JPS584553A - Male incontinent tool - Google Patents

Abstract

(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

[Detailed description of the invention] The present invention relates to male urinary incontinence devices and methods of using the same.

The device includes an applicator, which is a substantially cylindrical device with a circumferential groove at each end, and a condom-like elastic urinary incontinence device with a hole at the end. In use, the urinary incontinence device is rolled up and the rolled portion is placed in a peripheral groove at one end of the applicator. The applicator, together with the urinary incontinence device above it, is then applied onto the penis, and the retaining ring held in the peripheral groove at the opposite end of the applicator is slid from the applicator just behind the glans crown of the penis, with the retaining ring holding the head of the penis. to ensure the retention of urinary incontinence devices. Next, remove the applicator from the penis, rewind the incontinence device over one side of the penis, and
Serves as a tube to conduct urine from the wearer.

According to the prior art of such medical devices, we have ample approaches to solving the problem of urinary incontinence. Many devices have been unsatisfactory due to their inability to keep the genital area dry. In other equipment,
Leakage reservoirs, as well as attached adhesive or adhesive tapes or bindings, may be used to prevent skin problems on the wearer.
(e.g. edema, cold soak, sores or allergic reactions). Another device is for children
It is unsuitable where retraction of the penis into the tissue surrounding the genital area may occur. Devices that require belts, girdles, rigid supports, or straps are cumbersome to put on and take off, and require significant use of skilled nursing time and skill, which is rare in the case of hospitalized patients.

In addition, in the case of a minor or an adult male, there may be cases where an erection occurs while the device is being worn, causing the device to be removed, or causing pain or discomfort to the user, or causing the user's penis to be damaged. It is often desired that the product not be damaged. Many devices are too complex, expensive, or difficult to manufacture to warrant widespread use.

From the point of view of simplicity, long-term effectiveness and long-term pleasure, condom-like devices of thin flexible materials such as latex rubber are currently the best means to treat many different problems, and condom-like devices of thin flexible materials such as latex rubber and rubber or equivalent extensible materials An inflatable ring has been found to be a simple, inexpensive, and effective means of holding the device in place on the penis.

The present invention is a urinary incontinence device comprising a condom having a urine exit hole and an extensible retaining ring arranged to fit into a seat just behind the corona, the device comprising:
The unstretched diameter of the ring is between 55% and 7596 mm of the maximum diameter of the penis on which the device will be worn.

The unstretched diameter of the ring is preferably between 55% and 65% of the above dimensions, most preferably about 60%.

The ring may be separate or integrated with the condom.

In one preferred embodiment of the invention, the condom is dimensioned to cover only the head (glans) of the penis. In another preferred embodiment, one condom is folded away from the body and over the head of the penis to serve as a conduit for excreted urine.

According to one feature of the invention, it is in the form of a penis-fitting condom of rubber or equivalent material, with an open end and a generally closed end with a small urinary passage hole (generally closed end).
A method of applying and using a male urinary incontinence device is provided. The method involves applying (applying) a condom to the penis so that the glans is comfortably seated in the seat of the generally closed end.
and an extensible retaining ring, which is located on the outer surface of the condom and surrounds the penis adjacent to the posterior part of its glans crown.
It consists of applying the condom to the penis, folding the part of the condom that ends at the open end over the ring and over the glans, and then connecting the open end to a suitable conduit for removing excreted urine.

According to another feature of the invention, kits for carrying out such methods are provided. The kit includes a penis-compatible tubular sheath of rubber or equivalent material having an open end and a generally closed end, and a retaining ring capable of extending over the glans of the penis. When the retaining ring is substantially unstretched,
It is dimensioned to fit comfortably behind the glans crown.

In addition, the above kit has the maximum outer diameter of the penis (0,
D, ) with a larger inner diameter (1, D, ). The tubular applicator may have a reduced diameter section at or near one end configured to temporarily extend the retaining ring.

Further in accordance with the present invention, there is provided a tubular applicator for applying a condom-like urinary incontinence device to the penis of a user. This applicator includes a hollow tube body having an outer diameter (0, D,) that allows the condom-like device to be easily expanded and an inner diameter (1, D,) that can accommodate the penis;
It consists of a first groove at one end of the condom-like device, into which a ring located at the mouth can extend, and a second groove at the other end, into which a retaining ring of rubber or similar material can extend.

In still other aspects, the invention resides in a male urinary incontinence device comprising a retaining ring and an associated tubular elastic sheath dimensioned to extend over one side of the wearer's penis. The sheath has a first part that fits over one side of the glans and also has a hole for the urinary canal. A second portion, which is longer than and integral with the first portion, has an open end surrounded by an extensible ring.

Next, the present invention will be described in detail with reference to the accompanying drawings.

FIG. 1 shows a retaining ring, an applicator, and a condom-like device according to a first embodiment of the invention in a rolled state for application to the applicator.

FIG. 2 shows the applicator supporting the winder and retaining ring.

Figures 3A-3C illustrate the application of the condom-like device to the user's penis.

FIG. 4 shows a condom-like device worn by a user and connected to a drainage bag.

Figure 5 is a close-up of a portion of Figure 4, detailing the retaining ring that fits just behind the glans crown and the folded tubular portion of the condom-like device that serves as a conduit for conducting urine to the drainage device. shows.

Figure 6 shows ring 26 in Figures 1 to 5 and ring 4 in Figure 8.
6 is an enlarged cross-sectional view in an axial plane of a one-piece extensible retaining ring that may be used in the present invention, such as ring 64 of FIG. 9 or ring 82 of FIGS. 10 and 11;

FIG. 7 is a view similar to FIG. 6 of another configuration of the extensible retaining ring.

FIG. 8 schematically shows an embodiment of the invention consisting of using a glans condom to secure the cap with the outlet tube.

Figure 9 schematically depicts another embodiment of the invention similar to Figure 8, except that the outlet tube of the cap is of flexible, shingle-shaped construction.

Figures 10 and 11 are schematic diagrams showing other embodiments of the invention with simple construction for short-term use.

Referring now to Figures 1-5, applicator 10 is comprised of a substantially cylindrical shell 11 having peripheral grooves 12,14 at opposite ends. A thin-walled urinary incontinence device 16 (referred to herein as a condom) has a hole 18 at its tip and is shown in the rolled state in FIGS. 1-3. In use, it is gently stretched over the tip of the applicator 10 and its wound portion is locked in the groove 14 as shown in FIG. As shown, an adhesive 20 is applied to the inside of the head 15 of the condom 16.

However, this is an optional feature of the invention, and is not a required feature. @3 As shown in Figure 3, the condom 16 is applied to the head (glans) 23 of the penis 22 using the applicator 10, and then the shank part of the condom 16 is applied to the penis 22, as shown at 16A in Figure 3A. Pillar (sh)
aft).

The applicator 10 (the minimum inner diameter of which comfortably exceeds the outer diameter of the penis 22 for which it is intended to be used) is then moved toward the shaft of the penis 22 so that the groove or channel 12 is as shown in FIG. 3B. It is positioned just behind the glans pair 24 of the penis 22 as shown in FIG. The user can then slide the rubber retaining ring 26 from the applicator 10 onto the penis 22 just behind the glans pair 24, where the ring 26 (which has been stretched and placed in the groove 12 of the applicator) is removed from the applicator 10. It will contract to its expanded diameter and fit comfortably and securely into the seat of penis 22 just behind the glans pair 24. The remainder of the sheath 28 of the condom 16 is then turned over and pulled, ie, away from the wearer's body and away from the penis 28.
3C. The tube portion 28 of the sheath thus functions as a tube for conducting urine to a suitable container 30 or connecting tube shown in FIG.

As shown in FIGS. 4 and 5, the connecting cone 32 has an open end that extends outward from the open end 28A of the tube portion 28. As shown in FIGS.

The air-filled lobe 34 prevents an increase in negative pressure within the system. As an alternative (not shown), the lower end of the cone 32 may be provided with a coupling element of a connection as disclosed and claimed in British Patent Application No. 81/36811; The connection of a male urinary incontinence device to a drainage bag such as that shown in No. 36,811 may be facilitated.

In practice, it has been found that if ring 26 has an unstretched diameter of about 315 of the diameter of penis 22 in use, it will adequately hold the sheath in the arrangement shown in FIG. At the same time it prevents leakage. Furthermore, it can be comfortably worn for a long time. The position of the retaining ring 26 immediately behind the glans pair 24 is an ideal position for the ring 26 from an anatomical standpoint and in the inventors' opinion.

This is an important feature of the present invention and provides an inventive advantage over previously proposed techniques.

Next, reference will be made to the relationship that the diameter of the unstretched retaining ring 26 is, for example, 315 or 60% (expressed as a fraction or a percentage, respectively) of the maximum diameter of the penis 22 when the device is intended to be worn. Of course, the mathematically accurate 60
%, the advantages of the present invention can be secured. In many cases, a relationship value of about 55% to about 65% is appropriate and simply satisfied. Retaining ring 26 may be a true toroid. That is, it may have an internal section in the radial plane. However, even in the case of the slightly flat band-shaped ring 26,
Good results are obtained. That is, as shown in FIGS. 6 and 7, it is possible to use a ring 26 with a rectangular or oval cross-section, respectively, in the radial plane.

Postero-coro point of adult male penis
normal and average diameter of the nalpoint) is 30fl,
And the normal and average diameter of the adult male urethra at the caput point of the penis is 6 mm.

At this point, the vascular cancellous tissue surrounding the urethra (
The corpora cavernosa) can be effectively wrapped with an elastic band placed around the outside of the vulva, allowing free-flow of the urethra (free-f
passive to within 3 times the diameter
). Under such conditions, the occlusion pressure applied to the urethral wall or vascular tissue will not be sufficient to close the normal diameter of the urethra.

Therefore, three times the diameter of an open free-flowing male urethra is a functionally safe diameter for the unstretched diameter of the extensible retaining ring 26. This retaining ring 26 will not occlude any substructure, nor will it engage the glans and become dislodged from its glans crown 24. It provides an excellent means of fixation for glans condom incontinence control devices designed to fit the hemiforeskin, whether the penis 22 is circumcised or not. In other words, this type of fixation is suitable for both circumcision and non-circumcision patients.

Catheter measurement of urethral diameter is an in vivo invasive technique that provides sufficient information to calculate retaining ring size.
The present inventors have devised the following practical and non-intrusive calculation method.

By measuring the diameter of the posterior crown point of the penis and using 315 of this diameter and 3/4 of this diameter as practical useful values for the minimum and maximum retaining ring dimensions, respectively, relative to any urethral diameter, diameter can be reached. Such values are shown in Table I.

Table 3 (Appropriate Values for Retaining Rings) In the present invention, it is not essential to use the tube portion of the sheath to conduct urine. A comfortable and effective male urinary incontinence device consists of a glans condom folded back and secured with a retaining ring, which serves to hold a shaped rubber or plastic conduit member in place.
One. Such an arrangement is shown in FIG. 8, where a condom 40 covering only the head (glans) 42 of a penis 44 is secured with a retaining ring 46. Although the retaining ring 46 is shown to be integral with the condom 40, it may alternatively be a separate part. In either case, the ring 46 has the critical diametrical relationship described above compared to the penis 44. Separated glans cap 48 is attached to glans penis 4
It is held on 2. The lower part of the glans cap 48 has a peripheral groove 50 and a check 11 portion 52. The coupling member 54 may be integral with or fixed to the tube portion 52. Preferred coupling members are either the male or female coupling elements of the connectors disclosed and claimed in our British Patent Application No. 81/36,811. A tie, tape, cord or elastic band (not shown) encircles the outer surface of the condom 40 at the point 51 shown to improve protection against leakage by holding the condom 40 tightly into the groove 50. do.

A slightly similar alternative arrangement is shown in FIG. The head (glans) 58 of the penis 60 is covered with a glans condom 62, which is held on the glans 58 by a retaining ring 64. The retaining ring 64 may be made of rubber or other extensible material, yet it may be integral with or secured to the condom 62. A glans cap 66 (which may be made from a medically acceptable and commercially available material known as Plastisol J) covers the anterior portion of the glans 58 of the penis 60 and includes: l'-462. The elasticity of the condom 62 holds the cap 66 comfortably and firmly against the glans 58. The conduit member 68 is located within the cap 6.
6, which is connected to or integrally with the coupling element 70.

Conduit member 68 has a peripheral outer groove 69 . A tie, tape or elastic band (not shown) encircles condom 62 and holds it in groove 69 in the same manner as described with respect to sections 5o and 51 of FIG. Preferred coupling elements are either male or female coupling elements as disclosed and claimed in our British Patent Application No. 81/36811. Conduit member 68 is made of flexible material and in a bulky shape so that it is bendable and can be stretched longitudinally. Although a short, sparse tube is shown, it can of course be longer.

In Figures 10 and 11 a short term emergency male urinary incontinence device is shown. A short thin-walled tube 80, such as rubber latex, is open at both ends and has a resilient ring 82 secured to or integral with one end thereof. The ring diameter is within the critical range according to the invention, and the ring is located just behind the glans crown of the penis 84 in the manner described above.

The open end 86 of the sheath or tube 80 is connected to the bag or to another tube in a conventional manner.

This device is inexpensive and simple, and is used for short temporary periods in situations where more complex urinary incontinence devices (such as those of FIGS. 8 or 9) are compatible. The ring 82 is
It may be a standard elastic band with a suitable unstretched diameter.

An important advantage of the invention, particularly disclosed herein, is that the scales are completely free of any type of straps or straps for support. This is especially important in patients with paraplegia and sponioceles. All skin bandages may cause tissue trauma to the patient due to the fact that such a patient has no sensation below the waist and is completely unaware of the applied pressure or the resulting sore pain. This is because it is expected.

Furthermore, proper adjustment of the skin bandage is difficult for wheelchair patients.

Another advantage of the present invention is that it covers the smallest possible area of tissue, thereby reducing the potential area for urine interference. As is known, urinary interference results in urinary burning and tissue trauma. In severe cases, plastic surgery may be necessary.

Additionally, devices intended for patients who have no sensation in the pelvic area must avoid causing pressure or bruising. If not avoided, tissue erosion, stenosis and tissue trauma result.

To obtain satisfactory results in most practical cases, the principles of the claims should be followed in the selection and adaptation of the retaining ring.

[Brief explanation of the drawing]

Fig. 1 is a schematic diagram showing an example of the device of the present invention, which is composed of a condom, a retaining ring, and an applicator; Fig. 2 is a cross-sectional schematic diagram showing a state in which a rolled condom and a retaining ring are attached to the applicator; , C is a schematic diagram showing the usage state of the device of the present invention shown in FIG. 1, and FIG.
A schematic diagram showing a state in which the state shown in the figure is further connected to a drainage bag, Figure 5 is a partially enlarged view of Figure 4, and Figures 6 and 7 are schematic diagrams showing examples of the cross-sectional shape of the retaining ring. FIG. 10 Niablicator - 111: Outer shell, 12.14 Two peripheral grooves, 15: Head of condom 16, 18: Hole, 20: Adhesive, 26, 46, 64, 82: Retaining ring, 28: Sheath tube part, 30 : Container (connection tube), 32: Connection cone, 34: Pneumatic vibrator, 40, 62: Glans condom, 48° 66: Glans cap, 50: Peripheral groove, 52: Tube portion, 54: Coupling member, 68:
Conduit member, 69: peripheral outer groove, 70: coupling element,
80: Thin-walled tube, 86 two open ends. Patent Applicant: E.R. Nuquib & Ring Incorporated

Claims (1)

[Scope of Claims] 1. (a) a condom-shaped sheath having a hole formed at its tip and suitable for being rolled up; (b) when the condom-shaped sheath is in a rolled-up state, a condom-shaped sheath having a hole formed at one end thereof; an applicator comprising a cylindrical tube having means for retaining a condom-like sheath; and (C) an applicator adapted to hold the condom-like sheath above the penis when the condom-like sheath is rolled onto the penis. A male urinary incontinence device comprising a retaining device. 2. The male urinary incontinence device of item 1, wherein the retaining device is selected from the group consisting of an elastic retaining ring, a tie, and tape. 3. The male urinary incontinence device according to item 2 above, wherein the retaining device is a stretchable retaining ring. 4. The retaining ring is formed in a radial plane;
4. Male urinary incontinence device according to claim 3, having a cross section selected from the group consisting of circular, rectangular and oval. 5. The male urinary incontinence device of claim 3, wherein the retaining ring has an unstretched diameter that is approximately three times the diameter of the wearer's urethra. 6. The male urinary incontinence device of claim 3, wherein the retaining ring has an unstretched diameter of about 9ff to 22.511M. 7. The retaining ring is approximately 55% of the diameter of the wearer's penis.
4. The male urinary incontinence device of claim 3 having an unstretched diameter of ~65%. 8. The male urinary incontinence device according to item 1 above, wherein the means for retaining the retaining device on the applicator comprises a peripheral groove formed in a surround at one end of the applicator. 9. Consisting of a condom-like sheath having a hole formed at its tip and adapted to be rolled up, and a cylindrical tube having means at one end for holding said condom-like sheath when said condom-like sheath is in the rolled-up state. A method of applying to a man a urinary incontinence device of the type comprising an applicator and a retaining device adapted to hold the condom-like sheath above the penis as it is rolled onto the penis, the method comprising: a) rolling up said condom-like sheath towards the perforated tip; (b) applying such rolled-up condom-like sheath onto one end of said applicator and rolling said condom-like sheath using means for retaining said condom-like sheath; (C) placing the retaining device on the other end of the applicator; (d) placing the applicator with the condom-like incontinence device thereon on the penis and wrapping the condom-like sheath around the penis; (e) sliding the retaining device onto the penis with the applicator, while holding the condom-like sheath to the head of the penis with a retaining ring; (f) sliding the applicator away from the penis; and (g) ) A method characterized by the step of rolling back a condom-like sheath nine times over one side of the penis to serve as a tube for conducting urine from the wearer. 10. The method of applying the urinary incontinence device to men according to item 9, wherein the step of sliding the retaining device from the applicator onto the penis comprises the step of sliding the retaining ring immediately behind the glans crown of the head of the penis.