JPH04189351A - Artificial anus closing apparatus - Google Patents
Artificial anus closing apparatusInfo
- Publication number
- JPH04189351A JPH04189351A JP31887390A JP31887390A JPH04189351A JP H04189351 A JPH04189351 A JP H04189351A JP 31887390 A JP31887390 A JP 31887390A JP 31887390 A JP31887390 A JP 31887390A JP H04189351 A JPH04189351 A JP H04189351A
- Authority
- JP
- Japan
- Prior art keywords
- opening
- skin
- insertion part
- colostomy
- cap
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 210000000436 anus Anatomy 0.000 title claims abstract description 10
- 238000003780 insertion Methods 0.000 claims abstract description 50
- 230000037431 insertion Effects 0.000 claims abstract description 50
- 239000012790 adhesive layer Substances 0.000 claims abstract description 8
- 239000012779 reinforcing material Substances 0.000 claims abstract description 8
- 238000002347 injection Methods 0.000 claims abstract description 6
- 239000007924 injection Substances 0.000 claims abstract description 6
- 239000007788 liquid Substances 0.000 claims abstract description 5
- 239000012530 fluid Substances 0.000 claims description 16
- 238000005192 partition Methods 0.000 claims description 11
- 229920003002 synthetic resin Polymers 0.000 claims description 11
- 239000000057 synthetic resin Substances 0.000 claims description 11
- 238000004891 communication Methods 0.000 claims description 7
- 239000007789 gas Substances 0.000 claims description 3
- 239000007787 solid Substances 0.000 claims description 3
- 210000003736 gastrointestinal content Anatomy 0.000 claims description 2
- 239000004615 ingredient Substances 0.000 claims 1
- 238000000638 solvent extraction Methods 0.000 abstract 4
- 210000000988 bone and bone Anatomy 0.000 abstract 2
- 230000002093 peripheral effect Effects 0.000 abstract 2
- 210000001035 gastrointestinal tract Anatomy 0.000 description 8
- 239000000463 material Substances 0.000 description 7
- 230000000968 intestinal effect Effects 0.000 description 5
- 210000000936 intestine Anatomy 0.000 description 4
- -1 polyethylene, ethylene-vinyl acetate Polymers 0.000 description 4
- 239000004698 Polyethylene Substances 0.000 description 3
- 230000002745 absorbent Effects 0.000 description 3
- 239000002250 absorbent Substances 0.000 description 3
- 239000010408 film Substances 0.000 description 3
- 229920000915 polyvinyl chloride Polymers 0.000 description 3
- 239000004800 polyvinyl chloride Substances 0.000 description 3
- 230000035807 sensation Effects 0.000 description 3
- 230000008591 skin barrier function Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 239000005038 ethylene vinyl acetate Substances 0.000 description 2
- 229920001200 poly(ethylene-vinyl acetate) Polymers 0.000 description 2
- 229920000573 polyethylene Polymers 0.000 description 2
- 206010000060 Abdominal distension Diseases 0.000 description 1
- 229920001875 Ebonite Polymers 0.000 description 1
- 239000005062 Polybutadiene Substances 0.000 description 1
- 239000004743 Polypropylene Substances 0.000 description 1
- 229920005830 Polyurethane Foam Polymers 0.000 description 1
- 230000003187 abdominal effect Effects 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 239000011358 absorbing material Substances 0.000 description 1
- 229920005549 butyl rubber Polymers 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 238000000748 compression moulding Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000013013 elastic material Substances 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 239000000945 filler Substances 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 230000006870 function Effects 0.000 description 1
- 239000003292 glue Substances 0.000 description 1
- 210000003405 ileum Anatomy 0.000 description 1
- 239000010410 layer Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000002156 mixing Methods 0.000 description 1
- 210000004400 mucous membrane Anatomy 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 210000004303 peritoneum Anatomy 0.000 description 1
- 229920002857 polybutadiene Polymers 0.000 description 1
- 229920000728 polyester Polymers 0.000 description 1
- 229920001155 polypropylene Polymers 0.000 description 1
- 229920002635 polyurethane Polymers 0.000 description 1
- 239000004814 polyurethane Substances 0.000 description 1
- 239000011496 polyurethane foam Substances 0.000 description 1
- 230000002787 reinforcement Effects 0.000 description 1
- 229920003048 styrene butadiene rubber Polymers 0.000 description 1
- 210000004003 subcutaneous fat Anatomy 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 229920003051 synthetic elastomer Polymers 0.000 description 1
- 239000005061 synthetic rubber Substances 0.000 description 1
- 239000010409 thin film Substances 0.000 description 1
- 210000001519 tissue Anatomy 0.000 description 1
- 230000002485 urinary effect Effects 0.000 description 1
- 210000001635 urinary tract Anatomy 0.000 description 1
- 239000002699 waste material Substances 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
Landscapes
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
Description
【発明の詳細な説明】
〈産業上の利用分野〉
本発明は人工肛門を閉鎖して肛門からガス、液体又は固
体の腸内容物が漏れるのを防止するために用いる人工肛
門閉鎖具に関する。DETAILED DESCRIPTION OF THE INVENTION <Industrial Application> The present invention relates to an ostomy closure device used to close an ostomy and prevent gas, liquid or solid intestinal contents from escaping from the anus.
〈従来の技術〉
腸の人工的開口部である人工肛門は意志によってその開
閉をコントロールすることが出来ないため、腸内の内容
物を廃棄するのにバッグがよく用いられる。しかしなが
らハングを着用した状態で外出するのはその部分だけが
隆起して体裁が悪く、またハングを付けた侭での運動や
入浴などは実質的に不可能である。そこで人工肛門を形
成した患者が自由に外出や運動、入浴が出来るようにす
るために、またバッグの取り換えやバッグの洗浄に際し
て人工肛門の開口部を閉鎖する必要があるため、人工肛
門閉鎖手段が種々提案されている。<Prior Art> Since the opening and closing of a colostomy, which is an artificial opening in the intestine, cannot be controlled voluntarily, bags are often used to dispose of the contents of the intestine. However, if you go out with the hanger on, only that part will bulge out, making it unsightly, and it is virtually impossible to exercise or bathe while wearing the hanger. Therefore, in order to allow patients with a colostomy to go out, exercise, and bathe freely, and because it is necessary to close the opening of the colostomy when changing or cleaning the bag, a means of closing the colostomy is required. Various proposals have been made.
例えば、■腸の出口付近に手術により環状の磁石を設け
、これに固定された磁石のプラグで人工肛門を閉鎖しよ
うとするもの（西独特許第２３６３５６３号など）、■
不浸透性弾性体製の皿体の凹面中心に突起を設けた検体
と、腹帯バンド体、および栓体とハンド体との間に介装
する柔軟な吸収地からなり、バンド体による胴部の締付
力により栓体の開口に対する閉塞保持力を大きくすると
ともに、万が一漏洩した場合でも、吸収地で吸収してし
まうようにしたもの（実公昭５７−４４９７７号）、■
人工肛門に差し込む部分が中空になった栓体であり、中
空部分の内部に空気を充満させたもの（実公昭５５−４
９７７９号）、■２つのバルーンを備えており、バルー
ンを膨らませて痩孔を皮膚の両側で閉鎖しようとするも
の（実開昭５６−５９０’ＯＩ号）、■連続気泡を有す
る親水性のポリウレタンフォームからなる実質的に円筒
形、円錐形もしくは釣鐘形の柔軟な本体からなり、該本
体が怒湿性および／または感熱性の物質によって圧縮ゼ
られた状態に維持されているもの（特開昭６１−１７０
４５５号）、等である。For example, ■ A ring-shaped magnet is surgically placed near the exit of the intestine, and a magnetic plug fixed to this is used to close the colostomy (West German Patent No. 2363563, etc.); ■
It consists of a specimen with a protrusion in the center of the concave surface of a dish made of impermeable elastic material, an abdominal band body, and a flexible absorbent fabric interposed between the stopper body and the hand body. The tightening force increases the closing force of the stopper against the opening, and even if there is a leak, it will be absorbed by the absorbing material (Utility Model Publication No. 57-44977), ■
It is a plug with a hollow part that is inserted into the artificial anus, and the hollow part is filled with air.
(No. 9779), ■Equipped with two balloons and inflating the balloons to close the stoma on both sides of the skin (Utility Model Publication No. 56-590'OI), ■Hydrophilic polyurethane with open cells. consisting of a substantially cylindrical, conical or bell-shaped flexible body of foam, which body is maintained in a compressed state by a moisture-sensitive and/or heat-sensitive substance (JP-A-61) -170
No. 455), etc.
第６図に示すものは前記■の例であり、挿着部（１０１
）と排気部（１０２）、消臭剤（１０３）からなる人工
肛門閉鎖具（Ｃｏ）が、人工肛門の開口周緑の皮膚（Ｓ
”）に固着されたフランジ（ｆ）に冠着されており、挿
着部（１０１）は人工肛門に連なる腸管（八“）内に挿
入されている。What is shown in FIG. 6 is an example of the above-mentioned
), an exhaust part (102), and a deodorizer (103).
The insertion part (101) is inserted into the intestinal canal (8") connected to the artificial anus.
〈発明が解決しようきする課題〉
しかしながら、前記■の磁石を利用したものは、固定に
際して多少強い磁石の作用を必要とするため不快感をも
たらす場合が多く、時には組織の壊死を引き起こすこと
もあるので問題であり、また■の栓体とバンド体および
吸収体からなるものは、コスト的に不利なだけでなく、
バンド体の締付力が強いと腹壁が圧迫されて不快であり
、バンド体の締付力が弱いと腸内の内容物のリークが起
こりやすく、吸収地で吸収しても不快感を免れることの
出来るものではない。さらに■の栓体は、人工肛門内壁
を圧迫によって刺激することがほとんどなく、人工肛門
の粘膜が損傷を受けたり不快な異物感を感することのな
いものであるが、人工肛門の大きさによって幾種類かの
サイズのものを用意しなければならないため不便であり
、また充分な閉鎖力に乏しく、開口から脱落する虞があ
り問題であり、また■の２つのバルーンを有するものは
、バルーンの間隔を患者の皮膚の厚さに合わせて決める
必要があるため、幾種類かのものを用意する必要がある
上、着用部分が膨出するため体裁が悪いという欠点を有
している。そして■のポリウレタンフォームを圧縮成形
してなる閉止手段は、スキンバリアに取り付けて使用す
るものであるが、栓体形状のものであるため使用中に異
物感を伴うものであり、また開口の大きさに合わせて幾
種類かのものを用意する必要があり、スキンバリアも使
用時に穴の大きさを調節する必要のあるものであった。<Problem to be solved by the invention> However, those using magnets described in (2) above often cause discomfort because they require a somewhat strong magnetic action for fixation, and sometimes cause tissue necrosis. This is a problem, and the one consisting of a plug body, band body, and absorbent body is not only disadvantageous in terms of cost, but also
If the tightening force of the band body is strong, the abdominal wall will be compressed and uncomfortable, and if the band body is weakly tightened, the contents of the intestine will easily leak, and even if it is absorbed with an absorbent material, the discomfort will not be felt. It's not something that can be done. Furthermore, the plug shown in ■ hardly irritates the inner wall of the colostomy due to pressure, and does not damage the mucous membrane of the colostomy or cause an unpleasant foreign body sensation; however, depending on the size of the colostomy, It is inconvenient because several sizes of balloons have to be prepared, and there is a problem that the balloons do not have sufficient closing force and may fall out of the opening. Since the spacing needs to be determined according to the thickness of the patient's skin, it is necessary to prepare several types, and it also has the disadvantage that the wearing part bulges out, making it unsightly. The closing means made by compression molding polyurethane foam (■) is used by attaching it to the skin barrier, but because it is in the shape of a plug, it feels like a foreign body during use, and the opening is large. It was necessary to prepare several types of skin barriers depending on the situation, and the size of the holes in the skin barrier had to be adjusted during use.
本発明は如上の事情に鑑メて成されたもので、安全性が
高く、リークが殆ど無く、人工肛門のどのようなサイズ
の開口にも適用できる所謂フリーサイズであり、使用中
に異物感を伴うことのない新しいタイプの人工肛門閉鎖
具を提供することを目的とする。The present invention was developed in consideration of the above circumstances, and is highly safe, has almost no leakage, is a so-called one-size-fits-all device that can be applied to any size opening of a colostomy, and eliminates the sensation of a foreign body during use. The purpose of the present invention is to provide a new type of colostomy obturator that does not require a colostomy.
〈課題を解決するだめの手段〉
本発明は上記の課題を解決するために、人工肛門を閉鎖
して肛門からガス、液体又は固体の腸内賽物が漏れるの
を防止するために用いられる用具であって、中心部分に
開口を存し、一方の面に接着剤層が設けられてなるシー
ト状の皮膚固定部と、複数の室が連設され各室の仕切部
分に連通孔が形成されてなる扇形の合成樹脂製の袋体が
、該袋体の基端部で前記皮膚固定部の接着剤層側の開口
周緑に接続固定され略円錐台状に立設されてなる、流体
の注入によって傘状に拡開可能な挿着部と、皮膚固定部
の前記挿着部と反対側の開口周緑に突設されたキャップ
装着部と、該キャップ装着部に冠着されるキャップ、と
から構成されてなり、前記挿着部の各室の仕切部分の連
通孔が皮膚固定部に隣接して形成されるとともに、該仕
切部分を傘の管状の補強材で形成したことを特徴とする
人工肛門閉鎖具を採用している。<Means for Solving the Problems> In order to solve the above problems, the present invention provides a device used to close an artificial anus and prevent gas, liquid, or solid intestinal sachets from leaking from the anus. The skin fixation part has a sheet-like skin fixation part with an opening in the center and an adhesive layer on one side, and a plurality of chambers connected to each other, with communication holes formed in the partitions of each chamber. A fan-shaped synthetic resin bag is connected and fixed at the proximal end of the bag to the green around the opening on the adhesive layer side of the skin fixing part, and is erected in a substantially truncated conical shape. an insertion part that can be expanded into an umbrella shape by injection; a cap attachment part that protrudes around the opening of the skin fixing part on the opposite side of the insertion part; and a cap that is attached to the cap attachment part; The communication hole of the partition part of each chamber of the insertion part is formed adjacent to the skin fixation part, and the partition part is formed of an umbrella tubular reinforcing material. A colostomy closure device is used.
〈作用〉
本発明の人工肛門閉鎖具は、複数の室が連設され各室の
仕切部分に連通孔が形成されてなる扇形の合成樹脂製の
袋体が、該袋体の基端部で前記皮膚固定部の開口周緑に
接続固定され略円筒状に立設されてなる、流体の注入に
よって傘の様に拡開可能な挿着部を有しているので、人
工肛門に挿着部を挿入後、例えば皮膚固定部の開口に近
接して設けられた空気注入口から空気を注入すると、挿
着部は傘のように開いて人工肛門に連なる腸管（以下単
に腸管という）の内壁に密着する。そして使用中にガス
が発生した場合には、腸管内腔は拡張するが挿着部は腸
管と密着しており、挿着部自身も若干拡張して密着状態
を保つので、人工肛門外への脱落は起こらないようにな
っている。<Function> The colostomy obturator of the present invention has a fan-shaped synthetic resin bag in which a plurality of chambers are connected and a communication hole is formed in the partition of each chamber. It has an insertion part that is connected and fixed to the green around the opening of the skin fixation part and stands upright in a substantially cylindrical shape, and can be expanded like an umbrella by injecting fluid, so that the insertion part can be inserted into the colostomy. After inserting the ostomy, for example, when air is injected through an air injection port provided close to the opening of the skin fixation part, the insertion part opens like an umbrella and presses against the inner wall of the intestinal tract (hereinafter simply referred to as the intestinal tract) that connects to the colostomy. In close contact. If gas is generated during use, the intestinal lumen expands, but the insertion part remains in close contact with the intestinal tract, and the insertion part itself expands slightly to maintain its tight contact, so it cannot be passed outside the colostomy. Shedding is prevented from occurring.
〈実施例〉 次に本発明の実施例について図面に基づいて説明する。<Example> Next, embodiments of the present invention will be described based on the drawings.
第１図は本発明の人工肛門閉鎖具の一実施例を示す斜視
図であり、第２図は第１図の人工肛門閉鎖具を窄めた状
態を示す縮小斜視図、第３図は第２図の挿着部にフィル
ムをカバーした状態を示す長手軸上断面図、第４図は第
２図の挿着部を構成する袋体の外側のシートを内側のシ
ートから分断した状態を示す展開図、第５図は本発明の
人工肛門閉鎖具を人工肛門に挿着した状態を示す図（挿
着部を膨張させている）である。FIG. 1 is a perspective view showing one embodiment of the ostomy closure device of the present invention, FIG. 2 is a reduced perspective view showing the ostomy closure device of FIG. 1 in a closed state, and FIG. A sectional view on the longitudinal axis showing a state in which the insertion part in Figure 2 is covered with a film, and Figure 4 shows a state in which the outer sheet of the bag constituting the insertion part in Figure 2 is separated from the inner sheet. The developed view, FIG. 5, is a diagram showing the state in which the ostomy closure device of the present invention is inserted into the ostomy (the insertion portion is inflated).
第１．２図に示すように本発明の人工肛門閉鎖具（Ｃ）
は、シート状の皮膚固定部（３）と袋体に形成された挿
着部（４）と、皮膚固定部（３）の開口周緑に立設され
たキャンプ挿着部（５）と、このキャップ装着部（５）
に冠着されるキャップ（２）から構成されており、挿着
部（４）の各室（１４）の仕切部分（１５）には皮膚固
定部（３）に隣接して連通孔（１３）が形成され、仕切
部分（１５）は傘の管状の肉の薄い補強材（２３）で形
成されている。As shown in Figure 1.2, the colostomy closure device (C) of the present invention
A sheet-like skin fixing part (3), an insertion part (4) formed on the bag body, and a camp insertion part (5) erected around the opening of the skin fixation part (3), This cap attachment part (5)
It consists of a cap (2) that is attached to the skin, and the partition part (15) of each chamber (14) of the insertion part (4) has a communication hole (13) adjacent to the skin fixation part (3). is formed, and the partition part (15) is formed of a thin reinforcing material (23) in the shape of a tubular umbrella.
皮膚固定部（３）は人工肛門閉鎖具（Ｃ）を人工肛門の
開口周緑に固定する部分であり、その中心部分に人工肛
門の開口より小径の開口（６）を有し、一方の面に接着
剤層（７）が設けられてなる人工肛門の開口より大径の
フランジであり、−般に薄いシートで鍔状に形成される
。そして皮膚固定部（３）の接着剤層（７）側の開口（
６）周縁には挿着部（４）が、これと反対側の開口（６
）周縁にはキャップ装着部（５）が設けられており、第
１図では皮膚固定部（３）の開口（６）に近接して流体
注入口（８）が設けられている。皮膚固定部（３）の形
成材料としては一般にポリエチレンやエチレン−酢酸ビ
ニル共重合体、軟質ポリ塩化ビニルなどの軟質合成樹脂
や、ブタジェンゴム、スチレン−ブタジェンゴム、ブチ
ルゴムなどの合成ゴムに多量の充填剤または合成樹脂な
どを配合して加硫した所謂硬質ゴムが使用される。The skin fixing part (3) is a part that fixes the colostomy closure device (C) around the opening of the colostomy, and has an opening (6) in its center that is smaller in diameter than the opening of the colostomy, and has an opening (6) on one side. It is a flange having a diameter larger than the opening of the colostomy, which is provided with an adhesive layer (7), and is generally formed into a brim shape from a thin sheet. Then, the opening (
6) There is an insertion part (4) on the periphery, and an opening (6) on the opposite side.
) A cap attachment part (5) is provided on the periphery, and in FIG. 1, a fluid inlet (8) is provided adjacent to the opening (6) of the skin fixation part (3). The material for forming the skin fixation part (3) is generally a soft synthetic resin such as polyethylene, ethylene-vinyl acetate copolymer, or soft polyvinyl chloride, or a synthetic rubber such as butadiene rubber, styrene-butadiene rubber, or butyl rubber containing a large amount of filler or So-called hard rubber, which is vulcanized by blending synthetic resin and the like, is used.
シート（皮膚固定部）の厚さは特に限定するものではな
いが一般に０．７〜１．３ｍｍである。Although the thickness of the sheet (skin fixation part) is not particularly limited, it is generally 0.7 to 1.3 mm.
挿着部（４）は人工肛門から腸管内に挿着される部分で
あり、第４図に示すような複数の室（１４）が連設され
、補強材（２３）を介在させて形成された各室の仕切部
分（１５）に皮膚固定部（３）に隣接して連通孔（１３
）が形成されてなる扇形の合成樹脂製の袋体が、その基
端部（１１）に設けられた糊代（１０）で皮膚固定部（
３）の接着剤層（７）側の開口（６）周縁に接続固定さ
れてなり、皮膚固定部（３）に対して略円錐台状に立設
される。そして基端部（ＩＩ）に近接して流体注入口（
８）の出口（９）が設けられており、糊代（１０）には
挿着部（４）を皮膚固定部（３）に立設する関係で、切
り込み（１６）が設けられている。室（１４）の数は特
に限定するものではないが、人工肛門から腸管内に挿着
する時にある程度の硬さが必要であり、かつまた作業性
を考慮すると４〜８個程度が適当である。挿着部（４）
の形成材料としては軟質の合成樹脂、例えば軟質ポリ塩
化ビニルやポリエチレン、エチレン−酢酸ビニル共重合
体などの薄いシートが使用され、その厚さは特に限定す
るものではないが概ね０．１〜０．５鴫である。尚、第
４図の基端部（１１）および仕切部分（１５）を含む斜
線部分（１２）は袋体のシール部分である。The insertion part (4) is a part that is inserted into the intestinal tract from the colostomy, and is formed by having a plurality of chambers (14) connected to each other as shown in Fig. 4, with a reinforcing material (23) interposed therebetween. A communication hole (13) is provided in the partition part (15) of each chamber adjacent to the skin fixation part (3).
) is formed into a fan-shaped synthetic resin bag, which is attached to the skin fixation part (
3) is connected and fixed to the periphery of the opening (6) on the side of the adhesive layer (7), and is erected in a substantially truncated conical shape with respect to the skin fixing part (3). The fluid inlet (
8) is provided, and a notch (16) is provided in the glue margin (10) in such a manner that the insertion portion (4) is erected on the skin fixing portion (3). The number of chambers (14) is not particularly limited, but a certain degree of hardness is required when inserting into the intestinal tract from an artificial anus, and considering workability, approximately 4 to 8 chambers are appropriate. . Insertion part (4)
As the forming material, a thin sheet of soft synthetic resin, such as soft polyvinyl chloride, polyethylene, or ethylene-vinyl acetate copolymer, is used, and its thickness is not particularly limited, but is generally 0.1 to 0. It's .5. Note that the shaded area (12) including the proximal end (11) and partition portion (15) in FIG. 4 is the sealed portion of the bag.
補強材（２３）は一般に挿着部（４）の袋体と同一の材
料で形成される肉薄の傘の管状のものであり、補強材（
２３）の両面に袋体のシートが）古着されている。The reinforcing material (23) is generally in the shape of a thin umbrella tube made of the same material as the bag of the insertion part (4).
23) The sheets of the bag are worn on both sides.
挿着部（４）の人工肛門への挿着を容易にするために挿
着部（４）に第３図に示すようなミシン線（２２）等の
破断部分を有する柔軟な薄いフィルムのカバー（２１）
を設けてもよく、この場合たとえばカバー（２１）の一
端を挿着部（４）の外側の皮膚固定部（３）側端部で固
定し、他端を皮膚固定部（３）の開口を通してキャップ
装着部（５）の外側に出すようにする。カバー（２１）
に用いるフィルムは一般にポリエチレンやポリプロピレ
ン、ポリエステル等の合成樹脂製のものが使用され、そ
の厚さは概ね１０〜１００μである。尚、カバー（２１
）は、閉鎖具（Ｃ）を装着後手で引っ張れば、ミシン線
（２２）部分で容易に破断するので、容易に取り外すこ
とができる。In order to facilitate insertion of the insertion part (4) into the colostomy, the insertion part (4) is made of a flexible thin film having a broken part such as a perforation line (22) as shown in Figure 3. (21)
In this case, for example, one end of the cover (21) is fixed at the outer end of the insertion part (4) on the side of the skin fixing part (3), and the other end is passed through the opening of the skin fixing part (3). Make sure that it comes out outside of the cap attachment part (5). Cover (21)
The film used for this purpose is generally made of synthetic resin such as polyethylene, polypropylene, polyester, etc., and its thickness is approximately 10 to 100 microns. In addition, the cover (21
) can be easily removed by pulling the closure (C) by hand after attachment, as it will easily break at the perforation line (22).
キャップ装着部（５）は閉鎖具（Ｃ）の開口部分を閉鎖
するためのキャップ（２）を冠着する部分であり、皮膚
固定部（３）の挿着部（４）と反対側の表面に丁度開口
（６）を取り巻くように突設される。キャンプ装着部（
５）の形成材料は合成樹脂であれば特に限定されないが
、皮膚固定部（３）と同じ材料を用いてもよく、この場
合には皮膚固定部（３）と一体に成形することが可能で
ある。The cap attachment part (5) is a part to which a cap (2) is attached to close the opening of the closure device (C), and is located on the surface of the skin fixation part (3) opposite to the insertion part (4). The opening (6) is provided in a protruding manner so as to surround the opening (6). Camping attachment part (
The forming material of 5) is not particularly limited as long as it is a synthetic resin, but the same material as the skin fixation part (3) may be used, and in this case, it is possible to mold it integrally with the skin fixation part (3). be.
キャンプ（２）はキャップ装着部（５）に冠着して老廃
物の漏洩を防ぐためのものであり、一般に軟質の合成樹
脂で形成される。そしてキャップ（２）には好ましくは
ガス排出口（１７）が設けられており、このガス排出口
（１７）には排気ノズル（図示していない）を挿着する
ことにより開放または開放可能な状態になる弁（図示し
ていない）が設けられている。このような弁としては逆
止弁や本出願人の提案に係る特願昭６３−２８６９８７
号に示されるような弁などがある。The camp (2) is attached to the cap attachment part (5) to prevent waste from leaking, and is generally made of soft synthetic resin. The cap (2) is preferably provided with a gas outlet (17), which can be opened or opened by inserting an exhaust nozzle (not shown) into the gas outlet (17). A valve (not shown) is provided. Such valves include check valves and patent application No. 63-286987 proposed by the present applicant.
There are valves as shown in the number.
流体注入口（８）は挿着部（４）に空気や温水などの流
体を注入するための開口部分であり、通常皮膚固定部（
３）のキャップ装着部（５）側に開口（６）に近接して
設けられ、一般に入口（１８）と接続チューブ（１９）
及び出口（９）を有しており、皮膚固定部（３）を貫通
して挿着部（４）の出口（９）に連通している。流体注
入口（８）の取り付は位置は他に例えばキャップ装着部
（５）を貫通して皮膚固定部（３）の開口（６）を通り
、挿着部（４）の内側のシートに設けた出口に連通ずる
ようにしてもよく、また直接挿着部（４）に設けてもよ
い。（２０）は流体注入口（８）の入口（］８）を閉鎖
するためのキャップである。流体注入口（８）は一般に
軟質の合成樹脂例えばポリエチレンや軟質ポリ塩化ビニ
ルなどで形成されており、通常入口（Ｉ８）に接続チュ
ーブ（１９）を接続することによって形成される。The fluid inlet (8) is an opening for injecting fluid such as air or warm water into the insertion part (4), and is usually attached to the skin fixation part (
3) is provided close to the opening (6) on the cap mounting part (5) side, and generally includes the inlet (18) and the connecting tube (19).
and an outlet (9), which penetrates the skin fixation part (3) and communicates with the outlet (9) of the insertion part (4). The fluid inlet (8) can be installed at another location, for example by penetrating the cap attachment part (5), passing through the opening (6) of the skin fixation part (3), and attaching it to the sheet inside the insertion part (4). It may be communicated with a provided outlet, or it may be provided directly on the insertion portion (4). (20) is a cap for closing the inlet (]8) of the fluid inlet (8). The fluid inlet (8) is generally made of a soft synthetic resin such as polyethylene or soft polyvinyl chloride, and is usually formed by connecting a connecting tube (19) to the inlet (I8).
流体注入口（８）の入口（１８）には前記ガス排出口（
１７）におけると同様の弁が設けられているが、こちら
は流体の量を調節する必要があるため逆止弁は好ましく
なく、流体を出し入れ出来る特願昭６３−２８６９８７
号に示されるような弁が好ましい。The inlet (18) of the fluid inlet (8) has the gas outlet (
A valve similar to that in 17) is provided, but since it is necessary to adjust the amount of fluid, a check valve is not preferable.
A valve such as that shown in No. 1 is preferred.
次に本発明の人工肛門閉鎖具（Ｃ）の使用方法について
第５図を用いて説明する。Next, a method of using the colostomy closure device (C) of the present invention will be explained using FIG. 5.
人工肛門から腸管（Ａ）の中の腸内古物を排泄した後、
まずカバー（２１）付の人工肛門閉鎖具（Ｃ）を用意し
、その挿着部（４）を人工肛門から腸管（Ａ）内に挿入
する。次にカバー（２１）を手で引っ張って挿着部（４
）から取り外し、皮膚固定部（３）を皮膚（Ｓ）に確り
貼着する。次いで流体注入口（８）から例えば注射器（
図示していない）などを用いて挿着部（４）の室（１４
）に空気を注入する。挿着部（４）が適当に膨らんだと
ころで流体注入口（８）の入口（１８）をキャップ（２
０）で閉鎖し、それからキャンプ（２）を閉鎖具（Ｃ）
のキャップ装着部（５）に冠着する。これで人工肛門閉
鎖具（Ｃ）の装着は完了である。尚、人工肛門閉鎖具（
Ｃ）使用中にガスが発生する場合があるが、このガスは
腸管（Ａ）および挿着部（４）によって緩衝されるので
、常にはガス抜きを必要としないが、ガスが多くなって
きて腹部膨満を自覚したら時々ガス排出口（１７）に排
気ノズルを挿入してガスを抜く必要がある。尚、（Ｆ）
は皮下脂肪層、（Ｐ）は腹膜である。After excreting old intestinal matter in the intestinal tract (A) through the colostomy,
First, a colostomy closure device (C) with a cover (21) is prepared, and its insertion portion (4) is inserted into the intestinal canal (A) through the colostomy. Next, pull the cover (21) by hand and
) and firmly adhere the skin fixation part (3) to the skin (S). Then, from the fluid inlet (8), for example, a syringe (
(not shown) etc. to insert the chamber (14) of the insertion section (4).
). Once the insertion part (4) has expanded appropriately, close the inlet (18) of the fluid inlet (8) with the cap (2).
0), then close camp (2) with closure (C)
Attach the cap to the cap attachment part (5) of the. Attachment of the colostomy obturator (C) is now complete. In addition, a colostomy obturator (
C) Gas may be generated during use, but this gas is buffered by the intestinal tract (A) and the insertion part (4), so there is no need to vent the gas at all times, but if the amount of gas increases If you notice abdominal distension, it is sometimes necessary to insert an exhaust nozzle into the gas outlet (17) to release the gas. Furthermore, (F)
is the subcutaneous fat layer, and (P) is the peritoneum.
尚、本発明の人工肛門閉鎖具は、回腸などによって人工
的に造られた尿路、いわゆる尿路変更術による回腸導管
にも適用可能である。The colostomy closure device of the present invention can also be applied to a urinary tract artificially created by the ileum, or an ileal conduit created by so-called urinary diversion.
〈発明の効果〉
以上説明してきたことから明らかなように、本発明の人
工肛門閉鎖具は、挿着部が軟らかいので使用中に異物感
を伴うことが少なく、人工肛門を傷つけることがなく安
全である。またリークが無く、どのようなサイズの人工
肛門にも適用できるうえ長手方向に補強材が設けられて
いるので挿着が容易である。<Effects of the Invention> As is clear from the above explanation, the colostomy obturator of the present invention has a soft insertion part, so there is little foreign body sensation during use, and it is safe because it does not damage the colostomy. It is. In addition, there is no leakage, it can be applied to any size of artificial anus, and reinforcing material is provided in the longitudinal direction, making it easy to insert.
第１図は本発明の人工肛門閉鎖具の一実施例を示す斜視
図であり、第２図は第１図の人工肛門閉鎖具を窄めた状
態を示す縮小斜視図、第３図は第２図の挿着部にフィル
ムをカバーした状態を示す長手軸上断面図、第４図は第
２図の挿着部を構成する袋体の外側のシートを内側のシ
ートから分断した状態を示す展開図、第５図は本発明の
人工肛門閉鎖具を人工肛門部に装着した状態を示す図（
挿着部を膨張させている）である。また、第６図は従来
の人工肛門閉鎖具を示す図である（挿着部はまだ膨張し
ていない）。
〈主な符号の説明〉
Ａ：人工肛門に連なる腸管
Ｃ：人工肛門閉鎖具
Ｓ：皮膚 ２：キャップ３：皮膚固定部
４：挿着部
５−キャップ装着部 ６：開ロ
ア：接着剤層 ８：流体注入口１３：連通口
１４：室
１７：ガス排出口 ２１；カバー２３：補強材FIG. 1 is a perspective view showing one embodiment of the ostomy closure device of the present invention, FIG. 2 is a reduced perspective view showing the ostomy closure device of FIG. 1 in a closed state, and FIG. A sectional view on the longitudinal axis showing a state in which the insertion part in Figure 2 is covered with a film, and Figure 4 shows a state in which the outer sheet of the bag constituting the insertion part in Figure 2 is separated from the inner sheet. The developed view and FIG.
The insertion part is inflated). Moreover, FIG. 6 is a diagram showing a conventional colostomy closure device (the insertion part is not yet inflated). <Explanation of main symbols> A: Intestinal tract connected to the colostomy C: Colostomy obturator S: Skin 2: Cap 3: Skin fixing section 4: Insertion section 5 - Cap attachment section 6: Open lower: Adhesive layer 8 : Fluid inlet 13: Communication port 14: Chamber 17: Gas discharge port 21; Cover 23: Reinforcement material
Claims (1)
腸内容物が漏れるのを防止するために用いられる用具で
あって、 中心部分に開口を有し、一方の面に接着剤層が設けられ
てなるシート状の皮膚固定部と、 複数の室が連設され各室の仕切部分に連通孔が形成され
てなる扇形の合成樹脂製の袋体が、該袋体の基端部で前
記皮膚固定部の接着剤層側の開口周緑に接続固定され略
円錐台状に立設されてなる、流体の注入によって傘状に
拡開可能な挿着部と皮膚固定部の前記挿着部と反対側の
開口周縁に突設されたキャップ装着部および、 該キャップ装着部に冠着されるキャップ とから構成されてなり、 前記挿着部の各室の仕切部分の連通孔が皮膚固定部に隣
接して形成されるとともに、該仕切部分を傘の骨状の補
強材で形成したことを特徴とする人工肛門閉鎖具。 ２）挿着部への流体注入口が皮膚固定部の開口に近接し
て設けられてなる請求項１記載の人工肛門閉鎖具。 ３）流体注入口に、該注入口に管状の注入ノズルを挿着
することにより開放可能な弁が設けられてなる請求項２
記載の人工肛門閉鎖具。 ４）キャップにガス排出口が設けられ、該ガス排出口に
、管状の排気ノズルを挿着することにより開放可能な弁
が設けられてなる請求項１ないし３のいずれかに記載の
人工肛門閉鎖具。 ５）挿着部の外表面を一端が挿着部の基端部に固着され
た薄い筒状のフィルムで被覆するとともに、該フィルム
を内側に折り返して挿着部の内表面を被覆し、フィルム
の他端を閉鎖具の開口を通して挿着部の外に突出させて
なる請求項１ないし４のいずれかに記載の人工肛門閉鎖
具。[Scope of Claims] 1) A device used for closing an ostomy to prevent gas, liquid or solid intestinal contents from leaking from the anus, the device having an opening in the center and having one The bag consists of a sheet-like skin fixing part with an adhesive layer on its surface, and a fan-shaped synthetic resin bag with a plurality of consecutive chambers and a communication hole formed in the partition of each chamber. An insertion part that is connected and fixed to the green opening on the adhesive layer side of the skin fixing part at the proximal end of the body and stands upright in a substantially truncated conical shape, and is expandable into an umbrella shape by injection of fluid, and the skin. It is composed of a cap mounting part protruding from the periphery of the opening on the opposite side of the insertion part of the fixed part, and a cap attached to the cap mounting part, and a partition part between each chamber of the insertion part. 1. A colostomy obturator, characterized in that a communicating hole is formed adjacent to a skin fixation part, and the partition part is formed of an umbrella bone-shaped reinforcing material. 2) The ostomy closure device according to claim 1, wherein the fluid inlet to the insertion portion is provided close to the opening of the skin fixation portion. 3) Claim 2, wherein the fluid inlet is provided with a valve that can be opened by inserting a tubular injection nozzle into the inlet.
The colostomy obturator described. 4) The ostomy closure according to any one of claims 1 to 3, wherein the cap is provided with a gas discharge port, and a valve that can be opened by inserting a tubular exhaust nozzle into the gas discharge port is provided. Ingredients. 5) Cover the outer surface of the insertion part with a thin cylindrical film whose one end is fixed to the proximal end of the insertion part, and fold the film inward to cover the inner surface of the insertion part. The ostomy closure device according to any one of claims 1 to 4, wherein the other end protrudes outside the insertion portion through the opening of the closure device.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP31887390A JP2869182B2 (en) | 1990-11-22 | 1990-11-22 | Colostomy closure |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP31887390A JP2869182B2 (en) | 1990-11-22 | 1990-11-22 | Colostomy closure |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPH04189351A true JPH04189351A (en) | 1992-07-07 |
| JP2869182B2 JP2869182B2 (en) | 1999-03-10 |
Family
ID=18103921
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP31887390A Expired - Lifetime JP2869182B2 (en) | 1990-11-22 | 1990-11-22 | Colostomy closure |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP2869182B2 (en) |
Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH1014964A (en) * | 1996-07-05 | 1998-01-20 | Arukea Kk | Excrement collecting bag |
| JPH10192320A (en) * | 1996-12-29 | 1998-07-28 | Ngk Spark Plug Co Ltd | Living body penetrating member with collecting bag, the same with valve mechanism part and living body egesta collecting bag |
| JPH10192319A (en) * | 1996-12-29 | 1998-07-28 | Ngk Spark Plug Co Ltd | Living body penetrating member with film member, the same with open/close member engaging part and the same with attachment/detachment member |
| JPH10192318A (en) * | 1996-12-27 | 1998-07-28 | Alcare Co Ltd | Stoma appliance and fitting type medical implement |
| JP2013517848A (en) * | 2010-02-01 | 2013-05-20 | サベティ サイード | Medical instruments |
| JP2019536584A (en) * | 2016-09-30 | 2019-12-19 | 高雄醫學大學Ｋａｏｈｓｉｕｎｇ Ｍｅｄｉｃａｌ Ｕｎｉｖｅｒｓｉｔｙ | Vaginal hemostasis pessary |
| JP2021520907A (en) * | 2018-04-12 | 2021-08-26 | オストミキュア アーエス | lid |
-
1990
- 1990-11-22 JP JP31887390A patent/JP2869182B2/en not_active Expired - Lifetime
Cited By (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH1014964A (en) * | 1996-07-05 | 1998-01-20 | Arukea Kk | Excrement collecting bag |
| JPH10192318A (en) * | 1996-12-27 | 1998-07-28 | Alcare Co Ltd | Stoma appliance and fitting type medical implement |
| JPH10192320A (en) * | 1996-12-29 | 1998-07-28 | Ngk Spark Plug Co Ltd | Living body penetrating member with collecting bag, the same with valve mechanism part and living body egesta collecting bag |
| JPH10192319A (en) * | 1996-12-29 | 1998-07-28 | Ngk Spark Plug Co Ltd | Living body penetrating member with film member, the same with open/close member engaging part and the same with attachment/detachment member |
| JP2013517848A (en) * | 2010-02-01 | 2013-05-20 | サベティ サイード | Medical instruments |
| US8998867B2 (en) | 2010-02-01 | 2015-04-07 | Saied Sabeti | Medical device |
| JP2019536584A (en) * | 2016-09-30 | 2019-12-19 | 高雄醫學大學Ｋａｏｈｓｉｕｎｇ Ｍｅｄｉｃａｌ Ｕｎｉｖｅｒｓｉｔｙ | Vaginal hemostasis pessary |
| JP2021520907A (en) * | 2018-04-12 | 2021-08-26 | オストミキュア アーエス | lid |
Also Published As
| Publication number | Publication date |
|---|---|
| JP2869182B2 (en) | 1999-03-10 |
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