(Redirected from Catheters)
Catheter disassembled
In
medicine, a 'catheter' is a
tube that can be inserted into a body cavity, duct or vessel. Catheters thereby allow drainage or injection of fluids or access by surgical instruments. The process of inserting a catheter is 'catheterisation'. In most uses a catheter is a thin, flexible tube: a "soft" catheter; in some uses, it is a larger, solid tube: a "hard" catheter.
The ancient Greeks created catheters from reeds. "Katheter" originally referred to an instrument that was inserted such as a plug. The word "katheter" in turn came from "kathiemai" meaning "to sound" with a probe. The ancient Greeks inserted a hollow metal tube through the urethra into the bladder to empty it and the tube came to be known as a "katheter."
Placement of a catheter into a particular part of the body may allow:
★ draining
urine from the
urinary bladder as in
urinary catheterization, e.g., the
Foley catheter or even when the
urethra is damaged as in
suprapubic catheterisation.
★ drainage of fluid collections, e.g. an abdominal
abscess
★ administration of
intravenous fluids,
medication or
parenteral nutrition
★
angioplasty,
angiography,
balloon septostomy,
balloon sinuplasty
★ direct measurement of
blood pressure in an
artery or
vein
★ direct measurement of
intracranial pressure
★ administration of
anaesthetic medication into the
epidural space, the
subarachnoid space, or around a major nerve bundle such as the
brachial plexus
★
subcutaneous administration of
insulin or other medications, with the use of an
infusion set and
insulin pump
A
central venous catheter is a conduit for giving
drugs or fluids into a large-bore catheter positioned either in a
vein near the
heart or just inside the
atrium. A
Swan-Ganz catheter is a special type of catheter placed into the
pulmonary artery for measuring pressures in the heart.
A ''Touhy borst adapter'' is a medical device used for attaching catheters to various other devices.
An external male ''condom catheter'' (Slang term: ''Texas Condom'') is not a true catheter, as it is not inserted into a body cavity duct or vessel. Rather, this is a condom-like device with a plug where the condom's reservoir tip would be, and an adhesive at the base. This device allows for
urinary catheterization without the insertion of a true catheter, and forms part of a
Stadium buddy.
Inventors
The modern application of the catheter was in use at least by 1868 when Dr. N.B.Sornborger patented the Syringe and Catheter (patent # 73402) with features for fastening it to the body and controlling the depth of insertion.
David S Sheridan was the inventor of the modern disposable catheter in the 1940's. In his lifetime he started and sold four catheter companies and was dubbed the "Catheter King" by
Forbes Magazine in 1988.
He is also credited with the invention of the modern "disposable" plastic
endotracheal tube now used routinely in surgery. Previous to his invention, red rubber tubes were used, sterilized, and then re-used which often led to the spread of disease and also held a high risk of infection. As a result Mr Sheridan is credited with saving thousands of lives.
See also
★
cannula
★
stent
★
French catheter scale chart