JP2005278744A - Auxiliary tool for fixing stoma appliance - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide an auxiliary tool for fixing a stoma appliance capable of surely attaching and holding a surface plate on the body regardless of the action of the body, a body shape or the generation of wrinkles, etc., securing adhesion and protecting a stoma projected from the body surface. <P>SOLUTION: The auxiliary tool 5 for fixing the stoma appliance is composed of a belt material 6 for holding the stoma appliance, composed of the surface plate 2 in a ring shape to be fixed to the abdominal part of the body through an adhesive skin protective agent around the stoma formed at the abdominal part and a stoma bag 3 attached to the back surface side of the surface plate 2 for storing excreta, at the abdominal part. The surface plate attaching part of the stoma bag 3 is opened and the belt material 6 is attached to the stoma appliance 1 surrounding the periphery of the attaching part (connection part 3a). The belt material 6 comprises a ring-like projection 9 for pressing the surface plate provided around the attaching part 3a and a wall-like projection 11 for protecting the stoma provided across the attaching part 3a of the belt material 6 on the opposite surface side. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to an ostomy appliance fixing auxiliary device that securely adheres an ostomy appliance to a body and prevents leakage.

  Open ends of the anus and artificial bladder (hereinafter referred to as stoma) are provided in the abdomen of the body, and excreta is stored in a synthetic resin stoma bag. In this stoma bag, the opening on the entrance side of the bag is fixed to the back side of the ring-shaped face plate (surface opposite to the adhesive surface), and an adhesive skin protection agent is applied to the face plate to surround the stoma. By adhering to the abdomen, it is fixedly held on the abdomen. The lower part of the stoma bag is equipped with an outlet opening, which allows the accumulated excrement to be discharged or the outlet to be lifted up to vent the gas. There are two types of ostomy appliances consisting of such stoma bags and face plates: a one-piece type in which the stoma bag and face plate are integrally fixed, and a two-piece type in which the stoma bag can be attached to and removed from the face plate. The body is attached to the abdomen via a face plate.

  When such a stoma device is worn on the body, a kneaded skin protective material that fills irregularities such as abdominal folds on the bonding surface side of the face plate is applied, and the stoma is surrounded and adhered to the abdomen. As a result, the abdominal skin surface and the face plate are firmly fixed.

  However, when the stoma device is attached via an adhesive, a force in the direction of peeling the face plate acts as the body moves, or a gap is formed between the face plate and the skin surface due to wrinkles on the abdomen. May decrease. If the adhesion of the face plate is thus reduced, excrement may leak.

  An artificial anus mounting band has been proposed that prevents such peeling of the face plate and improves adhesion (Patent Document 1). The artificial anus mounting band described in Patent Document 1 includes a face plate pressing cloth for pressing and adhering a face plate for artificial anus to the skin surface, an upper band member obtained by connecting the face plate pressing cloth on the upper side of the pressing cloth, It consists of an intermediate band member connected at the intermediate portion of the cloth and a lower band member connected at the lower side of the press cloth. As a result, the pressing force applied to the face plate pressing cloth by the upper, middle and lower band members connected to the face plate pressing cloth can be adjusted independently for each band member, and the pressing adhesion force is optimized according to the body shape. It is trying to improve the adhesion of the face plate by adjusting to.

  However, even if the pressing cloth of the band for artificial anus mounting of Patent Document 1 is used to adjust the pressing force at the upper and lower positions with respect to the face plate and press the face plate, the fastening force of the pressing cloth is distributed over the entire face plate. A large pressing force cannot be obtained, and a sufficient improvement in adhesion cannot be expected.

  Also, the stoma is usually formed somewhat protruding from the body surface. Therefore, when the garment is worn after the stoma device is worn, if the garment is tightened with a belt or the like, the garment's pressing force may act on the stoma through the stoma bag, which may make the user feel uncomfortable. In the conventional stoma device, the stoma is not protected by preventing the action of external force on the stoma protruding from the body surface. Further, the colostomy band of Patent Document 1 does not consider such stoma protection.

JP 2003-111787 A

  The present invention is based on the above prior art, and ensures that the face plate is securely bonded to the body regardless of the body movement, body shape, wrinkles, etc. The purpose is to provide a stoma orthosis fixing tool that can protect the stoma.

  In order to achieve the above-mentioned object, the invention of claim 1 is characterized in that a ring-shaped face plate fixed to the abdomen via an adhesive skin protective agent around a stoma formed on the abdomen of the body, A stoma device fixing auxiliary device comprising a band material for fixing and holding a stoma device comprising a stoma bag for containing excrement attached on the back side to the abdomen, wherein the band material is a member of the stoma device. A face plate attachment portion is opened and is attached to the stoma device around the attachment portion. The band member includes a ring-shaped protrusion for pressing the face plate provided around the attachment portion and a band member on the opposite side. There is provided a stoma device fixing auxiliary tool having wall-like projections for stoma protection provided on both sides of the above-mentioned face plate mounting portion so as to sandwich the mounting portion.

According to a second aspect of the present invention, the ring-shaped protrusion for pressing the face plate is made of an elastic material that presses the back side of the face plate toward the abdomen when the band member is attached, and the wall-like protrusion for stoma protection is It is formed in two rows in the vertical direction and is characterized by being able to bend following the movement of the abdomen.

  According to the first aspect of the present invention, when the stoma device comprising the stoma bag that is connected and fixed around the inner opening of the ring-shaped face plate is attached to the body, the connection portion between the stoma bag and the face plate is surrounded. Since the band material is attached and a ring-shaped protrusion that presses the face plate is formed on the band material, the ring-shaped protrusion presses the back surface of the face plate by tightening and holding the band material to the abdomen. It can be pressed to the side to reinforce the adhesion and enhance the adhesion. Accordingly, the face plate can be securely adhered and held to the body regardless of the body movement, body shape, wrinkle generation, etc., and adhesion can be ensured to prevent the excrement from leaking.

  Further, since the band member is provided with a wall-like protrusion sandwiching the connecting portion of the stoma bag, the stoma protruding from the body surface at a position surrounded by the wall-like protrusion is protected, and the stoma is worn when clothes are worn. The external force applied to the body is suppressed, and there is no sense of incongruity, improving the sense of use.

  The ring-shaped protrusion for pressing the face plate is not limited to a circular ring shape, and may be a square ring shape. Further, the protrusion may be continuous over the entire circumference of the ring, or may be divided at one place or a plurality of places in the middle. In either case, the protrusion is provided so as to contact and press against the back side of the ring-shaped face plate.

  According to the invention of claim 2, since the face plate pressing protrusion is made of an elastic material, the face plate follows the change in the posture of the face plate when the angle of the bonding surface of the stoma device changes according to the body shape or by the body movement. The back surface can be pressed almost uniformly, and the face plate can be fixed and held in close contact with the body side constantly and stably.

  In addition, because the stoma is sandwiched between two rows of vertical wall-shaped projections, the stoma can be reliably protected against the movement of the abdomen, which often bends in the vertical direction. In addition, by allowing the body to bend in the longitudinal direction, the wall-like projections bend following changes in the body shape and posture of the abdomen, and the stoma can be protected smoothly without a sense of incongruity.

  FIG. 1 is an explanatory view of the shape of a stoma device to which the present invention is applied, in which (A) is a transverse sectional view, (B) is a longitudinal sectional view, and (C) is a front view.

  The stoma appliance 1 includes a circular ring-shaped face plate 2 for bonding and fixing to a body, and a stoma bag 3 for storing excrement fixed on the back side thereof. An outlet opening 4 for discharging excrement is provided at the lower end of the stoma bag 3. The outlet opening 4 is closed by a clip (not shown) or the like by bending and fixing with a hook-and-loop fastener or the like. The connecting portion 3a between the face plate 2 and the stoma bag 3 is configured to fix the stoma bag 3 so as to cover the periphery of the central opening 2a of the face plate 2 in a sealing manner. In the case of the one-piece type, the stoma bag 3 is fixed to the face plate 2 completely and integrally. In the case of the two-piece type, the stoma bag 3 can be attached to and detached from the face plate 2 by a fitting-type ring-shaped snap groove (not shown) or the like.

FIG. 2 is an explanatory view of the shape of the embodiment of the present invention.
The stoma orthosis fixing auxiliary tool 5 is composed of a band material 6 which is wound around a patient's abdominal trunk and fastened. 7 is a hook and loop fastener for fixing the band material. The band material 6 is, for example, a cloth material and may have some elasticity, and presses the abdomen with tension when fastened and fixed to the trunk. A circular opening 6 a is formed at the center of the strip 6. The opening 6a surrounds the connection portion 3a (see FIG. 1) of the stoma bag 3 when the band member 6 is attached to the stoma device 1. A folded piece 8 is provided below the opening 6a. The folded piece 8 is for folding the stoma bag 3 attached and fixing it with a hook-and-loop fastener (not shown) or the like so as to hold the outlet opening 4 of the stoma bag 3 upward. By making the outlet opening 4 face upward, the gas can be easily vented when the gas is accumulated in the stoma bag 3.

  Instead of the folded piece 8, a cloth bag 16 may be provided that accommodates the stoma bag 3 with the lower end portion folded up. By holding the lower end portion of the stoma bag 3 with the folded piece 8 or the cloth bag 16, when the excrement accumulates in the bag, the weight is supported by the folded piece 8 or the cloth bag 16 and the face plate 2 is burdened. This eliminates the risk of peeling off or leaking the face plate.

A substantially ring-shaped projection 9 (in this example, the upper part is divided) is provided along the periphery of the opening 6a of the strip 6. The protrusions 9 are made of an elastic material such as silicon rubber, and are for pressing the back side of the face plate 2 (see FIG. 1) of the stoma appliance 1.

  The ring-shaped protrusion 9 is preferably detachable with a hook-and-loop fastener or the like. Thereby, the height of the protrusion 9 and the uneven state of the pressing surface can be formed according to the body shape of the abdomen of each patient, and the optimal protrusion can be used for each patient.

  Wall-like projections 11 formed by vertically arranging a plurality of spheres 10 on the strip 6 on the surface opposite to the projections 9 are provided on both sides of the opening 6a. Each sphere 10 is formed of a plastic material having high rigidity. The wall-shaped protrusion 11 is for protecting a stoma (not shown) protruding from the face plate 2.

  The wall-like protrusions 11 may be integrally formed of an elastic material such as silicon rubber like the ring-like protrusions 9. Moreover, it is preferable that the position can be adjusted by attaching and detaching with a hook-and-loop fastener or the like. Thereby, the wall-like protrusion can be provided at an optimum position. Also, several types of wall-like projections 11 having an optimum height are prepared in advance according to the projection amount of the stoma, and the optimum wall-like projection 11 is selected for each patient, and the stoma is used by using the wall-like projection 11. Can be protected.

FIG. 3 is a partially broken perspective view of the main part of the strip material of FIG.
Each of the wall-like projections 11 on both sides of the opening 6 a of the strip 6 is attached to the strip 6 by arranging a plurality of spheres 10 in the cover 13. Reference numeral 12 denotes a hook-and-loop fastener for forming the opening 6 a of the strip 6.

FIG. 4A is a view taken along the line AA in FIG.
The wall-shaped protrusion 11 formed of a plurality of spheres 10 can be curved along the vertical direction as indicated by an arrow F. As a result, even if the posture of the body changes, the stoma can be protected stably by following the change and without feeling uncomfortable.

Instead of the wall-shaped protrusion 11 using the sphere 10 as described above, a wall-shaped protrusion 15 provided with a plurality of cuts 14 in the solid block 13 and capable of bending as indicated by an arrow F is used as shown in FIG. May be.
Further, as described above, a block-like wall-shaped protrusion 17 integrally formed with an elastic material such as silicon rubber may be used. Further, as shown in (D), if a wall-like protrusion 18 made of an elastic material such as silicon rubber formed by vertically arranging a plurality of convex portions 18a is used, it becomes easier to bend vertically and follow changes in body posture. Sexuality improves.

  FIG. 5 is an explanatory view showing a state in which the assisting device of the present invention is attached to the stoma pouch, (A) is a front view, (B) is a view taken along the line BB, and (C) is a view taken along the line CC. is there.

  As shown in the drawing, in the state where the assisting device 5 of the present invention is mounted on the stoma device 1, as can be seen from (B) in particular, at the portion of the connecting portion 3a between the face plate 2 and the stoma bag 3, the face plate 2 and the stoma bag 3 are shown. The ring-shaped protrusion 9 of the band member 6 is located on the back side of the face plate 2 between them, and the wall-like protrusions 11 are located on both sides of the band member 6 on the opposite surface side of the connecting portion 3a. The adhesive surface 2b of the face plate 2 to which the adhesive skin protective agent is applied is pressed against the body to fix the face plate 2 around the stoma. In this state, the band member 6 is wound around the body and fastened, so that the ring-shaped protrusion 9 of the band member 6 presses the back side of the face plate 2 and presses it against the abdomen side, so that the face plate 2 is firmly held on the body side. The Moreover, since the wall-like projections 11 are disposed on both sides of a stoma (not shown) located in the central opening 2a of the face plate 2, the stoma protruding from the skin surface of the body is protected.

The shape explanatory view of the stoma appliance to which the present invention is applied. The shape explanatory drawing of the stoma orthosis fixing auxiliary tool which concerns on this invention. The partially broken perspective view of the principal part of the auxiliary tool of FIG. Shape explanatory drawing of the wall-shaped protrusion of the auxiliary tool which concerns on this invention. Explanatory drawing of the state which attached the auxiliary tool of FIG. 2 to the stoma appliance.

Explanation of symbols

1: stoma orthosis, 2: face plate, 2a: central opening, 2b: adhesive surface,
3: Stoma bag, 3a: connecting part, 4: outlet opening,
5: Stoma orthosis fixing aid, 6: strip, 6a: opening,
7: hook-and-loop fastener, 8: folded piece, 9: protrusion, 10: sphere,
11: Wall projection, 12: Hook fastener, 13: Cover, 14: Cut, 15: Wall projection, 16: Cloth bag, 17, 18: Wall projection, 18a: Projection.

Claims (2)

A ring-shaped face plate fixed to the abdomen via an adhesive skin protective agent around the stoma formed on the abdomen of the body, and a stoma bag for containing excrement attached to the back side of the face plate A stoma device fixing auxiliary device made of a band material for fixing and holding the stoma device made of
The band material has an opening at the face plate attachment portion of the stoma device, and is attached to the stoma device around the attachment portion,
The band member is provided with a ring-shaped projection for pressing the face plate provided around the attachment portion, and a stoma protection wall provided on both sides of the face plate attachment portion on the opposite side band member with the attachment portion interposed therebetween. A stoma orthosis fixing auxiliary device characterized by having a protrusion. The ring-shaped protrusion for pressing the face plate is made of an elastic material that presses the back side of the face plate against the abdomen side when the band member is attached,
The stoma orthosis fixing auxiliary device according to claim 1, wherein the stoma protecting wall-shaped protrusions are formed in two vertical rows and can be bent following the movement of the abdomen.

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