WO1993008765A1 - Soupape d'incontinence - Google Patents

Soupape d'incontinence Download PDF

Info

Publication number
WO1993008765A1
WO1993008765A1 PCT/DE1992/000892 DE9200892W WO9308765A1 WO 1993008765 A1 WO1993008765 A1 WO 1993008765A1 DE 9200892 W DE9200892 W DE 9200892W WO 9308765 A1 WO9308765 A1 WO 9308765A1
Authority
WO
WIPO (PCT)
Prior art keywords
valve body
valve
shut
incontinence
membrane
Prior art date
Application number
PCT/DE1992/000892
Other languages
German (de)
English (en)
Inventor
Paul Bader
Original Assignee
Paul Bader
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 Paul Bader filed Critical Paul Bader
Publication of WO1993008765A1 publication Critical patent/WO1993008765A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0009—Closure 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
    • A61F2/0018—Closure 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 magnetic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F2/00—Filters 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
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0009—Closure 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
    • A61F2/0013—Closure 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 inflatable

Definitions

  • the invention relates to an incontinence valve according to the preamble of claim 1.
  • a closure for a male urethra is known, which is formed by an elongated body to be inserted into the urethra and fastened therein.
  • the elongated body is cylindrical and forms a valve body which has a continuous longitudinal bore. It is closed at its distal end with a releasable stopper in a liquid-tight manner. With a thread that is worked into the stopper and protrudes from the stopper in a ring shape, the stopper can be removed from the valve body for “urination”. The plug is then pushed back into the distal end of the valve body and thereby closed.
  • the way in which the incontinence valve is opened and closed can sometimes cause difficulties, particularly in the case of older incontinence patients. It is disadvantageous that, on the one hand, pulling the plug out or pushing it in or out of the valve body can cause pain, in particular due to the pull or pressure that the incontinence valve exerts on the urethral wall at this moment. Secondly, older people may have difficulty finding the thread that pulls the plug out of the valve body got to. However, it can also be difficult to seal the valve body tightly again with the relatively small plug. And here again it should not be so easy or not so easy to insert the relatively small plug into the equally small opening of the valve body.
  • the connection opening with a shut-off device arranged in the region of the closed end of the valve body makes a stopper unnecessary.
  • a stopper brings with it, namely pain in the urethra caused by tension or pressure on the urethral wall, is eliminated with the device according to the invention.
  • the shut-off device also eliminates the difficulties in removing and reinserting the plug into the opening of the valve body.
  • the shut-off device can be designed to be movable, the movement being a rotary movement, a sliding movement or a rotating sliding movement. Opening and closing a through opening with a movable mechanism is simple and easy, even for older people.
  • a movable shut-off device is not difficult, but easy to operate, especially in a region that is difficult to see, as can be the case with a urethral exit.
  • a shut-off device with a rotary slide movement can in particular be a threaded or a bayonet lock.
  • the shut-off device can be formed by two tubes which move one inside the other, the two tubes having radially arranged, congruent openings.
  • This type of shut-off device is a simple and practical design for an elongated valve body with an inner longitudinal bore.
  • the proposed shut-off device is thus movable in itself.
  • Both tubes can be arranged close to the inner wall of the longitudinal bore so that the free passage of the longitudinal bore is not significantly hindered and / or narrowed. If the openings lying opposite one another, which are arranged radially in the tube walls, are congruent, the connection opening is opened. When the openings move by at least the free opening area from one another, the openings of one pipe lie opposite the pipe wall of the other pipe, so that the shut-off device is closed. Sealing devices in both pipes or even only in one of the two pipes prevent leakage of liquid when the shut-off device is closed.
  • the shut-off device is therefore movable in itself by radial twisting or by axial shifting or by coupled twisting or pushing of the two tubes running into one another.
  • the closed end is arranged at the proximal end of the valve body, the connection opening with the shut-off device being arranged radially in the valve body wall directly in front of a valve head closing the longitudinal bore.
  • connection opening from the urethra into the longitudinal bore of the valve body is placed in the area of the proximal end of the valve body and can also be closed immediately there.
  • the distal end of the valve body is not closed, that is, it is open.
  • liquid escapes from the open end.
  • the open end thus has, as it were, a control function over the functionality of the incontinence valve. And this is a further advantage. "-? > - Accordingly, urine enters the valve body at the proximal end of the valve body, and the shut-off device, the actual closure of the incontinence valve, is also attached there at the same time.
  • connection opening is arranged radially on the circumference of the valve body. This means that the liquid flows radially into the valve body, is deflected there at an angle of approximately 90 degrees and is then guided axially through the valve body to the end of it in the longitudinal bore.
  • the longitudinal bore is closed by the valve head fixedly attached to the proximal end.
  • the valve head is designed so that it promotes pain-free insertion of the incontinence valve into the urethra.
  • Several grooves or the like are provided on the outer circumference of the valve head, the sum of the cross section of the grooves corresponding approximately to the passage cross section of the connection opening or the longitudinal bore. The grooves form the path for the fluid from the urethra to the connection opening.
  • the membrane is formed by an inner control membrane lying against the valve body and by a holding membrane surrounding the control membrane, the holding membrane and the control membrane being approximately of the same size, and that the holding membrane and the control membrane are partially connected to one another in a liquid-tight and / or gas-tight manner.
  • the membrane has the sealing and fastening function of the incontinence valve in the urethra.
  • the division of the diaphragm into the holding diaphragm and the control diaphragm, as well as a tight connection between the two diaphragms at the edges, is important because of the absolutely secure sealing of the incontinence valve to the urethra.
  • a further, radially sealed connection on the inner surfaces of the two membranes forms individual holding chambers which can be filled and emptied independently of one another. If a holding chamber leaks, the remaining holding chambers still hold the incontinence valve tightly in the urethra.
  • the shut-off device forming the closure is simple and safe. This shut-off device can also be produced in an appropriate, small design for an incontinence valve. Of course, it would also be possible to design the shut-off device with a magnetic, electrical or electrostatic design (principle of attraction and repulsion).
  • FIG. 1 shows the device according to the invention in a side view in section on an enlarged scale
  • FIG. 2 shows a section through the device according to FIG. 1 at A-A
  • FIG. 3 shows a section through the device according to FIG. 1 at B-B
  • FIG. A shows a variant of the device according to FIG. 1 in a side view in section on an enlarged scale
  • FIG. 5 shows a section through the device according to FIG. A at A-A
  • FIG. 6 shows a section through the device according to FIG. A at B-B
  • FIG. 7 shows a further variant of the device according to FIG.
  • FIG. 8 shows a section through the device according to FIG. 7 at AA
  • FIG. 9 shows a section through the device according to FIG. 7 at B-B
  • FIG. 10 shows a further variant of the device according to the invention in a side view in section in an enlarged view
  • FIG. 11 shows a section through the device according to FIG. 10 at BB r
  • FIG. 12 shows a section through the device according to FIG. 10 at A-A
  • FIG. 13 shows a further variant of the device according to the invention in a side view in section
  • FIG. 14 shows a section through the device according to FIG. 13 at A-A
  • FIG. 15 shows a section through the device according to FIG. 13 at B-B
  • FIG. 16 shows a further variant of the device according to the invention in a side view in section
  • Figure 17 shows a section through the device of Figure 16 at A-A.
  • An incontinence valve is formed by a valve body 2 which has a continuous longitudinal bore 1A.
  • the longitudinal bore 1A is open at its distal end and closed by a valve head 1 at its proximal end.
  • a switching tube 5 and a valve cover 6 are connected to form a tube in the valve body 2.
  • the switching tube 5 and the valve cover 6 lie closely but movably on the inner jacket of the valve body 2.
  • Openings 12 are arranged in the switching tube 5 and openings 13 are arranged in the valve body 2, which are congruent at a precisely determined position and thus form the connection opening 17.
  • the congruence of the openings 12 and the openings 13 is determined by a stop 9.
  • an extension 8 is removably attached.
  • conical bores 15 are provided, in each of which a mushroom head 7 is arranged.
  • a membrane 3, A is formed by an inner control membrane 3, which bears against the valve body 2, and a holding membrane A, which surrounds the control membrane 3.
  • the control membrane 3 and the holding membrane A are sealingly connected to one another at the connection points 19.
  • Bores 16 are provided in the control diaphragm 3, through which the holding diaphragm A can be pressurized via the conical bores 15 and the mushroom heads 7.
  • the pressure is applied by means of a pump, not shown. In the pressurized state, the individual holding chambers 10 are formed. The pressure relief of the holding chambers also takes place with the pump (not shown) via the conical bores 15 and the mushroom heads 7.
  • FIGS 1, 2, 3 show an incontinence valve according to the invention in which the shut-off device 18 of the connection opening 17 is closed.
  • the shut-off device 18 is shown in Figure 3, shows openings 12 in the switching tube 5, which are arranged offset by the angle ⁇ with respect to the openings 13 in the valve body 2.
  • the switching tube 5 is designed to be radially movable relative to the valve body 2, namely by the angle ⁇ . Due to the radial movement of the switching tube 5 in the valve body 2, the shut-off device 18 becomes the connecting opening
  • shut-off device 18 By turning back the switching tube 5 and the valve cover 6 with the help of the extension 8 by the angle ⁇ , the shut-off device
  • shut-off device 18 (according to FIG. 3) requires a flat seal against the openings 12, 13.
  • the extension 8 can be removed.
  • the valve cover 6 can also be removed. This is necessary to make the mushroom heads J accessible.
  • FIGS. A, 5 and 6 has a modification of the shut-off device 18, the connecting opening 17, compared to the embodiment according to FIGS. 1, 2 and 3.
  • the valve body 2 has openings 13 »In the scarf tube 5 there are no openings.
  • the shut-off device 18 is opened by pulling the parts 8, 6, 5 towards the distal side as far as the stop 9.
  • the shut-off device 18 is closed by moving the parts 8, 6 and 5 to the proximal side of the incontinence valve.
  • annular seal on the left and right opposite the openings 12, 13 is sufficient.
  • FIGS. 7, 8 and 9 is essentially the same as the embodiment according to FIGS. 1-3; only the locking mechanism of the shut-off device 18
  • connection opening 17 is changed. While the valve head 1 is fastened to the valve body 2 in FIGS. 1 and A, the valve head 1 in the embodiment according to FIG. 7 is fastened to the switching tube 5.
  • shut-off device 18 of the connection opening 17 is shown in the open position. By pulling the parts 8, 6 and 5 towards the distal side as far as the stop 9, the shut-off device 18 of the connection opening 17 is closed.
  • shut-off device 18 only requires an annular seal (not shown) at the proximal end of the valve body 2 between the latter and the switching tube 5.
  • I grooves 20 are provided, the cross section of which corresponds approximately to the passage cross section of the connecting opening 17 or the longitudinal bore 1A.
  • the holding membrane A is configured like a bellows in the pressure-loaded state. Between the urethral wall (not shown) and the holding membrane A, annular channels are formed which can be used as medical chambers 11. In these medical chambers
  • the medical fluid is introduced into the medical chambers 11 and the pressure medium is introduced into the holding chambers 10 by means of a special pump (not shown) and openings and passages provided for this purpose within the incontinence valve according to the invention.
  • FIGS. 10 to 17 show variant implementations of the object according to the invention.
  • FIG. 10 shows an embodiment for particularly forgetful (old) people who might forget to close the main valve.
  • the main valve is automatically closed by the closing spring (compression spring) 25 in the non-actuated state.
  • Openings 13 in the valve body 2 correspond.
  • the main valve is opened, by pushing the tube 8 against the proximal stop (switching tube 5 against valve head 1), the urine can flow, regardless of the radial position from the switching tube 5 to valve head 1.
  • FIGS. 13, 14 and 15 shows a shut-off device 18 which can be moved in the longitudinal direction on an incontinence valve.
  • FIGS. 16 and 17 show, in a variant embodiment, an incontinence valve with a shut-off device 18 in the form of a threaded closure 31.
  • the threaded closure 31 is designed in such a way that after a short turn the threads become free and the closure opens the rest - Can be pushed away.
  • a quick-release fastener with a predetermined angular position from the openings 12 and 13 to one another is also possible.

Landscapes

  • Health & Medical Sciences (AREA)
  • Urology & Nephrology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

Une soupape d'incontinence est constituée par un corps allongé de soupape pourvu d'un passage longitudinal débouchant destiné à être entièrement inséré dans l'urètre. Le corps de soupape est retenu dans l'urètre par au moins une membrane (4) qui entoure le corps de soupape et sur laquelle des pressions peuvent d'appliquer. Le passage longitudinal (14) du corps de soupape comprend une extrémité ouverte et une extrémité fermée. Dans la zone de l'extrémité fermée est ménagé un orifice (17) communiquant avec le passage longitudinal et pourvu d'un organe d'obturation (18).
PCT/DE1992/000892 1991-10-28 1992-10-27 Soupape d'incontinence WO1993008765A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DE19914135502 DE4135502C1 (fr) 1991-10-28 1991-10-28
DEP4135502.4 1991-10-28

Publications (1)

Publication Number Publication Date
WO1993008765A1 true WO1993008765A1 (fr) 1993-05-13

Family

ID=6443585

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DE1992/000892 WO1993008765A1 (fr) 1991-10-28 1992-10-27 Soupape d'incontinence

Country Status (3)

Country Link
AU (1) AU2806892A (fr)
DE (1) DE4135502C1 (fr)
WO (1) WO1993008765A1 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6030337A (en) * 1998-07-30 2000-02-29 American Medical Systems, Inc. Continence augmentor and methods for urinary control
US6056687A (en) * 1997-12-04 2000-05-02 American Medical Systems, Inc. Device for alleviating urinary incontinence
US6200261B1 (en) 1998-03-04 2001-03-13 American Medical Systems, Inc. Valve and methods for urinary control
US8763877B2 (en) 2010-09-30 2014-07-01 Ethicon Endo-Surgery, Inc. Surgical instruments with reconfigurable shaft segments

Families Citing this family (14)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5670111A (en) 1990-01-10 1997-09-23 Rochester Medical Corporation Method of shaping structures with an overcoat layer including female urinary catheter
US6626888B1 (en) 1990-01-10 2003-09-30 Rochester Medical Corporation Method of shaping structures with an overcoat layer including female urinary catheter
US5261896A (en) 1990-01-10 1993-11-16 Rochester Medical Corporation Sustained release bactericidal cannula
DE4331658B4 (de) 1993-09-17 2009-12-10 Eska Medical Gmbh & Co Implantierbare Vorrichtung zum wahlweisen Öffnen und Verschließen von rohrförmigen Körperorganen, insbesondere der Harnröhre
DE9402017U1 (de) * 1994-02-08 1994-03-31 Steeb Manfred A Schutzvorrichtung für den unkontrollierten Abfluß von Urin
US5624374A (en) * 1994-11-03 1997-04-29 Von Iderstein; Irwin F. Involuntary urine control apparatus, system and method
TW354259B (en) * 1994-11-03 1999-03-11 Uroscientific Inc Urethra control system the invention relates to an involunary urine control system
DE19511998A1 (de) * 1995-03-31 1996-10-02 Eska Medical Gmbh & Co Implantierbare Vorrichtung zum wahlweisen Öffnen und Verschließen von rohrförmigen Körperorganen, insbesondere der Harnröhre
US5906575A (en) * 1996-04-25 1999-05-25 Rochester Medical Corporation Urethral urine retention device
WO1998036714A2 (fr) * 1997-02-25 1998-08-27 Uroscientific, Inc. Dispositif de regulation d'urine
US6234174B1 (en) 1998-04-28 2001-05-22 Uroscientific, Incorporated Urethral compression device
DE10304614B4 (de) * 2003-02-05 2005-02-24 Willital, Günter Heinrich, Prof. Dr.med. Kontinenz-Vorrichtung
US8864730B2 (en) 2005-04-12 2014-10-21 Rochester Medical Corporation Silicone rubber male external catheter with absorbent and adhesive
WO2016033234A1 (fr) 2014-08-26 2016-03-03 C.R. Bard, Inc Cathéter urinaire

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3812841A (en) * 1972-08-21 1974-05-28 L Isaacson Urethra magnetic valve structure
WO1986003271A1 (fr) * 1984-11-26 1986-06-05 Asicomo A/S Valve
US4757194A (en) * 1986-10-10 1988-07-12 Oxbridge, Inc. Methods and apparatus for sensing the mechanical application of force
DE3821631A1 (de) * 1987-07-28 1989-02-09 Bader Paul Verschluss fuer eine maennliche harnroehre

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3812841A (en) * 1972-08-21 1974-05-28 L Isaacson Urethra magnetic valve structure
WO1986003271A1 (fr) * 1984-11-26 1986-06-05 Asicomo A/S Valve
US4757194A (en) * 1986-10-10 1988-07-12 Oxbridge, Inc. Methods and apparatus for sensing the mechanical application of force
DE3821631A1 (de) * 1987-07-28 1989-02-09 Bader Paul Verschluss fuer eine maennliche harnroehre

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6056687A (en) * 1997-12-04 2000-05-02 American Medical Systems, Inc. Device for alleviating urinary incontinence
US6461291B1 (en) 1997-12-04 2002-10-08 American Medical Systems Inc. Device for alleviating urinary incontinence
US6200261B1 (en) 1998-03-04 2001-03-13 American Medical Systems, Inc. Valve and methods for urinary control
US6443886B2 (en) 1998-03-04 2002-09-03 American Medical Systems Inc. Valve and methods for urinary control
US6030337A (en) * 1998-07-30 2000-02-29 American Medical Systems, Inc. Continence augmentor and methods for urinary control
US8763877B2 (en) 2010-09-30 2014-07-01 Ethicon Endo-Surgery, Inc. Surgical instruments with reconfigurable shaft segments

Also Published As

Publication number Publication date
AU2806892A (en) 1993-06-07
DE4135502C1 (fr) 1993-02-18

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