KR20070035597A - Container for collecting excretions, draining collections, purging ostomies or the like - Google Patents

Abstract

The present invention relates to a container for cleaning feces collection, collection discharge, ostomy, etc., comprising a bag (2) closed along its outer edge, wherein at least one side (2a) of the bag has a plurality of independent sectors. There is a radial arrangement (3) of slits (4) forming (5), each of the plurality of independent sectors being adapted to adhere to a portion of the patient's skin around the outlet outlet of the feces, collection or material to be cleaned. Coupled with each adhesive element 6, a hole 7 forming the center of the radial arrangement 3 is inflated to become an opening 7 ′ for passing the excrement, collection or material. Provide a container to

Peripheral edges, bags, containers, cotton, sectors, slits, radial arrangements, adhesive elements, holes, openings.

Description

CONTAINER FOR COLLECTING EXCRETIONS, DRAINING COLLECTIONS, PURGING OSTOMIES OR THE LIKE}

The present invention relates to a container for cleaning feces collection, collection drainage, ostomy, and the like.

In the medical and surgical fields, various containers are known for dedicated use in collecting feces, urine or feces, draining collections, or washing the stoma.

In addition to disposable diapers or so-called lumens, containers are known which consist essentially of bags closed along the outer edge for the collection of feces, with one side of the bag having a circular hole, where the rim is removable. It is combined with an adhesive element that is temporarily protected by the membrane and the diameter is the size that surrounds only the sphincter.

After removal of the membrane, the rim of the opening adheres to the skin surrounding the sphincter.

In order to apply such a container, a mechanism is known which is substantially constituted by a bell-shaped retractor and which receives the disc-shaped support therein so that the disc-shaped support slides in the axial direction, wherein the support supports the container. To the end of a stem arranged to slide axially within the sleeve, the sleeve lying behind the retractor and ending in the form of a handle at the opposite end.

However, these known containers have the disadvantage of not being able to guarantee complete adhesion of the rim of the hole to the skin surrounding the sphincter, and such rims are not locally bonded as a result of continuous contraction and swelling of the sphincter. It is easy to reduce the airtightness of the container, cause undesirable external leaks, and the stool partially forms collection pockets and contaminates the perineal region, which is susceptible to infections, sores and wounds.

Known instruments for applying these containers also have drawbacks: they are ugly for use and do not adapt to the various anatomical shapes of different patients, and therefore the rim of the hole does not fully adhere to each perineal region.

Alternatively, for male patients, a catheter connected to the bag, or a condom-shaped sheath connected to a duct that drains into the bag, is known for collecting urine.

However, the catheter and sheath are awkward and inconvenient to use because they are invasive anyway, and furthermore, the sheath adheres to the genitals, causing an uncomfortable feeling of compression.

Finally, bags suitably provided for washing of the stoma, such as colostomy, are known, but they require large flat areas to ensure adhesion of the inlet to the skin, and only to apertures where continuous contraction and relaxation do not occur. May be applied, otherwise it will deviate from the aperture.

Therefore, the use of these bags is limited only to washing of the stoma.

Therefore, it is necessary to have different containers according to the nature of the material to be collected and the outflow hole from which the material is to be removed, so that various containers must be manufactured, various inventories must be managed, and the cost is high.

The object of the present invention is to collect, excrete and collect wastes, which are versatile in use, flexible, hygienic and safe, ensuring tightness against leaks and avoiding contamination of the patient's skin from the risk of infection, sores and wounds. By providing a container for washing of the stoma, and the like, and to eliminate the above-mentioned disadvantages.

Another object of the present invention is to provide a simple, quick and easy application, to protect the medical staff and healthcare practitioners who are using the apparatus from infection or contamination, and to provide local procedures for relevant outflow holes, for example, To provide a container that is completely free in performing the application of drugs, ointments, etc., adjustment of the surgical or diagnostic apparatus, cleaning.

Another object of the present invention is to provide a mechanism for applying a container that is easy to use and flexible, that can be applied to the anatomical forms of various patients, and in any case allows for full application of the container. .

Within this goal, it is an object of the present invention to provide a container which is simple, easy to provide, safe to use, efficient in operation and relatively inexpensive.

These and other and other objects, which will become more apparent below, are directed to at least one side of a bag for cleaning feces collection, collection drainage, ostomy, etc., including a bag closed along its outer edge. And a radially arranged slit forming a plurality of independent sectors, each of the plurality of independent sectors each of which is adapted to adhere to a portion of the patient's skin around the excretion, collection or outlet of the substance to be cleaned. And a hole forming the center of the radial arrangement is achieved by the container of the present invention, characterized in that it is expanded to become an opening for passing feces, collectibles or material.

This object and these objects comprise two blades, and between the two blades, a spring means for keeping the blades close to each other is inserted, wherein the blades are provided with a handle It is also achieved by an apparatus for applying to the perineal region.

1 is a partial cutaway plan view of a container according to the present invention.

2 is a plan view of the container according to the invention with the sector raised to form a passage opening.

3 is a perspective view of a tab for applying the container according to the invention.

4 is a plan view of a first modification of the container according to the present invention.

5 is a plan view of a second modification of the container according to the present invention.

6 is a front sectional view of an applicator in accordance with the present invention.

7 is a side view of an applicator according to the present invention.

8 is a schematic representation of the steps for applying the container according to the invention to the perineal region of a patient for collecting feces.

9 is a schematic representation of a container according to the present invention applied to the perineal region of a patient.

Referring to the drawings, reference numeral 1 schematically shows a container for collecting feces, discharging the collections, and washing the stoma or the like.

The container 1 should be re-infused by blood transfusion, for example for hepatic boils or for boils of the perforated abdominal wall, for example in the case of a traumatic lavage in thoracic surgery, for example in liver transplantation. Collect feces and / or urine from immobilized, disabled, and incontinence patients for the discharge of fluids from hydrothoraces and chlythoraces, to rupture the rexin to recover blood. And is applied in the medical and surgical field to discharge collections.

In addition, the container 1 may be used to block contaminated or uncontaminated surgical incisions, and to analyze the quality and amount of material generated following surgical procedures, infectious process hemorrhagic or liquefaction processes, without the use of sanitary towels or diapers. Wounds that are exacerbated by liquefying hematomas and draining pus to remove necrotic, serohematic or purulent substances from the cavity, such as, for example, the vaginal cavity It can be used for trauma and ruptured wounds.

The container 1 comprises a bag 2, the bag 2 being closed along the outer circumferential edge and having a radial arrangement 3 of slits or cuts 4 on at least one face 2a, the slits ( 4) form a plurality of sectors 5. The sectors 5 are independent of each other and are respectively associated with respective adhesive elements 6 on the outward facing surface of the bag 2. The adhesive element 6 is for the excretion to be collected, the collection to be discharged, or the substance to be washed to be adhered to the part of the patient's skin around the discharge hole. The radial arrangement 3 forms a hole 7 and when the sector 5 is glued to the patient's skin and lifted from the plane on which the face 2a is placed, the hole 7 is expanded to excrete, collect It is an opening 7 'for the passage of water or material.

A rim 8 is formed around the radial arrangement 3 and associated with each adhesive element 9, which adhesive element 9 is suitable for adhering to the surrounding skin of the infected wound.

The adhesive elements 6, 9 of each of the sectors 5 and the rim 8 are covered by respective protective films 10, 11 detachably bonded thereto, preferably two films 10, 11. Is formed into a single sheet.

One side of the flap 12 may be joined with a portion of the adhesive elements 8 and / or 9, and the opposite side 12a of the non-sticky and preferably porous and breathable material may for example be a vulvar region. It is designed to cover a portion of the patient's skin such as to prevent the patient's skin from adhering to the adhesive elements 8 and / or 9.

In order for the container 1 to collect the feces of a human, the hole 7 is arranged adjacent to the anus 13, and the sector 5 is adhered to the skin of the buttocks 14 surrounding the anus 13. In this case, the sector 5 has a height substantially equal to 3.5 to 4 cm and the opening 7 ′ has an average diameter of about 7 cm.

The container 1 also includes a conduit 15 for access to the bag 2, one end of the conduit 15 being coupled with the bag 2, the other end being a screw-on cap, for example. Combined with removable closure means such as 16). Conveniently, a one-way valve can be combined with the conduit 15 to block the procedure enclosed by the bag 2 and to avoid contamination from the outside, and the one-way valve is not shown because it is a known type.

Syringes or nebulizers for the application or spraying of cannula, disinfectants, drugs, ointments, etc. for the control of enemas or lavage solutions, for example surgical instruments such as laparoscopes, surgical instruments, diagnostic instruments for the operation of polyps, hemorrhoids or condylomas And the like can be inserted through the conduit 15.

The container 1 comprises a tubular element 17 for collecting urine, one end of the tubular element 17 being coupled with the bag 2, the other end being coupled with the ureter, and the other end. It is provided with means for adhering to the penis or vulva.

In order for the container 1 to be applied to a male patient, the adhesive means 18 comprise a tape 19 provided with an adhesive element 20 on one side, which element is covered by a removable protective film 21. It is suitable for surrounding the penis, glans and / or penis.

In order for the container 1 to be applied to a female patient, the collecting cup 22 is engaged with the free end of the tubular element 17 and is positioned in contact with the vulva, and the adhesive means 18 comprises an adhesive element 23. The adhesive elements 23 are distributed along the upper circumferential rim 24 of the cup 22 and covered by each removable protective film 25.

Conveniently, a sponge element, not shown, which can absorb urine and filter urine into the tubular element 17, can be housed in the cup 22.

In order for the container 1 to collect feces and urine, the bag 2 may preferably be divided into two separate compartments S1, S2 (see FIG. 5), and one compartment s1 has a stool Is designed to collect and has a radial arrangement 3 of cuts 4 formed in the compartment, the holes 7 of the radial arrangement 3 being suitable for being placed in the anus 13 and the other compartment S2. ) Has a tubular element 17 designed to collect urine and coupled to the compartment.

A material may be inserted into the bag 2 that absorbs the gas and / or coagulates and / or thickens the collected fluid, atomizes medicine or other components within the bag 2, or injects gas.

In order to facilitate the application of the container 1, between the sectors 5 made of hydrophilic colloidal resin material, polyurethane material, etc., having various thicknesses and substantially overlapping in size or shape, and / or rims ( A plurality of adhesive tabs 26 suitable for insertion between 8) and the skin or between the adhesive means 18 and the penis or perineum are used.

In particular, tab 26 is substantially similar to a triangle and is preferably an isosceles triangle.

Each removable protective film 27 is applied to each of both adhesive surfaces 26a and 26b of each double-sided adhesive tab 26.

The tab 26 is applied to the anal skin or near another outlet hole prior to applying the bag 2 to increase the adhesion and sealability of the sector 5 of the bag 2.

The preferred embodiment uses a curved or arcuate double sticking rod or rod, not shown, to increase the adhesion of the sector 5 to the skin and also as a replacement for the tab 26.

Preferably, the rod or rod has a length between 0.5 and 1 cm, a width between 0.2 and 4 cm, and a thickness between 0.2 and 0.4 cm.

Such rods or rods are applied to the skin surrounding the anal skin or other outflow holes, arranged to form one or more concentric rows with the recess directed to the anus or other outflow holes, and then the sectors 5 of the bag 2. Applies to rods or rods. Conveniently, the rod or rod is replaced each time the bag 2 is replaced.

To apply the container 1 to the perineal region, an applicator 28 with two blades 29 is used, the blades 29 being rotated mutually around the rotation point 30, between the blades 29 In the spring means 31 suitable for keeping the blades 29 close to each other are inserted, and a handle 32 is formed in the blade.

As viewed from the side, each blade 29 has a substantially convex shape P and comprises a central portion 33 disposed in the anus 13, with two wings 34 extending from the center portion to both sides. It extends, has a substantially concave form P ', and is designed to surround the buttocks.

In order to apply the applicator 28 to various anatomical shapes of various patients, the wings 34 can be rotated toward the center portion 33 about each rotation point 35 and to fix their relative positions. Means 36 are installed.

Conveniently, the shape P of the central portion 33 protrudes at least partially with respect to the shape P ′ of the wing 34, and the handle 32 is about 2 or about the longitudinal axis of the central portion 33. Two blades 29 are inclined with respect to the plane in which they are arranged.

The bag 2 is made of an impermeable polymer material such as polyethylene, polyvinyl chloride, polypropylene, polyvinyl alcohol, polyurethane, and the like, and the adhesive element and the double-sided adhesive tab 26 are polyurethane based.

In order to increase the adhesion of the adhesive elements 6, 9, tabs 26 or rods or rods of the bag 2, their electrostatic charges can be modified, in particular the skin is characterized by having a negative electrostatic charge For example, by dispersing a positive static charge, magnetite or titanium therein, the adhesion of these components can be corrected by the positive static charge. In this way, the adhesion of the adhesive elements 6, 9, tabs 26 or rods or rods is increased by their mutual electrostatic attraction.

In particular, referring to the application of the container 1 to the perineal region for collecting feces, the operation of the present invention is as follows, but is not necessarily limited to collecting feces.

After removing the films 10, 11 covering the sectors 5 and the adhesive elements 6, 9 of the rim 8, the bag 2 rests against the applicator 28, with the central axis of the bag being the blade 29. Substantially lie at the end of), half of the bag 2 lies on either side of the blade, and the holes 7 are substantially at the apex of form P of their central part 33.

After opening the patient's buttock 14, with the bag 2 resting on the applicator 28, center the anus 13 with respect to the center part 33, and the applicator 28 is inserted between the buttocks. Pressure is applied to the handle 32 to overcome the resistive force of the spring means 31 so that the two blades 29 are spaced apart from each other, so that the sector 5, possibly part of the rim 8, When pressed against the patient's skin, the sector 5 is bonded to the patient's skin.

When the sphincter is reduced and weakened, an appropriate height sector (5) is inserted into the hole of the anus, aligned with the inner wall of the anus, thinly wrapped around the anus, and the stool mass is struck during the stool. ) To get inside.

Before applying the container 1, it is possible to arrange the double-sided adhesive tab 26 around the anus 13 and / or to spray the skin with a fluid adhesive, for example arabic rubber, so that the sectors on the skin 5 ) And / or the adhesion of the rim 8 can be improved.

If the tabs 26 are also used, the tabs of the appropriate height can be arranged such that the base is placed adjacent to the edge of the anus and the opposite vertex is adhered to the inner wall of the anal outlet hole so that the stool mass is bag (2). Guides and seals for being evicted into the crest can be formed to minimize contamination of the perineal skin.

Once the collection of the material is complete, the bag 2 can be separated and the adhesive elements 6, 9 can be folded back in order to seal the contents of the bag 2 so that it does not diverge without contamination to the external environment.

The container according to the invention is also used for surgical procedures and rectal endoscopy adjustments, as a device for collecting substances generated in the surgical area to be examined without external contamination or dissipation, and also as a medicament to replace conventional gauze. The conduit for access to the bag actually allows for local application of drugs, drugs, and the like.

The container according to the invention collects in a sterile manner a substance to be subjected to an analysis (eg, bacterial analysis, fungal analysis, resistance recording, biochemical analysis, chemical-physical analysis, etc.), for example, analysis of invisible blood in feces. It is also used in all cases where it is necessary to protect the collected material against external contamination and not affect the analytical results.

The container according to the invention is any cavity connected to a movable surface or to a wrinkled surface, such as, for example, a cavity or similar cavity formed in the spine, mastoid, pelvis, armpits, to collect material from the fistula. It can be used to collect material from.

Indeed, the invention has been found to achieve the above intended goals and objectives.

The present invention as described above may be modified and changed in various ways, all within the scope of the appended claims.

All details may be further replaced by other technically equivalent details.

Indeed, the materials used, and shapes and sizes, can be anything according to requirements without giving up the protection scope of the appended claims.

The content disclosed in Italian Patent Application No. MO2004A000177, to which this application claims priority, is incorporated herein by reference.

Claims (33)

A container for cleaning feces collection, collection discharge, ostomy, etc., comprising a bag closed along an outer edge thereof, On at least one side of the bag there is a radial arrangement of slits forming a plurality of independent sectors, Each of the plurality of independent sectors is associated with a respective adhesive element adapted to adhere to the portion of the patient's skin around the outlet outlet of the feces, collection or material to be cleaned, A hole forming the center of the radial arrangement is expanded to become an opening for passing excrement, collection or material Container characterized in that. The method of claim 1, A rim formed to surround said radial arrangement, said rim coupled with said respective adhesive element, The rim may be attached to the skin of the patient located around the outlet hole Container characterized in that. The method according to claim 1 or 2, And at least one protective film removably coupled with said sector and / or said adhesive element of said rim. The method according to any one of claims 1 to 3, A flap having one side firmly coupled to a portion of the sector and / or the adhesive element of the rim, and an opposite side made of a non-adhesive material and which prevents a portion of the patient's skin from being adhesively bonded to the adhesive element. The container further comprises. The method according to any one of claims 1 to 4, The height of said sector is between 0.5 cm and 7 cm, preferably 3.5 cm. The method according to any one of claims 1 to 5, Further comprising at least one conduit for access to the bag, One end of the conduit is coupled to the bag and the other end is coupled to the removable closure means. Container characterized in that. The method according to any one of claims 1 to 6, Further comprising a one-way valve associated with the conduit. The method according to any one of claims 1 to 7, Further includes a tubular element, One end of the tubular element is coupled to the bag, the opposite end may be coupled to the yoke, and the opposite end is provided with means for adhesion to the penis or vulva. Container characterized in that. The method according to any one of claims 1 to 8, The adhering means comprises a tape, An adhesive element is provided on one side of the tape, and the tape can surround the penis. Container characterized in that. The method according to any one of claims 1 to 9, The opposite end of the tubular element is associated with a collection cup adapted to be positioned in contact with the vulva, The bonding means comprises an adhesive element distributed along the upper rim of the cup Container characterized in that. The method according to any one of claims 1 to 10, Further comprising a sponge element contained within the cup. The method according to any one of claims 1 to 11, And a protective film removably coupled with said adhesive element of said tape or said rim. The method according to any one of claims 1 to 12, The bag comprises at least two separate compartments, One of the compartments is for collecting feces, the radial arrangement of the slit is formed in the one compartment, the holes of the radial arrangement can be disposed in the anus, The other compartment is for collecting urine, the tubular element being coupled to the other compartment Container characterized in that. The method according to any one of claims 1 to 13, A container comprising an adsorbent and / or coagulant and / or thickening material in the bag. The method according to any one of claims 1 to 14, And at least one double-sided adhesive tab that can be inserted between the sector and / or the rim and the skin or between the adhesive means and the penis or vulva. The method according to any one of claims 1 to 15, Wherein said tab comprises a protective film removably coupled to each of both sides of said tab. In a container for collecting feces, A bag closed along the outer edge and coupled with the end of the tubular element, The opposite end of the tubular element may be coupled to the yoke, and the opposite end is provided with an adhesive means for adhesion to the penis or vulva. The method of claim 17, Wherein said adhesive means comprises a tape installed on one side of the adhesive element and designed to be wrapped around the penis. The method of claim 17, The opposite end of the tubular element is associated with a cup adapted to be positioned in contact with the vulva The bonding means comprises an adhesive element distributed along the upper rim of the cup Container characterized in that. The method of claim 19, Further comprising a sponge element housed in the cup. The method according to any one of claims 17 to 20, And a protective film removably coupled with said adhesive element of said tape or said rim. Applicator for applying the container according to any one of claims 1 to 16 in the perineal region, Includes two blades, Between the two blades, a spring means for holding the blades close to each other is inserted, Handles are installed on the blades Applicator characterized in that. The method of claim 22, And the blades are rotated relative to each other. The method according to claim 22 or 23. Each of the blades comprises a substantially central portion having a substantially convex shape, From the central part, two wings having a substantially concave shape extend on both sides Applicator characterized in that. The method according to any one of claims 22 to 24. The wings are rotated towards the center, Means for securing the relative position of the wings Applicator characterized in that. The method according to any one of claims 22 to 25. Wherein the shape of the central portion protrudes at least partially relative to the shape of the wing. 27. The method according to any one of claims 22 to 26. And the handle is inclined with respect to the longitudinal axis of the central portion. An apparatus for fixing a container according to any one of claims 1 to 21, wherein And at least one double-sided adhesive tab that can be inserted between said sector and / or said rim and said skin or between said bonding means and said penis or vulva. The method of claim 28, And the tab includes a protective film detachably coupled to each of both sides. 22. A method of applying a container according to any one of claims 1 to 21, wherein Removing the film from the sector and / or the rim and / or the tape and / or the rim, and Pressing each said adhesive element against the skin of the patient around the outlet hole Method of applying a container comprising a. The method of claim 30, Removing the protective film from one of both surfaces of the tab, Adhering the exposed adhesive side to the patient's skin around the outlet hole, and Before the pressing step, removing the protective film covering the other side of the tab Method for applying a container further comprising. 32. The method of claim 30 or 31, Applying the fluid adhesive product to the skin prior to the pressing and / or the adhering step. A method of applying the container according to any one of claims 1 to 16 to the perineal region using the applicator according to any one of claims 22 to 27, Placing the bag on two mutually adjacent blades such that the face faces outward, the central axis is substantially positioned at the end of the blade, and the bag lies on both sides of the blade, Inserting the applicator between the buttocks of the patient with the bag resting on the applicator, and Separating the blade to adhere at least the adhesive element of the sector to the skin around the anus Method for applying a container to the perineum region comprising a.

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