JP2013052033A - Ostomy aid holding device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a simple ostomy aid holding device securely holding an ostomy aid without any slippage.SOLUTION: The ostomy aid holding device includes an annular ostomy aid holding member having a vent hole at a center part on which the ostomy aid is put on one end and a flange on the other end, and a sheet-like skin-contact part having a through-hole and comprising an adhesive silicone laminated with a non-adhesive silicone, and the ostomy aid holding device is characterized in that the vent hole of the ostomy aid holding member and the through-hole of the skin-contact part are communicated, and the flange is integrated with them with the adhesive silicone.

Description

  The present invention relates to a stoma article holding device for holding a stoma article for application to a site after removing an affected part from a cancer patient, and in particular, the stoma is surely ensured by an easy method without causing skin irritation. The present invention relates to a stoma article holding tool for holding articles.

In patients with cancer in the pharynx or larynx, the larynx is removed and a trachea is provided, but speech cannot be produced by removing the larynx. That is, vocalization is caused by vocal cord vibration caused by exhalation. The exhaled air is exhausted from the trachea.
Conventionally, as a method of uttering a laryngectomy person, there are utterances by an electric larynx and esophageal utterances. The former generates a buzzer with a machine and transmits vibrations to the oral cavity and throat through the cervical skin. However, this method is not practical because there is no inflection, the volume is small, and the sound is mechanical. The latter retreats the tongue base and injects 60 to 80 ml of air into the esophagus, and uses this air to produce the original sound at the new glottis and resonates, articulates and utters in the upper part. This method requires training and can only be acquired by about 30% of throat removers. The acquired voice is small and the conversation is interrupted, making it difficult to speak naturally.
There is a shunt utterance method as the latest utterance method. This method is a method in which a shunt (passage) is surgically constructed between the upper rear wall of the trachea and the upper front wall of the esophagus, the trachea is pressed with fingers, lung exhalation is introduced into the cervical esophagus and vocalization is performed. This method uses air of all lung volumes (that is, several liters) in the same way as normal laryngeal utterance, and creates an original sound at the new glottis and vibrates the mucous membrane.
This shunt vocalization method is the most preferable, replacing the conventional esophageal vocalization and vocalization by the electric larynx, and is becoming popular as a method that enables voice recovery of about 90% of the laryctomy person. It is necessary to hold the air tightly with fingers so that there is no air leakage, and depending on the shape of the tracheal hole, the trachea may be blocked with the finger and cannot be sealed sufficiently, resulting in disadvantageous shunting. there were.
As a means for solving this problem, it is conceivable to provide an exhalation valve in the trachea. For example, an exhalation valve as disclosed in Patent Document 1 has been developed. The exhalation valve consists of a housing that contains a filter that provides moisture and heat exchange to avoid the introduction of outside air directly into the trachea, and a valve that can optionally seal the trachea hole. By covering the trachea and pressing the center of the exhalation valve with a finger or the like, it is possible to securely seal and speak without directly touching the trachea.
However, the exhalation-valve holding method that has been commercialized consists of a skin-contacting member having a support portion that supports the exhalation-valve. The material of the skin-contacting member is a hydrocolloid or the like, and is a sheet that is familiar with the unevenness of the skin and has less air and physical irritation. And the adhesive-type sheet-like holder which has an adhesive layer in the back surface and adhere | attaches directly on the skin around a trachea hole by this adhesive layer is used. However, in many cases, the adhesive sheet-like holder cannot be used for people with weak skin due to the occurrence of fog due to the adhesive.

Also, in the case of colorectal cancer, after removing the cancer, an artificial anus was provided in the resulting stoma (hole), and the discharged excrement was stored and processed in a sachet. A method of attaching this sachet to the abdominal wall stoma Conventionally, a mounting member capable of attaching and detaching a pouch at the stoma position is fixed with an adhesive. However, when fixed with an adhesive, it tends to cause skin inflammation around the stoma due to the action of the adhesive. In order to prevent this inflammation, a flange made of soft silicone rubber was developed, and the flange was fixed to the stomach position of the abdomen by wrapping a rubber belt around the body. However, the use of a rubber band is accompanied by a cumbersome work.
The inventors of the present invention have previously proposed a stoma product holding tool that can easily be attached with the stoma product such as the exhalation valve or the defecation sachet without causing skin irritation (see Japanese Patent Application Laid-Open No. 2011-115262). This holding tool has a bottom plate of an annular stoma article holding portion having a pin-like projection on one surface, and a convex portion for holding the stoma article on the upper surface, and is fitted to the pin-like projection on the lower surface. A stoma article holder main body having a small hole for carrying out, and a sheet-like skin portion made of adhesive silicone and non-adhesive silicone material, wherein the bottom plate is made of adhesive silicone of the sheet-like skin portion and It is a stoma article holder characterized in that it is sandwiched between non-adhesive silicones and the pin-like projections of the bottom plate are fitted into the small holes of the stoma holder body.
However, it is possible to hold the stoma article by inserting the sheet-like skin part of the stoma article between the bottom plate of the stoma article holder and the stoma article holder body and fitting the pin-shaped protrusions of the bottom board into the small holes in the bottom board. This is because the tool main body can be surely placed at a predetermined position and no shift occurs, but fitting the pin-like protrusions of the bottom plate into the small holes of the bottom plate is an extremely troublesome operation in the manufacturing process.

Japanese National Patent Publication No. 9-5060801 Registered Utility Model No. 3115054 Registered Utility Model No. 3121956

  Therefore, as a result of various studies to omit this cumbersome operation, the present invention has been completed, and the object of the present invention is to be able to be worn in a simple manner without causing skin rash around the stoma, and to change the position of the wearing position. It is to provide a stoma article holding tool that does not cause a deviation.

  The gist of the present invention is a through-hole in which an annular stoma article holding member having a vent hole at the center portion where a stoma article is placed at one end and a flange at the other end, and an adhesive silicone and a non-adhesive silicone are laminated. A stoma article holding tool comprising a sheet-like skin member having a structure, wherein the vent of the stoma article holding member and the through-hole of the skin member are communicated, and the flange is integrated with adhesive silicone. It is a stoma article holding tool characterized by the above.

  The sheet-like skin contact member of the stoma article holding tool in the present invention is composed of a laminated sheet of non-adhesive silicone material and adhesive silicone, and easily adapts to the thickness and unevenness of the skin around the stoma. Since adhesive silicone is directly attached to the skin, it is possible to prevent skin fogging like a holder using a conventional adhesive. And since the sheet-like skin part and the stoma article holding part are integrated, there is an effect that the sheet-like skin part and the stoma article holding part can be reliably held without causing misalignment and can be used repeatedly.

Cross section of stoma article holding device A sketch of Figure 1

The present invention will be described in detail.
In the present invention, the stoma article is a tool for covering the stoma (small hole) of the human body provided after the cancer is removed. For example, in the case of laryngeal cancer, the trachea is closed and the shunt is inhaled to induce mucous membranes. This is an exhalation valve for applying vibrations to the body, and in the case of colorectal cancer, it is a waste storage bag or the like to be attached to the colostomy. In the case of an exhalation-valve, a commercially available exhalation-valve can be used for adjusting the humidity (moisture) and temperature of the outside air and allowing inspiration to pass through a breathable sponge layer. The excrement storage bag to be attached to the colostomy may be a soft plastic sachet currently used.

The materials constituting the stoma article holding part and the skin contact member according to the present invention may be the same or different plastic materials. For example, the holding part is a silicone resin, polystyrene resin, polycarbonate resin, etc., and the sheet-like skin part is a laminated sheet of a non-adhesive silicone material and an adhesive silicone, for example, a room temperature curable liquid silicone is poured into a mold, After the non-adhesive silicone layer is formed, liquid silicone may be poured and laminated. In order to integrally form the stoma article holding portion and the sheet-like skin portion, for example, silicone such as dimethylpolysiloxane is preferably used.
The central portion of the stoma article holding portion has a vent hole in the central portion of the stoma article holding portion, and the sheet-shaped skin member has a through hole, and the vent hole and the through hole communicate with each other. And the sheet-like skin member are integrated.

Any means may be adopted as the means of integration, for example, a flange provided at the end of the stoma article holding part is inserted between the adhesive silicone and the non-adhesive sheet of the sheet-like skin part, or A stoma article holding portion may be fitted into the through-hole of the sheet-like skin member.
Moreover, you may integrate at the time of shaping | molding. For example, as an example of the manufacturing method, in order to integrally form the stoma article holding portion on which the stoma article is placed and the skin contact member, for example, using a polypropylene case as a mold, a room temperature curable liquid silicone is poured, After curing at a hardness of Shore 60 or higher and stabilizing, a room temperature curable liquid silicone is poured into it and bonded to an extent having appropriate adhesiveness, and integrated with non-adhesive silicone.

After sticking the adhesive silicone of the sheet-like skin contact part directly to the skin around the stoma, the stoma article is placed on the stoma article holding part.

Next, a holding device according to the present invention will be specifically described with reference to the drawings as an example.
FIG. 1 is a cross-sectional view of a stoma article holding device according to the present invention.
The stoma article holding device according to the present invention comprises a stoma article holding member 4 and a sheet-shaped skin member 1, and the sheet-shaped skin member 1 is a laminated sheet composed of an adhesive silicone 2 and a non-adhesive silicone 3. A through hole 7 is provided. The stoma article holding member 4 is a cylindrical member having a vent hole 5 in the center, and a stoma article (for example, an exhalation valve 8) is disposed at one end thereof, and the other end is provided with a flange 6 so as to be integrated with the sheet-like skin member. To do. As a method of integration, a state in which the flange 6 of the holding member is sandwiched between the adhesive silicone 2 and the non-adhesive silicone material 3 of the sheet-like skin member 1 is shown. At this time, the through hole 7 and the vent hole 5 are communicated with each other.
FIG. 2 shows a perspective view.
In use, for example, for a patient whose pharynx has been removed, the center of the air hole 5 is aligned with the center of the trachea and is directly attached to the skin around the stoma, and then the exhalation valve is placed in the convex portion 7.

  By using the stoma article holder according to the present invention, the stoma can be easily closed. For example, when an exhalation valve is mounted on the trachea, a throat practitioner who requires close and clear communication is required. Even if it is difficult to close the trachea with a finger, the trachea can be reliably sealed through the exhalation valve and can be clearly uttered, so that a complete social return can be achieved. In addition, it is very hygienic because a patient can easily and surely attach a waste storage pouch to a patient wearing a colostomy.

DESCRIPTION OF SYMBOLS 1 Sheet-like skin contact member 2 Adhesive silicone 3 Non-adhesive silicone 4 Stoma article holding member 5 Holding member ventilation hole 6 Flange 7 Through-hole 8 Stoma article (exhalation valve)

Claims (3)

An annular stoma article holding member having a vent hole at the center for placing the stoma article at one end and a flange at the other end, and a sheet-like skin having a through hole in which adhesive silicone and non-adhesive silicone are laminated A stoma article holding tool comprising a portion, wherein the stoma article holding member has a vent hole and a through-hole of the skin contact member in communication with each other, and the flange is integrated with adhesive silicone. Holding tool. The stoma article holder according to claim 1, wherein the stoma article is an exhalation valve. The stoma article holder according to claim 1, wherein the stoma article is a waste storage bag.

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