US1588032A - Medical apparatus for the treatment of the intestines - Google Patents

Description

June 8,1926. 1,588,032 l A. KLAIBER MEDICAL APPARATUS FOR THE TREATMENT OF THE INTESTINES Filed Sept. 4, 1924 5 Sheets-Sheet 1 Quinn/ I /15' 5 ar n an: j, n i f L /l//l/ /l/l /l/ .1|

INVENTOR ATTORNEYS June 8 1926.' 1,588,032

A. KLAIBER MEDICAL APPARATUS FOR THE TREATMENT OF THE INTES'IINES Filed Sept. 4, 1924 3 Sheets-Sheet 2 INVENTOR HL BERT KL mask Mme@ ATroRNEYs -June 8 1926. 1,588,032

A. KLAIBER MEDICAL APPARATUS FOR THE TREATMENT OF THE INTSTNS Filed Sept. 4, 1924 3 Shts-Sheet :5

INVENTOR 33 hab-Rr /f/.n/BER ATTORNEYS Patented JuneA 8, 1.926.`

UNITED STATES ALBERT KLAIBER, O E BROOKLYN, NEW YORK.

MEnICALnPrnnATUs Fort THE TREATMENT kOE 'THE IVNTEsTINEs.

Application inea september 4, 1924,. seriaiNarss'nia,

kThis invention relates' generally to vimprovements in medical apparatus, and has particular` reference to an apparatus employed for'the suba'queous irrigation 'of the intestines.

The invention is designed as'an improvementupon the apparatus disclosed in the Brosch et al. vUnited 'States Patent No'. 1,093,251, dated April 14:, 1914. "In theuse of the apparatus shown in said patent, difficulty has been experienced in adjusting the saddle and associated parts to different patients owing to, variations'in body con'- formations which, in some. instances, cause considerable discomfort durin'g thek course of a treatment. ficult to maintain the highest vdegree of sanitation while the apparatus ofv said patent is in use. Furthermore, actual eX- perience and'practice has Vshown 'that the most efficient results/are obtained when the 'patient is reclining in the bath with thelegs straightened out and the upper portion ofA the body free so that deep and regular breathing .may take place.- In this connection, when the apparatus of said patent is employed, difficulty is experience'din maintaining the correct position ofthe sad-r dle on the bottom' of thetub andthe shoulder straps used to retain the'v saddlein proper position relative tothe body have been found to obstruct'proper breathing.

An object of the present invention is to overcome the difficuties above referred to byproviding an improved apparatus which is constructed inv such manner that `the v sameA may be readily adjusted-in operative v position to eliminate lall discomfort to l. the patient. f Another object is to attach the apparatus to the bodyof the patientinvajmanner which will securely maintainthe -same in operative position and, at the sa-me time, permit the patient to breathe freely and easily soy that the maximum benefits to be derived from the use ofthe apparatus may be obtained. j 4A further Vobject'isto render theV appara# tus highly sanitary by employing a saddle tion of the saddle' forming a part ofthe Also,v it has beenfound dif- 1 .The above. and other objects will appear 55k more clearly from the following`` detail de,- scrlption when taken in connection withy the accompanying drawings, fwhich illustra-te preferred embodiments ofthe inventive idea.y

In the drawings :v E v 60 Figure l is a side elevation,'partlyinr sec-A tion, showing the apparatus infuse'. kFigure 2 is a vertical longitudinal secapparatus.

Figure 3 isy a top broken away. f

Figure 4 is` Yafragmentary sectional view showing one form of irrigation tube Aemployed in connection with the invention. 'Figurev isa similar ,view of a slightly different form of`tube. e, i i Figure 6 is a perspective view of the sad dlesupporting belt employedyand -Figure. 7 vis a' transversev sectional view l5 therethrough. i V

rfhe apparatus is,` particularly.' designed for use in substantially lthe saineinanner vas set forth yin the above mentioned' patent.

plan thereof,

That is, the treatment with' the'apparatus so involves the seating of the patientfwithin a bath tub l0, or other suitable receptacleI withwater therein to about the level ofthe chest and at blood temperature. This is done for'the purpose of creating an exterior as pressure upon thebody ofthe patient lwhich will, at leastinpartycounteract the pressure of the fluid injected'into t-he body, thereby ayoiding inuch discomfiture to -the patient which oftentimes occurs when administerau ing eneinas inthe customary.mannen;v

The apparatus forniing" a part of fthe presentinvention is shown as comprising `a saddlefincluding a` body portionl 1l made of 'anys'uitable material` such as4 metal and" er arcuately shaped in longitudinali section so as-tocon-form generally tothe contour of the buttocks andV other adjacent parts of the human. anatomy. The rear or lower portion of the body l1 carries upon its under surface and adjacent its side edges two supports 12, preferably in the form of suction cups, which engage the bottom of the tub and prevent slipping of the saddle whenin use. :it a point slightly forwrd of the supports the underside of the body 11 also s pivoted tl ereto at 13' one end of an arm la capable of moving in vertical plane and carrying at its free end a third suc'.- tion cup 15. a small. casing 16 through which the free reduced end of lthe arm 11i extends and which is pivoted to said arm at 17 to. allow the casing to swing in a verti'cal'plane. This is Adone so that the suction cup will be permittedto at all times engage the bottom of the tub regardless of any adjustment of the arm 11i, whereby said cup will assist in maintaining the saddle against accidental displacement in the tub. y

The arm 1d is further supported in connection with the saddle/by a link ltl'pivoted at one end to a discharge duct 19 and carrying a pin 2O at its other end engageable in 'a longitudinally .extending` slot 91 formed in the arm 14;. The material forming the bottomedge of said slot is provided with a plurality of notches 22; into any one of which the pin 2O may be engaged when adjusting` the `relative angular relation between the body of the saddle and the arm 1li. A wing nut is threaded onkthe fpin and engageable with the arm 14 to secure the link 18 in its adjusted positions. Thus it will be seen that the height of the forward end ofthe saddle maybe regulated inorder to comfortably fit the patient kwhen in a sittingposturewithin the tub.v

The body 11 is provided, preferably at a point forwardly of the center 'thereof7V with a discharge opening 2li surroimded by one endy of the discharge duct 19- which extends from said opening in an upwardly inclined position. This opening 24 is sufliciently large to surround the anus so that the emitted contents of the intestines will Aalways be 'discharged thruthe duct 19. ln

order to further insure the proper discharge of waste into the duct 19, a ring or collar 25 is mounted in the end of said duct and extends rearwardly through the opening 2d, the free end of said ring being` bent to provide av retaining flange 26. This flange is utilized to retain a' pad 27, in the forni of an air cushion1 in position on the body 11, said cushion having an opening which permits the same being readily fitted over and around the ring 25, as clearly shown in lligure 2. The pad 27 is made of rubber or other suitable materialy and is'capable'of beinginflated, after the patient Vhas assumed.

a sittingv position onl 'the saddle, by means rlhis latter cupis mounted in of a tube 28 extending from the rear of the pad and preferably through openings 29 formed in the body 11. The free end of the tube 23 is provided with a valve30 forcoi.- trolling the admission of air into the pad from any suitable source such as a bulb or the like. The pad @Tis of a dimension which will comfortably support the patient and the forwzrd or uppervend is extended so that when the pad is inflated said end lwill effectively cover and close the vagina of a femalepatientiand thereby avoid the possibility of said organ in any way becominginfected by the discliarge from the int .-1 tines.

Preferably formed integrally with thc duct 19 at a point4 adjacent the saddle body is an extensionl arranged diagonally with respect to the duct and'having communica tion therewith. ln the outer end of said ertrte'nsionthere is removably ln'iounted a plug 32v of rubber or the: like which supports a feed tube 3,3 having both longitudinal and rotary movements in said plug. lihen the tube is mounted in position the inner end thereof terminates atl a point centrally of the opening 24 and saidinnerv end is bent laterally and provideduponits extremity, as shown in `Eigures 2. and 4C, with an enla' ment ork ball Pivoted to this ball, at is the socket end 36 of the irrigation or anal tube 37 having directl communication with Said feed tube. By reason of the connection between the tubes33and 37, the latter will be capable of a swinging movement about the pivot 35 and in a single plane tothe full rand dotted line positions shown in Figure or any other intermediate position, the movement of said tube 3'!" in one direction being limited by engagement of the soclret 36 with a pin 38 carriedby the ball 3d. ln the form of connection illustrated in Figure 5, the extremity of the tube 33 has threaded therein a ball member 39 fitted into a socket formed by the sleeve 40 screwed upon the adjacent end of the tube 37. rl`his structure permits of a universal moven'ient of the tube 37 relative to the tube 33. l/Vitheither of the two constructions just described it will be obvious that suiiicient movement will be to be easily inserted into the-anus and con-r form to the'V contour thereof without injury or; discomfort to the patient.

The plug 32`is held in position by means of a cap 41 threaded uponthe free end of the extensionl and engageable with a plate l2 having ahead 4:3 through whichthe tube 33 extends. After proper longitudinalv adjustment'of thev tube 33 has been obtained toy center-its lower end with respect to the openingQl, a screw itis. utilized to secure the plate d2 in position on the tube and Vthe cap il is theu'screwed home upon the efrytension. 43l until the plate is engaged with `the adjacent end of the plug 39..

Means are 'further provided inv connection with the saddle vto securely maintain the same in proper position and at the saine time permit the patient'to breathe freely Vand deeply without-discomfort. This means, as shown, preferably comprises a belt formed of complemented sections generally indicated by the numeral 45l and illustrated in detail in Figures 6 and y7. Each section includes an arcuate plate 46 capable of partially` encircling the waist of the patient and said plate 1s curved transversely, as best shown in Figure 7, to conform to the general contouri of the hip. 'A cover 47 of rubber is provided for each section and the adjacent edges of said cover are connected by' a plurality of hooks 48 engageable in eyelets 49 so .thatthe cover may be readily removed if desired. The cover is further 4provided upon its inner or body engaging side with 'Ward end of the saddle body, while similar straps at the rear endskof said'sections are utilized topcon'nect the rear of the belt to the hooks 56 carried by the lower end of said body.

The medicinal compound or compounds used in effecting a treatment are fed to the tube 33 through a flexiblehose 57 one end of' which is attached to said ytube while the other end is connected toda tank 58 containing the compound, said tank being suspended'above the tub l0 in any suitable manner.

A valve v59 is utilized Yto control the floiv of' the fluid from the tank linto said hose,

lt sometimes becomes desirable tovinject a second medicinal compound of a different nature than that contained in the tank 58.- For this purpose a second tank 60 `is em'- ployed having a branch connection 61 with the hose 57. A valve 62 of vany suitable of 'fluid vfrom' the tank 60.

interposed in the hose 57 is a check'valve Yconstruction may be used to regulate the flow str icture 63 suspended from the tank 58 and utilized to prevent back pressure, sometimes occasioned byact-ions of -the patient when attempting to emit a discharge from the intestines, from forcing any of the waste into either of the tanks 58 or 60 whichinight otherwise 4contaminate said tanksV and cause infections lto subsequent patients. The tanks 58and -60 arejoined tothe structure 63 by a short hose 84. This'checlr valve structure is fully-shown and described in my cti-pending' application, Ser. No. 7 35,744, filed on an even'date herewith. j Y

A branch 64 is also connectedto the hose 57 through 'a two-'way valve 65 ofv any w well known construct-ion.` i Said branch reir-v nries an air bulb 66 which is utilized for the injection vof airY into vthe hose 57 [and through the tubes 33 and 37 should the end' of the latter tube in the anus become obstructedby `discharge from the intestines.

`AWhen employing this means vfor clearing the tube 37"the,flow of medicine is sont ofi' and the valve turned to close the upper portion'of the hose 57. j ,Y

vAt any time during the treatment or at its conclusion, it may beV desirable to inspect the' compound remaining in the intestines which may be discharged through suitable action bythe patient into the hose57 and into anotherbranch 76 communicating with said hose through the valve 67` which, in this instance, is turned to close the jiortion of the hose above said valve. The branch 76 may empty 'f into 'a suitable receptacle 68 shown in dotted lines in Figure l. I

v lVhen treatment is concluded, the duct it) may be flushed out and the parts of the patient in theregionof the anus cleansed bythe injection of a flow of water through the valved pipe- 69` extending' from and comx inunicating with the interior of said ducttas clearly shown in Figure 2. x

The invention further includes a drainage apparatus utilized in vconnection with lthe saddle and connected to the du'cjtfl).

This apparatus is shown and described in detail in the above vmentioned cri-pending application and will only be briefly referred to herein. lt consists ofV a flexible tube 70 hai',- ing one end connected to the duct l?) and its other endto one end of a sight tube 7l. This latter tube is, in turn, joined to a pipe 72 which telescopes within a second pipe 73 of angular construction. A wing nut 74 is used tojse'cure the pipes 72 and 7 8 in adjusted positions, the adjustmentr's of thesepipes being utilized to ifary'the effective length thereof inL accordance with the height of the patient, it being desirable" in all instancesv that the'patient'be'abie toextend his legs as shown in Figure l. One end of the pipe 78 extended downwardly and is pivotally rconnected to the top of a receptacle l iiiounted'in the drain opening of the tubV l0. Said end of the pipe 73 is alsoslidable inv a substantially vertical direction in they topy of said receptacle so'that the pipes '72' and 78 may. be raised or lowered as desired. VThis .iier

adjustment is provided'for the purpose of positioning the sight tube 7l sufficiently yabove the surfacer of the water in fthe' tub l-O to permit the physician orattendant' to 4said discharge opening, and an anal tube extending from said duet andA having its carried by said feed tube and having move inner end arranged adjacent said opening 10 ments reiativethereto in a vertical plane. to perinit of the injection of a Cleansing l2. In a medical apparatus for the treatfluid into said duct in the region of said ment of the intestines, a saddle having a opening.`

discharge opening and a discharge duet eX- In' testimony whereof I have aflixed my tending directly from said openingan anal signature; i

tube mounted in said opening, and a pipe ALBERT KLAIBER.

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