URINARY CATHETER SYSTEM WITH IMPROVED RETAINING STRUCTURE AND ENHANCED URINARY DRAINAGE
20190224455 ยท 2019-07-25
Inventors
- Said Ismail Hakky (Doral, FL, US)
- Shereen Said Hakky (Doral, FL, US)
- Shelaan Said Ismail Hakky (Doral, FL, US)
- Sahar Mahdi Nasser (Doral, FL, US)
Cpc classification
A61M2205/3344
HUMAN NECESSITIES
A61M25/0017
HUMAN NECESSITIES
A61M25/0074
HUMAN NECESSITIES
International classification
Abstract
A catheter has a double-action retention mechanism with (a) one retention mechanism having a reinforced retention body transformable into a deployed flower-like configuration when the catheter is inserted in the bodily cavity, and (b) a stabilizer securing the catheter to a patient's body to maintain a stable position. The retention mechanism for securing the catheter in the bodily cavity is configured with a thickened or reinforced wall portions of the retention body. The inner channel of the catheter body is wider than conventional catheters, thus attaining better drainage and better fluid flow. Due to the reinforced flower configuration, an inadvertent removal of the catheter with the flower configuration fully deployed will afflict no significant damage. When the catheter is to be removed, the catheter's body is disengaged from the stabilizer and the flower configuration of the retention mechanism retention body controllably collapses, thus transforming the catheter to a configuration suitable for removal of the catheter from the bodily cavity. The improved Catheter is simple in operation, safe, prevents from CAUTI, and provides a non-residual urine drainage and high flow rate.
Claims
1. A surgical catheter adapted for insertion into a bodily cavity of a patient, comprising: an elongated catheter body having walls extending between a proximal end and a distal end of said elongated catheter body, wherein said walls of said elongated catheter body define an internal channel extending along a longitudinal axis of said elongated catheter body; a first retention mechanism positioned at said proximal end of said elongated catheter body, said first retention mechanism being actuated subsequent to insertion of said proximal end of said elongated catheter body in a bodily cavity of interest, and a second retention mechanism secured to a patient's body outside the bodily cavity and engageable with said elongated catheter body, at a predetermined area thereof, subsequent to actuation of said first retention mechanism; said first retention mechanism being configured with a substantially cylindrically shaped retention body and a reinforcement mechanism operatively coupled to said retention body and configured to form reinforced walls of said retention body, said reinforced walls of said retention body defining an internal channel of said retention body extending along the longitudinal axis of said retention body, wherein said reinforced walls of said retention body are formed by at least two wall portions of said reinforced walls of said retention body, said two wall portions having side edges extending longitudinally and forming at least two respective longitudinal slits extending in a spaced apart relationship at said at least two wall portions, said at least two wall portions extending between a common tip of said retention body and said proximal end of said elongated catheter body, wherein said retention body is secured to said proximal end of said elongated catheter body, and wherein said internal channel of said retention body is positioned in alignment with said internal channel of said elongated catheter body along a common longitudinal axis, and wherein said internal channel of said retention body terminates in a drainage port positioned substantially at a bottom of said bodily cavity and beneath said first retention mechanism, and in fluid communication with an exhaust port defined by an edge of the walls of said elongated catheter body positioned at said distal end thereof; wherein, when positioned inside said bodily cavity, said first retention mechanism is actuated to assume a deployed configuration causing elastic bending and radial outward displacement of said at least two wall portions of said reinforced walls of said retention body one from another, resulting in opening of said at least two longitudinal slits and exposure of said drainage port of said inner channel of said retention body to a fluid in said bodily cavity to substantially completely withdraw said fluid therefrom through said inner channels of said retention body and of said elongated catheter body, respectively, to said exhaust port positioned at said distal end of said elongated catheter body.
2. The surgical catheter of claim 1, wherein said reinforcement mechanism includes at least two elongated reinforcement members, each secured to a respective one of said at least two wall portions of said walls of said retention body and extending along the length thereof.
3. The surgical catheter of claim 1, wherein said reinforcement mechanism is formed by said walls of said retention body formed from a layer of an elastic material having a thickness larger than a thickness of said walls of the elongated catheter body.
4. The surgical catheter of claim 1, further including: a bellows formed at said elongated catheter body in proximity to said distal end thereof, and a rod coupled, at one end thereof, to said common tip of said retention body, and, at another end thereof, to said bellows, wherein, when said bellows is extended, said rod is displaced towards said distal end of said elongated catheter body, thus causing a controlled displacement of said common tip of said retention body, and thus resulting in actuation of said first retention mechanism and transformation thereof into said deployed configuration; and wherein said second retention mechanism is actuated to engage and retain said bellows unit in position to stabilize said elongated catheter catheter body position.
5. The surgical catheter of claim 4, wherein said second retention mechanism includes an adhesive pad for securement to the patient's body, and a stabilizer housing unit attached to said adhesive pad, and rotatively displaceable relative thereto, said stabilizer housing unit including a bottom wall and an upper wall removably secured to said bottom wall, said bottom and upper walls forming a receiving channel therebetween longitudinally extending along said stabilizer housing unit, wherein, once said catheter is indwelled in the bodily cavity with said first retention mechanism actuated, the bellows, in expanded configuration, is secured in said receiving channel between said bottom at upper walls of said stabilizer housing unit.
6. The surgical catheter of claim 1, wherein said at least two wall portions of said retention body of said retention body are displaced radially and outwardly one from another to assume a curved wing-like configuration abutting against inner walls of said bodily cavity, thus anchoring said catheter therein.
7. The surgical catheter of claim 6, further comprising a urine collecting bag attached to said exhaust port, wherein said drainage port and said inner channels of said retention body and elongated catheter body, respectively, form an unobstructed urine passage from the bodily cavity to said exhaust port.
8. The surgical catheter of claim 6, configured to operate intermittently in a passive mode of operation and in a deployed mode of operation, wherein, in said passive mode of operation, said surgical catheter is configured for removal from or for insertion into said bodily cavity, and wherein, in said passive mode of operation, said at least two wall portions of said retention body extend substantially in parallel to said longitudinal axis thereof.
9. The surgical catheter of claim 8, wherein in said passive mode of operation, said surgical catheter is configured for insertion in said bodily cavity.
10. The surgical catheter of claim 8, wherein in said deployed mode of operation, said first retention mechanism is transformed into said deployment configuration, thus anchoring said catheter in the bodily cavity.
11. The surgical catheter of claim 6, wherein said at least two wall portions of said retention body are formed integral with said walls of said elongated catheter body.
12. The surgical catheter of claim 6, wherein said at least two wall portions of said retention body are secured to said walls of said elongated catheter body.
13. The surgical catheter of claim 1, further including a multi-port valve mechanism positioned at said distal end of said elongated catheter body in fluid communication with said inner channel of said retention body.
14. A method for operating a surgical catheter insertable in a bodily cavity of a patient, comprising: configuring the surgical catheter with an elongated catheter body having walls extending between proximal and distal ends thereof, defining, by said walls, an internal channel extending therebetween along a longitudinal axis of said elongated catheter body; positioning a first retention mechanism at said proximal end of said elongated catheter body, said retention mechanism including a retention body configured with walls extending between a tip and an opposite edge and defining an internal channel of the retention body, forming said first retention mechanism with at least two wall portions of said walls of said retention body interrupted by at least two longitudinal slits extending in a spaced apart relationship along the periphery of said retention body a predetermined length thereof, and reinforcing said at least two wall portions of said retention body; providing said internal channel of said retention body, at one end thereof, with a drainage port positioned beneath a bottom of said first retention mechanism in fluid communication with an exhaust port positioned at said distal end of said elongated catheter body, establishing a bellows at said elongated catheter body between said proximal said distal ends thereof, and attaching a rod, at one end thereof, to said tip of said retention body, and at another end thereof, to said bellows unit; and operating said catheter in a passive mode of operation and in an active mode of operation; inserting said catheter, in said passive mode of operation, into a bodily cavity of interest; subsequent to inserting said catheter in the bodily cavity, transforming said catheter in said active mode of operation by: extending said bellows, thus causing a displacement of said rod towards said distal end of said elongated catheter body, and displacing said tip of said retention body, thus transforming said first retention mechanism into said deployed configuration; and securing a second retention mechanism to a patient's body and engaging said second retention mechanism with said extended bellows to stabilize said elongated catheter body in position.
15. The method of claim 14, further comprising the steps of: configuring said second retention mechanism with an adhesive pad and a stabilizer housing unit, attaching said adhesive pad to the patient body, and securing said stabilizer housing unit to said adhesive pad; forming said stabilizer housing unit with a bottom wall and an upper wall removably securable to said bottom wall, said bottom and upper walls forming a receiving channel therebetween longitudinally extending along said stabilizer housing unit, and subsequently to indwelling said catheter in the bodily cavity with said first retention mechanism activated, securing said extended bellows in said receiving channel between said bottom at upper walls of said stabilizer housing unit.
16. The method of claim 14, further comprising the steps of: operating said surgical catheter intermittently in said passive mode of operation and said active mode of operation, through the steps of: inserting said surgical catheter, in said passive mode of operation, into the bodily cavity, wherein, in said passive mode of operation, said at least two wall portions of retention body extend substantially in parallel to said longitudinal axis thereof; and upon entering said surgical catheter into the bodily cavity, transforming said first retention mechanism into said deployed configuration by actuating said first retention mechanism through the steps of: extending said bellows, thus causing bending and radial outward displacement of said at least two wall portions of said retention body, resulting in opening of said at least two longitudinal slits and exposure of said drainage port of said inner channel of said retention body to a fluid in said bodily cavity, wherein said drainage port is disposed in proximity to a bottom of said bodily cavity for complete removal of said fluid through said inner channel of said retention body and said inner channel of said elongated catheter body to said exhaust port thereof; and securing said bellows in said receiving channel of said stabilizer housing unit attached to the patient's body.
17. The method of claim 14, further comprising: in said deployed configuration, displacing said at least two wall portions one from another and forming a curved wing-like configuration to abut against inner walls of said bodily cavity, thus anchoring said catheter therein; and in said passive mode of operation, inserting said surgical catheter in said bodily cavity or remove therefrom.
18. The method of claim 17, further comprising: forming said at least two wall portions of said retention body integral with said walls of said elongated catheter body, or securing said at least two wall portions to said walls of said elongated catheter body.
19. The method of claim 14, further comprising the steps of: installing a multi-port valve mechanism at said distal end of said elongated catheter body in fluid communication with said drainage port, and removing said fluid from the bodily cavity when the pressure in the bodily cavity reaches a predetermined level.
20. The method of claim 14, further comprising the steps of: reinforcing said at least two wall portions of said retention body via a reinforcing mechanism selected from a group consisting of: at least two reinforcement members, each secured to a respective one of said at least two wall portions of said walls of said retention body, and forming walls of said retention body from a layer of elastic material having thickness greater than the thickness of the walls of said elongated catheter body.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
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DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT(S)
[0097] The subject catheter may be used in various surgical and therapeutic procedures, and is applicable for indwelling in various bodily cavities. However, as one of numerous exemplary applications, but not to limit the scope of the invention and the areas of its application, the subject catheter will be described herein as a urinary catheter for indwelling in the bladder of a patient, in the interest of clarity.
[0098] Referring to
[0099] A distal end 108 of the tube-like catheter body 102 is accommodated with a urine exit (or exhaust) port 110 which is positioned in fluid communication with, and terminates in a urine collection bag 112 (best shown in
[0100] As shown in
[0101] The tube-like catheter body 102 is formed with walls 116 defining and circumferentially enveloping an internal channel 115 of the tube-like catheter body 102.
[0102] The retention body 113 may be formed as an integral part of the tube-like catheter body 102 by cutting the elastic material of the walls 116 of the tube-like catheter body 102 a predetermined length from the proximal end 106, as shown in
[0103] Alternatively, as shown in
[0104] A bellows portion 120 is formed close to the distal end 108 of the tube-like catheter body 102. A plastic rod 122 is fastened, at one end, by any suitable mechanism to the tip 124 of the retention body 113 and, at an opposite end, to the bellows portion 120, as best shown in
[0105] To transform into the opened (deployed) configuration, the retention mechanism 104 is actuated by extending (stretching, expanding) the bellows portion 120. This action causes the rod 122 displacement towards the distal end 108 of the catheter body 102, simultaneously bringing the tip 124 of the retention body 113 downward. The displacement of the tip 124 leads to a separating and bending of the wall portions (wings) 126 located between the slits 114, accompanied by opening of the longitudinal slits 114, thus bringing the retention mechanism 104 into the flower-like configuration 140 which constitutes a deployment configuration, shown in
[0106] Enhanced retaining qualities of the catheter are necessary when a patient suffers from dementia, is confused or recovering from anesthesia. Also, if continuous irrigation is needed, improvements to the securement mechanism of the indwelled catheter is highly beneficial for the well being of the patient.
[0107] The thickness (or stiffness) of the flower configuration 140 is directly proportional to its retainability power. The thicker (or stiffer) the flower configuration 140 is, the higher retainability by the flower configuration may be attained. Opposingly, the thinner and more elastic the flower configuration is, the weaker the retainability of the flower configuration.
[0108] As shown in
[0109] Alternatively, the retention body 113 may be injected with rubber (or similar elastomer) to change the proximal tip 124 of the Catheter 100 from a hollow tube to a solid rod, as shown in
[0110] It is important to note that a thicker elastic flower configuration is safer than a stiff or rigid flower configuration. In the latter example, the stiff (or rigid) flower configuration may cause damage to the bladder neck or urethra if inadvertently pulled out with the Flower Configuration in full deployment.
[0111] Therefore, it would be desirable to form only a predetermined length (for example, 5 centimeters) of the tip portion thicker, or reinforce the wings of the flower configuration with rubber or the Malleable plastic. In this manner, an improved and safer retainability may be attained compared with prior art devices, if pulled out inadvertently with the wings fully deployed.
[0112] To achieve such goal, a 5 centimeter length of the retention body 113 is either reinforced at the inner diameter (
[0113] In addition to the improved retainability which may be attained due to the reinforcing of the retention mechanism 104, a second retaining mechanism 142 is provided in the subject catheter system 100. The second retaining mechanism 142 provides a stabilizing function for the indwelled catheter, and thus is also referred to herein as a stabilizer mechanism added for enhanced retainability. The stabilizer mechanism is detailed in further paragraphs related to the description of
[0114] The subject catheter 100 is operated in two modes which include a passive (collapsed) mode of operation (shown in
[0115] In the passive mode of operation, the retention body 113 of the retention mechanism 104 has a straight (cylindrical) configuration, with wall portions 126 disposed substantially in parallel to the longitudinal axis of the tube-like catheter body 102 with the longitudinal slits 114 closed. The passive configuration of the subject catheter 100 corresponds to the operational mode of the catheter assumed for insertion into or removal from the urinary bladder.
[0116] Upon insertion into the bladder 134, the catheter 100 is transformed into the active mode of operation for anchoring the catheter 100 in place by actuating (deploying) the retention mechanism 104, as shown in
[0117] The walls 126 of the retention body 113 cylindrically extend (in the passive mode of operation) and define an internal channel 130 of the retention body 113 which extends in a fluid communication and is aligned with the internal channel 115 of the tube-like catheter body 102. Both channels 115 and 130, being in alignment each with the other, form a passage for the urine 135 to move from the urine drainage port 132 (at the bottom of the retention body 113 of the retention mechanism 104) to the urine exhaust port 110 at the distal end 108 of the tube-like catheter body 102 to terminate in the urine collection bag 112 (shown in
[0118] During the procedure of inserting the catheter 100 into the bladder 134 through the urethra 136 for surgical and/or therapeutic purposes, the tip portion 124 of the retention body 113 is inserted into and is gently pushed through the urethra 136 until it enters the bladder 134. Once in the bladder 134, the catheter 100 is secured in its indwelling position by the actuated retention mechanism 104.
[0119] In order to actuate the retention mechanism 104, the bellows 120 are separated apart by a physician, and the rod 122 secured (glued) to the tip 124 as well as to the distal end 138 of the bellows 120 displaces towards the distal end 108 of the catheter 100. Subsequently, the reinforced wings 126 spread outwards, thus forming a strong flower-like configuration 140, shown in
[0120] As shown in
[0121] An improved flow rate is attained by enlarging the diameter of the internal channel of the subject catheter without affecting the outside diameter.
[0122] Improved drainage in the subject Catheter is achieved by (a) positioning of the drainage site at the most dependable part of the urinary bladder, and (b) providing a wider internal channel within the Catheter.
[0123] The urine drainage port 132 is wider in the subject catheter when taken with respect to prior art devices, having a diameter of the entire inner channels 130 and 115 (which is wider than the internal diameter of a conventional Foley Catheter) since no other structure obstructs the inner channels 115, 130, as shown in
[0124] The positioning of the urine drainage port 132 of the subject catheter 100 at the bottom of the bladder 134 provides a complete no-residual urine drainage from the bladder 134, coupled with faster drainage of the urinary bladder, and a faster flow through the inner channel 130 of the retention body aligned with the inner channel 115 of the tube-like elongated body 102, thus eliminating conditions favorable for developing irritation and bacteria growth inside the bladder, as well as other urinary passages, that is highly beneficial for the health of the patient.
[0125] In order to provide improved retainability, in addition to the retention mechanism 104 which includes the wings 126 reinforced by the member 128, or thickened wings 126, to attain a secure retention of the catheter 100 in the bladder 134, the subject Catheter 100 is envisioned to operate with the stabilizer mechanism 142, depicted in
[0126] The stabilizer mechanism is fixed to the thigh (or other part) of the patient body by an adhesive breathable material 143, such as, for example, an adhesive pad. The stabilizer mechanism may be formed in numerous configurations providing a securement of the catheter's body 102 of the indwelled catheter 100 to the patient's body.
[0127] As one of numerous examples, the stabilizer mechanism 142 will be described as formed with a rotating housing unit 144 attached to the adhesive material 143 to house the bellows 50 when fully expanded, as shown in the
[0128] The stabilizer 142 provides the Catheter 100 with an enhanced retainability, by preventing a direct impact of the patient's actions to the bladder neck of the patient and to secure the indwelled catheter in position.
[0129] The stabilizer housing 144 may include a bottom wall 148 and an upper wall 146 displaceably (or removably) secured to the bottom wall 148. The walls 146, 148 may be connected, for example, by a hinge-like connection along one side of the housing 144, with a latching mechanism 149, 151 on another side of the housing.
[0130] A receiving channel 150 is formed between the walls 146, 148 to receive the bellows 120 therein to be locked between the walls 146, 148, when needed, to provide an enhanced stabilization of the indwelled catheter 100.
[0131] In order to intentionally remove the catheter 100 from the bodily cavity, as required by the surgical procedure, the stabilizer housing 144 is opened by unlocking the latching mechanism 149, 151, and hingedly separating the upper wall 146 from the lower wall 148, and the bellows 120 is removed from the receiving channel 150 of the stabilizer housing unit 144.
[0132] Subsequently, the bellows 120 is compressed, so that the rod 122 secured to the tip 124 and the distal end 138 of the bellows 120 is displaced in the direction away from the distal end 108 of the catheter body 102. This action causes return of the wings (walls) 126 in the retention mechanism 104 to their straight configuration, and closes the longitudinal slits 114, so that the catheter 100 is transformed into the passive configuration shown in
[0133] In a catheter which has to be indwelled for months, or years, in chronic cases, it is important to maintain the physiology of the urinary bladder 134, i.e., expansion and relaxation of the bladder wall. The expansion and relaxation of the bladder wall should prevent the urinary bladder from becoming fibrotic (very small capacity bladder). In the permanently indwelled urinary catheter, it is advantageous to add a valve to the urine exiting port connected to the urine bag, which would support the release of urine when the bladder is partially filled, i.e., to attain a certain bladder pressure, thus mimicking a normal physiological process. In normal physiological condition, the bladder is slowly distended until a person empties his/her bladder. Subsequently to emptying the bladder, the bladder wall returns to its collapsed position.
[0134] The one-way pressure controlled valve 152 shown in
[0135] As shown in
[0136] A method to manufacture the Silicone Lotus Catheter (hollow tube) 100 may be through extrusion. The subject Lotus Catheter can be extruded with a large inside diameter without affecting the outside diameter. The Lotus Catheter does not need to use an inside channel tube to carry fluids to and from the balloon if compared to the Foley Catheter, and thus, the entire inner channel of the Lotus Catheter can be used for carrying fluids therethrough.
[0137] The increased inner diameter in the improved Catheter 100 also contributes to increase of the diameter of the draining port 132. Thus, a better drainage is achieved in comparison with the conventional urinary catheters.
[0138] In comparison with the conventional Foley catheter, shown in
[0139] Further, in comparison with the conventional No-Balloon Lotus catheter, shown in
[0140] Also, the subject double retention mechanism (i.e., both the thickened or reinforced wing-like configuration, and the Stabilizer mechanism attached to the thigh of the patient) permits the subject catheter to attain a higher reliability than that of the conventional No-Balloon Lotus catheter, and thus can withstand inadvertent pulling of the catheter out.
[0141] Although this invention has been described in connection with specific forms and embodiments thereof, it will be appreciated that various modifications other than those discussed above may be resorted to without departing from the spirit or scope of the invention as defined in the appended claims. For example, functionally equivalent elements may be substituted for those specifically shown and described, certain features may be used independently of other features, and in certain cases, particular locations of the elements may be reversed or interposed, all without departing from the spirit or scope of the invention as defined in the appended claims.