|Typ av kungörelse||Beviljande|
|Publiceringsdatum||14 jan 1969|
|Registreringsdatum||17 dec 1965|
|Prioritetsdatum||17 dec 1965|
|Publikationsnummer||US 3421509 A, US 3421509A, US-A-3421509, US3421509 A, US3421509A|
|Uppfinnare||John M Fiore|
|Ursprunglig innehavare||John M Fiore|
|Exportera citat||BiBTeX, EndNote, RefMan|
|Citat från patent (8), Hänvisningar finns i följande patent (196), Klassificeringar (14)|
|Externa länkar: USPTO, Överlåtelse av äganderätt till patent som har registrerats av USPTO, Espacenet|
Jan. 14, 1969 J. M. FIORE URETHRAL CATHETER Sheet 2 ['7 vent-Or Job)? /2 F7'0'r'e Jar/44% Attorne y Filed D80. 17.
United States Patent 3,421,509 URETHRAL CATHETER John M. Fiore, 556 Pinewoods Ave., Troy, N.Y. 12180 Filed Dec. 17, 1965, Ser. No. 514,499 US. Cl. 128349 Int. Cl. A61m 25/00 11 Claims ABSTRACT OF THE DISCLOSURE This invention relates to a urethral catheter and, more particularly, to a urethral catheter of improved insertion characteristics and contamination prevention means.
Urethral catheters are well known medical instruments utilized to remove urine from the bladder, particularly from humans, during the course of or as a result of med ical treatment, diagnosis, and related reasons. As a prerequisite the urethral catheter is a long, thin, flexible and sterile tubulation which is inserted into the urethra to progress past the trigone muscle and into the bladder to withdraw urine therefrom.
Because of the insertion into the bladder, sterility of the instrument is of extreme importance to prevent transmitting of, for example, pathogens and other harmful bacteria from a contaminated instrument to the patient. This contamination may be caused by improper sterility procedures or through inadvertent improper handling of the instrument. More importantly, however, the distal end of the instrument should arrive at the bladder in relatively sterile form, i.e. should not be a carrier of whatever form of contamination may be present at the fossa navicularis of the urethra when passing therethrough.
Accordingly, it is an object of this invention to provide an improved urethral catheter.
Another object of this invention is to provide an improved urethral catheter having contamination preventing means.
An object of this invention is to provide an improved urethral catheter having ancillary means to prevent contamination thereof in the beginning portions of the urethra.
A still further object of this invention is to provide a urethral catheter utilizing its packaging wrapper to facilitate insertion in a sterile manner.
Another object of this invention is to provide an improved single use disposable urethral catheter.
A still further object of this invention is to provide an improved combined single use disposable urethral catheter and packaging or wrapper means for facilitating insertion and use.
Briefly described, this invention in one of its preferred forms includes a short separable protective sleeve-like or liner assembly which is inserted into the outer extremity of the urethra. This sleeve assembly includes internal means in the form of a flexible curtain or cover which is actuated by the action of a tubular catheter passing through the sleeve into the urethra, and peripherally overlies the end of the sleeve. Therefore, the catheter is passed through the first and usually contaminated portion of the urethra without coming in physical or direct contact therewith, and contaminants which may be present in the outer end of the urethra are covered by the sleeve and are not carried by the catheter into the upper reaches of the urethra, bladder, etc.
In a preferred form of this invention the sleeve as well as the catheter is made of a readily and economically disposable material, preferably the non-metals such as certain forms of rubber, plastics, etc. The invention, however, is adaptable for various forms of catheters of the well known kinds including the metallic and ordinarily non-disposable varieties.
These and other aspects of my invention will be better understood when taken in connection with the following description and the drawing in which:
FIG. 1 is a cross-section illustration of a well known urethral catheter;
FIG. 2 is an exemplary illustration of a protective sleeve unit in accordance with this invention;
FIG. 3 is a distal end view of FIG. 2 along the line 33;
FIG. 4 is a schematic illustration of the urethral catheter of FIG. 1 in the sleeve of FIG. 2;
FIG. 5 is a modification of the sleeve unit of FIG. 2; and
FIG. 6 is an illustration of one form of a packaging assembly of this invention.
An exemplary urethral catheter which may be employed in this invention may take the form of the well known self retaining catheter 10 as illustrated in FIG. 1. In FIG. 1 the catheter 10 includes a catheter tubulation 11 preferably of a rubber, plastic, or other single use readily disposable material, The material should have good flexibility characteristicsv with good breakage resistance, be non-toxic to human tissue, etc. Tubulation 11 in cludes an open proximal end 12 and an opposite open distal end 13 interconnected by bore 14. Ordinarily the smooth rounded portion 15 of distal end 13 is inserted into the urethra in sliding contact threwith to pass through the urethra into the bladder. In some self retaining catheters, a thin wall rubber-like distending section 16 is defined by a hollow or cavity 17. Cavity 17 is connected by separate sterile saline admittance passages 18 to a separate end terminal 19. By this means, after insertion of the catheter with the distal end 13 in the bladder,
fluid under pressure in passages 17 causes section 16 to bulge or distend outwardly in the bladder, as illustrated in phantom, and retain the catheter within the bladder for extended use.
The catheter tubulation portion 11 of this invention is of a material which is readily formed in tubular configuration of small internal diameter, easily flexible without breakage and of a structural integrity suflicient to absorb the usual forces necessary to insert the catheter in the urethral passage without dimensional changes. Because of the catheters use in direct contact with human tissue, the catheter material must be non-toxic to human tissue while at the same time not being deleteriously affected by the usual secretions and fluids encountered in the urethra. An important characteristic of the catheter material is that, in addition to the desirable features above mentioned, the material should be of an economical and readily disposable nature. In the preferred form of this invention the catheter is of an economically disposable single use type which is discarded or otherwise rendered unusable for catheterizing purposes after a single use.
This single use feature obviates the present requirement of sterilization of the catheter after each use, and the ever present possibility of transfer of contamination from one person, ie the medical practitioner, assistant, patient, to another patient. The single use concept may be further identified by having the catheter coated with an innocuous substance which will produce a color change when wetted, or by the change of relationship or disarray of parts after use. Exemplary desirable materials meeting the foregoing characteristics are the well known plastics including those known as Nylon, Teflon, etc. One preferred class of plastics materials is linear polyolefin, one of which, linear polyethylene being a specific example, for use in this invention.
The urethra is recognized as an area which is subject to frequent cleansings by passage of urine therethrough. The urinary process aids in preventing contaminants or infectious material from passing upwardly through the urethra into the bladder causing infections of the kind which are then not removed by further passing of urine, or infections which spread beyond the urethra and bladder, to the kidneys, for example. At the same time these infections are most diflicult to treat effectively because of their location and the necessity of continuing the function of the urinary system during treatment. The secretions or contaminants of primary concern are usually found only in the lower or outer extremity, i.e. fossa navicularis, of the urethra. For example, the urethra in the adult male will be maintained in a relatively clean condition from the bladder to a region in the neighborhood of about 1 inch from the meatus. The remaining or end portion, i.e the fossa na-vicularis, is the source of many urinary infections which, for a number of reasons, including catheterization, may be transmitted to other parts of the body.
It is recognized that the mechanism or process of catheterization is a leading cause of urinary infections. For this reason, the practice of catheterization in many instances of diagnosis and treatment is used with hesitancy and caution. Because of this exposure to infection, increased usage and applicability of catheterization for different forms of treatment is limited. In the catheterization process the usual tubular catheter is inserted into the urethra and passed into the bladder. The catheter makes direct sliding contact with the walls of the terminal or end portion of the urethra. In so doing the catheter becomes contaminated and the contaminated catheter, as well as the contaminant material, is carried along or forced into the upper region of the urethra, and in many instances into the bladder itself with consequent more serious infections. The overriding obstacle to increased usage of an invaluable process such as catheterization is, therefore, the infection exposure from its use.
It has been discovered that the use of a sleeve or liner unit device in the catheterization process may materially reduce infections caused from transferring contaminants from one part of the urethra to another, by or from the catheter unit itself. An exemplary sleeve unit is illustrated in FIG. 2. Referring now to FIG. 2, sleeve unit 20 comprises a sleeve, barrel or ferrule portion 21 extending from a radial shoulder or guard 22 which defines open proximal end 23 for bore 24. Barrel portion 21 in one form extends longitudinally about 1 /2 inches from shoulder 22 with a slight external taper surface 25 tapering towards open distal end 26. Distal end 26 includes a well rounded projection 27 commencing at bore 24 and flaring in a curved manner to provide the projection 27.
The external average diameter of the barrel portion 21 may be on the order of about to inch while the bore 24 or inside diameter may be on the order of /8 to inch. Barrel 21 is adapted to be slidingly inserted into the proximal or outer end of the urethra with total insertion into the urethra limited by shoulder 22. The rounded projection 27 with its smoothly curved and flaring surface facilitates insertion into the urethra and at the same time provides a volume or space between the flaring surface and the urethral wall to collect any swept up quantities of contaminant material, so that contaminant material entry through end 26 into bore 24 of barrel 21 is limited. The shape of projection 29' may be of a more pronounced taper to provide a greater volume or collecting space for contaminant material. The outer periphery of barrel 21 may also be provided with smooth linear or curved con'volutions which may be in the form of longitudinally extending corrugations to also facilitate insertion and provide axially extending channel-like recesses for contaminant materials. The material for sleeve unit 20 is preferably the same as described for the single use catheter 10. However, one or the other, or both, may be of the single use type.
While the sleeve unit itself will provide a measure of protection, a major and more significant degree of protection is obtained through the use of an overlie device or flap assembly 28. Overlie device 28 comprises in essence a frame or support member in the form of a ring 29 which resides concentrically within bore 24 of sleeve 20. One method of retaining the frame member 29 within 'bore 24 is by means of groove 30 into which frame ring 29 is resiliently pressed.
Frame ring 29 which is ring shaped suitably supports a number of overlapping wedge-shaped flap segments 31 which effectievly close off the bore 24. Segments 31 overlap each other laterally and also oppositely, i.e. over the center. Segments 31 are of a thin flexible film material such as a plastic, fabric, etc., and are adapted to be axially traversed and radially spread upon entry into bore 24 of catheter 10. Frame ring 29 may be an integral part of the sleeve unit 20 to which a number of segments or flaps 31 are suitably joined. Segments 31 may also comprise a single apertured peripheral film which is folded to provide wedge-like segments, and which in effect may be peripherally unfolded upon insertion of the catheter tubulation 11 of FIG. 1. A spiral curtain arrangement may also be so employed. FIG. 3 represents a distal end view of the sleeve of FIG. 2 illustrating one embodiment of the invention where four wedge-like segments are employed.
FIG. 4 illustrates the operation of overlie device 28 with catheter tubulation 11 inserted therein. As illustrated, the insertion of sleeve 20 into the urethra may gather some secretion or foreign matter about the distal end 26 so that a catheter in passing through open distal end 26 may become contaminated by direct contact with the foreign matter or secretions. Segments 31 are of sufficient length radially and are positioned sufliciently close to end 26 so that they are caused to substantially overlie end 26 not only axially, but also in a continuous peripheral manner as illustrated in FIG. 4. These segments permit the catheter to be inserted past open end 26 without contactingany secretions material gathered near end 26. The overlie device '28 may also be described as a caterpillar arrangement, i.e. a device which lays down its own tread in rolling contact, and which tread is peripherally continuous to provide a wall impervious to transfer of contaminant material therethrough at least during the time catheter insertion takes place. After the catheter 10 is inserted into the bladder the sleeve device 20 may be removed particularly when the catheter may be retained in position for extended periods of time.
As an added precaution, for example, in those instances where risk of infection is to be specifically avoided, additional sleeve units 20 may be employed where the second is inserted through the first to activate the overlie device of the first sleeve and provide a second overlie device of the second sleeve at a deeper point of penetration. Furthermore, where desirable, a number of overlie devices 28, on an extended spiral form, may be employed in axially spaced relationship to each other at end 26. These devices overlie each other axially for added protection, and where individual segments are employed, they are peripherally rotated with respect to each other so that the segments overlie each other as petals, scales, platelets, etc.
One exemplary modification of an overlie device is illustrated in FIG. 5. Referring to FIG. 5 a sleeve unit 32 includes a barrel portion 33 and a guard portion 34 similar to the sleeve 20 of FIG. 2. However, attached to end 35, or as a part of the material of barrel 33 is a tubulation 36. Tubulation 36 is of a thin, flexible material which is impervious to contaminants as described for overlie 28 of FIG. 2. For example, the material for tubulation 36 may be of thin plastic film or suitably impregnated woven or unwoven cloth-like materials. As illustrated in FIG. 5, tubulation 36 extends reentrantly into bore 14 of catheter from the end 35 of barrel 33. As the catheter tube 11 is inserted further through sleeve 32, tubulation 36 is cauesd to unroll upon itself in a toroidal manner to cover any contaminant material about end 36 of sleeve 32. As illustrated in phantom view, continued insertion of catheter 10 unrolls tubulation 36 to its limit and thereafter progresses through tubulation 36 and into the bladder. Tubulation 36 need not provide a path more than that of overlie device 28 of FIG. 2, but may extend to /2 inch :or greater from end 36 depending on choice of film material and mechanical unrolling limitations. It is understood that the sleeve devices, as well as the overlie devices, may be provided with lubricant materials to enhance their overall efiectiveness.
While it is of utmost importance to pass the catheter through the potential danger zone of the urethra, defined by a length extending perhaps an inch or more into the urethra from its external or proximal opening, it is also important that the catheter itself be sterile or free from contaminants. In the first instance, it is preferred that the catheter 10 be of the single use disposable kind so that potential transfer of contaminants from one patient to another be avoided. Secondly, it is important that the catheter not be brought into contact with any other potentially contaminating object, even the person of the medical practitioner. For this reason, medical practitioners use sterile and disposable gloves for the insertion procedure. This procedure, therefore, requires a supply of disposable gloves at the same time and place of the catheterization, as well as being limiting to some degree, of manual freedom.
Therefore, in one form of this invention the single use catheter and a sleeve unit are contained in separate or combined in one sterile wrapper or bag and are therefore ready for immediate use. Furthermore, the bag may be provided with a tear strip or other aperture providing means so that the catheter may be inserted directly from the wrapper into the urethra by manipulating the wrapper. The wrapper itself may also have a portion or area readily punctured by the catheter for insertion into the urethra.
A preferred packaging method suitable for the combined sleeve and catheter is illustrated in FIG. 6. In FIG. 6 the sleeve device, for example, sleeve device 20 and the catheter 10 are included in a first Wrapper or bag 37. The arrangement is such that the sleeve 20 and catheter 10 are arranged in fore and aft relationship in the manner of their expected use. Thus, barrel 21 faces one end of the oblong package, while the catheter is coiled with its inserting end adjacent the guard end of barrel 21. Wrapper 37 is attached or sealed to the periphery of guard 22 or otherwise formed so that the portion covering the barrel 21 may be removed by tearing, tear strip, etc. while the remainder of the wrapper containing the catheter 10 remains intact and in position. Consequently the sleeve device 20 may be inserted into the urethra without contact with any other object. Furthermore, the catheter 10 may then be inserted through sleeve 20 and into the urethra without contact with any external object by manipulating the wrapper. Wrapper 31 may be in fact two separate and opposed wrappers with their opposed open ends sealed to the rim of shoulder or guard 22. Because of the specific mechanical useage of wrapper 37 the material thereof may need further protection. Therefore, a secondary or outer wrapper 38 is provided. It is only necessary that the interior of the inner wrapper be sterile in accordance with this invention. The packaged catheter is also prelubricated for proper use or a section of the wrapper may be employed to contain a suitable lubricant.
While other modifications of this invention and variations of apparatus may be employed within the scope of this invention and have not been described or illustrated, the invention is intended to include all such modi fications as may ordinarily be embraced within the following claims.
What I claim as new and desire to secure by Letters Patent of the United States is:
1. In a urethral catheter combination (a) a short separate sleeve element adapted to be inserted into the outer extremity of a urethra and having an open proximal and distal end for the passage of a catheter therethrough,
(b) overlie means in said sleeve spaced from the said proximal end thereof,
(c) means to actuate said overlie means upon passage of a separate catheter through said sleeve,
((1) said overlie means extending a short distance from and continuously circumferentially overlying the distal end of said sleeve to prevent potential contamination of said catheter by contaminant next adjacent the distal end of said sleeve.
2. The invention as recited in claim 1 wherein said sleeve is a single use disposable plastic material.
3. The invention as recited in claim 1 wherein a plurality of overlie means are employed.
4. The invention as recited in claim 1 wherein a plurality of sleeve elements are utilized one of which is adapted to be inserted through the other to extend therefrom in said urethra.
5. The invention as recited in claim 1 wherein said sleeve is a single use separate disposable item and contained separately in a sanitarwrapper.
6. The invention as recited in claim 1 wherein said sleeve is a single use disposable item of a linear polyolefin material.
7. The invention as claimed in claim 1 wherein said overlie means comprises a plurality of circumferentially adjacent and overlapping film segments which open axially and radially continuously in interleaving relationship and overlie the distal end of said sleeve on passage of said catheter therethrough.
8. The invention as recited in claim 1 wherein said overlie means comprises a transverse wall of contaminant impervious film-like material having means to define an aperture therethrough so that passage of a catheter through said sleeve actuates said wall to provide a peripherally continuous cover overlying the distal end of said sleeve and a portion of the urethra next adjacent thereto.
9. The invention as recited in claim 1 wherein limit means on said sleeve limits the insertion thereof into the urethra to no more than about 1 /2 inches from the outer end thereof.
10. A urethral catheter comprising in combination (a) a long thin flexible tubulation adapted to be inserted into a urethra and into the bladder to conduct fluid therefrom,
(b) short sleeve means separate from said tubulation and adapted for operative association with said tubulation upon insertion of said tubulation therethrough,
(c) said sleeve means .adapted to be inserted into the outer end portion of said urethra to have its remote end portion internally of said urethra in an area next adjacent the meatus thereof,
(d) overlie means in said sleeve adapted to be draped from the said remote end of said sleeve to extend into said urethra for a short distance therein by insertion of said tubulation therethrough,
(e) whereby a length of urethra adjacent said sleeve is effectively bridged peripherally continuously by said draped overlie means to prevent contamination of the passing catheter tubulation through the said length of said urethra internally next adjacent said sleeve,
(f) at least said sleeve means being of a single use disposable material,
7 8 (g) and a sterile wrapper enclosing said sleeve means 3,084,693 4/1963 Cathcart 128-349 and said tubulation, 3,154,080 10/ 1964 Rowan et a1 128-349 (h) said sterile wrapper retaining said overlie means 3,169,529 2/1965 Koenig 128-351 and said tubulation in separated relationship. 3,216,420 11/1965 Smith et a1. 128-283 11. The invention as recited in claim 10 wherein said 5 3,332,424 7/1967 Minteer 128-349 sleeve and said flexible tubulation are retained in predetermined separate portions of said sterile sealed wrapper FOREIGN PATENTS with the said sleeve overlie means and said tubulation 362,799 8/1962 Switzerland. in non-operative relationship.
10 DALTON L. TRULUCK, Primary Examiner. References Cited UNITED STATES PATENTS 1,595,180 8/1926 Fisher 128-240 128-239, 343; 206-632 3,050,066 8/1962 Koehn 128-349
|US1595180 *||27 dec 1922||10 aug 1926||Fisher Arthur R||Irrigator|
|US3050066 *||31 dec 1958||21 aug 1962||Wilbur R Koehn||Retention catheters|
|US3084693 *||31 jul 1961||9 apr 1963||Cathcart Edward R||Aseptic catheter|
|US3154080 *||24 maj 1962||27 okt 1964||Rowlax Lab Co||Aseptic catheter and introducer|
|US3169529 *||27 maj 1963||16 feb 1965||Koenig Norman Z||Tracheostomy tube|
|US3216420 *||27 dec 1962||9 nov 1965||Marvin E Claycomb||Colostomy attachments|
|US3332424 *||3 feb 1965||25 jul 1967||Discon Corp||Extroversive catheter|
|CH362799A *||Ingen titel tillgänglig|
|US3565078 *||25 apr 1969||23 feb 1971||Bard Inc C R||Quick disconnect catheter coupling|
|US3583391 *||21 nov 1968||8 jun 1971||American Hospital Supply Corp||Medical instrument with outrolling catheter|
|US3709220 *||23 okt 1970||9 jan 1973||Boyden A||Applicator for an internal prophylactic appliance|
|US3721229 *||6 apr 1972||20 mar 1973||Panzer N||Obturator device for hysterosalpingography and the like|
|US3788327 *||30 mar 1971||29 jan 1974||Donowitz H||Surgical implant device|
|US3866601 *||20 feb 1973||18 feb 1975||Russell James A||Telescopic speculum|
|US3894540 *||9 okt 1973||15 jul 1975||Bonner F J Jun||Catheter|
|US3937220 *||4 mar 1974||10 feb 1976||International Paper Company||Sterile aspiration catheter|
|US4062363 *||8 jul 1975||13 dec 1977||Bonner F J Jun||Catheter|
|US4148319 *||29 dec 1976||10 apr 1979||Kasper Richard F||Urinary retention catheter|
|US4170996 *||3 nov 1977||16 okt 1979||Rehabilitation Institute Of Chicago||Catheterization unit|
|US4284081 *||1 mar 1979||18 aug 1981||Kasper Richard F||Urinary retention catheter|
|US4301796 *||26 jul 1979||24 nov 1981||Child Laboratories Inc.||Method and apparatus for dispensing fluid|
|US4327735 *||22 okt 1980||4 maj 1982||Cordis Corporation||Catheter assembly|
|US4359044 *||11 dec 1980||16 nov 1982||Child Francis W||Method for placing implant in udder|
|US4612939 *||15 okt 1984||23 sep 1986||Robertson Jack R||Method for diagnosis of stress incontinence in women|
|US4623348 *||13 aug 1984||18 nov 1986||Fredric Feit||Percutaneous sinus tract maintenance prosthesis|
|US4652259 *||21 mar 1985||24 mar 1987||Neil Alexander G B O||Catheter assembly|
|US4686984 *||12 mar 1985||18 aug 1987||Richard Wolf Gmbh||Catheter for widening a puncture channel|
|US4692154 *||2 jun 1986||8 sep 1987||Illinois Tool Works Inc.||Catheter guide|
|US4776845 *||27 jun 1986||11 okt 1988||Davis Emsley A||Rectal-stomal insert apparatus|
|US4776848 *||20 jul 1987||11 okt 1988||Anthony Solazzo||Urethral fluid application device and system|
|US4811847 *||14 mar 1988||14 mar 1989||Reif Thomas H||Urinary catheter package|
|US4863440 *||23 dec 1985||5 sep 1989||Thomas J. Fogarty||Pressurized manual advancement dilatation catheter|
|US4927415 *||12 aug 1988||22 maj 1990||Brodsky Stuart A||Apparatus for safe use and disposal of needles|
|US4946449 *||18 dec 1986||7 aug 1990||Davis Jr Richard C||Indwelling urethral catheter system and method|
|US4957486 *||2 okt 1989||18 sep 1990||Davis Emsley A||Rectal-stomal insert apparatus and method|
|US5108366 *||28 sep 1990||28 apr 1992||Ovamed Corporation||Delivery catheter|
|US5123905 *||7 jun 1991||23 jun 1992||Kelman Charles D||Intraocular lens injector|
|US5267975 *||11 maj 1990||7 dec 1993||Brodsky Stuart A||Apparatus for safe use, disposal and retention of needles|
|US5273527 *||12 maj 1992||28 dec 1993||Ovamed Corporation||Delivery catheter|
|US5372584 *||24 jun 1993||13 dec 1994||Ovamed Corporation||Hysterosalpingography and selective salpingography|
|US5417666 *||4 mar 1994||23 maj 1995||Coulter; Prince J.||Sterile catheter shield|
|US5441485 *||24 feb 1994||15 aug 1995||Peters; Michael J.||Bladder catheter|
|US5531717 *||6 feb 1995||2 jul 1996||Rtc, Inc.||Non-contaminating probe and methods of making and using same|
|US5662582 *||27 feb 1995||2 sep 1997||Iotek, Inc,||Everting incontinence plug|
|US5676688 *||1 jul 1996||14 okt 1997||Rtc, Inc.||Variably inflatable medical device|
|US5702344 *||30 maj 1995||30 dec 1997||University Of Washington||Safe endoscopic accessory|
|US5702414 *||5 sep 1996||30 dec 1997||Optonol Ltd||Method of implanting an intraocular implant|
|US5792114 *||16 dec 1996||11 aug 1998||Fiore; John M.||Introducer for sterile insertion of catheter|
|US5868753 *||13 nov 1995||9 feb 1999||Schatz; Richard A.||Stent retrieval catheter|
|US5897535 *||8 apr 1996||27 apr 1999||Rtc, Inc.||Non-contaminating probe and methods of making and using same|
|US5921952 *||14 aug 1997||13 jul 1999||Boston Scientific Corporation||Drainage catheter delivery system|
|US5928246 *||15 okt 1997||27 jul 1999||Bsc Northwest Technology Center, Inc.||Stent securing catheter|
|US5968058 *||14 jul 1997||19 okt 1999||Optonol Ltd.||Device for and method of implanting an intraocular implant|
|US6027508 *||3 okt 1996||22 feb 2000||Scimed Life Systems, Inc.||Stent retrieval device|
|US6027509 *||1 okt 1997||22 feb 2000||Scimed Life Systems, Inc.||Stent retrieval device|
|US6106531 *||27 jul 1998||22 aug 2000||Schatz; Richard A.||Retrieval shuttle|
|US6203513||20 nov 1997||20 mar 2001||Optonol Ltd.||Flow regulating implant, method of manufacture, and delivery device|
|US6217569||10 maj 1999||17 apr 2001||John M. Fiore||Integral shroud-collector for urinary catheter|
|US6248100||14 maj 1999||19 jun 2001||Scimed Life Systems, Inc.||Drainage catheter delivery system|
|US6264624||25 feb 1999||24 jul 2001||Boston Scientific Coporation||Drainage catheter delivery system|
|US6447490||17 maj 2000||10 sep 2002||James Zhou Liu||Vagina cleaning system for preventing pregnancy and sexually transmitted diseases|
|US6468283||26 aug 1999||22 okt 2002||Optonol, Ltd.||Method of regulating pressure with an intraocular implant|
|US6482181||24 nov 1999||19 nov 2002||Tyco Healthcare Group Lp||Trocar seal system|
|US6510600||4 dec 2000||28 jan 2003||Optonol, Ltd.||Method for manufacturing a flow regulating implant|
|US6551282||21 okt 1999||22 apr 2003||Tyco Healthcare Group Lp||Universal seal for use with endoscopic cannula|
|US6558342||2 jun 1999||6 maj 2003||Optonol Ltd.||Flow control device, introducer and method of implanting|
|US6562024||11 maj 2001||13 maj 2003||Scimed Life Systems, Inc.||Drainage catheter delivery system|
|US6585721||21 feb 2001||1 jul 2003||John M Fiore||Catheter shroud with conduit, collector and improvements|
|US6595946||25 feb 2000||22 jul 2003||United States Surgical Corporation||Valve assembly|
|US6702787||6 jun 2002||9 mar 2004||Tyco Healthcare Group Lp||Trocar seal system|
|US6726664||6 aug 2001||27 apr 2004||Optonol Ltd.||Flow control device, introducer and method of implanting|
|US6736805||31 maj 2002||18 maj 2004||Astrazeneca Ab||Hydrophilic urinary catheter having a water-containing sachet|
|US6755825||13 sep 2001||29 jun 2004||Sherwood Services Ag||Electrosurgical device having a dielectric seal|
|US6770059 *||27 okt 2000||3 aug 2004||Span-America Medical Systems, Inc.||Curved tip for an insertion device|
|US6923783||1 jul 2003||2 aug 2005||United States Surgical Corporation||Valve assembly|
|US6942671||6 nov 2000||13 sep 2005||Tyco Healthcare Group Lp||Surgical sealing apparatus|
|US7001370||9 okt 2002||21 feb 2006||Mentor Corporation||Urine collection bags for urinary catheter systems|
|US7037303||2 nov 2001||2 maj 2006||Opticon Medical, Inc.||Urinary flow control valve|
|US7087048||20 jan 2004||8 aug 2006||Astrazeneca Ab||Hydrophilic urinary catheter having a water-containing sachet|
|US7169130||21 apr 2003||30 jan 2007||Tyco Healthcare Group Lp||Universal seal for use with endoscopic cannula|
|US7244244||9 okt 2002||17 jul 2007||Tyco Healthcare Group Lp||Trocar seal system|
|US7255687||19 nov 2004||14 aug 2007||Percutaneous Systems, Inc.||Systems and methods for luminal access|
|US7306586||30 dec 2003||11 dec 2007||Opmi Funding Corporation||Continuous drainage adaptor|
|US7311706||28 jun 2004||25 dec 2007||Sherwood Services Ag||Electrosurgical device having a dielectric seal|
|US7316677||17 jul 2002||8 jan 2008||Applied Medical Resources Corporation||Ureteral access sheath|
|US7425202||5 mar 2004||16 sep 2008||Percutaneous Systems, Inc.||Non-seeding biopsy device and method|
|US7481816||27 okt 2003||27 jan 2009||Optonol Ltd.||Intraocular implant, delivery device, and method of implantation|
|US7559918||21 mar 2005||14 jul 2009||Joseph Pasqualucci||Valve assembly|
|US7615045||15 jun 2006||10 nov 2009||Astrazeneca Ab||Hydrophilic urinary catheter having a water-containing sachet|
|US7632250||1 mar 2005||15 dec 2009||Tyco Healthcare Group Lp||Introducer seal assembly|
|US7662146 *||12 jan 2007||16 feb 2010||Colorado Catheter Company, Inc.||Indwelling urinary catheterization assembly|
|US7670310||7 dec 2007||2 mar 2010||Optonol Ltd||Flow regulating implants|
|US7727163||27 sep 2004||1 jun 2010||Percutaneous Systems, Inc.||Methods and apparatus for hollow body structure resection|
|US7850655||13 jul 2009||14 dec 2010||Tyco Healthcare Group Lp||Valve assembly|
|US7862531||25 jun 2004||4 jan 2011||Optonol Ltd.||Flow regulating implants|
|US7896846||20 nov 2003||1 mar 2011||Tyco Healthcare Group Lp||Trocar seal system|
|US7931624||5 apr 2005||26 apr 2011||Tyco Healthcare Group Lp||Introducer seal assembly with low profile gimbal seal|
|US7938807 *||12 jan 2007||10 maj 2011||Adapta Medical, Inc.||Devices and methods for securing catheter assemblies|
|US7951118||6 nov 2009||31 maj 2011||Tyco Healthcare Group Lp||Introducer seal assembly|
|US7967798||22 okt 2003||28 jun 2011||Cook Medical Technologies Llc||Introducer apparatus with eversible sleeve|
|US8002934||25 aug 2009||23 aug 2011||Tyco Healthcare Group Lp||Trocar seal system|
|US8007472||15 dec 2006||30 aug 2011||Tyco Healthcare Group Lp||Universal seal for use with endoscopic cannula|
|US8016824||21 okt 2009||13 sep 2011||Covidien Ag||Electrosurgical pencil with drag sensing capability|
|US8034016||7 dec 2007||11 okt 2011||Optonol, Ltd.||Flow regulating implants and methods of implanting|
|US8109896||11 feb 2008||7 feb 2012||Optonol Ltd.||Devices and methods for opening fluid passageways|
|US8152774||30 sep 2010||10 apr 2012||Tyco Healthcare Group Lp||Valve assembly|
|US8192405||25 aug 2009||5 jun 2012||Tyco Healthcare Group Lp||Trocar seal system|
|US8206357||8 feb 2010||26 jun 2012||Tyco Healthcare Group Lp||Articulating surgical portal apparatus with spring|
|US8267898||5 okt 2010||18 sep 2012||Tyco Healthcare Group Lp||Trocar seal system|
|US8282622||9 jan 2007||9 okt 2012||Applied Medical Resources Corporation||Ureteral access sheath|
|US8313454||26 mar 2010||20 nov 2012||Optonol Ltd.||Fluid drainage device, delivery device, and associated methods of use and manufacture|
|US8414562 *||16 feb 2010||9 apr 2013||Adapta Medical, Inc.||Indwelling urinary catheterization assembly|
|US8460289||23 jan 2012||11 jun 2013||Covidien Ag||Electrode with rotatably deployable sheath|
|US8486086||7 nov 2011||16 jul 2013||Optonol, Ltd||Flow regulating implant, method of manufacture, and delivery device|
|US8523823 *||4 dec 2009||3 sep 2013||Ishay Ostfeld||Indwelling device|
|US8551048||27 apr 2004||8 okt 2013||Covidien Lp||Surgical sealing apparatus|
|US8603036||17 jun 2011||10 dec 2013||Cook Medical Technologies Llc||Vascular introducer and method of using same|
|US8696635||18 mar 2011||15 apr 2014||Covidien Lp||Introducer seal assembly with low profile gimbal seal|
|US8702657||23 feb 2012||22 apr 2014||Covidien Lp||Trocar seal system|
|US8753303||17 sep 2010||17 jun 2014||Boston Scientific Scimed, Inc.||Delivery system having stent locking structure|
|US8932262 *||26 jul 2013||13 jan 2015||Ishay Ostfeld||Indwelling device|
|US8968249||25 apr 2011||3 mar 2015||Covidien Lp||Introducer seal assembly|
|US9126008||10 jun 2013||8 sep 2015||Sungyul D Kim||Catheter and method for its use|
|US9155859 *||11 sep 2012||13 okt 2015||Applied Medical Resources Corporation||Ureteral access sheath|
|US9173774||11 sep 2012||3 nov 2015||Optonol Ltd.||Fluid drainage device, delivery device, and associated methods of use and manufacture|
|US9265637||18 nov 2011||23 feb 2016||Boston Scientific Scimed, Inc.||Rapid exchange stent delivery system|
|US9339631||17 sep 2010||17 maj 2016||Boston Scientific Scimed, Inc.||Locking mechanism for a medical device|
|US9408733||17 dec 2010||9 aug 2016||Michael Devon Amos||Rotatable connection between a tubular member and an elongate wire of a catheter|
|US9597207||5 maj 2014||21 mar 2017||Boston Scientific Scimed, Inc.||Delivery system having stent locking structure|
|US9789284 *||22 dec 2014||17 okt 2017||Department Of Veterans Affairs||Urinary catheter assembly and method|
|US20030009079 *||2 nov 2001||9 jan 2003||Opticon Medical, Inc.||Urinary flow control valve|
|US20030040711 *||9 okt 2002||27 feb 2003||Racenet David C.||Trocar seal system|
|US20030079329 *||9 dec 2002||1 maj 2003||Ira Yaron||Flow regulating implant, method of manufacture, and delivery device|
|US20030130646 *||9 okt 2002||10 jul 2003||Kubalak Thomas P.||Urine collection bags for urinary catheter systems|
|US20030195541 *||21 apr 2003||16 okt 2003||Exline Donald D.||Universal seal for use with endoscopic cannula|
|US20040088048 *||27 okt 2003||6 maj 2004||Jacob Richter||Intraocular implant, delivery device, and method of implantation|
|US20040092862 *||1 jul 2003||13 maj 2004||Joseph Pasqualucci||Valve assembly|
|US20040153051 *||20 jan 2004||5 aug 2004||Astrazeneca Ab, A Corporation Of Sweden||Hydrophilic urinary catheter having a water-containing sachet|
|US20040204682 *||27 apr 2004||14 okt 2004||Smith Robert C.||Surgical sealing apparatus|
|US20040230164 *||17 jun 2004||18 nov 2004||Span-America Medical Systems, Inc.||Curved tip for an insertion device|
|US20040236323 *||28 jun 2004||25 nov 2004||Arthur Schoenman||Electrosurgical device having a dielectric seal|
|US20050015076 *||25 jun 2004||20 jan 2005||Inmed Corporation||Catheter application system|
|US20050148999 *||30 dec 2003||7 jul 2005||Opmi Funding, Inc.||Continuous drainage adaptor|
|US20050165356 *||21 mar 2005||28 jul 2005||Joseph Pasqualucci||Valve assembly|
|US20050197627 *||5 mar 2004||8 sep 2005||Percutaneous Systems, Inc.||Method and system for deploying protective sleeve in intraluminal catherization and dilation|
|US20050212221 *||1 mar 2005||29 sep 2005||Smith Robert C||Introducer seal assembly|
|US20050245876 *||22 apr 2005||3 nov 2005||Accessclosure, Inc.||Apparatus and methods for facilitating access through a puncture including sealing compound therein|
|US20050288617 *||25 jun 2004||29 dec 2005||Ira Yaron||Flow regulating implants|
|US20060074436 *||27 sep 2004||6 apr 2006||Percutaneous Systems, Inc.||Methods and apparatus for hollow body structure resection|
|US20060111611 *||7 aug 2003||25 maj 2006||Sightline Technologies Ltd.||Endoscope sleeve dispenser|
|US20060122566 *||19 nov 2004||8 jun 2006||Percutaneous Systems, Inc.||Systems and methods for luminal access|
|US20060173422 *||22 okt 2003||3 aug 2006||Wilson-Cook Medical, Inc.||Introducer apparatus with eversible sleeve|
|US20060173525 *||1 feb 2006||3 aug 2006||Percutaneous Systems, Inc.||Methods and systems for deploying luminal prostheses|
|US20060178722 *||3 mar 2006||10 aug 2006||Memcath Technologies, Llc||Systems and methods for stent delivery|
|US20060224120 *||5 apr 2005||5 okt 2006||Smith Robert C||Introducer seal assembly with low profile gimbal seal|
|US20060247602 *||13 jul 2006||2 nov 2006||Dulak Gary R||Ureteral access sheath|
|US20060293642 *||15 jun 2006||28 dec 2006||Astrazeneca Ab||Hydrophilic urinary catheter having a water-containing sachet|
|US20070073107 *||23 sep 2005||29 mar 2007||Percutaneous Systems, Inc.||Methods and systems for sheathing tubular medical instruments|
|US20070106233 *||20 okt 2005||10 maj 2007||Percutaneous Systems, Inc.||Systems and methods for dilating and accessing body lumens|
|US20070112335 *||9 jan 2007||17 maj 2007||Applied Medical Resources Corporation||Ureteral access sheath|
|US20070197972 *||11 apr 2007||23 aug 2007||Tyco Healthcare Group Lp||Trocar seal system|
|US20070225687 *||12 jan 2007||27 sep 2007||House Jamie G||Indwelling urinary catheterization assembley|
|US20080015518 *||10 jul 2007||17 jan 2008||Percutaneous Systems, Inc.||Systems and methods for luminal access|
|US20080077071 *||7 dec 2007||27 mar 2008||Optonol Ltd.||Flow Regulating Implants|
|US20080125691 *||7 dec 2007||29 maj 2008||Optonol Ltd.||Flow regulating implants|
|US20080171973 *||12 jan 2007||17 jul 2008||Jamie Glen House||Devices and methods for securing catheter assemblies|
|US20090204053 *||11 feb 2008||13 aug 2009||Optonol Ltd.||Devices and methods for opening fluid passageways|
|US20090259185 *||10 mar 2009||15 okt 2009||Tyco Healthcare Group Lp||Self-conforming surgical seal|
|US20090275880 *||13 jul 2009||5 nov 2009||Joseph Pasqualucci||Valve assembly|
|US20090314422 *||25 aug 2009||24 dec 2009||Tyco Healthcare Group Lp||Trocar seal system|
|US20090318868 *||25 aug 2009||24 dec 2009||Tyco Healthcare Group Lp||Trocar seal system|
|US20100145315 *||16 feb 2010||10 jun 2010||Jamie Glen House||Indwelling Urinary Catheterization Assembly|
|US20100249708 *||8 feb 2010||30 sep 2010||Tyco Healthcare Group Lp||Articulating surgical portal apparatus with spring|
|US20100274259 *||26 mar 2010||28 okt 2010||Optonol Ltd.||Fluid drainage device, delivery device, and associated methods of use and manufacture|
|US20100298754 *||4 dec 2009||25 nov 2010||Ishay Ostfeld||Indwelling device|
|US20110021977 *||30 sep 2010||27 jan 2011||Tyco Healthcare Group Lp||Valve assembly|
|US20110034921 *||18 okt 2010||10 feb 2011||Joe Don Sartor||Handheld Electrosurgical Apparatus for Controlling Operating Room Equipment|
|US20110077622 *||17 sep 2010||31 mar 2011||Boston Scientific Scimed, Inc.||Delivery system having stent locking structure|
|US20110124971 *||4 nov 2010||26 maj 2011||Tyco Healthcare Group Lp||Portal assembly with multi-seal system|
|US20110160739 *||17 dec 2010||30 jun 2011||Boston Scientific Scimed, Inc.||Rotatable Connection Between a Tubular Member and an Elongate Wire of a Catheter|
|US20110184386 *||5 apr 2011||28 jul 2011||Jamie Glen House||Catheter Assembly Having Protective Sheath|
|US20110196207 *||25 apr 2011||11 aug 2011||Tyco Healthcare Group Lp||Introducer seal assembly|
|US20110201891 *||18 mar 2011||18 aug 2011||Tyco Healthcare Group Lp||Introducer seal assembly with low profile gimbal seal|
|US20130006058 *||11 sep 2012||3 jan 2013||Applied Medical Resources Corporation||Ureteral access sheath|
|US20130310769 *||26 jul 2013||21 nov 2013||Ishay Ostfeld||Indwelling Device|
|US20140066904 *||28 aug 2013||6 mar 2014||Sayco Pty. Ltd.||Packaged Catheter Assembly|
|US20160175570 *||22 dec 2014||23 jun 2016||United States Government As Represented By The Department Of Veterans Affairs||Urinary catheter assembly and method|
|USD784523||10 dec 2014||18 apr 2017||Hollister Incorporated||Catheter gripper aid|
|EP0265864A2 *||23 okt 1987||4 maj 1988||Kontron Instruments Holding N.V.||Hemostasis sheath|
|EP0265864A3 *||23 okt 1987||1 feb 1989||Kontron Incorporated||Hemostasis sheath|
|EP0605427A1 *||5 jun 1992||13 jul 1994||Rtc Inc.||Non-contaminating probe|
|EP0605427A4 *||5 jun 1992||30 maj 1994||Rtc Inc||Non-contaminating probe.|
|EP1173248A1 *||26 apr 2000||23 jan 2002||Applied Medical Resources Corporation||Ureteral access sheath|
|EP1173248A4 *||26 apr 2000||2 maj 2007||Applied Med Resources||Ureteral access sheath|
|EP2617454A3 *||26 apr 2000||28 aug 2013||Applied Medical Resources Corporation||Ureteral access sheath|
|EP2617455A3 *||26 apr 2000||28 aug 2013||Applied Medical Resources Corporation||Ureteral access sheath|
|WO1991017781A1 *||21 maj 1990||28 nov 1991||Brodsky Stuart A||Apparatus for safe use, disposal and retention of needles|
|WO1996024403A1||6 feb 1996||15 aug 1996||Rtc Inc.||Non-contaminating probe and methods of making and using same|
|WO1998000191A1||1 jul 1997||8 jan 1998||Rtc, Inc.||A variably inflatable medical device|
|WO2005004970A1 *||18 jun 2004||20 jan 2005||Willy Rüsch GmbH||Catheter application system|
|WO2009004626A2 *||2 jul 2008||8 jan 2009||Hy Laboratories Ltd.||Articles for maintaining sterility of a bodily orifice or a wound site|
|WO2009004626A3 *||2 jul 2008||7 maj 2009||Hy Lab Ltd||Articles for maintaining sterility of a bodily orifice or a wound site|
|WO2015105942A1 *||8 jan 2015||16 jul 2015||Hollister Incorporated||Catheter assemblies having a protective lubricious sleeve|
|WO2015105949A1 *||8 jan 2015||16 jul 2015||Hollister Incorporated||Catheter cartridge assemblies and methods of using the same for intermittent catheterization|
|USA-klassificering||604/171, 606/108, 206/364, 604/271, 604/200, 604/544, 604/275|
|Kooperativ klassning||A61M25/0017, A61M25/0111, A61M25/0119|
|Europeisk klassificering||A61M25/00H, A61M25/01C2, A61M25/01C5|