BALLOON-FREE, SELF-RETAINABLE AND THREADABLE URETHRAL CATHETER
20250082894 ยท 2025-03-13
Inventors
Cpc classification
A61M27/00
HUMAN NECESSITIES
A61M2205/0238
HUMAN NECESSITIES
A61M25/0017
HUMAN NECESSITIES
A61M25/0074
HUMAN NECESSITIES
A61M25/0102
HUMAN NECESSITIES
A61M2205/0216
HUMAN NECESSITIES
A61M2025/0008
HUMAN NECESSITIES
International classification
Abstract
The present disclosure provides a balloon-free, self-retainable and threadable urethral catheter that contains special external markings to guide insertion, and that could be indwelled easily and safely. Through various experiments and the structural configuration, the balloon-free, self-retainable and threadable urethral catheter of the present disclosure can make insertion of a mushroom-tip urethral catheter easily performed by primary care medical professionals, instead of previously only been done by senior urologists with a semi-rigid stainless-steel stylet. This disclosure leads to better urine drainage and reduces irritation to the posterior wall of the bladder. With the special design of this disclosure, minor urethral structure can be overcome to insert this catheter safely.
Claims
1. A balloon-free, self-retainable and threadable urethral catheter, comprising: a catheter, including a proximal flexible mushroom-like winged end and a distal end relative to the proximal flexible mushroom-like winged end, wherein the catheter has a hollow inner lumen between the proximal flexible mushroom-like winged end and the distal end; and a stylet movably inserted into the hollow inner lumen of the catheter from the distal end; wherein the proximal flexible mushroom-like winged end conforms longitudinally when force of the stylet is applied, and forms a contour with its diameter larger than an outer diameter of the catheter when the force of the stylet is not applied.
2. The balloon-free, self-retainable and threadable urethral catheter according to claim 1, further comprising an external adhesive or a wrapping material, wherein the external adhesive or the wrapping material wraps the proximal flexible mushroom-like winged end of the catheter to keep the proximal flexible mushroom-like winged end in a straight streamline form.
3. The balloon-free, self-retainable and threadable urethral catheter according to claim 2, wherein the external adhesive or the wrapping material is a water-soluble coating or a water-soluble capsule shell made of water-soluble materials.
4. The balloon-free, self-retainable and threadable urethral catheter according to claim 3, wherein the water-soluble coating or the water-soluble capsule shell comprises a formulation solution and the formulation solution comprises a water-proof emulsion.
5. The balloon-free, self-retainable and threadable urethral catheter according to claim 4, wherein the water-proof emulsion consists of a hydrophilic monomer and a lipophilic monomer.
6. The balloon-free, self-retainable and threadable urethral catheter according to claim 1, further comprising a locking mechanism, wherein the locking mechanism includes a threaded nut and a bolt segment matching the threaded nut, and the bolt segment is disposed on the stylet.
7. The balloon-free, self-retainable and threadable urethral catheter according to claim 1, wherein a small hole is formed at the proximal flexible mushroom-like winged end, and the small hole and the hollow inner lumen form a continuous space to allow a guidewire to pass through.
8. The balloon-free, self-retainable and threadable urethral catheter according to claim 1, wherein the distal end is formed with an external opening, the balloon-free, self-retainable and threadable urethral catheter further comprises a detachment mechanism, and the detachment mechanism is located at the external opening.
9. The balloon-free, self-retainable and threadable urethral catheter according to claim 1, wherein the proximal flexible mushroom-like winged end includes a multi-winged mushroom portion, the stylet pushes and streamlines the catheter and makes the multi-winged mushroom portion straightened in a pre-assembled unpackaged form.
10. The balloon-free, self-retainable and threadable urethral catheter according to claim 1, wherein the stylet has a proximal tip that meets the proximal flexible mushroom-like winged end of the catheter when inserted into the hollow inner lumen of the catheter.
11. The balloon-free, self-retainable and threadable urethral catheter according to claim 1, wherein the catheter further includes a ruler marking disposed on the catheter, the ruler marking includes a male ruler marking and a female ruler marking respectively, and the ruler marking is used to notify users of different genders as to length of the catheter already inserted into body.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0026] The following drawings form part of the present specification and are included here to further demonstrate some aspects of the present invention, which can be better understood by reference to one or more of these drawings, in combination with the detailed description of the embodiments presented herein.
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DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT
[0047] In the following detailed description of the embodiments of the present invention, reference is made to the accompanying drawings, which are shown to illustrate the specific embodiments in which the present disclosure may be practiced. These embodiments are provided to enable those skilled in the art to practice the present disclosure. It is understood that other embodiments may be used and that changes can be made to the embodiments without departing from the scope of the present invention. The following description is therefore not to be considered as limiting the scope of the present invention.
Definition
[0048] As used herein, the data provided represent experimental values that can vary within a range of 20%, preferably within 10%, and most preferably within 5%.
[0049] Unless otherwise stated in the context, a, the and similar terms used in the specification (especially in the following claims) should be understood as including singular and plural forms.
[0050] Most importantly, the main thesis of this invention is easy and safe insertion of an proximal mushroom-like indwelling urethral catheter that would change the preference, and thus the routine medical practice, of the majority of the indwelling urethral catheters from the current urethral catheters containing a water balloon at its proximal tip to this modified novel catheter.
[0051] Maybe some of the ideas mentioned below have been used in similar catheters, but the fact is currently in the market there is no such modified novel balloon-free self-retainable thread-able urethral catheter I described, and the Malecot catheter is rarely used in the clinical practice mainly due to the possible challenges that could be encountered during its insertion. With the applicant's multiple modifications and innovations, the assembled composite end result is that this new catheter provides simpler, safer, while allowing flexible alternative technique of urethral catheter insertion.
Example 1
[0052]
[0053] Other ideas include a soft and water-soluble coating 41 (see
[0054] In addition, another example we proposed is that the water-soluble capsule shell 61 (
Example 2
[0055] The capsule formulation of the urethral catheter contains gelatin in the prior art (PVA: gelatin: water-proof emulsion=14: 1:3). Gelatin is a thermoreversible gel derived from animal gum. It is soft, non-toxic and easily soluble. Gelatin easily causes the dip-coating solution to settle, which is not conducive to the manufacturing process. Taking into account that after being sold as a product, there will be people of various religions, the animal formulation is removed. Therefore, the gelatin formulation is directly replaced, and the following experiments are performed. Experiment 1: The final weight ratio of hydrophilic PEG added to the glycerol formulation is determined. Experiment 2: The storage condition of finished urethral catheter capsules is observed. Experiment 3: The storage status of solution samples is observed.
[0056] First, the trends of different weight ratios are observed. The formulation solution of PVA: PEG4000: water-proof emulsion=14: 1:3 is called A. The result is shown in
[0057] Experiment 1: The final weight ratio of hydrophilic PEG added to the glycerol formulation is determined. The formulation solution of PVA: PEG4000: water-proof emulsion=14: 1:3 is called A. The result is shown in
[0058] Next, the gelatin formulation is directly replaced, see Table 1.
TABLE-US-00001 TABLE 1 PEG + glycerol formulation Gum Arabic (*20:2) thickness (m) 140 160 swelling time 2 min 12 s 3 min dissolved time 13 min 10 min *The formulation solution of PVA:PEG4000:water-proof emulsion = 14:1:3 is called A (A:glycerol = 20:2).
[0059] These two sets of formulations having suitable swelling time and dissolved time when directly replacing gelatin are confirmed. These two sets of formulations were sent to the Plastic Center for asking to help make urethral catheter capsules for subsequent testing. It was delivered at room temperature, hoping to improve the previous foaming process.
[0060]
[0061] Experiment 2: The storage condition of finished urethral catheter capsules is observed. After production, finished urethral catheter capsules were placed in a ziplock bag and stored in a drying oven. After a week of observation, it is found that the formulation of hydrophilic PEG and glycerol is easy to absorb moisture (see
[0062] Experiment 3: The storage status of solution samples is observed. The prepared sample solution was stored in a dark place at room temperature for one month and then observed. There was no obvious sedimentation. Stir was performed just a little before making the coating (see
[0063] The measurement methods of swelling time and dissolved time are as follows. Swelling time: Squeeze a pea-sized amount of jelly onto gauze, rub it on the coated urethral catheter and start timing. Dissolved time: Cut the coating into small pieces, start timing when immersed in water, and stop timing when about 80% is dissolved in the water.
Example 3
[0064]
Example 4
[0065]
[0066] The locking mechanism is achieved by a short threaded nut-and-bolt segment and on the corresponding surfaces (external for the stylet 253; i.e.: bolt 253A, and internal for the catheter; i.e.: nut 252) of each component, presumably near the beginning of the winged proximal tip 251A of the catheter and fastened to extension, in order to straighten and streamline the winged portion of the catheter, so that the winged fenestrations of the external catheter could be straightened into stream-line design with a longer part of the internal stylet 253A-B proximal to the nut-and-bolt screwing mechanism; to facilitate easy passage of this portion of the catheter through the urethral lumen.
[0067] Once the catheter is inserted into the patient's bladder to a satisfactory depth (suggested by the female ruler markings 251B (
[0068] Sufficient rotation of the stylet dis-engages the nut 272 and bolt 273A threaded locking mechanism of the device, returning the winged tip of the catheter to its pre-manufactured relaxed state 271A, the notification markers 251B over the proximal end of the stylet could be seen; allowing the stylet to be removed easily. The urethral catheter 251 is gently pulled back until some mild resistance is met; indicating the winged proximal 251A end of the catheter is located at the bladder neck, thus reducing the risk of accidental catheter removal. Furthermore, a pre-attached catheter fixation pad to fix the external part of the catheter to the nearby body surface to prevent inadvertent dislodgement of the catheter is secured by the provider at this time.
[0069] To emphasize a few more details of the components mentioned above briefly: 1. Both catheter 251 and stylet 253 components are hollow in length and made of flexible materials except for the harder segments with threaded surfaces; 2. As the proximal end 1 of the device will be out of sight for the user upon insertion, ruler markings 251B/271B/271C on the exterior surface of the catheter notifies the operator as to the length of the device already inserted into the patient, which may assist in the process of inserting the winged tip past the bladder neck; this improves the accessibility and accuracy of the device insertion, and avoids traumatizing the posterior bladder wall with the assembled catheter.
[0070] Due to the different urethral lengths in men versus women, men have separate blue ruler markings. The length from the proximal tip to the first male ruler markings 271C1 is 22 cm [2 cm winged portion length+average male urethral length of 20 cm]; Length from proximal tip to third male ruler markings 271C2 is 24 cm [for older men with possibly longer prostate urethra and/or significant intravesical growth; warning of absolutely enough depth]. Females have separate red ruler markings (length from proximal tip to first female ruler markings 271B1 is 6 cm [2 cm winged portion+average female urethral length of 4 cm], and length from proximal tip to third female ruler markings 271B2 is 8 cm [warning of absolutely enough depth](
[0071] Another marker on the distal end 273 of the stylet may be included to inform the operator as to the readiness of stylet removal: a line that is initially hidden by catheter upon unpackaging but fully exposed once the locking mechanism is fully disengaged.
[0072] 3. A single small hole 251C is formed at the tip of the catheter, and it's in continuity with the hollow inner lumen of the stylet 253B/253 to allow the passage of a guidewire, if one is used; in cases that this unpackaged novel catheter could be inserted along a guidewire in the bladder traveling out through the whole urethral lumen-similar concept in using a guidewire helping the proper insertion of a Council-tip urethral catheter.
Example 5
[0073]
[0074] Similarly, an internal soft stylet 273 pushes and streamlines the bladder end of this novel urethral catheter and makes the multi-winged mushroom portion 271A straightened in the pre-assembled unpackaged form; ready for use. This makes the insertion of such urethral catheter easily as current standard urethral catheter insertion (without or with the help of a guidewire). Once the catheter 271 is in correct position (as hinted by the external ruler markings in Example 4 mentioned above), the detachment mechanism of the bolt 273A and the nut 272 of the inner stylet (located at the external opening of the catheter) is to be activated; and the inner soft stylet 273 is pulled out while leaving the outer winged-fenestrated balloon-free urethral catheter in place; this will activate the multi-winged mechanism of the winged-fenestrated balloon-free urethral catheter, to be snugly positioned at the bladder neck.
[0075] Many fine details of this embodiment are the same as those in Example 4, like the inner central lumen and proximal end hole 271D for the guidewire; ruler markings 271B and 271C on the external surface of the urethral catheter; and also the prerequisite nature of the soft materials.
Example 6
[0076]
Example 7
Characteristics of coating materials: [0077] 1. When the urethral catheter is introduced into the urethra, the covering material has transitional water proof properties and binds the mushroom-like winged portion at the front end, forming a straight tube shape in which the front end remains unexpanded. Therefore, the front end of the urethral catheter can be passed smoothly through the urethra and into the bladder from the bladder neck. [0078] 2. When the front end of the urethral catheter enters the bladder, the covering material is infiltrated by urine at an appropriate time and ruptures, no longer binding the mushroom-like winged portion at the front end and allowing it to expand. Therefore, the front end of the urethral catheter can be hung on the bladder neck and fixed, and urine can flow into the urethral catheter through the front opening of the urethral catheter and then be discharged from the body.
[0079] Preparation of amphiphilic water-proof emulsion characteristics of coating materials: When the urethral catheter is introduced into the urethra (usually about 15 seconds to 4 minutes), the coating material prepared by using the amphiphilic water-proof emulsion of the present invention has a short-term water-proof function. When the coating material enters the bladder, it will dissolve, rupture or decompose into small fragments after being soaked in urine for a long time (usually about 4 to 20 minutes).
Composition of amphiphilic water-proof emulsion: [0080] 1. Emulsion polymerization is used to prepare an amphiphilic latex particle solution that has both hydrophilic and lipophilic properties. [0081] 2. Hydrophilic and lipophilic monomers are used as follows. Lipophilic monomers: methyl methacrylate, ethyl methacrylate, butyl methacrylate, methyl acrylate, butyl acrylate, 2-ethylhexyl acrylate, lauryl acrylate, styrene, vinyl acetate, vinyl chloride, vinyl acrylonitrile, glycidyl methacrylate, maleic anhydride, 2-hydroxyethyl methacrylate, 2-vinyl pyridine, 4-vinyl pyridine, and dibutyl itaconate. Hydrophilic monomers: acrylic acid, methacrylic acid, itaconic acid, 2-hydroxyethyl methacrylate, 4-hydrobutyl acrylate, sodium styrene sulfonate, vinyl pyrrolidone, acrylamide, and 2-methylpropenoic acid.
Synthetic Steps for Preparing Amphiphilic Water-Proof Emulsion
[0082] 1. As shown in
[0083] The material ratios of the amphiphilic water-proof emulsion synthesis are shown in Table 2 below.
TABLE-US-00002 TABLE 2 Formulation ratio 0.325/0.325/0.35 0.3/0.3/0.4 Water-phase 10% 10% monomer (wt %) Oil-phase LA 29.25% LA 27% monomer (wt %) DBIA 29.25% DBIA 27% MMA 30.5% MMA 36% Surfactant SDS 2.5% SDS 2.5% (wt %) Initiator KPS 1% KPS 1%
[0084] Steps to prepare coating materials: [0085] 1. Additives and thickeners such as polyvinyl alcohol PVA (Owt % to 70 wt %), PEG4000 (Owt % to 50 wt %), glycerol (Owt % to 40 wt %), gelatin (Owt % to 70 wt %), gum arabic (Owt % to 70 wt %) were added as uniformly mixed with water in a specific ratio. 2. The amphiphilic water-proof emulsion (lwt % to 100 wt %) was evenly mixed with the above solution. 3. Dip coating or blade coating was used to coat a solution with uniform thickness on the substrate or dip mandrel. 4. Drying was performed in an oven at 60 C. for more than one hour to dry into coating material. 5. Coating was repeated on the coating material as needed until thickness requirements were met. 6. The dried coating material was removed from the base material or dipped mandrel, and stored in isolation from moisture to obtain the finished product.
Formulation Ratio for Preparing Coating Materials:
[0086] The formulation solution of PVA: PEG4000: amphiphilic water-proof emulsion=14%: 1%: 3% (wt %) is called A. Formulation ratios are shown in Table 3.
TABLE-US-00003 TABLE 3 Formulation ratio (A:glycerol) 20:0 20:1 30:2 thickness (m) 100 200 160 PVA:PEG4000:amphiphilic water-proof 78%:5%:17%:0% 60.5%:4.5%:13.2%:21.8% 56.6%:4.1%:12.1%:27.2% emulsion:glycerol (wt %) Swelling time 2 min 13 s 6 min 4 min Dissolved time 27 min 18 min 16 min Formulation ratio (A:glycerol) 20:2 20:3 20:4 thickness (m) 160 180 160 PVA:PEG4000:amphiphilic water- 50.2%:3.6%:10.7%:35.5% 42.6%:3%:9%:45.4% 36.9%:2.6%:7.9%:52.6% proof emulsion:glycerol (wt %) Swelling time 3 min 30 s 1 min 30 s Dissolved time 13 min 11 min 10 min
Best Performance Example
[0087] The best coating material ratios at present are 50.2% PVA, 3.6% PEG4000, 10.7% amphiphilic water-proof emulsion and 35.5% glycerol. 3 layers were repeatedly coated to create a coating material with a thickness of 160 m to 200 m.
[0088] In summary, through various experiments and the structural configuration, the balloon-free, self-retainable and threadable urethral catheter of the present invention can improve the efficiency of urine discharge from the body and reduce possible side effects, such as urinary retention, infection, urinary crystal precipitation, stone formation and irritation to the posterior wall of the bladder. If the patient accidentally pulls out the urethral catheter, the urethral catheter of the present invention can also reduce urethral trauma.
[0089] Although the present invention has been described with reference to the preferred embodiments, it will be apparent to those skilled in the art that a variety of modifications and changes in form and detail may be made without departing from the scope of the present invention defined by the appended claims.