JP2019017965A - Catheter for urinary bladder - Google Patents

Catheter for urinary bladder Download PDF

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JP2019017965A
JP2019017965A JP2017154703A JP2017154703A JP2019017965A JP 2019017965 A JP2019017965 A JP 2019017965A JP 2017154703 A JP2017154703 A JP 2017154703A JP 2017154703 A JP2017154703 A JP 2017154703A JP 2019017965 A JP2019017965 A JP 2019017965A
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catheter
bladder
shaft
bent
urinary bladder
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JP6375487B1 (en
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徳男 玉川
Tokuo Tamagawa
徳男 玉川
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ESCO TOHOKU CO Ltd
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ESCO TOHOKU CO Ltd
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    • 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
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • 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
    • 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)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Vascular Medicine (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

To provide a catheter for urinary bladders configured not to damage an inner wall of the urinary bladder when being inserted into the urinary bladder.SOLUTION: A wire 7 coated with a polymer material is inserted through the inside of a shaft 3, which allows a catheter to be bent in a discretionary direction and hold the bent structure. The bent part 6 is inserted via an abdominal hole 11 into an urinary bladder 12, with it bent substantially orthogonally, so as to reduce a possibility of its coming into contact with an urinary bladder inner wall 13 at a part of a side hole 1, thereby reducing a possibility of damaging the urinary bladder inner wall 13. Furthermore, the configuration can also reduce a possibility of the catheter falling off.SELECTED DRAWING: Figure 1

Description

本発明は医療用のカテーテルに関わり、特に膀胱に用いるカテーテルに関するものである。  The present invention relates to a medical catheter, and more particularly to a catheter used for a bladder.

カテーテルは、医療用に用いられる可撓性を備えた管であり、体内の所要の部位に挿入し、体液の採取や排出、薬液や造影剤の注入に用いられている。  A catheter is a flexible tube used for medical purposes, and is inserted into a required site in the body, and is used for collecting and discharging body fluids and injecting medicinal solutions and contrast agents.

そして、加齢による膀胱機能障害、膀胱炎などによる膀胱機能低下、尿道炎や尿道結石など尿路の閉塞、前立腺肥大症による排尿異常などを起こしている患者に対しては、尿道を経由させたり、腹部に設けた腹部孔を経由させたりして、カテーテルを膀胱内に挿入して用いることがある。  For patients who have bladder dysfunction due to aging, decreased bladder function due to cystitis, obstruction of the urinary tract such as urethritis or urethral stone, abnormal urination due to prostatic hypertrophy, etc. In some cases, the catheter is inserted into the bladder via an abdominal hole provided in the abdomen.

図3は、従来のカテーテルの一例を示す図で、図3において、27はシャフト、28はカテーテル袋である。また図2は、従来のカテーテルを、腹部孔を経由させて、膀胱内に挿入した例を示す図であり、図2(a)は正面図、図2(b)はシャフトの断面図である。図2において、14は側孔、15はバルーン、16はシャフト、17はバルブ、18はファネル、19は屈曲部、20はワイヤ、21はワイヤ保護管、22はバルーンエア管、23は腹部、24は腹部孔、25は膀胱、26は膀胱内壁である。  FIG. 3 shows an example of a conventional catheter. In FIG. 3, 27 is a shaft, and 28 is a catheter bag. 2 is a view showing an example in which a conventional catheter is inserted into the bladder via the abdominal hole, FIG. 2 (a) is a front view, and FIG. 2 (b) is a sectional view of the shaft. . In FIG. 2, 14 is a side hole, 15 is a balloon, 16 is a shaft, 17 is a valve, 18 is a funnel, 19 is a bend, 20 is a wire, 21 is a wire protection tube, 22 is a balloon air tube, 23 is an abdomen, 24 is an abdominal hole, 25 is a bladder, and 26 is a bladder inner wall.

従来のカテーテルは材質が柔らかいが、任意の角度に屈曲させるのが困難である。そのため、図2に示したように、腹部孔24から膀胱25に挿入されると、膀胱25の膀胱内壁26に、カテーテルのバルーン15の先端が接触する可能性が高くなる。その結果、膀胱内壁26の損傷や、膀洸内壁26より出血及び血塊、炎症、感染症等が起こる可能性がある。  Conventional catheters are soft, but are difficult to bend at any angle. Therefore, as shown in FIG. 2, when the abdomen hole 24 is inserted into the bladder 25, the possibility that the tip of the balloon 15 of the catheter contacts the bladder inner wall 26 of the bladder 25 increases. As a result, damage to the bladder inner wall 26, bleeding and blood clots, inflammation, infection, etc. may occur from the bladder inner wall 26.

ファネル18またはバルブ17ら挿入されたカテーテルは、直線状に腹部23に到達し、腹部孔24から膀洸25に挿入される。その時、従来のカテーテルは直線的であるため、腹部孔24から挿入されたとき、腹部孔24でカテーテルが盛り上がり腹部23に密着されなくなる。その結果、膀胱25に斜めに挿入されたカテーテルのバルーン15の先端が膀胱内壁26に接触し、膀胱内壁26が損傷される。カテーテル包装袋が血液で真赤に染まりさらに血塊、炎症、感染症等が起こりやすくなる可能性がある。さらには容易にカテーテルがずれたり、抜けたりする可能性がある。  The catheter inserted from the funnel 18 or the valve 17 reaches the abdomen 23 linearly and is inserted into the bladder 25 through the abdominal hole 24. At that time, since the conventional catheter is linear, when inserted from the abdominal hole 24, the catheter rises in the abdominal hole 24 and does not adhere to the abdominal part 23. As a result, the distal end of the balloon 15 of the catheter inserted obliquely into the bladder 25 contacts the bladder inner wall 26, and the bladder inner wall 26 is damaged. There is a possibility that the catheter packaging bag is stained red with blood and blood clots, inflammation, infections, etc. are likely to occur. Furthermore, there is a possibility that the catheter is easily displaced or removed.

膀胱に用いる例として、特許文献1に装置は、末端チップ、基端部、細長本体に貫通する1つまたはそれ以上のチャネルを設けた、細長本体を有するカテーテルを備え、挿入時にカテーテルを案内するためのガイドワイヤを、1つまたはそれ以上チャンネルのうち、1つのチャネルに挿通し、さらに、細長本体の基端部、または基端部の近傍に、ガイドワイヤ洗浄液を、ガイドワイヤを挿通したチャンネルに導入するための、潤滑ポートを設けてなる尿道狭窄拡張が開示されている。しかし、この先行技術は、前記の課題に対応したものではない。  As an example for use with the bladder, the device in US Pat. No. 6,057,059 comprises a catheter having an elongated body with a distal tip, a proximal end, and one or more channels extending through the elongated body, and guides the catheter during insertion. The guide wire is inserted into one of the one or more channels, and the guide wire cleaning liquid is inserted into the proximal end portion of the elongated body or in the vicinity of the proximal end portion. A urethral stricture dilation with a lubrication port is disclosed for introduction into the body. However, this prior art does not correspond to the above problem.

特開2015−013197号公報Japanese Patent Laying-Open No. 2015-013197

したがって本発明の課題は、前記の課題に鑑み、膀胱に挿入した際に、膀胱内壁を損傷しない、膀胱用カテーテルを提供することである。  Therefore, in view of the above problems, an object of the present invention is to provide a bladder catheter that does not damage the bladder inner wall when inserted into the bladder.

本発明は、前記課題の解決のため、シャフトに挿通するワイヤの構造と、カテーテルを腹部孔に挿入する方法を再検討した結果、なされたものである。  The present invention has been made as a result of reconsideration of the structure of a wire inserted through a shaft and a method of inserting a catheter into an abdominal hole in order to solve the above problems.

即ち、本発明は、一方の端部にファネルを備え、他方の端にバルーンを備えたシャフトを有する尿道膀胱用カテーテルにおいて、前記シャフトの前記ファネルと前記バルーンの間に、高分子材料で被覆されたワイヤが挿通され、前記シャフトが任意の角度に屈曲可能であることを特徴とする、膀胱用カテーテルである。  That is, the present invention is a urethral bladder catheter having a shaft having a funnel at one end and a balloon at the other end, and is coated with a polymer material between the funnel of the shaft and the balloon. A urinary bladder catheter is characterized in that an inserted wire is inserted and the shaft can be bent at an arbitrary angle.

また、本発明は、前記シャフトの所要の位置を直角に屈曲し、前記シャフトの前記バルーンを備えた側の端部を、腹部に設けた腹部孔を介して膀胱の内部に挿入し、前記シャフトの屈曲した部分から前記シャフトの前記ファネルを備えた端の間を前記腹部に密着させることを特徴とする、前記の膀胱用カテーテルの使用方法である。  In addition, the present invention bends the required position of the shaft at a right angle, and inserts the end of the shaft on the side provided with the balloon into the bladder via the abdominal hole provided in the abdomen, The method for using the bladder catheter is characterized in that a portion between the bent portion and the end of the shaft provided with the funnel is closely attached to the abdomen.

本発明に係る膀胱用カテーテルにおいては、ワイヤが高分子材料で被覆され、シャフトをほぼ直角に屈曲させて、腹部孔を介して膀胱に挿入するので、膀胱内壁を傷つける可能性が極めて小さくなる。被覆に用いる高分子材料としては、特に限定されないが、ポリウレタン、フッ素樹脂などを用いることが可能で、ワイヤにはTi−Ni系超弾性合金などが用いられる。  In the bladder catheter according to the present invention, the wire is coated with a polymer material, and the shaft is bent at a substantially right angle and inserted into the bladder through the abdominal hole, so that the possibility of damaging the bladder inner wall becomes extremely small. The polymer material used for the coating is not particularly limited, but polyurethane, fluororesin, or the like can be used, and a Ti—Ni superelastic alloy or the like is used for the wire.

本発明に係るカテーテルを、腹部孔を経由させて、膀胱内に挿入した例を示す図、図1(a)は正面図、図2(b)はシャフトの断面図。  The figure which shows the example which inserted the catheter which concerns on this invention into the bladder via the abdominal hole, FIG. 1 (a) is a front view, FIG.2 (b) is sectional drawing of a shaft. 従来のカテーテルを、腹部孔を経由させて、膀胱内に挿入した例を示す図、図2(a)は正面図、図2(b)はシャフトの断面図。  The figure which shows the example which inserted the conventional catheter through the abdominal hole in the bladder, FIG. 2 (a) is a front view, FIG.2 (b) is sectional drawing of a shaft. 従来のカテーテルの一例を示す図  The figure which shows an example of the conventional catheter

次に、具体的な図を参照しながら、本発明の実施の形態について説明する。図1は、本発明に係るカテーテルを、腹部孔を経由させて、膀胱内に挿入した例を示す図であり、図1(a)は正面図、図2(b)はシャフトの断面図である。図1において、1は側孔、2はバルーン、3はシャフト、4はバルブ、5はファネル、6は屈曲部、7はワイヤ、8はワイヤ保護管、9はバルーンエア管、10は腹部、11は腹部孔、12は膀胱、13は膀胱内壁である。  Next, embodiments of the present invention will be described with reference to specific drawings. FIG. 1 is a view showing an example in which a catheter according to the present invention is inserted into a bladder via an abdominal hole, FIG. 1 (a) is a front view, and FIG. 2 (b) is a sectional view of a shaft. is there. In FIG. 1, 1 is a side hole, 2 is a balloon, 3 is a shaft, 4 is a valve, 5 is a funnel, 6 is a bent portion, 7 is a wire, 8 is a wire protection tube, 9 is a balloon air tube, 10 is an abdomen, 11 is an abdominal hole, 12 is a bladder, and 13 is a bladder inner wall.

図1に示したように、本発明の膀胱用カテーテルの使用においては、任意の角度に屈曲可能なワイヤ7が、カテーテルのファネル5またはバルブ4から挿入され、シャフト3を挿通してシャフト3の先端のバルーン2までの間に装着されている。このワイヤ7は化学的に安定な高分子材料で被膜されていて、ワイヤ6が挿入されたシャフト3は任意の角度に屈曲可能で、ワイヤの塑性により、屈曲した形状を保持可能である。  As shown in FIG. 1, in the use of the bladder catheter of the present invention, a wire 7 that can be bent at an arbitrary angle is inserted from the funnel 5 or the valve 4 of the catheter, inserted through the shaft 3, and It is mounted between the balloon 2 at the tip. The wire 7 is coated with a chemically stable polymer material, and the shaft 3 into which the wire 6 is inserted can be bent at an arbitrary angle, and the bent shape can be maintained by the plasticity of the wire.

これにより、シャフト3は腹部孔11から直角に曲げられ、膀胱12に挿入される。バルーン2先端側孔1の部分は、腹部に直角の状態で、膀胱内壁面12に図に挿入される。その結果、膀胱内壁14にカテーテルの側孔1の先端が接触する可能性が少なくなる。従って、尿道症や感染症を引き起こす可能性が小さくなる。  As a result, the shaft 3 is bent at a right angle from the abdominal hole 11 and inserted into the bladder 12. The portion of the balloon 2 tip side hole 1 is inserted into the bladder inner wall surface 12 in a state perpendicular to the abdomen. As a result, the possibility that the distal end of the side hole 1 of the catheter contacts the bladder inner wall 14 is reduced. Therefore, the possibility of causing urinary tract disease or infection is reduced.

また、腹部孔11でシャフト3を直角に曲げてカテーテルを挿入するので、ずれたり、抜けたりする装着時の不安定差は解消される。さらに、カテーテルを腹部に固定するときに、カテーテルを柔らかい素材で包み、肌の損傷保護材として使用するので肌を痛めることはない。  In addition, since the catheter is inserted with the shaft 3 bent at a right angle at the abdominal hole 11, the unstable difference at the time of wearing that is displaced or removed is eliminated. Furthermore, when the catheter is fixed to the abdomen, the catheter is wrapped with a soft material and used as a skin damage protection material, so that the skin is not damaged.

1,14・・・側孔 2,15・・・バルーン 3,16・・・シャフト
4,17・・・バルブ 5,18・・・ファネル 6,19・・・屈曲部
7,20・・・ワイヤ 8,21・・・ワイヤ保護管
9,22・・・バルーンエア管 10,23・・・腹部
11,24・・・腹部孔12,25・・・膀胱 13,26・・・膀胱内壁
DESCRIPTION OF SYMBOLS 1,14 ... Side hole 2,15 ... Balloon 3,16 ... Shaft 4,17 ... Valve 5,18 ... Funnel 6,19 ... Bending part 7,20 ... Wire 8, 21 ... Wire protection tube 9, 22 ... Balloon air tube 10, 23 ... Abdominal part 11, 24 ... Abdominal hole 12, 25 ... Bladder 13, 26 ... Inner wall of bladder

Claims (2)

一方の端部にファネルを備え、他方の端にバルーンを備えたシャフトを有する尿道膀胱用カテーテルにおいて、前記シャフトの前記ファネルと前記バルーンの間に、高分子材料で被覆されたワイヤが挿通され、前記シャフトが任意の角度に屈曲可能であることを特徴とする、膀胱用カテーテル。  In a urethral bladder catheter having a shaft having a funnel at one end and a balloon at the other end, a wire coated with a polymer material is inserted between the funnel of the shaft and the balloon, A bladder catheter, wherein the shaft can be bent at an arbitrary angle. 前記シャフトの所要の位置を直角に屈曲し、前記シャフトの前記バルーンを備えた側の端部を、腹部に設けた腹部孔を介して膀胱の内部に挿入し、前記シャフトの屈曲した部分から前記シャフトの前記ファネルを備えた端の間を前記腹部に密着させることを特徴とする請求項1に記載の、膀胱用カテーテルの使用方法。  The required position of the shaft is bent at a right angle, the end of the shaft on the side provided with the balloon is inserted into the bladder through the abdominal hole provided in the abdomen, and the shaft is bent from the bent portion. The method for using a bladder catheter according to claim 1, wherein a portion of the shaft provided with the funnel is in close contact with the abdomen.
JP2017154703A 2017-07-20 2017-07-20 Bladder catheter and method of using the same Active JP6375487B1 (en)

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PCT/JP2018/024983 WO2019017189A1 (en) 2017-07-20 2018-06-26 Bladder catheter and method for using same

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021117220A1 (en) * 2019-12-13 2021-06-17 日本ライフライン株式会社 Catheter

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH08196622A (en) * 1995-01-24 1996-08-06 Sumitomo Bakelite Co Ltd Subendoscopic surgery exhausting tube
JP2001161805A (en) * 1999-12-10 2001-06-19 Hideo Takehara Indwelling l-shaped catheter
JP2002065608A (en) * 2000-08-23 2002-03-05 Hideo Takehara Method for manufacturing l-type baloon cathether, its inner cavity and l-type
JP2008188324A (en) * 2007-02-07 2008-08-21 Piolax Medical Device:Kk Treatment/examination instrument for alimentary tract
JP2015013197A (en) * 2008-10-31 2015-01-22 ユーリスロテック リミテッド Catheter treatment apparatus

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH08196622A (en) * 1995-01-24 1996-08-06 Sumitomo Bakelite Co Ltd Subendoscopic surgery exhausting tube
JP2001161805A (en) * 1999-12-10 2001-06-19 Hideo Takehara Indwelling l-shaped catheter
JP2002065608A (en) * 2000-08-23 2002-03-05 Hideo Takehara Method for manufacturing l-type baloon cathether, its inner cavity and l-type
JP2008188324A (en) * 2007-02-07 2008-08-21 Piolax Medical Device:Kk Treatment/examination instrument for alimentary tract
JP2015013197A (en) * 2008-10-31 2015-01-22 ユーリスロテック リミテッド Catheter treatment apparatus

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021117220A1 (en) * 2019-12-13 2021-06-17 日本ライフライン株式会社 Catheter
JPWO2021117220A1 (en) * 2019-12-13 2021-06-17

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