WO2009009832A1 - A condom catheter with detachable drainable reservoir - Google Patents

A condom catheter with detachable drainable reservoir Download PDF

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Publication number
WO2009009832A1
WO2009009832A1 PCT/AU2008/001036 AU2008001036W WO2009009832A1 WO 2009009832 A1 WO2009009832 A1 WO 2009009832A1 AU 2008001036 W AU2008001036 W AU 2008001036W WO 2009009832 A1 WO2009009832 A1 WO 2009009832A1
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WO
WIPO (PCT)
Prior art keywords
reservoir
apparatus
condom
connection means
penis
Prior art date
Application number
PCT/AU2008/001036
Other languages
French (fr)
Inventor
Robert Walter Vowles
Rory Hogan
Original Assignee
Goulter, Barbara
Goulter, Victor
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
Priority to AU2007903834 priority Critical
Priority to AU2007903834A priority patent/AU2007903834A0/en
Application filed by Goulter, Barbara, Goulter, Victor filed Critical Goulter, Barbara
Publication of WO2009009832A1 publication Critical patent/WO2009009832A1/en

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Classifications

    • 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
    • A61F5/451Genital or anal receptacles
    • A61F5/453Genital or anal receptacles for collecting urine or other discharge from male member
    • 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices

Abstract

Apparatus and method for the management of urinary incontinence in men comprising a flat, bag-type reservoir (2) supported pendently over the crotch region by straps (13) from a belt, a condom-type sheath (1) substantially enclosing the penis (3) in a liquid-tight manner, complementary, liquid-tight connection means (5, 14) incorporated into the distal end of the sheath and into the reservoir permitting the sheath to drain into the reservoir; positioning of the connection means such that the penis is deflected laterally and maintained against the upper edge of the reservoir in a more or less horizontal attitude; a drainage fitting (16) incorporated into the reservoir at its lower edge permitting the emptying of collected urine; an optional protective cap worn over the glans penis and outer penile shaft; optional means to connect the condom-type sheath to a remote reservoir; and optional means to sanitise the reservoir.

Description

A CONDOM CATHETER WITH DETACHABLE DRAINABLE RESERVOIR

This invention relates generally to apparatus for the alleviation of male incontinence. More specifically, it relates to condom catheters worn over the penis with associated reservoirs and supporting means. The causes of male urinary incontinence are manifold. The condition may result from congenital defects, from disease or injury to the spinal cord, surgical or radiation injuries or injury to the sphincter mechanism. Regardless of its cause, means to mitigate the effects of incontinence are imperative if it is not to severely compromise the freedom and quality of life of a subject. This is particularly so, as many sufferers are of working age and need, as far as is possible, to carry on a normal lifestyle. Temporary, post-surgical incontinence may be controlled with a penile clamp. For control in the hospital environment, an indwelling catheter may be employed with the attendant risk of chronic infection. For longer term control, it is normal for a condom catheter to be used and many forms of this device have been devised. In its simplest form, the condom catheter comprises a tubular sheath part which is made to substantially and firmly enclose the penis, suitable drainage and storage means being connected to the sheath part to collect any urine discharged into it. Apart from possible maceration of the penile skin if mitigation measures are not taken, more or less continuous wearing of a condom catheter is feasible and considerations are principally those of ease of application, comfort, convenience, security and lack of conspicuousness. An example of a simple condom catheter arrangement with a separate reservoir is that taught by Bell in US 4,840,625. In this invention, an adhesive is employed to secure the condom part in place on the penis.

Of the abovedetailed considerations in relation to a condom catheter, ease of application is of considerable importance. There is an inherent conflict or disagreement between the necessity for the condom part to be readily installable on the penis and for the installed condom part to be of such a firm fit as to not leak, and this factor is rarely addressed in the prior art. For example, Bennett, in US 6,635,037 teaches an anatomically-shaped condom part which is installed in a stiffened central part positioned around the base of the penile shaft, the stiffened central part being supported by straps from a belt. No provision is made for installation of the condom part on the penis. To facilitate its installation, the condom part would have to be made oversize and, as a result, almost impossible to seal to the penis. The invention thus relies upon the penis always being maintained in a pendant position with free drainage of urine. Neither requirement can be guaranteed in an ambulant subject. It should be noted, however, that, once having been installed, the strap and belt supporting arrangement of this invention provides excellent security of attachment. Where no specific installation system or appliance is provided for condom parts, it is common for them to be sold in various sizes with gauges being provided by manufacturers to facilitate selection of the correct (smallest possible) size to be used. Other arrangements in which the penis is simply accommodated pendantly in a urine collecting chamber are those taught by Denard in US 4,387,726 and Miskie in US 6,679,867. Both employ belts and/or straps to secure the urine collecting chamber in place.

It is common for new condom parts to be supplied in rolled-up form allowing the use of an installation procedure consisting simply in presenting the rolled condom to the head of the penis and unrolling it along the penile shaft. This is a common method of installing a condom part to achieve a firm, liquid-tight fit. However, for the purpose of economy, condom parts are frequently washed, sanitised and re-used. While the condom part may be re-rolled in removing it from the penis, washing and sanitisation must be performed in the unrolled state, hi US 7,014,635, Goulter teaches the use of a roll-up device to facilitate the re-rolling of a condom part. Goulter further teaches the use of an applicator device provided with curved, concave, pivoting jaws operated by handles. The pivoting jaws engage the rolled-up part of the condom part and squeezing of the handles forces the jaws apart, thereby stretching open the rolled-up part of the condom part and facilitating its positioning on the penis prior to its installation by unrolling. Komis in US 4,713,066 and 4,553,968 and Dwork et al in 6,248,096 teach the use of an accordion-pleated condom part which is progressively extended as the penis is entered into it. While these arrangements provide ease of installation, it is difficult to see how they provide security against leakage. Komis teaches the use of a separate reservoir while Dwork et al teach both the use of a separate condom part and reservoir and a combination of condom part and reservoir with the reservoir forming an extension of the condom part. A combination arrangement comprising condom part and reservoir may be obtrusive and difficult to conveniently accommodate when the reservoir is filled and the arrangement taught by Dwork et al, lacks the provision of a barrier between condom part and reservoir. Komis teaches the use of a garment to retain the condom part in place while Dwork et al teach the use of an attachment flange to which the condom part is fixed, said attachment flange being positioned around the base of the penile shaft and retained in place by straps. Dwork et al also teach the use of a condom part which is installed by tightly wrapping it around the penis and securing it in place by fixing the overlapping, wrapped parts to each other with adhesive or fasteners. In US 5,009,649, 5,380,312, 5,618,277 and 5,797,890, Goulter teaches the use of a combination condom part and reservoir in which the reservoir forms an extension of the condom part. In all except the first of these, a barrier incorporating a non-return valve is provided between the condom part and the reservoir. In the first, the use of a supporting garment is taught and in the last, the use of a supporting strap and belt. In all cases, an elastic strap or band is tightened around the condom part to urge its inner surfaces against the penis and thereby to minimise the possibility of leakage. As noted previously, such combination arrangements comprising condom part and reservoir may be obtrusive and difficult to conveniently accommodate when the reservoir is filled.

In a method taught by Metz in US 5,423,784, a condom part is installed on the outer surface of an applicator tube and everted to bring its distal end up through the applicator tube. The exterior surface of the applicator tube is treated to reduce sliding friction. To install the condom part, it is presented to the head of the penis and tension applied to the distal end while the applicator tube is advanced along the penile shaft, displacing the condom part from the applicator onto the penis. An adhesive band or adhesive-coated zone on the inner surface of the condom part acts to retain it in place on the penis. A similar applicator is taught by Passalaqua et al in US 6,007,526. Many other forms of condom part also incorporate adhesive strips or zones to retain them in place on the penis. Examples of these are US 4,731,064 (Heyden), US 4,863,449 (Therriault et al), US 4,865,595 (Heyden), US 4,932,948 (Kernes et al), US 5,334,175 (Conway et al) and US 6,007,526 (Passalaqua et al). All of these are installed on the penis by unrolling, thereby bringing the adhesive strips or zones into contact with the penile surface. Kernes et al and Passalaqua et al also teach the use of a partial diaphragm provided towards the distal end of the condom part to substantially isolate any accumulation of urine from the penis. In the method taught by Kernes et al, the head of the glans abuts the partial diaphragm and urine is discharged through a suitable aperture in it. In the method taught by Passalaqua et al, the partial diaphragm is made light and elastic and the glans passes through a larger aperture in it. In a method taught by Charles in US 7,066,918, a reservoir for use with a condom catheter is made hi an elongated triangular form and suspended in the crotch region with straps supported from a belt. This arrangement would not be practical for many men of normal anatomy. Considering the fact that incontinence is frequently a disorder of older men who are also frequently obese to a degree, the crotch region should be considered to be unsuitable as an area to locate a reservoir of a condom catheter.

In summary, the most common shortcomings of the invention of the disclosed prior art are:

• Some arrangements incorporate a condom part which does not tightly enclose the penis. As a result, they provide no security against leakage and must be used maintaining the penis in a pendant position with free drainage of urine.

• Some arrangements incorporate a condom part having no proper installation procedure. They are therefore difficult to fit in a way to firmly enclose the penis, even when gauges are used to determine the smallest practical size able to be fitted. As a result, they provide no security against leakage. This includes methods incorporating an accordion-type condom part.

• Some arrangements incorporate condom parts retained on the penis by adhesive strips or patches. These may cause discomfort and irritation to the user, particularly during removal. Owing to degradation of the adhesive strips or patches, such condom parts are not normally re-useable. More importantly, adhesion of anything to the penis is, generally speaking, impractical owing to the mobility of the integument.

• Some arrangements involve support by belts, straps, harnesses or garments. These are frequently unnecessarily complicated, add to the cost of the condom catheter, are difficult to don or adjust and may be uncomfortable in use. Such arrangements incorporating a flange positioned around the base of the penile shaft and to which the condom part is fixed may be uncomfortable.

• One arrangement incorporating a condom part installed on the penis by wrapping provides no security against leakage.

• Some arrangements incorporate a combination condom part and reservoir in which the reservoir forms an extension of the condom part. Such arrangements may be obtrusive, difficult to conveniently accommodate and difficult to support when the reservoir is filled.

• In general, many condom catheter arrangements are excessively complex; cumbersome, bulky or heavy; inconvenient to use; expensive; and unattractive to the user.

The object of the present invention is to provide a condom catheter and reservoir combination which is simple and affordable; which is easy to apply and remove by obese persons and those with vision or manipulative disabilities; which is light in its empty state; which is comfortable to wear in its empty and full states; which has a condom part securely attachable to the penis without risk of leakage; which is securely supported in the empty and full states; which is made from non-allergenic materials; which has a reservoir providing adequate urine capacity; which accommodates reservoirs providing a range of urine capacities; which has a reservoir which expands into a controlled shape; which has a reservoir which is easily emptied; which is easily sanitised using a purpose-manufactured apparatus; which is relatively inconspicuous; which can be adapted to a separate, remote reservoir for hospital or bed use; which permits the condom part and reservoir to be manufactured from different materials using different manufacturing processes; and which has an acceptable service life.

According to the present invention, a condom catheter and reservoir combination is made with a condom part and reservoir in a close-coupled but detachable arrangement. Said condom part comprises a basically tubular element of a diameter to fit closely and firmly on the penis, said condom part being made from a thin, light, softly flexible, elastic material of suitable durability closed at one end by a short extension turning through approximately 90° and tapering to a reduced diameter. The free end of said short extension terminates in suitable, liquid-tight connection means and the inner surface of said condom part is optionally provided with circumferential raised or textured zones to promote attachment and sealing of the condom part to the penis. Said reservoir is made with a more or less straight upper edge, the part below said upper edge being made more or less part-circular in shape or in the shape of an inverted equilateral triangle. Suitable internal or external stiffening means are provided along said upper edge. Said reservoir comprises an outer (away from the body) panel and an inner (against the body) panel, zones of said outer panel being differentially textured to produce a controlled distension as said reservoir fills. Attachment fittings are provided at the ends of said reservoir upper edge and straps connected to said attachment fittings support said reservoir from a suitable belt. Said straps and said belt are light and simply adjusted and made from a material providing comfort and ease of sanitisation. Positioned towards one end of said upper edge of said reservoir are liquid- tight connection means complementary to said connection means of said condom part, said penis and condom part being deflected to the appropriate side of the lower abdomen to permit connection of the two said complementary connecting means in a liquid-tight way. Said connection means of said reservoir incorporate suitable nonreturn valve means and a spigot and suitable drain valve means are provided at the lower edge of said reservoir to permit it to be readily emptied. Said condom part is preferably a single-use item. Where it is re-used, it is prepared and applied to the penis using an adaptation of the roll-up device and applicator device taught by Goulter in US 7,014,635. Said reservoir is optionally made in a range of shapes and capacities to suit the needs of individuals. Said reservoir is intended to be re-useable and is made from a material providing a suitable service life. Said condom part is intended to have a short service life or is optionally a throw-away item and is made from a suitable material. To facilitate its manufacture, said reservoir is preferably moulded flat, folded to bring said outer and inner panels together and then fused or bonded around the free edges. If required, said internal stiffening means are installed prior to said folding. Said liquid- tight connection means and non-return valve and said spigot and drain valve are preferably installed by fusing or bonding prior to said folding. For use of non- ambulatory subjects, provision is made for removal of said reservoir and connection of a drain line from said condom part to a remote reservoir. For comfort purposes, provision is optionally made to shape said reservoir to better suit the male anatomy and to coat some parts of its external surface with a soft, non-chafing material. Where said reservoir is re-shaped, or where it is desired to wear said reservoir in a higher position, said liquid-tight connection means are optionally relocated to said front panel of said reservoir. Where said reservoir is of small capacity, and therefore of narrow width, said condom part is optionally connected to said reservoir using a suitable connection line entering said reservoir through its said front panel. Optional provision is made for connection of said condom part to a suitable reservoir strapped to the leg of a user. Provision is made for the wearing of a protective cap to minimise maceration of the penile skin from prolonged wearing of said condom part. Apparatus is provided for the easy sanitisation of said reservoir.

The various aspects of the present invention will be more readily understood by reference to the following description of preferred embodiments given in relation to the accompanying drawings in which: Figure 1 is a face view of said condom part connected to said reservoir in the as-worn position;

Figure 2 is a transverse cross-sectional view on A-A of the reservoir depicted at Figure 1, drawn to a larger scale than that of Figure 1 ; Figure 3 is a face view of said reservoir optionally shaped and coated for comfort purposes, drawn to a smaller scale than that of Figure 1 ;

Figure 4 is a view from above of said reservoir optionally shaped and coated for comfort purposes in a manner different from that depicted in Figure 3, drawn to the same scale as that of Figure 3; Figure 5 is a face view of said reservoir showing said liquid-tight connection means in an optionally relocated position, drawn to the same scale as that of Figure 3;

Figure 6 is a longitudinal cross-sectional view of the outer (distal) part of said condom part, drawn to a larger scale than that of Figure 1 ; Figure 7 is a partial transverse cross-sectional view of the upper part of said reservoir showing said liquid-tight connection means and non-return valve, drawn to the same scale as that of Figure 6;

Figure 8 is a longitudinal cross-sectional view of said protective cap, drawn to the same scale as that of Figure 6; Figure 9 is a partial longitudinal cross-sectional view through a condom part and reservoir showing an alternative embodiment of connection means;

Figure 10 is a partial cross-sectional view through an alternative embodiment of connection means of a reservoir;

Figure 11 is a partial face view of an alternative embodiment of condom part and reservoir in connected relationship; Figure 12 is a partial face view of an alternative embodiment of the incorporation of a drainage spigot into a reservoir;

Figure 13 is a face view of an alternative embodiment of condom part and reservoir; Figures 14a to 14e are face views of alternative shapings of said reservoir.

With reference to Figure I, a condom catheter and reservoir combination is made with a condom part 1 and reservoir 2 in a close-coupled but detachable arrangement. Said condom part comprises a basically tubular element of a diameter to fit closely and firmly on penis 3 made from a thin, light, softly flexible, elastomeric material of suitable durability. Said condom part is closed at one end by a short extension 4 made sufficiently thick to maintain its shape while remaining flexible. Said short extension turns through an angle in the range 75° to 105° and tapers to a reduced diameter, terminating in suitable, liquid-tight connection means 5. The inner surface of said condom part is optionally provided with circumferential raised or textured zones

(not shown) to promote attachment and sealing of said condom part to the penis. The proximal opening of said condom part is provided with rolled edge 43 which facilitates the rolling-up method of removal of said condom part when it is no longer required.

Said reservoir is made with a more or less straight upper edge 6, the part below said upper edge being made more or less part-circular in shape or in the shape of an inverted equilateral triangle. With additional reference to Figure 2, suitable stiffening means 7 are provided along said upper edge. In the preferred embodiment, said stiffening means are accommodated within said reservoir and take the form of a tubular or inverted U- shaped member made from a suitable light, stiff, non-corrodible material. The ends of said stiffening means are formed into lugs 11 which sealingly pass out through the uppermost side edges of said reservoir. Said lugs are provided with suitable apertures which are engaged by suitable quick-release connection means 12 provided on the lower ends of supporting straps 13. In an alternative embodiment, said lugs are simply formed in the upper corners of said reservoir and all embodiments of said lugs are preferably suitably reinforced with metal or polymer eyelets, grommets or collars. Said supporting straps support said reservoir from a suitable belt (not shown), said supporting straps and said belt being light and simply adjusted and made from a material providing comfort and ease of sanitisation. Quick connection and length adjustment means for belts and straps are well known in the art. To accommodate different body shapes, the upper ends of said supporting straps may be fixed in a variety of positions to a plurality of reinforced attachment points (not shown) provided on said belt. In the preferred embodiment, said straps are attached to said belt at the side, obliquity of said straps acting to apply tension to said upper edge of said reservoir and thereby restricting any tendency for said upper edge to sag. In an alternative embodiment (not shown), said stiffening means are made removable and take the form of a rod or tubular member made from a suitable, light, stiff material passing externally along the upper edge 6 of said reservoir through a sleeve, a plurality of straps, a plurality of rings, or the like fixed to or moulded into said upper edge, hi another alternative embodiment, said stiffening means take the form of an inverted U-shaped member made from a suitable light, stiff material and provided with a plurality of holes positioned along its longitudinal axis. A plurality of complementary, mushroom-headed lugs is provided along the longitudinal axis of upper edge 6 of said reservoir and said stiffening means are fixed to said reservoir by said lugs being urged through said holes until said mushroom heads emerge. Said reservoir comprises outer panel 9 (positioned away from the body) and inner panel 8 (positioned against the body), zones of said outer panel being differentially textured to produce a controlled stretching and distension as said reservoir fills. Said texturing (not shown) is provided to a greater degree in a transverse zone across the upper part of said outer panel and take the form of part-spherical dimples, concentric corrugations or small recesses of other suitable shape. In its empty state, said reservoir is substantially flat. As said reservoir fills, said controlled stretching and distension results in the generation of a shape of more or less constant thickness, rather than a shape of tear-drop vertical cross-sectional shape which would normally occur. This feature renders the filling reservoir less conspicuous, which effect is obviously enhanced by the wearing of trousers with a more capacious crotch region. It is intended that proper use of said reservoir will restrict its filling to that which will permit said reservoir in its filled state to readily mould itself to the shape of the groin area of a user when seated.

Said condom catheter can normally be accommodated within normal male underpants. Even in the obese, the groin region offers a cavity below the abdomen and between the thighs and said filling reservoir is substantially accommodated within this cavity. It should be noted that a third strap passing between the legs cannot be used as said reservoir must be free to hinge upwardly when a subject is seated. Should said reservoir not be free to so move, excessive pressure may be applied to it with the possibility of rupture. Positioned on upper edge 6 towards one of its ends are liquid- tight connection means 14 complementary to liquid-tight connection means 5 of said condom part, the penis and said condom part being deflected to the appropriate side of the lower abdomen to permit connection of the two said complementary connection means in a liquid-tight way. It should also be noted that deflecting the penis to one side and parallel with said reservoir provides the best utilisation of space with the least obtrusiveness. Liquid-tight connection means 14 are moulded into flange 15 which is, in turn, moulded into, fused or bonded to said reservoir upper edge. Positioned towards the lower edge of outer panel 9 of said reservoir is drainage spigot 16 fitted at its free end with drainage valve 18. In the preferred embodiment, said drainage valve takes the form of a knurled collar which is twisted to unseat a suitable drainage valve (not shown), said collar acting also as a jet which permits the outflow to be accurately directed. The base of said drainage spigot is formed into flange 17 which is moulded into, fused or bonded to said outer panel.

With additional reference to Figures 6 and 7, in the preferred embodiment, liquid-tight connection means 14 are moulded into flange 15 together with short conduit 21 terminating in duckbill-type non-return valve 22 which extends inwardly between inner and outer panels 8, 9 of said reservoir. During assembly of said reservoir, said short conduit is passed through suitable aperture 20 provided in stiffening means 7. Said duckbill-type non-return valve provides free drainage of urine from said condom part into said reservoir while preventing any backflow from said reservoir. In alternative embodiments, said non-return valve takes the form of any suitable valve which opens at low pressure, including a flap-type valve, lightly sprung ball-type valve, float valve and the like.

With further reference to Figures 1 and 2, in the preferred embodiment, said outer and inner panels of said reservoir are moulded flat or cut from a sheet of suitable flat material. An aperture is provided at the base of outer panel 9 to accommodate drainage spigot 16 and flange 17 is bonded or fused to said outer panel over said aperture. A suitable aperture is provided towards one end of the medially-located zone which will form upper edge 6 to accommodate liquid-tight connection means 14, said outer and inner panels are folded into juxtaposition and flange 15 is bonded or fused to said upper edge over said aperture. Said stiffening means (where internally-located) are U2008/001036

14 placed in position and the edges of said outer and inner panels are bonded or fused together. Short extension 4 is made somewhat thicker than the main cylindrical part of condom part 1 and has moulded into its distal end terminal fitting 23 made from a suitable light, rigid, non-corrodible material, preferably a mouldable polymer. In one embodiment, knurled collar 5 is free to turn on said terminal fitting and abuts flange 25 formed on the end of said terminal fitting. Said knurled collar is provided with threaded part 24 which engages complementary threaded socket 19 of liquid-tight connection means 14. Said liquid-tight connection means of said reservoir are made from a suitable light, rigid, non-corrodible material, preferable a mouldable polymer. To connect said connection means of said condom part and said reservoir in a liquid-tight way, said knurled collar is used to screw and tighten threaded part 24 into complementary threaded socket 19 to bring the end face of flange 25 into sealing abutment with sealing surface 26. In another embodiment (not shown), terminal fitting 23 and liquid-tight connection means 14 incorporate complementary bayonet-type connection means which are engaged by turning one or the other through an angle of 90 degrees, the male part (terminal fitting 23) incorporating a more or less cylindrical sealing spigot and the female part (liquid-tight connection means 14) incorporating a suitable lip seal or O-ring seal which seals to said sealing spigot when the two said complementary connection means are mated. In this embodiment, said bayonet connection means are made such that a pronounced 'click' sound is heard as said bayonet connection is made and, for subjects with defective hearing, the percussive effect of engagement can be felt through the fingers. Either effect confirms the making of a good connection and is of advantage to obese subjects who may be unable to directly observe their genital regions. Li an alternative embodiment, to aid such obese persons who might make the connection between said condom part and said reservoir while observing their genital regions in a mirror, said all connection devices are preferably made brightly coloured. Where, in an obese subject there is an accumulation of adipose tissue in the genital region, this must be displaced with one hand while installing said condom part. The applicator device taught by Goulter in US 7,014,635 is useful in these circumstances as it facilitates the installation of said condom part on the penis. More importantly, said applicator device eliminates the need to accurately select said condom part for size, permitting the installation on the penis of a firmly fitting condom part and thereby obviating the use of tight bands and the like to ensure a liquid-tight seal between said condom part and the penis. Where, in a seriously obese subject, the penis is substantially covered by adipose tissue (retracted penis), the working of such tissue upon the rolled edge of the proximal opening of said condom part is often found to act to displace said condom part from the penis, hi an alternative embodiment (not shown), said rolled edge is deleted from said condom part and said proximal opening is made with a plain edge, a short, narrow strap fixed to said edge being provided to be gripped and pulled to assist in removal of said condom part when it is no longer required. Also in a seriously obese subject, it is impractical to deflect a retracted penis to one side. To meet the needs of such subjects, in an alternative embodiment (not shown), said liquid-tight connection means of said reservoir are centrally located on said reservoir and said complementary connection means of said condom part are connected to them without the previously described sideways deflection of the penis.

With continued reference to Figures 6 and 7, in the preferred embodiment, said reservoir, flange 15, short conduit 21, duckbill-type valve 22, sealing surface 26, drainage spigot 16 fitted at its free end with drainage valve 18, flange 17, condom part 1 and short extension 4 are made from a suitable soft, flexible elastomer, including, but not limited to, natural rubber, synthetic rubber (cis-polyisoprene), nitrile rubber, polyacrylic rubber, butyl rubber, chloroprene rubber (neoprene), chlorosulfonated polyethylene (CSM), ethylene propylene (EPM), fluoroelastomers, silicone rubber (VMQ), styrene-butadiene (SBR), polysulfide rubbers (T), and polyurethane diisocyanate elastomers (AU). In the preferred embodiment, said condom part is either used once and disposed of or used only a few times. It is thus conveniently and economically be made from natural latex rubber as used in the manufacturing of prophylactic condoms. In the preferred embodiment, said reservoir is used for an extended period, being washed and sanitised between each use. It is made from a stable material offering a long service life. Where said condom part is to be re-used, it is washed, sanitised, dried and powdered and, in the preferred embodiment, is prepared for installation and applied to the penis using an adaptation of the roll-up device and applicator device taught by Goulter in US 7,014,635. For the purpose of explanation, the complete text of US 7,014,635 is incorporated herein by way of reference.

Said reservoir is optionally made in a range of shapes and capacities to suit the needs of individuals, a smaller reservoir being used where a subject is able to more frequently empty it. In an alternative embodiment (not shown), for the use of nonambulatory subjects or during sleep periods, provision is made for removal of said reservoir and connection of a drain line from said condom part to a remote reservoir. In this embodiment, said penis and condom part are located and retained by a flexible, padded bar supported from supporting straps 14 and located by a third strap passing between a subject's legs and attached to said belt at the rear. Said third strap bifurcates at the front to pass to either side of the scrotum, its two ends being attached to said padded bar towards its ends. Said padded bar has fixed to it by suitable detachable means a short, rigid conduit incorporating a suitable non-return valve. Said liquid-tight connection means of said condom part are connected to the upper end of said short, rigid conduit and liquid-tight connection means at the free end of said drain line are connected to the lower end of said short, rigid conduit. Upon leaving the bed, said padded bar, drain line and third strap are readily removed and said reservoir refitted. In an alternative embodiment (not shown), said padded bar is deleted and said penis and said condom part are located and retained by a firm-fittmg garment similar in form to men's underpants. In this embodiment, said penis is brought out through a suitable opening in the front of said garment and said short tubular housing is removably attached in an appropriate position to the front exterior of said garment. Said liquid- tight connection means of said condom part are connected to the upper end of said short, rigid conduit and liquid-tight connection means at the free end of said drain line are connected to the lower end of said short, rigid conduit, hi an alternative embodiment, said remote reservoir is deleted and replaced by a reservoir strapped to a user's leg.

With reference again to Figure 1, it can be seen that said reservoir is typically worn partially covering scrotum 33. Where this embodiment results in discomfort, provision is made to optionally shape said reservoir to better suit the male anatomy and provide increased comfort. With further reference to Figures 3 and 5, in an alternative embodiment, upper edge 6 of said reservoir is reshaped to provide depression 29, the region of said upper edge around depression 29 being coated with a layer of a suitable soft, resilient material, such as flock, felt, knitted Jersey material, foam material or the like. This embodiment permits said reservoir to be worn higher, requiring said liquid- tight connection means 14 of said reservoir to be relocated to outer panel 9 of said reservoir on short spigot 33. Flange 15 formed on the end of said short spigot is bonded or fused to said outer panel over a suitably located aperture provided for the purpose. With reference to Figure 4, in another alternative embodiment, the upper, central region of said reservoir is displaced forwardly to provide depression 31 on the inner side of said reservoir. Said depression better accommodates scrotum 34 (as depicted in Figure 1) and comfort is further improved by coating the region of depression 31 with a layer of a suitable soft, resilient material, such as flock, felt, knitted jersey material, foam material or the like. In an alternative form of this embodiment, the inner and outer panels of said reservoir are bonded or fused together in the region of said depression, hi all reshaping of said reservoir, said stiffening means are suitably modified to support the new shape.

With reference again to Figure 6, to minimise the effects of exposure of the penis to urine, diaphragm 27 is provided towards the distal end of said condom part. Said diaphragm is made from a soft, thin, flexible, elastomer similar to that from which condom part 1 is made and centrally-located aperture 28 of suitable size is provided in it. During installation of the pre-rolled said condom part on the penis, said diaphragm is placed in contact with the glans with said aperture positioned over the meatus. Unrolling of said condom part then acts to maintain said diaphragm against the glans, any subsequent emission of urine being delivered into region 42 at the distal end of said condom part from whence it cannot flow back.

With reference to Figure 8, in a further alternative embodiment, to mitigate the macerative effect upon the penile skin of prolonged wearing of said condom part and/or exposure to urine, said diaphragm is deleted and a protective cap is worn over the glans and outer part of the penile shaft. Said protective cap comprises glans shield part 36 in which is provided suitable aperture 37, radially-arranged sealing flange 38, shaft shield part 39, comfort band 40 accommodated within said shaft shield part, and retaining sleeve 41. Said glans shield part, said radially-arranged sealing flange and said shaft shield part are made in a single piece from a soft, thin, flexible elastomer similar to that from which condom part 1 is made. Said comfort band is made from a light, soft material which is treated to make it highly hydrophobic and, in the preferred embodiment, is also treated with a suitable deodorant and a mild antiseptic compound. In the preferred embodiment, said retaining sleeve is formed as an extension of said comfort band or said shaft shield part and is made from a thin, perforated elastomer, knitted, elastic jersey material, an open-weave fabric formed from textile-coated elastic filaments, or the like. In the preferred embodiment, the material of said comfort band, said elastic jersey material of said retaining sleeve and said textile coating of said elastic filaments is cotton. The internal diameters of said shaft shield part, said comfort band and said retaining sleeve are such as to make a firm fit on a typical flaccid penis. If desired, protective caps of different diameters may be provided. In use, said protective cap is a single-use, throwaway item and is intended to be packaged aseptically with said retaining sleeve, said shaft shield part and said comfort band rolled up against said radially-arranged sealing flange with said glans shield part deflected inwardly. To install said protective cap onto the penis from its said rolled form, said glans shield part is placed firmly over the glans deflecting said glans shield part outwardly and locating aperture 37 over the meatus. Said shaft shield part, said comfort band and said retaining sleeve are then unrolled, said retaining sleeve firmly gripping the outer penile shaft and thereby retaining said protective cap on the glans and penile outer shaft with the glans shield part in firm contact with the head of the glans. Said condom part is then installed on the penis in the normal way, where appropriate through the use of the applicator device taught by Goulter, radially-arranged sealing flange 38 sealing against the inner surface of said condom part and acting to prevent any inward migration of urine. Any subsequent emission of urine through aperture 37 is delivered into region 42 (as depicted in Figure 6) at the distal end of said condom part from whence it cannot flow back. Any small amount of urine able to penetrate between said glans shield part and said glans is repelled away from said glans and penile shaft by the hydrophobic effects of said comfort band, thereby maintaining the said parts dry and without deleterious effect.

With reference to Figure 9, condom part 1 is made with hollow cylindrical connection spigot 44 fixed to the end of short extension 4, the free end 59 of said spigot being rounded or chamfered to facilitate its insertion into connection socket 60. Said connection socket is made from a suitable stiff, rubbery polymer material and, in the preferred embodiment, is made integral with reservoir 2 and made from the same or a similar compatible material. Said connection spigot is made from a suitable light, rigid, non-corrodible material and its outer surface is smoothly polished with a raised, rounded detent ring 45 provided at approximately its mid length. The bore of said connection socket is made smoothly polished with a circumferential detent groove 46 complementary to said detent ring. The inner end of said connection socket is made with a non-return valve in the form of flap valve 47 attached at one side at typical point 48 and abutting the flat inner end of said connection socket. Said flap valve is made from a suitable softly elastic sheet polymer material. To connect said condom part to said reservoir, said connection spigot is first preferably lubricated and then inserted into the bore of said connection socket until said detent ring is felt to engage said detent groove. The advantage of this embodiment is the fact that no special orientation is required in order to insert said connection spigot into said connection socket. Said flap valve readily passes a flow of urine from said condom part but any pressure within said reservoir causes it to close against the inner end of said connection socket. In alternative embodiments, said non-return valve takes the form of any suitable valve which opens at low pressure, including duckbill-type, lightly sprung ball-type, float-type and the like. In an alternative embodiment, to aid such obese persons who might make the connection between said condom part and said reservoir while observing their genital regions in a mirror, said all connection devices are made brightly coloured. In an alternative embodiment employed when a reservoir is made small, said connection socket is made to extend deeply into said reservoir permitting a non-return valve incorporated into its said inner end to be positioned in any suitable position within said reservoir.

With reference to Figure 10, connection means 49 are provided formed in localised dome 50 formed on the upper edge 6 of reservoir 2. Following connection of said condom part to said reservoir, said localised dome is depressed causing it to deflect inwardly to the over-centre position depicted in broken line as 51. The advantage of this embodiment is the fact that it permits a close positional relationship between said condom part and said upper edge of said reservoir.

With reference to Figure 11, the connection means of reservoir 2 (not shown) lie at the inner end of a short, inwardly-projecting bellmouth (not shown) formed in the upper edge 6 of said reservoir. Said bellmouth serves to guide the connection means (not shown) of condom part 1 into said reservoir connection means, thereby facilitating the sealingly joining of the two said connection means. A further advantage of this embodiment is the fact that it permits said condom part to be positioned against and parallel to upper edge 6 of said reservoir, in which position it is retained by strap 52. With one of its ends permanently fixed to said inner surface of said reservoir, said strap passes over said condom part and is detachably fixed to the outer surface 9 of said reservoir using Velcro® or suitable alternative attachment means (not shown).

With reference to Figure 12, drainage spigot 16 is made from a suitable flexible material with a flattened cross-sectional shape and a lumen in the form of an elongated ellipse. The outer surface 9 of said reservoir is provided with two raised ridges 53 which act to positively locate said drainage spigot and two raised shoulders 54 which act to positively locate drainage valve 18. The advantage of this embodiment is the fact that said drainage spigot and said drainage valve are effectively accommodated within the depth of said reservoir, thereby providing a flatter and less conspicuous arrangement.

With reference to Figure 13, in situations in which a small reservoir 2 is employed, the outer end of condom part 1 may extend beyond the end of said reservoir, thereby rendering direct connection of the two impossible. In this situation, a flow of urine is conducted from said condom part to said reservoir by connection line 56 the upper end of which is fixed to the end of said condom part using connection means 55, and the lower end of which is permanently connected to said reservoir. In this embodiment, following connection of said condom part to said reservoir, said condom part is retained in a position against and parallel to upper edge 6 of said reservoir by strap 52 having its inner end permanently fixed to the rear surface of said reservoir, passing over said condom part to be detachably fixed to the outer surface 9 of said reservoir using complementary Velcro® pads 58, 61 or similar attachment means. In the preferred embodiment, the lower end of said connection line and the fixed end of drainage spigot 16 terminate in a common flattened boss 57. In an alternative embodiment, the lower end of said connection line and the fixed end of said drainage spigot terminate at separate points in said reservoir. Where said connection line and said drainage spigot terminate commonly at said flattened boss, a suitable non-return valve is incorporated into said connection line, in the preferred embodiment positioned immediately adjacent connection means 55.

With reference again to Figure 1, where the upper edge 6 of said reservoir is made thicker and, thereby, stiffer, stiffening means 7 are optionally deleted. In an alternative embodiment, said stiffening means are made in the form of an elongate, flat spine of a suitable stiffly flexible material. Fixed to the upper edge of said spine are a plurality of short, discrete semi-cylinders upon which the inner surface of upper edge 6 is supported. Said stiffening means permit said reservoir to readily flex inwardly and outwardly, but restrict sagging deflection of its said upper edge.

With reference to Figure 14a, a reservoir of the present invention is made with a straight upper edge and shallow curved lower edge.

With reference to Figure 14b, a reservoir of the present invention is made with a straight upper edge, short sides and shallow curved lower edge. With reference to Figure 14c, a reservoir of the present invention is made with a straight upper edge, short sides and straight, equiangular lower edges.

With reference to Figure 14d, a reservoir of the present invention is made with a straight upper edge and straight, equiangular lower edges.

With reference to Figure 14e, a reservoir of the present invention is made with a straight upper edge and cutaway lower edges to better accommodate the shape of the human body.

In the preferred embodiment, all of the shapes of said reservoir depicted in Figures 14a to 14e are made with a ratio of width to depth in the range 1.5 : 1 to 3 : 1.

In an alternative embodiment (not shown), said reservoir is cleaned and sanitised using a sanitisation dispenser manufactured for the purpose from a suitable light, stiffly flexible polymer material. Said sanitisation dispenser is filled to a predetermined level with water, to which is added a quantity of sanitisation compound imparting cleaning, deodorising and antiseptic properties. Said sanitisation dispenser is closed with a cap incorporating connection means complementary to those of said reservoir (depicted as 14 in Figure 7) and shaken to dissolve and mix said sanitisation compound. Said connection means of said cap are sealingly attached to said connection means of said reservoir and said sanitisation dispenser squeezed to eject its contents into said reservoir. Said connection means are then separated, said connection means of said reservoir closed with a suitable closure (not shown) and said mixture of water and sanitisation compound left inside said reservoir for a suitable time period. If required, said reservoir is shaken to enhance the cleaning and sanitisation effect. Said reservoir is then emptied in the normal way using said drainage spigot, rinsed by filling with clean water using said sanitisation dispenser, shaken, re-emptied using said drainage spigot and is then available for further use. In the preferred embodiment, said sanitisation compound is optionally placed in said sanitisation dispenser in the form of one or more quickly dissolving tablets, a quantity of liquid measured in a small measuring cup, a quantity of powder measured in a small measuring cup or a quantity of liquid measured by one or more strokes of a calibrated pump incorporated into a suitable dispenser. The embodiment described permits said reservoir to be quickly and easily cleaned and sanitised whilst maintaining its outer surface dry and with no requirement for special facilities.

Claims

1. Apparatus for the management of urinary incontinence in men comprising:
• a flat, bag-type reservoir supported pendently over the crotch region by straps from a belt;
• a condom-type sheath substantially enclosing the penis in a liquid-tight manner;
• complementary connection means incorporated into the distal end of the sheath and into the reservoir permitting the two to be connected in a liquid-tight manner;
• a drainage fitting incorporated into the reservoir at its lower edge to permit the emptying of collected urine;
• an optional protective cap worn over the glans penis and outer penile shaft; • optional means to connect the condom-type sheath to a remote reservoir;
• means to sanitise the reservoir.
2. The apparatus of Claim 1 in which the connection means of the reservoir and sheath are positioned such that the penis is displaced laterally against the abdomen and maintained in a more or less horizontal attitude.
3. The apparatus of Claim 1 in which the reservoir is made in a variety of sizes to provided a variety of liquid capacities.
4. The apparatus of Claim 1 in which the reservoir is made from a durable, softly flexible material such that it drapes and moulds itself to the anatomical shape of the crotch region during seating.
5. The apparatus of Claim 1 in which the reservoir is made in any of, or any combination of, the following forms:
• semi-circular in form, in use with the diameter is maintained horizontal and uppermost and the arcuate edge disposed downwardly;
• part-circular in form, in use with a straight edge is maintained horizontal and uppermost and an arcuate edge disposed downwardly; • in the form of an inverted, regular triangle, in use with the base maintained horizontal and uppermost and the apex disposed downwardly;
• in the shape of an inverted, regular triangle of the form and disposition described, but modified by cutting off the apex to produce a straight, more or less horizontal lower edge;
• in the shape of an inverted, regular triangle of the form and disposition described, but modified by cutting off the side apices to produce two straight, more or less vertical side edges;
• in the shape of inverted, regular triangle of the form and disposition described, but modified such that the downwardly directed, angled edges are made concave.
6. The apparatus of Claim 1 in which the straps from which the reservoir is suspended are removably connected to its upper corners.
7. The apparatus of Claim 6 in which the upper corners of the reservoir are provided with reinforcements to receive the ends of the supporting straps.
8. The apparatus of Claim 1 in which the straps from which the reservoir is suspended are attached to the sides of the belt, obliquity of the straps providing tension to the upper edge of the reservoir and acting to prevent sagging.
9. The apparatus of Claim 1 in which the straps from which the reservoir is suspended are made adjustable in length.
10. The apparatus of Claim 1 in which the lower ends of the straps from which the reservoir is suspended are provided with quick-release connection means.
11. The apparatus of Claim 1 in which the upper ends of the straps from which the reservoir is suspended are able to be attached to the belt in a variety of locations to accommodate different body sizes.
12. The apparatus of Claim 1 in which the upper edge of the reservoir is made thicker to render it less susceptible to sagging.
13. The apparatus of Claim 1 in which the reservoir is provided with separate stiffening means passing internally along and within its upper edge or externally along and fixed to the upper edge.
14. Apparatus according to Claim 13 in which the stiffening means take the form of a tubular or inverted, U-shaped member.
15. Apparatus according to Claim 13 in which the ends of the stiffening means are extended beyond the edges of the reservoir and formed into lugs for the attachment of the straps of Claim 1.
16. The apparatus of Claim 1 in which the reservoir is created by moulding it in flat form, folding it and sealingly joining the corresponding edges.
17. Apparatus according to Claim 16, in which, in use, the folded edge of the reservoir is maintained uppermost.
18. The apparatus of Claim 1 in which connection means are formed in the upper, folded edge of the reservoir adjacent one side edge.
19. The apparatus of Claim 1 in which the connection means of the reservoir are male or female in general arrangement and of screw thread, bayonet or plug-in-type complementary to those of the condom-type sheath.
20. Apparatus according to Claim 19 in which plug-in-type connection means of the reservoir are female and incorporate a bellmouth entry to facilitate engagement of male connection means.
21. The apparatus of Claim 1 in which a non-return valve is incorporated into the connection means of the reservoir.
22. Apparatus according to Claim 21 in which the non-return valve takes the form of a duck bill-type valve, flap-type valve, lightly sprung ball-type valve or float valve formed on a short inward extension of the connection means.
23. Apparatus according to Claim 22 in which the non-return valve is optionally formed on a longer inward extension of the connection means which extends substantially into the interior of the reservoir.
24. The apparatus of Claim 1 in which the connection means of the reservoir are formed on a localised dome which may be depressed inwardly to remain in an over-centre position.
25. The apparatus of Claim 1 in which the distal end of the condom-type sheath is narrowed and turns through an angle in the range 75° to 105°.
26. The apparatus of Claim 1 in which the distal end of the condom-type sheath is made substantially rigid and incorporating connection means.
27. Apparatus according to Claim 26 in which the connection means are male or female in general arrangement and of screw thread, bayonet or plug-in-type complementary to those of the reservoir.
28. The apparatus of Claim 1 in which, in use, the upper, folded edge of the reservoir is maintained at a level at which the laterally deflected penis extends horizontally along it.
29. The apparatus of Claim 1 in which, for comfort purposes, the surfaces of the reservoir contacting the penis or scrotum are coated with a layer of soft, resilient material.
30. The apparatus of Claim 1 in which, for comfort purposes, the areas of the reservoir adjacent the penis or scrotum are modified by being cut away or bulged outwardly.
31. The apparatus of Claim 1 in which the connection means of the reservoir are situated on the free end of a short connection line entering a lower zone of the reservoir.
32. Apparatus according to Claim 31 in which the connection line shares a common entry to the reservoir with the drainage fitting of Claim 1.
33. Apparatus according to Claim 32 in which a non-return valve is incorporated into the connection line.
34. The apparatus of Claim 1 in which the connection means of the reservoir are centrally located, in use permitting the penis to be maintained in a natural position.
35. The apparatus of Claim 1 in which the connection means of the reservoir are situated on the front panel of the reservoir.
36. The apparatus of Claim 1 in which the upper part of the outer panel of the reservoir is modified to produce a controlled stretching and distension during filling.
37. Apparatus according to Claim 36 in which the modification takes the form of a plurality of part-spherical dimples, concentric corrugations or small recesses.
38. The apparatus of Claim 1 in which the condom-type sheath is provided internally towards its distal end with a thin, soft, flexible diaphragm which abuts the glans penis or prepuce.
39. Apparatus according to Claim 38 in which an aperture is provided in the diaphragm to permit discharge of urine.
40. Apparatus according to Claim 2 in which the penis is retained in its laterally deflected position by a strap passing over it from the reservoir.
41. Apparatus according to Claim 40 in which one end of the strap is permanently fixed to the inner panel of the reservoir and the other is temporarily fixed to the outer panel of the reservoir by means of Velcro® or the like.
42. The apparatus of Claim 1 in which the protective cap comprises:
• a shield part covering the glans penis and/or prepuce with a centrally-located aperture to permit discharge of urine;
• a sealing band around the exterior of the protective cap to prevent backflow of urine up the condom-type catheter; • a shaft shield to protect the outer penile shaft from urine contact; • a comfort band enclosed within the shaft shield; and
• a retaining sleeve formed as an extension of the shaft shield or comfort band to grip the penile shaft.
43. Apparatus according to Claim 42 in which the comfort band is made from a light, soft material treated to render it hydrophobic and optionally containing deodorant and antiseptic compounds.
44. Apparatus according to Claim 42 in which the retaining sleeve is made from a thin perforated sheet elastomer material, knitted elastic jersey material, or an open-weave fabric formed from textile-coated elastic filaments.
45. Apparatus according to Claim 42 in which the protective cap is made in a range of sizes to suit different penises.
46. The apparatus of Claim 1 in which the condom-type sheath is made in a range of sizes to suit different penises.
47. The apparatus of Claim 1 in which the drainage fitting is made with a flattened lumen from a softly flexible material and recessed into the outer face of the reservoir to render it less conspicuous.
48. The apparatus of Claim 1 in which the drainage fitting is provided with a drainage valve opened by pulling or turning a collar.
49. The apparatus of Claim 1 in which the connection means are made brightly coloured to facilitate their identification by the visually impaired.
50. The apparatus of Claim 1 in which bayonet connection means produce an audible click and haptic impulse when connection is properly made.
51. The apparatus of Claim 1 in which push-in connection means provide a haptic impulse when connection is properly made.
52. The apparatus of Claim 1 in which the condom-type sheath is textured internally to promote adhesion to the penis.
53. The apparatus of Claim 1 in which the rolled proximal edge of the condom-type sheath is deleted and a short strap is provided on the proximal edge to assist in removal of the sheath.
54. Apparatus according to Claim 13 in which the internal stiffening means take the form of an elongate, flat spine of stiffly flexible material to the upper edge of which is fixed a plurality of discrete semi-cylinders.
55. The apparatus of Claim 1 in which the reservoir is made with a ratio of width to depth in the range 1.5:1 to 3:1.
56. The apparatus of Claim 1 in which the reservoir is replaced with a padded bar supporting a short, rigid conduit incorporating a non-return valve, the condom-type sheath being connected to one end of the conduit, the other end of the conduit being connected to a remote reservoir by means of a drain line.
57. Apparatus according to Claim 56 in which the padded bar is supported in place by the two straps from which the reservoir is normally suspended and a third, bifurcated strap which passes between the user's legs to either side of the scrotum and thence to the rear of the belt.
58. Apparatus according to Claim 56 in which the padded bar is deleted, the short, rigid conduit is attached to the exterior of a tight lower garment, the penis and condom-type sheath are brought out through an opening in the front of the garment, the sheath is connected to one end of the conduit, and the other end of the conduit is connected to a remote reservoir by means of a drain line.
59. The apparatus of Claim 1 in which the means to sanitise the reservoir take the form of a flexible dispenser having connection means complementary to those of the reservoir, the dispenser being filled with water to which is added a sanitisation compound imparting cleaning, deodorising and antiseptic properties; the mixture being injected into the reservoir via the connection means, left to act for a prescribed period of time and then removed via the drainage fitting; the reservoir being flushed before re-use.
60. The apparatus of Claim 1 in which the condom-type sheath is provided in rolled-up form for ease of application and security in use and is intended to be a single-use item.
61. The apparatus of Claim 1 in which the protective cap is provided in rolled-up form for ease of application and security in use and is intended to be a single-use item.
62. A method of managing urinary incontinence in men comprising:
• supporting a flat, bag-type reservoir pendently over the crotch region of a subject by straps from a belt;
• optionally installing a protective cap over the glans penis and outer penile shaft; • substantially enclosing the penis in a condom-type sheath in a liquid-tight manner;
• connecting in a liquid-tight manner connection means incorporated into the distal end of the sheath to complementary connection means in the reservoir, thereby permitting the sheath to drain into the reservoir; • opening a drainage fitting incorporated into the reservoir at its lower edge when collected urine is to be discharged;
• optionally removing the reservoir and connecting the condom- type sheath to a remote reservoir in a non-ambulatory subject; • sanitising the reservoir before re-use.
63. The method of Claim 62 in which the arrangement of the connection means of the condom-type sheath and reservoir is such that the penis is displaced laterally against the abdomen and maintained in a more or less horizontal attitude.
64. The method of Claim 62 in which, in use, the upper, folded edge of the reservoir is maintained at a level at which the laterally deflected penis extends horizontally along it.
65. The method of Claim 62 in which the penis is retained in its laterally deflected position by a strap passing over it from the reservoir.
66. The method of Claim 62 in which the reservoir is replaced with a padded bar supporting a short, rigid conduit incorporating a non-return valve, the condom-type sheath being connected to one end of the conduit, the other end of the conduit being connected to a remote reservoir by means of a drain line.
67. A method according to Claim 66 in which the padded bar is supported in place by the two straps from which the reservoir is normally suspended and a third, bifurcated strap which passes between the user's legs to either side of the scrotum and thence to the rear of the belt.
68. A method according to Claim 66 in which the padded bar is deleted, the short, rigid conduit is attached to the exterior of a tight lower garment, the penis and condom-type sheath are brought out through an opening in the front of the garment, the sheath is connected to one end of the conduit, and the other end of the conduit is connected to a remote reservoir by means of a drain line.
69. The method of Claim 62 in which the reservoir is sanitised using a flexible dispenser having connection means complementary to those of the reservoir, the dispenser being filled with water to which is added a sanitisation compound imparting cleaning, deodorising and antiseptic properties; the mixture being injected into the reservoir via the connection means, left to act for a prescribed period of time and then removed via the drainage fitting; the reservoir being flushed before re-use.
PCT/AU2008/001036 2007-07-17 2008-07-17 A condom catheter with detachable drainable reservoir WO2009009832A1 (en)

Priority Applications (2)

Application Number Priority Date Filing Date Title
AU2007903834 2007-07-17
AU2007903834A AU2007903834A0 (en) 2007-07-17 Condom Catheter with Separate Detachable Reservoir

Publications (1)

Publication Number Publication Date
WO2009009832A1 true WO2009009832A1 (en) 2009-01-22

Family

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/AU2008/001036 WO2009009832A1 (en) 2007-07-17 2008-07-17 A condom catheter with detachable drainable reservoir

Country Status (1)

Country Link
WO (1) WO2009009832A1 (en)

Cited By (1)

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Publication number Priority date Publication date Assignee Title
US10226377B2 (en) 2015-12-10 2019-03-12 Venkata Buddharaju Condom catheter

Citations (6)

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GB2094632A (en) * 1981-03-18 1982-09-22 Bullen Charles S Ltd Improvements in surgical appliances
US4713066A (en) * 1986-03-20 1987-12-15 Glenna Komis External male urinary catheter with garment
US4957487A (en) * 1988-12-30 1990-09-18 Baylor College Of Medicine External male urinary catheter and collection system
US5478334A (en) * 1994-06-30 1995-12-26 Bernstein; Jerry Urine collecting assembly for incontinent males
US20020193763A1 (en) * 2001-06-18 2002-12-19 Vyacheslav Kulikov Urine collecting method and assembly for incontinent males
EP1570819A1 (en) * 2004-03-01 2005-09-07 Zygmunt Dobrowolski Urine drainage device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2094632A (en) * 1981-03-18 1982-09-22 Bullen Charles S Ltd Improvements in surgical appliances
US4713066A (en) * 1986-03-20 1987-12-15 Glenna Komis External male urinary catheter with garment
US4957487A (en) * 1988-12-30 1990-09-18 Baylor College Of Medicine External male urinary catheter and collection system
US5478334A (en) * 1994-06-30 1995-12-26 Bernstein; Jerry Urine collecting assembly for incontinent males
US20020193763A1 (en) * 2001-06-18 2002-12-19 Vyacheslav Kulikov Urine collecting method and assembly for incontinent males
EP1570819A1 (en) * 2004-03-01 2005-09-07 Zygmunt Dobrowolski Urine drainage device

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10226377B2 (en) 2015-12-10 2019-03-12 Venkata Buddharaju Condom catheter

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