U.S. patent number 3,794,042 [Application Number 05/248,088] was granted by the patent office on 1974-02-26 for portable catheter unit.
Invention is credited to Robert J. De Klotz, Kendall B. Holmes.
United States Patent |
3,794,042 |
De Klotz , et al. |
February 26, 1974 |
PORTABLE CATHETER UNIT
Abstract
A portable catheter unit particularly suited for use by a
paraplegic patient in performing self-catheterization. The unit is
characterized by a catheter, of a type having a tubular body
terminated in a ported head, and a fluid discharge port
communicating with the head, through the tubular body, for
discharging a flow of fluid conducted from a penetrated collection
of the fluid; a manipulatable valve for controlling the flow of
fluid conducted through the catheter's discharge port; a coupling
for uniting the catheter with a bag receiver; and a portable
sterilizer, including a confined fluid sterilant, for
simultaneously receiving, supporting and sterilizing the catheter
during intervals occurring between periods of catheterization, and
an audible timer for alerting the paraplegic at the termination of
each interval, whereby self-catheterization of the paraplegic is
facilitated.
Inventors: |
De Klotz; Robert J. (Fresno,
CA), Holmes; Kendall B. (Fresno, CA) |
Family
ID: |
22937631 |
Appl.
No.: |
05/248,088 |
Filed: |
April 27, 1972 |
Current U.S.
Class: |
604/523; 206/364;
206/210; 604/171 |
Current CPC
Class: |
A61F
5/44 (20130101); A61M 25/002 (20130101); A61M
39/22 (20130101) |
Current International
Class: |
A61F
5/44 (20060101); A61M 25/00 (20060101); A61M
39/22 (20060101); A61M 39/00 (20060101); A61l
003/00 (); A61m 025/02 () |
Field of
Search: |
;128/348,349R,35R,295,275,247,276 ;206/16.6,63.2 ;21/87,88,90 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
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|
|
|
|
|
|
837,009 |
|
Apr 1952 |
|
DT |
|
91,611 |
|
Oct 1896 |
|
DD |
|
Primary Examiner: Truluck; Dalton L.
Attorney, Agent or Firm: Huebner & Worrel
Claims
Having described our invention, what we claim as new and desire to
secure by Letters Patent is:
1. A portable catheter unit adapted to be retained in the
possession of a patient and periodically employed for
self-catheterization, comprising:
A. a portable catheter case including a rigid tubular body having
means defining within one end thereof an access opening
concentrically related to the longitudinal axis of symmetry of the
tubular body;
B. a body of liquid sterilant substantially filling said tubular
body;
C. sealing means for selectively sealing said access opening
including a cap having coupling means for releasably coupling the
cap with said case and a closure pad affixed thereto for engaging
said tubular body in sealing relation with said access opening;
D. a tubular catheter concentrically related to said tubular body
partially immersed in said body of liquid sterilant with the base
end portion thereof being disposed above the level of said body of
liquid sterilant and including means defining an annular shoulder
projected radially therefrom;
E. catheter retention means for suspending said catheter within
said body of liquid sterilant including an annulus seated in the
tubular body of said portable case, adjacent to one end thereof,
and having an annular shoulder coaxially aligned with said access
opening and a helical spring concentrically related to said
catheter and seated on said shoulder in coaxial alignment with said
annulus and disposed in supporting engagement with the radially
projected shoulder of said catheter for continuously urging the
catheter in axial displacement toward said access opening, whereby
the catheter is supported for axial motion as it is suspended
within said body of liquid sterilant; and
F. alerting means mounted on said cap for periodically alerting a
patient to a need for catheterization.
Description
BACKGROUND OF THE INVENTION
The invention relates to catheters, and more particularly to a
portable catheter unit including a catheter adapted to be
periodically inserted and extracted by a paraplegic in performing
self-catheterization, whereby the paraplegic is safely afforded a
high degree of independence from a confining facility.
As is well understood by those familiar with the various
difficulties encountered by paraplegics in performing the so-called
normal body functions, it often is quite difficult for a paraplegic
to eliminate fluid from the urinary tract when relying solely upon
the associated sensory mechanisms. As a consequence of such
conditions, paraplegics frequently suffer direct and ancillary
damage to body tissue.
The use of catheters for extracting collections of fluid from the
body is well known and is widely practiced. In employing a
catheter, for extracting fluid from the urinary tract, the catheter
in a properly lubricated condition is inserted in the urinary tract
a depth sufficient to initiate flow of fluid coursing from the
bladder through the catheter. Normally, such a technique is
performed by highly skilled, medical personnel within clinics,
hospitals and similar facilities.
In view of a lack of out-patient facilities and the attendant
inconvenience, patients in need of catheterization frequently are
continuously subjected to confinement in order to afford periodic
catheterization by skilled personnel. Of course, this technique
results in a loss of the patient's capacity to perform useful
functions and pursue desired avocations.
An alternate and frequently employed technique requires that a
catheter be inserted and permitted to remain in place, in order to
afford a patient a greater degree of independence from a confining
facility. While this technique tends to afford the patient a degree
of independence from confinement, and often facilitates limited
mobility, the incident rate of severe infection and atrophy is
substantially significant.
Accordingly, there currently exists a need for a portable unit
including a sterile, easily employed catheter which readily can be
transported in the constant custody of a patient, periodically
inserted and thereafter extracted by the patient, for thus
performing self-catheterization, whereby the patient thus is safely
afforded a high degree of independence from confinement, continuous
observation and attendant care so that a pursuit of substantially
normal and useful endeavors is accommodated.
OBJECTS AND SUMMARY OF THE INVENTION
It is therefore an object of the instant invention to provide an
improved catheter unit.
It is another object to provide a catheter unit particularly suited
for use by patients in periodically performing
self-catheterization.
It is another object to provide a portable catheter unit adapted to
be transported in continuous custody of a patient, and periodically
employed by the patient in performing self-catheterization.
It is another object to provide an improved catheter unit which
affords a paraplegic a high degree of independence from
confinement, observation, and attendant care.
It is another object to provide a portable catheter unit
particularly suited for use by paraplegics in periodically
performing self-catheterization in a substantially non-sterile
environment.
These and other objects and advantages are achieved through the use
of a portable catheter unit which includes a catheter of known
design having means for coupling the catheter with a bag-type
receptacle, a valve interposed between the receptacle and the head
of the catheter for controlling the discharge of fluid from the
catheter, and a portable sterilizer including a fluid sterilant for
simultaneously receiving, supporting, and sterilizing the catheter
during intervals occurring between periods of catheterization, and
an audible timer for alerting a patient of the termination of each
interval, whereby self-catheterization of the patient is
facilitated.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of a wheel chair having supported from
one arm thereof a portable catheter unit embodying the principles
of the instant invention.
FIG. 2 is a partially sectioned view of the catheter unit shown in
FIG. 1, illustrating a preferred position assumed by a catheter
confined within a sterilizer provided within the unit shown in FIG.
1.
FIG. 3 is a view of the catheter of FIG. 1 coupled in an operative
configuration, with a bag-type receptacle, through a manipulatable
valve employed in controlling the flow of fluid from the catheter
to the receptacle.
FIG. 4 is a cross-sectional, enlarged view of the valve shown in
FIG. 3, illustrating the valve in its "OFF" condition and a
preferred manner in which the valve is coupled with a flapper valve
disposed within the receptacle.
FIG. 5 is a top plan view of the unit shown in FIG. 1.
FIG. 6 is a cross-sectional view taken generally along line 6--6 of
FIG. 2.
FIG. 7 is a cross-sectional view taken generally along line 7--7 of
FIG. 2.
FIG. 8 is a perspective view, on an enlarged scale, of the
receptacle shown in FIG. 3.
FIG. 9 is a cross-sectional view of the valve shown in FIG. 4, but
in its "ON" condition.
DESCRIPTION OF THE PREFERRED EMBODIMENT
Referring now to the drawings wherein like reference characters
designate like or corresponding parts throughout the several views,
there is shown in FIG. 1 a portable catheter unit, generally
designated 10, mounted on a wheel chair, depicted in phantom
lines.
It is to be understood that while the unit 10 preferably is
configured to be received and supported on the arm of the wheel
chair and thus remain in the constant custody of a mobilized
paraplegic, it is entirely possible and often desirable to employ
the unit 10 in a totally different environment. The environment, of
course, is dictated by the condition of a patient, as well as the
mode of transportation provided for the patient, equipped with the
unit 10. For example, the unit 10 can be transported in
automobiles, motorized carts and even attached to crutches and the
like, if so desired. It is to be understood that the portability of
the unit 10 is of particular significance, since portability
permits the unit to accompany the patient at all times and remain
in his personal custody.
The catheter unit 10 includes a sterilizer 12 having a body 13 of a
cylindrical configuration. Surmounting the body 13 is a cup-shaped
retainer 14. While not shown, the retainer serves to confine
therein sterile supplies including a lubricant and the like, not
shown. The retainer 14 is defined by an annular wall 16,
terminating in a disk-shaped base wall 18, and having provided
therein a separator wall 20. This wall serves as a convenient
separator for lubricants and the like in a segregated
condition.
The base wall 18 includes an integral collar 22 concentrically
receiving therein the body 13 of the sterilizer 12. Of course, the
body 13 and the walls of the retainer 14 are fabricated from any
suitable material, such as a commercially available synthetic
resin, including polyethylene, acrylics and the like. The
particular manner in which the retainer 14 and the body 13 of the
sterilizer 12 are united is dictated by the material employed in
fabricating the body 13 and the collar 22. Therefore, where
synthetic resins are employed, suitable commercially available
adhesives are used in integrating the retainer 14 with the body 13
of the sterilizer 12.
The lowermost end of the body 13 of the sterilizer 12 is sealed by
a closure cap 24 screw-threadably received about the lowermost end
of the body. As a practical matter, it will be appreciated that the
particular manner in which the lowermost end of the body 13 is
sealed is a matter of convenience only, and that a disk-shaped
closure welded or adhesively secured in place can be employed
equally as well. In any event, it is to be understood that the body
13 of the sterilizer 12 is of a fluid-tight construction, and that
a sterilant 26, preferably a liquid, is confined therewithin. The
sterilant 26 serves to sterilize a catheter 30 supported within the
sterilizer 12 preparatory to catheterization.
The catheter 30 is of a known design, therefore a detailed
description is omitted. It is to be understood, however, that the
catheter includes a tubular body 32 having a ported, soft, pliable
head 34 which is sufficiently rigid to accommodate a penetration of
the urinary tract but sufficiently soft and pliable to accommodate
insertion and penetration of the urinary tract without injuring the
patient. As best illustrated in FIG. 2, the head 34 is provided
with multiple ports 36 and these ports communicate with an internal
bore 37, FIG. 4, extending axially through the body 32. At the base
of the body 32 there is provided a flow control valve 38. This
valve is employed by a patient in controlling the flow of fluid
from the bore 37 of the body 32 of the catheter 30.
As shown in FIG. 4, the valve 38 is a bi-stable valve and includes
an orifice block 40 fitted within the body 32 of the catheter.
Mated with the orifice block 40 is a closure block 42 supported for
angular displacement employed in switching the valve to either of
its bi-stable conditions. Preferably, the closure block 42 is
provided with a base 43 seated within an axial cavity, not
designated, provided in the orifice block 40. As a practical
matter, the base 43 of the closure block 42 is provided with an
annular groove 44 for receiving therewithin an annular lip 46
inwardly projected into the cavity of the orifice block 40. In
order to fit the orifice block 40 within the body 32 of the
catheter, there is provided a tapered protrusion 50. This
protrusion is of a frusto-conical configuration and is seated
within a discharge port, generally designated 52, normally provided
for the body 32 of the catheter 30.
Within the orifice block 40 there is provided a segmented bore 54
which accommodates a passage of fluid delivered to the discharge
port 52 through the tubular body 32 of the catheter 30. In
practice, the bore 54 includes a base segment 56 having an axis
coincident with the axis of the discharge port 52 and a terminal
segment 58, abaxially related to the axis of the discharge port,
communicating with the base segment 56. Hence, fluid delivered
through the discharge port 52 necessarily is coursed through the
segmented bore 54.
The closure block 42 also is provided with a segmented bore 60,
quite similar in form, size and function to the segmented bore 54.
The bore 60 includes a terminal segment 62 coaxially related with
the base segment 56 of the segmented bore 54, and an abaxially
related base segment 64 which communicates with the terminal
segment 62. Thus fluid received within the base segment 64 of the
segmented bore 60 is coursed through the terminal segment 62 for
discharge from the body 32 of the catheter 30.
It is important to note that the base 43 of the closure block 42 is
mated with the orifice block 40 in a common transverse plane. In
practice, the base 48 includes a face 66 within which the segment
64 terminates while the orifice block 40 includes a face 68 within
which the terminal segment 58 of the segmented bore 54 terminates.
Thus, between the planar faces 66 and 68 there is established a
substantially fluid-tight seal.
It is important, however, to understand that the segments 58 and 64
of the segmented bores 54 and 60, respectively, terminate at points
equidistant from a longitudinal axis of symmetry passing through
the body 32 of the catheter 30. Consequently, the segments 58 and
64 can be brought into fluid communication simply by rotating the
closure block 42 relative to the orifice block 40. Thus the flow
control valve 38 is switched to opened condition, illustrated in
FIG. 9. Similarly, the valve 38 can be switched to its closed
condition simply by rotating the closure block 42 a distance
sufficient for interrupting communication between the terminal
segment 58 of the segmented bore 54, and the base segment 64 of the
segmented bore 60, as illustrated in FIG. 4.
That the flow control valve 38 has particular utility during
self-catheterizing operations can readily be appreciated when it is
understood that the flow control valve 38 permits a patient to
insert and seat the catheter before valve 38 is switched to its
opened condition for accommodating a discharge of fluid from the
segmented bore 60. As a practical matter, the closure block 42 is
provided with a knurled surface 70 which aids a patient in
switching the valve 38 to either of its bi-stable conditions.
In order to employ the catheter 30, a suitable supply of bag-like
receptacles 72 is provided. Each of these bags is, in turn,
employed for receiving fluid discharged from the segmented bore 60
of the closure block 42. Each of the receptacles 72 is formed of a
suitable material such as polyethylene, Pliofilm and the like.
It is important to note that the receptacle 72, as shown in FIG. 4,
includes therein a suitable fitting 74 sealed in place within a
neck 75 formed at one end of the receptacle 72 and extended
therethrough. In practice, the fitting 74 includes an internal bore
76 for receiving therewithin the distal end of the closure block 42
of the valve 38. In order to assure rapid disassociation of the
catheter 30 from the receptacle 72, the bore 76 and the distal end
of the closure block 42 are configured to establish mating surfaces
of a frusto-conical configuration. Hence, a fluid-tight engagement,
as well as disengagement can be established between the closure
block and the fitting 74, simply by imparting thereto axially
directed, mutual displacement. Through the fitting 74 there is
extended an axial conduit 78 disposed in coaxial alignment with the
terminal segment 62 of the segmented bore 60, once the closure
block 42 is seated within the fitting 74. Thus a flow of fluid
established through the flow control valve 38 also is established
through the bore 78 of the fitting 74.
Within the receptacle 72 and received about the distal end of the
fitting 74, there is a skirt-like flapper valve 80. Such valves are
of known construction, however, it is to be understood that the
flapper valve 80 permits fluid to flow from the fitting 74 into the
receptacle 72 but closes and thus precludes a reverse flow of fluid
through the bore 78. Since flapper valves are of well-known
construction, a detailed description of the flapper valve 80 is
omitted in the interest of brevity.
The catheter 30 is axially inserted into the body 13 and innundated
in the sterilant 26 for stowage. In order to support the catheter
30 during stowage there is provided an annulus 82 seated internally
of the body 13, near the uppermost end thereof. The annulus 82
provides an annular shoulder 84 upon which there is seated a
helical spring 86. The spring 86 resiliently receives at the
uppermost end thereof an annular shoulder 88 formed about the
external surface of the orifice block 40 and provided for this
purpose. Thus, the catheter 30 is resiliently supported against
axial displacement in a first direction by the helical spring 86
acting against the shoulder 88.
As a practical matter, the spring 86 is of a length and is provided
with a spring constant sufficient for projecting the closure block
42 from the uppermost end of the body 13. This facilitates a
grasping of the block between the thumb and forefinger and
accommodates an extraction of the catheter 30 from the sterilizer
12. It has, in practice, also been found desirable to provide a
cover 90 for retaining and sealing the catheter 30 within the body
13 of the sterilizer 12. As a practical matter a cover 90 is
provided for closing the retainer 14 and the sterilizer 12,
simultaneously. Preferably, the cover 90 includes a set of internal
threads 92 mated with a set of external threads 94 formed
externally of the annular wall 16 of the retainer 14, FIG. 2. Where
desired, a chain 96 coupled with the cover 90 and the wall 16 is
employed for assuring that the cover cannot be disassociated from
the unit 10.
Furthermore, since the sterilant 26 preferably is a liquid, it is
desirable to provide the upper end of the body 13 with a
fluid-tight, sealing closure pad 98, mounted internally of the
cover 90 for engaging and sealing the uppermost end of the
sterilizer 12, when the cover 90 is secured to the retainer 14.
It will be recalled by those familiar with paraplegics that the
sensory mechanisms associated with the urinary tract are not viable
mechanisms and therefore the patient normally does not sense a need
for discharging urine or for catheterization. Furthermore, it will
be recalled that one of the primary purposes of the unit 10 is to
accommodate independence from a confining facility in order that
the patient may pursue useful and desirable vocations and
avocations. Since a patient may, when engaged in a particular
activity, fail to recognize a lapse of a predetermined interval it
is highly desirable that means be provided for alerting the patient
to his need for catheterization. Thus, there is, in practice,
provided an audible alarm mechanism, generally designated 100, FIG.
6. The alarm mechanism 100 is controlled by a small chronometer 102
which includes therewithin a suitable alarm bell, not shown. The
chronometer 102 is of a convenient design and serves to measure the
duration of the interval between the periods of catheterization
and, at an appointed time, provides an audible alarm for alerting
the patient. It can therefore be appreciated that since the unit 10
is constantly and continuously in the custody of a user patient,
the alarm mechanism can be relied upon to alert the patient to his
need for self-catheterization.
Since the unit 10 is particularly suited for use by a paraplegic
patient confined to a wheel chair, there is provided a pair of
brackets 106 mounted on the external surface of the body 13 of the
sterilizer 12. A pair of annular supports 108, preferably
adhesively secured to the external surface of the body 13 of the
sterilizer 12, is provided for affixing the brackets to the body.
However, the particular manner in which the brackets 106 are
coupled with the unit 10 is deemed to be a matter of convenience
only and is varied in accordance with the particular manner in
which the unit 10 is operatively supported.
OPERATION
It is believed that in view of the foregoing description, the
operation of the device will be readily understood, however, it
will be briefly reviewed at this point.
With the unit 10 assembled in the manner illustrated in FIG. 2, the
patient receives an audible alarm generated by the mechanism 100.
Thus the patient is advised that the interval between the periods
of catheterization has substantially elapsed. The patient upon
preparing for performing self-catheterization removes the cover 90,
whereupon the spring 86 forces the uppermost end of the catheter 30
from the sterilizer 12. The patient then grasps the extended
portion of the catheter 30 between his thumb and forefinger and
extracts it from the sterilant 26. Thereafter, he mates the
externally tapered surface of the closure block 42 within the bore
76 of the fitting 74 of the bag-like receptacle 72. In instances
where lubricants are provided within the container 14, the patient
extracts a suitable quantity of lubricant and applies it to the
catheter 30, preparatory to insertion into his urinary tract.
Insertion of the catheter 30 is accomplished while the flow control
valve 38 is in an "OFF" condition so that as the head 34 penetrates
a source of fluid, no discharge from the catheter is permitted.
Once the catheter 30 is properly inserted, the patient merely
manipulates the flow control valve 38 for aligning the terminal
segment 58 of the segmented bore 54 with the base segment 64 of the
segmented bore 60 extending through the closure block 42, as
illustrated in FIG. 9. Once communication between these segments is
established, a flow of fluid extending from the head 34 of the
catheter through the valve 38 into the receptacle 72 is
established. Of course, once the fluid is drained, and the flow of
fluid is interrupted, the patient merely extracts the catheter 30
from the urinary tract and separates the catheter from the
receptacle. He then axially inserts the catheter into the body 13
of the sterilizer 12 and closes the cover 90, whereupon the
catheter 30 is secured against axial displacement by the combined
effects of the cover and the helical spring 86. The receptacle 72
now is discarded in any suitable manner.
In view of the foregoing, it should readily be apparent that the
catheter unit 10 embodying the instant invention provides a
practical solution to the perplexing problem of accommodating
catheterization of paraplegic patients without subjecting the
patient to infection or to confinement within medical
facilities.
Although the invention has been herein shown and described in what
is conceived to be the most practical and preferred embodiment, it
is recognized that departures may be made therefrom within the
scope of the invention, which is not to be limited to the
illustrative details disclosed.
* * * * *