U.S. patent number 3,769,981 [Application Number 05/224,855] was granted by the patent office on 1973-11-06 for urinary catheter.
This patent grant is currently assigned to The Kendall Company. Invention is credited to Daniel M. McWhorter.
United States Patent |
3,769,981 |
McWhorter |
November 6, 1973 |
URINARY CATHETER
Abstract
Catheters have proximal and distal tubular ends joined by a
preferably flexible connecting portion of reduced diameter so that
liquid draining through the catheter can wash the walls of the
urethra. Rigidifying aids to the insertion of the catheter when
flexible are described.
Inventors: |
McWhorter; Daniel M. (Arlington
Heights, IL) |
Assignee: |
The Kendall Company (Walpole,
MA)
|
Family
ID: |
22842517 |
Appl.
No.: |
05/224,855 |
Filed: |
February 9, 1972 |
Current U.S.
Class: |
604/102.03 |
Current CPC
Class: |
A61M
25/0017 (20130101) |
Current International
Class: |
A61M
25/00 (20060101); A61m 025/00 () |
Field of
Search: |
;128/348,349R,349B,349BV,35R |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
What is claimed is:
1. A urinary catheter having at its distal end a tube having a bore
forming a drainage channel
a drainage eye leading to said drainage channel;
an expansible and collapsible member surrounding the distal end of
said tube and operating as a device for retaining said catheter
against inadvertent ejection from placement with its said eye
located within a urinary bladder;
the proximal end of said catheter including a tube having a bore
forming a drainage channel;
the bores of said distal and said proximal tubes ending in spaced
relation and
a connecting member of reduced cross section relative to said tubes
joining said tubes, whereby the distal tube may lie extending
through the sphincteral muscle to drain urine past said muscle into
contact with the walls of the uretha surrounding said connecting
portion and thence into the proximal end tube for elimination from
the urethra therethrough.
2. A catheter as claimed in claim 1 having an elongated hollow
member extending parallel to said connecting member and having its
distal end extending into the bore of said distal tube and its
proximal end extending through and out of the bore of said proximal
tube, whereby urine can drain through said hollow member to the
exterior as an indicator as to when the catheter has entered the
bladder,
said elongated member being removable by withdrawal out of said
tubes after said catheter has been inserted into a bladder with the
aid of the stiffening imparted by said hollow elongated member to
said catheter.
3. A catheter as claimed in claim 1 wherein the connecting member
is flexible and said catheter has
inflatable means extending along said connecting member for
temporarily increasing the cross-sectional area of at least
portions of said connecting member and reducing its flexibility for
the purpose of inserting said catheter more readily through a
urethra and means connecting said inflatable means with the
proximal end of said catheter to permit said inflatable means to be
deflated while maintaining said retention expansible member
expanded to retain the catheter in indwelling position.
4. A catheter as claimed in claim 3 wherein said inflatable means
lies wholly on one side of said connecting member.
5. A catheter as claimed in claim 3 wherein the inflating means
includes a pair of inflatable members lying one on each side of
said connecting member.
6. A catheter as claimed in claim 3 wherein said inflatable means
includes a collapsible wall coaxially surrounding said connecting
member.
7. A catheter as claimed in claim 3 having a side arm at its
proximal end containing a lumen communicating through the
connecting member with said inflatable means.
8. A catheter as claimed in claim 5 having two side arms at its
proximal end, each containing a lumen communicating through the
connecting member with one of said inflatable members.
Description
This invention relates to catheters and more particularly to a
urinary catheter which permits draining urine to wash the walls of
the urethra and thus ameliorate some of the adverse consequences,
mechanical and chemical, resulting from prolonged presence of a
conventional indwelling catheter in the urethra.
These consequences include excessive production of mucous and/or
denudation of the urethral epithelium. The periurethral cylinder of
mucous provides an excellent growth medium for bacteria and it has
been shown that this is one pathway of bladder infection. The
mechanical trauma can lead to direct bacterial invasion,
strictures, etc.
The present invention in effect provides a device which has a
hollow distal portion intended to penetrate through the sphincteral
muscle to hold it open and another hollow proximal portion for
channeling the urine out through the urethra entrance, but
intermediate thereto there is only as much structure as is
necessary to maintain a structural connection with a hollow distal
portion of the catheter for insertion and removal. In effect then
both ends of the urethra are plugged with hollow drainage tubes but
in between the draining urine, after passing through the sphincter
is confined and channeled by the wall of the urethra until it
reaches the other hollow portion.
In this manner, excessive mucous tends to be washed away carrying
bacteria with it, the object being to so reduce the bulk of the
connecting portion of the catheter as to expose urethra wall
surfaces to flowing draining urine.
Since reduction in bulk of the connecting portion reduces the
stiffness of the catheter and thereby makes it more difficult to
insert the catheter properly, means are provided to reduce the
flimsiness and flexibility of the catheter for purposes of
insertion. This may be done either with the use of a removable
reinforcing insertion tube or may be accomplished with the use of
inflatable strips which rigidify much in the same manner as
inflatable splints for appendages.
The above and other objects of the invention will be more fully
understood when taken in connection with a description of the
accompanying drawings wherein:
FIG. 1 illustrates a urinary catheter positioned within a bladder
through the urethra, the drawing being broken away to indicate
extent, and being partly in cross-section;
FIG. 2 is a cross-sectional view taken along the line 2--2 of FIG.
1;
FIG. 3 is a similar view reduced in size and with parts broken
away, to that shown in FIG. 1 with a temporary insertion tool
carried in the catheter;
FIG. 4 is an enlarged cross-sectional view taken along the line
4--4 of FIG. 3;
FIG. 5 is a perspective view of another form of catheter in
accordance with the invention;
FIG. 5a is a cross-sectional view taken along the line 5a--5a of
FIG. 5;
FIG. 6 is a view of the catheter of FIG. 5 with a portion thereof
inflated;
FIG. 6a is a cross-sectional view taken along the line 6a--6a of
FIG. 6;
FIG. 7 is a perspective view of another form of catheter in
accordance with the invention;
FIG. 7a is a cross-sectional view taken along the line 7a--7a of
FIG. 7;
FIG. 8 is a partial view of a catheter of FIG. 7 with a portion
thereof inflated;
FIG. 8a is a cross-sectional view taken along the line 8a--8a of
FIG. 8;
FIG. 9 is a view of a modified form of catheter;
FIG. 9a is a cross-sectional view taken along the line 9a--9a of
FIG. 9;
FIG. 10 is a view of the catheter of FIG. 9 but with certain of the
parts in inflated position; and
FIG. 10a is a cross-sectional view taken along the line 10a--10a of
FIG. 10 .
In FIG. 1 a catheter of the invention is shown properly placed to
act as an indwelling retention catheter for draining a urinary
bladder, a portion of which 20 is shown in relation to its
accompanying urethra 22.
The catheter can most conveniently be described as being
constituted of three sections.
The proximal section includes a hollow tube portion 24 forming a
drainage canal 26 discharging through a terminal funnel portion 28.
Integral therewith is a side arm 30 having a separate auxiliary
lumen 32. This section terminates at an open bore end shown at
34.
The distal section includes a hollow tube portion 36 forming a main
drainage canal 38 and having a pair of drainage eyes 40. An
expansible and collapsible member in the form of a balloon 42
surrounds the distal section and is inflated (as shown in FIG. 1)
by passage of fluid through the lumen 44 and passageway 46 through
the wall of the tube portion 36.
This distal section ends at an open bore end at 48.
The remainder of the catheter comprises a connecting section 50 of
small diameter just large enough to contain the balloon inflating
lumen 52 communicating on either side with the ends 32 and 44 of
the lumen.
In the device shown in FIG. 1 therefore drainage of urine
collecting in the bladder 20 proceeds through the eyes 40 into the
main canal 38, passes the sphincter and escapes from the catheter
at the open bore end 48 so that between that point and the open
bore end 34 of the proximal section of the catheter the urine flows
in contact with large circumferential wall portions of the urethra
22.
The draining urine is then re-collected at 34 and passes out the
main drainage canal 26 to the exterior of the body through the
funnel 28. Only that portion of the urethra wall which is in
contact with the small reduced diameter connecting section 50 is
not exposed to the draining urine.
FIG. 3 shows in reduced size a catheter having the construction
shown in FIG. 1 but wherein the connecting section 50 is reinforced
and the section made more rigid by insertion through the funnel 28
and proximal section of a stiffening tube 56 which passes into the
hollow tube of the distal end portion. The tube 56 is hollow and
open ended so that it too can drain urine as an indicator of when
the catheter has entered the bladder. For this purpose the end of
tube 56 is slit as shown at 58. In FIGS. 3 and 4 the balloon is
shown inflated so that FIGS. 3 and 4 illustrate the catheter in
indwelling position although the urethra and bladder parts of FIG.
1 are not shown.
After the balloon has been inflated within the bladder, the
stiffening tube of FIG. 3 is withdrawn leaving the structure as it
is shown in FIG. 1 for operation as an indwelling retention
catheter with the urethra wall bathing feature.
FIGS. 5 and 6 show a construction much like that shown in FIG. 1
except that it has two additional parts. First the connecting
section 50 is covered over on one side by a collapsible wall 60
forming an elongated air pocket 61 (FIG. 6a). A second arm 62
contains a second lumen 64 which communicates through passageway 66
(FIG. 5a) with the pocket 61. The balloon inflating lumen 52a is
moved over to accommodate the lumen 64.
Accordingly, before insertion the collapsible wall 60 can be
inflated through the lumen 64 to the position shown in FIG. 6 to
stiffen the connecting section for insertion, the retention balloon
42 after insertion can be inflated and then the wall 60 can be
collapsed to the position shown in FIG. 5 to help expose the
urethra walls to draining urine.
In FIGS. 7 and 8 instead of having a single collapsible wall 60, as
in FIGS. 5 and 6, the connecting section 50a is centrally located
and provided on opposite sides with inflatable structures formed by
walls 70 and 71 thus requiring two auxiliary arms 72 and 73 for
inflating both of the opposite pockets 74 and 75 through lumens 76
and 77 temporarily during insertion of the catheter.
FIGS. 9 and 10 show a still further alternative in which the
connection section 50b extends along the axis of the catheter and
is surrounded by a coaxial collapsible wall 80 forming an annular
pocket 81 which can be inflated and deflated through the lumen 86
discharging through the side arm 82. The wall 80 is shown deflated
in FIGS. 9 and 9a and inflated in FIGS. 10 and 10a, thus changing
the cross-sectional dimension of the central section of the
catheter.
It will be understood that the arms 30, 62, 72, 73 and 82 may be
provided with conventional clamps (not shown) for retaining
inflating fluids in the balloon 42 and pockets 61, 74, 75 and 81.
Also it will be understood that in FIGS. 1 and 2 the urethra 22 is
shown as being generally tubular even where it is unsupported by
the walls of the inserted catheter. This configuration is used for
the purpose of clarity, inasmuch as in actual use the urethra wall
would collapse onto or drape around the connecting section 50 of
the catheter. Even in that position all portions of the urethral
wall surrounding the connecting section 50 will be periodically
bathed with urine since the body movements will cause shifts in the
position of the connecting section with respect to the wall.
* * * * *