A CATHETER APPLICATOR FOR URINARY INCONTINENCE EQUIPMENT

Abstract: For an external catheter (2) for a male urinary incontinence equipment comprising a soft elastic thin-walled, substantially cylindrical body portion which is open at one end and at the other end merges into a narrowed drainage tube portion (5) for connection with a collection bag and is delivered to the user with the body portion rolled up from the open end towards the drainage tube portion, the arrangement on the penis is facilitated by means of an applicator having an annular or tubular element (1) of a resilient thin-walled material having a greater rigidity than the catheter (2). The element (1) is designed for arrangement outside the catheter (2) so as to surround the catheter from the drainage tube portion (5) thereof through an axial length corresponding substantially to the length of the penis glans. The rolled-up portion of the catheter (2) in the supply condition is retained at one end of the applicator. In extension of the annular or tubular element (1) the applicator has a closed narrowed tube portion (4) for accommodating and protecting the drainage tube portion (5) of the catheter.

Description: A catheter applicator for urinary incontinence equip¬ ment. The invention relates to an applicator for the arrangement of an external catheter of a male urinary incontinence equipment, said catheter being of the kind comprising a soft elastic thin-walled, substantially cylindrical body portion which is open at one end and is joined at the other end with a narrowed drainage tube portion for connection with a collection bag, said catheter being supplied to the user with the body portion rolled up from the open end towards the drainage tube end, said applicator comprising an annular or tubular member of a resilient thin-walled material having a greater rigidity than the catheter and being designed for arrangement externally on the catheter. For catheters of this kind having the shape of condoms problems frequently occur in practice with respect to the arrangement of the catheter as a result of the fact that the catheter which is delivered in a rolled-up condition and, having regard to the comfort of the user, is manufactured from a thin-walled very flexible latex material, is to be arranged on a normal flaccid penis. Since the users of such articles are often elderly persons under nursery or disabled per¬ sons, the arrangement must frequently be performed by the nursing personnel, but this in addition to hygienic problems is often considered psychically embarrassing to the users. In order to remedy these disadvantages an applicator for use in the arrangement of an external catheter has been suggested in international patent application, publication No. W081/03609. The applicator is delivered to the user with the catheter arranged on it in a flat condition so that a rather great appli¬ cation of pressure is required in use for expanding the opening of the applicator which might be difficult for elderly or disabled users. Moreover, from SE published patent application No. 362,584 an applicator is known formed as a cylindrical envelope having two parts which are axially displaceable relative to each other, and in which the expansion of the catheter for its arrangement is conditional upon the generation of a subpressure by drawing out the inner part of the applicator. This known applicator which accommodates the catheter in its entire extension has a length which makes it less suitable for disposable use, and also in this case the operation requires a certain exercise of force. On this background it is the object of the invention to provide an aiding means for use in the arrangement of the catheter with which a substantially simplified and safer arrangement of the catheter is obtained so that the arrangement may more frequently be performed by the user himself, even by patients suffer- ing from reduced finger movability. According to the invention this is achieved by means of an applicator which is characterized in that the annular or tubular member is designed so as to surround the catheter through an axial length from the transition between the body portion and the drainage tube portion corresponding substantially to the length of the penis glans, the end of said member facing the open end of the body portion being designed to retain the rolled-up portion of the catheter in the supply condition, whereas the drainage tube portion of the catheter is accommodated in a closed narrowed tube portion formed in extension of said annular or tubular member. By means of this applicator which is delivered as a disposable article together with the catheter the arrangement is performed in a simple way in that the drainage tube end of the catheter surrounded by said annular or tubular element is placed on the penis glans and held against it by a slight external pressure on the element itself without any contact with the catheter which may then be safely arranged by rolling off from the rolled-up supply condition, since the resilient thin-walled applicator has such an increased rigidity relative to the catheter that it stabilizes the shape of the drainage tube end of the catheter upon arrangement around the penis glans and, moreover, covers the glans due to its axial extension so that the rolling-off will take place over the length of penis on which thickness variations do substantially not occur. Additionally, it has turned out that the appli¬ cator according to the invention which can be used both in connection with catheters at the arrangement of which a separate. adhesive strip is first wound around the penis and in the case of so-called "one-piece" products having an integral adhesive coating on the inner side of the catheter results in an improved pro- duct uniformity in the production of the catheter in which the rolling-up to the supply condition is per¬ formed on a mandrel. The applicator may simply be ar¬ ranged on the drainage tube end on the catheter ar¬ ranged on the mandrel, thereby ensuring a uniform rolling-up, where the rolled-up part is retained at the said end of the applicator facing the open end of the body portion. As a result thereof the rolling-up may easily be performed on a cylindrical mandrel. As a result of the design of the applicator with a closed narrowed tube part formed in extension of said annular or tubular element for accommodating the drainage tube portion of the catheter the applicator furthermore makes up an emballage protecting the rolled-up catheter in the supply condition and thus preventing contamination of the catheter and the risk of infection following therefrom. The narrowed tube part may be substantially cylindrical and formed with a number of external longitudinal ribs which are used as a finger grip during arrangement. In the following the invention will be further explained with reference to an embodiment shown on the accompanying drawing, in which Fig. 1 is a perspective view of an applicator, Figs 2 and 3 show the applicator as viewed from the closed and open ends, respectively, and Fig. 4 is a sectional view of the applicator arranged on an external catheter. As shown, the applicator comprises an annular or tubular element 1 which is designed for arrangement around a catheter 2 in the rolled-up supply condition thereof. The element is manufactured with such dimensions and such a shape that in the arrangement of the rolled- up catheter on a penis it will substantially surround the catheter through an axial length corresponding to the length of the penis glans. As shown in Fig. 1 the element 1 may be formed with a circumferential groove 3 for retaining the rolled-up part of the catheter 2. Thereby, a good localization of the rolled-up part is obtained when rolling up the catheter, as the applicator is arranged outside the catheter while it is positioned on the mandrel on which the rolling-up is performed. In the embodiment shown the applicator comprises in extension of the element 1 a closed narrowed tube portion 4 for accommodating the drainage tube portion 5 of the catheter 2. Thereby the applicator provides a closed emballage for the rolled-up catheter which is thereby protected against mechanical injury as well as contamination and the risk of infection following therefrom. The opening of the applicator and the rolled-up part of the catheter 2 located around it may in this connection be covered by a covering member, not shown, e.g. of metal foil. The tube portion 4 serves, moreover, to further facilitate the arrangement of the catheter on the penis since it is formed with a number, in this case three, external longitudinal ribs 6 which may serve as a finger grip. The applicator with the annular tubular element 1 and the tube portion 4 is manufactured from a thin- walled material having a greater rigidity than the catheter, e.g. as a vacuum shaped member of PVC. There¬ by, the applicator will simultaneously stabilize the form of the drainage tube portion of the catheter and through its resiliency provide a possibility of safely holding the catheter against a flaccid penis before arrangement by a slight external pressure on the applicator whereby contact with the very thin-walled catheter is avoided. Simultaneously, the form of the applicator with a length of the element 1 so as to surround the glans throughout its length will facili- tate the rolling-off which is then to take place only over the part of penis on which there are substantially no thickness variations. Instead of the circumferential groove 3 pro- viding a limitation at both sides, the open end of the applicator may possibly only have a bead for localizing the rolled-up part of the catheter 2 in which case there may, however, be a certain risk of positioning the rolled-up part of the catheter during the rolling- up at a greater distance than desired from the open end of the applicator and thus of a less uniform product.

Claims: PATENT CLAIMS 1. An applicator for the arrangement of an ex¬ ternal catheter of a male urinary incontinence equip¬ ment, said catheter (2) being of the kind comprising a soft elastic thin-walled, substantially cylindrical body portion which is open at one end and is joined at the other end with a narrowed drainage tube portion (5) for connection with a collection bag, said catheter being supplied to the user with the body portion rolled-up from the open end towards the drainage tube end (5), said applicator comprising an annular or tubular member ( 1 ) of a resilient thin-walled material having a greater rigidity than the catheter (2) and being designed for arrangement externally on the catheter, characterized in that the annular or tubular member ( 1 ) is designed so as to surround the catheter (2) through an axial length from the transition between the body portion and the drainage tube portion (5) corresponding substantially to the length of the penis glans, the end of said member (1) facing the open end of the body portion being designed to retain the rolled-up portion of the catheter (2) in the supply condition, whereas the drainage tube portion (5) of the catheter is accomodated in a closed narrowed tube portion (4) formed in extension of said annular or tubular member ( 1 ) . 2. An applicator as claimed in claim 1, charac¬ terized in that the end of the applicator facing the open end of the body portion is formed with a groove (3) for retaining the rolled-up portion of the cathe- ter. 3. An applicator as claimed in claim 1 or 2, characterized in that said shallow tube portion (4) is substantially cylindrical and formed with a number of external, londgitunidal ribs (6) serving as finger grip. 4. An applicator as claimed in any of claims 1, 2 or 3, characterized in that the open end of the applicator and the part of the catheter retained around it is covered by a covering member.

Inventors: KAMSTRUP-LARSEN JOERGEN, MORRIS MICHAEL, KAMSTRUP-LARSEN, JOERGEN, MORRIS, MICHAEL
Applicants: COLOPLAST AS, COLOPLAST A/S
Application year: 1986
Main classification: A61F5
IPC codes: A61F5