DE8214154U1 - Device for collecting urine in the event of urinary incontinence in men - Google Patents

Description

III · · · ·

ι · · ■ ι ι ι

There are two degrees of urinary incontinence measured by volume » involuntary, painless urination.

1. Small volumes - with disorders of the bladder sphincter.

a) Dripping urine with constant discharge of small amounts of urine: b) Stress incontinence with intermittent discharge of small to moderate amounts of urine, e.g. when coughing, lifting or when Sports.

2. Large VoJ.umina

This is urge incontinence, a reflex emptying of the filled Bladder. In the jet there are quantities of urine in the

Volume of 250 ml emptied. 20th

The principles proposed in the invention enable to treat both forms better than before "

So far have been used:
1) diapers

They are difficult to position. The relation between absorbent material and the amount of urine absorbed is unfavorable. The diapers are bulky and - as is generally known from babies - lead frequently to skin irritation on the genitals and thighs.

2) diaper panties

The absorbent material is generally better positioned, but by no means precisely in the area of the urethral opening. Above all, diaper pants can be used . only very inconvenient to change, namely with amublaten like

- 5 for the bedridden porter.

3) indwelling urinary catheter

As a measure to simplify the care of incontinent It must be strictly refused to patients because, with the vast majority of carriers, it takes only a few Days leads to an infection of the urinary tract (catheter fever) and an irreparable shrinkage blister caused by all wearers after a short period of time. Indwelling urinary catheter today may only be used on a doctor's order and only for a few days.

4) urinals

The sealing of the condom urinal is unreliable - even if there are numerous sizes. More solid Seat is perceived as annoying by the wearer «a loose fit creates the risk of the urine slipping off of urge incontinence with eich. It comes under the condom urinal due to the constantly moist atmosphere there easy to skin irritation and yeast colonization.

5) Urinals with an inflatable cuff and safety valve against overpressure have been developed «

a) around the urinal only. in one or only a few sizes

having to manufacture because with the inflatable cuff individual size differences can be bridged;

b) for permanent fixation of the urinais on the penis and for simultaneous waterproof seal; see US-PSs

3 511 241, 3 916 902 and 4 013 077. As the permanent fixation However, if the wearer is active and not bedridden, it requires a significantly higher cuff pressure as a mere seal against the low hydrostatic pressure in the urinal, exists because of impairment the blood circulation, there is a risk of severe tissue damage if, in people who are not bedridden

gladly only the cuff pressure is used for permanent fixation.

| ί Waist belt ^ it was des-J | 5 half proposed (see US Pat. No. 5,555,558) to last take over fixation, then the cuff pressure only has to be set so low that it seals against the low hydrostatic pressure

:: _; 10 Despite this purposeful separation between pi-

The compression and sealing pressure of the cuff remained the same

Risk of severe tissue damage in the event of an occasional use

'( say the safety valve exist. Therefore and also

(Probably for reasons of cost, the urinals with inflatable

'' The ¹⁵ bar cuff has hardly gained any practical importance.

Assessments from standard urological works show how critical experts are to previous solutions.

In the case of rubber urinals that adhere directly to the penis or are held by a hip belt, attention is drawn to the risk of ulcers or even fistulas on the penis; See Auerbach et al., "Handbuch der Urologie ¹¹ , Vol. XII, Springer Verlag, 1960, p. 1007 * The need for extremely careful skin care is emphasized.

Many paraplegics need a urinal all the time because of urinary incontinence. According to D.H. Sicith, "General Urology", Urban and Sehwarzenberg, 1968, p. 276, has not yet found a simple, satisfactory solution to this Problems found.

According to Boeminghaus, "Urologie", Werkverlag Benaschewski,

1960, vol. II, p. 586, is the urinal of all possibilities

ten the worst solution, comparing with surgery for certain forms of incontinence. the

"CC" C ""

Penlsklemra and an inflatable penis cuff «ground - with reference to their dangers - mentioned as alternatives.

The catheter is viewed and determined more negatively » that every kind of catheter treatment for incontinence is inevitable to urinary tract infection fCbre? see Boeminghaus » loc. cit., p. 369. In the case of paraplegics, see develop a deadly hyposepsis from it.

The invention is based on the problem of a device to catch the barn at Urnlnkontlne & z des Hannes create «the with. simplest means each time exactly in the desired position is held and in which a Bauerabdiohtung between parts of the device and the penis is not required. This object is achieved by the invention.

The subject of the invention is thus a device for collecting urine in the case of urinary incontinence of Hannes "which is characterized is through a scrotal belt with a passage opening for the penis and one with the scrotal belt releasably connected device for collecting urine.

Advantageous embodiments of this device .sind in the subclaims described.

'The device of the invention provides in several ways a step forward · It is through the scrotal belt - that is with a simple and inexpensive means - held exactly in the desired position at all times. Using an inflatable cuff to seal the area between the penis and the neck of the urine collector is unnecessary see a permanent seal, as the cuff thanks to the

exact positioning through the scrotal belt only briefly, 35

nJtmlioh from the beginning of the urge to urinate to the change of the pouch, must be inflated. Even in the case of using a

Thanks to the bag's breathable, absorbent material the exact positioning does not allow sealing on the penis * Required, the same applies to the embodiment of the device. In which a device for clamping the urinary tube is provided - be inflated.

The device of the invention eliminates the risk of tissue damage due to overpressure, which should not be underestimated switched off »and. more reliable and cheaper than with safety valves. The waist belt with its complicated Brackets are made by a simple scrotal strap replaced. A permanent seal on the penis is replaced by a short-term ad hoc seal. The in different Embodiments of the invention used an inflatable cuff serves both for sealing on the penis and for

Sealing of the collecting bag
20th

In the accompanying drawing show:

1 shows an embodiment of the scrotal belt used according to the invention;
25th

Fig. 1a: Scrotal belt, side view Fig. 1b: Scrotal belt, front view

- 9 ■ -

Fig. 2 shows an embodiment of the invention in which the

Scrotal girdle is provided with a waterproof pouch along with an inflatable cuff is;

Fig. 2a: Collection bag and cuff,

Side view
Fig. 2b: collecting bag and cuff,

Front view.
10

Fig. 3 shows an embodiment of the invention in which the

Scrotal belt with a collection bag made of air-permeable, absorbent material is provided,

Fig. 3a: Collection bag, side view Fig. 3b: Collection bag, encrypted.

Fig. 4 shows an embodiment of the invention in which

a device for clamping the urethra is provided together with the scrotal belt;

Fig. 4a: Cross section through the penis with the eccentrically arranged urethra

Fig. 4b: inflatable cuff with reinforced 2g outer wall

Fig. 4c: simple cuff with inflatable rubber body

FIG. 4d: the device according to FIG. 3c; FIG. Bottom view of the cuff.

• t
t · ■

• · · t

-10-ΐ The device of the invention for active »not bedridden Patient »which of course can also be used by inactive» bedridden patients »consists of a reusable one Scrotal belt 1 the part of the narrowed around the upper »5 because of its structure of muscle and Faszlenschlchten quite resilient scrotum is placed »and a circular one for the passage of the penis Opening 2 hai; · (Fig «1). This opening is part of a closure 14, whose counterpart 15 is on the one-time -ftaffang-

¹⁰ bags is located. The type of closure is in itself irrelevant »but because of the hairiness of this region, adhesive» snap or snap closures are suitable.

Less because hair can get stuck together or pinched. I It is best to use the male part of a Velcro fastener

^'15 ses' because they were caught when the bag was attached

I can slide hair out without disturbance. The. belonging- I gen single-use bags preferably have a corresponding one

ϊ Ring with the female part of a Velcro fastener -

f or more simply »cheaper and also easier to separate» one

I ^Μ ring made of knitted fabrics. The ring can »

f does not need »a lip to pull off the collecting

, exhibit loot.

I Now the Sorotal belt guarantees a very precise post

'·' 25

ϊ positioning of the urethral opening inside the bag »

f but especially in the case of paraplegia

I th characteristic urge incontinence a water and

. with a practically airtight seal between the penis and the

¹ catch bag to be unavoidable. But there with almost everyone

'■ 30

For this patient, a few seconds pass between the appearance of the urge to urinate and the discharge of urine in the stream (see "Ärztliche Praxis XXXIV» No. 22 (1982) »p. 843), the combination of the Serotal Belt with the Prin-

j: zip the inflatable cuff is a completely new type, even for the most difficult to treat urge incontinence Solution to be found. In many of these pa-

- 11 -

they suffered from the permanent harmful contact with the skin of the penis a waterproof «vapor-tight and practically airtight material.

In the event of urgency, the neck 4 of the collecting bag 3 is equipped with an inflatable, elastic cuff 5. The bag (Fig. 2) is impermeable to water and has a capacity of at least 250 ml. It has a cylindrical neck, equipped with a ring at an angle to the neck axis , on which the female part of a Velcro fastener or simply knitted textiles are applied are. In the cylindrical neck is an inflatable rubber sleeve attached to a tube ... 6 which leads out through a hole in the neck of the bag.

In this embodiment of the invention, neither is a waterproof one Closure between the tube and the neck of the bag, still between the outside of the cuff and the neck of the bag is required. This means savings in production: the waterproof seal is made when the bag is inflated (see Fig. 2). To simplify production, any fixed connection between the neck of the bag and the cuff can even be used can be dispensed with because a double purpose is achieved when inflating: inner sealing around the penis, outside sealing of the bag neck and thus a firm connection of these two parts of the device.

When creating this form of execution, the The cuff is slipped on, then the tube is passed from the inside to the outside through the opening in the neck and then the bag Overstriped · The cuff and neck of the bag are intentionally kept wide; first of all there are none Difficulty slipping on for individual users; secondly, there is sufficient air circulation received «apart from the short time in which the rubber

ο.

-Ί2 -

, cuff is inflated. The attachment to the scrotal belt guarantees that the collection bag always precisely maintains its desired position. Therefore, permanent waterproofing can be used be waived. Only when the urge begins, the cuff is inflated in seconds and the whole thing System made waterproof. This is done using a reusable balloon pump with a means of releasing the pressure used as it is usual for measuring blood pressure. These The pump can be carried inconspicuously in your pocket, to your sufficiently long tube is through a small hole in the wall to the tube attachment of the inflatable cuff guided. Apart from changing the bags, the pump always remains connected to the cuff. Bags will be sent promptly changed after each urination.

Another refinement of the system consists in an absorbent Coating of the inside of the bag neck and the rubber sleeve.

The scrotal belt offers another possibility that Control urge incontinence without any collection bag, This also practically eliminates the burden on the penis house. In this embodiment, an inflatable Cuff 10 with an outer wall made of only moderately elastic Material (e.g. thicker rubber) on the scrotal belt attached '(Pig. 4b). The sleeve is preferably cylindrical

• and has a width of about 2 cm. With the beginning of the urge it is inflated so far that the pressure of the cuff is higher than the pressure of the bladder. As it is about to an obstruction of blood backflow or blood flow pressure relief and emptying of the bladder must be initiated immediately.

A modification of this principle allows the necessary Exert pressure to close the urethra in a more targeted manner and thus more gently on the blood supply. The urethra (16)

- 13 -

namely lies eccentrically in the penis shaft; see Fig. 4a. _R of the semi has a Skrotalgurt to be fixed on sleeve 11 of non-elastic fabric at the bottom of a hole 12 through which a hose to a lying within the sleeve, the inflatable rubber body 13, for example a rubber hemisphere leads; see Figures 4b and 4d. As a result of this arrangement, the targeted pressure on the urethra is higher than on the blood vessels distributed in the penis shaft. But here, too, the user must know that this pneumatic clamping may only take place for a very short time because of the inevitable impairment of the blood supply, so that he must immediately empty the bladder by releasing the pressure.

However, a few individual patients feel no warning time whatsoever before urination in the frog. The scrotal belt has advantages for these as well. It's simple and safe and much more comfortable to wear and easier to put on than a harness with brackets, but it also allows

the separation of the two sub-functions. 20th

1. Fixation in case of tensile load by the filled bag - guaranteed by the Velcro fastener and

2. Sealing - guaranteed by the inflatable, elastic

Cuff.
25th

The scrotal belt makes it possible to do so when sealing with a lower cuff pressure, which is only about the hydrostatic pressure of the filled collection bag and therefore the risk of congestion lake excludes blood circulation.

A check valve in the bag and a connection for a hose that leads to a collecting container can be provided in a further embodiment. they are superfluous when the surrounding bags are changed.

The scrotal belt can be used for urination or stress incontinence, So with small urine volumes, but also serve to use the necessary collection materials for outpatients or lying patient very precisely in the desired position, namely opposite the outer urethral opening, to fix. A watertight seal on the penis is no longer necessary. This is beneficial in two ways $ No impairment of blood supply, no impairment the penis skin.

1. Lowest urine volume

A collecting bag 7 is exclusively made of absorbent

gem, "breathing" material (cellulose wadding, cellulose fluff, Special material «old high absorbency] is sufficient. No closure by airtight material stresses the penis skin; see Fig. 3. The shape of the bag is irrelevant. He can e.g. also use the one shown in Flg. 2 have the shape shown.

2. Low urine volume

The absorbency can be increased by inserting suitably shaped, absorbent material. ⁹ 'e.g. tampons, in the. Bags are reinforced "

25th

3 Small volume of urine

a) The absorbent bag receives a waterproof cover on the - in situ - lower part. 8. The upper one Part and the neck remain air-permeable.

b) The absorbency can also be increased here by inserting suitably shaped material

will.

There is also the possibility of making the bag inexpensively from thin, elastic, waterproof, possibly embossed Produce foil (because of the low noise level), whereby then

"Firstly, the insert of appropriately shaped" absorbent material The absorption of moisture ensures and secondly the upper part is permeable to air through fine perforations is made.

The invention is also a device with the w ^ y w *** Ή11 ^ ftw * forms of the ^h * v * p 1 "k""* fc <- TH MrM j of the man, consisting of a scrotal belt and Various collection bags · The scrotal belt encloses the upper part of the scrotum and has a passage for the penis, which is surrounded by one part of a closure. The counterpart of the closure is on the collection bag. This closure need not be watertight.

If the volume of urine is small (dripping urine, stress incontinence) is the decisive advantage over the usual diapers or diaper pants in the very precise positioning of the collecting materials in the right place «namely the . external urethral opening, regardless of physical activity or restless sleep · This through the scrotal belt Conditional precise positioning under all eventualities allows * one with a minimum of absorbent material maximum effect and also allows you to use in all incontinence cases with low urine volume to one

to waive water-tight and thus airtight closure, whereby Skin irritation and yeast infections are eliminated. The skin tolerance of absorbent material is general better than that of waterproof material · If necessary, the capacity of the bag can be increased by inserting

of suitably shaped, absorbent material, e.g. tampons, can be enlarged individually, again with exact positioning maximum absorption with minimum amounts of material enables. Compared to diapers and diaper pants, the. proposed collection bag is also essential

easier to replace.

• ■ · I

• ■ «

With large bamvolümina (urge incontinence) are waterproof Bag - inevitable. But it can be used in conjunction with report permanent sealing to the scrotal belt. To be Collection bag with wide neck and wide cuff used. On the one hand, this allows the desired air circulation and, on the other hand, the bags are penetrated by the serotal belt always precisely positioned »so that the warning time available for most patients is sufficient» around the thin-walled Air cuff inflate and so between penis in seconds and bag to make a watertight seal. However, this seal only lasts for a very short time » because the collection bag is changed immediately after each urination. Need a collection bag and cuff not being connected during production »which allows cost savings. By inflating it becomes a double Effect achieved: inside sealing around the penis »outside sealing of the collecting bag - and thus connection these two parts of the device.

For the few patients without any warning, the advantage of the scrotal belt is that it is possible to separate from a) Fixation of the bag against the pull of the filled bag and b) closure between the collection bag and the penis versus the hydrostatic pressure of the filled bag ■ done with simpler means than before · This separation of functions allows »the sealing with a minimum Pressure to be carried out »which avoids congestion phenomena, especially in long-term treatment. _. The invention can often tlenten the indwelling urinary catheter with its serious health consequences.

The embodiment explains the invention.

• III
«II

- 17 -

example

The device for collecting the urine in case of urinary incontinence is used in practice in the following way:. . First the scrotal belt is put on, in such a way that it

S encloses the upper part of the scrotum without compression, but on the other hand does not sit too loosely. The penis will through the circular opening surrounded by the closure outwards. .

If the urine volume is low, a collecting bag made of absorbent material with its closure part is simply attached to the counterpart attached to the fastener on the scrotal belt. Peuchte bags are exchanged, which also through the fly can be done.

In the case of large volumes of urine, the bag, for example

consists of PVC film with a blow-out yarn cuff in his neck « attached to the scrotal belt in the same way. This can be done by means of circular reinforcement lines be relieved at the neck of the pouch. They allow the neck to spread. In the pocket is a balloon pump as used to measure blood pressure. The Hose connected to the hose of the inflatable cuff. However, the cuff is not inflated. she is wide and thus allows air to enter. Only when you have to urinate for a day is the seal with one or two pumps * movements made in a matter of seconds. Immediately after emptying, the cuff pressure is increased via the outlet valve deflated on the balloon pump, loosened the connection of the tubes and changed the bag.

In the case of pneumatic deconstruction of the urethra, first proceeded the same way. Here, because of the higher pressure, the pressure in the cuff is immediately relieved with emptying of the Urinary bladder on the toilet or in a urine glass especially

• * ■

¹ '_'18 p

¹ important.

In patients without pre-warning the cuff must be changing frequently aufgepuppt, but it is only a very small pressure of some ⁵ COiH ₂ O needed, disorders of the blood supply thereby avoiding or be minimized.

Claims (1)

S ■ VOSSIUS TAU5CilHNER ^: - | H-EtiN £ MANN ■ RAUH pat ^ MtXn wXi-Tfe * ·· '· ^{: ΐ1} SIEBERTSTRASSE 4 8OOO MÖNCHEN 88 PHONE: (Ο8β) 4Τ4Ο7Β CABLE: BENZENE PATENT MÖNCHEN · TELEX S-3S453VOPAT O 14th time 1982 u.z .: R 849 (Ra / .kä) Dr. 6. Hunger Munich, Federal Republic of Germany "Device for collecting urine in the event of urinary incontinence of Hannes " - e -t BFn s ρ r ü c h e 1. Device for collecting urine in the event of urinary incontinence of the man, characterized by a scrotal belt ("!) with a passage opening (2) for the Penis and a device detachably connected to the scrotal belt to collect the urine. 2. Apparatus according to claim 1, characterized in that the device for collecting the urine is a water-impermeable Bag (3) with a cylindrical neck (4), and that means for sealing the area • is provided between the neck of the pouch and the penis. 3. Apparatus according to claim 2, characterized in that the device for sealing an inflatable cuff (5) with a hose attachment (6). 4. Apparatus according to claim 2 and 3, characterized in that the inside of the neck of the bag and the cuff are provided with an absorbent coating. • IS · β · • · · a · · »a ■ 5 device roach claim 1, characterized * that the device for collecting the urine is a bag (7) * is made of breathable, absorbent material. 6. Apparatus according to claim 5 »characterized in that the lower part of the bag has a reinforcement (6) having waterproof material. 7. Apparatus according to claim 5 and 6 ₃ thereby gekennzelch net that inserts (9) made of absorbent material are provided in the bag to raise the absorbency. 8. Apparatus according to claim 5 to 7, characterized in that the bag consists of a thin, elastic waterproof Foil and inserts are made of absorbent material as well as perforations in the upper part to create air permeability having. ΐ 9. Device according to claim 1, characterized in that 20 that instead of the device for collecting the urine a detachable or firmly connected device to the scrotal belt Clamping the urethra is provided. L 10. Device according to claim 9, characterized in that 25 that the device for clamping the urethra has an inflatable cuff (io) with reinforced outside and J - thinner inside 1st. 11. The device according to claim 9, characterized in that the device for clamping the urethra is a simple cuff (11) which has an opening (12) at its in situ lower region through which an inside of the cuff to an inflatable body (13) extended hose leads.
35 25th 30th 12. The device according to claim 1 to 11, characterized in that the releasable connection between the scrotal belt and the device for collecting the urine or the device for clamping the urethra by means of a Velcro Closure (14, 15) is effected. 13. The device according to claim 12, characterized in that that the male part (14) of the Velcro fastener is ring-shaped around the passage opening of the scrotal belt for the IQ penis ynd the female part (15) correspondingly ring-shaped the device for collecting the urine or the device for clamping the urethra are arranged. 14. Apparatus according to claim 12 and 13, characterized in that that the female part of the Velcro fastener is a ring made of knitted textile. 15 «Device according to claim 12 to 14, characterized in that that they have a lip for pulling off the device for collecting the urine or the device for clamping off the urethra. 35