FR2748940A1 - Urinary probe with haemostatic balloon used after prostate surgery - Google Patents

Urinary probe with haemostatic balloon used after prostate surgery Download PDF

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Publication number
FR2748940A1
FR2748940A1 FR9606571A FR9606571A FR2748940A1 FR 2748940 A1 FR2748940 A1 FR 2748940A1 FR 9606571 A FR9606571 A FR 9606571A FR 9606571 A FR9606571 A FR 9606571A FR 2748940 A1 FR2748940 A1 FR 2748940A1
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France
Prior art keywords
balloon
diameter
tubular
probe
distal
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Granted
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FR9606571A
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French (fr)
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FR2748940B1 (en
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Individual
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Individual
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Priority to FR9606571A priority Critical patent/FR2748940B1/en
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Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/10Balloon catheters
    • A61M25/1002Balloon catheters characterised by balloon shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES 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
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M25/04Holding devices, e.g. on the body in the body, e.g. expansible

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Child & Adolescent Psychology (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Materials For Medical Uses (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

A urinary probe, shaped to fit into a cavity left after prostate surgery to provide haemostatic compression, consists of an inflatable balloon (2) designed to fit the whole of the cavity. The balloon has proximal and distal elements (1a,1b) and a body (3) between them in the shape of a spinning top. The balloon has a circular shoulder (4) lying orthogonally to its tubular proximal element (1a), after which it tapers and then forms two stepped tubes (6,8) of reducing diameters, connected to the distal tubular element (1b). In between the tubular sections, there are steps (7,9). The probe can be made in a glass mould from a biocompatible polymer material, preferably polyurethane.

Description

SONDE URINAIRE A BALLONNET HEMOSTATIQUE
La présente invention concerne une sonde urinaire vésicale destinée à éviter un des inconvénients post-opératoires principaux de la chirurgie de la prostate, qui est l'hémorragie postopératoire.
HEMOSTATIC BALLOON URINARY PROBE
The present invention relates to a bladder urinary catheter intended to avoid one of the main postoperative disadvantages of prostate surgery, which is postoperative hemorrhage.

On connaît de nombreuses sondes urinaires à ballonnet et notamment la sonde urinaire à ballonnet hémostatique, faisant l'objet du brevet français nO 9111646 au nom du Demandeur, qui permet de juguler l'hémorragie de manière satisfaisante au niveau du fond de la loge prostatique, cette loge tres vascularisée ayant la forme d'un coquetier. Numerous balloon urinary catheters are known, and in particular the hemostatic balloon urinary catheter, which is the subject of French patent No. 9111646 in the name of the Applicant, which makes it possible to contain the hemorrhage satisfactorily at the bottom of the prostate gland, this very vascularized lodge having the shape of an egg cup.

Le demandeur a maintenant trouvé que l'on pouvait encore améliorer un tel type de sonde pour qu'elle ait un effet de compression hémostatique renforcée. The applicant has now found that such a type of probe could be further improved so that it has an enhanced hemostatic compression effect.

A cet effet, le ballonnet de la sonde urinaire à ballonnet hémostatique qui garde la forme d'une toupie presente une modification de forme dans sa partie inférieure. To this end, the balloon of the hemostatic balloon urinary catheter which keeps the shape of a top has a shape modification in its lower part.

La présente invention sera mieux comprise par la description qui va suivre d'un mode de réalisation, en référence au dessin annexé, donné à titre illustratif, dans lequel - la figure 1 représente la sonde à ballonnet de l'invention. The present invention will be better understood from the following description of an embodiment, with reference to the appended drawing, given by way of illustration, in which - FIG. 1 represents the balloon probe of the invention.

En référence au dessin, le ballonnet (2) gonflable de manière à épouser la totalité de la paroi de la loge prostatique évidée après opération, depuis le fond de celle-ci jusqu'à sa partie urétrale, comporte deux éléments tubulaires proximal (la) et distal (lb) de diamètre (d) légèrement superieur à celui de la sonde sur laquelle ils viendront se positionner et entre lesquels est située le corps du ballonnet (3). With reference to the drawing, the inflatable balloon (2) so as to conform to the entire wall of the prostatic cavity hollowed out after operation, from the bottom thereof to its urethral part, comprises two proximal tubular elements (la) and distal (lb) of diameter (d) slightly greater than that of the probe on which they will be positioned and between which is located the body of the balloon (3).

Le corps du ballonnet (3) présente presqu'orthogonalement par rapport à l'élément tubulaire proximal (la), un épaulement circulaire (4) d'un diamètre (D) réalisant un renflement (5) en forme de toupie destiné à venir comprimer le fond de la loge prostatique, s'amincissant ensuite progressivement selon une pente (p) suivant les parois de la loge prostatique jusqu'à une partie tubulaire (6) de diamètre (D1) inférieur à (D) et se prolongeant ensuite après un léger décrochement (7) par une partie tubulaire fusiforme (8) de diamètre (D2) inférieur à (D1) destinée à venir se positionner en compression sur la partie urétrale de la loge prostatique, le corps du ballonnet (3) débouchant, apres une nouvelle diminution progressive de diamèmètre (9), dans l'élément tubulaire distal (lb).  The body of the balloon (3) has almost orthogonally relative to the proximal tubular element (la), a circular shoulder (4) of a diameter (D) providing a bulge (5) in the form of a spinning top intended to compress the bottom of the prostate gland, then gradually tapering off at a slope (p) along the walls of the prostate gland to a tubular part (6) of diameter (D1) less than (D) and then extending after a slight detachment (7) by a fusiform tubular part (8) of diameter (D2) less than (D1) intended to be positioned in compression on the urethral part of the prostate gland, the body of the balloon (3) emerging, after a further progressive decrease in diameter (9) in the distal tubular element (lb).

Le ballonnet tel que décrit sera réalisé en matériaux biocompatible souple, notamment en polyuréthane, de préférence par moulage. The balloon as described will be made of flexible biocompatible materials, in particular polyurethane, preferably by molding.

Cette nouvelle conception de sonde à ballonnet, du fait de compression hémostatique renforcée obtenue sur toute la loge prostatique jusqu'à sa partie urétrale, présente de nombreux avantages, à savoir d'éviter l'hémorragie post-operatoire souvent importante, d'éviter par suite le recours à des transfusions sanguines, mais également d'éviter toute infection rétrograde en empêchant toute progression microbienne locale vers la loge prostatique et de là, vers la vessie. This new design of balloon catheter, due to the reinforced hemostatic compression obtained over the entire prostatic compartment to its urethral part, has many advantages, namely to avoid the often significant post-operative hemorrhage, to avoid by following the use of blood transfusions, but also to avoid any retrograde infection by preventing any local microbial progression to the prostate gland and from there to the bladder.

Pour la réalisation d'une telle sonde, il peut être envisagé un moule, de préférence en verre, à partir duquel le ballonnet (2) pourra être fabriqué par exemple par moulage par rotation en bain immergé, d'un polymère biocompatible, notamment d'un polyuréthane.  For the production of such a probe, it is possible to envisage a mold, preferably made of glass, from which the balloon (2) can be produced, for example by rotational molding in a submerged bath, of a biocompatible polymer, in particular d 'a polyurethane.

Claims (2)

REVENDICATIONS 1) Sonde urinaire à ballonnet hémostatique, dans laquelle le ballonnet (2) gonflable de manière à épouser la totalité de la paroi de la loge prostatique évidée après opération depuis le fond de celle-ci jusqu'à sa partie urétrale, comporte deux élé- ments tubulaires proximal (la) et distal (lb) destinés à venir se positionner sur la sonde, entre lesquels est situé le corps du ballonnet (3), caractérisée en ce que le corps du ballonnet (3) en forme de toupie, fait suite à l'élément tubulaire proximal (la) de diamètre (d), en formant presqu'orthogonalement par rapport à celui-ci un épaulement circulaire (4) d'un diamètre (D) réalisant ainsi un renflement (5) en forme de toupie, en s'amincissant ensuite selon une pente (p) jusqu'à une partie tubulaire (6) de diamètre (D1) inférieur à (D), elle-même prolongée après un léger decrochement (7) par une partie tubulaire fusiforme (8) de diamètre (D2) inférieur à (D1) destinee à venir se positionner en compression sur la partie urétrale de la loge prostatique, le corps de ballonnet (3) débouchant, après une nouvelle diminution progressive de diamètre (9) dans l'élément tubulaire distal (lb). 1) Urinary catheter with hemostatic balloon, in which the inflatable balloon (2) so as to follow the entire wall of the prostate gland, hollowed out after operation from the bottom thereof to its urethral part, comprises two elements proximal (la) and distal (lb) tubular elements intended to be positioned on the probe, between which the body of the balloon (3) is located, characterized in that the body of the balloon (3) in the form of a spinning top to the proximal tubular element (la) of diameter (d), forming almost orthogonally relative to the latter a circular shoulder (4) of diameter (D) thus producing a bulge (5) in the form of a spinning top , then tapering along a slope (p) to a tubular part (6) of diameter (D1) less than (D), itself extended after a slight detachment (7) by a fusiform tubular part (8 ) of diameter (D2) less than (D1) intended to be positioned in comp recession on the urethral part of the prostate gland, the balloon body (3) emerging, after a further progressive reduction in diameter (9) in the distal tubular element (lb). 2) Sonde urinaire à ballonnet hémostatique selon la revendication 1, caractérisée en ce que le ballonnet hémostatique est réalisé par moulage en polyuréthane.  2) Urinary catheter with hemostatic balloon according to claim 1, characterized in that the hemostatic balloon is produced by molding in polyurethane.
FR9606571A 1996-05-23 1996-05-23 HEMOSTATIC BALLOON URINARY PROBE Expired - Fee Related FR2748940B1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
FR9606571A FR2748940B1 (en) 1996-05-23 1996-05-23 HEMOSTATIC BALLOON URINARY PROBE

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
FR9606571A FR2748940B1 (en) 1996-05-23 1996-05-23 HEMOSTATIC BALLOON URINARY PROBE

Publications (2)

Publication Number Publication Date
FR2748940A1 true FR2748940A1 (en) 1997-11-28
FR2748940B1 FR2748940B1 (en) 1998-08-28

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FR9606571A Expired - Fee Related FR2748940B1 (en) 1996-05-23 1996-05-23 HEMOSTATIC BALLOON URINARY PROBE

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999025415A1 (en) * 1997-11-13 1999-05-27 Chahgaldian Rene Urinary catheter with hemostatic balloon

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1982003557A1 (en) * 1981-04-16 1982-10-28 Percy Nordqvist Urinary catheter
US4927412A (en) * 1988-12-08 1990-05-22 Retroperfusion Systems, Inc. Coronary sinus catheter
US5108414A (en) * 1989-11-09 1992-04-28 C. R. Bard, Inc. Techniques for dilating obstructed lumens and other luminal procedures
FR2693114A1 (en) * 1991-09-20 1994-01-07 Chahgaldian Rene Urinary probe for post-operative use after prostate gland surgery - comprises elongate probe body with inflatable balloon shaped to correspond to prostate shape on inflation, positioning probe in ureter

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1982003557A1 (en) * 1981-04-16 1982-10-28 Percy Nordqvist Urinary catheter
US4927412A (en) * 1988-12-08 1990-05-22 Retroperfusion Systems, Inc. Coronary sinus catheter
US5108414A (en) * 1989-11-09 1992-04-28 C. R. Bard, Inc. Techniques for dilating obstructed lumens and other luminal procedures
FR2693114A1 (en) * 1991-09-20 1994-01-07 Chahgaldian Rene Urinary probe for post-operative use after prostate gland surgery - comprises elongate probe body with inflatable balloon shaped to correspond to prostate shape on inflation, positioning probe in ureter

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1999025415A1 (en) * 1997-11-13 1999-05-27 Chahgaldian Rene Urinary catheter with hemostatic balloon

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Publication number Publication date
FR2748940B1 (en) 1998-08-28

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Effective date: 20110131