US3039464A - Ileostomy appliance - Google Patents

Description

June 19, 1962 E. N. GALINDO 3,039,464

ILEOSTOMY APPLIANCE Filed Aug. 7, 1959 2 Sheets-Sheet 1 JNVENTOR. Eonwvo N. GAL/-00 BYWV'A/ZI/ ATTORNEY June 19, 1962 E. N. GALINDO ILEOSTOMY APPLIANCE 2 Sheets-Sheet 2 Filed Aug. 7, 1959 JNVENTOR. EDMUND N. GAL/-00 BY Mp4 A TTORNEY type encounter several difliculties.

3,639,464 Fatented June 19, 196.2

3,039,464 ILEGSTOMY APPLIANCE Edmund N. Galindo, 4735 Oceanview Ave, La Qanada, Calif; Esperanza Galindo, executrix of said Edmund N. Galindo, deceased Filed Aug. 7, 1959, Ser. No. 832,297 2 Claims. ((31. 128-483) This invention relates to an improved ileostomy appliance, and the present structure comprises an improvement over my previously filed application for patent, entitled ileostomy Sack, Serial No. 747,701, filed July 10, 1958, and now abandoned.

It has been found that wearers of appliances of this One resides in the fact that repeated removals and attachments of these devices cause extreme discomfort to the wearer as the skin becomes sensitive and often quite sore.

Another problem involves the necessity of providing a leak-proof seal between the body of the user and the appliance itself which, while remaining tight and secure, will eliminate discomfort and prevent soreness.

It is one of the important objects of this invention to provide a device of the class described which can be semipermanently fixed in position adjacent the orifice and in such a manner that the container for eliminated fluids and the like can be readily removed from the attaching means and either cleaned or replaced with little or no difliculty and in a minimum amount of time.

Another and still further important object of the invention relates to the provision of an attaching means for ileostomy appliances which will readily fit the body contour of the user, will remain Securely in place when applied, will be leak proof and which can be maintained in position for relatively long periods of time, thereby avoiding the necessity of frequent changes, which invariably irritate the skin and cause troublesome soreness.

Another and still further important object of the invention relates to an ileostomy or similar device which will always be sanitary, can be readily removed, sterilized and replaced, or which can be discarded because of its simple and inexpensive construction.

Yet another important object of the invention resides in the provision of an apparatus of this type which will protect the opening left by the operation, which will be soft and comfortable against the body, will remain in position when worn, despite considerable activity of the user, and which will be of such construction and dimensions that it will be inconspicuous under the clothing.

Another and still further important object of the invention relates to a receptacle or container adapted to be associated with artificial orifices in abdominal walls, which will operate satisfactorily under all conditions and which will not be troublesome or uncomfortable, either day or night.

Other and further important objects of the invention will be apparent from the disclosures in the accompanying drawings and following specification.

The invention, in a preferred form, is illustrated in the drawings and hereinafter more fully described.

In the drawings:

FIGURE 1 is an elevation of the improved ileostomy appliance of this invention, showing most of the essential details in dotted lines.

FIGURE 2 is a vertical section, taken on the plane of the line 2-2 of FIGURE 1, looking in the direction indicated by the arrows, and illustrating the construction and cooperation of the actual improvements which comprise the important features of this invention.

FIGURE 3 is an enlarged detail, illustrating a preferred method of mounting and attaching the sustaining means for the ileostomy appliance of this invention. This figure is taken on the plane of the line 33 of FIGURE 4, looking in the direction indicated.

FIGURE 4 is an exploded view, partly in section, illustrating the appliance and the method of separating the support for practically instantaneous removal of the bag or other container.

FIGURE 5 is a plan view of one of the attaching and sealing elements for the ileostomy appliance of this invention.

FIGURE 6 illustrates an additional accessory or attaching means.

FIGURE 7 is an exploded view of a slightly modified form of the invention.

FIGURE 8 is a vertical section of the main portion of the structure illustrated in FIGURE 7 and with the parts shown in a closer relationship to each other.

FIGURE 9 is an enlarged section, taken on the plane of the line 9-9 of FIGURE 8, looking in the direction indicated.

FIGURE 10 is a detail view of one of the elements employed to assist in properly positioning the apparatus of this invention upon the human body.

As shown in the drawings:

The reference numeral 10 indicates generally a sack or container such as those usually employed in connection with devices of this type, and which may or may not be provided with a valve or closure '12 at its lower end for convenient emptying.

As best shown in FIGURE 2, an opening 14 for ingress of fluids is provided at the upper end of the bag 10, which is otherwise securely sealed along its edges; and a flange, sleeve, or extension 16, usually of the same material as the bag 19, is fastened in position about the opening 14, and it is this flange 16 which is then held in sealing relationship with the body 18 of the user by the improved attaching means of this invention.

The opening left by the operation and the accompanying exit tube is indicated by the reference numeral 20, and referring now to FIGURE 4, it will be seen that a flanged ring 22 is fitted about the opening and sealed in position against the skin of the body 18 by a plurality of arcuate sealing or fastening means 24, as best shown in FIGURES 3 and 5. Each of these sealing elements 24 has an adhesive surface 26 which is preliminarily covered with a protective sheet 28, and these sheets or strips 28 are removed preliminary to using the fastening strip as is usual in this art.

The flanged ring 22 is of sufficient size and contoured so as to suitably engage the body 18 adjacent the orifice or tube 20 and is preferably composed of some light plastic which can be easily cleaned and which is long wearing and sufliciently resilient to provide the necessary constructional features for subsequent operation.

A second and cooperating ring 30 (FIGURE 4) is employed in conjunction with the flange ring 22. This is preferably of the same material as the ring 22 and may have its inner face cut away at a slight angle so as to readily fit over the outer periphery of the ring 22, which ring can also be slightly inclined at its corresponding outer face so as to afford a better operating contact and fit with the ring 30 when fitted thereover and pressed into position.

It will be noted that the flexible flange or extension 16 of the bag or container '10 is first inserted through the ring 30, after which the flange 16 is then fitted over the ring 22. whereupon the outer ring 30 is then pressed securely into juxtaposition with the previously assembled elements, resulting in a tight-fitting fluid and liquid-tight joint, as shown in FIGURE 2.

In some instances, a supplementary support 40 may be employed, as shown in FIGURE 6, this also being composed of plastic or some similar fairly flexible but light and strong material and having openings 42. and 44 therein, as shown. The opening 42 interfits with the ring 22, and the openings 44 are for the purpose of receiving and retaining suitable supplementary or auxiliary supports, such as strings, cord or the like, and these may interfit with openings 50 in the bag or container 11), as shown in FIGURE 1.

Whenever the user desires to remove or replace the bag for cleaning, emptying or substitution, such can be accomplished by simply prying the ring from its wedged position about the ring 22, whereupon the ring 30 and the bag 10, with its flange 16, can be readily taken off, leaving the supporting ring 22 with its fastening means 24 securely in position on the body 18 of the wearer, and this relationship between these parts may be continued for relatively long periods of time, while at the same time removal, replacement and cleaning of the bag 10 can be accomplished at much shorter intervals.

Referring now to FIGURE 7, a bag or container 110 is employed similar to the container 11 of the preceding figures, but with a different type of closure 112 at its lower end for emptying and cleaning purposes. This is applied to an extension 138 of the bag 1143; and, as best shown in FIGURE 8, the extension is doubled up for a portion of its length, inserted into a locking element 158, which preferably comprises a trough-like device open at the top and bottom with its inner faces slightly tapered. An inset 156 can then be wedged into the space between the folded-over portions of the extension 138, forming a liquid-tight closure which, however, can be readily released when desired. Closure of the bag 110 by these elements can be effected in various other manners, as will be evident.

In this modification of the invention, an elliptical pad 132 is provided for fitting onto the Wearers body 118 adjacent to the discharge tube 120 and with the tube projecting through a central opening in the pad 132. This pad has one adhesive face 134 temporarily covered by removable sheets or strips 136.

The semi-flexible element 122 is then fitted into position over the pad #132, as best shown in FIGURE 8, and this is held in position by arcuate adhesive strips 124-126128 (FIGURE 7).

The bag 110 has a fluted extension 116 similar to the extension 16 of the bag 10, and a ring 138 similar to the ring 30 as employed to interfit with the ledge 122, whereby the bag 1110 can be securely fastened in desired position against the body of the wearer. This fastening can be reinforced or enhanced by employing a further elliptical securing element 140, having a central opening 142 and eyelets 144 substantially along the same lines as the corresponding device illustrated in FIGURE 6 and heretofore described.

The bag 110 has openings 150 similar to the openings 59 of the bag 10 for the reception of holding strings or cords after these openings are alined with the openings 144 of the element 140.

A further improvement resides in the incorporation into the bag 110 of a quick release gas valve 152, as shown in FIGURES 7 and 9. This is preferably composed of plastic, and any undesirable accumulation of gas in the bag 118 can be readily released by merely pulling out the element 154; and, after surplus gas has been ejected, the valve is again simply closed. This is high up on the bag 110 so that there will be no danger of ejection of undesirable liquids or semi-solids.

The entire bag 110 can be enclosed in the cloth container 163', having an opening 162 for fitting about the fluted extension 1 16 and further openings 164 for alinement with the openings 144 and 150. This provides a more comfortable apparatus for the wearer.

Referring again to FIGURE 8, it will be noted that the flat portion of the element 122 can, if necessary, have its central opening enlarged by cutting away part of the material. This makes the device adjustable for various sizes of stoma openings or exit tubes 120, while, at the same time, not interfering in any way with the actual construction and operation. Obviously, the opening in the pad 132 can also be similarly enlarged, if necessary.

It will be seen that herein is provided an ileostomy or similar appliance which will eliminate practically all of the discomfort, inconvenience and actual pain experienced by users of this type of medical and surgical structures.

The chief cause of raw skin and resultant sores resides in the necessity of frequent replacement of the actual support and fastening means which, because of the quick release supporting means of this invention, can now be eliminated.

The often postponed disagreeable job of removing and cleaning the container is not now so diflicult. Furthermore, the entire apparatus is not expensive, is easily constructed, can be readily fitted into place with little or no previous experience by any layman and does not require the services of a physician or nurse.

I am aware that many changes may be made and numerous details of construction varied throughout a wide range without departing from the principles of this invention; and I, therefore, do not propose limiting the patent granted hereon otherwise than as necessitated by the prior art.

I claim as my invention:

1. An ileostomy appliance comprising: an inner ring having an angularly inclined outer face and a radially oriented annular flange to fit adjacent the body of a user; a walled container having a stoma opening in one wall of said container and including a flexible sleeve sealed about said opening and adapted to fit over said outer face; an

outer ring having an angularly inclined inner face adapted to fit over said flexible sleeve adjacent said outer face to secure said sleeve between said inner ring and said outer ring in fluid-tight relationship; and a plurality of overlapping, flexible, arcuate adhesive strips adhered to the forward face of said annular flange and extending beyond said annular flange for adherence to the body, said strips being more flexible than said annular flange, and flexing with the body to reduce separation between the body and the outer edge margin of said annular flange.

2. An ileostomy appliance comprising: an inner ring having an angularly inclined outer face and a radially oriented annular flange to fit adjacent the body of a user; a walled container having a stoma opening in one wall of said container and including a flexible sleeve sealed about said opening and adapted to fit over said outer face; an outer ring having an angularly inclined inner face adapted to fit over said flexible sleeve adjacent said outer face to secure said sleeve between said inner ring and said outer ring in fluid-tight relationship; adhesive means interposed between the rearward face of said annular flange of said inner ring for securing said inner ring to the body; and a plurality of overlapping, flexible, arcuate adhesive strips adhered to the forward face of said annular flange and extending beyond said annular flange for adherence to the body, said strips being more flexible than said annular flange, and flexing with the body to reduce separation between the body and the outer edge margin of said annular flange.

References Cited in the file of this patent UNlTED STATES PATENTS Perry Sept. 1, 1959 'a 2' a. e

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