U.S. patent number 3,889,686 [Application Number 05/373,729] was granted by the patent office on 1975-06-17 for catheter tube.
This patent grant is currently assigned to Michael Roy Duturbure, Vicki Lorraine Hoswell, Ronda Lynne Walker. Invention is credited to Stanley Francis Duturbure.
United States Patent |
3,889,686 |
Duturbure |
June 17, 1975 |
Catheter tube
Abstract
A catheter having two bores in a main flexible tube. The first
bore is for drainage of waste matter from the bladder and two
apertures are provided, one adjacent the leading end of the
catheter, the second being spaced from the first towards the
following end of the catheter. Each of the apertures allows waste
matter to drain from the bladder through the first bore. A thin
tubular membrane is provided around the main tube of the catheter
substantially in the region between the first and second apertures.
The second bore communicates with the space between the membrane
and the main tube via a further aperture in the main tube.
Distilled water or the like may be introduced to this space through
the second bore to expand the membrane so that the leading end of
the catheter containing the two drainage apertures may be held in
the bladder during use. Part of the thin tubular membrane is so
arranged around the tube adjacent the second drainage aperture that
a port is formed when the membrane is expanded whereby waste matter
in the bladder in the vicinity of the junction of the bladder with
the urethra may drain through the second aperture.
Inventors: |
Duturbure; Stanley Francis
(Wentworthville, AU) |
Assignee: |
Hoswell; Vicki Lorraine
(Parramatta, AU)
Duturbure; Michael Roy (Wentworthville, AU)
Walker; Ronda Lynne (Blacktown, AU)
|
Family
ID: |
3742681 |
Appl.
No.: |
05/373,729 |
Filed: |
June 26, 1973 |
Foreign Application Priority Data
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|
|
|
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Jul 4, 1972 [AU] |
|
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44209/72 |
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Current U.S.
Class: |
604/102.03;
604/915 |
Current CPC
Class: |
A61M
25/0075 (20130101); A61M 25/10 (20130101); A61M
25/00 (20130101); A61M 2025/0076 (20130101) |
Current International
Class: |
A61M
25/00 (20060101); A61M 25/10 (20060101); A61m
025/00 () |
Field of
Search: |
;128/348,349B,349BV,35R,351,246,325,344 |
References Cited
[Referenced By]
U.S. Patent Documents
Other References
Brit. Med. Jour. - 25 Feb. 1967, p. 485..
|
Primary Examiner: Truluck; Dalton L.
Attorney, Agent or Firm: Ladas, Parry, Von Gehr, Goldsmith
& Deschamps
Claims
What I claim is:
1. Catheter means comprising an extended flexible tube, said tube
housing first and second longitudinal bore means, said first bore
means extending for substantially the entire length of the catheter
and terminating adjacent the leading end of the tube;
first and second aperture means in the tube communicating with said
first bore means;
said first aperture means being located adjacent the leading end of
said tube and said second aperture means being spaced from said
first aperture means towards the following end of said tube;
thin tubular membrane means positioned around said tube
substantially in the region of the tube between said first and said
second aperture means and being affixed to an entirely surrounding
said tube so that a junction between said membrane and said tube is
not above said second aperture means except in the immediate area
thereof where said junction is above said second aperture
means;
said second bore means extending substantially throughout the
length of said catheter;
further aperture means in said tube interconnecting said second
bore means and the space between said tube and said thin tubular
membrane means; and
port means, through which waste matter may pass from a bladder into
which that part of the catheter containing said first and said
second aperture means is inserted through said second aperture
means and into said first bore means, said port means positioned
within the area around said second aperture at the said junctions
of the membrane and tube and being formed in said thin tubular
membrane means when the space between said thin tubular membrane
means and said flexible tube is ballooned by the introduction of
fluid into said space.
2. Catheter means as in claim 1 wherein a non-return valve is
provided in the flexible tube between the second and first
apertures.
Description
This invention relates to catheters.
Persons who are unable to control their bladders, such as
paraplegics and quadriplegics, are fitted with catheters to drain
urine and other waste matter from their bladders. Conventionally,
such catheters comprise an extended flexible tube inserted through
the urethra so that a small portion of the catheter extends into
the bladder. In one form of known catheters the small portion
extending into the bladder has an aperture adjacent the end thereof
through which waste matter drains from the bladder through the
flexible tube to a collection bag affixed to the end of the tube
outside the body of the person concerned in the vicinity of the
point where the flexible tube enters the body. Such conventional
catheter is provided, adjacent the aperture and between the
aperture and the junction of the urethra and the bladder when the
catheter is in position, with a thin tubular membrane affixed
around the said flexible tube. Within the tube there is provided a
second bore, complementary to the bore through which waste matter
drains from the bladder, this second bore communicating through a
further aperture in the wall of the flexible tube with the space
between the flexible tube and the thin tubular membrane so that the
space between the flexible tube and the thin tubular membrane may
be substantially filled with fluid such as distilled water whereby
the thin tubular membrane is ballooned within the bladder. The
ballooning of this thin tubular membrane prevents the end of the
catheter wherein the draining aperture is provided from retracting
from its position in the bladder. A major disadvantage of this
known catheter is that fluids in the bladder tend to rest between
the aperture and the junction of the bladder and the urethra and
the ballooned thin tubular membrane prevents the drainage of these
fluids through the aperture.
In order to overcome the disadvantage indicated above, it has been
proposed to provide a second aperture in the wall of the flexible
tube adjacent the thin tubular membrane but on the opposite side of
this membrane from the first draining aperture. However, it has
been found that this second aperture tends to locate in the urethra
below the junction of the urethra and the bladder when the thin
tubular membrane is ballooned so that provision of this second
aperture does not overcome the difficulty referred to above.
It is an object of this invention to provide catheter means wherein
a second aperture is provided as described above, said second
aperture being located in the bladder adjacent the junction of the
bladder and the urethra when the space between the thin tubular
membrane and the flexible tube is ballooned, wherein the ballooned
thin tubular membrane is arranged about the second aperture so that
a port is provided through which port waste matter in the bladder
adjacent the junction of the bladder and the urethra may pass into
the second aperture thence into the first bore to be drained from
the catheter.
It is a further object of this invention in a preferred form to
provide a catheter as described wherein a non-return valve is
provided in the first bore between the second and the first
apertures so that cleaning fluid forced into the first bore may
enter the bladder through the second aperture but is prevented by
the non-return valve from entering that part of the first bore
between the non-return valve and the first aperture.
It will be seen that waste matter in the bladder below the level of
said first aperture will drain through the port into the first bore
of the flexible tube and thence from the catheter into the
collection bag provided at the end of the catheter.
Preferred forms of the invention are illustrated in the
accompanying drawings in which:
FIG. 1 is a side elevation of the leading end of a first form of
catheter tube in a suitable condition for insertion,
FIG. 2 is a side elevation of the catheter inserted into the
bladder with the location balloon inflated to hold the catheter in
place in the bladder,
FIG. 3 is an enlarged view in section on the line 3--3 in FIG. 2,
and
FIG. 4 is a similar view to FIG. 3 of a second form of the catheter
which incorporates a non-return valve.
The catheter 5 comprises a flexible tube 6 having two longitudinal
bores 7 and 8 extending substantially throughout its length; the
bore 7 being of larger diameter than the bore 8. The bore 7 extends
to the closed leading end 9 of the tube 6, the said end 9 being
rounded to assist insertion. A radial aperture 10 is provided in
the tube wall adjacent its end 9, and a second similar aperture 11
is located a short distance down the tube 6 for a purpose to be
described; both apertures communicate with the bore 7.
A thin tubular membrane 12 is positioned about the tube 6 between
the apertures 10 and 11. The upper end 13 of the tube 12 is united
as by welding with the wall of the tube 6. The lower end 14 of the
membrane 12 extends below the aperture 11 but is cut away at 15 in
U-shaped configuration about the periphery of said aperture 11. The
end 14 and cut-away portion 15 of the tube 12 is joined to the wall
of the tube 6.
The narrow bore 8 in the tube 6 extends to a medial termination
between the apertures 10 and 11. A third aperture 16 extends
radially, from the bore 8, into the space 17 between the bore of
the tube 12, and the outer wall of the tube 6.
Fluid such as distilled water may be forced up the narrow bore 8
and into the space 17 just described. This will cause the membrane
12 to balloon out into a substantially spherical configuration. The
cut-away portion 15 will form a port 18 in the region of the
aperture 11.
In use the membrane 12 is deflated so that it closely engages the
tube 6 as shown in FIG. 1. The catheter 5 is then inserted so that
its leading end 9 enters the bladder 18 with the membrane 12 fully
within the bladder and with the aperture 11 adjacent the bladder
entrance 19. The membrane 12 is then inflated to the spherical form
as shown in FIGS. 2 and 3, so that the catheter will be retained
within the bladder 18 with the membrane 12 substantially engaging
the bladder entrance. The contents of the bladder can now be
withdrawn through the apertures 10 and 11 and down the tube 6 via
its larger bore 7. It will be seen that the bladder can be
substantially emptied as fluid and solid deposits adjacent the
bladder floor 20 can be drawn through the aperture 11 via the port
18 formed by the cut-away portion 15 of the ballooned membrane
12.
In a modified form of the catheter shown in FIG. 4 an integral flap
21 is formed within the bore 7 immediately below the aperture 10.
With this form of catheter, cleaning fluid may be forced up the
larger bore 7 to flush out the bladder 18. It will be seen that
during this operation, the flap valve 21 will close the tube 7 so
that all of the cleaning fluid will be forced to emerge from the
lower aperture 11. This ensures the deposits on the bladder floor
20 will be dislodged. The cleaning fluid and entrained deposits can
now be drained through the tube 6 as previously described.
Although this invention has been described in the specification and
the claims, it will be obvious to a man skilled in the art that
minor variations may be made without detracting from the merit of
the invention. The specification and claims should be read so as to
incorporate such minor variations.
* * * * *