U.S. patent number 3,815,608 [Application Number 05/233,500] was granted by the patent office on 1974-06-11 for retaining catheter.
This patent grant is currently assigned to East/West Medical Products, Inc.. Invention is credited to Fred Hodgson, Phyllis Riely, Dom Spinosa.
United States Patent |
3,815,608 |
Spinosa , et al. |
June 11, 1974 |
RETAINING CATHETER
Abstract
A retaining catheter formed of an inert fluorocarbon polymer and
including means in the region of the end thereof for retaining said
catheter within the body channel in the form of a helical thread
projecting radially from the outer surface of the catheter.
Inventors: |
Spinosa; Dom (Wantagh, NY),
Riely; Phyllis (Northport, NY), Hodgson; Fred
(Centereach, NY) |
Assignee: |
East/West Medical Products,
Inc. (Syossett, NY)
|
Family
ID: |
22877501 |
Appl.
No.: |
05/233,500 |
Filed: |
March 10, 1972 |
Current U.S.
Class: |
604/105 |
Current CPC
Class: |
A61M
25/0017 (20130101); A61M 25/04 (20130101) |
Current International
Class: |
A61M
25/00 (20060101); A61M 25/04 (20060101); A61M
25/02 (20060101); A61m 025/00 () |
Field of
Search: |
;128/348,349R,35R,351,343 |
References Cited
[Referenced By]
U.S. Patent Documents
Foreign Patent Documents
Primary Examiner: Truluck; Dalton L.
Claims
What is claimed is:
1. A retention catheter for insertion in a body channel comprising
a tubular body formed from a smooth, flexible, inert, hydrophobic
material having a low coefficient of friction, and a plurality of
closely spaced ribs extending along the exterior of the tubular
body for a length at least equal to the length of the body channel,
the ribs defining narrow passages therebetween for fluid drainage
flow along the exterior surface of the tubular body, the ribs being
sufficiently high and sufficiently closely spaced to hold the body
channel surface away from the passages and keep the passages open
after insertion of the tubular body in the body channel, the ribs
extending helically along the exterior surface only adjacent the
inserted end, and extending longitudinally and in parallel thence
over the remaining portion of the catheter.
2. A retention catheter as recited in claim 1, wherein said tubular
body is formed with the ribs integral therewith.
3. A retention catheter as recited in claim 1, wherein said tubular
body material is an inert fluorocarbon polymer.
4. A retention catheter as recited in claim 3, wherein said
material is polytetrafluoroethylene.
5. A retention catheter as recited in claim 4, wherein the material
is foamed polytetrafluoroethylene.
Description
BACKGROUND OF THE INVENTION
This invention relates to catheters utilized in medical treatment
as fluid pathways from or into the body. In particular, this
invention relates to urinary catheters. Such catheters have proved
difficult to insert, difficult to retain and difficult to remove.
Further, the maintenance of an open fluid pathway while avoiding
infection and irritation of body tissue has proved difficult. The
majority of such catheters are formed of natural rubber, which
contains many impurities which tend to cause tissue reaction during
use. On the other hand, the plastics which have been utilized to
date have proved too stiff, and cause problems during insertion.
One prior art retention device, the Foley catheter, utilizes a
rubber balloon which is inflated, but such balloons have caused
problems in inflation and deflation, and the manufacture thereof
has resulted in a high rate of rejection.
Particularly in the case of urinary catheters, the urine tends to
react with the commonly used catheter materials, rough spots within
the catheter providing nidus for crystallization and occlusion of
the catheter drainage channel.
The retaining catheter constructions in accordance with the
invention avoids the foregoing deficiencies.
SUMMARY OF THE INVENTION
Generally speaking, in accordance with the invention, a retaining
catheter is provided formed from a flexible material and including
means adjacent the end of said catheter for retaining said catheter
within the body channel. Said retaining means may include normally
laterally projecting portions of the catheter wall and water
soluble adhesive for retaining said normally projecting portions in
a recessed position during insertion of said catheter, said
laterally projecting portions being released after insertion due to
the action of body fluid on said adhesive to retain said catheter
in place. String means may be provided connected to each projecting
portion and extending through the interior of said catheter for
displacing said projecting portions to said recessed position to
permit withdrawal of said catheter.
In another embodiment, said retaining means includes a helical
thread laterally projecting from the surface of said catheter. In
still another embodiment of the catheter in accordance with the
invention, said retaining means includes a collar secured to the
outer surface of said catheter and formed of foam material adapted
to swell when exposed to aqueous liquid. A water soluble film may
be provided about said foam collar, which film dissolves after
insertion to permit swelling of said collar for retention within
the body channel. Said catheter may be provided with first and
second channels, the wall of said catheter being provided with
openings in the region of said collar providing access to a first
of said channels to permit evacuation of liquid retained within
said foam collar to cause at least the partial collapse thereof for
removal of said catheter from the body channel.
Accordingly, it is an object of this invention to provide a
retention catheter which can be readily inserted and removed from
the body channel, and which will be retained in place once
inserted.
A further object of the invention is to provide a catheter which
will maintain an open fluid pathway while avoiding infection and
irritation to body tissue.
Still other objects and advantages of the invention will in part be
obvious and will in part be apparent from the specification and
drawings.
The invention accordingly comprises the features of construction,
combinations of elements, and arrangement of parts which will be
exemplified in the constructions hereinafter set forth, and the
scope of the invention will be indicated in the claims.
BRIEF DESCRIPTION OF THE DRAWINGS
For a fuller understanding of the invention, reference is had to
the following description taken in connection with the accompanying
drawings, in which:
FIG. 1 is a perspective view of the end of a first embodiment of a
retention catheter in accordance with the invention;
FIG. 2 is a sectional view taken along lines 2--2 of FIG. 1;
FIG. 3 is a perspective view of the catheter of FIG. 1 disposed as
it would be after insertion in the body channel;
FIG. 4 is a perspective view of the end of a second embodiment of a
retention catheter in accordance with the invention;
FIG. 5 is a perspective view of the embodiment of FIG. 4 disposed
as it would be after insertion in a body channel;
FIG. 6 is a perspective view of a third embodiment of a retention
catheter in accordance with the invention;
FIG. 7 is a sectional view taken along lines 7--7 of FIG. 6;
FIG. 8 is a top plan view of the end of a fourth embodiment of a
retention catheter in accordance with the invention;
FIG. 9 is a perspective view of the retention catheter of FIG. 8
disposed as it would be after insertion; and
FIG. 10 is a sectional view taken along lines 10--10 of FIG. 9.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
Referring now to FIGS. 1-3, the catheter 10 depicted consists of a
tubular body 12 having a dome-shaped end 14 formed with an aperture
16 therethrough for the receipt and delivery of fluids. Further
apertures 18, one of which is depicted in FIG. 1, are
circumferentially spaced about the wall of body 12 in the region of
dome 14. Catheter 10 is formed of a material which is flexible,
hydrophobic, has a very smooth surface which discourages
crystallization, a low coefficient of friction for easy insertion.
The material may be characterized by a wave effect such that when
the material is pinched, debris thereagainst are dislodged. A
material meeting these criteria is an inert fluorocarbon polymer,
such as the expanded PTFA material sold under the trademark GORTEX
and manufactured by W. L. Gore & Associates, Inc. of Newark,
Delaware.
A region of body 12 spaced from end 14 has been slit in a
longitudinal direction along line 20 to define a plurality of
longitudinally extending strips 22. Strips 22 have been pretreated,
as by ultrasonics, to a natural, laterally projecting position
depicted in FIG. 3. In other words, strips 22 have a memory of the
shape depicted in FIG. 3 and return to that shape if distorted and
released. Strips 22 are retained in the recessed position of FIG.
1, at which they are substantially aligned with the surface of body
12, by means of a water soluble adhesive 24 such as PVA. Said water
soluble adhesive dissolves after the catheter is inserted in the
body channel due to the action of the body fluid to release strips
22 which assume their normal position as depicted in FIG. 3. Said
strips, when in the position of FIG. 3, serve to retain the
catheter within the body channel. Each of the strips 22 is formed
with an aperture 26 therethrough. The knotted end of one of the
lengths of string 28 which extend through the interior of catheter
10 passes through aperture 26 and is retained thereat, as more
particularly shown in FIG. 2. Strings 28 extend through the fluid
carrying channel within catheter 10 to the exterior of the body and
are provided to permit the displacement of strips 22 from the
position depicted in FIG. 3 to the recessed position to permit
withdrawal of the catheter. Such displacement is acheived by merely
drawing on the strings 28 from outside the body.
A second embodiment 30 of the catheter in accordance with the
invention is depicted in FIGS. 4-5. The embodiment of FIGS. 4-5 is
also provided with a tubular body portion 32 but terminates in an
open end 34. The region of the open end of body 32 is formed with
longitudinal slits along lines 36 to define petal-like strips 38
secured together by water soluble adhesive in the same manner as
the strips 22 of the embodiment of FIGS. 1-3. Strips 22 are also
pre-treated to have a memory, so that after insertion in the body,
the strips 38 are released as depicted in FIG. 5 to provide
retention means for the catheter. If desired, string similar to
strings 28 may be secured to the ends of each of petals 38 to
provide means for bringing said petals back to a recessed position
to ease withdrawal of the catheter.
A third embodiment 40 of the retention catheter in accordance with
the invention is depicted in FIGS. 6 and 7. This embodiment
consists of a tubular body 42 formed with a plurality of
longitudinally extending radial flanges 44. The end of tubular body
42 is defined by an opening 46 and the region of said body adjacent
said opening has been twisted and prehardened to define a helically
threaded region. Said helically threaded region cooperates with the
wall of the body channel to permit easy insertion and removal of
the catheter and further cooperates with said wall to retain the
catheter within the body channel. A dome-shaped apertured cap may
be formed on the end of said body portion.
The embodiment of FIGS. 6 and 7 provides a minimum contact between
the walls of the catheter and the body channel. Further, the
channels 48 defined between flanges 44 permit the drainage of
exudate discharge from the prostatic gland in urinary application,
thereby eliminating the pain and swelling frequently associated
with urinary catheterization.
A fourth embodiment 50 of the retention catheter in accordance with
the invention is depicted in FIGS. 8-10. As in the other
embodiments, the catheter is formed with a tubular body 52 having
an opening 54 at the end thereof and openings 56 in the region
adjacent end opening 54. As best shown in FIGS. 9 and 10, the
catheter 50 is formed with an inner partition 58 which defines a
main fluid channel 60 and an evacuation channel 62 within tubular
body 50. A collar 64 is secured about body 50 in a region spaced a
short distance from end aperture 54. Said collar is formed of a
foam material adapted to swell greatly when exposed to an aqueous
liquid and to retain said liquid therein. One such material a
hydrophilic polyurethane foam such as the material sold under the
trademark HYDRO-FOAM manufactured by Scott Paper Company, Foam
Division of Chester, Pennsylvania. When substantially dry, such
foam assumes a low profile as depicted in FIG. 8. When exposed to
body fluids, the foam swells to assume the enlarged profile
depicted in FIGS. 9 and 10. In order to avoid premature swelling,
the foam is preferably coated with a water soluble film formed of a
material such as PVA which dissolves after insertion and exposure
to body fluid for a short period of time.
The wall of tubular body 52 is formed with a number of apertures 66
therethrough in registration with evacuation channel 62. As
depicted in FIG. 9, the end of catheter 50 projecting outside of
the body channel is formed with a dual fitting 68 having a main
branch 70 operatively coupled to fluid channel 60 and a secondary
branch 72 operatively coupled to evacuation channel 62. Secondary
branch 72 would be connected to a vacuum pump when the catheter 50
is to be removed from the body channel. Said vacuum pump would draw
the fluid from foam collar 64 through aperture 66 and evacuation
channel 62, to collapse said collar substantially to the recessed
position depicted in FIG. 8 to permit the easy withdrawal of the
catheter.
The catheters of the embodiments of FIGS. 4-10 are all preferably
formed of the material described in connection with FIGS. 1-3. All
of said embodiments are characterized by ease of insertion and
removal, while providing means for retention within the body
channel during use.
It will thus be seen that the objects set forth above, and those
made apparent from the preceding description, are efficiently
attained and, since certain changes may be made in the above
constructions without departing from the spirit and scope of the
invention, it is intended that all matter contained in the above
description or shown in the accompanying drawings shall be
interpreted as illustrative and not in a limiting sense.
It is also to be understood that the following claims are intended
to cover all of the generic and specific features of the invention
herein described, and all statements of the scope of the invention
which, as a matter of language, might be said to fall
therebetween.
* * * * *