a preferred embodiment of the self - catheterization aid 10 manufactured in accordance with the present invention is depicted in fig1 . the self - catheterization aid 10 comprises a semi - annular arcuate strip 12 . the strip 12 is flexible , and it lies generally flat when not flexed in use . it is preferably made of a material such as fabric - backed foam rubber . standard foam rubber without the fabric - backing would also suffice . in any event , closed cell foam rubber is preferred since it would not absorb moisture and is comfortable to the patient . any other flexible or semi - rigid materials would suffice as a material for strip 12 . strip 12 is formed in a one piece semi - annular arcuate shape that includes a concave inner edge 14 , a convex outer edge 16 , and two laterally spaced apart opposite generally pointed ends 18 and 20 . both inner edge 14 and outer edge 16 are rounded between the broad inner and outer surfaces of the strip so the device is more comfortable for the user . ends 18 and 20 have fastening strips 22 and 24 attached thereto . fastening strips 22 and 24 are preferably velcro ®. in that case fastening strip 22 would be the 37 eye &# 34 ; portion of the velcro ®, and fastening strip 24 would be the &# 34 ; hook &# 34 ; portion of the velcro ®. other fastening systems such as a standard snap type device would suffice , but velcro ® is preferred because it is very easy for a patient having impaired hand and finger movement to fasten and unfasten . velcro ®- type fasteners also provide infinite adjustability . fastening strip 22 ( the eye portion ) is attached to the upper side 28 of strip 12 on end 18 . fastening strip 24 ( the hook portion ) is attached to the lower side 30 of strip 12 on end 20 . both fastening strips 22 and 24 are attached to strip 12 by stitching the fastening strip to the foam rubber . other conventional means of attachment , such as glue , would suffice . strip 12 also includes a handle 26 to provided the user a convenient and easily accessible handhold . handle 26 is preferably a flexible cloth material , such as a 3 / 8 inch wide nylon strap , formed into a loop and stitched into the upper side 28 of strip 12 . other flexible strapping material or handle type devices would suffice . in use , ends 18 and 20 are coupled together by joining them together and fastening them with fastening strips 22 and 24 . as noted , fastening strip 22 is attached to the upper side 28 of strip 12 on end 18 . fastening strip 24 is attached to the lower side 30 of strip 12 on end 20 . thus , to fasten the two ends 18 and 20 together , end 20 is laid over end 18 such that the fastening strips 22 and 24 overlap each other . when the fastening strips are in this position the ends 18 and 20 are pressed together to fasten the velcro ®. the self - catheterization aid 10 generally describes a hollow frustum when ends 18 and 20 are fastened ( fig3 and 4 ). when ends 18 and 20 are fastened together an opening 36 is formed at the apex end 32 of the frustum , and a relatively larger opening 37 is formed at the base end 34 of the frustum . a central passageway 39 , which is generally frusto - conical in shape , larger at the base and relatively smaller at the apex , runs through the length of the frustum . varying the distance that end 20 overlaps end 18 varies the diameter of the openings 36 and 37 . the diameter of openings 36 and 37 can be increased by decreasing the distance that end 20 overlaps end 18 . similarly , the diameter of openings 36 and 37 may be decreased by increasing the distance that end 20 overlaps end 18 . when a velcro ®- type fastening system is utilized the amount of overlap of fastening strips 22 and 24 is infinitely adjustable within the lengths of the respective strips . use of the self - catheterization aid 10 is depicted schematically in fig5 . without the aid of the present invention it would be extremely difficult or impossible for a patient having impaired hand and finger movement to insert an internal catheter into the urethra because the penis 36 is unsupported and flexible . however , as seen in fig5 the self - catheterization device 10 , when applied to the penis 36 such that it forms a frusto - conical circumferential support platform for the penis , enables the patient perform self - catheterization by inserting an internal catheter into the urethra . the device stabilizes the patient &# 39 ; s penis so that self - catheterization is a relatively easy procedure , even for patient &# 39 ; s with severely impaired hand and finger movement . to apply the self - catheterization aid 10 of the present invention to the penis 36 , the patient places the open , uncoupled device ( fig1 ) under the penis 36 such that the ends 18 and 20 are directed away from the patient &# 39 ; s body . thus , the outer convex edge 16 rests against the patient &# 39 ; s groin area below the penis 36 . the patient grasps handle 26 in one hand and end 18 in the other , and draws the ends together over and around the penis . ends 18 and 20 are drawn together until the self - catheterization aid 10 completely encircles the penis , at which time end 20 is pressed onto end 18 to couple fastening strips 22 and 24 . when ends 18 and 20 are fastened together , base end 34 of the device rests against the patient &# 39 ; s abdomen and groin area around the base 38 of the penis 36 . the fastened device therefore forms a frusto - conically shaped tubular support platform that completely encircles the patient &# 39 ; s penis . the glans 40 of the patient &# 39 ; s penis 36 extends through opening 36 at the apex end 32 of the assembled self - catheterization aid 10 to provide the patient easy access to his urethra . the size of opening 36 is adjusted by the patient so that it is substantially the same diameter as the patient &# 39 ; s penis 36 , and thus supports and engages the penis . the shaft 42 of the patient &# 39 ; s penis 36 extends through central passageway 39 , and the glans 40 is held generally external to the apex end 32 of the assembled device . because base end 34 has a larger opening 37 than the opening 36 at apex end 32 , and because base end 34 rests against the patient &# 39 ; s abdomen and groin area around the base 38 of the penis 36 , the patient &# 39 ; s penis is supported and stabilized to limit movement in any direction . this greatly facilitates self - catheterization . once applied to the patient as seen in fig5 the patient may insert an internal catheter into his urethra and bladder to evacuate urine from his bladder . the self - catheterization aid 10 of the present invention may be used equally well with intermittent internal catheters , and indwelling catheters . when an intermittent internal catheter is used , the catheter is removed from the urethra once bladder drainage is complete , and the self - catheterization aid 10 is unfastened and removed from the patient &# 39 ; s penis 36 . it has been found that the self - catheterization aid 10 of the present invention may also be used to facilitate self - application of a condom catheter . an alternative embodiment of the self - catheterization aid 10 of the present invention is depicted in fig6 . in this embodiment the strip 42 comprises a substantially rectangular strip having opposite ends 44 and 46 . as with the preferred embodiment , the embodiment depicted in fig6 is preferably made of a flexible material such as fabric - backed foam rubber . strip 42 lies flat when not flexed in use . the &# 34 ; eye &# 34 ; portion 48 of the velcro ® fastening strip is attached to top side 52 of strip 42 at end 44 . the &# 34 ; hook &# 34 ; portion 50 of the velcro ® fastening strip is attached to the bottom side 54 of strip 42 at end 46 . a loop of fabric as a handle 56 is stitched to the top side 52 of strip 42 at end 46 . when ends 44 and 46 are fastened together ( fig7 ), the device forms a cylinder having a base end 58 and a distal end 60 . the cylinder has a first opening 62 at base end 58 , a second opening 64 at distal end 60 , and a central passageway 66 therebetween . as with the preferred embodiment , the diameter of first opening 62 and second opening 64 , and also central passageway 66 are adjustable and may be increased or decreased by varying the amount of overlap of end 46 on end 44 . in use , the diameter of the cylinder is adjusted by the user to coincide substantially with the diameter of the penis 36 . thus , in use the assembled device forms a cylindrical tube for supporting the patient &# 39 ; s penis . application of the embodiment shown in fig6 and 7 is similar to that described above for the preferred embodiment . the patient places the open strip ( fig6 ) beneath the underside of the penis such that the long - axis of the rectangular strip is generally perpendicular to the longitudinal axis of the patient &# 39 ; s penis . the device is wrapped around the penis by grasping the handle 56 in one hand and end 44 in the other , then drawing the two ends 44 and 46 over and around the penis . the ends are then fastened together by overlapping the two parts of the velcro ® fastening strip and pressing them together . while the present invention has been described in accordance with preferred embodiments , it is to be understood that certain substitutions and alterations may be made thereto without departing from the spirit and scope of the appended claims .
a self - catheterization aid for use by male patients having impaired wrist , hand and finger movement due to traumatic spinal cord injury or neuromuscular diseases . the self - catheterization aid comprises a strip of flexible material having an arcuate semi - annular shape . the patient fits the device around his penis to form a circumferential tubular support platform that stabilizes the penis to allow for self - catheterization with either an indwelling catheter or an intermittent internal catheter . the device is easily manipulated by patients having impaired hand and wrist movement .