TWI684437B - Artificial ostomy device - Google Patents
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- TWI684437B TWI684437B TW107126069A TW107126069A TWI684437B TW I684437 B TWI684437 B TW I684437B TW 107126069 A TW107126069 A TW 107126069A TW 107126069 A TW107126069 A TW 107126069A TW I684437 B TWI684437 B TW I684437B
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Abstract
一種人工造口裝置,適用於安裝在一具有一徑向側開口的腸道,及一具有一通口的表皮組織。該腸道包括一上游段及一下游段。該人工造口裝置包含一適用於伸置於該下游段的實心單元,及一適用於伸置於該上游段的空心單元。該實心單元包括一適用於封閉該下游段並具有一端面的封擋件,及一固定於該端面的第一連接件。該空心單元包括一具有一外環面及二相反之端口的導管,及一固定於該外環面的第二連接件。當該第二連接件與該第一連接件連接,該空心單元與該實心單元共同定位於該腸道與該表皮組織之間,且該等端口分別連通於該上游段與該通口。An artificial ostomy device is suitable for being installed in an intestine having a radial side opening and an epidermal tissue having a through opening. The intestine includes an upstream section and a downstream section. The artificial ostomy device includes a solid unit suitable for extending in the downstream section, and a hollow unit suitable for extending in the upstream section. The solid unit includes a blocking member suitable for closing the downstream section and having an end surface, and a first connecting member fixed to the end surface. The hollow unit includes a catheter having an outer ring surface and two opposite ports, and a second connector fixed to the outer ring surface. When the second connector is connected to the first connector, the hollow unit and the solid unit are co-located between the intestinal tract and the epidermal tissue, and the ports are respectively connected to the upstream section and the port.
Description
本發明是有關於一種施做於人體之輔助性的人工替代器官,特別是指一種人工造口裝置。The invention relates to an auxiliary artificial replacement organ applied to the human body, in particular to an artificial ostomy device.
人工造口是在病患的腸道發生病變時,先將發生病變之腸道截斷,且於病患身體其他部位,形成連接截斷後之腸道並用於排泄的開口。而施作人工造口的目的,通常是替代下游已病變甚至截除的腸道功能,或者是讓下游腸道休養恢復時的暫時替代方案。Artificial ostomy is to cut off the intestinal tract when the patient's intestinal tract develops, and form an opening that connects the cut intestinal tract to the excretion in other parts of the patient's body. The purpose of artificial ostomy is usually to replace the intestinal function of the downstream diseased or even cut off, or to temporarily replace the downstream intestinal recuperation.
參閱圖1,為一現有的人工造口裝置2,適用於安裝在一截斷後形成一端口110的腸道11,與一形成於人體12的開口120。其中,該腸道11是由內向外伸置於該開口120,並使該端口110朝向外側。該人工造口裝置2包含一適用於由該端口110伸置於該腸道11中的撐抵件21,及一用於連接該撐抵件21外側的定位件22。Referring to FIG. 1, it is a conventional
該撐抵件21是呈中空狀,並包括一適用於撐抵於該腸道11內側的內側環211、一連接於該內側環211且徑向內縮地沿一軸向延伸的延伸管212,及一連接於該延伸管212並界定出一開孔219的外側環213。該定位件22適用於貼附於該人體12的外側,並包括一界定出一通孔220的圓環部221,及一自該圓環部221向外延伸且適用於貼附於該人體12的板體部222。其中,該內側環211的徑寬大於該外側環213的徑寬,當該撐抵件21伸置於該腸道11中時,該內側環211沿徑向將該腸道11向外撐開而形成一擴展部111,並配合該延伸管212向外延伸,使該擴展部111頂抵於該人體12的內側,藉此定位該腸道11。而該外側環213則環繞該腸道11的端口110,使得該開孔219與該腸道11連通而向外開放。該外側環213是頂抵於該人體12的外側,配合使該擴展部111頂抵於該人體12內側的該內側環211,即能將該腸道11固定於該開口120中。接著,該定位件22的該圓環部221蓋設於該撐抵件21的外側環213,配合將該板體部222貼附於該開口120周圍,即可透過該定位件22定位該撐抵件21。此時,該開口219則向外開放,由該腸道11輸送的排泄物即可由該開口219向外排出。The
然而,使該腸道11形成連通內部之出口的方式,除了直接截斷該腸道11而形成該端口110的方式之外,若所述人工造口的施作並非永久性的處置時,為了避免該腸道11的下游因直接截斷而產生壞死,也有可能如圖2所示地,採用在該腸道11的側面形成一側開口119的方式施作,使該腸道11的上下游仍保持連接狀態,確保該腸道11的正常生理循環而避免壞死。待該腸道11位於該側開口119的相對下游休養恢復,該腸道11即可重新正常運作。但針對於如圖2所示的施作方法,如圖1所示的人工造口裝置2即無法配合安裝,若直接將該腸道11與該人體12縫合,使得該側開口119與該開口120連通,雖然仍可形成人工造口,但自該腸道11上游向下游輸送的排泄物仍有可能繼續向下傳送,影響該腸道11位於該側開口119相對下游的恢復。因此,有必要就如圖2所示的施作方法,提供得以配合安裝的人工造口裝置,才能確保達成人工造口施作之目的。However, the way to make the
因此,本發明之目的,即在提供一種適於配合形成側開口之腸道處置方式的人工造口裝置。Therefore, the object of the present invention is to provide an artificial ostomy device suitable for cooperating with the intestinal treatment method for forming side openings.
於是,本發明人工造口裝置,適用於安裝在一人體,該人體包含一具有一徑向側開口的腸道,及一具有一個位置對應該徑向側開口之通口的表皮組織,其中,該腸道包括一位於該徑向側開口上游的上游段,及一位於該徑向側開口下游的下游段。該人工造口裝置包含一實心單元,及一空心單元。Therefore, the artificial ostomy device of the present invention is suitable for being installed on a human body including an intestine having a radial side opening and an epidermal tissue having a through opening corresponding to the radial side opening, wherein, The intestinal tract includes an upstream section upstream of the radial side opening and a downstream section downstream of the radial side opening. The artificial ostomy device includes a solid unit and a hollow unit.
該實心單元適用於經該表皮組織的該通口,由該徑向側開口往該腸道的下游段伸置。該實心單元包括一適用於封閉該下游段並具有一朝向該上游段之端面的封擋件,及一固定於該端面的第一連接件。The solid unit is suitable for passing through the opening of the epidermal tissue, extending from the radial side opening toward the downstream section of the intestinal tract. The solid unit includes a blocking member adapted to close the downstream section and having an end surface facing the upstream section, and a first connecting member fixed to the end surface.
該空心單元適用於經該表皮組織的該通口由該徑向側開口往該腸道的上游段伸置。該空心單元包括一具有一外環面及二相反之端口的導管,及一固定於該外環面的第二連接件。當該空心單元的第二連接件與該實心單元的第一連接件連接,該空心單元與該實心單元共同定位於該人體之該腸道與該表皮組織之間,且該導管的該等端口分別連通於該腸道的該上游段與該表皮組織的該通口。The hollow unit is adapted to extend from the radial side opening toward the upstream section of the intestine through the opening of the epidermal tissue. The hollow unit includes a catheter having an outer ring surface and two opposite ports, and a second connector fixed to the outer ring surface. When the second connector of the hollow unit is connected to the first connector of the solid unit, the hollow unit and the solid unit are co-located between the intestine and the epidermal tissue of the human body, and the ports of the catheter They are connected to the upstream section of the intestine and the opening of the epidermal tissue, respectively.
本發明之功效在於:藉由該實心單元與該空心單元相互連接而完成安裝的設計,得以配合該腸道開設該徑向側開口的處置方式,透過該封擋件阻擋排泄物輸送至該腸道的該下游段,且該導管之其中一個端口形成與該腸道之該上游段連通的造口,達成暫時供患者排泄的功能。The effect of the present invention is that the solid unit and the hollow unit are connected to each other to complete the installation design, which can cooperate with the treatment method of opening the radial side opening of the intestine, and blocking the discharge of excreta to the intestine through the blocking member The downstream section of the tract, and one of the ports of the catheter form a ostomy communicating with the upstream section of the intestinal tract to achieve the function of temporary excretion for the patient.
參閱圖3與圖4,本發明人工造口裝置之一實施例,適用於安裝在一人體9,該人體9包含一具有一徑向側開口910的腸道91,及一具有一個位置對應該徑向側開口910之通口920的表皮組織92。其中,該腸道91包括一位於該徑向側開口910上游的上游段911,及一位於該徑向側開口910下游的下游段912。其中,該人體9的排泄物會由該上游段911往該下游段912輸送。該實施例包含一適用於伸置於該腸道91之下游段912的實心單元3、一適用於伸置於該腸道91之上游段911的空心單元4,及一外側單元5。3 and 4, an embodiment of the artificial ostomy device of the present invention is suitable for installation on a
該實心單元3適用於經該表皮組織92的該通口920,由該徑向側開口910往該腸道91的下游段912伸置,且較佳是以具有生物相容性的矽膠所製成,並具有一定的可撓性及剛性。該實心單元3包括一適用於封閉該下游段912並具有一朝向該上游段911之端面311的封擋件31、一固定於該端面311的第一連接件32、一固定於該端面311且與該第一連接件32相間隔的第一固定件33,及一銜接該端面311且適用於經該通口920向外延伸的第一端緣件34。其中,該第一固定件33例如一磁鐵。The
該空心單元4適用於經該表皮組織92的該通口920由該徑向側開口910往該腸道91的上游段911伸置,且較佳是以具有生物相容性的矽膠所製成,並具有一定的可撓性及剛性。該空心單元4包括一具有一外環面411及二相反之端口419的導管41、一固定於該外環面411的第二連接件42、一固定於該外環面411且與該第二連接件42相間隔的第二固定件43,及一銜接該導管41且適用於經該通口920向外延伸的第二端緣件44。其中,該第二固定件43例如一磁鐵,並能與該第一固定件33磁性相吸。The
參閱圖4,將本實施例安裝於該人體9時,是先將該實心單元3的該封擋件31與該空心單元4的該導管41,通過該表皮組織92的該通口920分別伸置於該腸道91的該下游段912與該上游段911。該第一連接件32與該第二連接件42呈現相互對應且可彼此連接的形狀,且較佳是採用朝向彼此而組接的方式相互連接,例如是採用夾扣、卡扣等等的連接元件。當該空心單元4的第二連接件42與該實心單元3的第一連接件32連接,該空心單元4與該實心單元3共同定位於該人體9之該腸道91與該表皮組織92之間。此時,配合該實心單元3與該空心單元4朝向彼此組接的動作,因該第一固定件33與該第二固定件43皆為磁鐵,故能藉著相互吸引而夾制固定該腸道91的一部分919,使得該實心單元3與該空心單元4能因此定位於該腸道91。接著,由於該實心單元3的該第一端緣件34及該空心單元4的該第二端緣件44,皆是經由該通口920而向外延伸,並且頂抵於該表皮組織92,故該第一端緣件34能配合該封擋件31,夾制固定該表皮組織92與該腸道91之下游段912,而該第二端緣件44則能配合該導管41,夾制固定該表皮組織92與該腸道91之上游段911,使本實施例確實安裝於該人體9。Referring to FIG. 4, when this embodiment is installed on the
本實施例安裝完成後,該導管41的該等端口419分別連通於該腸道91的該上游段911與該表皮組織92的該通口920,因此該通口920形成與該腸道91之上游段911連通的人工造口。經由該腸道91的上游段911輸送的排泄物,則能暫時由所述人工造口來排除,使該腸道91的下游段912得以暫時休養。After the installation of this embodiment is completed, the
參閱圖5,該外側單元5包括一適用於遮擋該通口920的遮擋件51,該遮擋件51較佳可以是一紗布、一蓋體等等經過滅菌處理且可發揮遮擋效果的物件,除了避免該人體9的腸道91直接向外界顯露,也能減低該人體9受到感染的機率。Referring to FIG. 5, the
參閱圖6與圖7,該外側單元5還包括一界定出一盛裝空間520的袋體52,及一固定於該袋體52,且用以與該第一端緣件34及該第二端緣件44卡嵌固定而連接的銜接件53。當該袋體52透過該銜接件53而固定於該實心單元3與該空心單元4時,自該表皮組織92之通口920排出的排泄物,得以直接盛裝於該盛裝空間520中。當使用者自身,或者醫護人員、照料人員執行清理時,只要直接將該銜接件53自該第一端緣件34與該第二端緣件44拆卸,即可直接更換該袋體52。Referring to FIGS. 6 and 7, the
綜上所述,本發明人工造口裝置,藉由將該實心單元3與該空心單元4伸置於該腸道91再相互連接的安裝方式,能配合該腸道91的該徑向側開口910而安裝,並發揮人工造口之暫時排泄功能,而藉由該實心單元3阻擋排泄物,能避免排泄物輸送至該腸道91的下游段912,因應對該腸道91開設該徑向側開口910的處置目的,使該下游段912休養恢復,故確實能達成本發明之目的。In summary, the artificial ostomy device of the present invention can cooperate with the radial side opening of the
惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,凡是依本發明申請專利範圍及專利說明書內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。However, the above are only examples of the present invention, and should not be used to limit the scope of the present invention. Any simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the content of the patent specification are still classified as This invention covers the patent.
3‧‧‧實心單元3‧‧‧Solid unit
31‧‧‧封擋件31‧‧‧Block
311‧‧‧端面311‧‧‧Face
32‧‧‧第一連接件32‧‧‧First connector
33‧‧‧第一固定件33‧‧‧First fixing
34‧‧‧第一端緣件34‧‧‧First edge piece
4‧‧‧空心單元4‧‧‧ Hollow unit
41‧‧‧導管41‧‧‧Catheter
411‧‧‧外環面411‧‧‧Outer torus
419‧‧‧端口419‧‧‧port
42‧‧‧第二連接件42‧‧‧Second connector
43‧‧‧第二固定件43‧‧‧Second fixing piece
44‧‧‧第二端緣件44‧‧‧Second end flange
5‧‧‧外側單元5‧‧‧Outside unit
51‧‧‧遮擋件51‧‧‧block
52‧‧‧袋體52‧‧‧Bag
520‧‧‧盛裝空間520‧‧‧ Dressing space
53‧‧‧銜接件53‧‧‧ Connecting piece
9‧‧‧人體9‧‧‧Human
91‧‧‧腸道91‧‧‧Gut
910‧‧‧徑向側開口910‧‧‧radial side opening
911‧‧‧上游段911‧‧‧Upstream
912‧‧‧下游段912‧‧‧ Downstream
919‧‧‧部分919‧‧‧Part
92‧‧‧表皮組織92‧‧‧Epidermal tissue
920‧‧‧通口920‧‧‧port
本發明之其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中: 圖1是一不完整的剖視圖,說明一現有的人工造口裝置; 圖2是一不完整的剖視圖,說明在一腸道開設一側開口的處置方式; 圖3是一分解示意圖,說明本發明人工造口裝置的一實施例; 圖4是一流程示意圖,說明將該實施例安裝於一人體的過程; 圖5是一剖視示意圖,說明該實施例之一外側單元的一遮擋件; 圖6是一剖視示意圖,說明該外側單元之一袋體的安裝方式;及 圖7是一組合剖視示意圖,說明該外側單元安裝完成後的情況。Other features and functions of the present invention will be clearly presented in the embodiment with reference to the drawings, in which: FIG. 1 is an incomplete cross-sectional view illustrating an existing artificial ostomy device; FIG. 2 is an incomplete cross-sectional view , Illustrating the treatment method of opening one side of an intestine; FIG. 3 is an exploded schematic diagram illustrating an embodiment of the artificial ostomy device of the present invention; FIG. 4 is a schematic flow diagram illustrating the installation of the embodiment on a human body Process; FIG. 5 is a schematic sectional view illustrating a shutter of an outer unit of the embodiment; FIG. 6 is a schematic sectional view illustrating the installation of a bag of the outer unit; and FIG. 7 is a combined sectional view According to the schematic diagram, the situation after the installation of the outer unit is completed.
3‧‧‧實心單元 3‧‧‧Solid unit
31‧‧‧封擋件 31‧‧‧Block
311‧‧‧端面 311‧‧‧Face
32‧‧‧第一連接件 32‧‧‧First connector
33‧‧‧第一固定件 33‧‧‧First fixing
34‧‧‧第一端緣件 34‧‧‧First edge piece
4‧‧‧空心單元 4‧‧‧ Hollow unit
41‧‧‧導管 41‧‧‧Catheter
411‧‧‧外環面 411‧‧‧Outer torus
419‧‧‧端口 419‧‧‧port
42‧‧‧第二連接件 42‧‧‧Second connector
43‧‧‧第二固定件 43‧‧‧Second fixing piece
44‧‧‧第二端緣件 44‧‧‧Second end flange
5‧‧‧外側單元 5‧‧‧Outside unit
52‧‧‧袋體 52‧‧‧Bag
53‧‧‧銜接件 53‧‧‧ Connecting piece
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TW107126069A TWI684437B (en) | 2018-07-27 | 2018-07-27 | Artificial ostomy device |
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TW (1) | TWI684437B (en) |
Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2003032878A1 (en) | 2001-10-15 | 2003-04-24 | Coloplast As | An ostomy appliance |
CN203417399U (en) * | 2013-08-30 | 2014-02-05 | 任东林 | Ileum fistulization tube |
US20150057626A1 (en) * | 2009-07-14 | 2015-02-26 | Stimatix Gi Ltd. | Ostomy port |
-
2018
- 2018-07-27 TW TW107126069A patent/TWI684437B/en active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2003032878A1 (en) | 2001-10-15 | 2003-04-24 | Coloplast As | An ostomy appliance |
US20150057626A1 (en) * | 2009-07-14 | 2015-02-26 | Stimatix Gi Ltd. | Ostomy port |
CN203417399U (en) * | 2013-08-30 | 2014-02-05 | 任东林 | Ileum fistulization tube |
Also Published As
Publication number | Publication date |
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TW202007376A (en) | 2020-02-16 |
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