CA1144028A - Ostomy appliance - Google Patents

Ostomy appliance

Info

Publication number
CA1144028A
CA1144028A CA000343825A CA343825A CA1144028A CA 1144028 A CA1144028 A CA 1144028A CA 000343825 A CA000343825 A CA 000343825A CA 343825 A CA343825 A CA 343825A CA 1144028 A CA1144028 A CA 1144028A
Authority
CA
Canada
Prior art keywords
ring
pouch
stoma
sealing ring
sealing
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
CA000343825A
Other languages
French (fr)
Inventor
Frank J. Winchell
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Motors Liquidation Co
Original Assignee
Motors Liquidation Co
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Motors Liquidation Co filed Critical Motors Liquidation Co
Application granted granted Critical
Publication of CA1144028A publication Critical patent/CA1144028A/en
Expired legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
    • A61F5/445Colostomy, ileostomy or urethrostomy devices

Landscapes

  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Non-Flushing Toilets (AREA)

Abstract

Abstract of the Disclosure A compliant O-ring seats on the abdomen surrounding the stoma and contacting the stoma. A
pouch sealing ring having an annular flange fits over the O-ring to form a sealer therewith. A waste collec-tion pouch is secured to this sealing ring and has an opening aligned with the washer and the O-ring and a belt attached to the sealing ring secures the appliance to the body of the user.

Description

~4~

OSTOMY APPLIANCE
This invention relates to an ostomy appliance for collecting body wastes emitted from a stoma of a person having a colostomy or ileostomy.
Heretofore the ostomy appliances for collect-ing body wastes which were commercially successful and, therefore, available to use by the general public have been characterized by features which cause discomfort and inconvenience to the user. Such appliances, for example, require an adhesive patch on the abdomen of the user around the stoma for supporting a pouch through some retaining fixture. Those adhesive patches are directly subject to body fluids which tend to loosen the adhesive to cause leaks and further to corrode the skin to produce severe skin irritation. The collection pouches of such devices generally have inade~uate capacity for overnight usage or even for many normal daytime activities. Further, such pouches tend to produce unsightly bulges under the user's clothing.
Further, the nature of the attachment of the appliance to the user made it difficult to remove the appliance for cleaning or changing it.
It is, therefore, a general object of the invention to provide an ostomy appliance which requires no adhesive attachment for most of the users at least for most of their ackivikies. It is a further object ,~

of the invention to provide such an appliance with a large waste capacity and which at the same time is readily concealed by the user's c]othing. Another object of this invention is to provide such an appliance which is very easily applied or removed without dis-comfort or inconvenience to the user. The invention is carried out by providing an O~ring for seating against and sealing around the stoma of the user, a sealing ring in sealing engagement with the O-ring and supporting a waste collection pouch having an opening aligned with the O-ring to receive waste material from the stoma, and a belt attached to the sealing ring for securing the appliance to the body of the user.
The above and other advantages will be made more apparent from the following specification taken in conjunction with the accompanying drawings wherein like reference numerals refer to like parts and wherein:
Figure 1 is a front view of a waste collection pouch according to the invention attached to the body of the user;
Figure 2 is a partly broken away cross-sectional view of the pouch of Figure 1 as viewed along lines 2-2;
Figure 3 is a cross-sectional side view of the appliance of Figure 1 taken along lines 3-3;
Figure 4 is a partly broken away cross-sectional view of the appliance of Figure 1 taken along lines 2-2 illustrating the relationship of the O-ring when sealing under high pressure conditions;
Figure 5 is an enlarged view of the drain plug during removal from the appliance;
Figure 6 is a cross-sectional side view of the appliance of Figure 1 illustrating an auxiliary guide ring assem~ly;
Figure 7 is an exploded view of the ostomy appliance according to the invention illustrating an alternate belt attachment arrangement.
Figure 8 is a front view of an alternate arrangement for attaching a belt to the sealing ring according to the invention; and Figure 9 is a view of an upper corner of a pouch illu$trating an alternate arrangement for attaching the pouch to the belt.
Figure 1 reveals the ostomy appliance accord-ing to the invention worn by a user. A pouch 10 is secured to a belt 12 by buttons 14. The buttons 14 are each secured to a loop (not shown) which slides on the belt 12. The upper edge of the pouch 10 covers the stoma 16 in the abdomen of the user, as shown in dotted lines. The location of a drain tube 18 at the lower extremity of the pouch 10 is shown by dotted lines. The pouch is an apron style which extends across the entire width of the user's abdomen and extends straight down ~ over about half the abdomen and then terminates in a ; generally V-shaped lower portion. The broken lines 19
2~ in Figure 1 indica~e the fluid level in the pouch when filled to the maximum capacity~of typical previously available pouches. Thus, the maximum capacity of the instant pouch is far greater than the typical pouches and indeed is sufficient to permit wearing the pouch for overnight usage~ The pouch configuration allows the fluid to drain away fxom the stoma and to avoid pressurizing the stoma whether the user is standing, supine or lying on either side. Due to the large area of the pouch, it can provide a large capacity without forming an appreciable bulge.
As shown in Figures 2 and 3 by cross~sectional views, the stoma 16 protruding from the abdomen of the user is surrounded by an O ring seal 20 which sealingly engages the sides of the stoma 16 as well as the abdomi-nal skin. The O-ring is very compliant in order to conform to khe body tissues and provide a tight seal.

As shown, the O-ring is hollow and filled with a gas such as air or other inert fluid. A typical O-ring is composed of hygienic latex or butyl rubber and has an outer diameter of 3.9 cm, an inner diameter of 1.9 cm and has an oval cross-section, as shown, with diameters of 1 cm and 1.25 cm. The wall thickness is 0.5 mm although preferably the side of the ring which contacts the body is about 1~5 mm thick. Alternatively, the O-ring is composed of a solid pliant material such as a highl~ plasticized polyvinyl chloride (PVC).
The pouch 10 comprises an outer panel 22 and an inner panel 24 both formed of 2 mm thick PVC and which is heat sealed around the pouch periphery. An inlet opening 26 is formed in the inner panel and the inner panel is secured by heat sealing at the periphery of the opening 26 to a PVC strap 28 and a PVC pouch sealing ring 30. The strap 28 has left and right ends extending to stainless steel or nylon belt adjusters 32 for attachment to the belt 12. The belt preferably is a nylon reinforced elastic fabric. The strap includes an opening coincident with the inlet opening 26. rrhe sealing ring 30 has a washer portion 34 formed of an annular ring concentric with the inlet opening 26 and has a laterally extending annular flange 36 which pro-jects toward the abdomen of the user and is dimensionedto sealingly engage the O-ring 20. The inner side of the washer 34 also engages the O-ring 20 to form a seal at that point during noxmal usage. Thus, only the small area of the O-ring 20 between the stoma 16 and the washer portion 34 is in contact with the body waste mat~rial which flows through the inlet opening 26 into the pouch 10 . ; `
rrhe strap 28 which is held in light tension by the belt 12 forms an angle with the plane of the washer portion 36 at the point of attachment thereto to thereby urge the sealing ring 30 and the O-ring 20 toward the ~44~B

abdomen to ensure the sealing contact between the O-ring 20 and the stoma 16 as well as the contact be-tween the O-ring and the skin of the abdomen. As shown in the drawings, the pressure of the O-ring 20 against the abdomen results in a slight depression of the abdominal wall. In the event the pouch 10 becomes filled with fluid to cause an over pressure situation, the O-ring 20 acts as a piston slidable in the sealing ring. As the pouch pressure increases, the O-ring 20 is forced to slide away from the washer portion 34 as shown in Figure 4. That action tends to push the sealing ring 30 away from the abdomen to increase the angle of the strap 28 with respect to the washer portion 34, thereby increasing the force exerted by the strap 28 on the sealing ring which force, in turn, is transferred to the O-ring 20 to increase the sealing contact to the stoma and abdominal skin to prevent leakage during the over pressure condition. Thus, the connection of the ostomy appliance to the body of the user is a dynamic one and allows a light, comfortable pressure to be applied by the belt to keep the appliance snug during ordinary conditions, however, it causes a higher pressure to be exerted when needed during high capacity conditions.
Emptying of the pouch is accomplished through a drain tube 18 as shown in Figures 3 and 5 which is stopped by a removable polyethylene plug 40. The drain tube 18 is formed of plastic tubing, ~or ~xample~ sonic welded to the rear panel 24 around the periphery of a drain aperture. A lanyard 38 comprising a short poly~
ethylene strap is also welded at the interface of the tube 18 and the pouch panel at one end or tightl~ fits over the tube 18 and has the other end formed in an eyelet which is engaged in a groove 44 in the outer end of the drain plug 40. The plug 40 has a spherical head 46 of larger diameter than the inner diameter of the tube 18 so that the spherical head when forced into the tubing provides a tiyht secure fit. An enlarged body portion 48 of the plug defines a shoulder 50 which engages the outer end of the tube 18 to provide a positioning stop. The shoulder further serves as a pivot point when the plug is tilted relative to the tube to remove the spherical head from the tube, as shown in Figure 5. Thus, although the plug is very tightly seated in the tubing 18, it is readily removed by the tilting action. The user when emptying the pouch can remove the drain plug with one hand while using the other hand to squeeze the front panel 22 against the drain aperture to control the discharge upon plug removal.
The stoma 16 in most users is structured to protrude slightly from the abdomen and coacts with the O-ring 20 to help hold the appliance in the proper posi-tion. Thus, for most people and for most daily activi-ties, the appliance stays in the correct position without an~ adhesive attachments to the skin. However, in those cases where the stoma does not pratrude sufficiently to help the O-ring in place and for use during rigorous exercise, a guide ring is use~ul to maintain alignment - with the stoma. As shown in Figure 6, a PVC guide ring 52 mounted on an adhesive foam diaphragm 54 is secured to the skin concentrically with the stoma 16 by adhesive 55. The guide ring has an inner diameter slightly lar~er than the outside diameter of the sealing ring 30. The sealing ring then its within the guide ring to pro~ide a stable location of the appliance. Since the O-ring 2a seals around the stoma and prevents seepage of the body fluids onto the area covered by the adhesive matqrial, the fluid cannot attack the adhesive or the skin under-neath as is the case for those appliances which use the adhesive patch as a fluid interface part of the sealing system.
Figure 7 is an exploded view of another embodiment of the ostomy appliance which differs from that described above in the configuration of the belt portion. Here the belt 12' has fixed loops to engage hooks 56 removably connected to the strap 28. A single belt adjuster 32' located at the back of the user joins two parts of the belt 12' in an adjustable fashion. Two buttons 14 are mounted on the belt parts 12' to engage buttonholes 14' formed in the pouch 10. By forming the belt 12' of elastic material, the belt can be so dimen-sioned that when a proper amount of tension has been applied to the belt the buttons 14 will be separated the proper distance to align with the buttonholes 14'.
In Figure 8, another means o~ securing the -sealing ring to the belt is shown. A sealing ring 30' has a pair of integral arms 60 secured to the top thereof and extending laterally and downwardly to ~orm a hook at each side of the sealing ring 30' for direct attachment to fixed belt end loops. Thus, the separate strap ~8 is eliminated~ This embodiment is especailly useful for incorporation into the Figure 7 embodiment hut is not limi~ed to that version of the appliance.
Figure 9 illustrates a vertical slit 62 in the upper corner of the pouch 10 instead of the button-hole 14'. The slit is long enough to allow the belt 12 to be threaded through the slit thereby providing support for the pouch corners without using bu-ttons. This is readily incorporated into the Figure 1 embodiment but is not limited thereto.
It will thus be seen that the ostomy appliance according to this invention provides greater comfort, cleanliness and convenience and a less obtrusive bulge under the user's clothing than do other generally avail-able ostomy appliances.

Claims (5)

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows:
1. An ostomy appliance for collecting body wastes emitted from a stoma in the abdomen comprising;
a compliant O-ring for seating in sealing relationship on the abdomen surrounding the stoma, the internal diameter of the O-ring approximating the outer diameter of the stoma, a pouch sealing ring having a centrally apertured washer portion and an annular flange extending laterally from the outer periphery thereof, the sealing ring fitting over the O-ring to form a sealing contact between the O-ring and both the annular flange and the washer portion, a waste collection pouch secured to the pouch sealing ring and having an opening aligned with the washer portion aperture whereby wastes discharged from the stoma pass through the O-ring and the pouch sealing ring into the collection pouch, and belt means attached to the pouch sealing ring for securing the appliance to the body of the user.
2. An ostomy appliance for collecting body wastes emitted from a stoma in the abdomen comprising;
a compliant O-ring for seating in sealing relationship on the abdomen surrounding the stoma, the internal diameter of the O-ring approximating the outer diameter of the stoma, a pouch sealing ring having a centrally apertured washer portion and an annular flange extending laterally from the outer periphery thereof, the sealing ring fitting over the O-ring to form a sealing contact between the O-ring and both the annular flange and the washer portion, a waste collection pouch secured to the pouch sealing ring, the pouch being formed in apron style having an upper portion wide enough to extend entirely across the abdomen of the user and a contiguous generally V-shaped lower portion containing a discharge tube, the upper portion having an opening aligned with the washer portion aperture whereby wastes discharged from the stoma pass through the O-ring and the pouch sealing ring into the collection pouch, and : belt means attached to the pouch sealing ring for securing the appliance to the body of the user.
3. An ostomy appliance for collecting body wastes emitted from a stoma in the abdomen comprising;
a compliant O-ring for seating in sealing relationship on the abdomen surrounding the stoma, the internal diameter of the O-ring approximating the outer diameter of the stoma, a pouch sealing ring having a centrally apertured washer portion and an annular flange extending laterally from the outer periphery thereof, the sealing ring fitting over the O-ring to form a sealing contact between the O-ring and both the annular flange and the washer portion, a waste collection pouch secured to the pouch sealing ring, the pouch being formed in apron style having an upper portion wide enough to extend entirely across the abdomen of the user and a contiguous generally V-shaped lower portion containing a discharge tube, the upper portion having an opening aligned with the washer portion aperture whereby wastes discharged from the stoma pass through the O-ring and the pouch sealing ring into the collection pouch, the upper portion having upper corners, a buttonhole formed in each corner, and a belt formed of elastic material, buttons secured to the belt, and means for adjusting the belt so that when the belt tension is adjusted to a determined value the buttons are suitably spaced in alignment with the buttonholes on the pouch.
4. An ostomy appliance for collecting body wastes emitted from a stoma in the abdomen comprising;
a compliant O-ring for seating in sealing relationship on the abdomen surrounding the stoma, the internal diameter of the O-ring approximating the outer diameter of the stoma, a pouch sealing ring having a centrally apertured washer portion and an annular flange extending laterally from the outer periphery thereof, the sealing ring fitting over the O-ring to form a sealing contact between the O-ring and both the annular flange and the washer portion, a guide ring dimensioned to loosely fit around the pouch sealing ring including adhesive mounting means for securing the guide ring to the body of the user concentric with the stoma, a waste collection pouch secured to the pouch sealing ring and having an opening aligned with the washer portion aperture whereby wastes discharged from the stoma pass through the O-ring and the pouch sealing ring into the collection pouch, and belt means attached to the pouch sealing ring for securing the appliance to the body of the user.
5. An ostomy appliance for collecting body wastes emitted from a stoma in the abdomen comprising;
a compliant O-ring for seating in sealing relationship on the abdomen surrounding the stoma, the internal diameter of the O-ring approximating the outer diameter of the stoma, a pouch sealing ring having a centrally aper-tured washer portion and an annular flange extending laterally from the outer periphery thereof, the sealing ring fitting over the O-ring to form a sealing contact between the O-ring and both the annular flange and the washer portion, a waste collection pouch secured to the pouch sealing ring and having an opening aligned with the washer portion aperture whereby wastes discharged from the stoma pass through the O-ring and the pouch sealing ring into the collection pouch, and elongated slits formed in the upper corners of the pouch, and belt means attached to the pouch sealing ring for securing the appliance to the body of the user including a belt passing through the slits in the pouch to support the upper corners of the pouch.
CA000343825A 1979-03-01 1980-01-16 Ostomy appliance Expired CA1144028A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US1642879A 1979-03-01 1979-03-01
US016,428 1979-03-01

Publications (1)

Publication Number Publication Date
CA1144028A true CA1144028A (en) 1983-04-05

Family

ID=21777073

Family Applications (1)

Application Number Title Priority Date Filing Date
CA000343825A Expired CA1144028A (en) 1979-03-01 1980-01-16 Ostomy appliance

Country Status (5)

Country Link
JP (1) JPS55118746A (en)
CA (1) CA1144028A (en)
DE (1) DE3004796A1 (en)
GB (1) GB2043455B (en)
SE (1) SE443290B (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2148716B (en) * 1983-11-01 1987-09-16 Craig Med Prod Ltd Ostomy appliance
EP0461007B1 (en) * 1990-06-08 1995-11-08 B. Braun Biotrol Stoma apparatus

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE1881638U (en) * 1963-08-24 1963-10-31 Richard Hochwald BANDAGE TO CATCH THE CONTENT.
US3841332A (en) * 1973-11-19 1974-10-15 D Treacle Enterostomy drainage appliance
US4078568A (en) * 1976-10-12 1978-03-14 Northern Illinois Research, Inc. Plastic composition and method

Also Published As

Publication number Publication date
GB2043455B (en) 1983-08-03
SE8001597L (en) 1980-09-02
DE3004796C2 (en) 1987-08-27
JPS55118746A (en) 1980-09-11
DE3004796A1 (en) 1980-09-11
SE443290B (en) 1986-02-24
GB2043455A (en) 1980-10-08

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