HRP960172A2 - Prothesis for bowel evacuation control-colostomy tube - Google Patents
Prothesis for bowel evacuation control-colostomy tube Download PDFInfo
- Publication number
- HRP960172A2 HRP960172A2 HRPCT/SI95/00009A HRP960172A HRP960172A2 HR P960172 A2 HRP960172 A2 HR P960172A2 HR P960172 A HRP960172 A HR P960172A HR P960172 A2 HRP960172 A2 HR P960172A2
- Authority
- HR
- Croatia
- Prior art keywords
- prosthesis
- inner ring
- characteristic
- plate
- cover
- Prior art date
Links
- 206010021639 Incontinence Diseases 0.000 claims description 14
- 230000002787 reinforcement Effects 0.000 claims description 7
- 210000003815 abdominal wall Anatomy 0.000 description 11
- 210000000936 intestine Anatomy 0.000 description 9
- 239000000853 adhesive Substances 0.000 description 6
- 239000000463 material Substances 0.000 description 5
- 210000000436 anus Anatomy 0.000 description 4
- 201000010727 rectal prolapse Diseases 0.000 description 4
- 238000007789 sealing Methods 0.000 description 4
- 210000005070 sphincter Anatomy 0.000 description 4
- 210000003608 fece Anatomy 0.000 description 3
- 210000003811 finger Anatomy 0.000 description 3
- 230000000968 intestinal effect Effects 0.000 description 3
- 238000005452 bending Methods 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 229920001971 elastomer Polymers 0.000 description 2
- 230000014759 maintenance of location Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000005192 partition Methods 0.000 description 2
- 239000011343 solid material Substances 0.000 description 2
- 239000010409 thin film Substances 0.000 description 2
- 210000003813 thumb Anatomy 0.000 description 2
- 208000034347 Faecal incontinence Diseases 0.000 description 1
- 229920005830 Polyurethane Foam Polymers 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 1
- 229910052782 aluminium Inorganic materials 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 230000000903 blocking effect Effects 0.000 description 1
- 210000001072 colon Anatomy 0.000 description 1
- 230000013872 defecation Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 210000003736 gastrointestinal content Anatomy 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 239000007943 implant Substances 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 210000002429 large intestine Anatomy 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 230000000877 morphologic effect Effects 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 229920001296 polysiloxane Polymers 0.000 description 1
- 239000011496 polyurethane foam Substances 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 230000008591 skin barrier function Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 239000012815 thermoplastic material Substances 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
- A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
- A61F5/445—Colostomy, ileostomy or urethrostomy devices
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS 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
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
- A61F2/0009—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse placed in or outside the body opening close to the surface of the body
Landscapes
- Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Life Sciences & Earth Sciences (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Vascular Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Epidemiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Transplantation (AREA)
- Cardiology (AREA)
- Nursing (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Urology & Nephrology (AREA)
- Prostheses (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
- External Artificial Organs (AREA)
Description
Izum se odnosi na protezu za kontrolu crijeva ili cijevi za kolostomiju namijenjene za kontrolu umjetne ili prirodne inkontinencije pražnjenja crijeva i rješavanje teškoća kod rektalnog prolapsa. Proteza za kontrolu pražnjenja crijeva prema ovom izumu omogućava jednostavnu, sigurnu i pouzdanu kontrolu pražnjenja crijeva kod umjetne ili prirodne inkontinencije. The invention relates to a bowel control prosthesis or colostomy tube intended to control artificial or natural bowel incontinence and to resolve rectal prolapse difficulties. The bowel control prosthesis according to this invention enables simple, safe and reliable bowel control in case of artificial or natural incontinence.
Problem koji do sada nije bio zadovoljavajuće riješen, a kojeg rješava proteza za kontrolu pražnjenja crijeva prema ovom izumu, je kako osigurati jednostavnu sigurnu i pouzdanu kontrolu pražnjenja crijeva kod umjetne ili prirodne inkontinencije i kod teškoća zbog rektalnog prolapsa, gdje se pod umjetnom inkontinencijom podrazumijeva stoma, to jest kirurški otvor u debelom crijevu napravljen kroz trbušnu stjenku, a pod prirodnom inkontinencijom podrazumijeva se inkontinencija analnog sfinktera. The problem that has not been satisfactorily solved until now, and which is solved by the prosthesis for bowel control according to this invention, is how to ensure simple, safe and reliable control of bowel movements in case of artificial or natural incontinence and in the case of difficulties due to rectal prolapse, where artificial incontinence means a stoma , that is, a surgical opening in the large intestine made through the abdominal wall, and natural incontinence means anal sphincter incontinence.
Opisani problem je do sada rješavan na različite načine. Najčešće se intestistinalni sadržaj koji izlazi iz stome skuplja u prilijepljene vrećice za kolostomiju - samoljepljive vrećice ili vrećice s pregradom na koži. Također, jedna od poznatih metoda je ispiranje stome. Primjenjuje se i začepljivanje anusa. The described problem has been solved in different ways so far. Most often, the intestinal content that comes out of the stoma is collected in adhesive colostomy bags - self-adhesive bags or bags with a skin barrier. Also, one of the known methods is washing the stoma. Anus plugging is also used.
Tehnički kompliciranija rješenja problema umjetne inkontinencije mogu se grubo podijeliti u četiri skupine. Technically more complicated solutions to the problem of artificial incontinence can be roughly divided into four groups.
U prvoj grupi su različite vrste prilijepljenih vrećica, to jest samoljepljive zatvorene ili otvorene vrećice. Nedostatak vrećica je što iritiraju kožu ispod ljepljive površine. Novije rješenje u ovoj skupini su sistemi iz dva dijela, gdje su na koži stalno učvršćeni pregrada i prsten za zadržavanje a vrećice su zamjenjive. In the first group, there are different types of self-adhesive bags, that is, self-adhesive closed or open bags. The disadvantage of the bags is that they irritate the skin under the sticky surface. A newer solution in this group are the two-part systems, where the partition and retention ring are permanently attached to the skin and the bags are replaceable.
U drugoj skupini su različite naprave za začepljivanje koje se umeću u lumen crijeva. Tu spada balon koji se napuhava i ležeći u crijevu djeluje kao tampon, a koji je opisan u članku J.B. Temiev i M.J. Granev: "Potraga za kontinencijom: morfološki pregled pristupa kontinetnoj kolostomiji". Dis Colon Rectum 1978, 21:522. Drugo rješenje u ovoj skupini je "kontrolno dugme" koje se satoji od gumenog čepa i aluminijske pregrade na koži. To rješenje opisano je u US patentu 2 510 766. Treće tipično rješenje je čep za kolostomiju komercijalnog imena Conseal (Coloplast). Sastoji se od samoljepljive osnovne pločice i čepa za kolostomiju. U standardnu podlogu uz kožu umetnut je prsten za zadržavanje kao sistem iz dva dijela. Umjesto vrećice za sakupljanje u produžetak osnovne pločice umetnut je čep. Umetnuti čep je od poliuretanske pjene presvučen tankim filmom koji drži pjenu na okupu. Zbog vlažnosti crijeva tanki film se otapa i čep se širi i dobiva zvonoliki oblik u širem dijelu lumena crijeva. Kad se čep ukloni postavlja se obična vrećica za sakupljanje koja se zapliva na prstenu za zadržavanje. Ovo rješenje opisano je u radu Burchart F., Kyllberg F. Rasmussen S.N.: "Čep za kolostomiju: novo zamjenjivo sredstvo za postizanje kontinente kolostomije" . Lanciet 1986:1062. In the second group are various blocking devices that are inserted into the intestinal lumen. This includes the balloon that is inflated and lying in the intestine acts as a buffer, which is described in the article by J.B. Temiev and M.J. Granev: "The search for continence: a morphological review of the approach to continence colostomy". Dis Colon Rectum 1978, 21:522. Another solution in this group is the "control knob" which consists of a rubber plug and an aluminum partition on the skin. This solution is described in US Patent 2,510,766. A third typical solution is a colostomy plug under the trade name Conseal (Coloplast). It consists of a self-adhesive base plate and a colostomy plug. A retention ring is inserted into the standard base next to the skin as a two-part system. Instead of a collection bag, a plug is inserted into the extension of the base plate. The inserted plug is made of polyurethane foam coated with a thin film that holds the foam together. Due to the humidity of the intestine, the thin film dissolves and the plug expands and takes on a bell-shaped shape in the wider part of the intestinal lumen. When the plug is removed, a simple collection bag is placed and floats on the retaining ring. This solution is described in the paper Burchart F., Kyllberg F. Rasmussen S.N.: "Colostomy plug: a new replaceable means of achieving colostomy continence". Lanciet 1986:1062.
U treću skupinu spadaju kombinacija kirurškog zahvata i pasivnog implantata. Tipično rješenje iz ove grupe je magnetski ventil komercijalnog naziva Maclet Svstem i Pragerov čep, gdje se unutarnji prsten operativno ušiva oko stome dok se balon za napuhavanje umeće kroz umjetni anus kojeg pridržava prsten. The third group includes a combination of surgery and a passive implant. A typical solution from this group is the magnetic valve under the trade name Maclet Svstem and the Prager plug, where the inner ring is operatively sewn around the stoma while the inflation balloon is inserted through the artificial anus supported by the ring.
U posljednju skupinu spadaju umjetni sfinkteri kao što su Buuckov patent, Giorijev patent, Summesov patent, kružni balonski sfinkter koji su predložili Heilblum i Cordoba te Sziniczov sfinkter. The last group includes artificial sphincters such as Buuck's patent, Giori's patent, Summes' patent, the circular balloon sphincter proposed by Heilblum and Cordoba, and the Szinicz sphincter.
Problem prirodne inkontinencije rješava se kirurškim putem, ponekad se postavlja mehanička podloga uz tehnike za stimulaciju mišićne aktivnosti. The problem of natural incontinence is solved surgically, sometimes a mechanical foundation is placed along with techniques to stimulate muscle activity.
Opisana rješenja ukazuju na činjenicu da problem jednostavne, sigurne i pouzdane kontrole pražnjenja crijeva kod umjetne ili prirodne inkontinencije i teškoća zbog rektalnog prolapsa nisu do sada bili riješeni na zadovoljavajući način, samoljepljive vrećice iritiraju kožu, a vrećice za sakupljanje i vrećice koje se mogu isušiti opterećuju korisnika. Nedostatak svih vrsta čepova je da se stalno moraju vaditi i postavljati u stomu ili anus, što je neugodno a može izavati lezije na crijevu. The described solutions point to the fact that the problem of simple, safe and reliable bowel control in artificial or natural incontinence and difficulties due to rectal prolapse have not been satisfactorily solved so far, self-adhesive bags irritate the skin, and collection bags and bags that can be dried burden user. The disadvantage of all types of plugs is that they must be constantly removed and placed in the stoma or anus, which is unpleasant and can cause lesions on the intestine.
Zadatak ovog izuma je da izbjegne spomenute nedostatke poznatih rješenja i da omogući jednostavnu, sigurnu i pouzdanu kontrolu pražnjenja izmeta kod prirodne kao i kod umjetne inkontinencije, te da riješi teškoće kod rektalnog prolapsa. The task of this invention is to avoid the mentioned disadvantages of known solutions and to enable simple, safe and reliable control of the discharge of feces in natural as well as in artificial incontinence, and to solve difficulties in rectal prolapse.
Prema ovom izumu, problem je riješen protezom za kontrolu pražnjenja crijeva kao što je navedeno u glavnom zahtjevu, koja osigurava jednostavnu, sigurnu i pouzdanu kontrolu pražnjenja crijeva kod prirodne i umjetne inkontinencije. According to the present invention, the problem is solved by a bowel control prosthesis as stated in the main claim, which provides simple, safe and reliable bowel control in natural and artificial incontinence.
Izum će dalje biti opisan kroz primjer i s osvrtom na odgovarajuće slike gdje: The invention will be further described through an example and with reference to the corresponding figures where:
slika 1 prikazuje prvi postav proteze postavljene u stomu; Figure 1 shows the first setting of the prosthesis placed in the stoma;
slika 2 prikazuje drugi postav proteze postavljene u stomu; Figure 2 shows the second setting of the prosthesis placed in the stoma;
slika 3 prikazuje pokrov prije savijanja; figure 3 shows the cover before bending;
slika 4 prikazuje savinuti pokrov prilikom umetanja, figure 4 shows the bent cover during insertion,
slika 5 prikazuje umetnuti savinuti pokrov; Figure 5 shows an inserted bent cover;
slika 6 prikazuje savinuti pokrov prilikom vađenja; figure 6 shows the bent cover during removal;
Slika 1 prikazuje protezu za kontrolu pražnjenja crijeva kod analne inkontinencije postavljene u kolostomiju prema prvom postavu, to jest, crijevo 1 proteže se kroz trbušnu stjenku 2, a satoji se od unutarnjeg prstena koji se može proširiti 3 koji se nastavlja u cijev 4, od vanjske ploče 5 i poklopca 8. U ovom postavu unutarnji prsten 3 izrađen je od savitljivog materijala prilagođenog organizmu koji je iznutra pojačan pojačanjem 9. Pojačanje 9 izvedene je kao uska prstenasta opruga i poželjno je da bude od termoplastičnog materijala. Navedeno pojačanje 9 sprečava prostorno deformiranje unutarnjeg prstena 3 ali omogućava savijanje ravnine prstena 3 što je važno kod umetanja proteze u stomu, što će biti dodatno opisano. Istovremeno pojačanje 9 omogućava dovoljnu silu za ponovno rastezanje unutanjeg prstena 3, što je važno za sigurno učvršćenje i zaptivanje. Unutarnji prsten 3 nastavlja se duž cijele svoje kružnice u komadu u tanku (kao opna) cijev 4 napravljenu od materijala tankih stjenki istih ili sličnih karakteristika kao unutarnji prsten 3. Promjer nerastegnute cijevi 4 je nešto manji od promjera unutarnjeg prstena 3. Duljina cijevi 4 kod sastavljene proteze nešto je manja od debljine trbušne stjenke 2. Na koži na trbušnoj stjenki postavlja se vanjska ploča 5 za koju je poželjno da bude u sredini stome i da bude napravljena od čvrstog materijala ili takvih dimenzija da bude čvrst a ipak savitljiv. U sredini vanjske ploče 5 napravljen je otvor oblikovan u zalistak 6 koji istovremeno stvara prstenasti ležaj 7. U otvor to jest pod zalistak 6, prema slici 1, postavlja se pokolpac 8 koji sprečava izlaženje izmeta. Podrazumijeva se da se umjesto poklopca postavljenog u otvor kao na slici 1 može u zalistak postaviti za plin propusni pokrov sa ugrađenim filtrom i spojem za vrećicu za sakupljanje odnosno drenažu, za ispiranje i tako dalje. Figure 1 shows a prosthesis for controlling bowel movement in anal incontinence placed in a colostomy according to the first arrangement, that is, the intestine 1 extends through the abdominal wall 2, and consists of an inner expandable ring 3 that continues into a tube 4, from the outer plate 5 and cover 8. In this arrangement, the inner ring 3 is made of a flexible material adapted to the organism, which is internally reinforced by a reinforcement 9. The reinforcement 9 is made as a narrow ring spring and is preferably made of thermoplastic material. Said reinforcement 9 prevents the spatial deformation of the inner ring 3, but enables bending of the plane of the ring 3, which is important when inserting the prosthesis into the stoma, which will be further described. At the same time, the reinforcement 9 enables sufficient force to re-stretch the inner ring 3, which is important for secure fastening and sealing. The inner ring 3 continues along its entire circumference in a piece in a thin (diaphragm-like) tube 4 made of thin-walled material with the same or similar characteristics as the inner ring 3. The diameter of the unstretched tube 4 is slightly smaller than the diameter of the inner ring 3. The length of the tube 4 at the assembled prosthesis is slightly smaller than the thickness of the abdominal wall 2. An external plate 5 is placed on the skin of the abdominal wall, which should preferably be in the middle of the stoma and be made of solid material or of such dimensions that it is strong yet flexible. In the middle of the outer plate 5, an opening formed into a valve 6 is made, which at the same time creates an annular bearing 7. In the opening, that is, under the valve 6, according to Figure 1, a cover 8 is placed, which prevents the excrement from coming out. It goes without saying that instead of the cover placed in the opening as in Figure 1, a gas-permeable cover with a built-in filter and a connection for a bag for collection or drainage, for flushing, and so on, can be placed in the valve.
Proteza u skladu s izumom a prema prvom postavu postavlja se sastavljanjem cijevi 4 i ploče 5 prema debljini trbušne stjenke 2 tako da se kraj cijevi 4 suprotan od unutarnjeg prstena 3 provuče kroz otvor ploče 5 a onda se zavrne preko zaliska 6 tako da škljocanjem zatvori u svoj položaj u ležaju 7. Unutarnji prsten 3 se tada dijametralno stisne kažiprstom i palcem se uzdužno ugura u lumen crijeva 1 pod trbušnom stjenkom 2 na takav način da cijev 4 gleda prema otvoru i daje ploča 5 izvan crijeva 1. Umetnuti unutarnji prsten 3 u crijevu 1 proširuje se i stvara prstenasti prostor. Istovremeno savitljiva cijev 4 se pritisne na unutarnji prsten 3 prema stjenki crijeva 2 tako omogućujući pouzdano učvršćenje i zaptivanje i držanje vanjske ploče 5 na koži. Na taj način stvara se jednostavan siguran i pouzdan ispust iz stome koji je zamjenjiv a ujedno i higijenski. The prosthesis in accordance with the invention and according to the first setting is placed by assembling the tube 4 and the plate 5 according to the thickness of the abdominal wall 2 so that the end of the tube 4 opposite to the inner ring 3 is passed through the opening of the plate 5 and then it is screwed over the flap 6 so that it clicks to close in its position in the bearing 7. The inner ring 3 is then compressed diametrically with the index finger and the thumb is pushed longitudinally into the lumen of the intestine 1 under the abdominal wall 2 in such a way that the tube 4 looks towards the opening and gives the plate 5 outside the intestine 1. Insert the inner ring 3 into the intestine 1 expands and creates an annular space. At the same time, the flexible tube 4 is pressed against the inner ring 3 against the wall of the hose 2, thus enabling reliable fixing and sealing and holding of the outer plate 5 on the skin. In this way, a simple safe and reliable discharge from the stoma is created that is replaceable and at the same time hygienic.
Proteza za kontrolu pražnjenje crijeva kod umjetne ili prirodne inkontinencije prema drugom postavu, prikazanom na slici 2., umeće se u kolostomiju, to jest crijevo 1 proteže se izvan trbušne stjenke 2, a (proteza se) sastoji od unutarnjeg prstena 3 koji se nastavlja u jednom komadu u cijev 4 a ona u jednom komadu u vanjsku ploču 5, te poklopac 8. Unutarnji prsten 3 s pojačanjem 9 izveden je na isti način kao u prvom postavu. Unutarnji prsten 3 nastavlja se duž cijele svoje kružne plohe u opnastu cijev 4 koja je napravljena od tankog materijala, istih ili sličnih svojstva kao unutarnji prsten 3. Promjer cijevi 4 manji je od promjera unutarnjeg prstena 3. Dužina cijevi 4 manja je od debljine trbušne stjenke 2. Na suprotnom kraju od unutarnjeg prstena 3 cijev 4 nastavlja se u jednom komadu u vanjsku ploču 5 za koju je poželjno daje kružnog oblika i napravljena od čvrstog materijala ili dimenzioniranog tako da bude čvrst a ipak savitljiv. Ploča 5 ima otvor u sredini. Na početku, to jest u blizini prijelaza cijevi 4 u ploču 5, ploča 5 je učvršćena duž svoje unutarnje kružnice u kružni utor 10. Kao što je prikazano na slici 2., poklopac 8 postavlja se u otvor koji se tada zatvara (škljocanjem) na mjesto u utoru 10, sprečavajući izlijevanje izmeta. The prosthesis for controlling bowel movement in case of artificial or natural incontinence according to the second setup, shown in Figure 2, is inserted into the colostomy, that is, the intestine 1 extends outside the abdominal wall 2, and (the prosthesis) consists of an inner ring 3 that continues in in one piece into the tube 4 and it in one piece into the outer plate 5, and the cover 8. The inner ring 3 with reinforcement 9 is made in the same way as in the first setup. The inner ring 3 continues along its entire circular surface into a membrane tube 4, which is made of a thin material with the same or similar properties as the inner ring 3. The diameter of the tube 4 is smaller than the diameter of the inner ring 3. The length of the tube 4 is smaller than the thickness of the abdominal wall. 2. At the opposite end of the inner ring 3, the tube 4 continues in one piece into the outer plate 5, which is preferably circular in shape and made of solid material or dimensioned so that it is strong yet flexible. Plate 5 has an opening in the middle. At the beginning, that is near the transition of the pipe 4 to the plate 5, the plate 5 is fixed along its inner circle in the circular groove 10. As shown in Figure 2, the cover 8 is placed in the opening which is then closed (by clicking) on place in slot 10, preventing spillage of excrement.
Proteza prema izumu a u skladu s drugim postavom postavlja se stiskanjem unutarnjeg prstena 3 dijametralno kažiprstom i palcem i uguravanjem prstena 3 uzdužno u lumen crijeva 1 pod trbušnu stjenku 2 tako da cijev 4 gleda prema otvoru. Umetnuti unutarnji prsten 3 u lumenu crijeva 1 pod trbušnom stjenkom 2 proširuje se u prstenasti prostor dok ploča 5 leži centralno u odnosu na stomu. Istovremeno savitljiva cijev 4 pritisne unutarnji prsten 3 prema stjenki crijeva 2 na unutarnjoj strani trbušne stijenke 2 tako omogućujući pouzdano učvršćenje i zaptivanje i postavljanje vanjske ploče 5 na kožu. Na taj način stvara se jednostavan siguran i pouzdan ispust iz stome koji je zamjenjiv a ujedno i higijenski. The prosthesis according to the invention and in accordance with the second setting is placed by squeezing the inner ring 3 diametrically with the index finger and thumb and pushing the ring 3 longitudinally into the lumen of the intestine 1 under the abdominal wall 2 so that the tube 4 faces the opening. The inserted inner ring 3 in the intestinal lumen 1 under the abdominal wall 2 expands into the annular space while the plate 5 lies centrally in relation to the stoma. At the same time, the flexible tube 4 presses the inner ring 3 against the gut wall 2 on the inner side of the abdominal wall 2, thus enabling a reliable fastening and sealing and placement of the outer plate 5 on the skin. In this way, a simple safe and reliable discharge from the stoma is created that is replaceable and at the same time hygienic.
Slika 3 prikazuje poklopac 8 za koji je u oba postava poželjno da je konstruiran kao šuplji čep relativno tankih stjenki i napravljen od savitljivog a ipak čvrstog materijala. U osnovi, poklopac 8 ima oblik vretena, njegovo dno 11 je blago stožasto i prolazi kroz prsten za začepljivanje 12. Visina kružnog dijela 14 je, kad se koristi u prvom postavu, malo veća nego kad se koristi u drugom postavu.. Gornji kraj poklopca 8 oblikovan je u kapicu 13. Svrha takve izvedbe je opisana pomoću slika 4, 5 i 6. Kao što je prethodno opisano, u poklopac 8 mogu se dodatno postavljati filtri ili zamjenjivati s spojem za vrećice za sakupljanje ili procjeđivanje, ispiranje itd. Figure 3 shows the lid 8 which in both setups is preferably constructed as a relatively thin walled hollow plug and made of a flexible yet strong material. Basically, the cover 8 has the shape of a spindle, its bottom 11 is slightly conical and passes through the sealing ring 12. The height of the circular part 14, when used in the first setting, is slightly higher than when used in the second setting.. The upper end of the cover 8 is formed into a cap 13. The purpose of such an embodiment is described with reference to Figures 4, 5 and 6. As previously described, filters can be additionally placed in the cap 8 or replaced with a connection for bags for collecting or filtering, rinsing, etc.
Slika 4 prikazuje deformaciju poklopca 8 prilikom njegovog umetanja u otvor ploče 5. Opisana izvedba poklopca 8 uzrokuje, zbog deformacije, smanjenje promjera dna 11 i prstena 12 što olakšava pritiskanje poklopca 8 na otvor ploče 5. Figure 4 shows the deformation of the cover 8 when it is inserted into the opening of the plate 5. The described design of the cover 8 causes, due to the deformation, a reduction in the diameter of the bottom 11 and the ring 12, which makes it easier to press the cover 8 onto the opening of the plate 5.
Slika 5 prikazuje deformaciju umetnutog poklopca 8 pod tlakom P izmeta/izlučevina na dno 11. Opisana izvedba poklopca 8 uzrokuje, u ovom slučaju povećanje promjera dna 11 i prstena 12 a time silu B i čvrsto držanje poklopca 8 u otvoru ploče 5 ili utoru 10. Figure 5 shows the deformation of the inserted cover 8 under the pressure P of feces/excreta on the bottom 11. The described design of the cover 8 causes, in this case, an increase in the diameter of the bottom 11 and the ring 12 and thus the force B and a firm holding of the cover 8 in the opening of the plate 5 or the groove 10.
Slika 6 prikazuje deformaciju poklopca 8 prilikom njegovog vađenja iz otvora. Rub kapice 13 omogućava lako i čvrsto držanje prstima. Kad sila F izvlači na jednoj točki poklopac iz otvora ploče 5, poklopac 8 se deformira tako da prsten 12 iskoči iz otvora i time olakšava vađenje poklopca 8. Figure 6 shows the deformation of the cover 8 when it is removed from the opening. The edge of the cap 13 allows easy and firm grip with the fingers. When the force F pulls the cover out of the opening of the plate 5 at one point, the cover 8 is deformed so that the ring 12 pops out of the opening and thus facilitates the removal of the cover 8.
Proteza za kontrolu inkontinencije prirodnog anusa je u osnovi ista kao ove prethodno opisane s razlikom u geometriji ploče 5 i poklopca 8 a time je također donekle i cijev 4 prilagođena geometriji tkiva na kojem leži ploča 5. The prosthesis for controlling incontinence of the natural anus is basically the same as those previously described with the difference in the geometry of the plate 5 and the cover 8, and thus the tube 4 is also somewhat adapted to the geometry of the tissue on which the plate 5 lies.
Svi dijelovi proteze za pražnjenje crijeva napravljeni su od elastičnih materijala koji moraju zadovoljavati medicinske zahtjeve. Guma i silikon pokazali su se kao nabolje odgovarajući materijali. All parts of the prosthesis for defecation are made of elastic materials that must meet medical requirements. Rubber and silicone proved to be the most suitable materials.
Claims (5)
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
PCT/SI1995/000009 WO1996032904A1 (en) | 1995-04-20 | 1995-04-20 | Prosthesis for bowel evacuation control-colostomy tube |
Publications (1)
Publication Number | Publication Date |
---|---|
HRP960172A2 true HRP960172A2 (en) | 1997-10-31 |
Family
ID=20431521
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
HRPCT/SI95/00009A HRP960172A2 (en) | 1995-04-20 | 1996-04-16 | Prothesis for bowel evacuation control-colostomy tube |
Country Status (3)
Country | Link |
---|---|
HR (1) | HRP960172A2 (en) |
SI (1) | SI9600124A (en) |
WO (1) | WO1996032904A1 (en) |
Families Citing this family (16)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US6033390A (en) * | 1998-02-25 | 2000-03-07 | Zassi Medical Evolutions, Inc. | Continent ostomy port |
MX2009013331A (en) * | 2007-06-12 | 2010-01-25 | Convatec Technologies Inc | Ostomy appliance. |
US8864729B2 (en) | 2009-07-14 | 2014-10-21 | Stimatix Gi Ltd. | Ostomy closure |
US8900116B2 (en) | 2009-07-14 | 2014-12-02 | Stimatix Gi Ltd. | Inflatable stomal implant |
JP5625055B2 (en) | 2009-07-14 | 2014-11-12 | スティマティックス ジーアイ リミテッド | Colostomy |
ES2882851T3 (en) | 2009-07-17 | 2021-12-02 | Implantica Patent Ltd | Absorbent sealing device for an intestinal stoma |
RU2012151570A (en) * | 2010-05-02 | 2014-06-10 | Стиматикс Ги Лтд. | DISPOSABLE CARE CONSTRUCTIONS |
JP2015515905A (en) | 2012-05-10 | 2015-06-04 | スティマティックス ジーアイ リミテッド | Surgery instruments |
US11291579B2 (en) | 2013-05-09 | 2022-04-05 | B. Braun Medical Sas | Gas filter and release for ostomy appliance |
USD796029S1 (en) | 2013-12-09 | 2017-08-29 | B. Braun Medical Sas | Colostomy appliance |
USD783814S1 (en) | 2013-12-09 | 2017-04-11 | B. Braun Medical Sas | Adapter for flatus release |
CN103908355B (en) * | 2014-04-14 | 2015-11-04 | 林新颖 | Artificial anus |
US11771585B2 (en) | 2018-01-19 | 2023-10-03 | Ostovalve, Llc | Devices, systems and methods for regulating flow from a stoma on a patient |
USD1012280S1 (en) | 2018-11-30 | 2024-01-23 | B. Braun Medical Sas | Ostomy device assembly |
HU231399B1 (en) * | 2021-04-15 | 2023-08-28 | Manopen Irodatechnikai Korlátolt Felelősségű Társaság | Neosphincter |
KR102607400B1 (en) * | 2021-11-23 | 2023-11-29 | (주)메디엔비테크 | Artificial Ostomy |
Family Cites Families (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB1492946A (en) * | 1974-10-11 | 1977-11-23 | Ronnquist H | Collector for faecal discharges |
US4137918A (en) * | 1975-12-18 | 1979-02-06 | Clayton Bogert | Medical by-pass device for use after ostomy surgery |
GB1595811A (en) * | 1978-02-07 | 1981-08-19 | Johnson & Johnson | Stoma adaptor |
DE2919467C2 (en) * | 1979-05-15 | 1981-07-16 | Rainer Dr.med. 5800 Hagen Althaus | Anus praeter supply system |
DE3430873C1 (en) * | 1984-08-22 | 1986-01-02 | Edmund 5500 Trier Chytry | Device for closing an artificial intestinal exit |
US4809871A (en) * | 1988-05-02 | 1989-03-07 | Angelchik Jean P | Closure for sealing an aperture |
DK2789D0 (en) * | 1989-01-04 | 1989-01-04 | Bar Shalom Daniel | CLOSING FACILITIES FOR COATING |
-
1995
- 1995-04-20 WO PCT/SI1995/000009 patent/WO1996032904A1/en active Application Filing
-
1996
- 1996-04-16 HR HRPCT/SI95/00009A patent/HRP960172A2/en not_active Application Discontinuation
- 1996-04-16 SI SI9600124A patent/SI9600124A/en unknown
Also Published As
Publication number | Publication date |
---|---|
SI9600124A (en) | 1996-12-31 |
WO1996032904A1 (en) | 1996-10-24 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
HRP960172A2 (en) | Prothesis for bowel evacuation control-colostomy tube | |
AU607400B2 (en) | Encapsulated expandable continence device | |
EP2242463B1 (en) | Device for a temporary ileostomy or urostomy closure | |
US8900116B2 (en) | Inflatable stomal implant | |
EP2453851B1 (en) | Ostomy containment device | |
US3910274A (en) | Stoma irrigating system | |
US4209010A (en) | Artificial sphincter | |
US20200155338A1 (en) | Prosthetic stoma device and method of application | |
CN111818885B (en) | Device for use with surgically formed cavities | |
JP2020527369A (en) | Ostomy pouch device | |
US4210131A (en) | Artificial sphincter with collection bag | |
WO1992017137A1 (en) | Stoma cap | |
US4204282A (en) | Implantable artificial sphincter | |
US20150209173A1 (en) | Device for a Temporary Ileostomy or Urostomy Closure | |
EP2600809B1 (en) | Stoma coat | |
WO1999048437A1 (en) | Female urinary incontinence device | |
US20240156650A1 (en) | Absorbent insert devices for collecting liquid and semi-liquid intestinal waste inside the intestine of a human | |
US20040260257A1 (en) | Ostomy sealing device | |
US5902337A (en) | Valved bladder prosthesis | |
US4217899A (en) | Colonic endoprosthesis | |
CN208426287U (en) | A kind of narrow anal device of stoma | |
DK181477B1 (en) | An ostomy system comprising an ostomy device and an insertion and withdrawal system for inserting, subtracting, and containing the ostomy device | |
WO2023175202A1 (en) | An insertion and withdrawal system for inserting, subtracting, and containing an ostomy device | |
WO2023069735A1 (en) | Endoluminal stoma device | |
WO2021243082A1 (en) | Endoluminal stoma device |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
A1OB | Publication of a patent application | ||
ODBC | Application rejected |