Adjustable urethral catheter and method for treating obstructive
prostatism
    1.
    发明授权
    Adjustable urethral catheter and method for treating obstructive prostatism 失效
    可调尿道导管及治疗阻塞性前列腺炎的方法

    公开(公告)号:US5002558A

    公开(公告)日:1991-03-26

    申请号:US397579

    申请日:1989-08-23

    IPC分类号: A61F2/958 A61M29/02

    摘要: A urethral catheter having an adjustable dilating balloon length for dilating a prostatic urethra and a method for using same. The device includes a catheter to which a Foley balloon is affixed at the distal end, and to which a dilating balloon is annularly affixed, and includes means to independently expand and contract the balloons. Concentrically encompassing the catheter is a sheath or ring, which in one embodiment slides along the outside of the catheter. With the method of the present invention, the affected prostatic urethra is measured using a cystoscope and a calibrated catheter or other known measurement means. The sheath of an adjustable catheter of one embodiment of the present invention is set to the measured length by covering a portion of the dilating balloon with the sheath. The dilating catheter is inserted through the urethra until the balloon at the distal end is located within the bladder, at which point it is inflated and the dilating catheter is anchored in position. Then the dilating balloon is inflated to force the prostate away from the urethra. The dilating balloon may be left in place for periods of up to an hour or more to optimize the dilation effect, at which point the balloons are deflated and the dilating catheter is removed. With a further embodiment, the length of the dilating balloon is adjusted by severing portions of an adjustable length sheath to expose the length of balloon desired.

    摘要翻译: 具有用于扩张前列腺尿道的可调节扩张球囊长度的尿道导管及其使用方法。 该装置包括导管,其中Foley气球被固定在远端,并且扩张气囊环形固定到该导管,并且包括用于独立地膨胀和收缩气囊的装置。 集中包围导管是护套或环,其在一个实施例中沿着导管的外部滑动。 利用本发明的方法,使用膀胱镜和校准的导管或其他已知的测量手段来测量受影响的前列腺尿道。 通过用护套覆盖一部分扩张球囊,将本发明的一个实施例的可调节导管的护套设定为测量的长度。 扩张导管穿过尿道插入,直到远端的球囊位于膀胱内,此时充气,扩张导管固定在适当的位置。 然后扩张气囊被充气以迫使前列腺远离尿道。 扩张气球可以留在适当位置达一个小时或更长的时间以优化扩张效果,此时气囊被放气并且扩张导管被去除。 在另一个实施例中,通过切断可调节长度护套的部分来调节扩张气囊的长度以暴露所需球囊的长度。

    Balloon dilation catheter
    2.
    发明授权
    Balloon dilation catheter 失效
    气球扩张导管

    公开(公告)号:US5030227A

    公开(公告)日:1991-07-09

    申请号:US360088

    申请日:1989-06-01

    摘要: Disclosed is an apparatus and method for the treatment of the symptoms of obstructive prostatism. The apparatus comprises an expandable dilation catheter and preferably an axially elongate sheath, adapted for transurethral insertion via the external opening of the urethra. The sheath is ellipsoid in cross-section, and provides an initial path through which the catheter and a standard cystoscope lens is guided. The dilation catheter or the sheath are provided with a non-radiological locating means for positioning the dilation portion of the catheter with respect to an anatomical landmark. Once the catheter has been properly positioned with respect to both the bladder neck and the sphincter, the dilation balloon may be inflated to force open the affected prostatic urethra and eliminate the obstruction.

    摘要翻译: 公开了一种治疗阻塞性前列腺症症状的装置和方法。 该装置包括可膨胀的扩张导管,优选地是轴向细长的护套,适于经由尿道的外部开口经尿道插入。 护套是椭圆形的横截面,并且提供了导管和标准的膀胱镜镜片被引导通过的初始路径。 扩张导管或护套设置有非放射性定位装置,用于相对于解剖学标记定位导管的扩张部分。 一旦导管已经相对于膀胱颈和括约肌适当地定位,则膨胀气球可以被充气以迫使打开受影响的前列腺尿道并消除阻塞。

    Flow obstruction treatment method
    3.
    发明授权
    Flow obstruction treatment method 失效
    流阻治疗方法

    公开(公告)号:US5527336A

    公开(公告)日:1996-06-18

    申请号:US398049

    申请日:1995-03-02

    摘要: Disclosed is an apparatus and method for the treatment of the symptoms of obstructive prostatism. The apparatus comprises an expandable dilation catheter and preferably an axially elongate sheath, adapted for transurethral insertion via the external opening of the urethra. The sheath is ellipsoid in cross-section, and provides an initial path through which the catheter and a standard cystoscope lens is guided. The dilation catheter or the sheath are provided with a non-radiological locating means for positioning the dilation portion of the catheter with respect to an anatomical landmark. Once the catheter has been properly positioned with respect to both the bladder neck and the sphincter, the dilation balloon may be inflated to force open the affected prostatic urethra and eliminate the obstruction.

    摘要翻译: 公开了一种治疗阻塞性前列腺症症状的装置和方法。 该装置包括可膨胀的扩张导管,优选地是轴向细长的护套,适于经由尿道的外部开口经尿道插入。 护套是椭圆形的横截面,并且提供了导管和标准的膀胱镜镜片被引导通过的初始路径。 扩张导管或护套设置有非放射性定位装置,用于相对于解剖学标记定位导管的扩张部分。 一旦导管已经相对于膀胱颈和括约肌适当地定位,则膨胀气球可以被充气以迫使打开受影响的前列腺尿道并消除阻塞。

    Balloon dilation catheter
    5.
    发明授权
    Balloon dilation catheter 失效
    气球扩张导管

    公开(公告)号:US5836951A

    公开(公告)日:1998-11-17

    申请号:US481126

    申请日:1995-06-07

    摘要: Disclosed is an apparatus and method for the treatment of the symptoms of obstructive prostatism. The apparatus comprises an expandable dilation catheter and preferably an axially elongate sheath, adapted for transurethral insertion via the external opening of the urethra. The sheath is ellipsoid in cross-section, and provides an initial path through which the catheter and a standard cystoscope lens is guided. The dilation catheter or the sheath are provided with a non-radiological locating means for positioning the dilation portion of the catheter with respect to an anatomical landmark. Once the catheter has been properly positioned with respect to both the bladder neck and the sphincter, the dilation balloon may be inflated to force open the affected prostatic urethra and eliminate the obstruction.

    摘要翻译: 公开了一种治疗阻塞性前列腺症症状的装置和方法。 该装置包括可膨胀的扩张导管,优选地是轴向细长的护套,适于经由尿道的外部开口经尿道插入。 护套是椭圆形的横截面,并且提供了导管和标准的膀胱镜镜片被引导通过的初始路径。 扩张导管或护套设置有非放射性定位装置,用于相对于解剖学标记定位导管的扩张部分。 一旦导管已经相对于膀胱颈和括约肌适当地定位,则膨胀气球可以被充气以迫使打开受影响的前列腺尿道并消除阻塞。

    Method of treating a flow obstruction
    6.
    发明授权
    Method of treating a flow obstruction 失效
    治疗流动阻塞的方法

    公开(公告)号:US5752971A

    公开(公告)日:1998-05-19

    申请号:US461941

    申请日:1995-06-05

    摘要: Disclosed is an apparatus and method for the treatment of the symptoms of obstructive prostatism. The apparatus includes an expandable dilation catheter and preferably an axially elongate sheath, adapted for transurethral insertion via the external opening of the urethra. The sheath is ellipsoid in cross-section, and provides an initial path through which the catheter and a standard cystoscope lens is guided. The dilation catheter or the sheath are provided with a non-radiological locating feature for positioning the dilation portion of the catheter with respect to an anatomical landmark. Once the catheter has been properly positioned with respect to both the bladder neck and the sphincter, the dilation balloon may be inflated to force open the affected prostatic urethra and eliminate the obstruction.

    摘要翻译: 公开了一种治疗阻塞性前列腺症症状的装置和方法。 该装置包括可膨胀的扩张导管,优选地是轴向细长的护套,适于经由尿道的外部开口经尿道插入。 护套是椭圆形的横截面,并且提供了导管和标准的膀胱镜镜片被引导通过的初始路径。 扩张导管或护套设置有非放射性定位特征,用于相对于解剖学标记定位导管的扩张部分。 一旦导管已经相对于膀胱颈和括约肌适当地定位,则膨胀气球可以被充气以迫使打开受影响的前列腺尿道并消除阻塞。