JP5548715B2 - Improved colostomy device - Google Patents

Description

  The present invention relates to an improved medical prosthetic device for inhibiting or encouraging the passage of stool. The device is inserted into the rectum of a patient who cannot control stool excretion, is in a coma, or is bedridden and requires long-term treatment. The device is used, if needed, to be inserted into the rectum and to facilitate bowel movements through drainage hoses after a certain time.

  In general, there are many medical colostomy devices that are composed of various parts. For example, it is shown as Patent No. 103444 “Medical Costomy Device Kateta” registered by the inventor of the present invention. The medical prosthetic device has the following parts. That is, internal and external balloons disposed on the internal and external side surfaces and end edges of the support tube, extension parts composed of multiple air tubes, and a round tube coupled to the external balloon.

  The extension is disposed on the edge of the outer balloon that creates inner and outer balloons. The extension part expands and contracts freely. An exhaust tube is disposed under the support tube, air tube, and round tube that form a membrane along the outer balloon. The coupling tube is placed under the supply tube through the inner and outer balloons and the coupling tube.

  Thus, the above described medical colostomy device is unable to control stool excretion, or is in a coma or requires a long-term treatment as a result of being attacked by a disease and cannot control bowel function or It plays an important role in managing patients who need enemas. However, in the device, when placed in the rectum, the inner and outer balloons are pushed into the upper part of the rectum, and the supply tube and coupling tube for the enemas and air are separately coupled to the outside of the drain tube. Liquid and gas leaks, so that the gap between the rectum and anus cannot be closed sufficiently, and the accumulation of liquid and gas from the rectum in the space between the anus and drainage hose There are some problems.

  In another example, shown as Utility Model Registration No. 109896 “Medical Costomy Device” registered by the inventor of the present invention, the medical prosthetic device is placed on the inner and outer tubes. A supply tube and an inner tube as a unitary arrangement, a coupling tube with a joining tube below the outer tube, a holder on a bent part of the supply tube, an air supply tube, an irrigation drug supply tube A cleaning fluid supply tube coupled to the inner and outer tubes of the tube is formed, and a coupling socket can be inserted and installed coupled to the cleaning fluid case, the air cylinder and the supply tube.

  Thus, the device described above is effective without any inconvenience or adverse effect on patients who have a colostomy in the abdomen after surgery such as rectal cancer surgery, or who are forced to be treated in a long-term bed. is there. However, it is uncomfortable for patients whose anarrhea has been damaged by diarrhea, who have been unable to control incontinence, or who have suffered paralysis.

  In another example, shown as Utility Model Registration No. 118334 “Tubes of Medical Costomy Device” registered by the inventor of the present invention, an empty slab is formed therein. When extending below the lower side of the outer balloon, the inner and outer balloons are inflated to make the inner wall thicker with a resilient material to maintain the original shape of the empty slab. To achieve.

  For the case described above, any gaps may be provided as air balloons are supplied to inflate the outer balloon as the inner balloon is intimately contacted with the outer tube as it is formed inside the outer balloon. Let the airtightness be achieved completely without loss.

However, when the tube is pushed into the upper rectum and the tube for air supply is placed outside the drain tube, liquid and gas leakage occurs.
The device described above can damage the patient's body because the edge of the support tube formed between the inner tube and the outer tube rubs the inner wall and can be inserted into a patient with a small anus It was difficult.

  Thus, the present invention eliminates the above-mentioned problems, facilitates easy control of intestinal drainage and ileum, and is completely airtight during use to prevent the tube from being pushed into the upper part of the rectum. Is the purpose. This device can be used by patients such as patients who cannot control defecation, those who are bedridden, patients who have a worn anus and often have diarrhea, and those who are suffering from paralysis.

  Another object of the present invention is to allow a prosthetic device to be inserted into the anus without causing any damage to the inner wall, especially for patients having a small anus.

  In order to achieve the above objectives when constructing a colostomy device with internal and external balloons and drainage hoses, a securing aid is placed on the exterior side of the drainage hose slightly away from the tube, and the interior And a supply tube for supplying air to the outer balloon is coupled to the inner and outer balloons through the drain hose.

  For the fixing aid described above, a holder made of an elastic material is bonded and configured on the outer side of the drainage hose, and a detachable double-sided adhesive plate is placed on all sides of the holder.

In carrying out the present invention, an air ring can be used as a holder, and a fixing band arranged long on both sides is used with a holder having a narrow width.
An ostomy device having the above-described configuration may be selected and used according to applicable patient conditions.

  In the present invention, a protective cover made of a flexible and elastic material such as silicon and disposed on the outer side edge of the support tube constituting the colostomy device covers the angle of the support tube. ing.

  In the case of a patient with a small anus, after deflating the inner and outer balloons, the colostomy device is folded in half and is easily inserted into the anus with a protective cover wrapped around the tip.

It is a side view of the present invention. FIG. 6 is a side view of another illustrated form. FIG. 6 is a side view of another illustrated form. It is a temporary figure of the double-sided adhesive plate of this invention. It is a temporary figure of the double-sided adhesive plate of this invention. It is a side view of other exemplary forms. FIG. 7 is a side view of FIG. 6. FIG. 6 is a partial cross-sectional view of another illustrated form. FIG. 6 is an exemplary view of the present invention for easy insertion of a colostomy device

  A detailed description of the invention is provided in accordance with the accompanying drawings.

  As a provisional view of the colostomy device (2), FIG. 1 shows an outer balloon (4) formed in a ring shape, an elastic membrane, an inner balloon (6) disposed in the outer balloon (4), an outer A support tube between the balloon and the inner balloon, and a fixation aid on the outer side of the drainage hose (8), when the colostomy device (2) is used, the tube is the upper part of the rectum The drainage hose (8) of the colostomy device is connected and placed under the outer balloon (4).

  As a fixing aid as described above, the holder (12) is glued on the outer surface of the drainage hose (8) as an integrated type with a thin silicon-like material, as shown in FIG. Connected to possible double-sided plate (14).

  As an example, the air ring (16) can be used as an alternative to the holder (12).

  As another example, as shown in FIG. 6, the width of the holder (13) is a fixed band (narrowly bonded as an integrated type on the outer side surface of the drainage hose (8) and long disposed on both side surfaces. 11) is configured to be used for applicable patients by attaching to the anus.

  An air supply tube for supplying and / or discharging air to and from the inner and outer balloons (4) and (6) to prevent leakage of liquids and gases through the inserted components while using the apparatus of the present invention (10) is connected through the inside of the drainage hose (8) after passing through the thin holder (13).

  A check valve (18) passing in only one direction from the outer drainage hose (8) to the inner drainage hose (8) is on the drainage hose (8) between the outer balloon (4) and the fixing aid. It is in. In carrying out the present invention, the edge of the support tube (15) having the protective film (19) described above is covered, and as shown in FIG. 8, between the inner balloon (4) and the outer balloon (6). Having a flexible and resilient material such as silicone constructed on the edge of the support tube (15), the prosthetic device can be easily inserted without any damage to the inner wall of the anus.

  In the case of a patient who needs to install a colostomy device (2) and has a small anus, it is difficult to insert the inner balloon (6) by the supplied air, where the inner and outer balloons ( 4) and (6) should be contracted, as shown in FIG. 9, and the colostomy device (2) was folded in half vertically and wound at the tip for volume reduction It is easily inserted into the anus with another protective cover (17) made of a flexible material. After completion of the installation, the inner and outer balloons (4) and (6) are supplied with air and expanded, after which the protective cover (17) is removed from them and discharged during defecation or ileum .

  Unexplained (20) is the rectum and unexplained (22) is the anal tube.

  The present invention configured as described above is for suppressing defecation or facilitating bowel movement, and requires long-term treatment for patients who cannot control defecation, patients who are comatose or bedridden. Place it in the patient's rectum, such as a patient. The device is conveniently used for enemas when necessary and works as follows.

  As shown in FIG. 2, when the colostomy device (2) is installed and used on the patient's anus, fixation on the external side of the drainage hose (8) that contacts the patient's anus that supports it The aid prevents the inner and outer balloons (4) and (6) from being pushed into the upper part of the rectum (20) when the colostomy device (2) is used.

  When the holder (12) is used for the above-mentioned fixing aid, the double-sided adhesive plate (14) is inserted over all sides of the holder (12) and glued around the anus so that the airtightness is complete Is achieved.

  The above-mentioned double-sided adhesive plate (14) having a flexible bend is changed in shape and adapted to the shape of the anus, so that an excellent airtight effect is obtained.

  The material for this double-sided adhesive plate (14) must be elastic and harmless to people without causing any harmful skin reactions. When the air ring is used for a fixation aid in the present invention, as shown in FIG. 3, the air ring (16) adheres to the rectal wall closer to the rectal wall during infusion and from the rectum. Prevent leakage of liquids and gases.

  The adhesive plate (14) cannot be used for patients with inflammation and skin damage, and the fixation band (11) with the adhesive configured on the end of the band as shown in FIG. Should be used. When using the fixation band (11), the position of the colostomy device (2) can be glued and fixed around the patient's anus as shown in FIG.

  When the colostomy device (2) provided in the present invention is placed in the anus of the patient and placed in the rectum (20) as shown in FIG. 2, the air supply tube (10) is drained. Since it is inserted inside the hose (8), there is no leakage of liquid and gas and there is no gap between the drainage hose (8) and the anus.

  The drainage hose (8) located inside the anal tube together with a check valve (18) that passes in only one direction from the external drainage hose (8) to the internal drainage hose (8) is a leak of liquid and gas To prevent.

  The drainage hose (8) formed on the outside of the fixation aid can be removed using it during irrigation and defecation without any inconvenience, if necessary, especially for walking patients. it can.

  In constructing the present invention, a protective membrane (19) is placed on the edge of the support tube (15) as shown in FIG. 8, and when the prosthetic device is installed in the patient's anus. The colostomy device covers the rim of the support tube (15) with a protective membrane (19) because the inner balloon that is placed in the support tube (15) supplies air when the outer tube removes air Can be easily inserted without causing any damage to the internal wall of the anus.

  In the case of a patient with a small anus, it is easy to insert the colostomy device (2). First, as shown in FIG. 9, evacuate and then fold the colostomy device (2) in half. Thereafter, the tip of the protective cover (17) is wrapped and the device is inserted into the patient's anus.

  Accordingly, the present invention relates to a colostomy device that can be used for incontinence patients and / or for operations with the following realistic effects. That is, it prevents the inner and outer balloons from being pushed into the upper part of the rectum by the fixing aid while using the device, prevents leakage of liquid and gas, and between the anal tube and the drainage hose. A drain hose check valve that drains any liquid or gas that enters the space protects the epidermis around the anus and facilitates easy installation of the prosthetic device.

Description of the main parts of the present invention as shown in the drawings.
(2) Colostomy device (4) External balloon (6) Internal balloon (8) Drain hose (10) Air supply tube (11) Fixing band (12) Holder (14) Double-sided adhesive plate (15) Support tube (16 Air ring (17) Protective cover (18) Check valve (19) Protective membrane

Claims (7)

A support tube, a drainage hose extending from the support tube, a supply tube, and the use prevents the support tube and the supply tube from being pushed into the upper part of the rectum and is disposed outside the drainage hose A fixing aid, and
The fixing aid is a arranged narrow ring outside the drainage hose, have a, a pair of long fixing band extending from the narrow ring is configured on the end of the fixing band was by adhesive portion is adhered to the patient, the fixing aid is Ru is fixed around the anus of a patient,
Medical colostomy device.   The medical prosthetic device according to claim 1, further comprising an external balloon disposed around the support tube, wherein the supply tube supplies air to the external balloon. The apparatus further comprises an inner balloon disposed inside the outer balloon, wherein the support tube is disposed between the outer balloon and the inner balloon, and the supply tube supplies air to the inner balloon. medical ostomy device according to 2. The support tube is folded when an outer balloon disposed around the support tube is deflated,
The medical prosthetic device according to claim 1, wherein a protective cover made of a flexible material is wound around a distal end portion of the support tube. The medical prosthetic device according to claim 4 , wherein the support tube is folded in half in the longitudinal direction when the outer balloon is deflated. The medical prosthetic device according to claim 4 , wherein the protective cover is removed from a distal end of the support tube by expansion of the external balloon. The medical prosthetic device according to claim 6 , wherein the protective cover is discharged through the drainage hose after the protective cover is removed from the distal end of the support tube.

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