WO2002009629A1 - Dispositif de serrage permettant de proceder au montage d'un dispositif amovible sur un implant de preference annulaire par une force de serrage - Google Patents

Dispositif de serrage permettant de proceder au montage d'un dispositif amovible sur un implant de preference annulaire par une force de serrage Download PDF

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Publication number
WO2002009629A1
WO2002009629A1 PCT/DK2001/000522 DK0100522W WO0209629A1 WO 2002009629 A1 WO2002009629 A1 WO 2002009629A1 DK 0100522 W DK0100522 W DK 0100522W WO 0209629 A1 WO0209629 A1 WO 0209629A1
Authority
WO
WIPO (PCT)
Prior art keywords
clamp
spring ring
implant
spring
ring
Prior art date
Application number
PCT/DK2001/000522
Other languages
English (en)
Other versions
WO2002009629A9 (fr
Inventor
Lasse L. Hessel
Jesper Malling
Original Assignee
Biotap A/S
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Biotap A/S filed Critical Biotap A/S
Priority to AU2001279592A priority Critical patent/AU2001279592A1/en
Publication of WO2002009629A1 publication Critical patent/WO2002009629A1/fr
Publication of WO2002009629A9 publication Critical patent/WO2002009629A9/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
    • A61F5/445Colostomy, ileostomy or urethrostomy devices
    • A61F5/448Means for attaching bag to seal ring
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16BDEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B2/00Friction-grip releasable fastenings
    • F16B2/02Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening
    • F16B2/06Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening external, i.e. with contracting action
    • F16B2/10Clamps, i.e. with gripping action effected by positive means other than the inherent resistance to deformation of the material of the fastening external, i.e. with contracting action using pivoting jaws
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16BDEVICES FOR FASTENING OR SECURING CONSTRUCTIONAL ELEMENTS OR MACHINE PARTS TOGETHER, e.g. NAILS, BOLTS, CIRCLIPS, CLAMPS, CLIPS OR WEDGES; JOINTS OR JOINTING
    • F16B2/00Friction-grip releasable fastenings
    • F16B2/20Clips, i.e. with gripping action effected solely by the inherent resistance to deformation of the material of the fastening
    • F16B2/22Clips, i.e. with gripping action effected solely by the inherent resistance to deformation of the material of the fastening of resilient material, e.g. rubbery material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
    • A61F5/445Colostomy, ileostomy or urethrostomy devices
    • A61F2005/4486Colostomy, ileostomy or urethrostomy devices with operable locking ring

Definitions

  • the invention relates to a cla p for detachably mounting a device on a preferably annular implant by means of a clamping force and of the kind that has two arms each defining a jaw and a handle, a hinge designed in the area between the jaws and the handle for pivotally connecting the arms to each other, and a clamp spring for clamping the jaws to each other.
  • an ostomy pouch can in some designs have coupling parts for coupling the pouch to corresponding couplings parts on an adhesive face around a stoma.
  • the coupling means on the ostomy pouch can be used for coupling with an annular implant but are not directly designed for this exact purpose. Therefore, the ostomy pouch cannot always be fastened securely to the implant and can in these cases therefore not form a completely tight sealing with this implant. For example, small difference in diameter can be the cause of a loose coupling which cannot ensure effectively against leakage.
  • a second object of the invention is to provide a clamp that can be manipulated by a person having little finger strength.
  • a fourth object of the invention is to provide a clamp that is provided with a sealing ring for sealing with the implant.
  • clamp spring is designed as a spring ring with a cross slit and is serving for fastening the device to the implant in mounted state, and that the jaws are pivotally connected with the spring ring.
  • the clamp and a possible associated device such as e.g. an ostomy pouch which can be completely or partly integrated with the clamp, are mounted quickly and easily on e.g. an annular implant.
  • the clamp fits closely and tightly around the implant without use of locking means which are difficult to manipulate especially for a person having weak fingers and are difficult to see in details for a person having failing eyesight.
  • the spring ring and the arms of the clamp can be made in one piece, the jaws and the spring ring then being pivotally connected to each other via two integral hinges, and the hinge of the arms being a second integral hinge.
  • This embodiment of the clamp can expediently be made of a plastic such as polypropylene, nylon or similar relatively hard, dimensionally stable, inexpensive, high-molecular polymers that are elastically deformable.
  • a clamp designed with integral hinges in one piece with the spring ring can easily be injection-moulded. Therefore, the components of the clamp do not have to be joined by separate parts by e.g. welding or bonding. Thereby, price-raising finishing is avoided. Furthermore, the free movement of the integral hinges is enabled and not hindered by neither adhesive residues or welding burrs. Furthermore, there is no risk of the clamp breaking by accident at weakened or exposed points of joining when the clamp is spring loaded during mounting or dismounting.
  • the spring ring can actually have any cross section that can engage with and be received by a groove designed correspondingly in the implant but in an especially preferred embodiment, the cross section can be mainly rectangular in order to thereby eliminate the risk of the ring buckling during the mounting operation.
  • the spring ring does not necessarily have to be designed to fit completely or partly in a corresponding groove. Instead, it can quite simply clamp around a cylindrical part of the implant.
  • the ring can maintain a mainly circular configuration in all positions and affect the implant with the same clamping power along the entire periphery.
  • the clamp can advantageously be provided with a sealing ring serving for forming sealing between the implant and the device and advantageously made of an elastomer which for example can be a rubber .
  • the sealing ring forms an elastic bridge across the cross slit of the spring ring so that an effective clamping effect between the spring ring and the implant is also obtained in this area.
  • the clamp can advantageously be used for coupling the implant to e.g. a commercially available ostomy pouch designed with a groove around the ostomy opening for receiving the clamp.
  • the spring ring can be cast together with the sealing ring in a casting process where the sealing ring is made to adhere to at least a part of the spring ring for example the radial inside face of the spring ring.
  • the clamp will take up the least possible room.
  • the arms are easy to manipulate by means of the handles which can be designed with different sizes depending on the actual needs so that e.g. a person having little finger strength can find a rest for his finger tips.
  • the two first integral hinges can be at the inside face of the spring ring and form part of the spring ring on either side of the cross slit. Thereby, the structure becomes compact.
  • each of the jaws can furthermore have a length of between V-, and 2, preferably between x h and Vh- times and especially between % and VA times the radial thickness of the spring ring. These dimensions are such that the spring ring can open sufficiently upon mounting to allow it to be guided in over the implant without difficulty and then clamp securely and firmly around this implant.
  • the arms can be between VA- and 10, preferably between 2 and 7 and especially between 2 and 5 times the length of the jaws.
  • the clamp is given a ration of transmission which advantageously can be used to open a strong and effectively functioning spring ring with even modest finger strength.
  • the clamp according to the invention can be placed inside an ostomy pouch in such a way that the spring ring is fastened along the edge of the ostomy aperture of the pouch.
  • an edge area at the ostomy aperture of the ostomy pouch can be bent in over and fastened along the radial inside face of the spring ring.
  • the edge area will function as the sealing mentioned above upon mounting of the ostomy pouch on the annular implant.
  • Such a fabricated ostomy pouch with integrated clamp is easy and inexpensive to manufacture by means of known techniques. Further, the pouch is simple and quick to mount on and dismount the implant.
  • Fig. 1 is a perspective view of an especially simple embodiment of a clamp according to the invention
  • Fig. 2 is a perspective view of a second embodiment of a clamp according the invention.
  • Fig. 3 is a perspective view of the second embodiment of the invention mounted with a sealing ring and an exploded view of this second embodiment
  • Fig. 4 shows the same view in fig. 3 during mounting on an implant
  • Fig. 5 is a sectional view taken along the line V-V of fig. 4,
  • Fig. 6 is a perspective view of the first embodiment of the clamp mounted inside an ostomy pouch and fastened in the ostomy aperture of this pouch
  • Fig. 7 is a perspective view of a third embodiment with a lock clamp between the free ends of the arms
  • Fig. 8 shows the same view in fig. 7 but with the lock clamp in its unloaded state
  • Fig. 9 is a perspective view of a clamp with a cover
  • Fig. 10 is a sectional view taken along the line X-X of fig.
  • the clamp is described in the following on the assumption that the clamp according to the invention is used for an ostomy pouch on an implant.
  • the clamp can however be used with just as great advantage for many other devices, of which examples are wigs for mounting on a bald pate, tubes for e.g. rinsing of a faeces reservoir of a patient with implant made in connection with a sto a, or in general for tubes which are to be clamped around another part.
  • the simple clamp 1 in fig. 1 is made of a spring ring 2 passing into two projecting arms 4 at a cross slit 3, said arms are partly interconnected by a integral hinge 5, partly connected with the spring ring via integral hinges 6.
  • the arm are designed with jaws 7 and handles 8 serving as rest to fingers when the clamp 1 is to be mounted on an annular implant or taken off this implant.
  • the handle 8 of the clamp 1 is actuated with a pressing force in the direction of the arrows, that is in a direction towards each other, the spring ring 2 is opened to a size that is sufficiently great for the spring ring to be guided in over an implant (not shown) .
  • the clamp 9 in fig. 2 corresponds mainly to the embodiment shown in fig. 1, and like parts are therefore referenced similarly.
  • the only difference is that the handles 10 are designed with a greater contact face to conveniently be able to press the handles together with the fingers.
  • the clamp 9 is seen with a sealing ring 11.
  • the sealing ring has an outer part 12 and an inner part 13.
  • the outer part 12 has a greater outside diameter than the inner part 13, the outside diameter of which corresponds to the inside diameter of the spring ring 1.
  • the inner part 13 is embedded along the inside periphery of the spring ring 1 and spans the cross slit 3.
  • the sealing ring has a circumferential projection 14 serving for engaging with a groove in the implant 15 in fig. 4.
  • the circumferential projection 14 of the inner part therefore has a thickness that mainly corresponds to the height and depth of this groove. This appears more clearly from the cross section of the clamp 9 mounted on the implant 15 in fig. 5.
  • the sealing ring is made of an elastic material, such as rubber, which easily yields to the movement of the spring ring during mounting and dismounting.
  • the sealing ring 11 will advantageously settle as a tight, elastic sealing between the implant and the spring ring.
  • Fig. 5 shows, taken along the line V-V of fig. 4, the clamp 9 with a sealing ring 11, mounted on the coupling part 18 of a commercial ostomy pouch 19.
  • the outer part 12 is designed with a radial thickness and a diameter respectively that are suited for this part to be pressed into the groove 17 on the coupling part 18 of the ostomy pouch 19.
  • Such a commercially available ostomy pouch 19 is marketed by e.g. Coloplast Group A/S, DK- 3050 Humlebaek, Denmark and Dansac A/S, Lille Kongevej , DK-3480 Fredensborg, Denmark.
  • the radial thickness is relatively great.
  • the width of the groove 17 of the coupling part 18 is small, and the outer part 12 is then designed with correspondingly small dimensions .
  • the clamp 9 of fig. 3 with an embedded sealing ring 11 is shown as illustration example mounted on the implant 15 known from the Danish patent application no. DK/PA 2000 00521.
  • the circurmferential projection 14 is received in the groove 16 of the implant 15.
  • the implant 15 is not part of the scope of the present invention and will therefore not be mentioned any further here.
  • the clamp 1 is placed inside an ostomy pouch 20 at the ostomy aperture 21 of this pouch.
  • a part of the pouch material at the opening 21 is bent in over the top of the spring ring 2 and down along its inside face where the pouch material is securely fastened and is serving as an expedient sealing.
  • the ostomy pouch is made of a flexible plastic such as e.g. polyethylene which can resist great tensile stresses without breaking or weakening.
  • Such a material is especially expedient as it can yield to the different shapes of the spring ring when the ring's diameter is increased during mounting and dismounting of the clamp.
  • the arms of the clamp 1 are positioned in such a way that they mainly face upwards when the ostomy pouch is in use. This position makes it easy for the patient to get hold of the handles of the arms.
  • the clamp can alternatively be welded or bonded to the inside of the ostomy pouch along a free outer side and subsequently be provided with a sealing ring of an elastomeric material along the inside periphery. Combinations where the sealing ring is consisting of both pouch material and an extra rubber sealing is also possible within the scope of the invention.
  • Figs. 7 and 8 show a clamp 22 with a bow 23 having a length greater than the largest possible distance between the handles 8 of the arms 4 and furthermore sufficiently great for the bow to press the arms 4 so far apart that the spring ring 2 can be opened sufficiently to be guided down over the implant.
  • Fig. 7 shows the open spring ring 2 with the bow 23 pressed down between the arms in the direction of the arrow.
  • the bow 23 is drawn back in the direction of the arrow whereby the spring ring 2 is placed in the rest position.
  • this embodiment can be mounted inside and be integral with an ostomy pouch and just as the clamps 1 and 9, it can be provided with a sealing ring 12.
  • the clamps 22 are very useful to a person who, due to weak finger strength or reduced sense of touch in the finger tips, has trouble in overcoming the reaction of the spring power of the spring ring when the person is to press the handles 8 together with the fingers upon mounting of the clamp.
  • the clamp 1 is shown in an embodiment where the aperture is covered with a cover 24.
  • a clamp arranged in such a way will give a unique possibility of closing the stoma/the free discharge of the implant into the surroundings and will give the user a new and hitherto unknown freedom of movement to e.g. go in for sports without at the same time being handicapped by a full ostomy pouch.
  • Fig. 10 is a sectional view taken along the line X-X of fig. 9.
  • the clamp is provided with a sealing ring 25 along the inside periphery of the spring ring.
  • the sealing ring is serving for ensuring that the clamp can be clamped optimally on an implant.
  • the sealing ring 25 has a circumferential projection 26.
  • the cover can e.g. be made of a resilient, elastic material, or can alternatively be a lever lid or possibly a screw cap over the opening of the spring ring.

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  • Engineering & Computer Science (AREA)
  • General Engineering & Computer Science (AREA)
  • Health & Medical Sciences (AREA)
  • Mechanical Engineering (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Biomedical Technology (AREA)
  • Epidemiology (AREA)
  • Vascular Medicine (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

L'invention concerne un dispositif de serrage permettant de monter de manière amovible un dispositif (18, 19, 20), par exemple sur un sac (19) de stomie ou un élément (18) de couplage d'un sac (19) de stomie sur un implant (15) de préférence annulaire, par une force de serrage. Le dispositif de serrage comprend deux bras (4) définissant chacun une mâchoire (7) de serrage et une poignée (8, 10), une charnière (5) située entre les mâchoires (7) de serrage et la poignée (8, 10), par exemple une charnière intégrée, et un ressort (2) de serrage servant à serrer les mâchoires (7) l'une par rapport à l'autre. Le ressort (2) de serrage constitue un anneau (2) à ressort présentant une ouverture (3) en croix et permettant de procéder au serrage autour de l'implant (15) à l'état monté par ladite force de serrage. Les mâchoires (7) de serrage sont connectées par pivotement à l'anneau (2) à ressort. Le dispositif de serrage peut être intégré dans un sac de stomie et être placé à l'intérieur du sac. Le dispositif de serrage est facile et peut coûteux à fabriquer et peut être manipulé par une personne possédant une faible force dans les doigts.
PCT/DK2001/000522 2000-07-31 2001-07-31 Dispositif de serrage permettant de proceder au montage d'un dispositif amovible sur un implant de preference annulaire par une force de serrage WO2002009629A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2001279592A AU2001279592A1 (en) 2000-07-31 2001-07-31 A clamp for detachable mounting of a device on a preferably annular implant by means of a clamping force

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DK200001155A DK173652B1 (da) 2000-07-31 2000-07-31 Klemme til med en klemkraft løsbart at montere en indretning på et fortrinsvis ringformet implantat
DKPA200001155 2000-07-31

Publications (2)

Publication Number Publication Date
WO2002009629A1 true WO2002009629A1 (fr) 2002-02-07
WO2002009629A9 WO2002009629A9 (fr) 2002-04-25

Family

ID=8159631

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DK2001/000522 WO2002009629A1 (fr) 2000-07-31 2001-07-31 Dispositif de serrage permettant de proceder au montage d'un dispositif amovible sur un implant de preference annulaire par une force de serrage

Country Status (3)

Country Link
AU (1) AU2001279592A1 (fr)
DK (1) DK173652B1 (fr)
WO (1) WO2002009629A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011039517A1 (fr) 2009-10-01 2011-04-07 Ostomycure As Dispositif de fermeture médical
WO2013004235A1 (fr) * 2011-07-01 2013-01-10 Coloplast A/S Couplage pour un appareil pour stomie
WO2013131523A1 (fr) * 2012-03-06 2013-09-12 Coloplast A/S Bague de verrouillage dotée d'un bras de levier

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003017896A1 (fr) * 2001-08-08 2003-03-06 Biotap A/S Raccord permettant d'assembler deux dispositifs et procede d'utilisation associe

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5322523A (en) * 1989-07-21 1994-06-21 Coloplast A/S Ostomy coupling
US5364379A (en) * 1990-06-08 1994-11-15 Laboratoires Biotrol Stoma equipment
EP0853933A1 (fr) * 1997-01-17 1998-07-22 Bristol-Myers Squibb Company Raccord d'orifice
US5843053A (en) * 1996-08-20 1998-12-01 Bristol-Myers Squibb Company Ostomy coupling

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5322523A (en) * 1989-07-21 1994-06-21 Coloplast A/S Ostomy coupling
US5364379A (en) * 1990-06-08 1994-11-15 Laboratoires Biotrol Stoma equipment
US5843053A (en) * 1996-08-20 1998-12-01 Bristol-Myers Squibb Company Ostomy coupling
EP0853933A1 (fr) * 1997-01-17 1998-07-22 Bristol-Myers Squibb Company Raccord d'orifice

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2011039517A1 (fr) 2009-10-01 2011-04-07 Ostomycure As Dispositif de fermeture médical
US9107764B2 (en) 2009-10-01 2015-08-18 Ostomycure As Medical closure device
WO2013004235A1 (fr) * 2011-07-01 2013-01-10 Coloplast A/S Couplage pour un appareil pour stomie
RU2609062C2 (ru) * 2011-07-01 2017-01-30 Колопласт А/С Соединительное устройство для калоприемника для стомы
US10010443B2 (en) 2011-07-01 2018-07-03 Coloplast A/S Coupling for an ostomy appliance
WO2013131523A1 (fr) * 2012-03-06 2013-09-12 Coloplast A/S Bague de verrouillage dotée d'un bras de levier
CN104168861A (zh) * 2012-03-06 2014-11-26 科洛普拉斯特公司 具有杠杆臂的锁定环
CN104168861B (zh) * 2012-03-06 2016-06-22 科洛普拉斯特公司 具有杠杆臂的锁定环
US10034792B2 (en) 2012-03-06 2018-07-31 Coloplast A/S Locking ring with lever arm

Also Published As

Publication number Publication date
DK200001155A (da) 2001-05-21
AU2001279592A1 (en) 2002-02-13
DK173652B1 (da) 2001-05-21

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