Drainage balloon catheter system

• US 4,349,029 A
• Filed: 06/16/1980
• Issued: 09/14/1982
• Est. Priority Date: 06/16/1980
• Status: Expired due to Term

• Current Assignee: Patricia A. Mott
• Original Assignee: Patricia A. Mott
• Inventors: Mott, Patricia A.
• Primary Examiner(s): Apley, Richard J.
• Assistant Examiner(s): Kroter, J. L.
• Application Number:
  US06/160,134
• Time in Patent Office: 820 Days
• Field of Search: 128/242, 128/243, 128/246, 128/276, 128/294, 128/295, 128/344, 128/349 B, 128/349 BV, 128/350 R, 128/350 V, 128/DIG. 24, 128/129
• US Class Current: 604/103.07
• CPC Class Codes: A61B 2090/0814 Preventing re-use
• CPC Class Codes: A61F 5/44 Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aidsabsorbent pads, e.g. sanitary towels, A61F13/15; drainage appliances for wounds A61M27/00; emptying devices for urine bags B65B69/0016; Colostomy devices adhesives for colostomy devices A61L24/00; materials for colostomy devices A61L28/00
• CPC Class Codes: A61M 25/1002 characterised by balloon shape A61M25/1006, A61M25/1009 take precedence

Abstract

A catheterization apparatus is provided having a catheter, a drainage hose, and a collection vessel. The catheter is of the endwelling type having a retention balloon for expansion while the head of the catheter is in the bladder or other cavity being drained thereby. The balloon when expanded comprises a plurality of wings or loops which function in cooperation with at least one aperture which communicates the interior bore or lumen of the catheter with the bladder such that the bladder cannot collapse about and occlude the aperture. In this manner, substantially little or no residual urine remains in the bladder during catheterization thereof, thus reducing significantly growth of bacteria within the bladder which would tend to cause a urinary tract infection. The catheter, hose, and vessel normally form a sealed system which is preferably only broken every 24 hours. The vessel is sized so as to accept at least a 24 hour output of urine and is preferably nonreusable. In particular, the vessel has a constricted neck which allows urine to slowly flow thereinto over a period of time but which restricts quick and easy emptying of the vessel for reuse. A hanger is also provided for the vessel which allows the vessel to be easily secured to a bed or a wheelchair.

Claims

1. In an intraurethral retention catheter having a longitudinal axis and being adapted for use in a bladder and having an expansion balloon for selectively maintaining the catheter after insertion within the bladder and at least one drainage aperture providing flow communication between an interior bore of the catheter and the bladder after insertion within the bladder;

the improvement comprising;

(a) expandable balloon biasing means including at least a first portion thereof radially extending and spaced outwardly and circumferentially from said catheter; and

(b) said aperture being positioned on said catheter such that a plane normal to said catheter longitudinal axis and passing through said aperture also passes generally through said balloon biasing means;

said balloon biasing means first portion being spaced radially outward from said aperture;

whereby said aperture is adapted to freely communicate with urine within said bladder when said balloon biasing means is expanded and whereby said balloon biasing means is adapted to positively urge walls of the bladder away from the aperture when expanded within the bladder such that the walls do not occlude flow of urine from the bladder through the aperture.

2. The catheter according to claim 1 wherein:

(a) said balloon biasing means is of an arcuate configuration and has inner and outer surfaces;

a urine flow void exists between said aperture and said biasing means inner surface;

said outer surface adapted for engaging the bladder walls and positively urging the walls away from said aperture; and

said aperture opening into the bladder but in spaced relationship from said inner surface such that substantially all residual urine in the bladder can freely flow into the catheter by means of said aperture.

3. The catheter according to claim 2 wherein:

(a) a second and a third drainage aperture communicate between the catheter interior bore and the bladder above and below respectively the attachment of said balloon biasing means to a remainder of the catheter.

4. The catheter according to claim 3 wherein:

(a) said first, second, and third apertures are portions of a single continuous port.

5. The catheter according to claim 2 including:

(a) an insertion tip;

said tip being oriented such that said balloon biasing means is adapted to urge the bladder walls away from said insertion tip when said catheter is inserted into the bladder so that said insertion tip does not continually rub against the bladder walls when inserted therein.

6. The catheter according to claim 2 wherein:

(a) said balloon biasing means comprises said expansion balloon and is attached to a lumen containing shaft of the catheter and includes a plurality of loops; and

(b) said aperture being associated with a first one of said loops and an additional respective aperture is associated with each remaining loop of said plurality of loops.

7. The catheter according to claim 6 wherein:

(a) each of said expansion balloon loops extend radially outward from the lumen containing shaft of said catheter in a symmetrical manner.

8. The catheter according to claim 7 wherein:

(a) said expansion balloon includes an outer donut shaped ring and a plurality of angularly spaced radially extending spokes attached at one end thereof to the shaft of the catheter and at the opposite end thereof to said ring for supporting said ring;

adjacent spokes define said loops in conjunction with an associated portion of said ring therebetween.

9. The catheter according to claim 7 wherein:

(a) each of said loops are individually attached to said shaft at opposite first and second ends of the loop respectively;

one end of each of said loops is attached at a first point near a distal end of said shaft and a second end of the respective loop is attached at a second point traversely spaced from said first point along said shaft; and

(b) each said associated aperture extends from near said first point of attachment to near said second point of attachment.

10. The catheter according to claim 1 in combination with:

(a) a vessel for collecting fluid from the cavity; and

(b) a drainage conduit flow communicating said drainage lumen with said vessel.

11. The catheter according to claim 10 wherein:

(a) said collection vessel has only one port thereinto;

said port providing for flow of urine from said drainage conduit into said vessel;

said vessel adapted for collecting urine from the bladder;

said port having an opening sufficiently large enough to allow free flow of urine into said vessel over a normal time span for producing such urine within humans; and

said vessel having a sufficiently small enough opening to substantially restrict flow of fluid from said vessel so as to dissuade an attendant from emptying urine from said vessel, whereby said vessel is made substantially not reusable.

12. The system according to claim 11 wherein:

(a) a bacteriacide is included in said vessel.

13. The system according to claim 12 wherein:

(a) said bacteriacide is selected from the group consisting of hydrogen peroxide, vinegar, iodophor, iodine, alcohol, and mixtures thereof.

14. The system according to claim 12 wherein:

(a) said bacteriacide is non-allergenic antiseptic compatible with normal hospital test run on urine.

15. The system according to claim 10 including:

(a) a hanger for said collection vessel;

said hanger having hooking means thereon adapted for securing to both a bed frame and a wheelchair;

said hanger also having retention means associated therewith for removably holding said vessel thereto both when said hanger is secured to the bed rail and when said hanger is secured to a wheel chair.

16. In a retention catheter with a longitudinal axis adapted for use in a bladder and having an expansion balloon for selectively maintaining the catheter after insertion within the bladder and at least one drainage aperture providing flow communication between the interior bore of the catheter and the bladder;

the improvement comprising;

(a) expandable balloon biasing means spaced from said catheter in a plane normal to the catheter longitudinal axis and positioned circumferentially thereabout;

said balloon biasing means for positively urging walls of the bladder away from the aperture such that the walls do not occlude flow of urine from the bladder through the aperture, said biasing means comprising said expansion balloon;

said expansion balloon having an arcuate configuration with an inner and outer surface;

said outer surface adapted for engaging the bladder walls; and

said aperture opening into the bladder but in radially spaced relationship from said inner surface such that substantially all residual urine in the bladder can freely flow into the catheter by means of said aperture;

wherein;

(b) said expansion balloon is attached to a lumen containing shaft of the catheter and has a plurality of loops;

(c) each of said loops has a drainage aperture associated therewith; and

(d) said expansion balloon includes an outer donut shaped ring and a plurality of angularly spaced radially extending spokes attached at one end thereof to the shaft of the catheter and at the opposite end thereof to said ring for supporting said ring;

adjacent spokes define said loops in conjunction with an associated portion of said ring therebetween.