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
  • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
  • A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
  • A61F5/451—Genital or anal receptacles
  • A61F5/453—Genital or anal receptacles for collecting urine or other discharge from male member

Definitions

• the invention relates to an external urinary catheter assembly for the relief of male urinary incontinence
• an inner member whicr is arrangeable, in a position of use, under the foreskin of a penis m surface contact with the corona thereof, a discharge conduit connected with an opening fcrme ⁇ in a distal end section of the inner member to be positioned substantially opposite the urethral orifice in said position of use to provide a seared urine flow passage extending in a substantially axial direction towards the exterior of the catheter assembly, arc an outer holder member formed m a distal end section with an opening for said discharge conduit and arrangeable, in said position of use, in a substantially fixed axial position with respect to the discharge conduit for circumferential engagement with the external side of the foreskin.
• an assembly comprising a relatively short funne_-l ⁇ ke u ⁇ dom device to be placed directly against the corona of the penis to be kept in place under the foreskin.
• an external sheathing body is fastened in an inverted position to be brought into engagement with the external side of the foreskin after application of the undom device to maintain the assembly m place by means of the sandwich position of the foreskin between the undom device and the external sheathing body.
• the discharge conduit of the undom device is connected with a hose member, through which discharged urine flows into a collection bag. After repeated discharges the weight of the collection bag becomes heavier and a tensile load is applied through the hose member and the discnarge conduct to the undom device positioned between the foreskin and the corona. Due to the integral connection of the external sheathing body with the undom device the tensile load is at least partly transferred also to the sheathing body with the inherent risk that the whole assembly may fall off from its position of use.
• GB-A-2 126 483 discloses another design, in which a more safe retamment of the assembly in the position of use is implemented by use of a tubular urine ducting device, e.g.
• EP-B-0 706 355 and 0 706 356 external urinary catheter assemblies are disclosed in which a more safe retance m the position of use is obtained vvith considerably less discomfort to the user by means of a short inner catheter member designed with improved form stability in its distal end part around the discharge conduit to be more safely kept in place under the foreskin by a separate substantially bowl- shaped outer holder member displaceably surrounding the discharge conduit of the catheter member to be movable between an application position, in which the holder member is partly removed from the catheter member and the position of use.
• connection means is provided to form in said position of use a stretchable link either between the outer holder member and the discharge conduit or between the discharge conduit and the inner member to maintain said circumferential engagement of the outer holder member with the external side of the foreskin also under tensile load conditions acting on the discharge conduit.
• connection means forming a stretchable link between the outer holder member and the discharge conduit the catheter assembly is Kept safely in place even under tensile load transferred from the collecting bag through the connecting hose member to the discharge conduit, since a certain movement or stretching of the discharge conduit may be allowed without affecting the position of the outer holder member in safe engagement with the external side of the foreskin. In fact, a tensile load acting on and causing slight stretching or even displacement of the inner member connected with the discharge conduct may increase the holding effect of the outer holder member.
• figs. 1 and 2 are sectional views of a first embodiment of the catheter assembly in an application position and a position of use, respectively
• fig. 3 is a perspective view of the outer holder member in the embodiment m figs. 1 and 2
• figs. 4 and 5 are sectional views of a second embodiment in an application position and a position of use, respectively
• fig. 6 is a sectional view of a third embodiment
• fig. 7 a partly sectional view of a fourth emoodiment
• fig. 8 is a partly sectional view of a fifth embodiment
• fig. 9 illustrates the embodiment in fig. 8 m the position of use
• fig. 10 is a side view of a sixth embodiment.
• the catheter assembly shown m figs. 1 and 2 comprises an inner member 1 which in a distal end section 2 is formed with an opening 3 which in a position of use as shown m fig. 2 is opposite the urethral orifice m the corona & of a penis .
• the distal end section 2 joins a discharge conduit 5 by which the catheter may be connected e.g. with a hose member, through which discharges of urine from the catheter member 1 may flow into a collection bag not illustrated.
• a sealed urine flow passage is provided to extend from the inner side of the inner member 1 facing the urethral orifice m a substantially axial direction towards the exterior of the catheter assembly.
• the inner member 1 is formed to be placed in use under the foreskin 6 of the penis in contact with the corona 4 ano the axial length of the part of the inner member contacting the corona is relatively short, e.g. between 5 and 35 mm, such that in use the catheter member only covers the extreme portion of the corona outside its largest diameter, just below which the corona is connected with the foreskin 6 through a sensitive skin band.
• the catheter 1 may be designed with increased form stability so as to form a shoulder portion having e.g. a substantially flat end face so that m use the catheter member 1 maintains its outer shape in the part which is engaged and retained by the foreskin 6.
• this increased form stability may be ootamed in a simple manner by reinforcement provided by an increased wall thickness in the distal end 2.
• the inner member 1 may be made from any material which is suitable for engagement with the sensitive skin of the corona 4 m sealing contact therewith.
• Suitable materials may comprise thermoplastic elastomeric materials like SBS, SEBS or SIS compounds, polyether, polyester, polyamide or polyurethane and may also comprise thermoplastic materials such as plastizised PVC or curable elastomeric materials like latex, nitrile rubber, chloroprene rubber, SBS rubber, isoprene rubber, silicone rubber or polyurethane.
• the inner side of the catheter member 1 may be coated with a layer 7 of a skm-friendly adhesive as used for medical articles intended to contact sensitive skin tissue.
• the discharge conduit 5 and the inner catheter member 1 are permanently connected with a surrounding outer holder member 8 having an opening 9 for the discharge conduit 5 by connecting means which according to the invention forms a stretchable link.
• the connecting means may comprise a short bellows- shaped member 10 having one end connected with the discharge conduit 5 and the other end connected with the outer holder member 8 at the edge of the opening g _
• the outer holder member 8 is formed as an vertible substantially bowl-shaped memoer, which from the inverted application position in fig. 1 may be brought into the position of use by tilting around its transition to the bellows member 10.
• the holder member 8 may be made of any suitable soft elastic, semi-rigio or rigid material such as thermoplastic materials or curable elastomeric materials as mentioned above for the inner member 1 or it may alternatively be made in the form of a web of textile material like gauze or non-textile material.
• the inner engagement surface of the outer holder member 8 may be coated with a layer 11 of a skm-friendly adhesive as mentioned above for the inner member 1.
• Such an adhesive layer may be dimensioned with controlled adhesive properties and/or be applied m various patterns as known in the art to control the adhesive force.
• an adhesive layer By use of an adhesive layer the length of the outer holder member the position of use may be reduced to cover only a part of the foreskin order to increase comfort in connection with removal of the catheter assembly.
• the provision of an adhesive is not compulsory, however, and may be dispensed with, since a sufficient holding force may be obtained by other means, e.g. dimensioning of the outer holder member with a length so as to cover, m the position of use the entire external side of the foreskin surrounding the corona .
• the stretchable link formed by the bellows-shaped member 10 will function to resist outwards displacement of the outer holder member 8 from its position of use in engagement with the external side of the foreskin 6, when tensile load conditions act as the discharge conduit 2, e.g. from the weight of a collecting Dag through a connecting hose member.
• the holding effect of the outer holder member is significantly improved to provide mcrased safety also under _oad conditions resulting from physical activities of the user.
• the proximal end of the outer holder member 8 is formed with a projecting flap 12, which may serve as a grip which can be operated to remove the outer holder member 8 by pulling back the projecting flap 12 in a direction towards the inverted position, from wnich the holder member was originally applicated .
• This feature of the invention may oe further improved, if the outer holder member is formed as shown in fig. 3 with a weakened tear-apart region or zone 13 extending at least partly from the flap 12 towards the opening 9. By operation of the flap 12 the outer holder member 8 will be torn apart for easy removal of the catheter assembly.
• the inverted application position of the outer holder member 8 may be used for arrangement of an applicator member 14 of a rigid or semi-rigid material inside the holder member 8.
• an annular applicator will be effective to facilitate accurate positioning of the inner member 1 in contact with the corona during application of the catheter assembly.
• the inner member 1' is of the same design and proportions as shown for the inner member 1 m figs. 1 and 2, whereas the outer holder member 15 is formed as a soft flexible u ⁇ dom-like member which in the application position shown in fig. 4 assumes a rolled- up condition surrounding the discharge conduit 5' of the catheter member 1' .
• the connecting means providing a stretchable link between the outer holder member 15 and the discharge conduit 5_' is in this embodiment designed as a distal end region 16 of the holder member 15 having reduced wall thickness, out could also comprise a bellows member as shown in figs. 1 and 2.
• the holder member 15 will be made of an elastomeric material such as e thermoplastic or curaole elastomer as mentioned above.
• the inner engagement surface of tne holder member 15 may optionally be coated with a layer 17 of a skm-friendly adhesive.
• this embodiment removal of the holder member 15 after use may be facilitated by forming the proximal end of the holder member 15 with a projecting flap 18 serving as a grip and, like in the embodiment in figs. 1 and 2, the holder member 15 may be formed with a weakened tear-apart region or zone 19 extending from the flap 18 at least partly towards the opening 20 for the discharge conduit 5' .
• the catheter assembly may comprise a separate rigid or semi-rigid annular applicator member 21 of a design known per se arranged in contact with holder member 15 in its rolled-up application position .
• the outer holder member 8 or 15 may preferably be formed integrally in one piece with the inner member 1 or 1 ' and the discharge conduit 5 or 5', whereby manufacture of the catheter assembly as a one-piece device may be made simply by moulding.
• the holder member 8 or 15 may. however, also be connected with the inner member and the discharge conduit by other conventional methods such as welding, adhesive bonding etc.
• a modification of the embodiment in figs. 4 and 5 is shown, in which the inner member 1' ' is of the same design as m the embodiments of figs. 1 - 2 and 4 - 5, whereas the outer holder member 22 is formed as a separate member, not permanently connected with the inner member and the discharge conduit.
• the holder member 22 joins an annular retaining member 23, which circumferentially engages the discharge conduit 5'' to maintain the holder member 22 m an axially fixed position with respect to the discharge conduit 5'' m the position of use of the catheter assembly.
• a separate holder member may be formed e.g. as a semi-rigid bowl-shaped member connected with a retaining member by a bellows member as shown in figs . 1 and 2
• the retaining member 23 which may be made from an elastomeric material, may be displaceably arranged on the discharge conduit 5'' and engage it by a relatively close frictional fit to secure the holder member in the axially fixed position the position of use or the discharge conduit 5 ' ' may be formed with a projecting circumferential rib 23a which can be passed by the retaining member 23 and secures the axially fixed position of the retaining member and thereby the holder member 22.
• the inner member 24 is formed with a relatively flat reinforced distal end section 26 in connection with the discharge conduit 27.
• a lining 25 of a resilient skm-friendly material joins the formstable distal end section 26.
• the inner member 24 and the discharge conduit 27 may conveniently be formed as an integral two-component member composed of a soft elastic material such as any of the materials mentioned in the foregoing and a reinforcement material added to or forming the distal end section 26 to provide formstability .
• the outer holder member 28 may oe formed as shown with a proximal skirt-like part 29 of a semi-rigid elastic material, which is connected with a ring member 31 secured to the discharge conduit 27 by a number of spaced strip-like connecting members 30 providing a stretchable link.
• the inner member 1'' ⁇ is of the same general form as shown in figs. 1-2 and 4-6.
• the outer holder member is composed of an mvertible, bowl-shaped part 32 of a soft elastic, semi-rigid or rigid material, of the same general form as the outer holder member shown m figs. 1 and 2, and a generally tubular retaining part 33 formed m one piece with the bowl-shaped part 32 and surrounding the discharge conduit 5'' x over a substantial part of the length thereof.
• the tubular retaining part 33 may be displaceably arranged on the discharge conduit 5'' ⁇ and engage it by a relatively close frictional fit.
• the tubular retaining part 33 may be connected with the discharge conduit 5'' ⁇ by a relatively weak adhesive joint, e.g. localized in one or more dots.
• the tubular retaining part 33 and the major part of the adjoining bowl-shaped part 32 is made with an increased wall thickness providing a relief-like surface providing a number of petals 34 towards the free edge 35 of the bowl-shaped part 32, whereas sectors 36 of the bowl shaped part 32 between the petals 34 has a smaller wall thickness.
• a local wall thickness reduction at the transition between the retaining part 33 and the bowl-shaped part 32 provides a stretchable elastic link 37 having somewhat the same character and function as a film-hinge, whereby the bowl-shaped part 32 may be brought from the inverted position shown in fig. 8 to the position of use illustrated m fig. 9 by snap action.
• a stretchable link is alternatively formed between the interconnected retaining part and discharge conduit at the joint 52 and the distal end section 53 of the inner member 1'' by means of a wall part 54 of reduced thickness causing the wall part 54 to collapse by the inversion of the bowl-shaped member 32 towards tne position of use, in which the bowl-shaped member 32 is very safely held against the external side of the foreskin due to the combination of the squeezing effect of the flower-like design and the adhesive coatings 38.
• inversion of the bowl- shaped part 32 to the position of use may be assisted by use of an annular applicator member 39 of generally U-shaped cross-section with a relatively short inner wall part 39a and a longer outer wall part 39b. Thereby, the inversion may be performed by a relatively modest pressure on the applicator 39 in the direction of arrow 40.
• this applicator design also provides a protection of the adhesive coatings 38, which in the inverted position in fig. 8 are facing outwards.
• outer holder member illustrated m fis. 8, 9 and 11 may be facilitated by means of linear weakening zones 41 provided at diametrically opposite locations throughout the axial length of the tubular retaining part 33 and the bowl-shaped part 32, each such weakening zone joining the bottom of a recess 42 formed from the free end of the tubular retaining member 33 to provide a pair of gripping flanges 43.
• the outer holder member 44 is of the same general geometrical shape as shown m figs.
• a section line 48 extending through the axial length of the retaining part 46 and part of the axial length of the bowl-shaped part 49 allows slight separation of the adjoining edge regions.
• a flap member 50 is provided on the inner side w th an adhesive coating 51 to secure the bowl-shaped part 49 in engagement with the foreskin in the position of use by an adhesive joint.

Landscapes

• Health & Medical Sciences (AREA)
• Reproductive Health (AREA)
• Epidemiology (AREA)
• Nursing (AREA)
• Orthopedic Medicine & Surgery (AREA)
• Engineering & Computer Science (AREA)
• Biomedical Technology (AREA)
• Heart & Thoracic Surgery (AREA)
• Vascular Medicine (AREA)
• Life Sciences & Earth Sciences (AREA)
• Animal Behavior & Ethology (AREA)
• General Health & Medical Sciences (AREA)
• Public Health (AREA)
• Veterinary Medicine (AREA)
• Orthopedics, Nursing, And Contraception (AREA)

Applications Claiming Priority (3)

Publications (1)

Family

ID=8106773

Family Applications (1)

Country Status (7)

Families Citing this family (4)

Family Cites Families (6)

• 2000
  • 2000-11-13 CN CN00815616A patent/CN1390116A/zh active Pending
  • 2000-11-13 JP JP2001537673A patent/JP2003513753A/ja not_active Withdrawn
  • 2000-11-13 EP EP00974354A patent/EP1227775A1/en not_active Withdrawn
  • 2000-11-13 AU AU12699/01A patent/AU1269901A/en not_active Abandoned
  • 2000-11-13 WO PCT/DK2000/000629 patent/WO2001035877A1/en not_active Application Discontinuation
  • 2000-11-13 CA CA002390429A patent/CA2390429A1/en not_active Abandoned
  • 2000-11-13 HU HU0203932A patent/HUP0203932A2/hu unknown

Non-Patent Citations (1)

Also Published As

Similar Documents

Legal Events