantage of the present invention is the fact that it provides a catheter of a simple con¬ formation and such that it can be used by any patient without provoking traumas of any urinary system or¬ gans.
It is to be stressed that the patient does not have to act directly on the penis in any way. The winglets remains located outside of the penis so that they can be quickly and easily located, even if the patient has a poor touch sensibility.
Nevertheless the construction of the catheter is rather compact and the duct does not extend from the glans.
Therefore also practical or psychologic problems for the patient are avoided ot highly reduced.
BRIEF DESCRIPTION OF THE DRAWINGS
The features of the invention will be pointed out in the following with the help of the acconpanying drawings, in which: - fig. 1 is a sectional view of the catheter, that is the subject of the present invention;
- fig. 2 is a cross section view according to the line II-II of fig. 1
- fig. 3 is a sectional view of the valve indicated as the particular A of fig. 1 when it is open;
- fig. 4 is a sectional view of the valve indicated as the particular A of the fig. 1 when it is closed;
- fig. 5, 6 and 7 show the valve made with a polygo¬ nal section, an oval section and with blocking pro- trusions, respectively. MODES OF CARRYING OUT THE INVENTION
With reference to these figures, 1 shows the cat¬ heter. The catheter includes a duct 2 made of flexible material, for instance a siliconated material.
The duct 2 is particularly adapted to be inserted in the urethra by means of a rigid body, generally called a mandrel, designed to be removed afterwards. The distal portion 12 of the duct, near to the distal end of the duct and designed to be positioned inside the bladder, has a shape of a spiral and is e- lastically deformable.
The axis of the spiral is perpendicular to the duct.
The distal portion 12 has a plurality of holes 16, the last of which has a form of a slot, through which the urines in the bladder may freely flow into the catheter. As illustrated in fig. 1, at the distal end of the catheter there is a capsule 18 holding a substance having a disinfecting and antibacterial action.
The spiral shaped distal portion 12, may be un¬ rolled in a measure such as to achieve the length ne- cessary for the other end to reach outside.
At the end of the duct 2 situated outside there is made a seat 21, inside which there is located a valve 20 made of elastic material and having a slit 22 for the passage of the urines. The slit 22 is normally closed, as a result of the elasticity of the material of which the valve is made. The portion of the duct 2, corresponding to the seat 21, is harder than the remaining part of the cat¬ heter, and this hardness is obtained by a special pro¬ cessing of the material in this zone while manufactu- ring the catheter.
As illustrated in fig. 1, two winglets 25 are fi¬ xed to the outside end of the duct 2, simmetrically to the longitudinal axis of the catheter and of the valve 20. The winglets 25 remain outside and rest against the top of the glans.
The winglets have a double function: first they prevent the catheter from sliding inside the urethra and second they allow the patient to operate from out- side the valve 20 to evacuate the urine.
Also the winglets 25 are harder than the rest of the catheter, thanks to a different hardness of the material of which they are made.
This hardness is further increased by the presen- ce of two reinforcement ribs 26 which extend along their side which remain turned toward the glans.
The pressing action on the winglets causes, also thanks to the reinforcement ribs, the deformation of the duct part correspondent to the seat 21, which in turn causes a pressing action on the sides of the val¬ ve and the opening, because of the elastic deformation of the latter, of the slit 22.
Therefore, the patient who normally retains the urines with the valve 20 closed (position K, fig. ), makes the valve to open (position H, fig.3) by perfor¬ ming a light pressure on the winglets 25.
The pressure will be kept during the whole period of time necessary to evacuate the urines completely.
In order to avoid possible rotations of the valve 20 inside the relative seat 21, both valve and seat may be made with polygonal (fig. 5) or oval (fig. 6) profile.
Otherwise one or more blocking protrusions can be formed on the outside surface of the valve (fig. 7) which are designed to engage with correspondent groo¬ ves made inside the seat. In particular, the polygonal form of the fig. 5 is obtained by two plane opposing extention of the surface of the valve 20.
INDUSTRIAL APPLICABILITY
The catheter manufactured in accordance with the present invention allows many people obtain an impro¬ vement in quality life avoiding many physical and psy- cological problems.
The result obtained by this invention was possi¬ ble thanks to a particular production process that provides a different way of working of different part of the same article. Also the material (silicone resin) was important to achieve the result, in conjunction with the produc¬ tion process.

Claims

1) Valve operated catheter for urinary incontinence and retention comprising a flexible duct (2) designed to be inserted into the patient's urethra and having a spiral shaped distal portion (12) designed to be in¬ serted inside the bladder, said distal portion being provided with a plurality of holes (16) for the out¬ flow of the urine from the bladder to the inside of said duct, said catheter being charactarized in that it includes: a seat (21) that is made at the end of the catheter that remains outside of the penis; a valve (20) elastically deformable and provided with a slit (22) that is normally closed, said valve (20) being housed inside said seat (21); two winglets (25) fixed at the end of the duct . (2) and placed outside of the penis resting against the top of the glans, in such a way as to cause, as a con- sequence of the patient being pressing on them, the deformation of the part of said duct (2) correspondent to said seat (21), and consequently, the elastic de¬ formation of said valve (20) until the cited slit (22) opens.
2) Catheter according to claim 1, characterized in that the part of said duct (2) correspondent to said seat (21) is harder than the remaining part of said duct (2) .
3) Catheter according to claim 1, characterized in that said winglets (25) are harder than the remaining part of said catheter.
4) Catheter according to claim 1, characterized in that a reinforcement rib is formed along the side of each of said winglets that remains turned towards the glans.
5) Catheter according to claim 1, characterized in that the profile of the cited valve (20) and of the correspondent seat (21) is polygonal.
6) Catheter according to claim 1, characterized in that the profile of the cited valve (20) and of the correspondent seat (21) is oval.
7) Catheter according to claim, 1 characterized in that at least one protrusion is formed on the outer surface of said valve (20), said protrusion being de¬ signed to engage at least one correspondent groove ma- de inside said seat (21).
8) Catheter according to claim, 1 characterized in that the distal portion (12) of said duct (2), posi¬ tioned inside the bladder, has a shape of a spiral and is elastically deformable, said spiral having its axis perpendicular to the duct.
PCT/IT1992/000051 1991-12-05 1992-05-15 Valve operated catheter for urinary incontinence and retention WO1993010845A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
US08/244,541 US5445626A (en) 1991-12-05 1992-05-15 Valve operated catheter for urinary incontinence and retention

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ITB091A000459 1991-12-05
ITBO910459A IT1253903B (en) 1991-12-05 1991-12-05 VALVE CATHETER FOR INCONTINENCE AND URINARY RETENTION

Publications (1)

Publication Number Publication Date
WO1993010845A1 true WO1993010845A1 (en) 1993-06-10

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IT1992/000051 WO1993010845A1 (en) 1991-12-05 1992-05-15 Valve operated catheter for urinary incontinence and retention

Country Status (4)

Country Link
US (1) US5445626A (en)
AU (1) AU1916092A (en)
IT (1) IT1253903B (en)
WO (1) WO1993010845A1 (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1996034582A1 (en) * 1995-05-05 1996-11-07 Angiomed Gmbh & Co. Medizintechnik Kg Endosphincter, set for releasably closing the urethra and process for inserting an endosphincter into the urethra
WO2010041084A1 (en) * 2008-10-09 2010-04-15 Plethora Solutions Ltd Medical device

Also Published As

Publication number Publication date
ITBO910459A0 (en) 1991-12-05
AU1916092A (en) 1993-06-28
US5445626A (en) 1995-08-29
IT1253903B (en) 1995-08-31
ITBO910459A1 (en) 1993-06-05

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