JPH05147A - Artificial anus device - Google Patents

Abstract

PURPOSE:To cause no rash on skin by eliminating spillage of a gas or excrement during the use with a sample treatment of the excrement. CONSTITUTION:This device comprises a device body A and an excrement storage body B and the body A has a through-hole 12 and a belly press-contact part 13 and a retaining part 14 formed on the side 10 of skin. The storage bag B is a flexible bag body with one end thereof opened and the other end thereof closed. The storage bag B has a film 21 covering the belly press-contact part 13 and the internal surface 22 of the through-hole and is mounted on the body A by fastening an open end 16 detachably on the fastening part 14. The storage bag B is covered with an auxiliary bag depending on the case.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention is used by a person who has a colostomy by excising the rectal part due to rectal cancer or the like. A disposable excrement storage bag is used to leak excrement and gas during use. The present invention relates to an ostomy appliance which does not cause rashes on the skin of the abdomen, is easy to handle, and excretions are easy.

[0002]

2. Description of the Related Art A conventional colostomy device is shown in FIGS.
Those shown in 6 were often used. Sunahachi,
A brace member 51 made of synthetic resin, a pad 53 mounted on the skin side surface 52 of the brace member 51 with a double-sided tape,
It comprises a filth storage bag 55 attached by a double-sided tape 54 to the surface of the brace member 51 opposite to the skin, and is configured to be attached to the waist of the human body C by a wearing belt 56 as shown in FIG. There is. In the center of the brace member 51, the colostomy 5
A hole 58 for inserting 7 is formed, and locking portions 59 for locking both ends of the mounting belt 56 are formed at symmetrical positions of the hole 58. The skin-side surface 52 of the brace member 51 has a hole 58.
It has a truncated cone-shaped protrusion 60 around the circumference of. Pad 5
3 is made of sponge, and has a hole 61 into which a colostomy is inserted and a plurality of radial notches 62 around the hole 61 in the center thereof. The waste bag 55 is made of vinyl and has a hole 63 larger than the hole 58 on its side surface.

This conventional colostomy device has a filth storage bag 5
It was difficult to remove No. 5 from the brace member 51 with the excrement stored therein without leaking the excrement to the outside. Moreover, in the case of diarrhea or loose stool, the filth bag 55 must be frequently replaced, which is very unpleasant for a person who has no choice but to use a colostomy. Further, in this conventional ostomy appliance, since the pad 53 that is in contact with the skin is a sponge, gas leaks from the pad 53,
Occasionally, excrement leaked out, soiled the underwear and even gave off a foul odor. Further, since the excrement permeates the pad 53, the skin that comes into contact with the pad 53 often has a rash or rough skin.

[0004] As another conventional example, the actual exploitation of Sho 58-80
218 and Japanese Utility Model Laid-Open No. 49-41999, in which a defecation bag is detachably attached to the body of the brace.

In the case of No. Sho 58-80218, since the inner surface of the body of the brace is soiled with excrement, it is inconvenient to wash the body of the brace every time even if the bag is disposable.

[0006] In the case of Jitsukai Sho 49-41999, a commercially available No. 5 type plastic bag is used as a stool bag, and the free end of the opening edge is folded back to make the artificial anal stool receiving device mainly.
It is attached so that it can be attached and detached, but since it is attached only by folding back the free end of the opening edge, if the feces enter the feces bag, it will easily come off due to its weight. Therefore, the user was anxious and could not move the body while walking.

Further, in this case, since the perimeter of the opening edge of the fecal bag must be made considerably larger than the perimeter of the perforation for ostomy projecting mainly of the feces receiving device, wrinkles are considerably generated at the folded portion. Then, even if the urine receiving device is strongly pressed against the abdomen, the gas leaks through the wrinkles, and the stench cannot be stopped. Therefore, it is inevitable that the gas is exposed to the public.

Further, since the fecal bags of Japanese Utility Model Laid-Open No. 58-80218 and Japanese Utility Model Laid-Open No. 49-41999 receive tension due to the weight of the feces contained therein, they are easily damaged when the user moves. Since the feces naturally leak out when the person is injured, the user could not move around for the same purpose as an ordinary person, even when sleeping.

[0009]

SUMMARY OF THE INVENTION The present inventor underwent surgery for rectal cancer about four years ago and had been using a conventional colostomy device until recently. However, there are various problems as described above. ,
In my daily life, I used to eat food that would not cause loose stools in my daily life, and not to go out in front of people so as not to bother people with odors.

[0010] The problem to be solved by the present invention is to remove the excrement storage bag in which excrement is stored with the main body of the colostomy device still attached to the body and discard it without polluting the surroundings, and to dispose a new bag. The gas and excrement do not leak even if the user acts like a normal healthy person, and the user's abdomen does not become rough. Is to provide an ostomy appliance.

[0011]

In order to solve this problem, the inventor of the present application actually used the prototype by himself and repeatedly made various improvements, and as a result of earnest research, he found out the following means. It was

That is, the ostomy appliance according to the present invention comprises an appliance main body A and an excrement storage bag B detachably locked to the appliance main body A. The appliance body A has a through hole 12
Around the through hole 12 on the skin side 10, the abdominal pressure contact portion 13
And a locking portion 14. The excrement storage bag B is a flexible bag body having one end opened by the opening end 16 and the other end closed. In the state where the excrement storage bag B is attached to the brace body A, the film 21 of the excrement storage bag B covers the abdominal pressure contact portion 13 and the inner surface 22 of the through hole. The excrement storage bag B is attached to the body A of the appliance with the opening end 16 of the locking portion 1.
It is attached by being removably locked to 4.

The appliance body A has a through hole 12 on the non-pressure contact side 19.
A protective protrusion 27 can be formed around the.

Further, a flexible auxiliary bag E is attached to the body A of the appliance.
Can be detachably equipped so as to cover the excrement storage bag B.

[0015]

Operation: The excrement storage bag B is passed through the through hole 12 of the body A of the appliance, and the open end 16 of the bag B is fitted into the engaging portion 14 provided on the skin side 10. By doing so, the abdominal pressure contact portion 13 and the inner surface 22 of the through hole of the colostomy device have the membrane 21 of the excrement storage bag B.
It will be covered with. The artificial anus orthosis thus configured can be easily mounted by inserting the artificial anus D into the through hole 12 and fixing the orthosis body A to the waist with the belt 11. When excrement is stored in the excrement storage bag B, the brace body A
By pulling the hand outwards, the artificial anus brace is slightly separated from the abdomen 20, the toilet paper is rolled into the open end 16 of the waste storage bag B, and the waste storage bag B is removed from the brace main body A. ,Discard.

[0016]

[Embodiment 1] Embodiment 1 will be described with reference to FIGS. 1, 2, 3, 4, 5, 6 and 7. FIG. 1 is a perspective view showing a colostomy device according to the present invention mounted on an abdomen 20 of a human body C. This colostomy device comprises an orthosis body A and an excrement storage bag B.
It is attached to 0.

As shown in FIGS. 2 and 3, the brace main body A has a through hole 12 at the center for inserting the excrement storage bag B and the colostomy D, and the abdominal pressure contact portion 13 around the through hole 12.
There is. Around the abdomen pressure contact portion 13, there is a concave locking portion 14 that detachably locks the excrement storage bag B. Through hole 1
Belt stop portions 15 that stop both ends of the belt 11 are provided at the left and right positions of the belt 2.

As shown in FIG. 4, the excrement storage bag B is a cylindrical bag made of flexible rubber or synthetic resin, and can be attached to and detached from the open end 16 and the engaging portion 14. A ring-shaped locked portion 17 for locking is formed. The circumference of the locked portion 17 is made smaller than the circumference of the locking portion 14. The locked portion 17 and the locking portion 14 are shaped so as to fit into each other and engage with each other. At the opposite end of the open end 16 is a closed end 18 which is closed. Figure 5
As shown in FIG. 3, in the excrement storage bag B, the locked portion 17 having elasticity is locked to the locking portion 14 so as to extend the circumference thereof, and the closed end portion 18 closes the through hole 12. It is attached to the appliance main body A so as to hang down and hang down to the non-pressure contact side 19 opposite to the abdomen pressure contact portion 13.

Even if the open end 16 does not have a ring-shaped locked portion 17, the open end 16 is covered with the locking portion 14, and a rubber band is stretched over the locking portion 14 to stop the opening end 16.
It can also be locked to the locking portion 14. However, in this case, the user needs to be relatively quiet.

In the colostomy device shown above, as shown in FIG. 5, the colostomy D is inserted into the through hole 12, both ends of the elastic belt 11 are inserted into the belt stoppers 15, and the body C of the human body C is inserted. The abdomen 20 is attached to the abdomen 20 so that the abdomen 20 is pressed against the abdomen 20 without being tight. In this way, the entire surface of the relatively hard abdomen pressure contact portion 13 is lightly pressed against the soft and elastic abdomen 20 through the membrane 21 of the excrement storage bag B to seal the excrement. No gas or gas leaks from it, and the abdomen 20 does not get rough or rash. Further, since the membrane 21 covers the abdominal pressure contact portion 13 and the inner surface 22 of the through hole, excrement does not stain the appliance body A. When discarding the excrement storage bag B containing the excrement, pull the orthosis body A outward by hand to slightly separate the colostomy device from the abdomen 20, and then open the toilet pouch at the open end 16 of the excrement storage bag B. The par is rolled and packed, and the locked portion 17 is pulled to be removed from the locking portion 14, and the excrement storage bag B is pulled out from the through hole 12 and discarded. Then, in the same manner as described above, the excrement storage bag B is attached to the brace body A and attached to the abdomen 20. At this time, the body A of the brace is not dirty, so that it is not necessary to wash it.

The belt 11 need not be stretchable if it is tightened a little. Also, the belt 28 between the belt stopper 15 and the engaging portion 14 and the abdomen 20 are attached so as to be pressed from above by an adhesive tape so that the abdomen 20 and the abdomen pressure contact portion 13 are sealed. Making it more reliable is also a good way.

Further, as shown in FIGS. 6 and 7, the concave locking portion 14 is formed such that the lower side 29 is deep and the upper side 30 is shallow so that the locked portion 17 of the excrement storage bag B is formed. By fitting from the lower side 29 of the locking portion 14, the attachment of the excrement storage bag B to the appliance body A becomes easier.

Furthermore, as shown in FIGS. 6 and 7, the non-pressure contact side 19 of the upper side 30 of the engaging portion 14 is cut off to the bottom of the groove of the engaging portion 14 or near the bottom of the groove to form a notch. Three
By making 1, the excrement storage bag B can be more easily removed from the brace main body A by pushing the locked portion 17 from the notch 31 and removing it.

[0024]

Second Embodiment A second embodiment will be described with reference to FIGS. Depending on the situation at the time of surgery, the artificial anus D has a protrusion length from the abdomen 20 that is variable and is approximately 5 CM or less. When the protrusion length is 1 CM or more, it is preferable to protect the colostomy D by providing a protection protrusion 27 on the non-pressure contact side 19.
That is, the cylindrical protection protrusion 27 is formed around the through hole 12 on the non-pressure contact side 19. The notch 23 is provided below the protection protrusion 27, and the excrement storage bag B is guided downward from the notch 23 so that the excrement from the colostomy D can be smoothly guided to the excrement storage bag B. In addition, when the protrusion length of the protection protrusion 27 is relatively short, the cutout portion 23 is always required.
Is not necessary.

[0025]

Third Embodiment A third embodiment will be described with reference to FIG. An auxiliary bag E is provided on the outside of the waste storage bag B so that the waste storage bag B
In addition to the protection of the excrement storage bag B, even if the excrement storage bag B is punctured or broken during use, the auxiliary bag E is on the outside, so that the excrement does not leak further. is there. That is, the through hole 1 on the non-pressure contact side 19 of the appliance body A
A concave auxiliary bag engaging portion 24 is provided around the periphery of 2. Then, the auxiliary bag E is covered so as to cover the excrement storage bag B, and the auxiliary bag locked portion 25 is fitted into the auxiliary bag locking portion 24, so that the auxiliary bag E is detachably attached to the appliance body A. Auxiliary bag E
Is a flexible bag made of rubber or synthetic resin and bound at one end, and has a ring-shaped auxiliary bag locked portion 25 on the opening side.
Is formed. 11 and 12 show another example of the auxiliary bag E, which includes an auxiliary bag locked portion 25 that is locked to the auxiliary bag locking portion 24 on the opening side and a sandwiching portion that is sandwiched and stopped under a pants band or the like. 26 is formed.

Since the auxiliary bag E supports the excrement storage bag B from below, even if excrement is stored in the excrement storage bag B, almost no tension is applied to the membrane 21 of the excrement storage bag B. Further, since the auxiliary bag E covers the excrement storage bag B from the outside, the excrement storage bag B does not come into direct contact with the object, so that the excrement storage bag B does not move even if the user moves around.
The film 21 is hardly damaged.

[0027]

Fourth Embodiment A fourth embodiment will be described with reference to FIGS. 13 and 14. As described above, the prosthetic anus D has various projection lengths from the abdomen 20 depending on the situation at the time of surgery, but this embodiment is suitable for a person having a relatively long projection length. As shown in FIG. 13, the brace body Aa has a protective protrusion 27a.
The outer shape 32 of the staircase is formed in a staircase shape, and the large outer diameter portion 33 of the staircase is formed.
The auxiliary bag engaging portion 24a is provided on the above, and the engaging portion 14a for engaging the excrement storage bag B is provided at the small outer diameter portion 34. As shown in FIG. 14, the excrement storage bag B and the auxiliary bag E are detachably engaged with the locked portion 17 on the locking portion 14a and the auxiliary bag locked portion 25 on the auxiliary bag locking portion 24a. By fitting, it is attached to the body Aa of the brace. When the protruding length of the colostomy D is long, the tip 35 thereof projects out of the brace body Aa. Therefore, even if the curtain 21 of the excrement storage bag B does not cover the inner surface 22a of the through hole of the brace body Aa, excretion is achieved. Occasionally, the brace body Aa is rarely polluted with excrement.
Further, since the excrement storage bag B is engaged with the non-pressure contact side 19a of the appliance body Aa, the excrement storage bag B is slightly easier to attach and detach than the other embodiments engaged with the skin side 10.

[0028]

When the colostomy device according to the present invention is used, the excrement storage bag B containing the excrement can be easily removed without polluting the body A and the clothes with the excrement. Can be replaced with a storage bag B. In addition, gas and excrement do not leak, and the abdomen 20 does not have a rash or rough skin. When using the brace main body A provided with the protection protrusion 27, even if the colostomy D is abdominal 20
Even if it sticks out longer, it won't overwhelm it. When using the colostomy device with the auxiliary bag E, the membrane 21 of the excrement storage bag B is rarely punctured or torn, and even if the membrane 21 is punctured or ruptured. However, the excrement does not leak out of the auxiliary bag E.

Because of the above effects, a person using the ostomy appliance of the present invention does not have to choose and eat food that does not cause loose stools, and can move around like a normal person. You don't have to refrain from going out or traveling so that you don't have to worry about odors. That is, even a person who has no choice but to use an artificial anus can live a daily life like an ordinary person.

The ostomy appliance of the present invention can also be used as an appliance for an artificial bladder. In that case, if the closed end portion 18 of the waste storage bag B can be opened and closed, when the urine stored in the waste storage bag B is discarded, the waste storage bag B can be discarded.
It is convenient that the stored urine can be drained by opening the closed end 18 without removing the device from the brace main body A.

[Brief description of drawings]

FIG. 1 is a perspective view of a state where an ostomy appliance is attached to a human body C.

FIG. 2 is a plan view of the appliance body A according to the first embodiment.

FIG. 3 is a vertical cross-sectional view of the appliance body A according to the first embodiment.

FIG. 4 is a vertical sectional view of the excrement storage bag B according to the first embodiment.

5 is a longitudinal sectional view of the ostomy appliance of Example 1. FIG.

FIG. 6 is a plan view showing another example of the appliance body A of the first embodiment.

FIG. 7 is a side view showing another example of the appliance body A of the first embodiment.

FIG. 8 is a plan view of an appliance body A according to a second embodiment.

FIG. 9 is a side view of the appliance body A according to the second embodiment.

FIG. 10 is a longitudinal sectional view of the ostomy appliance of Example 3.

FIG. 11 is a front view of an auxiliary bag E of Example 3.

FIG. 12 is a side view of the auxiliary bag E according to the third embodiment.

FIG. 13 is a side view of the appliance body Aa according to the fourth embodiment.

FIG. 14 is a vertical sectional view of an appliance body Aa according to a fourth embodiment.

FIG. 15 is an exploded perspective view of a conventional colostomy device.

FIG. 16 is an explanatory diagram showing a conventional method for mounting an ostomy appliance.

[Explanation of symbols]

A brace itself, B waste bag, D colostomy, E auxiliary bag, 10 skin side, 12 through holes, 13 Abdominal pressure contact part, 14 Locking part 16 open end, 18 closed end, 19 Non-press contact side, 27 Protective protrusion.

Claims (5)

[Claims] 1. A colostomy device comprising an orthosis body A and an excrement storage bag B, wherein the orthosis body A has a through hole 12,
The abdomen pressure contact portion 13 and the locking portion 14 are formed around the through hole 12 on the skin side 10, and the excrement storage bag B is
One end is opened by the open end 16 and the other end is closed,
It is a flexible bag body, and the membrane 21 of the excrement storage bag B covers the abdominal pressure contact portion 13 and the inner surface 22 of the through hole, and the open end 16 is detachably locked to the locking portion 14. Colostomy. 2. The appliance body A has a through-hole 1 on the non-pressure contact side 19.
The ostomy appliance according to claim 1, characterized in that a protective protrusion 27 is formed around 2. 3. The ostomy appliance according to claim 1, wherein the appliance main body A is detachably equipped with a flexible auxiliary bag E so as to cover the excrement storage bag B. . 4. A colostomy device comprising an orthosis body Aa, a waste bag B and an auxiliary bag E, wherein the orthosis body Aa has a through hole 12 and an abdominal pressure contact portion around the through hole 12 on the skin side 10. 13, a protective protrusion 27a around the through hole 12 on the non-pressure contact side 19, a locking portion 14a for locking the excrement storage bag B on the outer periphery of the protective projection 27a, and an auxiliary bag engaging member for locking the auxiliary bag E. The stopper 24a is formed, and the excrement storage bag B is a flexible bag body having one end opened by the open end 16 and the other end closed, and the open end 16 of the excrement storage bag B is opened. Is detachably locked to the locking portion 14a, and the auxiliary bag E is detachably locked to the auxiliary bag locking portion 24a. 5. The appliance main body Aa forms the outer shape 32 of the protection protrusion 27a in a step shape, the large outer diameter portion 33 of this staircase is provided with the auxiliary bag locking portion 24a, and the small outer diameter portion 34 stores waste. Bag B
The ostomy appliance according to claim 4, wherein a locking portion 14a for locking the is provided.