WO1995011054A1 - A device for catheterization of the male urethra - Google Patents
A device for catheterization of the male urethra Download PDFInfo
- Publication number
- WO1995011054A1 WO1995011054A1 PCT/NO1994/000167 NO9400167W WO9511054A1 WO 1995011054 A1 WO1995011054 A1 WO 1995011054A1 NO 9400167 W NO9400167 W NO 9400167W WO 9511054 A1 WO9511054 A1 WO 9511054A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- ring
- connecting element
- hinge joint
- urethra
- substantially circular
- Prior art date
Links
Classifications
-
- 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
Definitions
- the invention concerns a device for catheterization of the male urethra, especially in the case of traumatic rupture.
- the object of the invention is to eliminate the above-mentioned disadvantages and provide a device in the form of a ring which enables the two ends of the ruptured urethra to be brought into a position which allows atraumatic catheterization of the urethra in the acute phase by means of a percutaneous technique.
- a device which is characterized by a device which comprises a first, substantially circular part and a second substantially circular part, the parts thus together forming a substantially circular, bipartite ring, that the first part is connected at one if its ends with a first connecting element, that the second part is connected at one of its ends with a second connecting element, that the first connecting element matches the second connecting element and releasably connected with it forms a hinge joint, and that the first and the second parts respectively are rotatable about an axis in the hinge joint, thus enabling the first part and the second part to be rotated into approximate mutual engagement with a free end of the first part and a free end of the second part respectively and to be closed into the substantially circular ring, the ring, by means of a locking device provided on the rotating joint, being arranged to be locked in this closed position.
- Fig. 1 is a top view of the device according to the invention in a connected and closed position.
- Fig. 2 illustrates the device in fig. 1 viewed from the side and in the radial plane.
- Figs. 3a, 3b illustrate two connecting elements which form part of a hinge joint used for connecting the device together, shown in a top view and sectional elevation respectively.
- Figs. 4a, 4b illustrate a fixing screw and a locking screw respectively, shown in a sectional elevation and a top view respectively and as used in a hinge joint in the device in fig. 1.
- Fig. 5a illustrates end pieces for use in the device in fig. 1 and arranged for mutual engagement.
- Fig. 5b illustrates a retaining disk which forms part of the hinge joint as used in the device in fig. 1.
- Fig. 6a is a longitudinal section through the normal lower urinary tract in the male.
- Fig. 6b illustrates a supradiaphragmatic rupture of the urethra
- figs. 6c-6j illustrates the various steps in the antegrade stenting and catheterization of the ruptured urethra by means of the device according to the invention.
- fig. 1 in the closed position the device according to the invention forms a circular ring 1 ,2, consisting of a first part 1 and a second part 2.
- the parts 1 ,2 are rigidly connected at their respective first ends with connecting elements 8,9 which form a hinge joint.
- the parts 1 ,2 can be attached to the elements 8,9 by means of, for example, a screw connection or also welded thereto.
- the part 1 is approximately double the length of the part 2, both 1 and 2 having the same diameter, apart from the fact that the section of the part 1 which is located closest to the connecting element 8 is preferably made thicker in order to obtain better rigidity and greater mechanical strength.
- the free end 7 of the part 1 engages with a corresponding free end 6 of the part 2 when the device according to the invention is closed into a ring.
- the free end of the part 1 is formed as a point 7 which is illustrated in more detail in fig. 5a and the free end of the part 2 is formed from a point 6 which is illustrated in more detail in fig. 5b.
- the end pieces or the points 6,7 can be attached to the respective parts 1 ,2 by means of, for example, screw connections or welding.
- a not shown radial recess is hollowed out which matches the corresponding end of the point 6 which in fig. 5b is preferably shown as conical in shape. This design of the points 6,7 provides a relatively secure attachment of the parts 1 ,2 when the device is closed to form a ring.
- Fig. 3a shows the connecting element 8 in a top view and a side view
- fig. 3b shows the connecting element 9 in a top view and a side view
- the parts 1 ,2 are attached to the connecting elements 8,9 respectively by means of, e.g., screw connections which are not shown in detail or preferably by means of welding.
- the matching connecting elements 8,9 are placed above each other in the position illustrated in fig. 1 and connected, for example, by means of a fixing screw 3 which is shown in fig. 4a.
- a retaining disk 5 which is illustrated in a top view and sectional elevation respectively in fig.
- the connecting elements 8,9 is employed between the connecting elements 8,9 in order to ensure a frictionless joining of the connecting elements 8,9 to a hinge joint which permits the parts 1 ,2 to be rotated from each other to a maximum deflection, which, for example, is limited by abutment between a projecting part 8a on the element 8 and a corresponding projecting part 9a on the element 9.
- the parts 1 ,2 above the hinge joint 3,8,9 can be rotated about the axis which is formed by the fixing screw 3 until the device's free ends 6,7 come into engagement over the points 6,7, thus forming a closed ring. This is preferably locked by means of a locking screw 4 which is illustrated in more detail in fig. 4b.
- the locking screw 4 is passed through a not shown boring in the projecting part 8a on the element 8 and abuts against the projecting part 9a on the element 9, as is best illustrated in fig. 1.
- the device thereby forms a closed ring which is kept in position by means of the fixing screw 4.
- the closed ring when viewed from the side and in the ring plane, appears as shown in fig. 2.
- the fixing screw 4 ensures that there is a clearance of approximately 2 mm between the points 6,7. This is important in the application of the device for catheterization of the urethra, since such a clearance reduces the risk of detaching the wall of the urethra.
- the device is dismantled by loosening the locking screw 4 and removing the fixing screw.
- the hinge joint could also have been attached in a different way to that shown here, since, for example, the connecting elements 8,9 can be installed together by means of a catch member or a spring-loaded clamping member.
- the spring-loaded clamping member causes the rotational movement which brings the parts 1 ,2 together with the free ends 6,7 in engagement during the formation of the ring 1 ,2. In this position the clamping member can be locked mechanically and in such a manner that the desired clearance of approximately 2 mm still exists between the ends 6,7.
- the free end 7 of the first part 1 can be connected with a catheter when the first part 1 is separated from the second part 2 or the device is in an open position.
- Fig. 6a is a longitudinal section through the normal lower urinary tract in the male, while fig. 6b illustrates a supradiaphragmatic rupture or lesion of the urethra.
- the shortest part of two parts forming the device according to the invention is placed in the urethra as a blocking instrument and is pushed forward and up through the urethra until it reaches the closest part of the rupture at the distal end of the urethra, as shown in fig. 6c.
- the longest part of the ring is passed into the bladder as shown in fig. 6d through a suprapubic puncture and positioned with its tip at the outlet of the bladder.
- the positions of the free ends 6,7 of the parts 1 ,2 are controlled by digital rectal palpation and ultrasonography with either a rectal or abdominal probe.
- the hinge joint which connects the parts 1 ,2 is located as illustrated in fig. 6e outside the patient's body.
- the device is now closed to form a ring as illustrated in fig. 6e, the free ends 6,7 engaging with each other at the site of the rupture or lesion.
- the device is locked in this position by means of a suitable locking device, for example the screw 4 on the hinge joint 3,8,9, the points 6,7 having a relative clearance of approximately 2 mm as mentioned above when they are in engagement.
- the entire ring is now rotated so that the free end of the part 1 comes into view at the external urethral orifice, as illustrated in fig. 6f.
- the part 2 is removed as illustrated in fig. 6g and replaced by a catheter 10, as illustrated in fig. 6h.
- This is attached to the tip 7 and pulled through the urethra until the tip 7 is seen in the suprapubic opening, as illustrated in fig. 6i.
- a balloon catheter is used, and the balloon is now inflated, the catheter being slightly withdrawn from its position at the end of the urethra, i.e. the urethra's external orifice.
- the ends of the ruptured urethra are thereby once again located in their correct position, as illustrated in fig. 6j.
- a drain 11 which is inserted through the suprapubic opening into the bladder.
- the device according to the invention has been successfully tested in cadavers. It is expected that the device will prove to be suitable for the treatment of other urethral lesions such as strictures and via falsas where retrograde stenting of the urethra is impossible and an antegrade stenting is desirable.
Abstract
Description
Claims
Priority Applications (4)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP94931218A EP0788389A1 (en) | 1993-10-18 | 1994-10-18 | A device for catheterization of the male urethra |
AU80055/94A AU8005594A (en) | 1993-10-18 | 1994-10-18 | A device for catheterization of the male urethra |
NO961525A NO961525L (en) | 1993-10-18 | 1996-04-17 | Device for catheterization of the male urethra |
FI961694A FI961694A (en) | 1993-10-18 | 1996-04-18 | Device for catheterization of male urine |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
NO933735A NO933735D0 (en) | 1993-10-18 | 1993-10-18 | AID FOR AA SUMMARY |
NO933735 | 1993-10-18 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO1995011054A1 true WO1995011054A1 (en) | 1995-04-27 |
Family
ID=19896511
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/NO1994/000167 WO1995011054A1 (en) | 1993-10-18 | 1994-10-18 | A device for catheterization of the male urethra |
Country Status (5)
Country | Link |
---|---|
EP (1) | EP0788389A1 (en) |
AU (1) | AU8005594A (en) |
FI (1) | FI961694A (en) |
NO (1) | NO933735D0 (en) |
WO (1) | WO1995011054A1 (en) |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0256546A2 (en) * | 1986-08-18 | 1988-02-24 | Frimberger, Erintrud | Device for placing a feeding tube in the stomach of a human being or of an animal |
WO1993000126A1 (en) * | 1991-06-28 | 1993-01-07 | American Medical Systems, Inc. | Instrument placement apparatus |
US5348541A (en) * | 1993-05-05 | 1994-09-20 | Lyell Mark S | Suprapubic catheter placement apparatus (lyell sound) |
-
1993
- 1993-10-18 NO NO933735A patent/NO933735D0/en unknown
-
1994
- 1994-10-18 AU AU80055/94A patent/AU8005594A/en not_active Abandoned
- 1994-10-18 WO PCT/NO1994/000167 patent/WO1995011054A1/en not_active Application Discontinuation
- 1994-10-18 EP EP94931218A patent/EP0788389A1/en not_active Withdrawn
-
1996
- 1996-04-18 FI FI961694A patent/FI961694A/en not_active Application Discontinuation
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0256546A2 (en) * | 1986-08-18 | 1988-02-24 | Frimberger, Erintrud | Device for placing a feeding tube in the stomach of a human being or of an animal |
WO1993000126A1 (en) * | 1991-06-28 | 1993-01-07 | American Medical Systems, Inc. | Instrument placement apparatus |
US5348541A (en) * | 1993-05-05 | 1994-09-20 | Lyell Mark S | Suprapubic catheter placement apparatus (lyell sound) |
Also Published As
Publication number | Publication date |
---|---|
EP0788389A1 (en) | 1997-08-13 |
NO933735D0 (en) | 1993-10-18 |
FI961694A (en) | 1996-05-23 |
AU8005594A (en) | 1995-05-08 |
FI961694A0 (en) | 1996-04-18 |
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