Female incontinence control device with mechanically operable valve

• US 5,114,398 A
• Filed: 02/27/1990
• Issued: 05/19/1992
• Est. Priority Date: 02/27/1990
• Status: Expired due to Term

• Current Assignee: Urocath Corporation
• Original Assignee: Medical Engineering Corporation (Bristol-Myers Squibb Company)
• Inventors: Trick, Robert E., Barwick, Carl B.
• Primary Examiner(s): Pellegrino, Stephen C.
• Assistant Examiner(s): Lewis, Ralph A.
• Application Number:
  US07/485,696
• Time in Patent Office: 812 Days
• Field of Search: 600/29, 600/30, 600/31, 604/96, 604/99, 604/102, 604/249, 128/DIG. 25
• US Class Current: 600/29
• CPC Class Codes: A61F 2/0013 inflatable
• CPC Class Codes: Y10S 128/25 Artificial sphincters and devices for controlling urinary incontinence

Abstract

The female incontinence control device includes a conduit having inlet and outlet openings for receiving, conducting and discharging urinary fluid. The device also includes stabilizing structure for holding the conduit in its installed position relative to the urethra and bladder such that a drainage inlet opening can receive fluid from the bladder, and the outlet discharge opening is positioned outside the urethra. The conduit includes a manually actuatable drainage control valve adapted to be positioned outside the urethra. Manual actuation of the valve from a closed position to an open position is thus easily accomplished by manipulating an actuator member at a distal end portion of the conduit to selectively control urinary discharge from the conduit. The actuator member can be formed as an extension of a valve member or interconnected with the valve member through a flexible connecting link. The actuator can also be constituted as a flexible discharge member which permits control of the direction of discharge or urinary fluid.

Claims

1. An incontinence device for a female, comprising:

conduit means for receiving, conducting and discharging urinary fluids from the bladder, said conduit means having a proximal end portion with an inlet opening and a distal end portion with an outlet opening,

an antegrade restraining member attached to said conduit means and positionable within the body for restraining said conduit means from moving antegrade within the urethra,

a retrograde restraining member attached to said conduit means and positionable outside the urethra for restraining said conduit means from moving retrograde within the urethra, said retrograde and antegrade restraining means cooperably holding said conduit means in a predetermined position relative to the urethra so that said inlet opening receives urinary fluid from the bladder and said outlet opening is positioned outside the urethra, and

mechanically actuatable valve means attached to the distal end portion of said conduit means for selectively controlling the flow of urinary fluid through said conduit means for discharge through said outlet opening, said valve means including a valve member within said retrograde restraining member, said valve member being outside the urethra when said conduit means is in said predetermined position, said valve member being manually actuatable between a normally closed position and an open condition, said open condition permitting flow of urinary fluid through said conduit means for discharge through said outlet opening, said valve means further including a biasing spring at said distal end portion for urging said valve member into said normally closed position.

2. The incontinence device as claimed in claim 1 wherein said valve member includes an actuating member, said actuating member being joined to said valve member.

3. The incontinence device as claimed in claim 1 wherein said valve member includes a valve stem movable relative to the proximal end portion of said conduit means when said valve member is placed in said open condition.

4. The incontinence device as claimed in claim 3 wherein said actuating member is joined to said valve stem.

5. The incontinence device as claimed in claim 4 wherein said valve stem is projectible from the proximal end portion of said conduit member when said valve means is placed in said open condition.

6. The incontinence device as claimed in claim 4 including a flexible connecting member joining said actuating member to said valve stem.

7. The incontinence device as claimed in claim 4 wherein said actuating member is inflexible and is integrally joined to said valve stem.

8. The incontinence device as claimed in claim 1 wherein said conduit means include a conduit member, and a flexible discharge member including said discharge opening is provided at the distal end portion of said conduit means to form an extension of said conduit member.

9. The incontinence device as claimed in claim 8 wherein said discharge member includes a bellows portion to permit expansion and contraction of said discharge member.

10. The incontinence device as claimed in claim 8 wherein said conduit member includes a drainage lumen and said discharge member is communicable with said drainage lumen through said valve means and the flexibility of said discharge member permits movement thereof in a selected direction to control the direction of orientation of said outlet opening and thereby control the direction of fluid discharge from said outlet opening.

11. The incontinence device as claimed in claim 8 wherein said discharge member is joined to said valve means and is extendible a predetermined amount away from said valve means such that the extension of said discharge member said predetermined amount causes said valve member to move from said closed position to said open condition.

12. The incontinence device as claimed in claim 11 wherein said discharge member includes an expandible and contractible bellows portion to permit extension of said discharge member said predetermined amount.

13. The incontinence device as claimed in claim 11 including a connecting member connecting said discharge member to said valve means such that extension of said discharge member said predetermined amount causes said connecting member to move said valve member from said closed position to said open condition.

14. The incontinence device as claimed in claim 1 including a drainage passage between said inlet opening and said outlet opening and wherein the direction of said drainage passage is substantially in a first direction and the direction of movement of said valve member between said closed position and said open condition is substantially in a second direction.

15. The incontinence device as claimed in claim 14 wherein the first and second directions are substantially parallel.

16. The incontinence device as claimed in claim 14 wherein the second direction is offset from the first direction by a predetermined angle of 60 degrees or less.

17. The incontinence device as claimed in claim 14 wherein the second direction is offset from the first direction by a predetermined angle of approximately 90 degrees.

18. The incontinence device as claimed in claim 17 wherein said conduit means includes a conduit member having an axis in said first direction and said valve member is slidable having opposite ends and being movable in said second direction, one of said valve member ends projecting from said conduit member when said valve member is in one of said open condition and closed position, said valve member being movable in said predetermined second direction to the other of said open condition and closed position when said one end of said valve member is displaced toward said conduit member.

19. The incontinence device as claimed in claim 18 wherein said valve member includes a reduced section that aligns with said fluid drainage passage when said valve member is moved to said open condition.

20. The incontinence device as claimed in claim 18 wherein said valve member includes an enlarged section that aligns with said fluid drainage passage to close said fluid drainage passage when said valve member is moved to said closed position.

21. The incontinence device as claimed in claim 1 wherein said conduit means includes a lumen having an inlet opening at said distal end portion and an outlet opening a predetermined distance from said proximal end portion to communicate with said urethra to permit infusion of an antimicrobial agent through said lumen into said urethra.