# Patent

## Title
Compact packaged intermittent urinary catheter

## Abstract

A compact packaged intermittent urinary catheter having a longitudinally elongated intermittent urinary catheter retained within a longitudinally compacted elastic package. A method of using the catheter wherein at least a portion of the package is used as a drainage tube for the catheter.

## Background
BACKGROUND
Intermittent catheters are typically used by patients suffering from urinary incontinence or by individuals unable to have voluntary urination. In our highly mobile culture, the ability to have the freedom to leave home for the day or longer is an important part of life. To accommodate this need single use catheters have been developed to allow patients to perform self catheterization. These catheters and their drainage tubes typically have a considerable length and are packaged in an elongated condition. It can require a considerable amount of space to store and transport enough catheters to accommodate a day long outing.
U.S. Pat. No. 7,682,353 B2 discloses an intermittent catheter kit that provides a catheter in short sections to be assembled at the time of use, but many users of the catheters have limited dexterity to assemble these catheters and may still need drainage tubes to reach a waste receptacle. A need still exists for an easy to use intermittent catheter that is compact and completely assembled upon opening the package.
SUMMARY OF THE INVENTION
A first aspect of the invention is a compact packaged intermittent urinary catheter. The catheter has a longitudinally elongated intermittent urinary catheter retained within a longitudinally compacted elastic package.
In a preferred embodiment the compacted package is folded or coiled such that removal of one end of the package removes the other end of the package.
A second aspect of the invention is a method of using a catheter in accordance with the first aspect of the invention. The method includes the steps of (a) obtaining a compact packaged intermittent urinary catheter retained within a longitudinally compacted elastic package having a first longitudinal end and a second longitudinal end, (b) manually opening the first and second longitudinal ends of the package, (c) returning the package to a full longitudinal length, (d) removing a portion of the catheter from the package and inserting it into a urethra, and (e) using at least a portion of the package as a drainage tube for the catheter.



BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a front plan view of one embodiment of the invention shown with the package in full longitudinal length.
FIG. 2 is a front plan view of the invention in FIG. 1 shown with the package in compact longitudinal length.
FIG. 3 is a side plan view of the invention in FIG. 2
FIG. 4 is a cross-sectional side view of the invention shown in FIG. 2 taken along line 2-2.
FIG. 5 is a side plan view of the invention shown in FIG. 1 with the first and second longitudinal ends removed.
FIG. 6 is a cross-sectional front view of the invention shown in FIG. 5 taken along line 5a-5a with the catheter fully extended.
FIG. 7A is a plan end view of the second longitudinal end of the invention shown in FIG. 5.
FIG. 7B is a plan end view of an alternative configuration of the second longitudinal end of the invention shown in FIG. 5.
FIG. 7C is a plan end view of a further alternative configuration of the second longitudinal end of the invention shown in FIG. 5.
FIG. 8 is a side perspective view of a second embodiment of the invention with the first and second longitudinal ends removed and the catheter partially extended.
FIG. 9 is a plan side view of a third embodiment of the invention with the package shown in compact longitudinal length.
FIG. 10 is a plan front view of a fourth embodiment of the invention with the package shown in full longitudinal length.
FIG. 11A is a side perspective view of proximal end of the catheter shown In FIG. 6.
FIG. 11B is a side perspective view of an alternative configuration of the proximal end of the catheter shown in FIG. 6.
FIG. 11C is a side perspective view of a further alternative configuration of the proximal end of the catheter shown in FIG. 6.
FIG. 11D is a side perspective view of a further alternative configuration of the proximal end of the catheter shown in FIG. 6.
FIG. 11E is a front perspective view of the proximal end of the catheter shown in FIG. 11D.
FIG. 12 is a sectional front view of the invention in FIG. 1 with air pockets molded into the package to act as a biasing means.
FIG. 13 is a sectional front view of the invention in FIG. 1 with a spring sealed into the package to act as a biasing means.



DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT
Nomenclature

    10 Catheter
    11 Distal end
    12 Proximal end
    12a Push block
    13 Longitudinal length
    14 Eyelet
    20 Package
    21 Full longitudinal length
    22 Compact longitudinal length
    23 First longitudinal end
    24 Second longitudinal end
    25 Hinge
    26a Inner surface
    26b Outer surface
    27 Edge
    28 Receiving chamber
    28a Longitudinal length
    28b Shoulder
    29 Line of weakness
    30 Guide member
    31 Tab
    32 Tether
    40 Mirror
    50 Fastener
    60 Dimple
    70 Biasing means
    X Longitudinal direction
    Y Lateral direction


Definitions
As utilized herein, including the claims, the phrase “full longitudinal length” means longitudinal length from the first end of the package to the second end of the non-compacted package.
As utilized herein, including the claims, the phrase “compact longitudinal length” means longitudinal length of the compacted package that is less than the full longitudinal length.
As utilized herein, including the claims, the term “compacted” means folded, coiled, pleated, concertina, bent.
As utilized herein, including the claims, the term “elastic” means able to resume to proximate normal shape spontaneously after bending, coiling, pleating, or other form of distortion.
Description
Construction
The invention is a longitudinally elongated intermittent urinary catheter 10 packaged in a longitudinally compacted elastic package 20 and a method of using the catheter 10.
FIG. 1 shows an embodiment of the catheter 10 sterilely packed inside a package 20. The package 20 is shown in full longitudinal length 21. The catheter 10 has at least a distal end 11, a proximal end 12, a longitudinal length 13, a lumen (not numbered), and at least one eyelet 14. The distal end 11 is preferably round ended to allow easy and pain free insertion into the urethra of a patient. The distal end 11 has one or more eyelets 14 to accommodate flow of the urine from the bladder through the lumen of the catheter 10. Preferably the eyelets 14 are provided with rounded and or polished rims (not numbered) to increase comfort to the patient during insertion. The proximal end 12 of the catheter 10 provides an exit for the urine from the lumen.
The diameter of the proximal end 12 of the catheter 10 is preferably larger than the diameter of the distal end 11. The proximal end 12 may be any suitable shape to accommodate sliding along the full longitudinal length 21 of the package 20 without exiting the package 20.
The catheter 10 may be coated with a hydrophilic coating to provide a low friction surface when treated with a swelling medium. A swelling medium may be provided within the package 20 to provide a ready to use catheter 10. The use of hydrophilic coating and prepackaged swelling mediums with catheters 10 is well known in the industry. A lubricant may also be provided in the package 20 to provide a low friction surface. Providing a lubricant in a catheter 10 package 20 is well known in the industry.
The catheter 10 may have any desired longitudinal length 13 and shape effective for achieving the function of eliminating urine from the bladder of a male or female patient, including the hollow cylinder or tube shape as shown in FIGS. 1, 4, and 6. Preferably, the longitudinal length 13 for an adult female catheter 10 is between 2-6 inches, the longitudinal length 13 of the adult male catheter 10 is between 10-16 inches, and the longitudinal length 13 of a pediatric catheter 10 is between 5-11 inches.
The catheter 10 may be constructed from any material possessing sufficient structural integrity, being light weight, and having a smooth finish, including specifically, but not exclusively, plastics such as polyethylene, polyvinyl chloride and polyurethane, etc. The catheter 10 may be made without a softening agent also or with a softening agent allowing the catheter 10 to be pliable. Pliability is especially desired for the longer male catheter 10 to allow the catheter 10 to be stiff enough for insertion but to allow enough flexibility to manipulate through the longer urethra of the male anatomy. The catheter 10 may also be elastic like the package 20. Using an elastic catheter 10 would allow the catheter to be compacted to fit into a smaller package 20. An elastic and pliable catheter 10 may decrease the chances of the catheter 10 forming kinks if it is compacted in the package. An elastic catheter 10 may also aid the package 20 in resuming the full longitudinal length 21 upon opening of the package 20.
Preferably the catheter 10 is packaged in an elastic package 20. As shown in FIGS. 2-4 and 9, the package 20 is stored in a compact state defining a compact longitudinal length 22. The package 20 has a compact longitudinal length 22 that is less than the full longitudinal length 21. The elasticity of the package 20 may come from elastic material used to form the package 20 or from a biasing means 70 incorporated into the package 20 wherein the package 20 is biased toward the full longitudinal length 21.
If an elastic material is used to form the package 20, the elasticity of the packaging material biases the package 20 to the full longitudinal length 21. Preferably the package 20 is made from polyester, polyethylene, a combination of the two materials, Surlyn, polyprolene, or aluminum.
At least one biasing means 70 may also be used to provide the elasticity of the package 20. Any acceptable biasing means 70 may be used, such as but not exclusively, a spring. As shown in FIGS. 12 and 13, the biasing means 70, is sealed into or molded as part of the package 20. The preferred biasing means 70 is a polymer member or a pressurized chamber. The chamber may be filled with any suitable pressurized fluid such as water or a gas. To increase the elasticity of the package 20 more than one biasing means 70 may be used in a single package 20.
Preferably the inner surface 26a of the package 20 material is smooth to allow for ease in removing the catheter 10 for use and to prevent damage to the catheter 10. FIG. 1 shows the package 20 in a full longitudinal length 21. FIGS. 2-4 and 9 show the package 20 in its compact state where the compact longitudinal length 22 is less than the full longitudinal length 21.
The package 20 has a first longitudinal end 23 and a second longitudinal end 24 and defines an elongate catheter 10 receiving chamber 28 extending along a portion of the full longitudinal length 21 of the package 20. The catheter 10 is carried in the elongate receiving chamber 28 with the distal end 11 of the catheter 10 located proximate the first longitudinal end 23 of the package 20. As shown in FIG. 1, a first embodiment of the package 20 may be constructed from a base sheet of material and cover sheet of material sealed along the edges 27 to form the catheter 10 receiving chamber 28 therein. See FIG. 7A. The first longitudinal end 23 and the second longitudinal end 24 are sealed after insertion of the catheter 10 in the receiving chamber 28. A second embodiment of the package 20 may also be constructed from a single base material folded upon it to provide a single sealed edge 27. See FIG. 7C. The first longitudinal end 23 and second longitudinal end 24 are then sealed after insertion of the catheter 10 in the receiving chamber 28. In a third embodiment the package 20 may be extruded in a tube shape and then the first longitudinal end 23 and second longitudinal end 24 sealed after insertion of the catheter 10 in the receiving chamber 28. As shown in FIG. 7B, the extruded shape may include longitudinal X creases to allow for flexibility of the package 20 during use.
As shown in FIGS. 1 and 6, the catheter 10 receiving chamber 28 extends from proximate the first longitudinal end 23 of the package 20 to proximate the second longitudinal end 24 of the package 20 as the first longitudinal end 23 and the second longitudinal end 24 are sealed after the catheter 10 is inserted in the receiving chamber 28. The receiving chamber 28 is sized, configured, and arranged to slideably engage the catheter 10. Preferably, proximate the first longitudinal end 23 of the package 20 the size of the receiving chamber 28 is an inwardly directed shoulder 28b effective for decreasing the size of and constricting the receiving chamber 28 such that the shoulder 28b is sized, configured, and arranged to prohibit movement of the proximal end 12 of the catheter 10 from exiting the receiving chamber 28 of the package 20.
Preferably, the package 20 has means to manually remove the first longitudinal end 23 and the second longitudinal end 24 to allow access to the catheter 10 receiving chamber 28. The ends 23 and 24 may have a line of weakness 29 such as perforations or score lines, a tear strip, or a point of weakness to allow easy opening of the package 20 without the need for scissors or a knife. Providing a line of weakness 29 may also direct the patient to open the package 20 at the proper place on the package 20 to allow the proximal end 12 of the catheter 10 to catch on the shoulder 28b of the receiving chamber 28.
As shown in FIGS. 2-4 and 9, the package 20 has a compact longitudinal length 22 that is shorter than the full longitudinal length 21 of the package 20. Preferably the longitudinal length 13 of the catheter 10 is less than the longitudinal length 28a of the receiving chamber 28. If a non elastic catheter 10 is used this will allow the portion of the package 20 without the catheter 10 to be folded, bent or coiled to form the compacted package 20. It will also provide a longer receiving chamber 28 for use as a drainage tube during use of the catheter 10.
In the compact longitudinal length 22 the first longitudinal end 23 and the second longitudinal end 24 may be configured and arranged to be removed from the package 20 at the same time by aligning the removal means for each end as shown in FIGS. 3-4 and 9. Preferably the longitudinal ends 23 and 24 are aligned and a fastener 50 used to attach the first end 23 to the second end 24 such that the patient can not remove the first longitudinal end 23 without removing the second longitudinal end 24. The preferred fastener 50 is an adhesive.
The package 20 may be converted from the full longitudinal length 21 to the compacted length 22 by folding, coiling, bending, or pleating. As shown in FIGS. 2-4 and 10 the package 20 may be folded or bent a single time. The folding may be made easier by using a hinge 25, score line, or at least one set of laterally Y extending dimples 60 at the point of folding. The hinge 25 may be a live hinge 25 or a mechanical hinge 25. As shown in FIG. 8, the package 20 may be folded or bent more than one time to accommodate a package 20 with a longer full longitudinal length 21. This could allow for a longer drainage tube as well as to accommodate a longer catheter 10. As shown in FIG. 9, the package 20 may be coiled into the compact length 22. Again the package 20 may have one or more coils depending on the original full longitudinal length 21 of the package 20. As the package 20 is elastic, a fastener 50 may be needed to attach the first longitudinal end 23 of the package 20 to the second longitudinal end 24 to keep the package 20 in the compact position. Upon removing the longitudinal ends 23 and 24 of the package 20 or removing the fastener 50 from contact with one of the ends 23 and 24 of the package 20, the package 20 will return to the full longitudinal length 21.
As shown in FIG. 2 the package 20 may also have a mirror 40 on the outer surface 26b to aid the patient in inserting the catheter 10. The package 20 may have a mirror like outer surface 26b to aid the patient in inserting the catheter 10.
The package 20 may also have a guide member 30 to aid the patient in removing the distal end 11 of the catheter 10 from the package 20 without touching the catheter 10 and causing contamination. Preferably the guide member 30 has a tab 31 and a tether 32. As shown in FIG. 1, the tab 31, with one end (not numbered) of the tether 32, is attached to the first longitudinal end 23 of the package 20 and the other end (not numbered) of the tether 32 is attached to the distal end 11 of the catheter 10. As shown in FIGS. 1 and 6, the tab 31 may be embedded in the seal of the first longitudinal end 23 of the package 20 wherein removal of the first longitudinal end 23 from the package 20 removes the tab 31 allowing the distal end 11 of the catheter 10 to be pulled out of the package 20 with the tab 31.
Alternatively the proximal end 12 of the catheter 10 may be configured and arranged to allow the distal end 11 of the catheter 10 to be manually pushed out of the open longitudinal end of the package 20. As shown in FIGS. 1 and 11A-E, the proximal end 12 of the catheter 10 may be attached to or integrally formed with a push block 12a. The push block 12a is shaped to allow a patient to easily grip the proximal end 12 of the catheter 10 through the package 20 and push the distal end 11 of the catheter 10 out of the opened first longitudinal end 23 of the package 20.
Use
The compact packaged intermittent urinary catheter 10 is used by patients for self catheterization. One or more of the compact packaged catheters 10 may be easily carried by a patient in a purse, bag or pocket. Prior to use the patient should take all sanitary procedures advised by their doctors to decrease the risks of infection from utilizing a catheter 10. The patient grasps the first and second longitudinal ends 23 and 24 of the compact elastic package 20 and removes the ends 23 and 24. The ends 23 and 24 may be removed by cutting with a knife or scissors, but preferably the ends 23 and 24 are removed manually along the lines of weakness 29 or at the point of weakness. As shown in FIGS. 5, 6, and 8, by removing the first longitudinal end 23 and the second longitudinal end 24 at the point of weakness or line of weakness 29, the package 20 will be open such that the receiving chamber 28 are now open. Removing the first longitudinal end 23 of the package 20 too far below the line of weakness 29 or the point of weakness could cause the package 20 to be opened such that the shoulder 28b of the receiving chamber 28 is also removed and proximal end 12 the catheter 10 will no longer be captured within the package 20.
Upon removal of the first and second longitudinal ends 23 and 24 of the package 20, the package 20 is then returned to its full longitudinal length 21.
If the package 20 has a guide member 30, removal of the first longitudinal end 23 of the package 20 will allow the distal end 11 of the catheter 10 to slide from the package 20 without the need to touch or contaminate the catheter 10. If the proximal end 12 of the catheter 10 remains in the receiving chamber 28 of the package 20, the package 20 can be used as a drainage tube for the catheter 10. The catheter 10 is then inserted into the urethra of the patient. As the urine travels through the catheter 10 and exits the proximal end 12 of the catheter 10, it enters the receiving chamber 28 of the package 20 and travels through the longitudinal length 28a of the chamber 28 and out the now open second longitudinal end 24 of the package 20 and into a waste receptacle.
If the catheter 10 has a push block 12a proximate the proximal end 12 of the catheter 10, after the package 20 is opened and the package 20 returns to the full longitudinal length 21, the patient grasps the push block 12a at the proximal end 12 of the catheter 10 through the package 20 and pushes the distal end 11 of the catheter 10 out of the package 20 without touching or contaminating the catheter 10. The catheter 10 may then be used the same as the catheter 10 with the guide member 30.
After the bladder is emptied, the catheter 10 is removed from the urethra and the catheter 10 can be pushed back into the package 20 for easy and mess free disposal.

## Claims

1. A compact packaged intermittent urinary catheter, comprising a longitudinally elongated intermittent urinary catheter sealed within a pouch of a longitudinally compacted package wherein the package has a first longitudinal end portion and a second longitudinal end portion separated by an intermediate portion defining the pouch, and is configured and arranged such that the first longitudinal end portion of the package and the second longitudinal end portion of the package are aligned and attached together such that removal of the first longitudinal end portion causes concomitant removal of the second longitudinal end portion and opens both longitudinal ends of the pouch while leaving the intermittent urinary catheter surrounded by the intermediate portion of the package.

2. The compact packaged intermittent urinary catheter, as set forth in claim 1, wherein the compacted elastic package has a full longitudinal length and a compact longitudinal length and the catheter has a longitudinal length that is less than the compact longitudinal length of the package.

3. The compact packaged intermittent urinary catheter, as set forth in claim 1, wherein the package is made from polyester, polyethylene, or a combination of the two materials.

4. The compact packaged intermittent urinary catheter, as set forth in claim 1, further comprising a first line of weakness proximate the first longitudinal end of the package and a second line of weakness proximate the second longitudinal end of the package wherein the first and second lines of weakness are aligned.

5. The compact packaged intermittent urinary catheter, as set forth in claim 1, wherein the package is configured and arranged into a compact longitudinal length by folding the package.

6. The compact packaged intermittent urinary catheter, as set forth in claim 5, wherein the package has at least one set of laterally extending dimples in the package configured and arranged to allow the package to be folded into the compact longitudinal length.

7. The compact packaged intermittent urinary catheter, as set forth in claim 1, wherein the package is configured and arranged into a compact longitudinal length by coiling the package.

8. The compact packaged intermittent urinary catheter, as set forth in claim 1, further comprising a hinge in the package to allow the package to be configured and arranged into a compact longitudinal length.

9. A method of using a compact packaged intermittent urinary catheter comprising the steps of:
a. obtaining a compact packaged intermittent urinary catheter, as set forth in claim 8, wherein the package has a first longitudinal end and a second longitudinal end;
b. opening the first and second longitudinal ends of the package;
c. returning the package to a full longitudinal length;
d. removing a portion of the catheter from the package and inserting it into a urethra; and
e. using at least a portion of the package as a drainage tube for the catheter.

10. The method of using a compact packaged intermittent urinary catheter, as set forth in claim 9, wherein the first and second longitudinal ends of the package are configured and arranged wherein opening one end opens the other end.