U.S. patent number 3,683,928 [Application Number 05/022,550] was granted by the patent office on 1972-08-15 for urethral catheter applicator.
Invention is credited to David H. Kuntz.
United States Patent |
3,683,928 |
Kuntz |
August 15, 1972 |
URETHRAL CATHETER APPLICATOR
Abstract
An improved urethral catheter applicator includes a catheter
storage cartridge, means for lubricating and unidirectionally
advancing a tubular urethral catheter through and from the device
while the device is held and manipulated in one hand, and a
specially shaped nose portion for accurately positioning the device
adjacent the urethra.
Inventors: |
Kuntz; David H. (Los Angeles,
CA) |
Family
ID: |
21810160 |
Appl.
No.: |
05/022,550 |
Filed: |
March 25, 1970 |
Current U.S.
Class: |
604/171; 206/364;
206/409 |
Current CPC
Class: |
A61M
25/0111 (20130101); A61M 2025/0062 (20130101) |
Current International
Class: |
A61M
25/01 (20060101); A61m 025/00 () |
Field of
Search: |
;128/348,349R,349B,349BV,35R,351,276,214.4 ;206/63.2R,63.2A |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
What is claimed is:
1. A urethral catheter applicator device comprising:
a container for storing a catheter in preparation for use having an
exit opening at one end thereof;
a pair of relatively reciprocal one-way-motion-permitting members,
one of which is connected to and in axial alignment with said
container, said members located adjacent to said opening but
distinct from the container for ultimately withdrawing the catheter
from the container through said opening and extending it forwardly
for application to a patient, said reciprocal members including one
member of said pair being in axial spaced alignment with respect to
the other member permitting axial reciprocation between both of
said members; and
guide means connected forward of the reciprocal members for
contacting and depressing the area of the patient immediately
surrounding the urethra opening to facilitate the progressive
insertion of the catheter into the urethra.
2. An improved catheter applicator device capable of
one-hand-operation comprising:
a. a self-supporting cartridge defining a cavity for storing a
catheter;
b. a self-supporting hollow container disposed over and extending
forward of said cartridge;
c. first and second unidirectional control means defining catheter
passageways disposed within the area defined by said container
forward of said cavity;
d. resilient means resiliently interconnecting said first and
second unidirectional control means and biasing the same apart for
reciprocation thereof between a mutually relatively closely spaced
position and a mutually relatively distantly spaced position;
and,
e. a flexible catheter stored in said cartridge and extending
forward through said catheter passageways in engagement with said
control means.
3. The improved urethral catheter applicator of claim 2 wherein
said container is in slideable engagement with said cartridge and
wherein spaced grip means are disposed adjacent said control means
for one-hand reciprocation of said control means, said grip means
including a first finger grip secured to the outer surface of said
container and a second finger grip secured to said cartridge
rearward of said container.
4. The improved urethral catheter applicator of claim 2 wherein a
hollow tapered nose portion is disposed adjacent to the front end
of said container, extends forwardly of said container and defines
a catheter passageway in the front end thereof, wherein said
catheter is disposed in coiled array in said cartridge and wherein
said cartridge includes a closed rear end wall defining a catheter
passageway.
5. The improved urethral catheter applicator of claim 4 wherein
said first unidirectional control means comprises a plurality of
forwardly and inwardly directed flaps disposed in the front end of
a second hollow container located between said nose portion and
said first container and connected thereto, wherein said
containers, cartridge and nose portions are transparent and wherein
said second unidirectional control means comprises a plurality of
forwardly and inwardly directed flaps disposed in the front end of
said first hollow container.
6. An improved urethral catheter applicator comprising, in
combination:
a. A hollow cartridge generally circular in transverse
cross-section, including a rear storage compartment adapted to
receive a catheter in coiled array, a substantially closed rear end
and a necked-down open front portion;
b. means for advancing a tubular catheter unidirectionally through
said applicator including:
1. first unidirectional control means defining a catheter
passageway disposed forward of said rear storage area,
2. a hollow container generally circular in transverse
cross-section and having an open rear end and a front end
containing second unidirectional control means defining a catheter
passageway disposed forward of said first unidirectional control
means, and
3. resilient means resiliently interconnecting said first and
second unidirectional control means in spaced relation for
reciprocation thereof between a mutually relatively closely spaced
position and a mutually relatively distantly spaced position;
c. a hollow nose portion generally circular in transverse
cross-section connected adjacent said front end of said container
and extending forward therefrom and including a front end defining
a catheter passageway; and,
d. a hollow flexible tubular catheter disposed in coiled array in
said rear storage compartment and extending longitudinally forward
through said catheter passageways.
7. The improved urethral catheter applicator of claim 6 wherein
said applicator is dimensioned for use in one hand of an operator,
wherein said first unidirectional control means is disposed in the
front end of a second hollow container generally circular in
transverse cross-section, wherein said front end of said nose
portion is smoothly contoured and dimensioned for efficient
approximation to an urethral opening and is spaced forwardly of
said front end of said first container to define therewith a
reservoir for reception of lubricant.
8. The improved urethral catheter applicator of claim 7 wherein
said cartridge, said containers and said nose portion are of clear,
transparent, smooth, self-supporting material and wherein said
first container includes finger grip means to facilitate said
reciprocation.
9. The improved catheter applicator of claim 7 wherein said second
container has an open rear end, is disposed in nested abutting
relation to said cartridge and extends forward thereof, and wherein
said first container is disposed in nested spaced relation to said
second container and extends forward thereof.
10. The improved catheter applicator of claim 9 wherein said
cartridge, first and second containers and nose portion are of
generally frusto-conical configuration, wherein said first and
second unidirectional control means each comprise at least one
forwardly and inwardly directed flap adapted to contact the
exterior of said catheter, wherein said resilient means comprises a
coiled spring extending between the outer surface of the front end
of said second container and the inner surface of the front end of
said first container, and wherein said first container includes
finger grip means disposed adjacent the outer surface thereof.
11. The improved urethral catheter applicator of claim 9 wherein
said first and second unidirectional control means each comprises a
forwardly and inwardly sloped neck bounding said catheter
passageway, wherein each of said first and second containers has a
peripheral rim adjacent the rear end thereof, and wherein said
resilient means comprises at least one flexible strip connected to
both of said rims.
12. The improved urethral catheter applicator of claim 10 wherein
said rear end of said cartridge defines an opening through which
said catheter extends for connection to urine collection means,
wherein said reservoir includes a third container having a
necked-down front portion defining an opening axially aligned with
said catheter passageways, and wherein said first, second and third
containers and said cartridge each contain longitudinally extending
tear strips to facilitate stripping of said applicator from said
catheter.
13. The improved urethral catheter applicator of claim 8 wherein
said cartridge is said second container, wherein said first
container and said nose portion are of generally cylindrical
configuration, wherein said first container is disposed in nested
relation over said cartridge and extends forward thereof, wherein
said cartridge and said first container each have a peripheral rim
adjacent the rear end thereof, wherein said resilient means
comprises a coiled spring disposed over the exterior surface of
said cartridge and secured to the front surface of said cartridge
rim and the rear surface of said container rim, wherein said first
and second unidirectional control means each comprise at least one
forwardly and inwardly directed flap adapted to contact the
exterior of said catheter, and wherein said cartridge defines an
opening through which the rearward portion of said catheter extends
tangentially outward for connection to urine collection means.
Description
BACKGROUND OF THE INVENTION
1. Field of the Invention
The invention relates to medical devices, specifically urethral
catheter applicators.
2. Description of the Prior Art
Urethral catheters frequently are inserted without the use of an
applicator. Problems arise with respect to keeping the field
aseptic and with respect to manipulation of the catheter during
insertion. Such applicators as are in use generally require the
operator to use both hands, one to hold the device and the other to
feed the catheter through the device. Inasmuch as it is also
necessary to position accurately the catheter with respect to the
urethra and to hold the labia apart or to manipulate the penis to
clearly expose the urethra, the aid of an assistant sometimes also
is required. Problems of maintaining a sterile field and of
maintaining a clear view of the procedure in order to facilitate
catheter insertion are also encountered. Lubrication of the
catheter is desired for ease of insertion and care must be taken to
lubricate the catheter in a sterile manner. Accordingly, there is a
need for a simple, effective catheter applicator capable of
facilitating sterile catheter insertion, providing convenient
catheter lubrication and permitting one hand operation of the
device, including advancement of the catheter, so that the other
hand of the operator is free to assist in positioning and exposing
the urethra for rapid and easy catheter insertion.
SUMMARY OF THE INVENTION
The invention generally is as described in the Abstract. The
catheter-advancing means includes a hollow container generally
circular in cross-section and having an open rearward end and a
front end having catheter control means defining an opening and
adapted to permit forward movement while inhibiting rearward
movement of an urethral catheter tube therethrough, catheter
control means spaced rearwardly of that front end and defining an
opening, and resilient means interconnecting the rearwardly
positioned catheter control means and the container for mutual
reciprocation between two spaced positions. This arrangement
functions to unidirectionally advance the catheter through the
applicator.
BRIEF DESCRIPTION OF THE DRAWINGS
A better understanding of the invention may be had from a
consideration of the following detailed description, taken in
conjunction with the accompanying drawings, in which:
FIG. 1 is a schematic perspective view of a first embodiment of the
applicator of the invention depicting the applicator connected to a
collection bag;
FIG. 2 is an exploded schematic perspective view of the applicator
of FIG. 1;
FIG. 3 is a schematic perspective view of a second embodiment of
the applicator of the invention;
FIG. 4 is an exploded schematic perspective view of the applicator
of FIG. 3;
FIG. 5 is a schematic perspective view of a third embodiment of the
applicator of the invention;
FIG. 6 is an exploded schematic perspective view of the applicator
of FIG. 5; and
FIG. 7 is a view showing the manner of manipulation of arrangements
in accordance with the invention.
DETAILED DESCRIPTION
Embodiment of FIG. 1 and FIG. 2
A preferred embodiment of the present urethral catheter applicator
is schematically set forth in FIGS. 1 and 2 in perspective.
Referring to those figures, an urethral catheter applicator 10 is
shown comprising a catheter storage cartridge 12, a first container
14 disposed over and forward of cartridge 12, a coiled spring 16
disposed over and forward of container 14, a second container 18
disposed over and forward of spring 16 and container 14 a nose
portion 20 connected to the front end of container 18 and a
catheter 22 disposed within applicator 10. As depicted in FIGS. 1
and 2, applicator 10, except for spring 16 (which may be spring
steel or the like) preferably is formed of clear transparent,
smooth self-supporting material, such as an acetate or other
thermoplastic or thermosetting plastic of suitable gauge. The
catheter 22 may be of plastic, rubber or the like, generally
circular in cross-section. Obviously, applicator 10 can, if
desired, be fabricated of any one or more other suitable materials,
including rubber, fiberboard, or the like.
Cartridge 12 is generally circular in transverse cross-section and
preferably is generally frusto-conical, as shown in FIGS. 1 and 2,
with a broad rear storage portion 24 and a narrow necked down front
portion 26 defining a central opening (catheter passageway) 28. The
rear end 30 of cartridge 12 is closed except for an opening 32 and
may be provided with a finger-gripping rim 34 extending outwardly
from cartridge 12 along the periphery thereof. In the assembled
applicator 10 before use a substantial portion 36 of catheter 22
lies in a compact spirally coiled position in portion 24, while a
portion 38 thereof extends laterally tangentially through opening
32 for connection with suitable urine collecting means (not a part
of this invention), such as the collection bag 40, shown in phantom
outline. A portion 42 of catheter 22 extends longitudinally forward
through opening 28 and the remainder of applicator 10 for
withdrawal of catheter 22 by operation of catheter-advancing means
more particularly described hereinafter. The shape of cartridge 12
is important in that the cross-sectional configuration plus the
wall shape of the necked-down portion 26 permit catheter 22 to
uncoil and straighten as it is forwardly withdrawn therefrom, as
shown in FIGS. 1 and 2, by the catheter-advancing means. As
assembled, the container 14 is nested over and forward of cartridge
12 with the rearward portion thereof in contact with the exterior
surface of portion 24. Container 14 is hollow and generally
circular in transverse cross-section and preferably is of
frusto-conical configuration as shown in FIGS. 1 and 2, with an
open rear end 46 bounded by an outwardly extending peripheral rim
48 (which serves as a finger grip) and a front end 52 closed except
for a central catheter passageway 50. That passageway is bounded by
forwardly and inwardly extending flaps 54 which grip catheter 22,
permitting forward movement of catheter 22 while inhibiting
rearward movement thereof through applicator 10. Rims 34 and 48
abut while the front end 52 of the container 14 is spaced forwardly
of the front portion 26 of the cartridge 24.
Spring 16 is helically coiled and of sufficient diameter to seat
around flaps 54 and abut the inner surface of the front end 56 of
container 18 which may be of the same general frusto-conical
configuration, as shown in FIGS. 1 and 2, as container 14 and has a
rear portion 58, an open rear end 60, and an outwardly extending
peripheral rim 62. In the front end 56 a central catheter
passageway 64 is provided, bounded by four forwardly and inwardly
extending flaps 66 comparable in function to flaps 54. Container 18
is slightly larger than container 14 and is nested over and spaced
from container 14 by the spring 16, as shown in FIGS. 1 and 2.
The nose portion 20 is hollow, generally circular in transverse
cross-section, and preferably generally frusto-conical in
configuration, with the rear portion 68 thereof secured to
container 18 adjacent front end 56 of that container, as by
adhesive, glue, etc. Alternatively, it may be formed integrally
therewith. This arrangement provides a space 70 between front end
56 of the container 18 and the front end 72 of nose portion 20
which serves as a lubricant well 74. Front end 72 is dimensioned,
smoothly rounded and contoured, as shown in FIGS. 1 and 2, with a
recessed central portion 76 surrounding a central catheter
passageway 78, so as to facilitate catheter insertion into the
urethra. Thus, its configuration is such that the labia of the
female can be easily and smoothly separated without discomfort by
pressing the nose portion 20 towards the urethra, thereby exposing
the urethra (preferably to view through the transparent wall of
nose 20) and permitting easy positioning of passageway 78 adjacent
thereto so as to facilitate catheter insertion.
The assembled applicator 10 is shown in FIG. 1, with cartridge 12
slidably received in container 14, catheter 22 coiled therein and
extending tangentially outwardly for connection with the collection
bag 40 (of plastic, rubber, etc.) and longitudinally forwardly
through passageways 28, 52, 64 and 78 and to the front of the
applicator. For purposes of illustration the catheter 22 is shown
as extending slightly from the applicator device 10, although it
should be understood that in the pre-packaged state it will be
wholly enclosed in the device. This facilitates packaging and also
insures lubrication of the tip of the catheter when lubrication is
provided by the device. Also the rearward end 38 may extend
downwardly through an opening in the bottom of the storage
container 12, although it preferably exits tangentially thereto,
leaving the base unencumbered so the device may be set down on a
table in a stable upright position. As shown in FIGS. 1 and 2,
catheter 22 may be provided with a rounded and tapered front end 80
containing an opening 82 in communication with a central passageway
84 therethrough for urine collection. Well 74 may be partially or
wholly filled with a suitable lubricant (not shown) before use to
lubricate the exterior of catheter 22 as it passes therethrough.
Applicator 10 can be fabricated in any suitable conventional
manner, as by extrusion, hot forming and the like, depending on the
particular materials of construction.
Mode of Operation
It will be understood that the well 74 preferably is at least
partly filled with a suitable lubricant immediately before use of
applicator 10 so that lubrication of catheter 22 automatically
occurs as it passes through well 74. The applicator 10 is used by
first grasping it in one hand with the thumb against the rearward
end 30 and the forefinger and middle finger abutting opposite sides
of the front surface of rim 62, as indicated in FIG. 7, and then
guiding the nose portion 20 to a position adjacent the urethra, as
described above. The other hand of the operator, if desired, can be
used to aid in separating the labia or in holding the penis to
facilitate proximation of nose portion 20 and the urethra. A hollow
flexible tubular sleeve extension (such as is shown in FIGS. 5 and
6) can be connected to the nose portion 20 for sterile reception of
the penis and alignment thereof while handling for catheter
insertion. Such a sleeve preferably is clear transparent
material.
The operator can insert the front end 80 of catheter 22 into the
urethra manually or solely by means of applicator 10, preferably
the latter, and alternately moves container 14 and container 18
toward each other against the action of spring 16, compressing it,
by pushing forward against end 30 and rearward against rim 62, and
then allows them to move away from each other by easing up the
compressing finger force and allowing spring 16 to return to its
uncompressed state. This reciprocating action has the effect of
progressively drawing catheter 22 from its coiled position in
cartridge 12, straightening it and intermittently moving it forward
and out passageway 78 and into and through the urethra. Flaps 54
and 66 prevent catheter 22 thus advanced by each compressing
movement from retreating each time spring 16 is allowed to return
to its uncompressed state. This arrangement permits complete
control by the operator of the rate of advance of the catheter
through the urethra with only one hand needed to manipulate the
catheter and applicator (FIG. 7).
When catheter 22 has been fully advanced to the desired anatomical
location, applicator 10 can be stripped away by holding the
catheter in position relative to the patient and rearwardly pulling
the applicator 10 therefrom. If necessary, bag 40, if connected to
catheter 22, can be disconnected therefrom to facilitate removal of
applicator 10 and then can be reconnected to catheter 22 while a
clamp (not shown) maintains the catheter passage 84 closed. The
desired urine can then be collected in bag 40 or other receptacle
and catheter 22 thereafter can be removed in the usual manner.
Applicator 10 preferably is dimensioned to fit the hand easily, a
typical embodiment being, for example, about 2 inches in diameter
at the rearward end and slightly less than 1 inch in diameter at
the front end, and having an overall length of about 31/2 inches,
with rims 48 and 62 spaced about 1 inch apart when spring 16 is in
uncompressed state and about one-half to three-fourths inch apart
when normally compressed during use. Catheter 22 may be about
one-eighth inch in diameter and can be advanced intermittently
about, for example, one-fourth to one-half inch during the
compression portion of each catheter-advancing cycle.
Applicator 10 can be made conveniently small and simple, yet
provides adequate storage for the catheter, can be easily
sterilized and kept sterile in use, is inexpensive and disposable,
is preferably transparent for ease of viewing during catheter
insertion and can be easily packaged in a sterile state ready for
use.
Embodiment of FIGS. 3 and 4
A further embodiment of the applicator of the invention is depicted
schematically in FIGS. 3 and 4. Components thereof which are
substantially identical to those of FIGS. 1 and 2 bear primed
reference numerals corresponding to those of FIGS. 1 and 2. In this
regard, FIGS. 3 and 4 depict an applicator 10', containing a
cartridge 12', first container 14', second container 18', nose
portion 20' and catheter 22', all generally similar in
configuration, construction and function to the comparable
components of the embodiment of FIGS. 1 and 2. However, in place of
coiled spring 16, a pair of resilient strips 86 attached to rims
48' and 62' interconnect containers 14' and 18'. Strips 86 may be
fabricated of relatively stiff but still flexible plastic, rubber
or the like, normally biasing containers 14' and 18' apart but
capable of flexing during the previously described compression and
then of returning those containers to their initial position on
removal of compressive force.
Moreover, catheter 22' is bifurcated (of a retention type catheter
configuration) to permit injection of air to inflate an air bag at
the forward end of the catheter, as is known. To facilitate
stripping of the applicator 10' therefrom, each component thereof,
except catheter 22' and strips 86, is provided with a tear strip.
Thus, tear strips 88, 88a, 88b and 88c are provided, as well as a
tear strip 88d for a separately formed lubricant well 90 which is
of generally frusto-conical configuration and is secured at its
open bottom (rear) end 92 to front end 56' of container 18'. The
tear strips in each instance may comprise, for example, a pair of
parallel weakened or scored lines 94 and 96, with or without a tear
tab 98 connected to one end thereof. Well 90 is provided with a
necked-down front portion 100 defining a central opening 102
through which catheter 22' passes. The configuration of well 90 is
such that during intermittent advancement of catheter 22'
therethrough, lubricant which may be disposed in well 90 tends to
be pumped to the front portion 100 to effectively coat catheter 22'
as it emerges from applicator 10'. There is a diaphragm action from
the motion of catheter 22' intermittently moving through opening
64' of container 18' which tends to effect the described lubricant
pumping. Opening 64' is defined by a forwardly and inwardly sloped
portion 104 which substitutes for and is similar in function to
flaps 66 of the first embodiment of FIGS. 1 and 2. A similar sloped
portion 106 is used in place of flap 54. Applicator 10' functions
similarly to applicator 10 and has the advantages described for
applicator 10.
Embodiment of FIGS. 5 and 6
A third embodiment of the applicator of the invention is depicted
schematically in FIGS. 5 and 6 and is of further simplified
construction. Components similar in appearance to those of the
first two embodiments described above, function similarly thereto
and bear corresponding double-primed reference numerals. In this
regard, an applicator 10" is provided with a cartridge 12", spring
16", a catheter 22", a container 18" and nose portion 20".
Cartridge 12" is identical in configuration to cartridge 12 except
that the opening 28" is bounded by four flaps 108, which function
similarly to flaps 54 and 66. Rim 34" and closed rear end 30" are
provided for cartridge 12". Container 18" is a cylinder with an
open rear end 60", a closed front end 50", except for opening 64"
bounded by flaps 66", and a rim 62". Nose portion 20" is a cylinder
having an open rear end 68" and a front end 72" closed except for
opening 78". End 68" is secured to end 56" so as to provide a
lubricant well 74" therebetween.
Spring 16" is disposed around the exterior of cartridge 12", as
shown in FIGS. 5 and 6, and is secured to the front surface of rim
34" and the rear surface of rim 62" by staples or the like. in this
embodiment cartridge 12" not only has the functions of cartridge 12
but also those of container 14. Accordingly, this embodiment is
even more simplified and less expensive in construction while still
providing the advantages of the invention, such as one-hand
operation of the applicator, including unidirectional intermittent
forward movement of the catheter 22" for most efficient urethral
insertion without contamination, coiled storage of catheter 22" in
cartridge 12" and lubrication of catheter 22" during passage
through well 74".
This embodiment is also shown with a sleeve 110 of flexible,
transparent, generally tubular configuration attached to the nose
portion 20" and extending forwardly therefrom. It is for
encompassing the penis of a male patient for permitting
manipulation thereof during use of the applicator 10" and insertion
of the catheter 22" without contamination of the previously
sterilized field. The sleeve 110 is attached to the nose portion
20" in a manner which permits ready removal if the applicator is to
be used with a female patient.
Accordingly, an improved urethral catheter applicator is provided
which can be fabricated inexpensively but which provides a number
of advancements over the usual types of catheter applicators. Thus,
the applicator facilitates easier and less uncomfortable catheter
insertion by one operator while aiding in preserving the sterile
field so as to minimize dangers of infection. Other advantages are
as set forth in the foregoing description.
Various changes, modifications, substitutions and the like can be
made in the improved applicator of the invention and the components
thereof. All such changes, modifications and substitutions as are
within the scope of the appended claims form a part of the present
invention.
* * * * *