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WO2001010358A1 - Valve uretrale a ouverture/fermeture electronique - Google Patents

Valve uretrale a ouverture/fermeture electronique Download PDF

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Publication number
WO2001010358A1
WO2001010358A1 PCT/NO2000/000256 NO0000256W WO0110358A1 WO 2001010358 A1 WO2001010358 A1 WO 2001010358A1 NO 0000256 W NO0000256 W NO 0000256W WO 0110358 A1 WO0110358 A1 WO 0110358A1
Authority
WO
WIPO (PCT)
Prior art keywords
valve
urethra
bladder
spring
securing means
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/NO2000/000256
Other languages
English (en)
Inventor
Knut Ove Kristensen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to AU63244/00A priority Critical patent/AU6324400A/en
Publication of WO2001010358A1 publication Critical patent/WO2001010358A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0022Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse placed deep in the body opening

Definitions

  • the present invention relates to an electronically opening/closing urethra valve.
  • the urinary bladder lies at the bottom of the abdominal cavity and a urinary tube, the urethra, carries urine from the bladder to the vulva in women and to the tip of the penis in men. Consequently, the male urethra is much longer than the female urethra.
  • a sphincter surrounds the first portion of the urethra in both sexes.
  • men the upper or proximal part of the urethra is surrounded by a large gland, the prostate gland, which in many middle-aged men begins to increase in size and in doing so starts to press against the urethra.
  • the volume of urine in the bladder increases, on urination the pressure drops, but before the urinary bladder is completely empty the prostate gland presses against the urethra and prevents the bladder from being completely voided. With advancing age, there is also a gradual increase in the residual volume.
  • a well-known means is the insertion of a tube, a catheter, all the way along the urethra into the bladder, so as to void the bladder.
  • valve/catheter must be short, it should pass through the prostate, but need not go much further.
  • An electronic chip that controls a lifting/opening/closing mechanism must be inserted in the catheter wall in the proximal end of the catheter.
  • safety valve that opens automatically at a pre-determined excess pressure, as a safeguard for, e.g., senile dementia patients who are not capable of controlling the valve themselves.
  • valve/catheter 5 in the construction of the valve/catheter are body-compatible.
  • d) In the same way as with pacemakers, there are possibilities of incorporating batteries in the catheter. Another possibility is that the remote control has such strong signals that a separate power source is not necessary.
  • the present invention is a contribution to the solution of the problems outlined above s which involves a relatively permanent valve device for persons with urinary incontinence problems. Accordingly, the present invention relates to a urethra valve that is characterised by a substantially circular-cylindrical, tubular body, optionally having external sealing and/or securing means at the end that is passed into the urinary bladder, and having an internal, remote-controlled valve having a valve seat, valve head, o valve rod and valve spring with spring seat, optionally having a pressure sensor, and an electrical control unit for remote control/opening of the valve.
  • valve involved is a solenoid valve.
  • the spring load is set so that it is opened at a pre-determined excess pressure in the urinary bladder.
  • the securing means may advantageously be a double-walled bladder which can be caused to expand by means of a fluid for in order to hold the valve in place.
  • it may also be a twist-release, preferably perforated, collar or fan.
  • Fig. 1 is a schematic illustration of the upper part of the urinary system with a valve according to the invention in place; and 5 Fig. 2 shows the inventive valve in greater detail.
  • Fig. 1 the urinary bladder is indicated by means of the letter A.
  • the prostate gland found in men is indicated by means of the letter C.
  • the urinary tube runs from the urinary bladder A and carries urine from the body, as mentioned above, to the penis in men and to the vulva in women.
  • Fig. 1 it is indicated how the inventive valve can be placed at the outlet from the urinary bladder in the proximal part of the urethra.
  • valve is shown in greater detail in Fig. 2.
  • the valve has the general shape of a preferably circular-cylindrical, tubular body (2), whose proximal end (2') is narrowed in order to provide the means for a valve seat on the internal wall of the narrowed end.
  • valve with valve spindle (1) and valve head (1 ') is arranged coaxial with the valve tube or sleeve (2).
  • the valve head (1 ') has been given a shape that allows sealing on contact with the valve seat (2').
  • valve rod (1) there is arranged a spring (6), fastened at its distal part to the valve rod and resting at its proximal part against a spring seat (5).
  • This spring normally keeps the valve closed but, as indicated earlier, the spring force is adjusted so that if there is a slight excess pressure the valve opens. This is a safety precaution that is necessary in particular for senile dementia patients who are not capable of controlling the electronic part themselves.
  • the reference numeral (8) is used to indicate an electronic chip which, together with a winding (7), can be electronically commanded to open or close the valve.
  • the reference numeral (4) is used to indicate an adjusting screw for adjusting stroke length and spring force.
  • securing means that are funnel or bladder-shaped to hold the valve in place.
  • a ring-shaped, balloon-like device that can be filled with liquid or another fluid in order to hold the valve in place and which collapses when the pressure is relieved.
  • a diaphragmlike fan or collar device which, e.g., is made to spread out when turned with the aid of a tool, and which can be drawn together again by turning the tool in the other direction.
  • a suitable tool may advantageously be incorporated in C as indicated by the insertion tool (10) with a connecting screw (9).
  • connection between the valve and the insertion tool may, e.g., be in the form of a bayonet socket, and the actual insertion tool will also be in the form of a flexible catheter that is known per se, in this case with an internally extending rotatable tool/screw device.
  • the actual insertion and removal of the inventive urethra valve must, of course, take place in a medically safe manner, preferably under local anaesthetic, where it is conceivable that the anaesthetic , e.g., is located in that part of the valve device that moves first through the urethra.
  • the inventive valve allows persons with problems of urinary incontinence, at least to a certain degree, to control their urinary discharge themselves when external factors so allow, that is in practice when they have the chance to go to a toilet or similar in the normal way.
  • valve is also controlled by safety means which enable it to be used also by persons suffering from senile dementia who are unable to control the electronics themselves. In this case it will be necessary to use conventional fluid- absorbing means as well.
  • the invention thus represents an important aid for persons suffering from problems of urinary incontinence, so that they feel very much more at ease socially and less inhibited.

Landscapes

  • Health & Medical Sciences (AREA)
  • Urology & Nephrology (AREA)
  • Cardiology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Transplantation (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)
  • External Artificial Organs (AREA)

Abstract

L'invention concerne une valve urétrale fabriquée sous forme de corps cylindrique circulaire et tubulaire (2), présentant éventuellement des organes (3) de scellement et/ou de fixation à l'extrémité qui est insérée dans la vessie (A), ainsi qu'une valve interne (B) avec commande à distance comportant un siège (2') de valve, une tête (1') de valve, une tige (1) de valve et un ressort (6) de valve avec siège à ressort (5), possédant éventuellement un capteur de pression, et une unité de commande électrique (7, 8) destinée à commander et ouvrir la valve à distance.
PCT/NO2000/000256 1999-08-05 2000-08-07 Valve uretrale a ouverture/fermeture electronique Ceased WO2001010358A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU63244/00A AU6324400A (en) 1999-08-05 2000-08-07 Electronically opening/closing urethra valve

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
NO19993788 1999-08-05
NO993788A NO993788L (no) 1999-08-05 1999-08-05 Urinveisventil med elektronisk åpning/lukking

Publications (1)

Publication Number Publication Date
WO2001010358A1 true WO2001010358A1 (fr) 2001-02-15

Family

ID=19903631

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/NO2000/000256 Ceased WO2001010358A1 (fr) 1999-08-05 2000-08-07 Valve uretrale a ouverture/fermeture electronique

Country Status (3)

Country Link
AU (1) AU6324400A (fr)
NO (1) NO993788L (fr)
WO (1) WO2001010358A1 (fr)

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2005123174A1 (fr) * 2004-06-09 2005-12-29 Conejero Sugranes Joan Soupape destinee a reguler automatiquement le vidage vesical chez des patients catheterises
WO2016118943A3 (fr) * 2015-01-23 2016-09-01 Spinal Singularity Inc. Systèmes de prise en charge de la vessie
US10675435B2 (en) 2015-04-01 2020-06-09 Spinal Singularity, Inc. Extended-use valved urinary catheter
US10675134B2 (en) 2015-01-23 2020-06-09 Spinal Singularity, Inc. Bladder management systems
US10751506B2 (en) 2015-04-01 2020-08-25 Spinal Singularity, Inc. Catheters and catheter mating devices and systems
US11065093B2 (en) 2015-01-23 2021-07-20 Spinal Singularity, Inc. Catheter mating devices
US11510765B2 (en) 2015-01-23 2022-11-29 Spinal Singularity, Inc. Extended-use catheters
US11628271B2 (en) 2019-06-10 2023-04-18 Spinal Singularity, Inc. Urinary catheter
US11690702B2 (en) 2020-01-30 2023-07-04 Rambam Medtech Ltd. Urinary catheter prostheses

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4553533A (en) * 1983-11-08 1985-11-19 Leighton Stephen B Intra-urethral prosthetic sphincter valve
US5004454A (en) * 1989-02-15 1991-04-02 Technion Research And Development Foundation Ltd. Auxiliary intra-urethral magnetic valve for persons suffering from urinary incontinence
PT101841A (pt) * 1996-03-01 1996-09-30 Jose Pedro Vinhas Da Silva Gen Esfincter eletronico
US5701916A (en) * 1995-08-16 1997-12-30 Hk Medical Technologies Incorporated Intraurethral bladder control device with retainer apparatus
DE19815103A1 (de) * 1997-06-26 1999-02-04 Johannes Dohmen Harnblasenhalsdauerkatheter mit berührungslos steuerbarer Vorrichtung zum Öffnen und Schließen für die Entleerung der Harnflüssigkeit

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4553533A (en) * 1983-11-08 1985-11-19 Leighton Stephen B Intra-urethral prosthetic sphincter valve
US5004454A (en) * 1989-02-15 1991-04-02 Technion Research And Development Foundation Ltd. Auxiliary intra-urethral magnetic valve for persons suffering from urinary incontinence
US5701916A (en) * 1995-08-16 1997-12-30 Hk Medical Technologies Incorporated Intraurethral bladder control device with retainer apparatus
PT101841A (pt) * 1996-03-01 1996-09-30 Jose Pedro Vinhas Da Silva Gen Esfincter eletronico
DE19815103A1 (de) * 1997-06-26 1999-02-04 Johannes Dohmen Harnblasenhalsdauerkatheter mit berührungslos steuerbarer Vorrichtung zum Öffnen und Schließen für die Entleerung der Harnflüssigkeit

Cited By (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
ES2245881A1 (es) * 2004-06-09 2006-01-16 Joan Conejero Sugrañes Valvula para regular automaticamente el vaciado vesical en enfermos sondados.
ES2245881B1 (es) * 2004-06-09 2007-09-16 Joan Conejero Sugrañes Valvula para regular automaticamente el vaciado vesical en enfermos sondados.
WO2005123174A1 (fr) * 2004-06-09 2005-12-29 Conejero Sugranes Joan Soupape destinee a reguler automatiquement le vidage vesical chez des patients catheterises
US11839535B2 (en) 2015-01-23 2023-12-12 Spinal Singularity, Inc. Bladder management systems
WO2016118943A3 (fr) * 2015-01-23 2016-09-01 Spinal Singularity Inc. Systèmes de prise en charge de la vessie
GB2549440A (en) * 2015-01-23 2017-10-18 Spinal Singularity Inc Bladder management systems
US11938014B2 (en) 2015-01-23 2024-03-26 Spinal Singularity, Inc. Catheter mating devices
US10675134B2 (en) 2015-01-23 2020-06-09 Spinal Singularity, Inc. Bladder management systems
US10743975B2 (en) 2015-01-23 2020-08-18 Spinal Singularity, Inc. Urinary prosthesis systems
US11065093B2 (en) 2015-01-23 2021-07-20 Spinal Singularity, Inc. Catheter mating devices
US11510765B2 (en) 2015-01-23 2022-11-29 Spinal Singularity, Inc. Extended-use catheters
US10751506B2 (en) 2015-04-01 2020-08-25 Spinal Singularity, Inc. Catheters and catheter mating devices and systems
US10675435B2 (en) 2015-04-01 2020-06-09 Spinal Singularity, Inc. Extended-use valved urinary catheter
US12465720B2 (en) 2015-04-01 2025-11-11 Uroflow Technology, Llc Extended-use valved urinary catheter
US11628271B2 (en) 2019-06-10 2023-04-18 Spinal Singularity, Inc. Urinary catheter
US11690702B2 (en) 2020-01-30 2023-07-04 Rambam Medtech Ltd. Urinary catheter prostheses

Also Published As

Publication number Publication date
NO993788D0 (no) 1999-08-05
AU6324400A (en) 2001-03-05
NO993788L (no) 2001-02-06

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