JPH0399675A - Internal urethral catheter - Google Patents

Internal urethral catheter

Info

Publication number
JPH0399675A
JPH0399675A JP2224543A JP22454390A JPH0399675A JP H0399675 A JPH0399675 A JP H0399675A JP 2224543 A JP2224543 A JP 2224543A JP 22454390 A JP22454390 A JP 22454390A JP H0399675 A JPH0399675 A JP H0399675A
Authority
JP
Japan
Prior art keywords
valve
magnetically
urinary catheter
valve seat
internal urinary
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
JP2224543A
Other languages
Japanese (ja)
Other versions
JP2954997B2 (en
Inventor
Carl Barwick
カール バーウィック
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Bristol Myers Squibb Co
Original Assignee
Bristol Myers Squibb Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Bristol Myers Squibb Co filed Critical Bristol Myers Squibb Co
Publication of JPH0399675A publication Critical patent/JPH0399675A/en
Application granted granted Critical
Publication of JP2954997B2 publication Critical patent/JP2954997B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0009Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse placed in or outside the body opening close to the surface of the body

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Vascular Medicine (AREA)
  • Anesthesiology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Biophysics (AREA)
  • Pulmonology (AREA)
  • Urology & Nephrology (AREA)
  • Hematology (AREA)
  • External Artificial Organs (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Media Introduction/Drainage Providing Device (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)
  • Prostheses (AREA)

Abstract

PURPOSE: To obtain an incontinence device under a user's control by burdening with a magnetic excursion force on a forcing means, separating a valve member from a valve seat to have a valve means in a released state, removing the magnetic excursion force and having a functional means for the forcing means to push automatically the valve member to a normal closure position. CONSTITUTION: An incontinence valve 60 installed in an incontinence part 12 at a pre-determined distance from the end 28 of the cylinder member 16, contains a ball member 64 which is under tension normally against a valve seat part 66 having conical plane and a valve inlet 68. A forcing means 70 which forces the ball member 64 in order to close the valve inlet 68, contains a forcing spring 72 and a cylinder-type magnetically operational member 74 fixed to one end of the forcing spring 72. The spring seat member 76 is installed at a pre-determined distance from the valve seat 66 and maintains the other end of the forcing spring 72. Normally, the incontinence valve 60 at a closure position is operated in a released state by a magnet 77 which can be moved by an exterior hand. The magnet 77 is positioned by a hand in close proximity with a phallus 79 which causes the magnetically operational member 74 is drawn and the ball 64 is kept away from the valve seat 66 and a fluid can flow by way of the valve inlet.

Description

【発明の詳細な説明】 〔産業上の利用分野〕 本発明は男性用の使用者制御失禁装置に関し、さらに詳
細には磁気的に作動可能な排出弁を備えた内在カテーテ
ルに関するものである。
DETAILED DESCRIPTION OF THE INVENTION Field of the Invention This invention relates to user-controlled incontinence devices for men, and more particularly to indwelling catheters with magnetically actuatable drainage valves.

(7) 〔従来の技術〕 男性尿失禁は、筋肉の衰弱、泌尿器の括約筋に対する手
術後の外科的損傷又は種々の他の衰弱上の問題から生じ
ることのある、ありふれた問題である。今までのところ
では膀胱制御が実質的に回復される程度にまで失禁を矯
正するための満足できる外科的処置がなかった。
(7) BACKGROUND OF THE INVENTION Male urinary incontinence is a common problem that can result from muscle weakness, post-operative surgical damage to the urinary sphincter, or a variety of other debilitating problems. To date, there has been no satisfactory surgical treatment to correct incontinence to the extent that bladder control is substantially restored.

男性失禁の問題を処理する成る公知の装置は、使用者が
尿放出を制御する、ことなしに膀胱が収集袋の中に連続
して排尿できるようにする尿道カテーテルを含んでいる
。このような装置はしたがって使用者の身体活動を制限
するものである。
Known devices for treating the problem of male incontinence include urinary catheters that allow the bladder to urinate continuously into a collection bag without the user controlling urine output. Such devices therefore limit the physical activity of the user.

男性失禁の問題を処理する他の公知の装置は米国特許第
3.33L371号、第3,768,102号、第4 
、026 、298号及び第4,350,161号に示
されるように、ある形式の排尿制御を意図しそして使用
者が制御する弁を含んでいる。
Other known devices for dealing with male incontinence problems are U.S. Pat.
, No. 026,298 and No. 4,350,161, which are intended for some type of urinary control and include user-controlled valves.

前記の特許は尿が流れることのできる開放位置に弁を置
くため陰茎を介して弁を操作することを必要としている
。弁を開放位置に作動させて尿放(8) 出ができるようにする陰茎の操作は時には、苦痛を伴い
、または尿道を圧縮し膀胱排尿を妨げることがある。
The patent requires manipulation of the valve through the penis to place it in an open position through which urine can flow. Manipulating the penis to activate the valve to the open position to allow urine to pass (8) can sometimes be painful or compress the urethra and prevent bladder emptying.

米国特許第3,812,841号は膀胱の近くに備えつ
けられた磁気で制御される弁を示している。この弁は、
じゃまな使用上扱いにくい比較的大きなハウジングの中
に包装された外側のバッテリ駆動の磁気作動装置によっ
て、開放位置に作動されるものである。この装置は、磁
気作動装置に接近して膀胱から排尿する必要があるため
、使用者の活動を妨げる。使用者はしたがって何時も自
身で磁気作動装置を担持しなければならず、または磁気
作動装置を使用することのできる場所に使用者の活動を
制限するものとなる。米国特許第3,495,620号
もまたバッテリー駆動の磁気作動装置による弁の外部か
らの作動を要する磁気弁装置を示している。
US Pat. No. 3,812,841 shows a magnetically controlled valve placed near the bladder. This valve is
It is actuated to the open position by an external battery-powered magnetic actuator packaged in a relatively large housing that is cumbersome for use. This device interferes with the user's activities because it requires access to a magnetically actuated device to urinate from the bladder. The user must therefore carry the magnetically actuated device himself at all times, or his activities are restricted to locations where the magnetically actuated device can be used. U.S. Pat. No. 3,495,620 also shows a magnetic valve system requiring external actuation of the valve by a battery-powered magnetic actuator.

米国特許第3,731,670号は磁気作動の2連式ダ
クト弁であってこの弁を開放位置と閉鎖位置とにそれぞ
れ対応する2つの弁座を有している弁を示(9) している。この弁は外部磁石によって開放位置又は閉鎖
位置に作動される。しかし尿放出が完了した時の流体の
流れを自動的に停止するものではない。したがって使用
者は弁をその開放位置から閉鎖位置に作動させるのをう
っかりして忘れるかもしれない。もう1つの問題は、使
用者が弁を閉鎖位置に作動させた時を見抜くことができ
ず、弁が実際には開放位置にあるのにこの弁が閉鎖位置
にあると考えるかもしれないということである。
U.S. Pat. No. 3,731,670 shows a magnetically actuated two-barrel duct valve having two valve seats that respectively place the valve in an open position and a closed position (9). ing. The valve is actuated into an open or closed position by an external magnet. However, it does not automatically stop fluid flow when urine output is complete. Therefore, the user may inadvertently forget to actuate the valve from its open position to its closed position. Another problem is that the user may not be able to tell when the valve is actuated to the closed position and may think that the valve is in the closed position when it is actually in the open position. It is.

米国特許第3,419,008号、第3.926.17
5号、第3,939,821号及び第4,024,85
5号は、尿道のような身体の通路を閉鎖位置に挟みつけ
又は締めつける磁気作動の弁締めつけ具に関するもので
ある。
U.S. Patent No. 3,419,008, No. 3.926.17
No. 5, No. 3,939,821 and No. 4,024,85
No. 5 relates to a magnetically actuated valve clamp for pinching or constricting a body passageway, such as the urethra, in a closed position.

このような装置は締めつけ装置を外科的に植え込むこと
を必要としまた修理又は取り替えのために容易に取りは
ずすことができない。
Such devices require surgical implantation of the tightening device and are not easily removed for repair or replacement.

したがって、使用者の活動を妨げるバ・ンテリー配線装
置又はその他の高張る、わずられしい付属具なしに、操
作を要しないで作動できる排出弁を有する、使用者制御
の失禁装置を提供することが(10) 望まれる。さらに開放位置に磁気的に作動して尿の尿の
放出ができかつこの磁気的作動が行われなくなった時閉
鎖位置に自動的に復帰する、使用者制御の失禁装置を提
供することが望まれている。
Accordingly, it is desirable to provide a user-controlled incontinence device having a vent valve that can be actuated without the need for battery wiring or other bulky and cumbersome attachments that interfere with user activity. (10) is desired. It would further be desirable to provide a user-controlled incontinence device that is magnetically actuated to an open position to permit the release of urine and that automatically returns to a closed position when magnetic actuation is no longer performed. ing.

〔発明が解決しようとする課題〕[Problem to be solved by the invention]

本発明のいくつかの目的の中で、失禁制御可能な新規な
内装尿道カテーテル、膀胱排尿を制御するだめの磁気的
に操作できる制御弁を有する新規な内装尿道カテーテル
、実質的に取りばずし不可能に陰茎内部に全体が配置で
きる失禁制御の新規な内装尿道カテーテル、ポケット内
で持ち運びできるよう十分に小さい、磁石で容易に作動
することができる失禁制御弁を備えた新規な内装尿道カ
テーテル、磁気作動装置が陰茎から取りはずされた時自
動的に閉鎖する弁を備えた新規な内装尿道カテーテル、
新規な磁気作動弁、及び膀胱からの流体排出の新規な方
法を提供することが注目される。
Among several objects of the present invention, a novel internal urinary catheter capable of controlling incontinence, a novel internal urinary catheter having a reservoir magnetically operable control valve for controlling bladder drainage; Novel internal urinary catheters for incontinence control that can be placed entirely inside the penis, making it impossible to carry them inside the penis; Novel internal urinary catheters with incontinence control valves that are small enough to be carried in a pocket and that can be easily activated by a magnet; a novel internal urinary catheter with a valve that automatically closes when the magnetically actuated device is removed from the penis;
It is noted that a novel magnetically actuated valve and a novel method of fluid evacuation from the bladder are provided.

本発明の他の目的及び特徴はその一部は明らかとなりま
た一部は以下に摘示される。
Other objects and features of the invention will become apparent in part and are set forth in part below.

〔課題を解決するだめの手段〕[Failure to solve the problem]

本発明の失禁制御の内装尿道カテーテルはその一実施態
様によれば、流体排出通路を有する可撓の細長い管状部
材を含んでいる。この管状部材は、これが尿道及び膀胱
中の所定位置から動くのを阻止するよう共働する膀胱係
合手段と尿道停台手段とを有している。
In one embodiment, the incontinence control internal urinary catheter of the present invention includes a flexible elongated tubular member having a fluid evacuation passageway. The tubular member has bladder engaging means and urethral stop means that cooperate to prevent movement of the tubular member from its position in the urethra and bladder.

失禁を制御する弁手段が管状部材の反対側端部に設けら
れ排尿通路を通る流体の運動を制御するようになってい
る。この弁手段は正常時に閉鎖位置を有する弁部材を含
んでいる。弁部材は、陰茎の近くに保持された小さな磁
気部材によって開放位置に磁気的に作動可能である。
Valve means for controlling incontinence is provided at the opposite end of the tubular member for controlling movement of fluid through the drainage passageway. The valve means includes a valve member having a normally closed position. The valve member is magnetically actuatable to an open position by a small magnetic member held near the penis.

本発明の好ましい実施態様においては、弁手段は磁気的
に作動可能な部材と軸方向に整列したボール弁と付勢ば
ねの作用のもとにある弁座の弁口とを含んでいる。この
磁気的に作動可能な部材は、弁手段の近くの陰茎の外側
に手で配置される磁石によって片寄らされる。この外側
の磁石は磁気的に作動可能な部材を弁口とは整列しない
位置に片寄らせ、ボール弁が弁座から離れることができ
流体が弁口を通って流れ陰茎から放出できるようにする
In a preferred embodiment of the invention, the valve means includes a magnetically actuatable member, an axially aligned ball valve and a valve opening in a valve seat under the action of a biasing spring. This magnetically actuatable member is biased by a magnet that is manually placed on the outside of the penis near the valve means. This outer magnet biases the magnetically actuatable member out of alignment with the valve orifice, allowing the ball valve to disengage from the valve seat and allowing fluid to flow through the valve orifice and exit the penis.

陰茎中の弁手段の近くの位置からの外側磁気部材の取り
除きは、弁手段が自動的にその正常の閉鎖位置をとるこ
とができるようにする。
Removal of the outer magnetic member from a position proximate the valve means in the penis allows the valve means to automatically assume its normal closed position.

本発明の一実施態様において、弁座は流体の流路の上流
側端部にある。失禁装置の流体排出通路内の流体圧力が
所定の圧力に上昇した時、この圧力は弁のボールを弁座
から離すよう作動する。流体はそのため外部の磁石によ
る弁作動なしに陰茎から放出することができる。したが
ってこの失禁装置は膀胱、腎臓又はその他の泌尿器系の
部分を傷つけることのない圧力の強さでの流体の放出を
保証する圧力軽減特徴を有している。
In one embodiment of the invention, the valve seat is at the upstream end of the fluid flow path. When the fluid pressure within the fluid outlet passageway of the incontinence device increases to a predetermined pressure, this pressure acts to move the valve ball away from the valve seat. Fluid can then be expelled from the penis without external magnetic valve actuation. The incontinence device thus has a pressure relief feature that ensures release of fluid at a pressure intensity that does not damage the bladder, kidneys or other parts of the urinary system.

本発明の他の実施態様においては、弁ボールと弁座とは
流体放出通路の下流部分に配置されている。この実施態
様は圧力軽減特徴を含んでおらず、(13) そして弁を通る流体の放出は常に弁を外部磁石で開放位
置に作動することを必要とする。
In another embodiment of the invention, the valve ball and seat are located in a downstream portion of the fluid discharge passage. This embodiment does not include a pressure relief feature (13) and evacuation of fluid through the valve always requires actuating the valve to the open position with an external magnet.

本発明はしたがって、以下に記載される構造と方法とか
らなり、本発明の範囲は特許請求の範囲において規定さ
れるものである。
The invention therefore consists of the structure and method described below, and the scope of the invention is defined in the claims.

〔実施例〕〔Example〕

本発明の一実施態様からなるカテーテル組立体は第1図
において参照番号10により全体が示されている。
A catheter assembly comprising one embodiment of the present invention is indicated generally by the reference numeral 10 in FIG.

第4図ないし第9図を参照すると、カテーテル組立体I
Oは失禁部分12と失禁部分12に取外し自在に接合さ
れるようになっている膨張排出部材14とを含んでいる
Referring to FIGS. 4-9, catheter assembly I
O includes an incontinent portion 12 and an inflatable evacuation member 14 adapted to be removably joined to the incontinent portion 12.

この失禁部分12はシリコンで形成することのできる拡
大管状部材16を具備している。この管状部材16は外
側管状表面18と内側流体排出通路20とを有する。排
出通路20は管状部材16の端部分22からその反対側
の端部分2Bまで延びている。管状部材16の端部分2
2には排出部(14) 路20と連通ずる、対向して配設された膀胱排出開口2
4と26が設けられている。
The incontinence portion 12 includes an enlarged tubular member 16 which may be made of silicone. The tubular member 16 has an outer tubular surface 18 and an inner fluid evacuation passageway 20. Exhaust passageway 20 extends from end portion 22 of tubular member 16 to opposite end portion 2B. End portion 2 of tubular member 16
2 has a drainage part (14) and an oppositely arranged bladder drainage opening 2 communicating with the tract 20.
4 and 26 are provided.

好ましくはシリコンで形成された膨張可能の膀胱風船3
0が管状部材16の周縁に端部分22から所定の距離を
おいて接合される。これもまたシリコンで形成された膨
張可能な尿道カフ32が膀胱風船30から所定の距離を
おいて管状部材I6の周縁に接合される。膀胱風船30
と尿道カフ32とは最初は第4図に示すように収縮され
ている。
Inflatable bladder balloon 3, preferably made of silicone
0 is joined to the periphery of the tubular member 16 at a predetermined distance from the end portion 22. An inflatable urethral cuff 32, also made of silicone, is joined to the periphery of tubular member I6 at a predetermined distance from bladder balloon 30. bladder balloon 30
and urethral cuff 32 are initially contracted as shown in FIG.

膀胱風船30の対向端部分34と36は適当な公知のシ
リコン接着剤を用いて液漏れしないように管状部材16
の外面18に固定されている。同様な方法で尿道カフ3
2の対向端部38と40が管状部材16の管状表面18
に液漏れしないように固定される。
Opposite end portions 34 and 36 of bladder balloon 30 are secured to tubular member 16 in a leaktight manner using a suitable conventional silicone adhesive.
is fixed to the outer surface 18 of. Urethral cuff 3 in a similar manner
2 opposite ends 38 and 40 of tubular member 16
It is fixed to prevent liquid leakage.

第8図に最も明瞭に示されるように、一対の膨張ルーメ
ン(導管)42と44が管状部材16の内側に形成され
ている。膨張ルーメン42は例えば膀胱風船30に連通
し、膨張ルーメン44は尿道カフ32に連通している。
As best seen in FIG. 8, a pair of inflation lumens (conduits) 42 and 44 are formed inside the tubular member 16. Inflation lumen 42 communicates with bladder balloon 30, for example, and inflation lumen 44 communicates with urethral cuff 32.

膨張ルーメン42の末端部分46には通常は弁座50に
対して閉じた位置にある、ばね付勢のボール弁48が設
げられている。同様に膨張ルーメン44は末端部分52
に通常時は弁座56に対し閉じた位置にある、ばね付勢
のボール弁54を含んでいる。
Distal portion 46 of inflation lumen 42 is provided with a spring-loaded ball valve 48 which is normally in a closed position relative to valve seat 50 . Similarly, inflation lumen 44 extends to distal portion 52.
includes a spring-loaded ball valve 54 which is normally in a closed position relative to a valve seat 56.

失禁弁60が失禁部分12に管状部材16の端部分28
から所定距離をおいて設けられている。
An incontinence valve 60 connects the incontinence portion 12 to the end portion 28 of the tubular member 16.
is provided at a predetermined distance from the

失禁弁60は、円錐形の表面と弁口68とを有する弁座
部分66に対し正常時は付勢されているボール部材64
を含んでいる。ボール部材64は例えば金メツキしたス
テンレス鋼、プラスチック、シリコン又は硼硅酸ガラス
で形成することができる。
The incontinence valve 60 includes a ball member 64 that is normally biased against a valve seat portion 66 having a conical surface and a valve port 68.
Contains. Ball member 64 can be formed of, for example, gold-plated stainless steel, plastic, silicone, or borosilicate glass.

弁口68を閉鎖するためボール部材64を付勢する付勢
手段70は、付勢ばね72と付勢ばね72の一端に固定
されたシリンダの形式の磁気的に作動可能な部材74と
を含んでいる。付勢ばね72はステンレス鋼(MP35
N)、モネルにッケルと銅の耐食合金)又は任意の他の
非磁性ばね材料で形成することができる。
Biasing means 70 for biasing ball member 64 to close valve port 68 includes a biasing spring 72 and a magnetically actuatable member 74 in the form of a cylinder secured to one end of biasing spring 72. I'm here. The biasing spring 72 is made of stainless steel (MP35
(N), a corrosion resistant alloy of Monel, Nickel and Copper) or any other non-magnetic spring material.

ばね座部材76が弁座66から所定の距離をおいて設け
られ付勢ばね72の反対側端部を保持するようにしてい
る。ばね座76は例えばステンレス鋼又はプラスチック
で形成することができる。
A spring seat member 76 is provided at a predetermined distance from the valve seat 66 to hold the opposite end of the biasing spring 72. Spring seat 76 can be made of stainless steel or plastic, for example.

正常時は閉じた位置にある失禁弁60は外部の手で動か
すことのできる磁石77(第3,11及び13図)によ
り開放位置に作動される。磁石77はネオジミウム−鉄
−硼素又はサマリウム−コバルトのような希土類元素磁
石で形成することができる。磁気的作動部材74はネオ
ジミウム−鉄硼素又はサマリウム−コバルトで形成する
ことができる。
The incontinence valve 60, which is normally in the closed position, is actuated to the open position by an external manually movable magnet 77 (FIGS. 3, 11 and 13). Magnet 77 can be formed from a rare earth element magnet such as neodymium-iron-boron or samarium-cobalt. The magnetically actuating member 74 may be formed of neodymium-iron-boron or samarium-cobalt.

失禁弁60は第10図に示すように通常開じている時、
流体が流体排出通路20から弁口68を通過するのを阻
止し、そのため排泄抑制能力が維持できる。付勢ばね7
2と磁気作動部材74とは、ボール部材64を比較的活
動的な人に関連する活動中は閉じた位置に保持するのに
十分なようなボール部材64上への所定の付勢力が得ら
れるよう(17) に、選択される。したがって、使用者の身体活動又は運
動のためボール部材64が弁座66からうっかりして離
れる可能性は少ししかない。
When the incontinence valve 60 is normally open as shown in FIG.
Fluid is prevented from passing through the valve port 68 from the fluid discharge passage 20, so that the excretion suppressing ability can be maintained. Biasing spring 7
2 and the magnetically actuated member 74 provide a predetermined biasing force on the ball member 64 sufficient to maintain the ball member 64 in a closed position during activities associated with a relatively active person. (17) is selected. Therefore, there is a small chance that the ball member 64 will inadvertently disengage from the valve seat 66 due to the user's physical activity or exercise.

しかし、流体通路20内の流体圧力が付勢ばね72の付
勢力に打ち勝つ所定の高さに達したならば、ボール部材
64は弁座66から離れ磁気作動部材74が作動される
かされないかに関らず流体が失禁弁60を通って流れる
ことができるようになる。この効果は、膀胱又は腎臓の
ようなその他の身体の部分に有害となる膀胱中の過剰圧
力の形成を避けるために意図されるものである。したが
って、失禁弁60は、その軽減圧力がばね力の関数であ
る自動的圧力軽減安全特徴をもたらす。
However, once the fluid pressure within fluid passageway 20 reaches a predetermined height that overcomes the biasing force of biasing spring 72, ball member 64 separates from valve seat 66 and magnetically actuated member 74 is actuated or not. Fluid is now allowed to flow through the incontinence valve 60 regardless. This effect is intended to avoid the formation of excessive pressure in the bladder, which would be harmful to the bladder or other parts of the body, such as the kidneys. The incontinence valve 60 thus provides an automatic pressure relief safety feature whose relief pressure is a function of spring force.

失禁弁60を開放状態に作動させることが望まれる時は
、磁石77が第11図に示すように陰茎79に近接して
手で配置され、それにより磁気作動部材74を第10図
の位置から引き寄せる(又は押し返す)。磁気作動部材
74のボール64と弁口68との整列位置からの移動は
ボール64が弁座66から離れることができるようにし
、流体(18) は第11図に示すように弁口を通って流れることができ
る。
When it is desired to operate the incontinence valve 60 in the open condition, a magnet 77 is manually placed proximate the penis 79 as shown in FIG. 11, thereby moving the magnetic actuating member 74 from the position of FIG. To pull (or push back). Movement of magnetically actuating member 74 from the aligned position of ball 64 and valve port 68 allows ball 64 to move away from valve seat 66, allowing fluid (18) to pass through the valve port as shown in FIG. can flow.

磁気作動部材74とボール部材64は、ボールが磁気作
動部材74と管状部材16の壁との間を通過することが
できないような大きさに作られる。
Magnetically actuating member 74 and ball member 64 are sized such that the ball cannot pass between magnetically actuating member 74 and the wall of tubular member 16 .

したがって、磁気作動部材74の考えられる全ての片寄
りに対して、ボール部材64は常に磁気作動部材74の
自由端部分と弁座66との間に保持される。
Therefore, for all possible deviations of the magnetically actuating member 74, the ball member 64 is always retained between the free end portion of the magnetically actuating member 74 and the valve seat 66.

手で動かす磁石77が基部から失禁弁60の方に引かれ
ると、付勢ばね72と磁気作動部材74とはボール部材
64を弁座66に対し通常の閉じた位置に押しつけ、こ
こでボール部材64が弁口68を閉鎖する。
When the hand-actuated magnet 77 is drawn from the base toward the incontinence valve 60, the biasing spring 72 and magnetic actuation member 74 force the ball member 64 against the valve seat 66 into the normal closed position, where the ball member 64 closes valve port 68.

外部で移動可能な磁石77は好ましくは、例えば1イン
チr2.54cm) X 3インチ(7,62cm) 
X3/16インチ(0,48cm )厚さの、じゃまに
ならずポケットに納めることのできる寸法を有している
The externally movable magnet 77 is preferably, e.g. 1 inch (2.54 cm) x 3 inches (7.62 cm)
At 3/16" (0.48 cm) thick, it has dimensions that allow it to fit in a pocket without getting in the way.

必要ならば、この外部で移動可能な磁石77は非磁性の
袋又は容器に収納することができる。
If desired, this externally movable magnet 77 can be housed in a non-magnetic bag or container.

(19) 膨張/排出部材14ば、端部分82(第4図)から反対
側端部分84にわたって延在する内部導管通路80を有
する排出導管部材78を具備している。この排出導管部
材はシリコン、ポリ塩化ビニール又は任意の他の適当な
公知の生物適合性熱可塑性物で形成することができる。
(19) The inflation/evacuation member 14 includes an evacuation conduit member 78 having an internal conduit passageway 80 extending from an end portion 82 (FIG. 4) to an opposite end portion 84. The discharge conduit member may be formed of silicone, polyvinyl chloride, or any other suitable known biocompatible thermoplastic.

膨張ルーメン42と44に対応する一対の膨張ルーメン
86と88(第5〜8図)が導管通路80の内側表面上
に形成される。
A pair of inflation lumens 86 and 88 (FIGS. 5-8), corresponding to inflation lumens 42 and 44, are formed on the inner surface of conduit passageway 80.

ステンレス鋼のような適当なプラスチック又は金属で形
成された係合組立体90は排出導管部材7Bの端部分8
2の周りに液漏れしないシールを形成するようになって
いるキャンプ部分92を含んでいる。各膨張開口98と
100を有する一対の膨張針94と96がキャップ部分
92から長手方向に延在している。この膨張針94と9
6は膨張ルーメン86と88と整列しかつこれらルーメ
ンの延長部を形成する。丸くなった端部102と104
が膨張針94と96の各自由端に形成されている。
An engagement assembly 90 formed of a suitable plastic or metal, such as stainless steel, is attached to the end portion 8 of the discharge conduit member 7B.
2 includes a camp portion 92 adapted to form a leaktight seal around the 2. Extending longitudinally from cap portion 92 is a pair of inflation needles 94 and 96 having respective inflation openings 98 and 100. These inflation needles 94 and 9
6 is aligned with and forms an extension of inflation lumens 86 and 88. Rounded ends 102 and 104
are formed at each free end of inflation needles 94 and 96.

プラスチック又はステンレス鋼で形成すること(20) のできる導管延長片106が、膨張針94と96の中間
にキャップ部分92から突き出ている。この導管延長部
106は、導管通路80の延長部でありかつ管状部材1
6の末端部28に排出通路20を有する相補的な横断面
となっている導管延長通路107を区画形成する。
A conduit extension piece 106, which may be formed of plastic or stainless steel (20), projects from cap portion 92 intermediate inflation needles 94 and 96. This conduit extension 106 is an extension of the conduit passage 80 and is an extension of the tubular member 1
6 defines a conduit extension passageway 107 of complementary cross section with a discharge passageway 20.

分枝部分110(第1及4図)が排出導管部材78の端
部分84に接合し導管通路80に連通ずる排出延長部1
12を含んでいる。分枝部材110はさらに膨張ルーメ
ン86と88にそれぞれ連通ずる注射器受は部114 
と116を含んでいる。
Discharge extension 1 with branch section 110 (FIGS. 1 and 4) joining end section 84 of discharge conduit member 78 and communicating with conduit passageway 80.
Contains 12. Branch member 110 further includes syringe receiver portions 114 communicating with inflation lumens 86 and 88, respectively.
and 116.

カテーテル組立体10を使用する際、膨張/排出部材1
4は第5図に示されるように管状部材12のルーメン部
分42と44に膨張針94と96を整列させることによ
り失禁部分12に接合される。
When using catheter assembly 10, inflation/evacuation member 1
4 is joined to incontinence portion 12 by aligning inflation needles 94 and 96 with lumen portions 42 and 44 of tubular member 12 as shown in FIG.

導管延長部106の自由端部分はしたがって、膨張針9
4と96が第6及8図に示すように係合するためルーメ
ン部分42と44の中に受は入れられるにしたがって、
失禁弁60から下流側の流体通路20に受は入れられる
。管状部材120周縁は(21) 実質的にキャップ部分92の周縁に一致しており管状部
材12と係合組立体90とが接合する滑らかな連続表面
を得るようにしている。
The free end portion of the conduit extension 106 is therefore connected to the inflation needle 9
4 and 96 are inserted into the lumen portions 42 and 44 to engage as shown in FIGS. 6 and 8.
The receiver is inserted into the fluid passage 20 downstream from the incontinence valve 60. The circumference of tubular member 120 (21) substantially conforms to the circumference of cap portion 92 to provide a smooth continuous surface for mating of tubular member 12 and engagement assembly 90.

膨張針94と96は、ルーメン部分42と44の末端部
46と52の中に入るにしたがって、各ボール48と5
4を各弁座50と56から離し、第8図に示すように管
状部材16の膨張ルーメン42と44の中に入るように
する。
As the inflation needles 94 and 96 enter the distal ends 46 and 52 of the lumen portions 42 and 44, they are inserted into the respective balls 48 and 5.
4 away from each valve seat 50 and 56 and into the inflation lumens 42 and 44 of tubular member 16 as shown in FIG.

収集袋118(第4図)が排出延長部112に連結され
、そして各注射器120と122が適当な所定量の適宜
の公知の膨張流体を持って注射器受は部114 と11
6に配置される。
A collection bag 118 (FIG. 4) is connected to the discharge extension 112 and the syringe receivers are connected to sections 114 and 11 with each syringe 120 and 122 carrying a suitable predetermined amount of any suitable known inflation fluid.
6.

失禁部分12と膨張/排出部材14が相互に接合された
後、適当な公知の潤滑剤(図示しない)が管状部材16
の管状表面18に塗布される。管状部材16は尿道12
8の中に挿入され収縮した膀胱風船30を膀胱130の
中に位置させる。管状部材16は、失禁弁60が実質的
に陰茎管と整列するような寸法に作られる。種々の異な
る長さの管状部材16が在庫品として用意されこの陰茎
管と(22) の整列を保証することができるようにする。
After the incontinent portion 12 and the inflation/evacuation member 14 are joined together, a suitable conventional lubricant (not shown) is applied to the tubular member 16.
is applied to the tubular surface 18 of. The tubular member 16 is connected to the urethra 12
The deflated bladder balloon 30 inserted into the bladder 130 is positioned within the bladder 130. Tubular member 16 is sized such that incontinence valve 60 is substantially aligned with the penile canal. A variety of different lengths of tubular member 16 are available in stock to ensure alignment of the penile canal (22).

このように膀胱130に配置された収縮膀胱風船30に
より、注射器120と122が流体を各ルーメン通路8
6−42と88−44を通って押し込むよう作動され、
膀胱風船30と尿道カフ32とを第2図に示すように膨
張させる。
With the deflated bladder balloon 30 thus placed in the bladder 130, the syringes 120 and 122 direct fluid to each lumen passageway 8.
actuated to push through 6-42 and 88-44;
The bladder balloon 30 and urethral cuff 32 are inflated as shown in FIG.

膨張が完了すると、注射器120と122が取外され注
射皿受は部114と116上に設けられた自己シール弁
124 と126が、膀胱風船30と尿道カフ32の膨
張容積が保持されるのを保証する。
Once inflation is complete, the syringes 120 and 122 are removed and the syringe receivers allow the self-sealing valves 124 and 126 on portions 114 and 116 to ensure that the inflated volumes of the bladder balloon 30 and urethral cuff 32 are maintained. Guarantee.

膀胱流体132(第4図)はしたがって、開口24と2
6の中に入り流体排出通路20を通過し、導管延長通路
107に流入しそして導管通路80を通って収集袋11
8の中に入ることができる。流体通路20.107. 
80と膨張ルーメン42.44及び86.88との間は
連通していない。
Bladder fluid 132 (FIG. 4) thus flows through openings 24 and 2.
6, passes through the fluid discharge passage 20, flows into the conduit extension passage 107, and passes through the conduit passage 80 to the collection bag 11.
You can fit into 8. Fluid passage 20.107.
There is no communication between 80 and inflation lumens 42.44 and 86.88.

この構造のもとに、外部磁石77がこの磁石77を陰茎
の近くに保持する例えば脱腸帯状の装置(図示しない)
のような任意の適当な方法で陰茎の近くに保持された場
合に、膀胱流体132は失禁(23) 弁60を通って膀胱130から収集袋118の中に連続
して排出することができる。連続排出が好ましくなく収
集袋118が使用される場合には、失禁弁60は正常時
の閉じた位置に保持されすでに述べた方法で磁石77を
用いて作動される。充満された収集袋118は必要に応
じ空にされ又は取替えることができる。
Under this structure, an external magnet 77 is used to hold the magnet 77 close to the penis, such as a prolapse band device (not shown).
When held close to the penis in any suitable manner, such as, bladder fluid 132 can continuously drain from the bladder 130 through the incontinence valve 60 into the collection bag 118. If continuous emptying is not preferred and a collection bag 118 is used, the incontinence valve 60 is held in its normal closed position and activated using the magnet 77 in the manner already described. The filled collection bag 118 can be emptied or replaced as needed.

患者にとって収集袋118なしで患者自身の膀胱排出を
制御するのができる時は、膨張/排出部材14が第2図
に示されるように失禁部分12から取外される。こうし
て患者は磁石77を用いて失禁弁60を選択的に開放す
ることにより膀胱排出を手で制御することができる。
When the patient is able to control his or her own bladder emptying without the collection bag 118, the inflation/evacuation member 14 is removed from the incontinence portion 12 as shown in FIG. The patient can thus manually control bladder emptying by selectively opening the incontinence valve 60 using the magnet 77.

膨張/排出部材14が失禁部分12から分離されるにし
たがって、膨張針94と96はルーメン42と44から
引き抜かれ、ばね付勢のボール弁48と54がその正常
の閉鎖位置をとる。膀胱風船30と尿道カフ32の膨張
容積はこうして保持される。
As inflation/evacuation member 14 is separated from incontinence portion 12, inflation needles 94 and 96 are withdrawn from lumens 42 and 44 and spring-loaded ball valves 48 and 54 assume their normal closed positions. The inflated volumes of bladder balloon 30 and urethral cuff 32 are thus maintained.

膀胱流体132が膀胱130の中に膀胱排出が望ま(2
4) れる点にまで蓄積されるにしたがって、患者は第11図
に示すように磁石77を陰茎の近くに手で保持する。磁
石77は正確に位置させる必要はないが、その理由は、
この磁石が陰茎管の近くで陰茎に並んで置かれた時弁6
0を開くのに十分な磁束を有しているからである。
Bladder fluid 132 is in bladder 130 where bladder emptying is desired (2
4) As the penis builds up to the point where the patient holds the magnet 77 in his hand near the penis, as shown in FIG. The magnet 77 does not need to be positioned accurately, but the reason is that
When this magnet is placed next to the penis near the penile canal, the valve 6
This is because it has sufficient magnetic flux to open 0.

膀胱排出が完了した時、磁石77の陰茎管の領域からの
取外しは弁60がその正常の閉鎖位置を再びとることが
できるようにし、それにより流体排出通路20を遮断し
膀胱流体132が膀胱130の中に蓄積できるようにす
る。
When bladder emptying is complete, removal of magnet 77 from the region of the penile canal allows valve 60 to resume its normal closed position, thereby blocking fluid drainage passageway 20 and allowing bladder fluid 132 to flow through bladder 130. to be able to accumulate in the

患者はこうして自身が選択するように膀胱放出を制御し
制限することができる。以下に明らかとなるように、こ
の制御を可能にする失禁部分12は全体が陰茎の中に置
かれそして実質的に分離できないようにする。
The patient is thus able to control and limit bladder release as he or she chooses. As will become clear below, the incontinent portion 12 that allows this control is placed entirely within the penis and is rendered virtually inseparable.

失禁部分12を尿道128から取外ず必要が生じたなら
ば、陰茎が恥骨に対して折り曲げられ失禁部分12の末
端を露出させる。管部材16が弁48と54の直ぐ近く
で切断され膀胱風船30と尿道(25) カフ32とが収縮できるようにする。失禁部分12はし
たがって取外すことができる。
If the need arises to remove the incontinent portion 12 from the urethra 128, the penis is folded back against the pubic bone to expose the distal end of the incontinent portion 12. Tube member 16 is cut proximate valves 48 and 54 to allow bladder balloon 30 and urethral (25) cuff 32 to be deflated. The incontinence part 12 can then be removed.

カテーテル組立体の他の実施態様が第12図と第13図
に参照番号140によってその全体が示されている。失
禁部分142を含むカテーテル組立体140は圧力軽減
特徴を有しておらず、失禁部分142の失禁弁150の
配置の向きを除きカテーテル組立体10と構造的に同一
である。
Another embodiment of the catheter assembly is indicated generally by the reference numeral 140 in FIGS. 12 and 13. Catheter assembly 140 including incontinence portion 142 does not have pressure relief features and is structurally identical to catheter assembly 10 except for the orientation of placement of incontinence valve 150 in incontinence portion 142 .

失禁弁150は失禁弁60と同一の構成部分を含んでい
る。しかし弁座66とボール部材64は管状部材16の
下流側の流れ部分にある。
Incontinence valve 150 includes the same components as incontinence valve 60. However, the valve seat 66 and ball member 64 are in the downstream flow portion of the tubular member 16.

この構造のもとに、流体排出通路20中の膀胱流体13
2の蓄積はボール64を弁座66上にその閉鎖位置に保
持させるようにする。
Under this structure, the bladder fluid 13 in the fluid drainage passage 20
The accumulation of 2 causes the ball 64 to remain on the valve seat 66 in its closed position.

失禁弁150の開放位置への作動は第13図に示すよう
に手で動かす磁石77を弁150の近くに置くことを必
要とする。弁150の作動は弁60の作動とその他の全
ての点で同様である。
Actuation of the incontinence valve 150 to the open position requires placing a hand-operated magnet 77 near the valve 150, as shown in FIG. The operation of valve 150 is similar in all other respects to the operation of valve 60.

したがって、磁石77を弁150の近くに配置すること
は磁気的作動部材74を弁口68と整列す(26) る位置から偏倚させるようにする。磁気作動部材74が
このように偏倚されると、ボール部材64はもはや弁口
68に対して安定して位置しなくなり、流体排出通路2
0内の流体はボールを弁座から離し弁口68を通って流
れ第13図に略示されるように陰茎から放出する。
Accordingly, positioning magnet 77 near valve 150 biases magnetically actuating member 74 away from alignment (26) with valve port 68. When magnetically actuated member 74 is biased in this manner, ball member 64 is no longer stably positioned relative to valve port 68 and fluid discharge passageway 2
The fluid within the valve releases the ball from the valve seat and flows through the valve port 68 and out of the penis as schematically shown in FIG.

磁石77を陰茎に近接した位置から取外すことにより付
勢ばね72は磁気作動部材74を弁口68に向って押し
ボール部材64を弁口68に対し拘束することができる
ようになる。排出通路20を通る流体の流れはしたがっ
て磁気作動部材74の磁気作動なしで止まる。
By removing magnet 77 from a position proximate to the penis, biasing spring 72 is able to push magnetic actuating member 74 toward valve port 68 and restrain ball member 64 against valve port 68 . Fluid flow through the discharge passageway 20 thus ceases without magnetic actuation of the magnetically actuated member 74.

カテーテル組立体140の膨張/排出部材14との取付
は及び作動は、カテーテル組立体10についてすでに述
べられたのと同じ方法で行われる。
Attachment and operation of catheter assembly 140 with inflation/evacuation member 14 is performed in the same manner as previously described for catheter assembly 10.

非膨張性らせんと雄カバ一部分のような、失禁部分12
と142を膀胱内に固定する他の適当な公知の手段を用
いることができ、また他の適当な公知の非膨張性のカフ
装置を用いて尿道中での失禁(27) されるべきである。
an incontinent portion 12, such as a non-distensible helix and a male hip portion;
Any other suitable known means of securing the and 142 within the bladder may be used, and any other suitable known non-inflatable cuff device should be used to prevent incontinence in the urethra (27). .

上記のことから明らかな本発明のある利点は、連続した
膀胱排出の選択と使用者制御の膀胱排出の選択とをもた
らす失禁制御の尿道内装カテーテルを含んでいる。この
いずれかの選択はカテーテル組立体を尿道と膀胱とに取
付けることだけで得ることができる。
Certain advantages of the present invention apparent from the foregoing include an incontinence-controlled intraurethral catheter that provides continuous bladder emptying options and user-controlled bladder emptying options. Either of these options can be obtained by simply attaching the catheter assembly to the urethra and bladder.

他の利点は膀胱からの流体の流れを制御する弁手段が、
小さな鍵ケースよりも大きくなく使用者によって容易に
持ち運べるような、小さな比較的無害な磁石によって磁
気的に作動できることである。また他の利点は、失禁弁
がこの弁を作動させるために陰茎の手動操作を必要とし
ないことである。この手動操作は苦痛を伴い手の器用さ
を必要とするものである。本発明の磁石装置の使用は手
の器用さを少ししか必要とせず、また失禁弁を作動させ
るための陰茎の操作を必要とせずしたがって苦痛を伴う
ことがなくなる。
Another advantage is that the valve means that controls the flow of fluid from the bladder.
It can be operated magnetically by a small, relatively harmless magnet, no larger than a small key case, and easily carried by the user. Another advantage is that the incontinence valve does not require manual manipulation of the penis to activate the valve. This manual operation is painful and requires manual dexterity. Use of the magnetic device of the present invention requires little manual dexterity and does not require manipulation of the penis to activate the incontinence valve and is therefore painless.

上記の点に鑑み、本発明のいくつかの目的が達成されま
たその他の有利な結果が得られることが(28) わかるであろう。
In view of the foregoing, it will be seen (28) that several objects of the present invention are achieved and other advantageous results obtained.

本発明の範囲から逸脱することなく種々の変更を上記の
構造と方法に施すことができるので、上記の記載に含ま
れまた添付図面に示される全ての事項は、例示として解
釈され、限定した意味に解せられないことが意図される
ものである。
Since various modifications may be made to the structures and methods described above without departing from the scope of the invention, all matter contained in the above description and shown in the accompanying drawings is to be interpreted in an illustrative manner and in a limiting sense. It is intended that it cannot be interpreted in any way.

【図面の簡単な説明】[Brief explanation of drawings]

添付図面において、 第1図は本発明の一実施態様を組み込んだ身体に挿入の
尿道カテーテルの、陰茎への取付は中の簡略化された概
略図、 第2図は収集袋と膨張装置が取外された第1図と同様の
図、 第3図は失禁装置が磁気的に作動されて流体が膀胱から
排出できるようにしているところを示す第2図と同様の
図、 第4図は尿道と膀胱に取付ける前の身体挿入尿道カテー
テルの分解斜視図、 第5図は第4図の拡大部分斜視図、 第6図は組立て状態の第5図と同様の図、(29) 第7図は第5図に対応する拡大部分断面図、第8図は第
6図に対応する拡大部分断面図、第9図は第8図の9−
9線による断面図、第10図は弁手段が弁閉鎖位置にあ
る作動状態の拡大部分図、 第11図は弁手段が開放位置に磁気的に作動されて流体
が流れるようになっているところを示す第10図と同様
な図、 第12図及び第13図は、本発明の他の実施態様の、第
10図と第11図の実施態様に示すものと対応する弁閉
鎖位置と弁開放位置とを示す図である。 同一参照符号は図面を通して同一部分を示している。 10・・・カテーテル組立体、12・・・失禁部分、1
4・・・膨張排出部分、   16・・・管状部材、2
0・・・排出通路、 30・・・膀胱風船、    32・・・尿道カフ、6
0・・・失禁弁、     64・・・ボール部材、6
6・・・弁座部分、    68・・・弁口、(30) 70・・・付勢手段、 74・・・磁気作動部材、 77・・・磁石。 72・・・付勢ばね、 76・・・ばね座部材、
In the accompanying drawings, FIG. 1 is a simplified schematic illustration of an intracorporeally inserted urinary catheter incorporating an embodiment of the present invention showing its attachment to the penis, and FIG. 2 shows its collection bag and inflation device installed. Figure 3 is a view similar to Figure 2 showing the incontinence device being magnetically actuated to allow fluid to exit the bladder; Figure 4 is a view similar to Figure 2 with the urethra removed. Figure 5 is an enlarged partial perspective view of Figure 4, Figure 6 is a view similar to Figure 5 in the assembled state, (29) Figure 7 is an exploded perspective view of the body-inserted urinary catheter before it is attached to the bladder. FIG. 8 is an enlarged partial sectional view corresponding to FIG. 6, FIG. 9 is an enlarged partial sectional view corresponding to FIG.
9 is a cross-sectional view taken along line 9; FIG. 10 is an enlarged partial view of the valve means in the operative state with the valve means in the closed position; and FIG. 11 is the valve means magnetically actuated in the open position to allow fluid flow. FIGS. 12 and 13 are views similar to FIG. 10 showing valve closed and opened positions corresponding to those shown in the embodiment of FIGS. 10 and 11 of other embodiments of the invention. FIG. Like reference numerals indicate like parts throughout the drawings. 10... Catheter assembly, 12... Incontinence part, 1
4... Inflation and discharge portion, 16... Tubular member, 2
0...Drainage passageway, 30...Bladder balloon, 32...Urethral cuff, 6
0... Incontinence valve, 64... Ball member, 6
6... Valve seat portion, 68... Valve port, (30) 70... Biasing means, 74... Magnetic actuation member, 77... Magnet. 72...Biasing spring, 76...Spring seat member,

Claims (1)

【特許請求の範囲】 1、(a)流体排出通路を有する可撓の細長い管状部材
と、 (2)前記管状部材の一端部分で膀胱の頚部分と係合す
る係合手段であって、前記管状部材が前記一端部分に開
口を有し前記流体排出通路と連通して前記膀胱から前記
排出通路の中に流体を排出するようにしている、係合手
段と、 (c)前記膀胱から前記排出通路を通る流体の運動を制
御する前記管状部材の中の弁手段であって、該弁手段を
通る流体の流れを阻止する正常時の閉鎖状態を有しかつ
前記弁手段を通って流体が流れることができる開放状態
に磁気的に作動可能な、弁手段と、 (d)前記弁手段は、可動弁部材と、弁座と、前記弁手
段が前記正常時の閉鎖位置にある時前記弁部材を前記弁
座と係合するように付勢する付勢手段とを含み、 (e)前記付勢手段上に磁気的な偏倚力を負わせ前記弁
部材を前記弁座から離し前記弁手段を前記開放状態に置
き、磁気的偏倚力を取除くことにより前記付勢手段が前
記弁部材を前記正常時の閉鎖位置に自動的に押しつける
ことができるようにする作動手段 とからなる内装尿道カテーテル。 2、前記付勢手段が、固定された端部分と偏倚可能な端
部分とを有するばねを含んでいる請求項1に記載の内装
尿道カテーテル。 3、前記付勢手段が磁気的に作動可能な部材を含み、該
磁気作動部材が前記弁部材が前記閉鎖位置にある時前記
弁座に対する第1の所定位置を有しまた前記弁部材が前
記開放状態にある時前記弁座に対する前記第1の所定位
置から離れるよう磁気的に動かされるようになっている
請求項1に記載の内装尿道カテーテル。 4、前記磁気作動部材が、前記弁部材が前記閉鎖位置に
ある時前記弁座から第1の所定距離にあり、また前記弁
部材が前記開放状態にある時前記弁座から前記第1の所
定距離よりも大きな第2の所定距離にある、請求項3に
記載の内装尿道カテーテル。 5、前記弁手段が長手方向の軸線を含み、前記磁気作動
部材が、前記弁部材が前記閉鎖位置にある時前記弁座と
軸方向に整列し、前記弁部材が前記開放状態にある時前
記磁気作動部材が前記弁座との軸方向整列位置からはず
れるようになっている請求項1に記載の内装尿道カテー
テル。 6、前記磁気作動部材が、前記弁部材が前記開放状態に
ある時前記長手方向軸線から偏倚されるようになってい
る請求項5に記載の内装尿道カテーテル。 7、前記磁気作動部材が、前記弁部材が前記開放状態に
ある時前記長手方向軸線に対してはずれるようになって
いる請求項5に記載の内装尿道カテーテル。 8、前記磁気作動部材が磁性材料又は磁気的に引きつけ
る材料で形成されている請求項3に記載の内装尿道カテ
ーテル。 9、前記磁気作動部材は全体形状が円筒体である請求項
3に記載の内装尿道カテーテル。 10、前記磁気作動部材が対向する両端部を含み、前記
付勢手段がさらに対向両端部を有するばねを含み、前記
磁気作動部材の一方の端部が前記ばねの一方の端部と接
触し、前記ばねの他方の端部が前記弁手段の中に固定さ
れた位置を有し、前記磁気作動部材の他方の端部が前記
弁部材と係合可能である請求項3に記載の内装尿道カテ
ーテル。 11、前記弁部材がボールである請求項10に記載の内
装尿道カテーテル。 12、前記弁部材が前記管部材の中に、管状部材を通る
流体の流れの正常の通路が弁座から弁部材への方向にあ
るように配列されている請求項1に記載の内装尿道カテ
ーテル。 13、前記弁手段が前記管状部材の中に、管状部材を通
る流体の流れの正常の通路が弁部材から弁座への方向に
あるように配列されている請求項1に記載の内装尿道カ
テーテル。 14、(a)口を有する弁座と (b)前記口を閉鎖するため、前記弁座と係合可能な弁
部材と、 (c)前記弁部材を前記弁座と係合するよう押しつけ正
常時に前記口を閉鎖状態に保持する付勢手段と、 (d)前記付勢手段は、前記弁の閉鎖状態に対応する第
1の偏倚されない位置と前記弁が前記弁座から離れて前
記弁を開放状態に置くことのできる偏倚された位置とを
有する、偏倚可能な磁気的作動部材を含むものであり、 (e)前記磁気作動部材上に磁気的偏倚力を負わし、前
記磁気作動部材を前記第1の偏倚されない位置から偏倚
させて前記弁を前記開放状態に置き、前記磁気的偏倚力
を取り去ることにより前記付勢手段が自動的に前記弁部
材を前記正常時の閉鎖位置に押しつけるようにする、外
部の作動手段、 とからなる弁。 15、前記弁手段が長手方向の軸線を含み、前記磁気作
動部材が、前記弁部材が前記閉鎖位置にある時前記弁座
と軸方向に整列し、前記弁部材が前記開放状態にある時
前記磁気作動部材が前記弁座との軸方向整列状態からは
ずれるようになっている請求項14に記載の内装尿道カ
テーテル。 16、前記磁気作動部材が、前記弁部材が前記開放状態
にある時前記長手方向軸線から偏倚されるようになって
いる請求項15に記載の内装尿道カテーテル。 17、前記磁気作動部材は全体形状が円筒体である請求
項15に記載の内装尿道カテーテル。 18、前記磁気作動部材が対向両端部を含み、前記付勢
手段がさらに対向両端部を有するばねを含み、前記磁気
作動部材の一方の端部が前記ばねの一方の端部と接触し
、前記ばねの他方の端部が前記弁手段中に固定された位
置を有し、前記磁気作動部材の他方の端部が前記弁部材
と係合可能である請求項15に記載の内装尿道カテーテ
ル。 19、前記弁部材がボールである請求項18に記載の内
装尿道カテーテル。 20、(a)カテーテルを尿道と膀胱の中に取付けるこ
と、 (b)カテーテルの中に、正常時は閉鎖する構成の、磁
気作動の使用者により制御される弁を組み込み、カテー
テルを通して膀胱排出ができるようにするには弁を開放
状態に作動させることが必要であるようにすること、 (c)陰茎の近くに置かれた外部の磁石により弁を開放
状態に作動させること、 (d)磁石を陰茎の近くから取り去り弁が再度その正常
時の閉鎖状態をとることができるようにすること、 の各段階を含んでなる膀胱から流体を排出する方法。
[Scope of Claims] 1. (a) a flexible elongated tubular member having a fluid evacuation passage; (2) engaging means for engaging the neck portion of the bladder at one end portion of the tubular member, comprising: (c) a tubular member having an opening at said one end portion and communicating with said fluid evacuation passageway for evacuation of fluid from said bladder into said evacuation passageway; (c) said evacuation from said bladder; a valve means in said tubular member for controlling the movement of fluid through said passageway, said valve means having a normally closed condition to prevent fluid flow through said valve means; (d) said valve means comprises a movable valve member, a valve seat and said valve member when said valve means is in said normally closed position; (e) applying a magnetic biasing force on the biasing means to cause the valve member to move away from the valve seat; actuating means for placing the valve member in the open state and removing the magnetic biasing force so that the biasing means can automatically urge the valve member to the normally closed position. 2. The internal urinary catheter of claim 1, wherein the biasing means includes a spring having a fixed end portion and a biasable end portion. 3. said biasing means includes a magnetically actuatable member, said magnetically actuable member having a first predetermined position relative to said valve seat when said valve member is in said closed position; The internal urinary catheter of claim 1, wherein the internal urinary catheter is magnetically movable away from the first predetermined position relative to the valve seat when in the open state. 4. The magnetically actuated member is at a first predetermined distance from the valve seat when the valve member is in the closed position and at a first predetermined distance from the valve seat when the valve member is in the open state. 4. The internal urinary catheter of claim 3, wherein the internal urinary catheter is at a second predetermined distance greater than the distance. 5. said valve means includes a longitudinal axis, said magnetic actuating member being axially aligned with said valve seat when said valve member is in said closed position and said valve member is in said open position; The internal urinary catheter of claim 1, wherein the magnetically actuated member is adapted to move out of axial alignment with the valve seat. 6. The internal urinary catheter of claim 5, wherein the magnetically actuated member is adapted to be biased from the longitudinal axis when the valve member is in the open state. 7. The internal urinary catheter of claim 5, wherein the magnetically actuated member is adapted to be displaced relative to the longitudinal axis when the valve member is in the open state. 8. The internal urinary catheter of claim 3, wherein the magnetically actuated member is formed of a magnetic or magnetically attractive material. 9. The internal urinary catheter according to claim 3, wherein the magnetically actuated member has a cylindrical overall shape. 10. the magnetically actuating member includes opposing ends, the biasing means further including a spring having opposing ends, one end of the magnetically actuating member contacting one end of the spring; 4. The internal urinary catheter of claim 3, wherein the other end of the spring has a fixed position within the valve means and the other end of the magnetically actuated member is engageable with the valve member. . 11. The internal urinary catheter of claim 10, wherein the valve member is a ball. 12. The internal urinary catheter of claim 1, wherein the valve member is arranged within the tubular member such that the normal path of fluid flow through the tubular member is from the valve seat to the valve member. . 13. The internal urinary catheter of claim 1, wherein said valve means is arranged within said tubular member such that the normal path of fluid flow through the tubular member is in the direction from the valve member to the valve seat. . 14. (a) a valve seat having a port; (b) a valve member engageable with the valve seat to close the port; and (c) normal pressing of the valve member into engagement with the valve seat. (d) biasing means for retaining said port in a closed condition when said valve is in a first unbiased position corresponding to a closed condition of said valve and when said valve is away from said valve seat; (e) applying a magnetic biasing force on the magnetically actuating member to cause the magnetically actuating member to biasing the valve member from the first unbiased position to place the valve in the open condition such that removal of the magnetic biasing force causes the biasing means to automatically urge the valve member to the normally closed position; a valve consisting of an external actuating means for activating the valve; 15. said valve means includes a longitudinal axis, said magnetic actuating member being axially aligned with said valve seat when said valve member is in said closed position and said valve member is in said open position; 15. The internal urinary catheter of claim 14, wherein the magnetically actuated member is adapted to move out of axial alignment with the valve seat. 16. The internal urinary catheter of claim 15, wherein the magnetically actuated member is biased from the longitudinal axis when the valve member is in the open state. 17. The internal urinary catheter of claim 15, wherein the magnetically actuated member has an overall cylindrical shape. 18, said magnetically actuating member includes opposite ends, said biasing means further includes a spring having opposite ends, one end of said magnetically actuating member is in contact with one end of said spring, and said biasing means further includes a spring having opposite ends; 16. The internal urinary catheter of claim 15, wherein the other end of the spring has a fixed position in the valve means and the other end of the magnetically actuated member is engageable with the valve member. 19. The internal urinary catheter of claim 18, wherein the valve member is a ball. 20. (a) placing a catheter within the urethra and bladder; (b) incorporating in the catheter a magnetically actuated, user-controlled valve configured to be normally closed, allowing bladder drainage to occur through the catheter; (c) activating the valve in the open position by means of an external magnet placed near the penis; (d) a magnet; a method of draining fluid from the bladder comprising the steps of: removing the valve from the vicinity of the penis and allowing the valve to resume its normally closed condition.
JP2224543A 1989-08-29 1990-08-28 Urethral catheter Expired - Fee Related JP2954997B2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US40019489A 1989-08-29 1989-08-29
US400194 1989-08-29

Publications (2)

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JPH0399675A true JPH0399675A (en) 1991-04-24
JP2954997B2 JP2954997B2 (en) 1999-09-27

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ID=23582597

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JP2224543A Expired - Fee Related JP2954997B2 (en) 1989-08-29 1990-08-28 Urethral catheter

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Country Link
JP (1) JP2954997B2 (en)
KR (1) KR0164432B1 (en)
CN (1) CN1049793A (en)
AU (1) AU634806B2 (en)
BE (1) BE1003965A5 (en)
BR (1) BR9004203A (en)
CA (1) CA2020881C (en)
DE (1) DE4024950A1 (en)
ES (1) ES2025946A6 (en)
FR (1) FR2651134B1 (en)
GB (1) GB2235383B (en)
GR (1) GR1000676B (en)
IT (1) IT1243205B (en)
LU (1) LU87791A1 (en)

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FR2651134B1 (en) 1996-06-21
GB9017367D0 (en) 1990-09-19
GR900100634A (en) 1991-12-30
GR1000676B (en) 1992-10-08
GB2235383B (en) 1993-09-08
AU6139990A (en) 1991-03-07
CA2020881C (en) 2002-04-02
IT9021309A0 (en) 1990-08-28
DE4024950A1 (en) 1991-03-07
KR910004218A (en) 1991-03-28
JP2954997B2 (en) 1999-09-27
GB2235383A (en) 1991-03-06
LU87791A1 (en) 1991-05-07
AU634806B2 (en) 1993-03-04
CA2020881A1 (en) 1991-03-01
IT1243205B (en) 1994-05-24
IT9021309A1 (en) 1992-02-28
BR9004203A (en) 1991-09-03
ES2025946A6 (en) 1992-04-01
FR2651134A1 (en) 1991-03-01
BE1003965A5 (en) 1992-07-28
KR0164432B1 (en) 1999-01-15
CN1049793A (en) 1991-03-13

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