JP2003033382A - Mounting appliance for stoma - Google Patents

Abstract

PROBLEM TO BE SOLVED: To enable a sealing member to be exactly mounted onto a bag body and to enable the opening of the bag body to be quickly and properly sealed, even when a mounting appliance for stoma is mounted on a body. SOLUTION: A skin contacting member adhering to the periphery of a stoma formed in a human body is attached to the whole upper surface of the bag body 1 having waterproof property. A hole communicating to the skin contacting member and the bag body is made corresponding to the stoma. An opening 7 for discharging bodily waste coming into the bag is formed at the lower portion 6 of the bag body 1, and measure lines 21 for securing the sealing member 8 sealing the opening 7 are formed at the lower portion 6 of the bag body 1. The sealing member 8 can be properly secured using the measure lines 21 as measures, and stable sealing can be formed.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to improvements in stoma appliances.

[0002]

2. Description of the Related Art There are various forms of stoma appliances for colostomy, but the types of bags are roughly classified into a closed type in which the periphery of the bag is closed and an open type in the lower end of the bag. It is divided into the open bottom type. The open bottom type is used by closing the part near the bottom of the bag with a sealing tool, and when the excrement from the stoma of the colostomy is accumulated in the bag, remove the sealing tool and open the bottom of the bag. The excrement in the bag is discharged from the bag, and the lower part of the bag is closed again with the sealing tool. Conventionally, a rubber band has been used as a sealing member for the bag body,
Currently, clip-like closures are commonly used for reliable and easy sealing.

In the above-mentioned appliance, the hermetically sealed bag body is suitable for use by a person who has solid or slightly soft stool, has a relatively small amount, and has a stable defecation time. ,
The open-bottomed bag is water-soluble or diarrhea stool, and is used for a person who has a large amount and has frequent and frequent defecation.

[0004] In the open bottom type, what is received in the bag body is water-soluble or there are many diarrhea stools. Therefore, unless the opening is sealed by attaching the sealing tool in a horizontal state, the excrement stored in the bag. Is biased and acts only on one side, causing leakage. Also, this brace is in direct contact with the skin surface, and the body surface has a curved surface, and it will be an obstacle if a large sealing tool is used. It will be used.
Therefore, if this sealing device is installed at an angle, the side edges of the bag may not be sealed sufficiently or may be sealed with wrinkles, which may also cause fecal leakage from the bag body. It may cause leakage of odor.

When the brace for the stoma is attached to the body, the excretions that have occasionally come out of the stoma and collect in the bag are
Since it is not preferable to keep the bag in the bag as it is, it is necessary to discharge it into the toilet bowl to empty the bag. When discarding the waste in the bag, with the brace still attached to the body, remove the clip and let the waste in the bag flow into the toilet through the opening at the bottom. Then, the dirty part of the opening at the bottom of the bag is wiped off with a toilet paper or the like, the clip is attached again to close the opening of the bag, and the bag is returned to the original state to finish the work.

[0006] Such a series of work must normally be carried out in a toilet, which is generally narrow and dark, and it is also necessary to carry out the work on the waist. In particular, when attaching the sealing device removed from the bag body again to the lower part of the bag body, it must be done in a limited space close to the body without any support without removing the bag body attached to the body. Therefore, it is very difficult to attach the sealing tool so that the lower part of the bag body is closed horizontally.

Moreover, since many people who construct such an artificial anus and use an orthosis are generally elderly, their eyesight is weak and their dexterity of their hands is poor, which makes it difficult. Increase. In addition, since this bag is made of plastic film and the films are easily slippery, and it is usually formed of a transparent film, the outline of the lower part of the bag is not clear between white underwear and skin color, and the elderly people For them, the treatment will be more difficult. Further, since the stoma is usually constructed on the lower abdomen, it is difficult to surely perform these series of operations in a down position.

In the above-mentioned situation, it is difficult to attach the clip-shaped sealing device to the proper position in a horizontal state at one time to close the opening. It will cause an odor leak.

[0009]

DISCLOSURE OF THE INVENTION The present invention, even when the above-described stoma appliance is attached to the body,
An object of the present invention is to make it possible to accurately attach the sealing member to the bag body and to quickly and accurately seal the opening of the bag body.

[0010]

SUMMARY OF THE INVENTION In accordance with the present invention, a bag member having a waterproof property is provided with a skin cover member attached to the periphery of a stoma provided on the body on one upper surface thereof. A hole communicating with the skin contact member and the bag is provided. An opening for discharging excrement that enters the bag is provided below the bag, and a reference line for attaching a sealer for sealing the opening is formed in the lower part of the bag.

[0011]

BEST MODE FOR CARRYING OUT THE INVENTION The bag body 1 is formed of a waterproof material so that the excrement that enters the bag does not seep out. Usually, a single plastic film or a laminate body is used. . Further, it is more preferable that it has the above-mentioned waterproof property and deodorant property. The back side 3 of the upper part 2 of this bag
A skin contact member 4 that adheres to the skin surface around the stoma built on the body is attached to this. The skin contact member 4 has an adhesive layer 42 on the flange portion 41, and the adhesive layer 42
The surface of the film is covered with a peeling film (not shown), and the flange portion 41 is integrated with the bag body 1. The skin-contacting member 4 and the bag body 1 are provided with a stoma in correspondence with the stoma.
A hole 5 is formed in a communicating state so as to receive the feces and other excrement discharged from the machine into the bag.

The lower portion 6 of the bag is open and has an opening 7
Is provided, and this opening can be sealed by the sealing tool 8. The opening 7 of the bag 1 is formed in an appropriate size so that the excrement contained in the bag can be discharged.
If the lower portion 6 and the opening 7 of the bag 1 are large, the excrement can be easily discharged, but the sealing member 8 becomes large and becomes an obstacle when it is attached to the body, and if the lower portion 6 and the opening 7 are made small. Although the sealing by the sealing member 8 is easy and does not interfere, the discharge of excrement tends to be difficult.

As shown in the figure, the front surface 11 and the rear surface 3 of the plastic laminated film 12 are welded to each other, and the upper portion 2 of the bag is formed into a large-diameter storage portion 9 capable of sufficiently storing excrement. The lower portion 6 of the bag is formed as a discharge portion 10 having a smaller diameter than the storage portion for discharging the excrement accumulated in the storage portion 9. Also, the lower part of the discharge portion can be formed into a straight shape, but in the case of the figure, the opening 7
The trumpet-shaped portion 13 has a large diameter toward the front so that the opening can be easily folded back to the outside.

On the back surface 3 side of the bag body 1, a non-woven fabric 15 is attached to the surface so that the plastic film does not come into direct contact with the skin to soften the contact with the skin.
A deodorant 16 for removing the odor in the bag is attached to the upper part of the bag. In addition, the back surface 3 of the opening 7 portion of the bag body 1
When the notch 17 is provided on the side, the surface 11 of the bag 1 can be easily picked up by the notch 17, and the opening 7 can be easily folded back.

The lower part of the bag body 1 can be sealed by a sealing tool 8. As this sealing tool, any appropriate one can be used as long as it can reliably seal the opening of the bag body. The clip-shaped sealing tool 8 shown in the figure is molded by plastics, has a substantially U-shaped cross section, and is formed between the receiving portions 81 that are curved so as to follow the curved surface of the body surface.
The insertion portion 83 connected through the hinge portion 82 at one end of the receiving portion is inserted into the U-shaped portion of the receiving portion 81, and the locking piece 84 provided at the other end is attached to the locking portion 85 of the receiving portion 81. It is adapted to be locked (FIGS. 3 and 4). Insert the lower part of the bag 83
When the insertion portion 83 is inserted into the receiving portion 81 in that state, the lower portion of the bag is securely sealed in the state of being folded in two.

A guide line 21 for sealing with the clip 8 is provided on the lower portion 6 of the bag body. In the bag shown,
A guide line 2 that indicates the horizontal position of the bag on the discharge portion 10.
1 is provided. The reference line may be provided on either the front surface 11 or the back surface 3 of the bag body, or may be provided on both surfaces. What kind of shape does this guide line have, such as a solid line, a dotted line, a one-dot chain line, a two-dot chain line or other discontinuous lines, or a wavy line, that corresponds to a line shape that can display a substantially horizontal state? Anything can be used. Regarding the thickness of the reference line, a relatively thick one is clear and easy to see even in a toilet, but it may be a fine one. Also,
The color of the reference line may be of various colors other than black.

It is necessary to provide at least one guide line, but it is also possible to provide a plurality of reference lines. If multiple bags are installed, the length of the bag can be adjusted when the bag is attached by sealing the bag using the guide line at the appropriate position as a guide, depending on the position of the stoma etc. It will be easier. The plurality of reference lines may be displayed in the same mode, or may be displayed in combination with a solid line and a discontinuous line, a thin line and a thick line, or other lines with different modes, in combination. In some cases, it may be easier to use.

The above-mentioned reference line can be formed on the bag body by a printing method such as letterpress printing, lithographic printing, intaglio printing, stencil printing, and the like. However, it is possible to use thermal printing which is known as lithographic printing. For example, plate making is easy and there are advantages such as high-speed mass printing with a high-speed rotary printing machine. When the film surface of the bag to be printed is of a polyolefin type, the ink does not ride well, so it is preferable to print after performing surface treatment such as corona discharge treatment, ultraviolet ray treatment, primer treatment, and solvent treatment.

The ink for printing should be selected based on various conditions such as film material, printing method, printing machine, embossing after printing, laminating, heat-sealing and other post-processing. You can For example, when printing on a polyolefin-based film surface, inks such as evaporation-drying type, two-component reaction type, heat-curing type, and ultraviolet-curing type ink can be used. There is a chlorinated polyolefin resin, and as a two-component reactive ink, an epoxy type or urethane type ink can be used.

The guide line can be formed by a method other than the printing method. For example, synthetic polymer materials, fibers, metals, ceramics, etc. can be attached to the material of the bag body by coating, spraying, adhering, heat welding or the like so that they can be identified, or the above-mentioned materials can be film-like or sheet-like. It is also possible to form a thread, a grain, a powder or the like in the same manner. For example, one method is to form a metal by vapor deposition or sputtering.

The reference line may be formed by providing the bag with a concave portion or a convex portion, or by attaching another film having a concave portion or a convex portion to the bag body. You can The formation of such irregularities can be provided by embossing, sandblasting, or physical surface processing using a metal brush, sandpaper, or the like.

The concavities and convexities provided on the bag body can be formed integrally by attaching various elastomer materials to the bag body. This elastomer material has a property of being deformed by a light action and returning to an almost original state when the action is removed, and does not interfere with the sealing by the sealing tool. These elastomers
As the material, rubbers such as natural rubber and synthetic rubber, and polystyrene-based and other thermoplastic elastomers can be used. The reference line due to such irregularities can be distinguished by tactile sensation, and if the irregularities are colored or used in combination with the above-mentioned printing method or the like, the visual and tactile discrimination can be further facilitated, which is preferable.

When forming the above-mentioned reference line, it is possible to form it together with a fluorescent substance. In such a case, even when used in a relatively dark place such as a toilet, the reference line can be sufficiently confirmed with a small amount of light. As the fluorescent substance, a substance that emits light via an excited singlet state or a phosphorescent substance that emits light via an excited triplet state can be used, and particularly a nocturnal or a phosphorescent substance. Is also effective when used in the dark.

These fluorescent substances are usually contained in the above-mentioned ink so as to form a reference line by the above-mentioned printing method, and the fluorescent substance is made of the above-mentioned synthetic polymer material, fiber, metal, ceramic or the like. Mix the ingredients appropriately,
As described above, the reference line may be formed by attaching to the film of the bag body by coating, spraying, adhering, heat welding or the like, or by coating or spraying a paint containing a fluorescent substance. Fluorescent substances include inorganic substances such as rare earth salts, uranyl salts, platinum cyan complex salts, tungstates, and organic substances such as benzene, aniline, anthracene, phthalein dyes, porphyrin dyes, cyanine dyes, etc. , Sulfides such as zinc sulfide, oxyacids such as silicates, borates, and tungstates, and trace amounts of heavy metals and rare earths.
It is possible to use a crystal luminescent material or the like to which an activator (activator) such as manganese is added.

In the case of using the storm orthosis 14 shown in the drawing, a sealing tool 8 is attached to the discharge portion 10 to close the opening 7 (FIG. 5A), and the storm orthosis 14 is connected. The adhesive layer 42 is attached to the skin surface so that the hole 5 of the skin member 4 is applied to a stoma (not shown), and the brace is attached.

When excrement such as feces is discharged from the stoma and accumulated inside the bag body 1, it is difficult to act while accumulating the accumulated excrement in the bag. Then, after entering the toilet to remove the shirt and underwear to expose the stoma orthosis, and with the orthosis attached to the body, the discharging portion 1 of the bag 1
The trumpet-shaped portion 13 at the lower end of 0 is folded back to the outside (Fig.
B), the sealing tool 8 is removed, the discharge part 10 is directed to the toilet bowl, and the excrement is discharged from the opening 7 of the bag body to empty the bag (FIGS. 5C and 5D).

The peripheral portion of the opening 7 of the emptied bag is wiped clean with a toilet paper or the like. And the sealing tool 8
The insertion part 83 of the bag is applied so as to be parallel to the guide line 21 of the bag body, the opening 7 side is bent upward (FIG. 5E), and the receiving part 81 of the sealing device 8 is attached to the hinge part 82. As a fulcrum, it is lifted upward so that the insertion portion 83 can be housed in the receiving portion 81, and the locking piece 84 of the insertion portion 83 can be inserted into the locking portion 8 of the receiving portion 81.
5 to lock the opening of the bag body (FIG. 5F).

Then, if necessary, the periphery of the opening facing upward and the inside of the discharge portion are wiped clean again with a toilet paper, and the folded trumpet-like portion 13 is returned to the original position to open the opening 7. When the operation ends toward (Fig. 5G), the inside of the bag is emptied and becomes lighter, and the operation is not restricted. The trumpet-shaped portion 13 of the bag discharging portion may be always folded back to the outside, and the sealing tool may be attached or removed in that state, and the lower portion of the discharging portion may be folded back depending on the case. It can also be used without it. Further, the above-mentioned reference line 21 can be similarly applied to the stoma orthosis of the type in which the skin contact member 4 is removably attached to the bag body 1.

6 to 9 show some modified examples. In the one shown in FIG. 6, the reference line 22 is a plurality of dotted lines, and both ends thereof are displayed up to the middle of both side edges of the bag body. In FIG. 7, the reference line 23 is represented by a thick strip-shaped line. In addition, in FIG. 8, the discharge portion 10 of the bag body is straight, and the reference lines 24 and 25 are displayed by combining a thin line and a thick line, and the reference line 26 in FIG. 9 is a thick dotted line. Three lines are displayed in parallel.

[0030]

As described above, according to the present invention, the discharge processing of the excrement in the bag of the stoma appliance and the resealing of the bag opening are performed.
Even if you have to do it in a small, dark toilet, you can know the horizontal state by the guide line at the bottom of the bag. The opening can be properly sealed with a chitin, and the operation can be smoothly performed even by an elderly person.

[Brief description of drawings]

FIG. 1 is a front view showing an embodiment of the present invention.

FIG. 2 is a side sectional view of FIG.

FIG. 3 is an explanatory diagram showing a relationship between a lower portion of the bag body of FIG. 1 and a sealing tool.

FIG. 4 is a perspective view of the closure.

5 is an explanatory view showing a usage state of the stoma appliance of FIG. 1. FIG.

FIG. 6 is a front view showing a lower portion of a bag body according to another embodiment of the present invention.

FIG. 7 is a front view showing a lower portion of a bag body according to still another embodiment of the present invention.

FIG. 8 is a front view showing a lower portion of a bag body according to another example of the present invention.

FIG. 9 is a front view showing a lower portion of a bag body according to still another example of the present invention.

[Explanation of symbols]

1 bag 2 Upper part of bag The back of 3 bags 4 skin cover member 41 Flange part of skin cover member 42 Adhesive layer of skin-wrapping member 5 holes 6 Lower part of bag 7 Bag opening 8 Sealing tool 81 Receiving part of sealing tool 82 Hinge part of the sealing tool 83 Insertion part of sealing tool 84 Locking piece of sealing device 85 Locking part of sealing device 9 Storage part of the bag 10 Bag discharge part 11 Surface of bag 12 Edge of bag 13 Trumpet-shaped part of the bag 14 Stoma brace 15 Nonwoven fabric on the back of the bag 16 bag deodorant 17 Notch in opening of bag 21, 22, 23, 24, 25, 26 Guideline

   ─────────────────────────────────────────────────── ─── Continued front page    F term (reference) 4C081 AA12 AC13 BB03 BC02 CA032                       CA122 CB052 CE11 CF21                       DA02 DC03 EA02 EA06                 4C098 AA09 CC31 CE01 DD12 DD16                       DD20 DD22 DD23 DD24

Claims (7)

[Claims] 1. A skin-covering member, which is fixed to the periphery of a stoma provided on a living body by adhesion, is attached to one surface of an upper part of a waterproof bag body, and the skin-covering member and the bag body correspond to the above-mentioned stoma. A communicating hole is formed, an opening for discharging excrement entering the bag is opened below the bag body, and the opening is sealed with a sealing tool just above the opening below the bag body. Stoma brace with a guide line for 2. The bag body is provided with a large-diameter storage part which is located above and stores the excrement, and a small-diameter discharge part which is located below and has a small diameter for discharging the excrement collected in the storage part. The brace for a stoma according to claim 1, wherein the reference line is formed on the brace. 3. The ostomy appliance according to claim 2, wherein the opening at the lower end of the discharge portion is widened to a slightly larger diameter. 4. The stoma appliance according to claim 1, wherein a plurality of the reference lines are formed in parallel. 5. The reference line is provided by forming a concave and / or convex portion on the bag body.
The brace for a stoma according to any one of 1. 6. The appliance according to claim 5, wherein the concave and / or convex portions of the reference line are formed by attaching an elastomer to the surface of the bag body. 7. The strike line according to claim 1, wherein the reference line has a fluorescent performance.
Orthosis.