Urinary catheter assembly

Abstract

To provide a urinary catheter assembly and a method for using the assembly.SOLUTION: The urinary catheter assembly comprises a urinary catheter 1 comprising a container 3, a catheter shaft having a central lumen 12, and a retainer arrangement 20 attached to a distal region of the catheter shaft 11. The catheter shaft is provided with at least one drainage opening in communication with the central lumen, and the retainer arrangement comprises a distal end cavity 22 in communication with the central lumen. The assembly further comprises a lid and a sealing arrangement 21 configured to form a liquid-tight and / or gas-tight seal between the retainer arrangement and the container when the urinary catheter is inserted into the container, wherein the sealing arrangement is further configured to allow the urinary catheter to be displaced in an axial direction while maintaining the liquid-tight and / or gas-tight seal.SELECTED DRAWING: Figure 4a

Description

[Technical Field]

[0001] The present invention relates to a urinary catheter assembly, particularly a reusable urinary catheter, and a method for using the urinary catheter assembly. [Background technology]

[0002] Various types of urinary catheters are used to empty urine from the bladder by inserting the urinary catheter through the user's urethra or stoma. There are two main types of urinary catheters: intermittent catheters and indwelling catheters. Indwelling catheters (also known as Foley catheters) are suitable for long-term use, whereby indwelling catheters are typically configured to remain in the bladder for extended periods of time, e.g., several hours, most of a day, or longer, allowing urine to drain continuously from the bladder.

[0003] Intermittent urinary catheters, on the other hand, are generally configured for intermittent use for much shorter periods of time and are typically intended to be used only once to empty the bladder and then discarded. Modern intermittent catheters are becoming increasingly easier to use, come in more convenient packaging, and are well suited for self-catheterization, which has led to intermittent disposable urinary catheters being widely used in both hospital and home settings.

[0004] A disadvantage of disposable intermittent urinary catheters is that they produce a significant amount of waste. For example, disposable intermittent urinary catheters are typically individually packaged in sterile packages; after the package is opened and the catheter is used to drain the user's bladder, both the package and the catheter are discarded. Because intermittent catheterization is performed multiple times per day by each user, with a new intermittent urinary catheter used each time, a single user may waste thousands of disposable intermittent urinary catheters and associated packaging each year.

[0005] In order to reduce the amount of waste and provide a more sustainable alternative to disposable intermittent urinary catheters, various types of multi-use intermittent urinary catheters have been proposed.

[0006] In some multi-use solutions, a reusable urinary catheter is placed inside a closable case after each use, and a disinfectant solution is poured into the case to disinfect the urinary catheter between uses. Another flavor of multi-use solution instead utilizes a case with an internal UV light emitter, whereby UV light is used to disinfect the urinary catheter between uses.

[0007] However, a drawback of existing multi-use solutions for intermittent urinary catheters is that it is generally difficult to ensure that the disinfectant solution or UV light properly disinfects all portions of the urinary catheter that require disinfection between subsequent uses. An improperly disinfected urinary catheter can lead to infections, such as urinary tract infections (UTIs). Additionally, while placing the urinary catheter in a case with an excess amount of disinfectant solution generally achieves satisfactory disinfection, upon removal, the catheter becomes thoroughly wet with disinfectant solution, making it difficult to grasp and handle.

[0008] Therefore, there is a need for an improved urinary catheter configuration that is easy to use and achieves adequate disinfection between subsequent uses. Summary of the Invention

[0009] It is an object of the present disclosure to provide an improved urinary catheter assembly configured to allow liquid agents (e.g., for disinfecting, regenerating, and / or wetting) to reach all critical surfaces of the urinary catheter, which may, for example, allow the urinary catheter to be reused multiple times.

[0010] According to one aspect of the present invention, there is provided a urinary catheter assembly including a container extending at least axially from an open first section to an opposite closed second section. The assembly further includes a catheter shaft having a central lumen, a retainer arrangement attached to a distal region of the catheter shaft, the catheter shaft having at least one drainage opening in a proximal region opposite the distal region of the catheter shaft, the at least one drainage opening communicating with the central lumen, and the retainer arrangement including a distal end cavity communicating with the central lumen. The assembly further includes a sealing arrangement configured to form a fluid-tight and / or air-tight seal between the retainer arrangement and the container when the urinary catheter is inserted into the container, the sealing arrangement being further configured to allow the urinary catheter to be displaced axially while maintaining the fluid-tight and / or air-tight seal, and a lid configured to seal the distal end cavity of the retainer arrangement.

[0011] The present invention is based, at least in part, on the realization that by providing a sealing arrangement that forms a fluid-tight and / or air-tight seal with the container and allows the urinary catheter to be displaced axially while still maintaining the fluid-tight and / or air-tight seal, the urinary catheter will function as a piston. More specifically, insertion of the urinary catheter into the container increases pressure within the container, which in turn drives any liquid agent provided within the container into the drainage opening, up through the central lumen, and into the distal end cavity, thereby reaching any critical surfaces requiring disinfection and / or rinsing.

[0012] This allows the urinary catheter assembly of the present invention to achieve superior disinfection, and the assembly can be used to repeatedly disinfect reusable urinary catheters, allowing for catheter reuse while reducing waste. However, it is also envisioned that the assembly can be used generally to wet, regenerate, and / or disinfect urinary catheters with a liquid agent, regardless of whether the urinary catheter is intended for reuse or single use.

[0013] Additionally, the effect of driving the liquid medication through the central lumen via the drain opening is achieved over a wide range of liquid medication volumes within the container. In particular, as the amount of liquid medication decreases between uses, the container gradually contains more air, which can still help provide pressure to drive the remaining liquid medication into the central lumen.

[0014] Yet another advantage is that when the urinary catheter is removed, a counter-negative pressure effect will be created, actively drawing any liquid medication in the distal end cavity and central lumen into the container, so that the urinary catheter will not drip or overflow when removed from the container.

[0015] The first portion of the container has a container opening, and when the urinary catheter is inserted into the container, the proximal tip of the urinary catheter first enters the first portion of the container through the container opening, and then the proximal tip reaches the second portion of the container. The retainer arrangement then reaches the first portion of the container, and the sealing arrangement generally forms a liquid-tight and / or air-tight seal in the first portion of the container and confines the liquid agent in the second portion of the container. Thus, the first portion of the container is for forming a liquid-tight and / or air-tight seal, and the second portion of the container is generally for storing the catheter shaft and the liquid agent.

[0016] The solution is a liquid for achieving at least one of wetting, disinfecting, and regenerating the hydrophilic coating on the catheter, for example, the solution is a disinfectant or a combined disinfectant and wetting agent.

[0017] In some implementations, the sealing arrangement comprises a sealing element disposed on at least one of the retainer arrangement and the container.

[0018] For example, the sealing element is disposed on an inner surface of the first portion of the container or on an outer surface of the holder arrangement.

[0019] Thus, because the sealing element is located on the retainer arrangement and / or within the container, the sealing element does not get in the way during catheterization, whereby the insertable proximal portion of the catheter shaft remains free when the catheter is removed from the container. Optionally, multiple cooperating sealing elements are provided to further promote reliable sealing. For example, sealing elements may be located both on the retainer arrangement and on the interior of the first portion of the container.

[0020] In some implementations, the sealing element is realized using a compressible or flexible piece of material and / or a piece of material with shape memory. An advantage of using a compressible, flexible, or shape memory material is that the shape and size of the sealing element can be easily tailored to the dimensions of the holder configuration and / or container, while still allowing a liquid-tight and / or air-tight seal to be formed.

[0021] In some implementations, the sealing element comprises a gasket.

[0022] For example, the gasket may be provided as a cuff that surrounds the interior or retainer arrangement of the first portion of the container.

[0023] Additionally or alternatively, the sealing element comprises a sleeve made of a flexible material, the sleeve having a narrow end attached to the retaining portion arrangement and a wide end, at least one of the narrow end and the wide end configured to form a liquid-tight and / or air-tight seal with the container.

[0024] An advantage of a sleeve-shaped sealing element is that the urinary catheter can be displaced axially while maintaining a liquid-tight and / or gas-tight seal without the need for the sealing element to slide against the container. Sliding engagement can cause wear on the sealing element, which can reduce the expected lifespan of the sealing arrangement. Additionally, the sleeve can be inverted, providing a relatively large, dry surface for the user to grip, while also allowing the liquid agent to contact substantially the entire catheter shaft when the catheter is inserted into the container.

[0025] In some implementations, the retainer arrangement comprises a connector portion fixedly attached to the catheter shaft and a handling portion configured to be releasably connected to the connector portion.

[0026] The handling portion is further configured to slide over the catheter shaft after being released from the connector portion. Thus, the holding portion configuration can be realized as a two-part configuration with a releasable handling portion and a connector portion fixedly attached to the catheter shaft. The handling portion can make the urinary catheter easier to use because the user can hold the urinary catheter by the connector portion and the handling portion (which is slidable over the catheter) without directly contacting the catheter shaft. Generally, it is undesirable to touch the catheter shaft before or after catheterization, primarily because the catheter shaft should be kept sterile before catheterization.

[0027] In some implementations, the retainer arrangement is a single-piece arrangement, whereby the single-piece retainer arrangement is fixedly attached to the catheter shaft.

[0028] In some implementations, a sealing element is provided on the handling portion that forms part of the sealing arrangement.

[0029] An advantage of providing a sealing element on the handling portion is that at least a portion of the handling portion can be kept out of contact with the liquid agent, thereby keeping the handling portion dry to the touch and making it more comfortable and easier for the user to grip. A further advantage of providing a sealing element on the handling portion is that the connector portion can be similar to or partially identical to a conventional connector for a urinary catheter, so that the user can connect a conventional extension tube and / or urine collection bag to the connector portion with a familiar appearance and feel.

[0030] In some implementations, the retainer arrangement is configured to threadably mate with the first portion of the container.

[0031] Thus, the retainer arrangement and the first portion of the container may each be provided with a matching set of threads whereby the retainer arrangement may be threaded onto the first portion of the container. The threaded engagement may be used in addition to the sealing arrangement, or the threaded engagement may function as the sealing arrangement.

[0032] An advantage of utilizing a threaded engagement between the retaining portion arrangement of the urinary catheter and the container is that the urinary catheter is securely held inside the container during storage. Additionally, the threaded engagement can limit the speed at which the urinary catheter is axially inserted into the container, which is advantageous because it reduces the risk of premature insertion, which could cause the liquid agent to be expelled from the container and / or the distal end cavity of the urinary catheter. Additionally, the threaded engagement allows the axial displacement of the catheter relative to the container to be precisely defined, which in turn allows the displacement volume during insertion of the catheter to be precisely defined, for example, to prohibit overflow and ensure that the liquid agent reaches the distal end cavity.

[0033] As mentioned above, the threaded engagement can also function as a sealing arrangement, whereby a sealing arrangement achieved by a threaded engagement between the container and the holder arrangement is another option in addition to or as an alternative to the above-mentioned sealing elements comprising compressible or flexible pieces of material and / or pieces of material with shape memory.

[0034] In some implementations, the axial distance that the urinary catheter can be displaced while maintaining a fluid-tight and / or air-tight seal is configured to change the volume of the interior of the container by a differential volume that is at least the volume defined by the central lumen.

[0035] The volume of the central lumen can be defined as the cross-sectional area of ​​the central lumen multiplied by the length of the lumen. If the central lumen has a varying cross-sectional area, the volume of the central lumen can be defined by integrating the cross sections of infinitesimal thick sections along the central lumen. The volume of the central lumen can also be determined experimentally, for example, by closing the eyelet and determining the amount of liquid that can be stored inside the central lumen.

[0036] If the volume of the interior of the container changes by a differential volume that is at least the volume defined by the central lumen, any liquid agent will be forced through the entire length of the lumen to disinfect and / or rinse the lumen. Advantageously, the differential volume is greater than the volume defined by the lumen (e.g., at least 110%, at least 125%, or at least 150% of the volume defined by the lumen), so that some liquid agent also reaches the distal end cavity.

[0037] Additionally or alternatively, the axial distance the urinary catheter can be displaced is at least 0.3 cm, at least 0.5 cm, or at least 1 cm. A sufficiently large displacement distance ensures that enough liquid agent is forced up into the distal end cavity to achieve disinfection.

[0038] In some implementations, the catheter shaft of the urinary catheter is coated with a hydrophilic coating.

[0039] Intermittent urinary catheters coated with hydrophilic coatings are known in the art. The hydrophilic coating becomes slippery when wetted with a wetting fluid, which makes the insertion and removal of the urinary catheter more comfortable. Therefore, a reusable hydrophilic urinary catheter would be advantageous because it would provide convenient catheterization while reducing waste.

[0040] The hydrophilic coating may benefit from rewetting before each use, whereby the solution may comprise a wetting component that wets the hydrophilic urinary catheter. The solution may also be useful in rinsing the central lumen and distal end cavity of the urinary catheter between uses. The hydrophilic coating may benefit from regeneration to ensure that the hydrophilic and slippery properties of the coating are maintained over time. To this end, the solution may comprise a regenerating component.

[0041] The liquid inside the urinary catheter assembly is thereby adapted to achieve at least one of disinfecting, wetting, rinsing and regenerating the urinary catheter.

[0042] Thus, the solution may comprise at least one of a wetting component, a disinfecting component, a regenerating component configured to regenerate the hydrophilic coating, an osmolality increasing component, and a diluting component.

[0043] In some implementations, the container is flexible.

[0044] An advantage of a flexible container is that it can be bent, folded, or otherwise deformed together with the catheter shaft in its stored state to make the urinary catheter assembly easier for the user to carry, making it easier to store the urinary catheter assembly in a bag or pocket. Advantageously, however, the container (while sealed by the liquid-tight and / or air-tight seal) remains sufficiently rigid to withstand the increase / decrease in pressure inside the container when the catheter is axially displaced, as the desired piston effect of forcing the liquid agent through the lumen would otherwise be negated.

[0045] Alternatively, the container is rigid. In one example, the second portion of the container is flexible while the first portion is rigid, and the liquid-tight and / or air-tight seal is formed in the first portion. The rigid first portion makes the liquid-tight and / or air-tight seal more reliable, while the flexible second portion allows the urinary catheter assembly, in which the catheter shaft is located, to bend.

[0046] In some implementations, at least one of the distal end cavity and the first portion of the container is provided with at least one marking that indicates the amount of liquid agent present within the urinary catheter assembly.

[0047] The at least one marking may indicate, for example, the minimum level of liquid required for the liquid to reach all critical surfaces of the urinary catheter, or the maximum level of liquid above which there is a risk of overflow when the urinary catheter is inserted into a container.

[0048] In some implementations, the first portion of the container has a larger cross-sectional dimension compared to the second portion of the container, or vice versa.

[0049] The larger first portion makes it easier to accommodate the sealing arrangement and / or retainer arrangement inside the container, while the second portion of the container (used primarily to accommodate the catheter shaft) can be smaller to make the entire assembly more compact in the closed storage state.

[0050] In some implementations, when the urinary catheter is inserted into the container and the lid seals the distal end cavity, at least a portion of the retainer arrangement is exposed to the exterior of the container.

[0051] This allows at least a portion of the holder arrangement to be exposed to the exterior of the lid and container in a storage state, as the liquid agent is confined by the sealing arrangement and the lid that closes the distal end cavity, making it easier to use the urinary catheter assembly, as a user can grasp the holder arrangement before and during the process of opening the lid and removing the urinary catheter from the container.

[0052] In some implementations, the lid is attached to the container with an attachment element.

[0053] By attaching a lid to the container, the risk that the user will leave the lid behind or drop it on the ground when the lid is opened and the urinary catheter is removed from the container is reduced. The attachment element may advantageously be configured so that it is not possible to close the lid unless the catheter is fully inserted into the container and / or so that it is not possible to remove the catheter from the container without first removing the lid. This will ensure that the user properly inserts the catheter after each use and that they open the lid before removing the catheter from the container, which helps to ensure that the above-mentioned piston effect is properly extracted during each use.

[0054] According to a second aspect of the present invention, there is provided a method for removing a urinary catheter from a urinary catheter assembly. The urinary catheter assembly includes a urinary catheter including a container extending axially from an open first section to a closed second section, a catheter shaft having a central lumen, and a retainer arrangement attached to a distal region of the catheter shaft. The catheter shaft is provided with at least one drainage opening in a proximal region opposite the distal region of the catheter shaft, the at least one drainage opening communicating with the central lumen. The retainer arrangement includes a distal end cavity communicating with the central lumen. The urinary catheter is inserted into the container such that the sealing arrangement forms a fluid-tight and / or air-tight seal between the retainer arrangement and the container, the sealing arrangement being configured to allow the urinary catheter to be displaced axially while maintaining the fluid-tight and / or air-tight seal. The urinary catheter assembly further includes a lid sealing the distal end cavity of the retainer arrangement. The method includes removing the lid to open the distal end cavity, withdrawing the urinary catheter from the container by means of the retainer arrangement while the sealing arrangement forms a liquid-tight and / or air-tight seal, and removing the catheter from the container.

[0055] According to a third aspect of the present invention, there is provided a method for inserting a urinary catheter into a container to form a closed urinary catheter assembly. The urinary catheter assembly comprises a urinary catheter including a container extending axially from an open first portion to a closed second portion, a catheter shaft having a central lumen, and a retainer arrangement attached to a distal region of the catheter shaft. The catheter shaft is provided with at least one drainage opening in a proximal region opposite the distal region of the catheter shaft, the at least one drainage opening communicating with the central lumen, and the retainer arrangement includes a distal end cavity communicating with the central lumen. The urinary catheter assembly further comprises a sealing arrangement configured to form a fluid-tight and / or air-tight seal between the retainer arrangement and the container, wherein the sealing arrangement is configured to allow the urinary catheter to be displaced axially while maintaining the fluid-tight and / or air-tight seal, and a lid configured to seal the distal end cavity of the retainer arrangement. The method comprises inserting the urinary catheter, catheter shaft first, into the container; pushing the urinary catheter into the container with the retainer arrangement while the sealing arrangement forms a liquid-tight and / or air-tight seal; and attaching a lid to the distal end cavity.

[0056] Optionally, the second and / or third aspects of the invention may further comprise the step of verifying that there is a sufficient amount of liquid agent in the container (such as for disinfecting and / or wetting).

[0057] During withdrawal of the urinary catheter, this may be achieved by looking into the distal cavity and viewing the fluid before withdrawing the urinary catheter from the container with the retainer arrangement. During insertion of the urinary catheter, this may be achieved by looking into the container and viewing the fluid before inserting the urinary catheter and / or before attaching the cap to the distal cavity by looking into the distal cavity and viewing the fluid.

[0058] Additionally or alternatively, the container can be transparent, or at least a portion of the container can be transparent to form a transparent window, allowing the liquid agent to be viewed from outside the container. By further providing markings visible through the transparent portion of the container, it is possible to ascertain the amount of liquid agent inside the assembly at any time, regardless of whether the catheter is removed from the container or inserted into the container. The markings can indicate, for example, a recommended minimum level of liquid agent, allowing the user to easily determine when to refill the liquid agent.

[0059] The interior of the container and / or distal end cavity may be provided with markings indicating a recommended level of liquid agent, and if no liquid agent is visible or has not reached the markings, the method of the second and / or third aspects may comprise the step of refilling or replacing the liquid agent.

[0060] The present invention will now be described in more detail with reference to the accompanying drawings, which show presently preferred embodiments of the invention. [Brief explanation of the drawings]

[0061] [Figure 1] FIG. 1 illustrates a urinary catheter assembly according to some implementations. [Figure 2] FIG. 2 illustrates a urinary catheter having a retention portion configuration according to some implementations. [Figure 3] FIG. 3 illustrates a container for housing a urinary catheter having a retainer configuration, according to some implementations. [Figure 4a] FIG. 4a illustrates how a urinary catheter is inserted into a container between uses and then withdrawn from the container. [Figure 4b] FIG. 4b illustrates how a urinary catheter can be inserted into a container between uses and then withdrawn from the container. [Figure 4c] FIG. 4c illustrates how a urinary catheter can be inserted into a container between uses and then withdrawn from the container. [Figure 4d] FIG. 4d illustrates how a urinary catheter can be inserted into a container between uses and then withdrawn from the container. [Figure 4e] FIG. 4e illustrates how a urinary catheter can be inserted into a container between uses and then withdrawn from the container. [Figure 4f] FIG. 4f illustrates how a urinary catheter can be inserted into a container between uses and then withdrawn from the container. [Figure 4g] FIG. 4g illustrates how a urinary catheter can be inserted into a container between uses and then withdrawn from the container. [Figure 4h] FIG. 4h is a flowchart illustrating a method for inserting a urinary catheter into a container, according to some implementations. [Figure 4i] FIG. 4i is a flowchart illustrating a method for withdrawing a urinary catheter from a container, according to some implementations. [Figure 5a] FIG. 5a illustrates an alternative retainer configuration that includes threads for threaded engagement with the container. [Figure 5b] FIG. 5b illustrates an alternative retainer configuration that includes threads for threaded engagement with the container. [Figure 6a] FIG. 6a illustrates another alternative retainer configuration comprising two releasably connected parts. [Figure 6b] FIG. 6b illustrates another alternative retainer configuration comprising two releasably connected parts. [Figure 6c] FIG. 6c illustrates another alternative retainer configuration comprising two releasably connected parts. [Figure 7a] FIG. 7a illustrates yet another alternative retainer configuration comprising a sleeve that acts as a sealing element, according to some implementations. [Figure 7b] FIG. 7b illustrates yet another alternative retainer configuration comprising a sleeve that acts as a sealing element, according to some implementations. [Figure 7c]FIG. 7c illustrates yet another alternative retainer configuration with a sleeve that acts as a sealing element, according to some implementations. [Figure 7d] FIG. 7d illustrates yet another alternative retainer configuration comprising a sleeve that acts as a sealing element, according to some implementations. [Figure 8a] FIG. 8a illustrates an alternative sealing configuration with a sealing element disposed on the container. [Figure 8b] FIG. 8b illustrates an alternative sealing configuration with a sealing element disposed on the container. [Figure 8c] FIG. 8c illustrates an alternative sealing configuration with a sealing element disposed on the container. [Figure 9a] FIG. 9a illustrates an exemplary container for bending or coiling a catheter shaft, according to some implementations. [Figure 9b] FIG. 9b illustrates an exemplary container for bending or coiling a catheter shaft, according to some implementations. DETAILED DESCRIPTION OF THE INVENTION

[0062] In the following detailed description, preferred embodiments of the present invention will be described. However, it should be understood that features of different embodiments are interchangeable between embodiments and can be combined in various ways unless otherwise specified. It should also be noted that, for clarity, the dimensions of certain components illustrated in the drawings may differ from the corresponding dimensions in the actual implementation of the present invention.

[0063] 1 schematically illustrates a urinary catheter assembly 100 according to some implementations. The urinary catheter assembly 100 may alternatively be referred to as a reusable urinary catheter assembly because the catheter may be used for catheterization on multiple occasions and returned to the container between uses.

[0064] The urinary catheter assembly 100 comprises a container 3, a lid 4, and an optionally reusable urinary catheter 1. The container 3 also holds a liquid medication 5. In FIG. 1, the urinary catheter 1 is inserted into the container 3, and the lid 4 is attached to the distal end cavity 22 to seal the distal end cavity 22, meaning the urinary catheter assembly 100 is in its closed storage state. In this closed storage state, leakage of the liquid medication 5 is prevented, and the catheter shaft 11 and distal end cavity 22 of the urinary catheter 1 are protected from the external environment. In FIG. 1, the urinary catheter assembly 100 is held vertically, such that the liquid medication 5 collects toward the bottom of the container 3 (i.e., in the second portion 32) and toward the bottom of the distal end cavity 22, with a column of liquid medication 5 extending through the central lumen 12. In FIG. 1, the entire catheter shaft 11 is not completely immersed in the liquid agent 5, but it will be understood that as the user carries the urinary catheter assembly 100, the liquid agent 5 will move around inside the container 3 and reach substantially the entire catheter shaft 11 and the entire surface of the distal end cavity 22.

[0065] 2 shows a urinary catheter 1 of a urinary catheter assembly after removal from a container, according to some implementations. The urinary catheter 1 comprises an elongated catheter shaft 11 extending along an axial direction A. The catheter shaft 11 extends along the axial direction from a distal end 15 to a proximal insertion end (at a proximal tip 13).

[0066] The terms "proximal" and "distal" are used in this disclosure to describe the relative positions of portions of the urinary catheter 1 relative to a user when the user uses the catheter for self-catheterization to drain urine from their bladder. The proximal tip 13 of the catheter shaft 11 is first inserted through the user's urethra or stoma, for example, to reach the bladder, so that the tip 13 of the catheter shaft 11 is closer to, i.e., proximal to, the user's bladder during self-catheterization, while the opposite distal end 15 is farther from, i.e., distal to, the user's bladder. The terms "proximal" and "distal" may also be used to describe features of a container, where the proximal end of the container is the closed portion of the container closest to the proximal tip 13 of the urinary catheter in the closed storage state, and the distal end of the container is closer to the retainer arrangement 20 and distal end 15 of the urinary catheter 1 in the closed storage state.

[0067] As can be seen in FIG. 2, the proximal tip 13 of the catheter shaft 11 may be generally rounded, for example, to make insertion of the catheter shaft 11 into the urethra more comfortable.

[0068] The catheter shaft 11 further comprises a central lumen 12 configured to allow urine from the user's bladder to pass through the catheter shaft 11, through the central lumen 12, and into the distal end cavity 22. In Figures 1 and 2, the central lumen 12 and the distal end cavity 22 are illustrated by dashed lines.

[0069] To allow urine to enter the central lumen 12 of the catheter shaft 11 from the bladder, the catheter shaft 11 is further provided with one or more drainage openings 14 (often called eyelets) that communicate with the central lumen 12. Thus, when the proximal portion of the catheter shaft 11 is inserted into the bladder, urine can enter the central lumen 12 of the catheter shaft 11 through the at least one drainage opening 14. Typically, because only a limited proximal portion of the catheter shaft 11 enters the bladder during catheterization, the at least one drainage opening 14 is located near the proximal end of the catheter shaft 11. For example, the at least one drainage opening 14 is located within 10 centimeters or within 5 cm of the proximal end of the catheter shaft 11.

[0070] 2, the catheter shaft 11 is shown provided with two drainage openings 14, but it is envisioned that the catheter shaft 11 may be provided with more than two drainage openings 14, such as a single drainage opening 14, or 10 or more drainage openings 14 or even 100 or more drainage openings 14 distributed over the proximal portion of the catheter shaft 11. Generally, the total opening area of ​​the drainage openings 14 is about 75-200% of the cross-sectional area of ​​the central lumen 12, such that when a greater number of drainage openings 14 are used, each individual drainage opening 14 will generally be smaller, and vice versa.

[0071] The catheter shaft 11 can be made of a plastic material. For example, the catheter shaft 11 is made of a thermoplastic material, such as a thermoplastic polymer or a thermoplastic elastomer. Additionally or alternatively, it is contemplated that the catheter shaft is made of a material comprising natural fibers, such as cellulose fibers, as described in European Patent Application No. 21159364.5, the entirety of which is incorporated herein by reference.

[0072] A hydrophilic coating may be disposed on the catheter shaft 11, for example, over at least its insertable length. Alternatively, the catheter shaft 11 may be formed of a hydrophilic material. The hydrophilic coating or material provides the catheter shaft 11 with very low friction when wetted with a wetting fluid.

[0073] The distal end 15 of the catheter shaft 11 is connected to a retainer arrangement 20. The retainer arrangement 20 defines a distal end cavity 22 in flow communication with the central lumen 12 of the catheter shaft. The distal end cavity 22 further comprises a cavity opening 23 that allows urine to flow from the bladder through the at least one drainage opening 14 into the central lumen 12, into the distal end cavity 22, and out through the cavity opening 23. This allows a user to hold the catheter by the retainer arrangement 20, insert the catheter shaft 11 into the bladder, and drain urine through the distal end cavity 22 without the user coming into contact with the urine.

[0074] In some implementations, the retainer arrangement 20 is further configured to connect to a urine collection bag or extension tube, allowing urine to drain directly into the urine collection bag or extension tube (e.g., leading to a drain or toilet) via the distal end cavity 22. Thus, the retainer arrangement 20 may be generally referred to as a "connector" because it resembles, for example, a conventional urinary catheter connector that may be connected to a urine collection bag or extension tube. The retainer arrangement 20 may be fabricated as a single piece or may be realized using multiple pieces, for example, having a dedicated connector portion similar to a conventional urinary catheter connector and a handling portion releasably connected to the connector portion, as described below.

[0075] However, a holder arrangement 20 according to embodiments of the present invention may use a sealing arrangement to form a liquid-tight and / or air-tight seal between the holder arrangement 20 and the container. In some examples, a sealing element 21 (e.g., in the form of a gasket) configured to form a liquid-tight and / or air-tight seal with the container is provided on the holder arrangement 20, as described below.

[0076] 3 shows a cross-sectional view of an exemplary container 3. The container comprises a second portion 32 (in which the proximal end of the catheter is housed in the closed storage state) and an opposing first portion 31 (in which the distal end of the urinary catheter is housed in the closed storage state). The container 3 is substantially rigid and may be made, for example, of a rigid plastic material or a composite material comprising natural fibers and polymers.

[0077] Alternatively, the container 3, or at least a portion thereof, may be flexible, e.g., made of a thin, flexible plastic material that allows the container 3 to be, for example, bent, twisted, or coiled. The catheter shaft of the urinary catheter may also be flexible, allowing the urinary catheter assembly to be, for example, bent or folded to make it more compact and easier for the user to carry.

[0078] To retain any liquid agent, and optionally to keep the entire urinary catheter within a closed space, the urinary catheter assembly further includes a lid 4 configured to at least close the distal end cavity 22 in the storage state. In some implementations, the lid 4 may also form a seal with the container 3 to completely surround the urinary catheter, including the retainer arrangement, forming a closed space together with the container 3. However, because the sealing arrangement contributes to containing the liquid agent, it is generally not necessary for the lid 4 and container 3 to form an enclosure around the entire urinary catheter in the storage state. That is, it is sufficient for the lid 4 to close the distal end cavity 22 to contain the liquid agent 5 when the catheter is inserted into the container.

[0079] The lid 4 is a component that must be removed by the user before using the catheter. Thus, the lid 4 may advantageously be connected to the container via an attachment element 41 (e.g., a string, strap, hinge, pivot joint, or the like), allowing the lid 4 to be removed and reattached, while still ensuring that the user does not misplace the lid 4 after disconnecting it from the distal end cavity and / or container 3. It will be appreciated that such a lid 4 may be opened and closed multiple times, as the lid 4 is removed and closed each time the catheter is used.

[0080] The attachment element 41 is advantageously configured so that it is not possible to close the lid 4 if the catheter is not fully inserted into the container, and / or so that it is not possible to remove the catheter 1 from the container 3 without first removing the lid 4. This ensures that the user properly inserts the catheter 1 after each use (as it would not be possible to close the lid 4 otherwise) and that the user opens the lid 4 before removing the catheter 1 from the container 3. Additionally, to fully utilize the piston effect for pushing the liquid agent into the distal end cavity during catheter insertion and for withdrawing the liquid agent from the distal end cavity during catheter removal, it is beneficial if the lid 4 is attached only after the catheter is fully inserted and before the catheter is withdrawn.

[0081] Returning to FIG. 1, here the urinary catheter 1 is shown inside the container 3 and the lid 4 is used to seal the distal end cavity 22 of the retainer arrangement 20 .

[0082] In particular, here the sealing arrangement is realized by a sealing element 21 (here in the form of a sealing gasket surrounding the holder arrangement 20) that forms a liquid seal between the inner surface of the container 3 and the holder arrangement 20. This ensures that any liquid agent 5 in the container 3 is substantially confined within the space defined by the container 3 and the holder arrangement 20, mainly within the second portion 32 of the container 3. Although the liquid agent 5 can enter the central lumen 12 via the drain opening 14 and thus reach the distal end cavity 22 via the central lumen 12, the liquid agent 5 is prohibited from leaking out of the assembly 100 because the lid 4 closes the distal end cavity 22.

[0083] Having the liquid agent 5 reach both the central lumen 12 and the distal end cavity 22 is generally advantageous, as these portions will come into contact with urine during use and will benefit from disinfection or rinsing between uses. On the other hand, the outer surface of the retainer arrangement 20 is typically where the user grips the urinary catheter 1 during use, and this surface will generally not come into contact with urine during catheterization. Therefore, this surface of the retainer arrangement 20 will not benefit from disinfection and is advantageously kept dry to make it easier for the user to achieve a firm grip.

[0084] The urinary catheter assembly 100 of the present invention achieves effective disinfection while keeping the outer surface of the holder arrangement 20 away from contact with the liquid agent 5. To keep the gripping surface of the holder arrangement 20 away from contact with the liquid agent 5, the sealing element 21 may be located near the proximal end of the holder arrangement 20, or may be located on at least the proximal half of the holder arrangement 20.

[0085] 4a-4g, a urinary catheter assembly according to several implementations will now be described in more detail by illustrating a typical use case. In Figures 4a-4g, the sealing arrangement is realized with a sealing element 21 in the form of a gasket arranged on the retainer arrangement 20, but as will be explained below, this is only one of several examples of suitable sealing arrangements envisioned in the present disclosure.

[0086] In Figure 4a, the urinary catheter 1 has been used for catheterization, whereby the catheter shaft 11, central lumen 12 and distal end cavity 22 are all in contact with urine drained from the user's bladder. With further reference to the flowchart in Figure 4h, a method for inserting the urinary catheter 1 into a container 3 will now be described.

[0087] In step S1a, it is checked whether the level of liquid agent 5 inside the container 3 is sufficient. If the container 3 is sufficiently filled with liquid agent 5, the method proceeds to step S2a, in which the user inserts the urinary catheter 1, catheter shaft 11 first, into the container 3. During step S2a, at least a portion of the catheter shaft 11 becomes immersed in the liquid agent 5 (see, for example, Figure 1). Advantageously, the user holds the container 3 substantially vertically at this stage to prevent the liquid agent 5 from spilling out.

[0088] As the catheter shaft 11 is immersed in the liquid agent 5, the liquid agent 5 enters the central lumen 12 through the drainage opening (see, e.g., FIG. 1) and can be forced toward the distal end of the central lumen 12, for example, by capillary force.

[0089] As the user continues to insert the urinary catheter into the container 3, the catheter shaft 11 will gradually displace more and more liquid agent 5, causing the level of liquid agent 5 to rise within the container and central lumen 12 and forcing air out of the container 3. For example, using Jurin's law for a liquid column with a contact angle of 0 degrees and water as the liquid agent 5, it is estimated that the liquid agent 5 will rise approximately 7.8 mm within the 1.9 mm diameter central lumen.

[0090] When the urinary catheter 1 reaches the position shown in Figure 4b, the sealing element 21 engages with the container 3, now forming an airtight seal. At this point, the liquid agent 5 as well as air are prevented from leaking out through the space between the holder arrangement 20 and the container 3. Thus, when the urinary catheter reaches the position shown in Figure 4b, the air pocket 51 is also trapped inside the container 3 together with the liquid agent 5.

[0091] As explained below, embodiments in which the seal is only liquid-tight (and not air-tight) are also envisioned.

[0092] The sealing arrangement is further configured to allow the urinary catheter 1 to continue to be axially displaced an axial distance L while the airtight seal is maintained, as shown in Figures 4c-4d. During step S3a, the urinary catheter 1 is pushed into the container 3 while the sealing arrangement maintains the airtight seal. The liquid agent 5 as well as the air pocket 51 are therefore placed under pressure, which forces the liquid agent 5 to the drainage outlet, through the lumen 12 and into the distal end cavity 22, thereby reaching all critical surfaces that require, for example, disinfection, between subsequent uses of the urinary catheter 1.

[0093] Optionally, as shown in FIG. 4e, a stop element 34, such as a lip or other type of protrusion, may be provided on the inner surface of the container to prevent the urinary catheter 1 from being inserted too deeply. For example, it is generally desirable to prohibit the user from inserting the urinary catheter so that the proximal tip of the catheter shaft 11 contacts the closed end of the container 3. The stop element 34 further ensures that the urinary catheter 1 is inserted the same distance each time, meaning that the amount of liquid agent 5 displaced is the same with each insertion of the catheter. This can stop excessive amounts of liquid agent from being forced through the lumen, which would risk overflowing the distal end cavity 22.

[0094] The sealing configuration allows the urinary catheter to act as a piston inside the container 3, forcing the liquid medication 5 into the central lumen 12 and the distal end cavity 22. In particular, air trapped inside the container 3 can force the liquid medication 5 through the drainage opening and the central lumen 12, so that even if the container 3 has a low level of liquid medication 5, the liquid medication 5 is still efficiently forced up to the distal end cavity 22. At the same time, the distal end cavity 22 functions as a reservoir that can store a certain amount of liquid medication 5 to prevent overflow, even if the container 3 is filled with a large amount of liquid medication 5 before the insertion of the urinary catheter into the container 3.

[0095] As shown in Figure 4d, once the urinary catheter 1 has been inserted into the container 3, the method may proceed to step S4a, which involves checking the level of liquid agent inside the distal end cavity 22. If liquid agent 5 is found inside the distal end cavity 22, the user may be confident that all critical surfaces of the catheter 1 have come into contact with the liquid agent 5.

[0096] In step S5a, the lid 4 is used to close the distal end cavity 22, trapping the liquid agent 5 in the space between the sealing element 21 and the container 3, inside the central lumen 12, and inside the distal end cavity 22.

[0097] 4e shows the urinary catheter inside the container 3 in a storage state, with the lid 4 closing the distal cavity 22. In the closed storage state, the outer surface of the retaining part arrangement 20 is kept out of contact with the liquid agent 5, while at the same time allowing the liquid agent 5 to reach all critical surfaces of the urinary catheter 1 that require disinfection or rinsing. Note that the space between the sealing element 21 and the container 3 and the distal cavity 22 do not need to be completely filled with liquid agent, as the liquid agent will move around within these spaces as the user handles the closed urinary catheter assembly. However, without the aforementioned piston effect pushing the liquid agent 5 up to the distal cavity 22, it may be quite difficult to get the liquid agent 5 to reach the distal cavity 22.

[0098] In some implementations, the user is instructed to shake the urinary catheter assembly 100, for example, before opening and / or after closing it, to further ensure that all critical surfaces are disinfected or rinsed with the liquid 5.

[0099] With reference to the flow charts of Figures 4f and 4i, a method for removing the catheter 1 from the container 3 will now be described.

[0100] In step S1b, the lid 4 is opened and the method may then proceed to step S2b, which involves checking the level of the liquid agent within the distal end cavity 22.

[0101] In step S3b, the urinary catheter 1 is withdrawn from the container 3 by the retainer arrangement 20 while maintaining an airtight seal. This creates a negative pressure that contributes to drawing the liquid agent 5 from the distal end cavity 22 into the container 3. Furthermore, for catheters with a central lumen 12 having a sufficiently large cross-sectional area, gravity may help to allow the liquid agent 5 to flow out into the container 3 through the drainage opening. However, for smaller catheters with a central lumen 12 having a smaller cross-sectional area, gravity may not be sufficient to remove the liquid agent 5 from the central lumen 12. This is particularly advantageous for smaller catheters, as the negative pressure helps to draw the liquid agent 5 from the central lumen 12 during withdrawal of the catheter 1 from the container 3.

[0102] In Figure 4g, the urinary catheter is freed from the container and the method proceeds to step S4b, which involves completely removing the catheter 1 from the container 3. At this stage, the catheter is ready to be used (again) for catheterization.

[0103] By repeatedly using the urinary catheter 1 and returning it to the container 3, the urinary catheter is repeatedly disinfected, rinsed, and / or moistened, keeping the hydrophilic coating slippery and comfortable to use. However, with each use, there is a risk that some of the liquid agent 5 will be removed, e.g., washed away with urine during catheterization, thereby reducing the amount of liquid agent 5 in the container 3 with each use. Additionally or alternatively, it is envisioned that the liquid agent 5 will be diluted with urine or water (e.g., used to rinse the catheter shaft 11 after use) each time the catheter is used, thereby reducing the wetting and / or disinfecting properties of the liquid agent, although the amount of liquid in the container 3 remains approximately constant. Thus, the liquid agent 5 may be replaced (or refilled) periodically, such as once daily, every other day, twice weekly, once weekly, or once every two weeks.

[0104] Figures 5a and 5b illustrate details of components of a urinary catheter assembly according to some implementations. The retainer arrangement 20 of Figures 5a and 5b is provided with threads 25 configured to mate with matching threads 35 on the inner surface of the container 3. In this embodiment, a sealing element 21 is provided on the retainer arrangement 20 proximal to the threads 25 so that when the catheter is inserted into the container 3, the sealing element 21 forms a liquid-tight seal, after which the matching threads 25, 35 engage with each other to securely hold the urinary catheter 1 inside the container 3. While the seal in this embodiment is liquid-tight (but not air-tight), it is envisioned that similar embodiments may be provided with both liquid-tight and air-tight seals.

[0105] Providing a threaded engagement between the holder arrangement 20 and the container 3 has several advantages. First, the threaded engagement is reliable and requires a twisting force to disengage, which reduces the risk of a user accidentally removing the urinary catheter or of the urinary catheter becoming detached from the container 3 when the user carries the urinary catheter assembly in a bag, pocket, or the like. Second, there is a risk that a user may insert the urinary catheter 1 into the container 3 too quickly, which could cause the liquid agent 5 to be expelled, for example, via the distal end cavity 22. This can be particularly problematic when the container 3 is filled with a volume of liquid agent that corresponds to or exceeds the liquid volume limit. By providing a threaded engagement and requiring the user to twist the urinary catheter to reach the desired axial insertion depth into the container, the speed of axial insertion of the urinary catheter into the container 3 is limited, reducing the risk of expelling the liquid agent 5. Another advantage of the threaded engagement is that the axial displacement can be defined very precisely, which in turn means that the amount of displaced liquid agent 5 forced through the central lumen 12 can be accurately predetermined and will generally be the same each time the catheter 1 is inserted.

[0106] While the embodiment of Figures 5a and 5b features threads 25 located on the retainer arrangement 20, which is located distal to the sealing element 21, it will be understood that this is merely exemplary and that the container 3 and / or the retainer arrangement 20 may instead be adapted to allow the threads 25 to be located proximal to the sealing element 21.

[0107] In some implementations, such a sealing arrangement is achieved using threads 25, 35. It is envisioned that a liquid-tight seal (or even an air-tight seal) may be achieved using threads 25, 35 provided on the retainer arrangement 20 and on the inner surface of the container 3. Thus, to insert the urinary catheter 1 into the container and form a liquid-tight seal, the user may need to twist the catheter 1 relative to the container 3 a certain number of turns, where the threads 25, 35 are configured to provide a liquid-tight seal for at least half a turn, at least one turn, or at least two turns.

[0108] A liquid-tight seal may still allow gas (such as air) to escape, and as can be seen in FIG. 5b, no air remains trapped inside the container 3 by the sealing arrangement (compared to FIGS. 4c-4d, where the air-tight seal traps air inside the container). An air-tight seal is typically also liquid-tight, but it is understood here that a liquid-tight seal is sufficient to obtain the desired piston effect. Thus, the sealing arrangement may be liquid-tight (but not gas-tight), or liquid-tight and gas-tight.

[0109] It may be difficult for some users to twist the catheter relative to the container 3, so the lead of the threads 25, 35 is advantageously adapted so that the user does not need to twist the urinary catheter more than 5 turns to fully insert it into the container 3. As an example, if the urinary catheter is axially displaceable by the thread engagement by at least 1 cm, the lead of the thread is at least 2 mm so that no more than 5 turns are required.

[0110] To further facilitate ease of use, the threads may advantageously have multiple start threads, allowing engagement of the retainer arrangement 20 relative to the container 3 to be initiated in two, three, four or more rotational directions.

[0111] 6a-6c illustrate an exemplary holder arrangement 20 according to some implementations. Compared to the holder arrangement 20 of Figures 5a-5b, the holder arrangement 20 of Figures 6a-6c includes two parts 20a, 20b: a connector portion 20a and a handling portion 20b.

[0112] The connector portion 20a may be integrally formed with the catheter shaft 11 or may be otherwise secured to the catheter shaft 11 by means that generally do not allow a user to remove the connector portion 20a from the catheter shaft 11. For example, the connector portion 20a is attached to the catheter shaft 11 using an adhesive or by welding.

[0113] On the other hand, the handling portion 20b is separate from the catheter shaft 11 and the connector portion 20a. The handling portion 20b may have an opening through which the catheter shaft 11 can pass, and in some implementations, the sealing element 21 is disposed on the handling portion 20b. This allows the handling portion 20b to form a cuff or tube that surrounds the catheter shaft 11, allowing the handling portion 20b to slide along the catheter shaft 11 and function as a holding element that the user can grip between their fingers, making it easier to handle the urinary catheter without touching the catheter shaft.

[0114] Preferably, the opening in the handling portion 20b through which the catheter shaft 11 can pass has an opening diameter that is generally larger than the outer diameter of the catheter shaft 11. This allows the liquid agent 5 to reach all, or at least substantially all, parts of the catheter shaft 11. The engagement (e.g., threading or snap lock) between the handling portion 20b and the connector portion 20a can occur at the interface between these two parts 20a, 20b. For example, the distal face of the handling portion 20b engages with the proximal face of the connector portion 20a.

[0115] Depending on the type of sealing arrangement used (e.g., the positioning of sealing element 21 on handling portion 20b), it is possible to ensure that at least a portion of handling portion 20b does not come into contact with the liquid agent inside container 3. In the embodiment of Figures 6a-6c, the sealing element 21 used to form the sealing arrangement is in the form of a gasket that surrounds handling portion 20b; by providing the gasket near the proximal end of handling portion 20b, a distal portion of handling portion 20b is generally kept out of contact with the liquid agent, thereby ensuring that the distal portion remains dry to the touch.

[0116] Handling portion 20b is further configured to be releasably connected to connector portion 20a. The releasable connection between handling portion 20b and connector portion 20a is advantageously adapted for easy engagement / disengagement by a user, allowing handling portion 20b to be disengaged by the user and slid onto the catheter shaft as desired.

[0117] By way of example, handling portion 20b and connector portion 20a may be provided with matching threads or elements that form a snap lock, allowing handling portion 20b to be releasably connected to connector portion 20a. The releasable connection between handling portion 20b and connector portion 20a is advantageously liquid-tight (or even air-tight) to prevent liquid agent from leaking out from between handling portion 20b and connector portion 20a.

[0118] 6c illustrates the handling portion 20b inserted into the container 3. Because the liquid-tight seal formed by the sealing element 21 confines the liquid agent, at least a distal portion of the connector portion 20a, and optionally also a portion of the handling portion 20b, can be exposed to the outside of the container 3. Note that this results in at least a portion of the retaining portion arrangement 20 (e.g., the connector portion 20a) being exposed to the outside of the container 3 when the urinary catheter is fully inserted. By exposing at least a portion of the connector portion 20a, it may be easier for a user to withdraw the urinary catheter from the container 3 before use. Although at least a portion of the connector portion 20a is exposed, the liquid agent 5 is still confined inside the container 3 by the sealing element 21 provided on the handling portion 20b.

[0119] The lid 4 may be configured to engage only the connector portion 20a to seal the distal end cavity 22, leaving a portion of the connector portion 20a exposed.

[0120] In an exemplary usage scenario, a user grasps the exposed portion of connector portion 20a with a first hand and then removes lid 4 with a second hand. It is also envisioned that a user may remove lid 4 while holding container 2 with one hand.

[0121] The lid 4 may be loosely attached to the container 3 using an attachment element, allowing the user to drop the lid 4 while it is still attached to the container 3. Advantageously, the attachment element is configured so that the lid must be removed to allow the urinary catheter 1 to be withdrawn, and the urinary catheter 1 must be fully inserted to allow the lid 4 to be reattached.

[0122] At this point, the user can look into the distal tip cavity 22 and see that there is some liquid agent 5 therein. The presence of liquid agent 5 in the distal tip cavity 22 means that liquid agent 5 has likely reached all areas of the urinary catheter that require disinfection.

[0123] The user can then use their second hand to grasp the container 3 and pull and / or twist the urinary catheter relative to the container 3. During pulling and / or twisting, the sealing element 21 retains its sealing properties over a portion of the axial displacement of the urinary catheter, thereby building up negative pressure and drawing the liquid agent from the distal end cavity 22 and the central lumen 12. Once the urinary catheter is free from the container 3, the distal end cavity 22, the central lumen 12, and the outer surface of the catheter shaft 11 can all be wetted with the liquid agent and / or disinfected. Advantageously, however, most of the liquid agent can be sucked out of the distal end cavity 22 and the central lumen 12, so that the liquid agent does not drip out of the urinary catheter after removal.

[0124] At this point, the user holds the urinary catheter by the connector portion 20a with one hand and the container 3 with the second hand. The user can then put the container 3 away and perform the catheterization procedure. For example, the user could now use their free second hand to grasp the handling portion 20b, disengage it from the connector portion 20a, and then grasp the urinary catheter via the handling portion 20b and the connector portion 20a while performing the catheterization procedure.

[0125] To make it easier to put away the container 3 between catheterizations, the container 3 or lid 4 may be provided with a hook or loop, allowing it to be hung, for example, on a clothes hanger. Additionally or alternatively, the lid 4 may be further configured to close the container 3 once the urinary catheter is removed from the container 3, whereby the lid 4 may be used to close the container and allow the container 3 to be placed horizontally without leakage of the liquid medication. It is also envisioned that the second portion 32 of the container 3 may be provided with a flat base that allows the container to stand upright.

[0126] 7a-7d, cross-sectional views of another exemplary sealing configuration are shown, where handling portion 20b is releasably connectable to connector portion 20a, although it is envisioned that these components may be permanently attached together in some implementations.

[0127] Here, the sealing arrangement is achieved by a flexible sleeve 27 attached to the handling portion 20b, where the sleeve 27 extends along a portion of the catheter shaft 11. The flexible sleeve 27 has a narrow end attached to the handling portion 20b and a wider end configured to engage the container 3. The wider end may be reinforced with a cuff 28 that promotes better sealing with the container 3. In FIG. 7a, the flexible sleeve 27 extends proximally from the handling portion 20b, but it is envisioned that it could alternatively extend distally. Advantageously, the sleeve 27 is made of a flexible material and can be turned inside out, meaning that the sleeve 27 can be manipulated to extend either distally or proximally of the handling portion 20b.

[0128] A sealing element in the form of a flexible sleeve 27 can be used with containers 3 having varying cross-sectional dimensions. For example, in Figure 7b, a first portion 31 of the container 3 has a larger cross-sectional dimension and a second portion 32 has a smaller cross-sectional dimension, forming a ledge 33 for receiving the wide end of the sleeve 27 (or the cuff 28 of the sleeve 27) to form a fluid-tight seal when a urinary catheter is inserted into the container, as shown in Figure 7c.

[0129] It is also envisioned that the wide end of the sleeve 27 may engage the rim of the container 3 , thereby eliminating the need for the container 3 to have a varying cross-sectional dimension to form a fluid-tight seal with the sleeve 27 .

[0130] Because the sleeve 27 is flexible, it is possible to continue pushing the urinary catheter into the container 3, even though the wide end or cuff 28 of the sleeve 27 remains stationary by engaging the ledge 33. Figures 7c and 7d show how the sleeve 27 can be inverted while the wide end or cuff 28 forms a fluid-tight seal. This design therefore allows for large axial displacement of the urinary catheter while maintaining a fluid-tight seal, allowing the urinary catheter to be properly disinfected between uses, even when low levels of disinfectant are present in the container. An additional advantage of this design is that the wide end of the sleeve 27 rests on the ledge 33 and generally does not slide relative to the container 3, thereby reducing wear on the sleeve 27.

[0131] A further advantage of the sealing element 21 in the form of a flexible sleeve 27 that can be reversed is that the sleeve 27 is easier for the user to grip and allows the sleeve 27 to cooperate with the handling part 20b, making the catheter easier to use. At the same time, because the sleeve is reversed, it can expose a large, dry gripping surface when the catheter 1 is removed from the container 3, and at the same time, the sleeve 27 can be reversed in the closed storage position so as not to interfere with the catheter shaft 11, allowing the catheter shaft to come into contact with the liquid agent 5.

[0132] In Figure 7b, the sleeve 27 is concave, thereby exposing a relatively large, dry surface that a user can grip. Orienting the sleeve in a concave shape may be particularly preferable when a low level of liquid agent 5 is present in the container 3. As shown in Figures 7c and 7d, when the concave sleeve 27 is inserted into the container along with the catheter, the sleeve 27 is inverted to become convex, allowing the catheter shaft 11 to come into contact with the liquid agent 5.

[0133] The seal may be formed by either or both of the cuff 28 and the handling portion 20b. As can be seen in Figure 7d, when the urinary catheter 1 is inserted into the container 3, both the handling portion 20b and the cuff 28 may contact the container 3, and either or both of these parts may participate in forming the seal. If the handling portion 20b forms part of the seal, the cuff 28 does not need to form the seal, and the engagement between the cuff and the container 3 may be solely for the purpose of inverting the sleeve 27 during insertion.

[0134] In some implementations, the sealing arrangement comprises a sealing element 21 disposed on the inner surface of the container 3 in addition to, or instead of, the retainer arrangement 20. In Figures 8a-8c, a sealing element 21 in the form of a gasket is attached to the inner surface of the container 3. When a urinary catheter is inserted into the container 3, the gasket forms a fluid-tight seal with the retainer arrangement 20 while still allowing the urinary catheter to be axially displaced while the fluid-tight seal is maintained. Thus, sealing arrangements contemplated herein may involve a threaded engagement between the retainer arrangement 20 and the container 3, or a sealing element (such as a gasket or sleeve) provided on at least one of the retainer arrangement 20 and the container.

[0135] While the exemplary container 3 of FIGS. 1 and 3 is generally elongated to allow the urinary catheter to be stored without substantially bending the catheter shaft 11, it will be appreciated that the container 3 can be realized in a variety of shapes that allow the catheter shaft to be stored without bending or even require bending of the catheter shaft 11 when inserting the catheter into the container 3.

[0136] 9a shows an exemplary container 3′ that forces the catheter shaft 11 to bend as the urinary catheter 1 is inserted into the container 3′. This allows the container 3′ to be realized with an axial extension that is smaller than the axial extension of the urinary catheter 1, which in turn may result in a more compact container 3′ that is easier to store in a pocket or bag compared to the generally elongated container 3′ of FIGS. 1 and 3.

[0137] The container 3' still has a first portion 31 and a second portion 32, with the container opening 33 being provided in the first portion 31, which is configured to enable the sealing arrangement to form a liquid-tight seal when the catheter 1 is inserted into the container 3'.

[0138] In Figure 9b, the catheter 1 is inserted into the container 3' with the proximal tip 13 first passing through the container opening 33. As the catheter 1 is inserted further into the container 3', the catheter shaft 11 is bent or generally coiled by the walls of the container 3', allowing the catheter 1 to be stored in a space-efficient configuration. The catheter shaft 11 of the urinary catheter 1 is typically made of a material that exhibits shape memory and / or elastic recovery, so that the catheter shaft 11 will return to its generally straight shape once removed from the container 3'.

[0139] The airtight seal formed in the first portion 31 of the container still provides the same advantages as described above, such as forcing the liquid agent 5 through the central lumen, while allowing the urinary catheter 1 to be displaced axially.

[0140] Those skilled in the art will understand that the present invention is by no means limited to the preferred embodiments described above. On the contrary, many modifications and variations are possible within the scope of the appended claims. For example, the various types of sealing elements (e.g., gaskets, threads, or sleeves) presented herein may be used separately or in combination. Additionally, the retainer configurations are described above as components that may be realized as a single piece or as two or more pieces, and it will be understood that various types of sealing elements may be used with single-piece or multi-piece retainer configurations.

[0141] In the claims, the word "comprising" does not exclude the presence of other elements or steps than those listed in a claim. The word "a" or "an" preceding an element does not exclude the presence of a plurality of such elements.

Claims

1. 1. A urinary catheter assembly comprising: a container extending axially from an open first portion to a closed second portion; A urinary catheter comprising: a catheter shaft having a central lumen; and a retainer arrangement attached to a distal region of the catheter shaft, wherein the catheter shaft is provided with at least one drainage opening in a proximal region opposite the distal region of the catheter shaft, the at least one drainage opening communicating with the central lumen; and the retainer arrangement comprising a distal end cavity communicating with the central lumen; a sealing arrangement configured to form a liquid-tight and / or air-tight seal between the retainer arrangement and the container when the urinary catheter is inserted into the container, wherein the sealing arrangement is further configured to allow the urinary catheter to be displaced in the axial direction while maintaining the liquid-tight and / or air-tight seal; a lid configured to seal the distal end cavity of the retainer arrangement; A urinary catheter assembly comprising:

2. The urinary catheter assembly of claim 1 , wherein the sealing arrangement comprises a sealing element disposed on at least one of the retainer arrangement and the container.

3. The urinary catheter assembly of claim 2 , wherein the sealing element comprises a gasket.

4. 4. The urinary catheter assembly of claim 2, wherein the sealing element comprises a sleeve made of a flexible material, the sleeve having a narrow end attached to the retainer arrangement and a wide end, at least one of the narrow end and the wide end configured to form the liquid-tight and / or air-tight seal with the container.

5. 5. The urinary catheter assembly according to claim 1, wherein the holding portion arrangement comprises a connector portion fixedly attached to the catheter shaft, and a handling portion configured to be releasably connected to the connector portion.

6. The urinary catheter assembly according to claim 5, wherein a sealing element forming part of the sealing arrangement is arranged on the handling part.

7. A urinary catheter assembly according to any one of claims 1 to 6, wherein the retainer arrangement is configured for threaded engagement with the first part of the container.

8. 8. The urinary catheter assembly according to claim 1, wherein the axial distance that the urinary catheter can be displaced while maintaining the liquid-tight and / or gas-tight seal is configured such that the volume inside the container changes by a differential volume that is at least the volume defined by the central lumen.

9. The urinary catheter assembly according to any one of claims 1 to 8, wherein the catheter shaft of the urinary catheter is coated with a hydrophilic coating.

10. The urinary catheter assembly according to any one of claims 1 to 9, wherein the container contains a liquid agent, the liquid agent comprising at least one of a disinfecting component, a wetting component, and a regenerating component.

11. A urinary catheter assembly according to any one of claims 1 to 10, wherein the container is flexible.

12. 12. The urinary catheter assembly according to claim 1, wherein at least one of the distal end cavity and the first portion of the container is provided with at least one marking that indicates the amount of liquid agent present inside the urinary catheter assembly.

13. A urinary catheter assembly according to any one of claims 1 to 12, wherein the first portion of the container has a larger cross-sectional dimension relative to the second portion of the container, or vice versa.

14. 14. The urinary catheter assembly according to claim 1, wherein when the urinary catheter is inserted into the container and the lid seals the distal end cavity, at least a portion of the retaining portion configuration is exposed to the outside of the container.

15. A urinary catheter assembly according to any one of claims 1 to 14, wherein the lid is reclosable and attached to the container by an attachment element.

16. 16. The urinary catheter assembly of claim 1, wherein the urinary catheter assembly is reusable, such that the urinary catheter can be removed from the container and reinserted into the container multiple times, and the sealing arrangement is configured to form the liquid-tight and / or air-tight seal each time.

17. 1. A method for removing a urinary catheter from a urinary catheter assembly, the method comprising: a container extending axially from an open first portion to a closed second portion; a urinary catheter comprising: a catheter shaft having a central lumen; and a retainer arrangement attached to a distal region of the catheter shaft, wherein the catheter shaft is provided with at least one drainage opening in a proximal region opposite the distal region of the catheter shaft, the at least one drainage opening communicating with the central lumen; the retainer arrangement comprising a distal end cavity communicating with the central lumen; the urinary catheter being inserted into the container such that a sealing arrangement forms a liquid-tight and / or air-tight seal between the retainer arrangement and the container, the sealing arrangement being configured to allow the urinary catheter to be displaced in the axial direction while maintaining the liquid-tight and / or air-tight seal; a lid sealing the distal end cavity of the retainer arrangement; The method comprises: removing the lid to open the distal end cavity; withdrawing the urinary catheter from the container with the retainer arrangement while the sealing arrangement forms a liquid-tight and / or air-tight seal; removing the catheter from the container; A method comprising:

18. 1. A method for inserting a urinary catheter into a container to form a closed urinary catheter assembly, the closed urinary catheter assembly comprising: a container extending axially from an open first portion to a closed second portion; A urinary catheter comprising: a catheter shaft having a central lumen; and a retainer arrangement attached to a distal region of the catheter shaft, wherein the catheter shaft is provided with at least one drainage opening in a proximal region opposite the distal region of the catheter shaft, the at least one drainage opening communicating with the central lumen; and the retainer arrangement comprising a distal end cavity communicating with the central lumen; a sealing arrangement configured to form a liquid-tight and / or air-tight seal between the holder arrangement and the container, wherein the sealing arrangement is configured to allow the urinary catheter to be displaced in the axial direction while maintaining the liquid-tight and / or air-tight seal; a lid configured to seal the distal end cavity of the retainer arrangement; The method comprises: inserting the urinary catheter into the container with the catheter shaft first; pushing the urinary catheter into the container with the retainer arrangement while the sealing arrangement forms a liquid-tight and / or air-tight seal; attaching the lid to the distal end cavity; A method comprising:

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