U.S. patent number 3,592,197 [Application Number 04/809,918] was granted by the patent office on 1971-07-13 for catheter.
Invention is credited to Milton J. Cohen.
United States Patent |
3,592,197 |
Cohen |
July 13, 1971 |
CATHETER
Abstract
This application discloses a catheter which comprises a hollow
tube having a plurality of extensions at one end which are normally
urged, by springs or other force exerting means, outwardly of the
tube so that after the catheter has passed through a body passage
or canal, with the end carrying the extensions entering first, when
the extensions enter a body cavity the extensions will bend
outwardly engaging the walls of the cavity adjacent the passage to
retain the catheter therein so that fluid may be drained from the
cavity.
Inventors: |
Cohen; Milton J. (Washington,
DC) |
Family
ID: |
25202492 |
Appl.
No.: |
04/809,918 |
Filed: |
March 24, 1969 |
Current U.S.
Class: |
604/106;
604/523 |
Current CPC
Class: |
A61F
2/0004 (20130101); A61M 25/04 (20130101); A61M
27/008 (20130101); A61F 2/04 (20130101); A61B
2090/036 (20160201) |
Current International
Class: |
A61F
2/00 (20060101); A61F 2/04 (20060101); A61M
25/04 (20060101); A61M 25/02 (20060101); A61B
19/00 (20060101); A61m 025/00 () |
Field of
Search: |
;128/348--351,343,239--245,248,251,130,131 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
I claim:
1. A catheter comprising a hollow tube formed from a flexible
material, said tube having a cylindrical portion surrounding a
passage and a pair of portions at one end thereof movable from a
position where they contact each other and are coextensive with the
longitudinal axis of said tube to a position where they extend at
an angle to that axis, each portion having a spring element
embedded therein, each spring element extending a short distance
into opposite sides of the cylindrical portion of said tube and
each spring element being curved so as to exert a force outwardly
of the longitudinal axis of said tube so as to cause said pair of
portions to move to the position where they extend at an angle to
the axis of said tube.
Description
BACKGROUND OF THE INVENTION
This invention relates to the catheters for draining fluids from
body cavities. More specifically, it relates to improvements in the
means for retaining such catheters in the body to provide a passage
therefrom while it is desirable or necessary to drain the fluid
trapped therein.
Catheters are used during medical and surgical procedures to drain
fluid or fluids which may be trapped in a body cavity due to an
organ malfunction, blockage of a passage to the outside of the body
or when caused by infection or other disorders. Quite commonly, one
of these situations occurs in connection with disorders of the
genital-urinary system and requires that the contents of the
bladder be drained. This is done by passing the catheter through
the urethra to the bladder.
Heretofore, a most common catheter used for this purpose is one
composed of a length of rubber tubing having two passages
therethrough. The larger of these passages is used for the
evacuation of the trapped fluid such as urine. The small passage is
used for the passage of sterile water into an inflatable area at
the end of the catheter which has been inserted into the bladder. A
deformable valve is provided at the end of the catheter protruding
from the urethra into which is inserted a syringe filled with the
sterile water to be inserted into the inflatable area. The
inflatable area balloons upon the insertion of the water and being
larger than the urethral opening it prevents the catheter from
slipping out.
This kind of device has several disadvantages, first it is
relatively complicated and expensive to manufacture and second
since the opening of the catheter is above the inflated area the
fluid in the cavity cannot be completely evacuated. Since the
desire is to empty the cavity completely in many cases, as for
instance, the case of urine in bladders, it is necessary to resort
to manual compression on the external area around the cavity.
Further, such devices have been known to cause internal irritation
which can be at least uncomfortable, if not harmful. Another
problem of the prior art catheters is that infrequently many
patients, such as the elderly, the senile, etc., sometimes, because
of the discomfort they experience, will actually pull the catheter
out. In so doing, they will do damage to themselves by dragging
through the body passage the rubber sphere containing water.
Therefore, it is an object of this invention to provide a novel
catheter which is simple in construction and relatively inexpensive
to produce and sell.
It is another object of this invention to provide a novel catheter
which can be inserted through a body passage into a body cavity in
a simple manner without the need for several steps of
manipulation.
It is another object of this invention to provide a novel catheter
which may be inserted into a body cavity and can be retained
therein with less possibility of internal irritation than those
previously available.
It is still another object of this invention to provide a novel
catheter which, if withdrawn because of patient discomfort, will
not cause any serious irritation or damage to the patient.
Briefly, these and other objects are achieved in one embodiment of
the invention by the provision of a hollow tube provided with
portions at one end thereof which tend to assume positions
outwardly angled to the longitudinal axis of the tube to retain the
tube in a canal extending from a body cavity but which may be
positioned coextensive with that axis to permit their passage and
the passage of the tube through the canal into the cavity.
The invention itself is particularly pointed out and distinctly
claimed in the concluding portion of this specification.
Embodiments of the invention both as to their organization and
method of use together with further objects and advantages may best
be understood by reference to the following description taken in
connection with the accompanying drawing in which:
FIG. 1 is a cross-sectional illustration of a catheter in
accordance with the invention being inserted into a body passage
toward a cavity at the end thereof;
FIG. 2 is a cross-sectional view similar to FIG. 1 wherein the
catheter has been completely inserted and is in position;
FIG. 3 is a cross-sectional illustration of an alternative
embodiment of one portion of the invention; and
FIG. 4 is a cross-sectional illustration of an alternative
embodiment of another portion of the invention.
In FIG. 1, an embodiment of the invention is illustrated in the
process of being inserted through a body passage leading a body
cavity from which it is desired to drain trapped fluid. The
representation in this drawing is that of the urethra leading to
the bladder in male body. Obviously, by varying the dimensions of a
catheter in accordance with the invention it can be designed for
use in different situations, as for example, female bodies and
canals and cavities other than illustrated. In this figure, the
lining of the urethra, represented by the cross-hatched portion 2,
terminates in the bladder 4. In a number of disorders it is not
uncommon for urine to be trapped in the bladder and in this
situation it is desired to drain the fluid in order to provide
relief for the patient and as a therapeutic measure.
In accordance with the invention there is provided a catheter 6
constituted by a hollow flexible tube. The tube may be formed from
any flexible material which is inert when inserted into the body,
that is, it does not react with body fluids so as to liberate
harmful substances into the body or be subject to deterioration by
the action of body fluids. Such materials may be natural and
artificial rubbers, plastics or even thin walled metal tubes formed
from such metals as stainless steel. At one end of the tube a
plurality of bendable portions or separable ends 8 are provided. In
the embodiment illustrated, two such portions are shown, but this
can be varied by a designer using as criteria such factors as the
conformation of the cavity to be drained and the passage leading to
it. The portions 8 are formed as extensions beyond the end of the
flexible tube. In FIG. 1 these extensions are illustrated as being
coextensive with the longitudinal axis of the tube so as to
facilitate their entry and travel through a body passage 3. In this
figure, the portions 8 are provided with confronting surfaces 10
which engage each other during the travel of the tube through the
passage 8. In a normal position, that is, prior to the entry of the
tube into the passage 3 and after the tube has been inserted a
sufficient distance to permit the portions 8 to enter into the
cavity constituted by the bladder 4, these portions extend
outwardly at an angle to the longitudinal axis of the tube. This
normal position is achieved in this embodiment by providing spring
elements 12 in the portions 8 which are curved in such a way as to
exert a force outwardly of the longitudinal axis of the tube. When
restrained by a user or by the walls of the passage 3, they assume
the position illustrated in FIG. 1.
Provided at the other end of the catheter is a circular flange 14
which functions as a means to limit the insertion of the catheter
into the body engaging with an anatomical surface around the body
exit of the passage. Thus, as the catheter is inserted, the flange
14 will engage an outer surface of the body through which the body
passage 3 exits to the exterior of the body. As shown in this
figure, such an outer surface is constituted by the end of a penis
16.
Referring to FIG. 2, it may be seen that the catheter has entered
through the urethra so that the extensions 8 are disposed within
the bladder and have assumed their normal position by virtue of the
outward force exerted by the spring elements 12. At the same time
the flange 14 has engaged the end 16 so that the insertion of the
catheter has been limited and the portions 8 lie within and against
the lower wall of the bladder 4. In this position an inner opening
18 of the catheter is provided and is in direct contact with the
fluid contained within the bladder so that the fluid may drain
therefrom to the outside of the body.
In FIG. 3, a flange or guard 14' instead of being formed integrally
with the tube is formed as a separate element retained on the outer
periphery of the tube by virtue of a frictional fit therewith so
that it may be moved along the length of the tube as shown by the
dotted line illustration in order to adjust the stock to
accommodate body passages of varying length.
In FIG. 4 extensions or separable ends 8' instead of having springs
12 provided therein to exert an outward force to cause them to
assume a position at an angle to the longitudinal axis of the tube
are formed during the fabricating process so as to normally assume
such a position. This can be accomplished by providing a mold for
use in fabricating the catheter out of a moldable material which
has a configuration at its one end conforming to the shape of this
embodiment of the catheter.
In use the catheter is inserted into a body passage such as the
urethra and positioned upwardly until the guard 14' contacts the
outer end of the passage opening. When this occurs, there is a
simultaneous emerging of the separable ends 8' into the lower area
of a body cavity such as the bladder. The separable ends
immediately diverge due to the action of the outward force applying
means and lie with a slight pressure against the inner wall of the
cavity. This separation allows the opening of the upper end of the
catheter to be in direct contact with the cavity contents at the
lowest point in the cavity so that complete evacuation of the body
hood is achieved. When it is desired to remove the catheter, the
user merely grasps its outer exposed end and gently pulls so that
the separable ends within the cavity come together, thus releasing
their internal retaining force so that the catheter may be
removed.
It will be understood that changes may be made in the details of
construction, arrangement and operation without departing from the
spirit of the invention, especially as defined in the following
claims.
* * * * *