DK1897580T3 - catheter - Google Patents

Abstract

A catheter set (1) comprising a film pack (2), a urinary catheter (7) with a flexible shaft (9) and a tip (8), kept in an essentially tubular space (3) with an outlet (11) for the catheter at the tip end of the space (3), in which the outer surface (15) of the pack (2) is provided in at least one section of the catheter space (3) with guiding elements (14a, 14b etc.) which at least partly follow the course of the catheter space (3) in its longitudinal direction.

Description

The present invention refers to a catheter set comprising a package produced from a foil-like material and a urinal catheter 7 having a flexible catheter shaft and a catheter tip, wherein the package comprises a substantially tubular catheter storage space having the urinal catheter inserted therein, and wherein an exit location for the urinal catheter is provided at the end of the catheter storage space associated with the catheter tip.

The generic US 2003/060807 A1 comprises a catheter assembly with a package, wherein the package serves as a collection container. At the insertable end of the catheter the package comprises a reclosable opening to allow hygienic storage until disposal of the catheter. To facilitate removal, grip portions are arranged on the removal opening of the catheter. A telescopic section is provided between the grip portions to allow the removal of the catheter without the need for touching it. The area which is compressible or telescopic between the two grip portions is rib-shaped and simplifies the removal of the catheter. After the package has been opened, the head of the catheter can be exposed by telescoping the compressible area of the package. The catheter package can now be gripped on the grip portions that are respectively provided at both ends of the compressible area, and the catheter can be inserted. A further catheter set, as has e.g. become known from DE 20 2005 009 946 U1, allows a sterile packing of a urinal catheter which is guided through the exit location out of the package for the purpose of use. The urinal catheter exits, with the catheter tip ahead 5, out of the package and is directly guided into the urethra to a patient’s urinary bladder. Owing to the ready-for-use position of the urinal catheter within the catheter storage space of the primary packaging and owing to the flexibility of the packaging material, a direct contact is avoided between the urinal catheter and the hand holding or guiding the same. To collect urine discharged by means of the catheter, the catheter set comprises a urine storage space adjoining the catheter storage space. The urine is passed through the catheter storage space to the urine storage space. The catheter storage space can be separated by a non-return valve from the urine storage space, so that urine collected in the urine storage space remains in said space and cannot flow out.

In known catheter sets, a part of the urine may remain in the catheter storage space because the urine may for instance adhere in edges of the catheter storage space or does just not fully flow off into the urine storage space. This part of the urine can exit through the exit location out of the package after termination of the use of the catheter because the exit location is opened by the tearing open of a predetermined breaking point of the package. The latter complicates the handling of the catheter set after its use and impairs the hygiene of the catheterization process.

It is therefore the object of the present invention to provide a catheter set which avoids the drawbacks of the prior art, wherein the package is to be improved and handling, in particular, is to be facilitated.

This object is achieved with the catheter set of the independent claim. The dependent claims represent preferred embodiments of the invention.

According to the invention the catheter storage space is part of a urine storage space. Furthermore, a reclosable closure element is provided at the exit location. This means that the exit location is reclosable by the closure element.

In the catheter set according to the invention the package for the urinal catheter simultaneously serves as a collection and storage bag for the urine discharged through the urinal catheter. At the end of the urinal catheter which is opposite to the catheter tip, a blocking element is expediently provided that prevents a complete withdrawal of the urinal catheter out of the package and can outwardly seal the catheter storage space and the exit location, respectively, in the catheterization process. To this end the blocking element is adapted in its outer dimension to the dimension of the exit location in such a manner that said location can be closed with the blocking element as a kind of plug, so that no urine can flow unintendedly laterally next to the catheter out of the catheter storage space in the catheterization process. During the typical use of the catheter set according to the invention the urinal catheter is pushed out of the package and inserted into the patient’s urinary bladder. The urine flows in the catheterization process directly into the urine storage space, in other words into the package, and the urinal catheter is subsequently retracted from the hollow body organ and pushed into the package. Finally, the exit location is closed again by means of the closure element. After return of the urinal catheter the package can be closed again tightly by the closure element, and the package together with the used urinal catheter and with the urine stored therein can be disposed of. Since the closure element is arranged at the exit location, no urine can exit out of the catheter storage space after the catheterization process. Furthermore, the catheter set according to the invention may be given a relatively small size in terms of its overall dimension because the catheter storage space is simultaneously used partially or completely as part of the urine storage space.

Preferably, the catheter storage space comprises a guide sleeve which adjoins the exit location or forms the same. During removal the urinal catheter passes through the guide sleeve and is stabilized by said sleeve in its exit direction. Due to this directional stabilization the guide sleeve serves as an insertion aid during insertion of the urinal catheter into a hollow body organ. The closure element may here be implemented as a closure flap on the guide sleeve. Such a closure flap can be easily opened by unfolding and closed again by folding. The closure element cannot be lost as the flap is movably attached to the closure element.

The closure flap and the guide sleeve are made from a plastic material in one piece in a very advantageous manner, the closure flap and the guide sleeve being connected to each other by at least one flexible plastic strip. This embodiment of the closure flap with the guide sleeve is producible in a very simple way and at low costs.

Advantageously, the guide sleeve is provided on its inner surface with guide ribs extending in catheter exit direction, so that the catheter tip which is normally configured with a smaller diameter than the inner diameter of the guide sleeve can be guided in an even better way. Especially when an activation of the catheter surface is intended by means of a gel as the lubricant prior to the application thereof, a uniform distribution of the lubricant on the catheter surface is ensured by the guide ribs. This specifically prevents the lubricant from being stripped off from parts of the catheter surface by the guide sleeve.

For better sealing during closing of the guide sleeve by means of the closure element, the guide sleeve and/or the closure element may comprise a circumferentially extending sealing lip.

In a catheter set according to the invention, guide elements may be provided on the outer surface of the package in at least one longitudinal section of the catheter storage space, wherein the guide elements follow the profile of the catheter storage space at least partially in the longitudinal direction of the catheter storage space of the package.

The guide elements are arranged along the longitudinal extension of the catheter storage space, in other words along the axial extension of the catheter shaft. For removal or insertion of the urinal catheter out of the package a user will grip the catheter storage space on the outside with both hands, fix the package on the catheter shaft with one hand and push the urinal catheter out of the package with the other hand. Owing to the guide elements the grip of the normally smooth outer surface of the package will be enhanced and a slipping off or skidding of the fingers that are gripping the urinal catheter will be prevented. This ensures a simplified and facilitated guidance of the flexible catheter shaft in the catheter set or catheter system according to the invention. The improved handling of the urinal catheter enhances hygiene during use of the catheter set according to the invention by comparison with conventional catheter sets, and the insertion and/or removal of a catheter out of the package is considerably facilitated.

The material of the package is normally a plastic material, but it is also conceivable to use a light metal or a coated fabric or combinations thereof. The package is given a planar shape by gluing, welding and/or sewing of the foil-like material. To ensure a sterile storage of the urinal catheter, the catheter storage space is closed at the exit location. In front of or at the exit location a predetermined breaking seam may be provided that is broken before or during removal of the urinal catheter. A closure element, e.g. a cap or the like, which must be opened before the exit of the urinal catheter is then also enclosed by the material of the package, for instance a plastic foil.

In a preferred embodiment of the catheter set according to the invention the guide elements are provided in the area of the exit location. During removal or insertion of the urinal catheter a user will grip the package typically near the exit location to introduce the urinal catheter in a controlled manner into the patient’s body, so that the guide elements turn out to be particularly advantageous in this area.

In a further preferred embodiment of the catheter set according to the invention the guide elements extend over the whole length of the catheter storage space. In this embodiment the guide elements are provided along the whole catheter storage space and consequently along the whole urinal catheter received in the package, whereby the handling of the catheter set according to the invention is improved and facilitated at every removal or insertion position of the urinal catheter.

Advantageously, the guide elements are arranged in an equidistant fashion, preferably at a finger width distance. The packaging material which surrounds the urinal catheter is compressed or gathered by being pushed back along the axial extension of the catheter shaft and thereby allows the advance movement of the urinal catheter. The guide elements which are arranged at regular distances facilitate the shifting of the package along the catheter shaft.

In a preferred embodiment of the invention the guide elements are provided on the upper side and the lower side of the package. Owing to the arrangement of guide elements at both sides, all fingers of a user gripping around the catheter shaft are protected against slipping and the insertion or removal of the urinal catheter out of the package is thereby further facilitated.

The guide elements are preferably implemented as gathers, corrugations, knobs and/or anti-skid elements. Such an implementation of the guide elements from the foil-like material of the package simplifies the manufacture of the catheter set according to the invention. It is however also conceivable to mount the guide elements on the package later, e.g. by gluing or flocking.

Moreover, it is advantageous that the urinal catheter is provided with a hydrophilic coating and/or a lubricant coating. With a corresponding coating the slide characteristics of the urinal catheter are improved, so that the catheter can be introduced into the patient’s body substantially without pain and without irritation.

In the package, a reservoir is preferably provided with an activating agent and/or a lubricant. With the help of the activating agent, for instance a liquid such as a saline solution, the hydrophilic surface coating of the urinal catheter is activated, with the help of the lubricant, such as a gel, the urinal catheter is wetted and/or activated, whereby the desired slidability of the urinal catheter is achieved. In the case of a highly slidable urinal catheter, the guide elements exhibit a particularly advantageous effect because the friction between the urinal catheter and the catheter storage space surrounding the catheter is reduced by the low-friction surface of the urinal catheter and an indirect shifting of the urinal catheter into or out of the package is thereby facilitated considerably with the guide elements according to the invention.

It is particularly advantageous, especially in the case of a catheter set in which the reservoir is arranged on the catheter storage space at a longitudinal side of the catheter storage space, when the package has formed therein an activating agent and/or lubricant guide which, after the reservoir has been opened, supports a catheter wetting process in which the surface of the urinal catheter is wetted in the direction of the catheter tip with activating agent and/or lubricant from the reservoir. This activating agent and/or lubricant guide is directed towards the catheter tip and connects a reservoir storage space, which is formed in the package and in which the reservoir is arranged, and the catheter storage space. When an aqueous liquid is used as the activating agent, the urinal catheter preferably has a hydrophilic surface coating to allow an activation of the coating of the urinal catheter. In the event that a lubricant is for instance used, the surface of the urinal catheter is wetted with a lubricant prior to the application of the urinal catheter. With a corresponding coating the slide characteristics of the urinal catheter are improved, so that the urinal catheter can be inserted into the patient’s body substantially without pain and without irritation. With the help of the activating agent, for instance saline solution, a hydrophilic surface coating of the urinal catheter is activated, with the help of a lubricant, such as a gel, the urinal catheter is wetted and/or activated, whereby the desired slidability of the urinal catheter is achieved. Since the surface of the urinal catheter is wetted in the direction of the catheter tip in a directed manner with the help of the activating agent and/or lubricant guide, it is possible to manage with less activating agents and/or lubricants. The activating agent and/or lubricant flows out of the reservoir directly towards the catheter tip, or it can be pushed without any problem towards the catheter tip when a lubricant is used. The complete wetting of the front catheter part, i.e. the part of the urinal catheter close to the catheter tip, is simplified and supported. Since the urinal catheter is normally not completely inserted into the urethra, but mainly the said front catheter part, the wetting of the front part is already enough for the application of the urinal catheter.

Preferably, the activating agent and/or lubricant guide is configured as a fluid guide which is inclined from the reservoir storage space at an oblique angle relative to the catheter storage space in the direction of the catheter tip and which is preferably defined by a foil seam. The activating agent and/or lubricant guide can be simply implemented by connecting the layers of the foil-like material that form the package. When a plastic foil is used for producing the package, this foil seam can be simply implemented as a weld seam.

When the reservoir is arranged in the package in an area in the middle of the length of the catheter storage space, the activating agent and/or the lubricant can be distributed more easily in the area of the surface of the urinal catheter which is to be introduced into the urethra, than in the case of an arrangement e.g. on the end of the catheter facing away from the catheter tip. Such an arrangement of the reservoir is particularly advantageous when the catheter storage space extends in the longitudinal direction of the package and when the package is substantially given a rectangular shape. Especially in cases where a gel is used as the lubricant, the gel can then simply be pressed out of the reservoir into the area of the catheter storage space that is close to the catheter tip. Since the catheter is pushed through this area with its whole length to be introduced into the urethra, the surface of the catheter is thereby evenly coated with the gel. The area in the middle of the length of the catheter storage space may e.g. be located in the middle third of the total length of the package. When a channel leading into the catheter storage space or such an opening for the activating agent and/or the lubricant is provided on the reservoir or in the package, these should be arranged in the area in the middle of the length of the catheter storage space.

In a preferred embodiment of the catheter set according to the invention, one or more handle openings are formed in the package. With the handle openings the handling of the catheter set is further facilitated, e.g. the catheter set may be fixed in the catheterization process, e.g. suspended from a stand or a hook

When a catheter storage space enlargement is provided in an area of the catheter storage space adjoining the exit location, the catheter storage space is especially well suited for receiving a Tiemann catheter as the catheter of the catheter set. A Tiemann catheter has an angled, conically tapering catheter tip. Owing to its shape it is particularly suited for the catheterization of the male urinary bladder because the tip guides the catheter in an improved manner through the urethra.

Moreover, it is conceivable to insert a catheter into the catheter storage space for emptying and/or flushing any hollow body organ, particularly for discharging any desired body fluid. Moreover, the guide elements of the package can be used for the improved unpacking of a catheter, and the configuration of the package according to the invention is not limited to urinal catheters.

Further advantages and features of the invention become apparent from the description and the figures of the drawing. Likewise, the above-mentioned features and the features described further below can be used according to the invention each singly or in any desired combinations with one another. The catheter set according to the invention is shown in an embodiment in the figures. The features shown in the figures are to be understood in a purely schematic manner and as not being true to scale.

Fig. 1 is a top view on a catheter set according to the invention;

Figs. 2a and 2b are each an enlarged section of a catheter set according to the invention;

Figs. 3a and 3b show the closure element of the catheter set according to the invention of Fig. 1, said closure element being implemented as a closure flap and formed on the guide sleeve; and

Fig. 4 shows a further embodiment of the catheter set.

Fig. 1 is a top view on a catheter set 1 having a shape defined by a substantially rectangular package 2. The package 2 consists of two interconnected layers of a plastic foil which has formed therein an elongated, channel-like catheter storage space 3, a reservoir storage space 4, and a urine storage space 3. The catheter storage space 3 extends completely or in part in the longitudinal direction of the package 2. The reservoir storage space 4 is connected via the catheter storage space 3 to the urine storage space 5 and is arranged in an area in the middle of the length of the catheter storage space 3 or adjoins the middle of the catheter storage space 3. Handle openings 6a and 6b which are designed as circular holes are provided at one or both of the narrow-side ends of the package 2. A urinal catheter 7 is inserted into the catheter storage space 3. The urinal catheter 7 consists of a catheter tip 8, an elongated catheter shaft 9 and a blocking element 10 which is enlarged in relation to the catheter shaft 9. The catheter storage space 3 is bounded on the edge of the package 2 by an exit location 11 at which the catheter tip 8 of the inserted catheter 7 points. A guide sleeve 12 adjoins the exit location 11, or the exit location 11 is formed by the guide sleeve 12. The channel-like catheter storage space 3 terminates in the guide sleeve 12. The guide sleeve 12 has provided thereon a closure element 13 which is implemented as a closure flap and by which the storage volume of the package 2, which is defined by the catheter storage space 3, the reservoir storage space 4 and the urine storage space 5, is closed. The urinal catheter 7 can be packed in a permanently sterile manner in a conceivable embodiment by means of the package 2.

The reservoir storage space 4 may also be arranged at the lower end of the catheter storage space 3, i.e. in the area of its end remote from the exit location. The catheter storage space 3 could then be connected via the reservoir storage space 4 to the urine storage space 5.

For a simplified insertion and removal of the urinal catheter 7, guide elements 14a, 14b, 14c, ... are provided along the longitudinal extension of the catheter storage space 3 on an outer surface 15 of the package 2. The row-like arrangement of the guide elements 14a, 14b, 14c ..., which are implemented as knob-like gathers on the outer surface 15, facilitates the withdrawal or removal of the urinal catheter 7 out of the package 2 in removal direction 16. The blocking element 10 prevents a complete withdrawal of the urinal catheter 7 out of the package 2 and the catheter storage space 3 can be sealed outwards in the catheterization process. A sachet-like reservoir 17 is provided in the reservoir storage space 4. The reservoir 17 contains an activating agent for activating a hydrophilic surface coating of the urinal catheter 7, particularly the catheter shaft 9 and the catheter tip 8, or a gel as a lubricant. It is also conceivable that the reservoir storage space is directly filled with the activating medium.

The package has formed therein an activating agent and/or lubricant guide 20 which connects the reservoir storage space 4, which is laterally arranged next to the catheter storage space 3 in the area of the urine storage space 5, to the catheter storage space 3. The activating agent and/or lubricant guide 20 supports a wetting of the catheter surface, which is oriented towards the catheter tip 8, with activating agent and/or lubricant after the reservoir 17 has been opened. For this purpose the activating agent and/or lubricant guide 20 is implemented as a weld seam, which extends at an oblique angle relative to the catheter storage space 3 in that direction, between the plastic foils forming the package 2. The activating agent and/or lubricant guide could e.g. also be implemented by a correspondingly oriented channel, which is formed by two weld seams extending substantially in parallel with each other, as the fluid guide. The angle between the activating agent and/or lubricant guide 20 and the longitudinal direction of the catheter storage space 3 is an acute angle. It is preferably about 30 to 60 degrees. A catheter storage space enlargement 22 is provided in an area of the catheter storage space 3 which adjoins the exit location 11. If, instead of the illustrated urinal catheter 7, a Tiemann catheter, i.e. a catheter with an angled catheter tip, is to be provided in the catheter storage space 3, the angled catheter tip can be stored in the catheter storage space enlargement 22 without any deformation.

The catheter set 1 is handled as follows: The catheter set 1 is delivered with closed closure element 13 in a secondary packaging or a sterile package 2. The reservoir 17 with the activating agent, a sterile saline solution, is opened by pressure, so that the activating agent can pass from the reservoir storage space 4 into the catheter storage space 3 and wet the urinal catheter 7. The hydrophilic surface coating of the urinal catheter 7 is activated by the activating agent, resulting in improved slide characteristics. After a waiting period of about 30 seconds, the closure element 13 is opened and the urinal catheter 7 can be pushed through the guide sleeve 12 out of the package 2 and can be inserted through the urethra into a user’s bladder. In the case of a gel as lubricant in the reservoir 17, the catheter set 1 is delivered with an open closure element 13 and the gel is pressed out of the reservoir 17 towards the catheter tip 8 and the urinal catheter 7 can be applied immediately without any waiting time.

The urine from the bladder runs in the catheterization process directly into the package 2 or is passed through the catheter shaft 9 and the catheter storage space 3 into the urine storage space 5. After completion of the catheterization process the urinal catheter 7 is again withdrawn from the bladder and the urethra and is pushed back into the catheter storage space 3, and the package 2 is tightly closed again with the help of the closure element 13.

Fig. 2a is a longitudinal section through the catheter set 1 shown in Fig. 1, in section II. The longitudinal section extends along the axial extension of the catheter storage space 3 and the urinal catheter 7 inserted therein. The package 2 which encloses or surrounds the urinal catheter 7 comprises guide elements 14f, 14g and 14h on an upper side 18. The upper side 18 is given a waved contour due to the juxtaposition of the guide elements 14f, 14g and 14h, whereas an opposite lower side 19 of the package 2 is implemented as a smooth side. To push the urinal catheter 7 in removal direction 16 out of the catheter storage space 3, the flexible material of the package 2 is gathered or concentrated (illustrated by arrows) along the catheter shaft 9 repeatedly in a section between both hands gripping the package 2 and the catheter shaft 9 and is subsequently lengthened or pushed back in a push-back direction 20 opposite to the removal direction 16. The package 2 is each time shifted relative to a stationary point which is defined by one of the two hands. The contours of the upper side 18 and the lower side 19 of the package 2 are thereby changed, the fold shape on the upper side 18 being predetermined by the guide elements 14f, 14g and 14h, comparable to a gathering ribbon. This substantially prevents excessively high material concentrations which can only be shifted with difficulty along the catheter shaft 9.

The longitudinal section shown in Fig. 2b differs from the section shown in Fig. 2a in that guide elements 14f, 14f, 14g, 14g’, ... are provided on the upper side 18 and also on the lower side 19 of the package 2. The guide elements 14f, 14f, 14g, 14g’, ... respectively form an irregular wavy contour on the upper and the lower side 18, 19. When the urinal catheter 7 is moved in removal direction 16, the catheter shaft 9 can be gripped by a user in a non-slip manner at both sides of the catheter storage space 3, i.e. on the upper side 18 and also on the lower side 19, and the material of the package 2 can be shifted in a controlled manner.

Figs. 3a and 3b show the closure element 13 of the catheter set according to the invention of Fig. 1, which closure element 13 is implemented as a closure flap and formed on the guide sleeve 12. Fig. 3a is a three-dimensional representation and Fig. 3b is a longitudinal section. The closure flap and the guide sleeve 12 are made from a plastic material in one piece. To allow an opening and closing of the closure flap by way of folding, the flap is connected via a flexible plastic strip 30 to the guide sleeve 12. The closure flap is formed by a plastic ring 31 and a lid part 32 projecting beyond the radial outer dimension of the guide sleeve 12. Since the lid part 32 projects beyond the radial outer dimension of the guide sleeve 12, the closure flap can be easily opened. The lid 32 has a ribbing 33 on its lower side facing the guide sleeve 12 in the closed state so as to improve the grip thereof. The plastic ring 31 forms a plug for closing the exit location 11. Since the plastic ring 31 is radially slightly compressed when the guide sleeve 12 is closed, this yields excellent tightness against outflowing urine. A circumferentially extending sealing lip 34 is arranged on the inner surface of the guide sleeve 12. Since this sealing lip 34 narrows the inner diameter of the guide sleeve 12 in the area in which the plastic ring is inserted into the guide sleeve 12 for closing purposes, the sealing lip 34 facilitates the radial compression of the plastic ring 31 when the guide sleeve 12 is closed. A corresponding sealing lip may also be provided radially circumferentially on the plug.

Fig. 3b shows guide ribs 37 which extend on the inner surface of the guide sleeve 12 in catheter exit direction and are used for the centered guidance of the urinal catheter upon its application.

Fig. 4 shows the catheter set according to the invention with a changed outer package form. The urine storage space 5 does not extend over the whole length of the catheter storage space and thus offers application advantages which are different from the embodiment of Fig. 1.

What is suggested is a catheter set 1 comprising a package 2 produced from a foil-like material and a urinal catheter 7 having a flexible catheter shaft 9 and a catheter tip 8, wherein the package 2 comprises a substantially tubular catheter storage space 3 having the urinal catheter 7 inserted therein, and wherein an exit location 11 for the urinal catheter 7 is provided at the end of the catheter storage space 3 associated with the catheter tip 8. The catheter storage space 3 is implemented as part of a urine storage space 5, and a reclosable closure element 13 is provided at the exit location 11.

The invention is not limited to the above-indicated embodiments. Rather, a number of variants are conceivable, which even in the case of a fundamentally different implementation make use of the features of the invention.

Claims (16)

A catheter set (1) comprising a package (2) made of a foil-like material and a bladder catheter (7) with a flexible catheter shaft (9) and a catheter tip (8), the packaging (2) comprising a substantial tubular catheter retaining space (3) into which the bladder catheter (7) is inserted, and at which end of the catheter receptacle (3), assigned to the catheter tip (8), an outlet (11) for the bladder catheter (7) is provided; and the catheter retaining space (3) is formed as part of a urinary retention space (5), and at the exit site (11), a resealable closure member (13) is provided, and the catheter retention space (3) comprises a guide sleeve (12) adjacent to the exit site ( 11), wherein the closure element (13) is formed as a closure flap on the guide sleeve (12), characterized in that the guide sleeve (12) comprises, on its inner surface, guide ribs (37) extending in the catheter delivery direction (16). Catheter kit according to claim 1, characterized in that the closure flap and guide sleeve (12) are made in one piece of plastic, wherein the closure flap and guide sleeve (12) are connected to each other via at least one flexible plastic strip (30). Catheter set according to one of the preceding claims, characterized in that the guide sleeve (12) and / or the closing element (13) comprise a peripheral sealing lip (34). Catheter set according to one of the preceding claims, characterized in that guide elements (14a, 14b, ...) are provided on at least one longitudinal section of the catheter receiving space (3) on the outer surface (15) of the packaging (2), and that the guide elements (14a, 14b, ...) in the longitudinal direction of the catheter receptacle (3) of the packaging (2) at least partially follow the course of the catheter receptacle (3). Catheter kit according to claim 4, characterized in that the guide elements (14a, 14b, ...) are provided in the region at the exit point (11). Catheter set according to claim 4, characterized in that the guide elements (14a, 14b, ...) extend over the entire length of the catheter receptacle (3). Catheter set according to one of claims 4 to 6, characterized in that the guide elements (14a, 14b, ...) are arranged equidistant. Catheter set according to one of claims 4 to 7, characterized in that the guide elements (14a, 14b, ...) are provided on the upper side (18) and the lower side (19) of the packaging (2). Catheter set according to one of claims 4 to 8, characterized in that the guide elements (14a, 14b, ...) are designed as wrinkles, knurls, knobs and / or non-slip elements. Catheter set according to one of the preceding claims, characterized in that the bladder catheter (7) comprises a hydrophilic surface coating and / or a lubricant coating. Catheter set according to one of the preceding claims, characterized in that a reservoir (17) with an activating means and / or a lubricant is provided in the packaging (2), or the activating medium is filled directly into the reservoir receiving space. Catheter set according to claim 11, characterized in that the reservoir (17) is arranged on a longitudinal side of the catheter receptacle (3) of the catheter receptacle (3), in which an activating and / or lubricant guide (20) is formed in the packaging (2). ) pointing in the direction of the catheter tip (8) to support a wetting of the bladder catheter (7) directed in the catheter tip direction with the actuator and / or lubricant from the reservoir (17) and connecting a reservoir receiving space (4) formed in the package (2) in which the reservoir (17) is placed, with the catheter receptacle (3). Catheter set according to claim 12, characterized in that the actuating and / or lubricating guide (20) is formed as a fluid guide inclined with respect to the catheter receiving space (3) in the direction of the catheter tip (8) and which is preferably formed of foil joint. Catheter set according to claim 11, characterized in that the reservoir (17) is arranged in an area in the middle of the longitudinal extension of the catheter receptacle (3) in the packaging (2), preferably where the catheter receptacle (3) extends in the longitudinal direction of the packaging (2). and the packaging (2) is substantially square. Catheter set according to one of the preceding claims, characterized in that one or more gripping openings (6a, 6b) are formed in the packaging (2). Catheter set according to one of the preceding claims, characterized in that a catheter receptacle space extension (22) is provided in an area of the catheter receptacle (3) adjacent to the exit site (11).