653 results about "Urinary catheter" patented technology

According to an aspect of the invention, medical devices are provided, which have the following (a) one or more superhydrophobic surface regions, (b) one or more superhydrophilic surface regions having a durometer of at least 40 A, or (c) a combination of one or more superhydrophobic surface regions and one or more superhydrophilic surface regions having a durometer of at least 40 A. Such surfaces are created, for example, to provide reduced resistance to the movement of adjacent materials, including adjacent fluids and solids. Examples of medical device surface regions benefiting from the present invention include, for example, outside and / or inside (luminal) surfaces of the following: vascular catheters, urinary catheters, hydrolyser catheters, guide wires, pullback sheaths, left ventricular assist devices, endoscopes, airway tubes and injection needles, among many other devices.

A urinary catheter clip-on device applies surface acoustic waves of Rayleigh-Lamb and / or Love type to a urinary catheter for preventing biofilms on the catheter surfaces. The bacteria is forced to move relative to the vibrating catheter surface. The amplitudes of bacteria vibrations are in nanometer range. The relative motion of bacteria results in bacteria quorum sensing, and disrupts the bacteria attachment process. The method is preventive as surface acoustic waves create low acoustic energy and bacteria is not killed.

A catheter assembly allowing for non-contaminated insertion of the catheter into the urinary canal. The catheter assembly includes a urinary catheter, a catheter package and a sealing member. The urinary catheter defines a conduit and has a proximal end adapted for insertion into the urinary canal and an opposite distal end. The catheter package has a hose with a cavity for accommodation of the catheter, and a catheter outlet adapted to dismantle the proximal end of the catheter from the catheter package. The sealing member is adapted to provide a substantially liquid-tight seal between the catheter package and the urinary catheter while the catheter is being dismantled.

A closed system irrigation connector for use with both 3-way and 2-way urinary catheters is disclosed. The connector fits all urinary catheters and accepts continuous irrigation sets as well as all bulb, piston, and Toomey catheter tip irrigation syringes. The connector eliminates the use of catheter plugs and reduces the mess and leakage often associated with present urinary catheter irrigation procedures. The connector converts an open procedure to a closed system procedure protecting the patient from outside contamination to reduce urinary tract infections as well as the clinician from potentially infectious body fluids. It comprises an assembly of a plastic housing with an internal silicone diaphragm slit valve and a plastic entrance port that are unitized in assembly by sonic welding. The entrance port forms a tapered wedge lock engagement with irrigation sets as well as catheter tip irrigation syringes.

An improved apparatus for monitoring the intra-abdominal pressure of a hospitalized patient includes a urinary catheter connected to a urine valve having selectable communication positions between a discharge end of the urinary catheter and either a drain or a fluid source. Preferably, the urine valve has a housing adapted to resist patient discomfort from leg-valve contact. One operable protective housing may be embodied as a separate tray component. Plumbing structure desirably maintains fluid supply and drain conduits in a substantially parallel arrangement to assist routing those conduits between a patient's legs. When the urine valve is oriented for communication to the fluid source, an infusion pump may be used to introduce a known quantity of fluid through the urine valve and into the patient's bladder where the fluid's pressure can be measured. Desirably, a double check valve is included in a fluid supply path and arranged to permit repetitive operation of a syringe to inject a bolus of fluid into the patient's bladder. Subsequent to making a pressure measurement, the urine valve is returned to the bladder draining position.

A use in a medical device of at least one salt of organic acid(s), and preferably a benzoate or a sorbate, as an antimicrobial agent is disclosed, and in particular for the manufacturing of an antimicrobial coating for a medical device for the prevention of bacterial infection. This is very useful in medical devices having a hydrophilic coating, such hydrophilic urinary catheters. It is further preferred that the pH of the hydrophilic coating is controlled to be in the range 4.0-8.0, and preferably in the range 5.0-6.0. It is also preferred that the pH of the hydrophilic coating is controlled to be below 7.0. The pH of the hydrophilic coating could be controlled by means of a pH buffer, and preferably a citrate or phosphate buffer. Specifically, the provision of the salt of organic acid in combination with a pH buffer has proven surprisingly efficient for inhibition of bacterial growth, and for prevention of bacterial infections.

A urinary catheter and method of its use for measuring the internal pressure of a human or other mammal. The catheter includes three lumens, or channels. The first lumen is dedicated to draining urine, the second lumen is dedicated to a retention balloon, and the third lumen is available for connection to a pressure transducer. In use, the catheter is installed in a patient, the third lumen is filled with a pressure transmitting medium, connected to a pressure sensor, and the patient's intra-abdominal pressure is monitored without interruption of the urine flow.

Medical articles impregnated with antimicrobial compositions containing synergistic combinations of octoxyglycerin and other anti-infective compounds are disclosed. Such medical articles may include urinary catheters, central venous catheters, tracheal catheters, arterial grafts, wound dressings, sutures, or any other medical articles derived from polymeric substrates such as biomedical polyurethane, biomedical polyvinylchloride (PVC), biomedical silicon, biodegradable polymers, polytetrafluoroethylene (PTFE), etc. or from natural products including natural rubber, silk or cotton fiber. Antimicrobial compositions comprising salicylic acid and sesquiterpenoids are also disclosed.

A urinary catheter assembly is disclosed having a catheter, a sheath enclosing an insertable portion of the catheter, and a free end partially open to allow fluid communication between the lumen of the sheath and an environment outside the sheath.

An improved apparatus for monitoring the intra-abdominal pressure of a hospitalized patient includes a urinary catheter connected to a urine valve having selectable communication positions between a discharge end of the urinary catheter and either a drain or a fluid source. Preferably, the urine valve has a housing adapted to resist patient discomfort from leg-valve contact. One operable protective housing may be embodied as a separate tray component. Plumbing structure desirably maintains fluid supply and drain conduits in a substantially parallel arrangement to assist routing those conduits between a patient's legs. When the urine valve is oriented for communication to the fluid source, an infusion pump may be used to introduce a known quantity of fluid through the urine valve and into the patient's bladder where the fluid's pressure can be measured. Desirably, a double check valve is included in a fluid supply path and arranged to permit repetitive operation of a syringe to inject a bolus of fluid into the patient's bladder. Subsequent to making a pressure measurement, the urine valve is returned to the bladder draining position.

An apparatus for monitoring the intra-abdominal pressure of a hospitalized patient includes a urinary catheter connected to a urine valve providing selectable communication between a discharge end of the urinary catheter and either a drain or a fluid source. Preferably, the urine valve is adapted for remote actuation and has a housing adapted to resist patient discomfort from leg-valve contact. Plumbing structure desirably maintains fluid supply and drain conduits in a substantially parallel arrangement to assist routing those conduits between a patient's legs. When the urine valve is oriented to permit communication with the fluid source, an infusion pump may be used to infuse a known quantity of fluid through the urine valve and into the patient's bladder. A pressure transducer desirably is connected in-circuit to indicate the fluid's pressure. To facilitate the infusion process, an automatic flow control device may be included in a fluid supply path and arranged to permit repetitive operation of a syringe to inject a bolus of fluid into the patient's bladder. Subsequent to a period of time in which to make a pressure measurement, preferred embodiments of the urine valve automatically return to a bladder draining position.

The urinary catheter system includes a urinary catheter, a connector and a medical implement which is readily attached to or removed from the connector. When a medical implement such as a collection appliance is attached to the connector, fluid such as urine can flow from the patent and into the collection appliance. Alternatively, when a syringe is attached to the connector, the catheter system may be irrigated to remove debris and other foreign matter, or the syringe may be used to provide medication to the patient. The system is preferably a closed system in which the connector includes a resealable valve which prevents the flow of fluid through the connector if a medical implement is not attached.

A device structured to generate an input signal to a monitor (201) to visually indicate a value for one or more physiological state variables measured by one or more transducers (203) associated with a medical patient. Preferred embodiments include a pressure transducer (195) placed in fluid communication with the patient's bladder (177) effective to infer intra-abdominal pressure P2. Embodiments may also include a temperature transducer (143) configured to measure the temperature of fluid in / near the bladder (177) to infer core body temperature. Certain embodiments of the invention may include a second pressure transducer (235) configured to measure arterial blood pressure. In the latter case, signals received from the two pressure transducers (177, 235) may be manipulated to produce a third signal corresponding to abdominal perfusion pressure, which can then be indicated on a numeric display device (233).

Described herein are devices, systems, kits and methods for measuring intra-abdominal pressure (IAP) from a patient catheterized with a urinary catheter system. Devices may include a bypass lumen configured to connect to a pressure transducer, a sampling port connector connected to the bypass lumen, a drain tube housing configured to at least partially enclose a portion of the drain tube of a urinary catheter system, and a clamp mechanism. The sampling port connector may be configured for removable attachment to the sampling port of the urinary catheter system to form a fluid connection between the urinary catheter system and the bypass lumen of the IAP device. The clamp mechanism may be configured to controllably occlude the lumen of the urinary catheter system drain tube.

A flexible direct vision fiberoptical viewing cable is placed within a urinary catheter with its tip located at a distal end of the catheter such that the surfaces of the distal end of both the viewing cable and the catheter are aligned so as to fit together in such a way as to form a composite smoothly curved surface to facilitate negotiating obstructions. The cable is maintained in this position within the catheter with the surfaces that comprise the tip of the instrument, maintained in alignment. The urethra is then viewed therethrough during all or part of the insertion procedure for observing and identifying obstructions that may be present and thereafter the fiberoptic cable is withdrawn while allowing the catheter to remain in place within the urethra.Another form of instrument includes a working sheath and an obturator. A method is also described for facilitating endoscopic examination and surgical procedures through the sheath.

The present invention provides an assembly for the preparation of a medical device having a porous coating comprising hydrogen peroxide. Particularly interesting medical devices are catheters (such as urinary catheters), endoscopes, laryngoscopes, tubes for feeding, tubes for drainage, guide wires, condoms, urisheaths, barrier coatings e.g. for gloves, stents and other implants, extra corporeal blood conduits, membranes e.g. for dialysis, blood filters, devices for circulatory assistance, dressings for wound care, and ostomy bags. The coating is in particular a hydrophilic coating formed from cross-linked polyvinylpyrrolidone. In one embodiment, the assembly holds a dry catheter element in one compartment of a package and an aqueous hydrogen peroxide solution in another compartment. The solution may also comprise stabilizers, e.g. chelators, and osmolality increasing agents. The catheter for insertion in the urethra is useful for the treatment, alleviation or prophylaxis of microbial infections such as urinary tract infections (UTI).

The invention provides an assembly for wetting a medical device, in particular a urinary catheter, with a fluid medium. The device is packed in a package which contains the fluid medium confined in a compartment. To ensure wetting of the device, the package is adapted to open the compartment and the package in one and the same opening action, preferably so that the compartment opens at the latest when the package opens. In that way, removal of the device from the package requires opening of the compartment and the device is therefore wetted automatically as part of the opening procedure.

The invention provides a catheter, e.g. a urinary catheter, comprising two parts joined in a fixed connection. One part is made for manipulation of the other part, which other part is made for insertion into the body. The catheter comprises a sleeve attached to the outer surface of one of parts and which protects against bacterial contamination of the catheter and against smudging of surroundings with lubricants, water or similar friction reduction substances which may be pre-applied to the catheter to facilitate safe insertion. The invention fuirther provides a sleeve for the above mentioned catheter.

A wetting apparatus (110) for wetting a hydrophilic urinary catheter (103) comprises a wetting receptacle (101) which defines a wetting fluid receiving area (102) for receiving the hydrophilic urinary catheter and a hydrophilic urinary catheter wetting fluid container (106) having a discharge outlet (126) movable from a closed position to an open position on application of a predetermined condition thereto to enable the wetting fluid to be discharged from the wetting fluid container. The wetting fluid container provided can be positioned in the wetting receptacle in an operational position in which at least the discharge outlet of the wetting fluid container is disposed within the bounds of the wetting receptacle, the wetting receptacle being so constructed and the wetting fluid container being so disposed relative to the wetting receptacle when in the operational position that application of the predetermined condition to the discharge outlet of the wetting fluid container when in the operational position enables the wetting fluid to be discharged into the wetting fluid receiving area for wetting of the hydrophilic urinary catheter.

An improved apparatus for monitoring the intra-abdominal pressure of a hospitalized patient includes a urinary catheter connected to a urine valve having selectable communication positions between a discharge end of the urinary catheter and either a drain or a fluid source. Preferably, the urine valve has a housing adapted to resist patient discomfort from leg-valve contact. One operable protective housing may be embodied as a separate tray component. Plumbing structure desirably maintains fluid supply and drain conduits in a substantially parallel arrangement to assist routing those conduits between a patient's legs. When the urine valve is oriented for communication to the fluid source, an infusion pump may be used to introduce a known quantity of fluid through the urine valve and into the patient's bladder where the fluid's pressure can be measured. Desirably, a double check valve is included in a fluid supply path and arranged to permit repetitive operation of a syringe to inject a bolus of fluid into the patient's bladder. Subsequent to making a pressure measurement, the urine valve is returned to the bladder draining position.

A catheter assembly suitable for intermittent catheterization comprising a cylindrical casing composed of two telescopically moveable parts one of which is connectable to and moveable with a piston which is rigidly connected to a urinary catheter. The interior of the cylindrical casing is filled with a lubricating, anesthetic, antiseptic liquid, or the like, which during catheterization is injected into the urethra and urinary bladder through the catheter under the effect of movement of the piston simultaneously with the insertion of the catheter into the urethra. The device is provided with an anti-infective cap which is inserted into the first third of the urethra and is used as a guide for inserting the catheter into the urethra without physical contact with the part if the urethra which is a harbor of infections.

An assembly for wetting a medical device, in particular a urinary catheter, with a fluid medium is provided. The device is packed in a package which contains the fluid medium confined in a compartment. To ensure wetting of the device, the package is adapted to open the compartment and the package in one and the same opening action, preferably so that the compartment opens at the latest when the package opens. In that way, removal of the device from the package requires opening of the compartment and the device is therefore wetted automatically as part of the opening procedure.

A urinary catheter and companion packaging system for packaging sterile items utilized during a catheterization procedure are shown. A lightweight, flexible package contains a collection of ancillary materials and a catheter package. The catheter package houses a solution pouch, a protection sheath, and a catheter within the protection sheath. A saline solution is contained within the solution pouch, and is capable of being released from the solution pouch once external pressure breaks a weakened seam along one side of the solution pouch. A hydrophilic coating on the catheter activates once the saline solution contacts the exterior surface of the catheter. The catheter has an insertion tip that has been oven blasted and rounded in order to reduce the coefficient of friction. The overall length of the catheter is greater than about sixteen inches.

An apparatus for monitoring the intra-abdominal pressure of a patient includes a urinary catheter (102) connected to a urine valve (250) providing selectable communication between a discharge end of the urinary catheter (102) and either a drain (224) or a fluid source (104). Preferably, the urine valve (250) is adapted for remote actuation and has a housing adapted to resist patient discomfort from leg-valve (250) contact. Plumbing structure desirably maintains fluid supply (225) and drain (223) conduits in a substantially parallel arrangement to assist routing those conduits (225, 223) between a patient's legs. When the urine valve (250) is oriented to permit communication with the fluid source (104), an infusion pump (116′) may be used to infuse a known quantity of fluid through the urine valve (250) and into the patient's bladder (216). A pressure transducer (218) desirably is connected in-circuit to indicate the fluid's pressure and avoid pressure fluctuations induced by system components. To facilitate the infusion process, an automatic flow control device may be included in a fluid supply path (225) and arranged to permit repetitive operation of a syringe (116′) to inject a bolus of fluid into the patient's bladder (216). Subsequent to making a pressure measurement, the urine valve (250) is returned to the bladder (216) draining position.

Thermoplastic elastomers may be manufactured by mixing together plasticizing oil, a triblock copolymer and one or more additives, e.g., an antioxidant, an antimicrobial agent, and / or other additives, to form a mixture which is melted then cooled into the thermoplastic elastomer. During cooling the thermoplastic elastomer may be molded or otherwise formed into any number of articles including, but not limited to, prosthetic liners, prosthetic sleeves, external breast prostheses, breast enhancement bladders, wound dressing sheets, wound dressing pads, socks, gloves, malleolus pads, metatarsal pads, shoe insoles, urinary catheters, vascular catheters and balloons for medical catheters both vascular as well as urinary.

A catheter for draining urine from a bladder is made more resistant obstructions and blood clot accumulations by configurations of urine inlet openings into an interior urine drainage passageway. The inlet opening configurations include a whistle tip, a multiple opening tip, a couvelaire tip, and a beveled tip with a direct opening into the passageway. A low friction coating also resists blood clot accumulation. A single-use or multiple-use clearing device moves within the interior drainage passageway to contact, disintegrate, and facilitate movement of the accumulated clots and obstructions out of the urine inlet opening and interior passageway.

A wetting apparatus (110) for wetting a hydrophilic urinary catheter (103) comprises a wetting receptacle (101) which defines a wetting fluid receiving area (102) for receiving the hydrophilic urinary catheter and a hydrophilic urinary catheter wetting fluid container (106) having a discharge outlet (126) movable from a closed position to an open position on application of a predetermined condition thereto to enable the wetting fluid to be discharged from the wetting fluid container. The wetting fluid container provided can be positioned in the wetting receptacle in an operational position in which at least the discharge outlet of the wetting fluid container is disposed within the bounds of the wetting receptacle, the wetting receptacle being so constructed and the wetting fluid container being so disposed relative to the wetting receptacle when in the operational position that application of the predetermined condition to the discharge outlet of the wetting fluid container when in the operational position enables the wetting fluid to be discharged into the wetting fluid receiving area for wetting of the hydrophilic urinary catheter.

Medical articles impregnated with antimicrobial compositions containing synergistic combinations of octoxyglycerin and other anti-infective compounds are disclosed. Such medical articles may include urinary catheters, central venous catheters, tracheal catheters, arterial grafts, wound dressings, sutures, or any other medical articles derived from polymeric substrates such as biomedical polyurethane, biomedical polyvinylchloride (PVC), biomedical silicon, biodegradable polymers, polytetrafluoroethylene (PTFE), etc. or from natural products including natural rubber, silk or cotton fiber.