US3920023A - Method and apparatus for placement of a suprapubic catheter - Google Patents

Method and apparatus for placement of a suprapubic catheter Download PDF

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US3920023A
US3920023A US453318A US45331874A US3920023A US 3920023 A US3920023 A US 3920023A US 453318 A US453318 A US 453318A US 45331874 A US45331874 A US 45331874A US 3920023 A US3920023 A US 3920023A
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catheter
bladder
tubing member
tube
cutting point
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John F Dye
William J Binard
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Kendall Co
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Kendall Co
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06—Body-piercing guide needles or the like
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84—Drainage tubes; Aspiration tips

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  • ABSTRACT A suprapubic catheter is inserted into a bladder in a safe, efficient and simple manner by first inserting a hollow, curved and rigid tubing member transurethrally into a bladder.
  • the tubing member has a catheter therewithin onto which a cutting point is attached, and is constructed in such a manner as to permit the cutting point to, when pushed through the distal end thereof, pierce the anterior wall of the bladder after it has been externally palpated for placement.
  • the cutting point then emerging from the bladder, can be grasped externally and the catheter can be pulled through the tubing member and into the bladder to a premarked point thereon and may be separated from the main body of the catheter and connection made to a conventional drainage and collection assembly.
  • the tubing member is then withdrawn backwardly leaving the catheter tube safely within the bladder in the proper position.
  • a stylet may be employed to remove the catheter when drainage is to be terminated.
  • FIG I US. Patent Nov. 18, 1975 Sheet 2 on 3,920,023
  • This invention relates to a method andapparatus for placement of a suprapubic catheter, and more particularly to a method for suprapubic cystotomy wherein the catheter initially pierces the bladder wall from within and is drawn outwardly therefrom for final placement.
  • Suprapubic' catheterization is the insertion into the urinary bladder of a drainage tube through the skin in the lower abdomen above the pubic bone, i.e., the suprapubic area.
  • the procedure is normally carried out by placing a regular transurethral catheter into the bladder, and instilling sterile liquid therein until the bladder is sufficiently full that it can be palpated through the skin. This catheter is then removed and the suprapubic catheter is placed into the bladder by one of two means the trocar method or the needle method.
  • Another technique of inserting suprapubic catheters involves inserting a rigid instrument having a curved distal portion that has a clamp thereon into the bladder and depressing the handle of the instrument so as to cause a protrusion on the suprapubic area.
  • An incision is made from without at this point down to the tip of the distal portion of the rigid instrument, which is then brought throughthe incision.
  • the clamp on the distal end' thereof is opened to accept and grasp a catheter, which is then withdrawn backwardly into the bladder.
  • the clamp is released and the catheter is retained within the bladder while the rigid instrument is withdrawn through the urethra.
  • This method of insertion also can produce dangerous complications. For example, whenever a separate incision must be made there is always the attendant possibility of infection. This possibility is further increased in that the distal portion of the rigid instrument is first pushed out into the local environment and exposed to possible contamination and is then drawn back into the bladder and out through the urethra.
  • Still another prior art suprapubic insertion technique is described in U.S. letters Pat. No. 3,640,281 to Robertson.
  • This technique can be described as including the steps of: inserting a curved distal portion of a rigid instrument into the bladder through the urethra, the curved distal portion having a closure thereon; inflating the bladder with a fluid through the instrument; engaging the distal end of the instrument with the anterior wall of the bladder with sufficient force to provide a visible protrusion of the suprapubic region of the abdominal wall; making an incision through the abdominal wall and the anterior wall of the bladder in register with the distal end of the instrument; displacing same outwardly through the incision, and removing the closure from the distal endofthe instrument; inserting a portion of a catheter into the distal end of the instrument; withdrawing theinstrument through the incision from the bladder and the urethra, leaving a portion of the catheter within the bladder; and inflating the inflatable portion of the catheter within the bladder to insure retention.
  • Another object of this invention is to provide a means of making an incision in the anterior wall of the bladder and the abdominal wall from within the bladder, so as to reduce the possibility of contamination from without.
  • a further object of the present invention is to provide a method of inserting a suprapubic catheter into the bladder that insures that no portion of the catheter or inserting apparatus must pass from the bladder to the outside and back to the bladder.
  • Apparatus for, and a method of, inserting a suprapubic catheter into the bladder is provided in a safe, efficient and simple manner comprising a hollow, curved and rigid tubing member having a shielded catheter therewithin onto which a cutting point is attached.
  • the tubing member is inserted transurethrally into a bladder in such a manner as to permit the cutting point to, when pushed through the distal end thereof, pierce the wall of the bladder from within after the bladder has been externally palpated.
  • the cutting point, then emerging from the abdomen, is grasped externally and the catheter is pulled through the bladder and abdominal wall, via the tubing member, to a predetermined and premarked point thereon.
  • the curved tubing member can then be easily withdrawn therefrom, leaving the catheter tube safely within the bladder in the proper position.
  • FIG. 1 shows the device 10 used in this invention to insert a suprapubic catheter into a patients bladder transurethrally.
  • the device 10 includes a rigid, curved, hollow, tubing member, being curved in such a manner as to permit the member to easily beinserted transurethrally into a patients bladder.
  • the member is open at both ends, the distal end 11 being the curved portion and having an opening 12 thereon. while the proximal end 13 has an opening 15 thereon and can have a pair of flanging rings 14 or the like attached thereto for holding and guiding the member into the bladder.
  • the rings 14 are added for convenience, and are not necessary parts in this invention.
  • the plunger 18 can advantageously have a ringed configuration. such as shown by 19, situated at the proximal end thereof,
  • the ringed configuration 19 provides a convenient means for handling the plunger 18 and for convolutely storing the catheter 16 therewithin.
  • Such a ringed arrangement is, of course, preferred but is not necessary.
  • the distal end of the plunger 18 is telescopically placed within the curved member so that when the plunger 18 is pushed all the way into the member the cutting point 17 is capable of extending out through the opening 12 of the curved member.
  • a suprapubic catheter can easily and efficiently be inserted into a patients bladder 30, by externally palpating the bladder and inserting the device 20, by urethral entry, into the bladder so that the curved distal portion 21 points toward the abdomen and until resistance of the anterior wall of the bladder is felt against the catheter tip 22 having the opening thereon.
  • an internal to external puncture can be made in the suprapubic region by pushing the plunger 28 inwardly, thereby forcing the cutting point 27 to pierce through the bladder wall 31 and abdominal wall 32 and exiting through the outer surface of the skin.
  • the curved distal portion of the insertion device is shaped so that it can easily be inserted through the urethra, and so that the plunger 18 can be handled and operated from a convenient position.
  • the emerging cutting point 27 can then be grasped externally and the catheter 26 can be pulled therethrough to a predeter mined and premarked point 41 thereon.
  • the device 20 can then be withdrawn backwardly, as shown in FIG. 4, leaving the suprapubic retention catheter 26 safely within the patients bladder at the proper level.
  • a .stylet can then be employed to remove the catheter when drainage is to be terminated.
  • the catheter tube can advantageously have a coiled configuration 34 on the end thereof for assisting in the retention of the catheter intracystically.
  • This coiled portion may advantageously have a plurality of openings 35 thereon for facilitating drainage.
  • FIG. 5 a sectional view of the catheter assembly 10 shows the catheter 16 having a predetermined mark or shoulder 41 which serves a two-fold purpose.
  • the shoulder 41 serves firstly as a means of enabling the plunger 18 to push the catheter 16 out through the opening 12 of the device 10, and secondly, as a marker to show how far the catheter 16 should be pulled out of the patient's bladder.
  • the catheter is properly placed when the shoulder 33 becomes visible externally.
  • the catheter assembly should have sufficient compressive strength so that an axial force applied to it from plunger 18 by means of the shoulder portion 41 will be transmitted axially to the cutting point 17 sufficiently to drive the point 17 through an abdominal wall.
  • the catheter 16 is shown here as a semi-rigid vinyl tubing of a relatively heavy 4 wall, but it can be of a variety of materials, such as a more flexible tubing containing a reinforcement such as a bead chain or tightly wound spring running from the shoulder 41 to the cutting point 17.
  • the cutting point 17 is advantageously a beveled, three sided, electropolished metal point. Other configurations of cutting points should work as well, and excessive cutting action should be avoided which could cause hematuria and clogging of the catheter.
  • This method of insertion makes a small, clean, pinpoint incision from within the bladder, and does not allow any possible sources of contamination to come into contact with the incision.
  • An obvious advantage of this invention is, of course, that complications that often arise due to over-penetration of the trocar or cutting point into the surrounding bowel area or the like, are completely eliminated, since the cutting point does not come into contact with any body parts until its exact location is precisely known.
  • the curved, hollow tubing member and the hollow plunger are of a sturdy metallic material, any rigid, durable material such as an impregnated or reinforced plastic, or the like would work with similar results.
  • the length and diameter of the device should be such that it can be suitably used for human beings, and will vary according to whether it is to be used for male or female patients.
  • a method of placement for a suprapubic catheter comprising:
  • a device for inserting a suprapubic catheter comprising:
  • a rigid, hollow, tubing member having a curved distal end portion thereon, said tubing member having an opening at both ends thereof;
  • tubing member has a pair of flanging rings on the proximal end thereof for holding and guiding said tubing member.
  • said catheter tube has a coiled configuration on the end thereof for retaining said tube intracystically, and said coiled configuration has a plurality of openings thereon.
  • a device for inserting a suprapubic catheter comprising:
  • a rigid, hollow, metal tubing member having a curved distal end portion thereon, said tubing member having an opening at both ends thereof, and having a pair of flanging rings on the proximal end thereof;
  • a rigid, hollow, metal plunger tube being open at at least one end thereof, and having a ringed configuration on the proximal end thereof, disposed telescopically within said tubing member for pushing a cutting point disposed within said tubing member outwardly through said distal end portion thereof, said cutting point being a beveled, three-sided, electropolished needle and having a catheter tube attached thereto, said tube having a coiled configuration on the end thereof and a plurality of openings thereon, and said'tube has a mark thereon for properly positioning said tube within the bladder.

Abstract

A suprapubic catheter is inserted into a bladder in a safe, efficient and simple manner by first inserting a hollow, curved and rigid tubing member transurethrally into a bladder. The tubing member has a catheter therewithin onto which a cutting point is attached, and is constructed in such a manner as to permit the cutting point to, when pushed through the distal end thereof, pierce the anterior wall of the bladder after it has been externally palpated for placement. The cutting point, then emerging from the bladder, can be grasped externally and the catheter can be pulled through the tubing member and into the bladder to a premarked point thereon and may be separated from the main body of the catheter and connection made to a conventional drainage and collection assembly. The tubing member is then withdrawn backwardly leaving the catheter tube safely within the bladder in the proper position. A stylet may be employed to remove the catheter when drainage is to be terminated.

Description

United States Patent 1191 Dye et al.
[ Nov. 18, 1975 METHOD AND APPARATUS FOR PLACEMENT OF A SUPRAPUBIC CATHETER [75] Inventors: John F. Dye, Reedsburg, Wis.;
William J. Binard, Barrington, Ill.
[73] Assignee: The Kendall Company, Boston,
Mass.
22 Filed: Mar. 21, 1974 211 App]. No.2 453,318
Primary Examiner-Richard A. Gaudet Assistant Examiner-Henry S. Layton Attorney, Agent, or Firm-Edward .l. Scahill, Jr.
[57] ABSTRACT A suprapubic catheter is inserted into a bladder in a safe, efficient and simple manner by first inserting a hollow, curved and rigid tubing member transurethrally into a bladder. The tubing member has a catheter therewithin onto which a cutting point is attached, and is constructed in such a manner as to permit the cutting point to, when pushed through the distal end thereof, pierce the anterior wall of the bladder after it has been externally palpated for placement. The cutting point, then emerging from the bladder, can be grasped externally and the catheter can be pulled through the tubing member and into the bladder to a premarked point thereon and may be separated from the main body of the catheter and connection made to a conventional drainage and collection assembly. The tubing member is then withdrawn backwardly leaving the catheter tube safely within the bladder in the proper position. A stylet may be employed to remove the catheter when drainage is to be terminated.
16 Claims, 5 Drawing Figures US. Patent N0v.18, 1975 Sheet1of3 3,920,023
FIG I US. Patent Nov. 18, 1975 Sheet 2 on 3,920,023
US. Patent Nov. 18, 1975 Sheet3of3 3,920,023
M MWF BACKGROUND. OF THE INVENTION This invention relates to a method andapparatus for placement of a suprapubic catheter, and more particularly to a method for suprapubic cystotomy wherein the catheter initially pierces the bladder wall from within and is drawn outwardly therefrom for final placement.
Suprapubic' catheterization is the insertion into the urinary bladder of a drainage tube through the skin in the lower abdomen above the pubic bone, i.e., the suprapubic area. The procedure is normally carried out by placing a regular transurethral catheter into the bladder, and instilling sterile liquid therein until the bladder is sufficiently full that it can be palpated through the skin. This catheter is then removed and the suprapubic catheter is placed into the bladder by one of two means the trocar method or the needle method.
These methods of insertion can be potentially. dangerousunless great care is taken during insertion. Com-.
plications often arise due to over-penetration of the cutting point into the surrounding bowel or bladder area, since these insertions are made blindly.
Another technique of inserting suprapubic catheters involves inserting a rigid instrument having a curved distal portion that has a clamp thereon into the bladder and depressing the handle of the instrument so as to cause a protrusion on the suprapubic area. An incision is made from without at this point down to the tip of the distal portion of the rigid instrument, which is then brought throughthe incision. The clamp on the distal end' thereof is opened to accept and grasp a catheter, which is then withdrawn backwardly into the bladder. The clamp is released and the catheter is retained within the bladder while the rigid instrument is withdrawn through the urethra. This method of insertion also can produce dangerous complications. For example, whenever a separate incision must be made there is always the attendant possibility of infection. This possibility is further increased in that the distal portion of the rigid instrument is first pushed out into the local environment and exposed to possible contamination and is then drawn back into the bladder and out through the urethra.
Still another prior art suprapubic insertion technique is described in U.S. letters Pat. No. 3,640,281 to Robertson. This technique can be described as including the steps of: inserting a curved distal portion of a rigid instrument into the bladder through the urethra, the curved distal portion having a closure thereon; inflating the bladder with a fluid through the instrument; engaging the distal end of the instrument with the anterior wall of the bladder with sufficient force to provide a visible protrusion of the suprapubic region of the abdominal wall; making an incision through the abdominal wall and the anterior wall of the bladder in register with the distal end of the instrument; displacing same outwardly through the incision, and removing the closure from the distal endofthe instrument; inserting a portion of a catheter into the distal end of the instrument; withdrawing theinstrument through the incision from the bladder and the urethra, leaving a portion of the catheter within the bladder; and inflating the inflatable portion of the catheter within the bladder to insure retention. This technique, while it appears to be more satisfactory than the others mentioned herein, stillhas 2 an increased possibility of contamination and infection since the distal portion of the instrument comes up through the bladder and through the externally made incision, is handled at that position from without, and is then withdrawn backwardly through the incision, bladder and urethra.
Accordingly, it is an object of this invention to provide a means of inserting suprapubic catheters that minimizes infection, or the possibility thereof by employing a unidirectional movement of a catheter through the bladder and through the abdomen from within to the external environs.
Another object of this invention is to provide a means of making an incision in the anterior wall of the bladder and the abdominal wall from within the bladder, so as to reduce the possibility of contamination from without.
A further object of the present invention is to provide a method of inserting a suprapubic catheter into the bladder that insures that no portion of the catheter or inserting apparatus must pass from the bladder to the outside and back to the bladder.
SUMMARY OF THE INVENTION Apparatus for, and a method of, inserting a suprapubic catheter into the bladder is provided in a safe, efficient and simple manner comprising a hollow, curved and rigid tubing member having a shielded catheter therewithin onto which a cutting point is attached. The tubing member is inserted transurethrally into a bladder in such a manner as to permit the cutting point to, when pushed through the distal end thereof, pierce the wall of the bladder from within after the bladder has been externally palpated. The cutting point, then emerging from the abdomen, is grasped externally and the catheter is pulled through the bladder and abdominal wall, via the tubing member, to a predetermined and premarked point thereon. The curved tubing member can then be easily withdrawn therefrom, leaving the catheter tube safely within the bladder in the proper position. This technique provides a novel and efficient means for inserting suprapubic catheters transurethrally while minimizing the possibility of infection.
BRIEF DESCRIPTIONTOF THE DRAWINGS DESCRIPTION OF THE PREFERRED EMBODIMENTS Referring to the drawings, FIG. 1 shows the device 10 used in this invention to insert a suprapubic catheter into a patients bladder transurethrally. The device 10 includes a rigid, curved, hollow, tubing member, being curved in such a manner as to permit the member to easily beinserted transurethrally into a patients bladder. The member is open at both ends, the distal end 11 being the curved portion and having an opening 12 thereon. while the proximal end 13 has an opening 15 thereon and can have a pair of flanging rings 14 or the like attached thereto for holding and guiding the member into the bladder. It should be noted that the rings 14 are added for convenience, and are not necessary parts in this invention.
A catheter 16, such as a spring catheter, having a cutting point 17 thereon, is preloaded in a rigid, hollow plunger 18 having an opening on at least the proximal end thereof, The plunger 18 can advantageously have a ringed configuration. such as shown by 19, situated at the proximal end thereof, The ringed configuration 19 provides a convenient means for handling the plunger 18 and for convolutely storing the catheter 16 therewithin. Such a ringed arrangement is, of course, preferred but is not necessary. The distal end of the plunger 18 is telescopically placed within the curved member so that when the plunger 18 is pushed all the way into the member the cutting point 17 is capable of extending out through the opening 12 of the curved member.
Referring now to FIGS. 2, 3 and 4, a suprapubic catheter can easily and efficiently be inserted into a patients bladder 30, by externally palpating the bladder and inserting the device 20, by urethral entry, into the bladder so that the curved distal portion 21 points toward the abdomen and until resistance of the anterior wall of the bladder is felt against the catheter tip 22 having the opening thereon. At this point, an internal to external puncture can be made in the suprapubic region by pushing the plunger 28 inwardly, thereby forcing the cutting point 27 to pierce through the bladder wall 31 and abdominal wall 32 and exiting through the outer surface of the skin. As can be seen from the drawings, the curved distal portion of the insertion device is shaped so that it can easily be inserted through the urethra, and so that the plunger 18 can be handled and operated from a convenient position. The emerging cutting point 27 can then be grasped externally and the catheter 26 can be pulled therethrough to a predeter mined and premarked point 41 thereon. The device 20 can then be withdrawn backwardly, as shown in FIG. 4, leaving the suprapubic retention catheter 26 safely within the patients bladder at the proper level. A .stylet can then be employed to remove the catheter when drainage is to be terminated.
The catheter tube can advantageously have a coiled configuration 34 on the end thereof for assisting in the retention of the catheter intracystically. This coiled portion may advantageously have a plurality of openings 35 thereon for facilitating drainage.
Turning finally to FIG. 5, a sectional view of the catheter assembly 10 shows the catheter 16 having a predetermined mark or shoulder 41 which serves a two-fold purpose. The shoulder 41 serves firstly as a means of enabling the plunger 18 to push the catheter 16 out through the opening 12 of the device 10, and secondly, as a marker to show how far the catheter 16 should be pulled out of the patient's bladder. As shown in FIG. 4, the catheter is properly placed when the shoulder 33 becomes visible externally. The catheter assembly should have sufficient compressive strength so that an axial force applied to it from plunger 18 by means of the shoulder portion 41 will be transmitted axially to the cutting point 17 sufficiently to drive the point 17 through an abdominal wall. The catheter 16 is shown here as a semi-rigid vinyl tubing of a relatively heavy 4 wall, but it can be of a variety of materials, such as a more flexible tubing containing a reinforcement such as a bead chain or tightly wound spring running from the shoulder 41 to the cutting point 17.
The cutting point 17 is advantageously a beveled, three sided, electropolished metal point. Other configurations of cutting points should work as well, and excessive cutting action should be avoided which could cause hematuria and clogging of the catheter.
This method of insertion makes a small, clean, pinpoint incision from within the bladder, and does not allow any possible sources of contamination to come into contact with the incision. An obvious advantage of this invention is, of course, that complications that often arise due to over-penetration of the trocar or cutting point into the surrounding bowel area or the like, are completely eliminated, since the cutting point does not come into contact with any body parts until its exact location is precisely known.
While it is preferred that the curved, hollow tubing member and the hollow plunger are of a sturdy metallic material, any rigid, durable material such as an impregnated or reinforced plastic, or the like would work with similar results. The length and diameter of the device should be such that it can be suitably used for human beings, and will vary according to whether it is to be used for male or female patients. The drawings here, of course, show the device being used on female patients.
Since it is obvious that many changes and modifications can be made in the above-described details without departing from the nature and spirit of the invention, it is to be understood that the invention is not limited to said details except as set forth in the appended claims.
What is claimed is:
1. A method of placement for a suprapubic catheter comprising:
inserting the distal end of a rigid, hollow tubing member having an opening at both ends thereof through the urethra and into the bladder, said distal end being curved;
locating the opening on said distal end against the anterior wall of the bladder in the suprapubic region thereof; pushing a cutting point through said tubing member and through said opening on said distal end so as to pierce the anterior wall of the bladder and abdomen in the suprapubic region and through the outer surface of the skin, said cutting point having a catheter attached thereto;
pulling said cutting point outwardly away from said tubing member leaving a portion of said catheter within the bladder; and
withdrawing said tubing member backwardly from said bladder leaving said catheter at the desired position within said bladder.
2. The method of claim 1 wherein said bladder is externally palpated prior to locating said opening on said distal end against the anterior wall of said bladder.
3. The method of claim 1 wherein said catheter is withdrawn from the bladder to a predetermined mark on said catheter.
4. The method of claim 1 wherein said catheter tube has a coiled configuration on the end thereof, and said coiled configuration has a plurality of openings thereon.
5. The method of claim 1 wherein said cutting point is pushed through said distal end of said tubing member by means of a rigid plunger in telescopic relationship with said tubing member.
6. The method of claim 5 wherein said plunger is hollow and open at at least one end thereof, and said catheter is contained therein prior to insertion into the bladder and abdomen.
7. A device for inserting a suprapubic catheter comprising:
a rigid, hollow, tubing member having a curved distal end portion thereon, said tubing member having an opening at both ends thereof;
a rigid, hollow, metal plunger tube open at at least one end thereof, in which a catheter tube may fit within, is disposed telescopically within said tubing member for pushing a cutting point disposed within said tube outwardly through said distal end portion, said plunger tube has a ringed configuration on the proximal end thereof for holding and guiding said plunging means and for convolutely storing said catheter tube therearound prior to insertion into a bladder, said cutting point having said catheter tube attached thereto.
8. The device of claim 7 wherein said plunger tube is open at both ends.
9. The device of claim 8 wherein said plunger tube and said tubing member are of a metal.
10. The device of claim 8 wherein said plunging means and said tubing member are of a reinforced plastic material.
11. The device of claim 10 wherein said tubing member has a pair of flanging rings on the proximal end thereof for holding and guiding said tubing member.
12. The device of claim 7 wherein said catheter tube has a coiled configuration on the end thereof for retaining said tube intracystically, and said coiled configuration has a plurality of openings thereon.
13. The device of claim 12 wherein said catheter tube is marked to show the proper level for positioning said tube within the bladder.
14. The device of claim 13 wherein said mark on said tube is a shouldered portion that also serves as an engaging means for enabling said plunger tube to push said catheter out of said tubing member.
15. The device of claim 13 wherein said cutting point is a beveled, three-sided, electropolished needle.
16. A device for inserting a suprapubic catheter comprising:
a rigid, hollow, metal tubing member having a curved distal end portion thereon, said tubing member having an opening at both ends thereof, and having a pair of flanging rings on the proximal end thereof; and,
a rigid, hollow, metal plunger tube, being open at at least one end thereof, and having a ringed configuration on the proximal end thereof, disposed telescopically within said tubing member for pushing a cutting point disposed within said tubing member outwardly through said distal end portion thereof, said cutting point being a beveled, three-sided, electropolished needle and having a catheter tube attached thereto, said tube having a coiled configuration on the end thereof and a plurality of openings thereon, and said'tube has a mark thereon for properly positioning said tube within the bladder.

Claims (16)

1. A method of placement for a suprapubic catheter comprising: inserting the distal end of a rigid, hollow tubing member having an opening at both ends thereof through the urethra and into the bladder, said distal end being curved; locating the opening on said distal end against the anterior wall of the bladder in the suprapubic region thereof; pushing a cutting point through said tubing member and through said opening on said distal end so as to pierce the anterior wall of the bladder and abdomen in the suprapubic region and through the outer surface of the skin, said cutting point having a catheter attached thereto; pulling said cutting point outwardly away from said tubing member leaving a portion of said catheter within the bladder; and withdrawing said tubing member backwardly from said bladder leaving said catheter at the desired position within said bladder.
2. The method of claim 1 wherein said bladder is externally palpated prior to locating said opening on said distal end against the anterior wall of said bladder.
3. The method of claim 1 wherein said catheter is withdrawn from the bladder to a predetermined mark on said catheter.
4. The method of claim 1 wherein said catheter tube has a coiled configuration on the end thereof, and said coiled configuration has a plurality of openings thereon.
5. The method of claim 1 wherein said cutting point is pushed through said distal end of said tubing member by means of a rigid plunger in telescopic relationship with said tubing member.
6. The method of claim 5 wherein said plunger is hollow and open at at least one end thereof, and said catheter is contained therein prior to insertion into the bladder and abdomen.
7. A device for inserting a suprapubic catheter comprising: a rigid, hollow, tubing member having a curved distal end portion thereon, said tubing member having an opening at both ends thereof; a rigid, hollow, metal plunger tube open at at least one end thereof, in which a catheter tube may fit within, is disposed telescopically within said tubing member for pushing a cutting point disposed within said tube outwardly through said distal end portion, said plunger tube has a ringed configuration on the proximal end thereof for holding and guiding said plunging means and for convolutely Storing said catheter tube therearound prior to insertion into a bladder, said cutting point having said catheter tube attached thereto.
8. The device of claim 7 wherein said plunger tube is open at both ends.
9. The device of claim 8 wherein said plunger tube and said tubing member are of a metal.
10. The device of claim 8 wherein said plunging means and said tubing member are of a reinforced plastic material.
11. The device of claim 10 wherein said tubing member has a pair of flanging rings on the proximal end thereof for holding and guiding said tubing member.
12. The device of claim 7 wherein said catheter tube has a coiled configuration on the end thereof for retaining said tube intracystically, and said coiled configuration has a plurality of openings thereon.
13. The device of claim 12 wherein said catheter tube is marked to show the proper level for positioning said tube within the bladder.
14. The device of claim 13 wherein said mark on said tube is a shouldered portion that also serves as an engaging means for enabling said plunger tube to push said catheter out of said tubing member.
15. The device of claim 13 wherein said cutting point is a beveled, three-sided, electropolished needle.
16. A device for inserting a suprapubic catheter comprising: a rigid, hollow, metal tubing member having a curved distal end portion thereon, said tubing member having an opening at both ends thereof, and having a pair of flanging rings on the proximal end thereof; and, a rigid, hollow, metal plunger tube, being open at at least one end thereof, and having a ringed configuration on the proximal end thereof, disposed telescopically within said tubing member for pushing a cutting point disposed within said tubing member outwardly through said distal end portion thereof, said cutting point being a beveled, three-sided, electropolished needle and having a catheter tube attached thereto, said tube having a coiled configuration on the end thereof and a plurality of openings thereon, and said tube has a mark thereon for properly positioning said tube within the bladder.
US453318A 1974-03-21 1974-03-21 Method and apparatus for placement of a suprapubic catheter Expired - Lifetime US3920023A (en)

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Cited By (55)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2905703A1 (en) * 1978-04-07 1979-10-11 Medical Eng Corp Urinary catheter
US4289132A (en) * 1979-06-25 1981-09-15 Rieman Robert D Surgical instrument and method of using the same
US4405314A (en) * 1982-04-19 1983-09-20 Cook Incorporated Apparatus and method for catheterization permitting use of a smaller gage needle
WO1983003355A1 (en) * 1982-03-29 1983-10-13 Hans Georg Bender Bladder drainage device
EP0091895A1 (en) * 1982-04-14 1983-10-19 Dirk Alfons August Wildemeersch Device for the suprapubic drainage of the bladder introduced through the urethra
JPS59111748A (en) * 1982-12-07 1984-06-28 シ−・ア−ル・バ−ド・インコ−ポレ−テツド Ureter stent
US4512765A (en) * 1983-06-09 1985-04-23 Rudolph Muto Selective tracheal bronchial catheter
US4568338A (en) * 1983-09-22 1986-02-04 C. R. Bard, Inc. Preformed catheter
US4671795A (en) * 1984-11-19 1987-06-09 Mulchin William L Permanent/retrievable ureteral catheter
US4681570A (en) * 1985-12-26 1987-07-21 Dalton Michael J Peritoneal catheter
US4694838A (en) * 1984-01-30 1987-09-22 Mallinckrodt, Inc. Loop coronary catheter
US4738667A (en) * 1986-11-04 1988-04-19 Galloway Niall T M Preformed catheter assembly
US4769031A (en) * 1986-06-25 1988-09-06 Mcgough Edwin C Ventricular access device and method
US4773431A (en) * 1987-03-03 1988-09-27 Medical Associated Services, Inc. Intra-amniotic loop catheter
US4938741A (en) * 1988-11-01 1990-07-03 Ballard Medical Products Medical ventilating and aspirating apparatus and methods
DE3919740A1 (en) * 1989-06-16 1990-12-20 Dimitrov Pentcho Bladder fistula prodn. instrument - has inflatable balloon attached to end of catheter
US5109830A (en) * 1990-04-10 1992-05-05 Candela Laser Corporation Apparatus for navigation of body cavities
USRE34021E (en) * 1985-11-18 1992-08-04 Abbott Laboratories Percutaneous fixation of hollow organs
US5151086A (en) * 1991-10-22 1992-09-29 The Regents Of The University Of California Laparoscopic tube placement method
US5232443A (en) * 1992-07-17 1993-08-03 Leach Gary E Combined urological retractor and instrument for inserting suprapubic catheter and method of use
DE4321792A1 (en) * 1993-06-30 1995-01-19 Urotech Med Tech Gmbh Catheter arrangement
US5694922A (en) * 1994-05-18 1997-12-09 Ballard Medical Products Swivel tube connections with hermetic seals
US5795319A (en) * 1997-03-07 1998-08-18 Circon Corporation Easily removable ureteral stent
WO1998047433A1 (en) * 1997-04-21 1998-10-29 Btg International Limited Surgical implement
WO2000056382A1 (en) * 1999-03-23 2000-09-28 Peter Cho Cavo-atrial cannula
US6332892B1 (en) 1999-03-02 2001-12-25 Scimed Life Systems, Inc. Medical device with one or more helical coils
US6494203B1 (en) 1994-08-19 2002-12-17 Ballard Medical Products Medical aspirating/ventilating closed system improvements and methods
US6620202B2 (en) 2001-10-16 2003-09-16 Scimed Life Systems, Inc. Medical stent with variable coil and related methods
US6656146B1 (en) 1995-11-07 2003-12-02 Scimed Life Systems, Inc. Medical device with tail(s)
US6719804B2 (en) 2001-04-02 2004-04-13 Scimed Life Systems, Inc. Medical stent and related methods
US20040193093A1 (en) * 2003-03-25 2004-09-30 Desmond, Joseph P. Retaining stent
US6991614B2 (en) 1995-11-07 2006-01-31 Boston Scientific Scimed, Inc. Ureteral stent for improved patient comfort
US20060079853A1 (en) * 2004-10-12 2006-04-13 C. R. Bard, Inc. Corporeal drainage system
US20070073270A1 (en) * 2005-09-26 2007-03-29 C. R. Bard, Inc. Catheter connection systems
US20080275463A1 (en) * 2003-05-01 2008-11-06 High Kenneth A Cystotomy catheter capture device and methods of using same
US20090043270A1 (en) * 2007-08-10 2009-02-12 C.R. Bard, Inc. Effusion drainage kits and methods for packaging the same
US20090088599A1 (en) * 2007-09-27 2009-04-02 Zook Ronald E Method of accessing a bladder and associated apparatus therefor
US20100298857A1 (en) * 2007-09-27 2010-11-25 Zook Ronald E Apparatus and Method for Performing Cystotomy Procedures
US8328877B2 (en) 2002-03-19 2012-12-11 Boston Scientific Scimed, Inc. Stent retention element and related methods
US8636721B2 (en) 2003-11-20 2014-01-28 Henry M. Jackson Foundation For The Advancement Of Military Medicine, Inc. Portable hand pump for evacuation of fluids
US8998883B1 (en) 2010-09-03 2015-04-07 Michael Feloney Female urethral catheterization assisting device
US9108020B1 (en) * 2010-09-03 2015-08-18 Michael Feloney Female urethral catheterization device
US9271752B2 (en) 2013-03-13 2016-03-01 Swan Valley Medical Incorporated Method and apparatus for placing a cannula in a bladder
US9675526B2 (en) 2013-10-08 2017-06-13 Cook Medical Technologies Llc Device for external percutaneous connections
USD789075S1 (en) 2015-05-29 2017-06-13 Hollister Incorporated Catheter package assembly
USD816217S1 (en) 2016-10-12 2018-04-24 Hollister Incorporated Urinary catheter
USD837974S1 (en) 2015-05-29 2019-01-08 Hollister Incorporated Catheter with variable funnel shape
US10493231B2 (en) 2014-09-17 2019-12-03 Hollister Incorporated Curved urinary catheter
US10561817B2 (en) 2014-05-30 2020-02-18 Hollister Incorporated Flip open catheter package
US11020561B2 (en) 2016-04-22 2021-06-01 Hollister Incorporated Medical device package with a twist cap
US11103676B2 (en) 2016-04-22 2021-08-31 Hollister Incorporated Medical device package with flip cap having a snap fit
US11344318B2 (en) 2016-07-18 2022-05-31 Merit Medical Systems, Inc. Inflatable radial artery compression device
US11666730B2 (en) 2017-12-08 2023-06-06 Hollister Incorporated Package for medical device for ergonomic device removal
US11707599B2 (en) 2017-02-21 2023-07-25 Hollister Incorporated Medical device package with twist-off cap
US11771865B2 (en) 2017-10-25 2023-10-03 Hollister Incorporated Caps for catheter packages

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US1640311A (en) * 1925-01-13 1927-08-23 Willard C Dawes Surgical instrument
US3295527A (en) * 1964-04-10 1967-01-03 Sheridan Corp Intercostal catheter
US3342175A (en) * 1964-11-23 1967-09-19 Robert T Bulloch Cardiac biopsy instrument
US3530860A (en) * 1967-01-09 1970-09-29 Ponce De Leon Ear Method and apparatus for inserting a tube through the ear drum
US3606878A (en) * 1968-10-04 1971-09-21 Howard B Kellogg Jr Needle instrument for extracting biopsy sections
US3640281A (en) * 1970-01-02 1972-02-08 Jack R Robertson Method of inserting a suprapubic catheter
US3742952A (en) * 1971-04-28 1973-07-03 Alpha Ind Inc Surgical suction pump assembly
US3744495A (en) * 1970-01-02 1973-07-10 M Johnson Method of securing prolapsed vagina in cattle

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Publication number Priority date Publication date Assignee Title
US1640311A (en) * 1925-01-13 1927-08-23 Willard C Dawes Surgical instrument
US3295527A (en) * 1964-04-10 1967-01-03 Sheridan Corp Intercostal catheter
US3342175A (en) * 1964-11-23 1967-09-19 Robert T Bulloch Cardiac biopsy instrument
US3530860A (en) * 1967-01-09 1970-09-29 Ponce De Leon Ear Method and apparatus for inserting a tube through the ear drum
US3606878A (en) * 1968-10-04 1971-09-21 Howard B Kellogg Jr Needle instrument for extracting biopsy sections
US3640281A (en) * 1970-01-02 1972-02-08 Jack R Robertson Method of inserting a suprapubic catheter
US3744495A (en) * 1970-01-02 1973-07-10 M Johnson Method of securing prolapsed vagina in cattle
US3742952A (en) * 1971-04-28 1973-07-03 Alpha Ind Inc Surgical suction pump assembly

Cited By (94)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4212304A (en) * 1978-04-07 1980-07-15 Medical Engineering Corp. Uretheral catheter stent
DE2905703A1 (en) * 1978-04-07 1979-10-11 Medical Eng Corp Urinary catheter
US4289132A (en) * 1979-06-25 1981-09-15 Rieman Robert D Surgical instrument and method of using the same
WO1983003355A1 (en) * 1982-03-29 1983-10-13 Hans Georg Bender Bladder drainage device
DE3211576A1 (en) * 1982-03-29 1983-10-13 Hans Georg Prof. Dr. 4040 Neuss Bender DEVICE FOR DRAINING THE URBAN BLADDER
US4684369A (en) * 1982-04-14 1987-08-04 Wildemeersch Dirk A A Instrument for suprapubic drainage of the bladder, inserted through the urethra
EP0091895A1 (en) * 1982-04-14 1983-10-19 Dirk Alfons August Wildemeersch Device for the suprapubic drainage of the bladder introduced through the urethra
US4405314A (en) * 1982-04-19 1983-09-20 Cook Incorporated Apparatus and method for catheterization permitting use of a smaller gage needle
JPS59111748A (en) * 1982-12-07 1984-06-28 シ−・ア−ル・バ−ド・インコ−ポレ−テツド Ureter stent
US4531933A (en) * 1982-12-07 1985-07-30 C. R. Bard, Inc. Helical ureteral stent
JPH0454459B2 (en) * 1982-12-07 1992-08-31 Bard Inc C R
US4512765A (en) * 1983-06-09 1985-04-23 Rudolph Muto Selective tracheal bronchial catheter
US4568338A (en) * 1983-09-22 1986-02-04 C. R. Bard, Inc. Preformed catheter
US4694838A (en) * 1984-01-30 1987-09-22 Mallinckrodt, Inc. Loop coronary catheter
US4671795A (en) * 1984-11-19 1987-06-09 Mulchin William L Permanent/retrievable ureteral catheter
USRE34021E (en) * 1985-11-18 1992-08-04 Abbott Laboratories Percutaneous fixation of hollow organs
US4681570A (en) * 1985-12-26 1987-07-21 Dalton Michael J Peritoneal catheter
US4769031A (en) * 1986-06-25 1988-09-06 Mcgough Edwin C Ventricular access device and method
US4738667A (en) * 1986-11-04 1988-04-19 Galloway Niall T M Preformed catheter assembly
US4773431A (en) * 1987-03-03 1988-09-27 Medical Associated Services, Inc. Intra-amniotic loop catheter
US4938741A (en) * 1988-11-01 1990-07-03 Ballard Medical Products Medical ventilating and aspirating apparatus and methods
DE3919740A1 (en) * 1989-06-16 1990-12-20 Dimitrov Pentcho Bladder fistula prodn. instrument - has inflatable balloon attached to end of catheter
US5109830A (en) * 1990-04-10 1992-05-05 Candela Laser Corporation Apparatus for navigation of body cavities
WO1993007930A1 (en) * 1991-10-22 1993-04-29 The Regents Of The University Of California Laparoscopic tube placement method
US5151086A (en) * 1991-10-22 1992-09-29 The Regents Of The University Of California Laparoscopic tube placement method
US5232443A (en) * 1992-07-17 1993-08-03 Leach Gary E Combined urological retractor and instrument for inserting suprapubic catheter and method of use
DE4321792C2 (en) * 1993-06-30 1999-07-29 Urotech Med Tech Gmbh Catheter device
DE4321792A1 (en) * 1993-06-30 1995-01-19 Urotech Med Tech Gmbh Catheter arrangement
US5694922A (en) * 1994-05-18 1997-12-09 Ballard Medical Products Swivel tube connections with hermetic seals
US6494203B1 (en) 1994-08-19 2002-12-17 Ballard Medical Products Medical aspirating/ventilating closed system improvements and methods
US6991614B2 (en) 1995-11-07 2006-01-31 Boston Scientific Scimed, Inc. Ureteral stent for improved patient comfort
US6656146B1 (en) 1995-11-07 2003-12-02 Scimed Life Systems, Inc. Medical device with tail(s)
US7678154B2 (en) 1995-11-07 2010-03-16 Boston Scientific Scimed, Inc. Ureteral stent for improved patient comfort
US6945950B2 (en) 1995-11-07 2005-09-20 Boston Scientific Scimed, Inc. Ureteral stent with small bladder tail(s)
US6849069B1 (en) 1995-11-07 2005-02-01 Boston Scientitfic Corporation Medical device with tail(s) for assisting flow of urine
US8845752B2 (en) 1995-11-07 2014-09-30 Boston Scientific Scimed, Inc. Ureteral stent for improved patient comfort
US5795319A (en) * 1997-03-07 1998-08-18 Circon Corporation Easily removable ureteral stent
WO1998047433A1 (en) * 1997-04-21 1998-10-29 Btg International Limited Surgical implement
US6482175B1 (en) 1997-04-21 2002-11-19 Btg International Limited Two-part surgical incision implement for forming an opening in the skin
US6332892B1 (en) 1999-03-02 2001-12-25 Scimed Life Systems, Inc. Medical device with one or more helical coils
WO2000056382A1 (en) * 1999-03-23 2000-09-28 Peter Cho Cavo-atrial cannula
US6186981B1 (en) * 1999-03-23 2001-02-13 Peter Cho Cavo-atrial cannula
US6719804B2 (en) 2001-04-02 2004-04-13 Scimed Life Systems, Inc. Medical stent and related methods
US7291180B2 (en) 2001-04-02 2007-11-06 Boston Scientific Scimed, Inc. Medical stent and related methods
US7951206B2 (en) * 2001-04-02 2011-05-31 Boston Scientific Scimed, Inc. Medical stent
US6620202B2 (en) 2001-10-16 2003-09-16 Scimed Life Systems, Inc. Medical stent with variable coil and related methods
US7037345B2 (en) 2001-10-16 2006-05-02 Boston Scientific Scimed, Inc. Medical stent with variable coil and related methods
US8328877B2 (en) 2002-03-19 2012-12-11 Boston Scientific Scimed, Inc. Stent retention element and related methods
US20070118228A1 (en) * 2003-03-25 2007-05-24 Desmond Joseph P Iii Retaining stent
US7182745B2 (en) 2003-03-25 2007-02-27 Boston Scientific Scimed, Inc. Retaining stent
US20040193093A1 (en) * 2003-03-25 2004-09-30 Desmond, Joseph P. Retaining stent
US7996976B2 (en) 2003-03-25 2011-08-16 Boston Scientific Scimed, Inc. Retaining stent
US20080275463A1 (en) * 2003-05-01 2008-11-06 High Kenneth A Cystotomy catheter capture device and methods of using same
US8002764B2 (en) 2003-05-01 2011-08-23 Swan Valley Medical Incorporated Cystotomy catheter capture device and methods of using same
US10213532B2 (en) 2003-11-20 2019-02-26 The Henry M. Jackson Foundation For The Advancement Of Military Medicine, Inc. Portable hand pump for evacuation of fluids
US8636721B2 (en) 2003-11-20 2014-01-28 Henry M. Jackson Foundation For The Advancement Of Military Medicine, Inc. Portable hand pump for evacuation of fluids
US9907887B2 (en) 2003-11-20 2018-03-06 The Henry M. Jackson Foundation For The Advancement Of Military Medicine, Inc. Portable hand pump for evacuation of fluids
US9393353B2 (en) 2003-11-20 2016-07-19 The Henry M. Jackson Foundation For The Advancement Of Military Medicine, Inc. Portable hand pump for evacuation of fluids
US9913935B2 (en) 2004-10-12 2018-03-13 C. R. Bard, Inc. Corporeal drainage system
US9295764B2 (en) 2004-10-12 2016-03-29 C. R. Bard, Inc. Corporeal drainage system
US20060079853A1 (en) * 2004-10-12 2006-04-13 C. R. Bard, Inc. Corporeal drainage system
US10946123B2 (en) 2004-10-12 2021-03-16 Merit Medical Systems, Inc. Corporeal drainage system
US8337475B2 (en) 2004-10-12 2012-12-25 C. R. Bard, Inc. Corporeal drainage system
US20070073270A1 (en) * 2005-09-26 2007-03-29 C. R. Bard, Inc. Catheter connection systems
US8235971B2 (en) 2005-09-26 2012-08-07 C. R. Bard, Inc. Catheter connection systems
US8177772B2 (en) 2005-09-26 2012-05-15 C. R. Bard, Inc. Catheter connection systems
US20110009849A1 (en) * 2005-09-26 2011-01-13 C.R. Bard, Inc. Catheter connection systems
US20090043270A1 (en) * 2007-08-10 2009-02-12 C.R. Bard, Inc. Effusion drainage kits and methods for packaging the same
US8118736B2 (en) 2007-09-27 2012-02-21 Swan Valley Medical, Incorporated Method of accessing a bladder and associated apparatus therefor
US8382785B2 (en) 2007-09-27 2013-02-26 Swan Valley Medical Incorporated Apparatus and method for performing cystotomy procedures
US20090088599A1 (en) * 2007-09-27 2009-04-02 Zook Ronald E Method of accessing a bladder and associated apparatus therefor
US8118826B2 (en) 2007-09-27 2012-02-21 Swan Valley Medical, Incorporated Method of performing a suprapubic transurethral cystostomy and associated procedures and apparatus therefor
US20100298857A1 (en) * 2007-09-27 2010-11-25 Zook Ronald E Apparatus and Method for Performing Cystotomy Procedures
US20090088786A1 (en) * 2007-09-27 2009-04-02 Zook Ronald E Method of Performing a Suprapubic Transurethral Cystostomy and Associated Procedures and Apparatus Therefor
US9108020B1 (en) * 2010-09-03 2015-08-18 Michael Feloney Female urethral catheterization device
US8998883B1 (en) 2010-09-03 2015-04-07 Michael Feloney Female urethral catheterization assisting device
US9271752B2 (en) 2013-03-13 2016-03-01 Swan Valley Medical Incorporated Method and apparatus for placing a cannula in a bladder
US9675526B2 (en) 2013-10-08 2017-06-13 Cook Medical Technologies Llc Device for external percutaneous connections
US11534573B2 (en) 2014-05-30 2022-12-27 Hollister Incorporated Flip open catheter package
US10561817B2 (en) 2014-05-30 2020-02-18 Hollister Incorporated Flip open catheter package
US10493231B2 (en) 2014-09-17 2019-12-03 Hollister Incorporated Curved urinary catheter
USD855970S1 (en) 2015-05-29 2019-08-13 Hollister Incorporated Catheter package assembly
USD837974S1 (en) 2015-05-29 2019-01-08 Hollister Incorporated Catheter with variable funnel shape
USD809778S1 (en) 2015-05-29 2018-02-13 Hollister Incorporated Catheter package assembly
USD789075S1 (en) 2015-05-29 2017-06-13 Hollister Incorporated Catheter package assembly
US11020561B2 (en) 2016-04-22 2021-06-01 Hollister Incorporated Medical device package with a twist cap
US11103676B2 (en) 2016-04-22 2021-08-31 Hollister Incorporated Medical device package with flip cap having a snap fit
US11813409B2 (en) 2016-04-22 2023-11-14 Hollister Incorporated Medical device package with flip cap having a snap fit
US11833312B2 (en) 2016-04-22 2023-12-05 Hollister Incorporated Medical device package with flip cap having a snap fit
US11344318B2 (en) 2016-07-18 2022-05-31 Merit Medical Systems, Inc. Inflatable radial artery compression device
USD816217S1 (en) 2016-10-12 2018-04-24 Hollister Incorporated Urinary catheter
US11707599B2 (en) 2017-02-21 2023-07-25 Hollister Incorporated Medical device package with twist-off cap
US11771865B2 (en) 2017-10-25 2023-10-03 Hollister Incorporated Caps for catheter packages
US11666730B2 (en) 2017-12-08 2023-06-06 Hollister Incorporated Package for medical device for ergonomic device removal

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