JP2014023605A - Ostomy appliance and belly band - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an ostomy appliance and a belly band whose fitting is hardly recognized from the appearance and which are hardly peeled off by gravity.SOLUTION: An ostomy appliance 1 is provided with a bag body 3 which has an opening 5 in an upper part thereof and receives excrement from a stoma of a human body through the opening 5 to store it therein. The bag body 3 is formed in a shape whose lower part extends laterally. As a result, the quality of life of a patient can be improved.

Description

  The present invention relates to an ostomy appliance and a belly band.

  A stoma is an excretory opening made artificially in the abdomen of the human body. A patient whose part of the large intestine, small intestine, or urinary tract has been excised due to a disease such as cancer needs to excrete stool or urine using tissue remaining in the intestinal tract. Therefore, an excretion opening is created outside the abdominal wall using the intestinal tract. This is sometimes called a colostomy or ileal conduit.

  Conventionally, an ostomy appliance configured to receive excrement discharged from the stoma and accommodate it in a bag body is known. Here, with reference to FIG. 6, the structure of the conventional stoma appliance is demonstrated. 6A shows the back side of the stoma device, and FIG. 6B shows the front side of the stoma device. For example, as shown in FIG. 6, the conventional stoma device 100 is the same as the back sheet 101 on the back side, which is the side to be worn on the human body, and the back sheet 101 on the front side, which is the opposite side to the side to be worn on the human body. And the outer periphery of the back side seed 101 and the front side sheet 102 are bonded to each other by an adhesive means such as hot melt to form a bag body 103 so that the contents are sealed so that the contents do not leak out. It takes the form which was made. As shown in FIG. 6A, the bag 103 has a semicircular upper part (the part indicated by a in the figure) and extends from the semicircular part to the center lower part (b in the figure). The portion shown) extends with a certain width dimension, and the width dimension gradually decreases by a certain length from the lower part of the center (the part indicated by c in the figure), and the lower part (the part indicated by d in the figure) The width dimension is smaller than the upper part.

  In addition, a disc-shaped thin adhesive pad 104 is provided at the upper center of the back sheet 101. The adhesive pad 104 is made of, for example, silicon, and can support the stoma device on the human body by adhering to the abdomen of the human body. In the center of the adhesive pad 104, an opening 105 opened together with the back sheet 101 is provided. Then, the inside of the bag 103 can be hermetically sealed by adhering the adhesive pad 104 to the human body so that the opening 105 of the adhesive pad 104 faces the stoma. And the excrement discharged | emitted from the stoma is deposited on the lower part of the bag 103 (for example, patent document 1).

JP 2010-284441 A

  However, in the shape of the conventional ostomy appliance as described in the above-mentioned Patent Document 1, since the bag body that accommodates the excretion discharged from the stoma is formed in a vertically long shape, When the amount increases, the upper part of the stoma device tends to peel off from the skin due to gravity, and the excrement causes the lower part of the bag to inflate and peel off easily. Therefore, there is a problem that it is not preferable in appearance.

  An object of the present invention is to provide a stoma device and an abdomen that can hardly be peeled off from the skin due to gravity and can hardly be recognized by appearance.

In order to solve the above-described problems, the invention described in claim 1 includes a bag body having an opening at the top, and receiving and containing excreta from a human stoma through the opening. In the stoma orthosis,
The lower part of the bag is formed in a shape extending sideways.

The invention according to claim 2 is an ostomy appliance according to claim 1,
The bag body has a lower portion extending in the left-right direction.

The invention according to claim 3 is the stoma device according to claim 2,
The bag body is formed in a shape in which the lower part is inclined downward and inclined toward the center of the lower end, and a discharge port for discharging excrement to the outside is provided in the center of the lower end. And

The invention according to claim 4 is the stoma device according to claim 1,
The bag body is characterized in that a lower portion extends laterally so as to be L-shaped.

The invention according to claim 5 is a stomach wrap,
A stowage device according to any one of claims 1 to 3 is provided on the inner periphery of a cylindrical cloth material that is worn in a state surrounding the stomach of the human body, and the stowage device according to any one of claims 1 to 3 is provided in the housing portion. It can be stored.

  According to the present invention, it is possible to make it difficult to recognize wearing by the appearance, and it is possible to prevent the stoma device from being easily detached due to gravity.

(A) is a back view, (B) is a front view, and (C) and (D) are enlarged perspective views of the lower end central portion of the stoma appliance. It is a reverse view of the stoma appliance which concerns on 2nd Embodiment. It is a reverse view of the stoma appliance which concerns on 3rd Embodiment. It is an external appearance perspective view of a stomach band. It is an external appearance perspective view explaining the usage condition of a stomach band. It is a figure which shows the external appearance of the conventional stoma appliance.

  Hereinafter, an ostomy appliance according to an embodiment of the present invention will be described with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples. In addition, in the following description, what has the same function and structure attaches | subjects the same code | symbol, and abbreviate | omits the description.

(First embodiment)
As shown in FIGS. 1 (A) and 1 (B), for example, the stoma device 1 according to the first embodiment includes a back sheet 2a on the back side, which is a side to be attached to a human body (patient), and a human body. A bag body 3 is formed by having a back sheet 2a and a front sheet 2b having the same shape on the front side opposite to the side to be mounted on, and the outer periphery is bonded by an adhesive means such as hot melt. The back sheet 2a and the front sheet 2b are made of, for example, a resin such as polyvinylidene chloride, and at least the inner surface is coated with a deodorant or the like so that odors do not adhere. The bag body 3 has an up-down direction as a longitudinal direction, an upper part is formed in a semicircular shape, and a lower part is symmetric with respect to each other and extends laterally, and the extending part is formed in a substantially elliptical shape. Yes. The length of the lower part of the bag 3 is p, and is preferably 15 cm or less. This is because the accumulation procedure has an estimated 300-400 ml when the excrement enters evenly. The bag body 3 is formed in a shape in which the lower edge portion is inclined downward toward the center of the lower end, and the excrement accommodated in the bag body 3 is easily collected in the center. The inclination angle α of the lower edge portion of the bag body 3 is preferably 0 degree or more and less than 90 degrees, and more preferably about 10 degrees to 30 degrees.

  In the upper center of the back sheet 2a, a disk-shaped thin adhesive pad 4 is provided. The adhesive pad 4 is formed of, for example, silicon, and can support the stoma device 1 on the patient's abdomen by adhering to the patient's abdomen. A release sheet 4a is adhered to the surface of the adhesive pad 4, and when the stoma device 1 is used, the release device 4a is peeled off, so that the stoma device 1 can be attached to a human body. .

  Moreover, the opening part 5 opened with the back side sheet | seat 2a is provided in the center of the adhesive pad 4. FIG. The adhesive pad 4 is adhered to the patient's abdomen by adhering the adhesive pad 4 to the patient's abdomen so that the opening 5 of the adhesive pad 4 faces the stoma, so that the inside of the bag 3 is sealed. can do. Therefore, the excrement discharged to the bag body 3 is less likely to leak from the opening 5.

  In the center of the lower end of the bag body 3, a discharge member 6 for discharging excrement stored in the bag body 3 is provided. As shown in FIG. 1C, the discharge member 6 is formed in a cylindrical shape and the upper end portion is formed in a flat plate shape. The flat plate-shaped portion is curved in an arc shape with a certain thickness along the cylindrical portion. By doing in this way, the excretion accumulated in bag 3 can be discharged smoothly. In the present embodiment, the bag body 3 can be folded back along the arrow at the portion indicated by the alternate long and short dash line in FIG. 1C to have a form as shown in FIG. By doing in this way, when it accommodates in the storage bag which accommodates the stomach band 50 (refer FIG. 4) mentioned later and the stoma appliance 1, it can make it easy to accommodate. In addition, the flat plate-shaped part of an upper end part may be formed in the funnel shape. A discharge port 6 a is formed at the tip of the discharge member 6. The discharge member 6 has a flat plate-shaped portion at the upper end portion fixed to the inner periphery of the lower end center of the inner surface of the back sheet 2a of the bag body 3 along the shape thereof, and the cylindrical portion extends downward from the lower end center of the bag body 3. It protrudes. Therefore, the inside of the bag body 3 communicates with the discharge port 6a, and excrement accommodated in the bag body 3 can be discharged to the outside from the discharge port 6a. In the present embodiment, the discharge member 6 does not have an unnecessarily long length and has a relatively short size. Therefore, when the stoma device 1 is mounted, as shown in FIG. 1 (D), the discharge member 6 is folded forward and stored in a storage bag or the like so that the discharge member 6 does not hit the trunk. There will be no pain at all. A cap 7 is integrally formed at the tip of the discharge member 6. The outer diameter of the shaft portion of the cap 7 is formed to be substantially the same as the inner diameter of the cylindrical portion of the discharge member 6. The cap 7 is provided with a plurality of annular projections integrally formed on the outer periphery of the shaft portion, and a plurality of annular projections are provided integrally on the inner periphery of the cylindrical portion of the discharge member 6. Yes. When the cap 7 configured in this manner is inserted from the discharge port 6a, the excrement accommodated in the bag 3 can be sealed so as not to leak from the discharge port 6a. In the present embodiment, the annular protrusions are provided on both the shaft portion of the cap 7 and the cylindrical portion of the discharge member 6, but an aspect provided on either one may be employed. Further, an embodiment in which an annular groove is provided instead of the annular protrusion may be employed. Further, the discharge member 6 is not necessarily cylindrical, and may be elliptical. The inner diameter of the discharge member 6 is preferably about 1 to 3 cm, but may be larger or smaller than this. In addition, the shape of the cap 7 is appropriately determined according to the shape of the discharge member 6.

  In the vicinity of the upper end of the front sheet 2b, there is provided a vent hole 8 for discharging gas generated from excrement accommodated in the bag 3 to the outside. The vent 8 is provided with a deodorizing filter that adsorbs gas odor.

  In this embodiment, since the excrement accommodated in the bag body 3 is dispersed and accumulated in the left-right direction by configuring as described above, the bulge of the bag body 3 to the front is suppressed, and the stoma It can be made difficult to recognize that the brace 1 is worn from the top of the clothes. Furthermore, if it accommodates in the stomach band mentioned later, it can make it harder to recognize that the stoma appliance 1 is mounted | worn from clothes.

  Further, in the present embodiment, the lower end portion of the bag body 3 is inclined downward toward the center of the lower end, and the diameter of the funnel-shaped portion of the discharge member 6 is increased, so that the bag body 3 is accommodated. It becomes easy to discharge the excrement from the discharge port 6a of the discharge member 6.

  Moreover, in this Embodiment, since it is realizable using the material used in the conventional stoma appliance, clinical checks, such as a harm with respect to a human body, are unnecessary.

  Next, an ostomy appliance according to a second embodiment will be described with reference to FIG.

(Second Embodiment)
The ostomy appliance 201 according to the second embodiment is the same as the ostomy appliance 1 of the first embodiment, except that the shape of the bag 203 is different from the ostomy appliance 1 of the first embodiment. . Although the stoma device 201 according to the second embodiment is not provided with a discharge member, it is of course possible to provide a discharge member.

  The bag body 203 is formed in an L-shaped shape with the up-down direction as the longitudinal direction, the upper part being semicircular, and the lower part extending rightward. For example, when the stoma device 201 according to the second embodiment is attached to a patient having a stoma formed on the left abdomen, the bag body 203 overlaps the abdomen from the left abdomen to the center of the patient. Therefore, since the excrement stored in the bag body 203 is dispersed and accumulated in the left-right direction, the bag body 203 is prevented from bulging forward, and the stoma device 201 is attached from above the clothing. It can be difficult to be recognized.

  Next, an ostomy appliance according to a third embodiment will be described with reference to FIG.

(Third embodiment)
The ostomy appliance 301 according to the third embodiment is the same as the ostomy appliance 1 of the first embodiment, except that the shape of the bag 303 is different from the ostomy appliance 1 of the first embodiment. . Although the stoma device 301 according to the third embodiment is not provided with a discharge member, it is of course possible to provide a discharge member.

  The bag body 303 is formed in an L-shaped shape with the up-down direction as the longitudinal direction, the upper part being semicircular, and the lower part extending leftward. For example, when the stoma device 301 according to the third embodiment is attached to a patient having a stoma formed on the right abdomen, the bag 303 is superimposed on the abdomen from the right abdomen to the center of the patient. Therefore, since the excrement stored in the bag 303 is dispersed and accumulated in the left-right direction, the bag 303 is prevented from bulging forward, and the stoma device 301 is attached from above the clothing. It can be difficult to be recognized.

  Next, a stomach wrap capable of storing the stoma device according to the first to third embodiments described above will be described with reference to FIGS. 4 and 5. In FIG. 4, a part of the stomach band 50 is shown broken away.

  As shown in FIG. 4, the belly band 50 is formed in a cylindrical shape by a stretchable cloth material. This cloth material preferably contains, for example, a material having a deodorizing or deodorizing effect. A storage portion 51 is formed on the inner periphery of the belly band 50 by sewing a rectangular cloth material. That is, the storage part 51 has the left and right sides and the lower side of the square-shaped cloth material stitched to the inner periphery of the belly band 50, and the upper side is open.

  When using the abdomen 50 configured as described above, first, as shown in FIG. 5, the stoma device described above on the patient P (in FIG. 5, the stoma device 301 according to the third embodiment). ) Is supported in the above-described manner, and then the abdomen 50 is put on the patient P so as to surround the abdomen. At this time, the storage unit 51 is positioned so as to overlap the stoma appliance 301. In this state, the stoma device 301 is stored in the storage unit 51. By doing in this way, since the lower part of the stoma device is supported by the storage portion 51, the load is applied to the adhesive pad 4 by the weight of the stoma device, and the adhesive pad 4 resists gravity and places a burden on the human body. Can be suppressed.

  As described above, according to the first to third embodiments, the bag body 3 (203, 303) is formed in a shape in which the lower portion extends laterally. As a result, since the excrement contained in the bag body is dispersed and accumulated in the left-right direction, the bag body is prevented from bulging forward, and it is recognized from the top of the clothes that the stoma device is attached. Can be difficult. Further, it is possible to prevent the stoma device from being easily detached due to gravity.

  Moreover, according to 1st Embodiment, the lower part of the bag body 3 is extended in the left-right direction. As a result, it can be made more difficult to recognize that the stoma appliance is attached.

  Moreover, according to 1st Embodiment, while the bag 3 is formed in the shape which a lower part inclines and descends toward the lower end center, in order to discharge excrement outside in the lower end center. A discharge port 6a is provided. As a result, excrement stored in the bag can be easily discharged.

  Further, according to the second and third embodiments, the bag body 203 (303) has a lower portion extending laterally so as to be L-shaped, so that the feeling of wearing the stoma device is improved. Can do.

  In addition, according to the first to third embodiments, the abdomen 50 is provided with a storage part 51 whose upper side is opened on the inner periphery of a cylindrical cloth material that is mounted in a state of surrounding the patient P's abdomen. Since the stoma device 1 (201, 301) can be stored in the storage unit 51, the load on the human body and the mental load caused by the stoma device can be reduced.

  In addition, the description in embodiment of this invention is an example of the stoma appliance which concerns on this invention, and is not limited to this. The detailed configuration of each part constituting the stoma orthosis can be appropriately changed.

  Further, in the present embodiment, the lower part of the bag body of the stoma device is bulged laterally in an elliptical shape or a semicircular shape, but the shape of the lower part of the bag body is not limited to these, and is rectangular. Or a suitable shape such as a triangular shape.

  In the first embodiment, the discharge member is provided. However, the discharge member may not be provided.

DESCRIPTION OF SYMBOLS 1 Stoma device 3 Bag body 6 Discharge member 6a Outlet 201 Stoma device 203 Bag body 301 Stoma device 303 Bag body 50 Abdominal winding 51 Storage part

Claims (5)

In an ostomy appliance provided with a bag body which has an opening at the top and receives and stores excrement from a human stoma through the opening,
A stoma appliance in which a lower portion of the bag body is formed in a shape extending laterally.   The stoma appliance according to claim 1, wherein a lower portion of the bag body extends in the left-right direction.   The bag body is formed in a shape in which the lower part is inclined downward and inclined toward the center of the lower end, and a discharge port for discharging excrement to the outside is provided in the center of the lower end. The ostomy appliance according to claim 2.   The stoma appliance according to claim 1, wherein the bag body has a lower portion extending laterally so as to be L-shaped.   A stowage device according to any one of claims 1 to 3 is provided on the inner periphery of a cylindrical cloth material that is worn in a state surrounding the stomach of the human body, and the stowage device according to any one of claims 1 to 3 is provided in the housing portion. A belly band characterized by being storable.

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