WO2003032878A1 - Accessoire pour stomie - Google Patents

Accessoire pour stomie Download PDF

Info

Publication number
WO2003032878A1
WO2003032878A1 PCT/DK2002/000691 DK0200691W WO03032878A1 WO 2003032878 A1 WO2003032878 A1 WO 2003032878A1 DK 0200691 W DK0200691 W DK 0200691W WO 03032878 A1 WO03032878 A1 WO 03032878A1
Authority
WO
WIPO (PCT)
Prior art keywords
ostomy
bag
appliance
leg
opening
Prior art date
Application number
PCT/DK2002/000691
Other languages
English (en)
Inventor
Hans Olsen
Per BILLESBØLLE
Original Assignee
Coloplast As
Hans Olsen
Billesboelle Per
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 Coloplast As, Hans Olsen, Billesboelle Per filed Critical Coloplast As
Publication of WO2003032878A1 publication Critical patent/WO2003032878A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS 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
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices; Anti-rape devices
    • A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Portable urination aids; Colostomy devices
    • A61F5/445—Colostomy, ileostomy or urethrostomy devices

Definitions

  • the present invention relates to an ostomy appliance and to a method for more efficiently utilising oral nutrition in patients having an ostomy.
  • a consequence is, in many cases, that the patient is left with an ostomy such as a colostomy, an ileostomy or an urostomy in the abdominal wall for the discharge of the effluents or waste products of the body, which are conveyed through the colon, the ileum or the ureter.
  • the discharge of visceral contents including intestinal gases cannot be regulated at will, and for that purpose the opening may be closed with a closure means, e.g. a tampon or a magnetic closure, or the patient will have to rely on an appliance to collect the material emerging from such opening in the form of a receiving bag which is later emptied and/or discarded at suitable times.
  • Ostomy appliances are well known. Such appliances may be two-piece or one-piece appliances. In both types of appliances, an adhesive wafer is attached to the wearer's skin. In case of a one-piece appliance, a receiving member or bag is attached to the adhesive wafer. In case of a two-piece appliance, the adhesive wafer forms part of a body side member and a receiving bag is attached releasably to the body side ostomy member for receiving exudates from the stoma.
  • the whole appliance including the adhesive skin barrier securing the appliance to the skin is normally removed and replaced by a fresh appliance.
  • the body side member is left in place up to several days, and only the receiving bag attached to the body side member is replaced.
  • a permanent ostomy is made, and the downstream part of the intestines is removed, but where the prognosis are in favour, a temporary ostomy is made and the downstream part is kept intact.
  • loop-ostomies are made, with an afferent leg carrying visceral content to the ostomy and an efferent leg leading into the downstream part of the intestines from the site of the ostomy, in the same place on the abdominal wall, and thus- the visceral content's normal flow is interrupted at this point - often corresponding to the small intestine - but with further anal continuity via the efferent leg of the ostomy.
  • a double-ostomy is made which is analogue to the loop-ostomy, but the two parts of the intestine end in stomas placed on the abdominal wall separated with a distance between them.
  • Group A These patients are very sick hospitalised patients, often admitted to intensive care units. The patients often suffers from multiple diseases, wound infections etc.
  • the alternative is parenteral nutrition which is expensive, not entirely safe and definitely inappropriate from a nutrition point of view.
  • Certain patients have recurring liquid and electrolyte balance problems and some can only be re-operated after months or maybe after a year. These patients are hospitalised repeatedly for restoring the liquid and electrolyte balance and in some cases also for nutritional reasons. Some have persistent high-output ostomies and will have to stay hospitalised all of the time, because the case cannot be handled by the patient alone at home or ambulantly. Some even have other diseases of medical, surgical or rehabilitation like character which also render them bound to hospital and which emphasises the need for enteral full nutrition and not parenteral nutrition.
  • WO 94/0113 discloses an enterostomy bandage comprising a skin-protective plate of an adhesive material suitable to be attached directly against the body, said bandage having a stiffening oblong section integrated with the central portion of the skin-protective plate, which section is intended to be inserted under and support an intestine loop drawn from the body. A collecting bag may be attached to the plate. No bandages exist providing a solution to the above-mentioned problems.
  • the present invention relates to an ostomy appliance which appliance comprises a front wall and a rear wall of flexible material forming a bag and an adhesive wafer for adhering to the user's skin, said rear wall and wafer having aligned first openings for accommodating the efferent leg of an ostomy through which opening waste material can enter the bag.
  • the invention furthermore relates to a method for more efficiently utilising oral nutrition in patients having a loop ostomy or a double ostomy.
  • FIG. 1 shows an embodiment of an ostomy appliance of the invention for dress- ing a loop-ostomy seen from the side facing away from the user
  • Fig. 2 shows a sectional view of the embodiment shown in Fig. 1 along the line
  • Fig. 3 shows another embodiment of an ostomy appliance of the invention for dressing a double ostomy seen from the side facing away from the user
  • Fig. 4 shows a third embodiment of an ostomy appliance of the invention for dressing a loop-ostomy seen from the side facing away from the user
  • Fig. 5 shows a fourth embodiment of an ostomy appliance of the invention for dressing a double ostomy seen from the side facing away from the user.
  • the present invention relates to an ostomy appliance for dressing a loop ostomy or a double ostomy which appliance comprises a front wall and a rear wall of flexible material forming a bag and an adhesive wafer for adhering to the user's skin, said rear wall and wafer having aligned first openings for accommodating the afferent leg of an ostomy through which opening waste material can enter the bag wherein the rear wall further comprises a second opening for alignment with the efferent leg of the ostomy.
  • the invention provides an ostomy bag system which makes it simple to collect the visceral content reaching the ostomy and to guide it into in the efferent leg of the ostomy.
  • the ostomy bag of the invention provides a system being simple to operate for collecting the visceral contents reaching the site of the ostomy and dispensing the same into the remaining downstream part of the intestine allowing the normal utilisation of nutrition in the gastrointestinal system. This will speed up the reversion to a normal situation as the nutrition conditions may be normalised at an early stage after surgery. Such treatment will (other things being equal) increase the quality of the treatment of the patient considerably - especially for the weakest patients.
  • the quality of life is improved, the recovery time is reduced and recovery or normalisation of the intestinal functions is positively influenced.
  • a catheter tube is provided for insertion in the efferent leg of the ostomy as this may prevent this opening from collapsing and blocking the entrance to the downstream part of the intestine.
  • the outlet opening is situated above the inlet opening when the patient is in an upright position as this placing of the stoma openings renders it more likely to avoid direct contact with the incoming material entering the ostomy appliance through the lower ostomy most of the time.
  • a system as described above is suitably utilised when the efferent leg of the ostomy has become re-accostumed to receive nourishment, and the necessary pressure for transferring the nourishment is reduced to a near normal level so that the transfer normally will take place without external assisting pressure.
  • the volume inside the appliance is preferably kept as small as possible.
  • materials having progressive elastic properties may be used or a further relatively un-elastic wall corresponding to the maximum defined volume may be provided limiting the expansion of the bag.
  • the bag is divided internally into two parts by a non-return valve.
  • a non-return valve will prevent back-flow of material, which has entered into the application, into the afferent leg of the ostomy.
  • Such extra pressure may easily be established by applying a manual pressure onto the bag on the downstream side of the non-return valve, the non-return valve then preventing the contents from running back into the part of the bag containing the inlet opening.
  • the nourishment is collected from the afferent or inlet leg of intestine, passing through a non-return valve into a second chamber from which the contents via a conduit is led up through the ostomy area of the bag and via a catheter into the efferent leg of the ostomy for continued passage downstream from the site of the ostomy.
  • the transport of the nourishment may be effected by pressing on the chamber, advantageously with a "milking movement" until the chamber is empty.
  • the non-return valve ensures that no extra pressure influences the ostomy area, and that the adhesive is not stressed which might cause a leakage.
  • the appliance having front and rear walls forming the bag comprises a second adhesive wafer for adhering to the user's skin, wherein the inlet opening is situated in the first adhesive wafer, and the outlet opening is situated in the second adhesive wafer.
  • Such appliances are very suitable for dressing double ostomies and ensure an easy collecting of the visceral content reaching the ostomy and guiding the same into in the efferent leg of the ostomy .
  • the ostomy appliance of the invention for dressing a double ostomy the bag is divided internally into two parts by a non-return valve as discussed above in connection with loop ostomies.
  • the receiving bag itself comprising front and rear walls sealed together along the rim and provided with an inlet opening may be made in analogy with and from materials conventionally used for the preparation of ostomy appliances.
  • Such materials are suitably films composed of any suitable material which is heat sealable and sufficiently impervious for unpleasant odours such as polyolefin films or combinations of such films, e.g. polyethylene or a coextrudate of polyeth- ylene and polyvinylidene chloride.
  • An adhesive wafer for an ostomy appliance of the invention may be made from a medical grade barrier adhesives known in the such as the formulation being disclosed, for example in US Patents Nos. 4,367,732, 5,051,259 or 5,714,225.
  • the adhesive plate or plates has (have) an outer rim provided with an adhesive differing from the adhesive in the central part of the adhesive wafer(s).
  • the adhesive wafer may comprise an outer portion separated from an inner portion by a circular zone which is suitably bridged by a rear wall part of the appliance. Such an interruption of the adhesive wafer will increase the flexibility and reduce the risk of a peeling of the wafer from the skin from the central area to the periphery or vice versa.
  • the invention in a further aspect relates to a method for more efficiently utilising oral nutrition in patients having a loop ostomy which method comprises dressing the ostomy with an ostomy appliance comprising a front wall and a rear wall of flexible material forming a bag and an adhesive wafer for adhering to the user's skin, said wafer having a hole for accommodating a stoma, the rear wall having an aligned inlet opening into the bag by which waste material can enter the bag and for alignment with the efferent leg of the ostomy and passively or actively transporting the visceral contents entering the bag into the second part of the loop or double ostomy into the efferent leg of the ostomy.
  • This method is especially simple and efficient when carried out using an ostomy appliance of the invention.
  • the invention further relates to a method for more efficiently utilising oral nutrition in patients having a double ostomy which method comprises dressing the ostomy with an ostomy appliance comprising a front wall and a rear wall of flexible material forming a bag and a first adhesive wafer for adhering to the user's skin, said wafer having a hole for accommodating a stoma, the rear wall having an aligned inlet opening into the bag by which waste material can enter the bag wherein the rear wall further comprises another opening aligned with an opening in a second adhesive wafer for alignment with the efferent leg of the ostomy for carrying away visceral content downstream from the site of the ostomy and passively or actively transporting the visceral contents entering the bag into the second part of the double ostomy into the efferent leg of the ostomy for carrying away visceral content downstream from the site of the ostomy.
  • This method is also especially simple and efficient when carried out using an ostomy appliance of the invention.
  • a catheter tube is provided for insertion in the efferent leg of the ostomy as this may prevent this opening from collapsing and blocking the entrance to the downstream part of the intestine.
  • Figs. 1 and 2 being a sectional view of the embodi- ment of Fig. 1 along the line B-B showing an ostomy appliance generally designated 1 for dressing a loop ostomy which appliance comprises a front wall 2 of a flexible material forming a bag together with a rear wall and an adhesive wafer 3 for adhering to the user's skin, said wafer having a first opening part 4 for accommodating a stoma 5 through which opening waste material can enter the bag wherein the rear wall further comprises second opening part 6 for alignment with the efferent leg of the ostomy.
  • This embodiment comprises a catheter tube 7 for insertion in the efferent leg of the ostomy and the catheter tube is provided with a flange 8 preventing the catheter tube from disappearing into the efferent leg of the ostomy.
  • Fig. 3 shows another embodiment of an ostomy appliance of the invention for dressing a double ostomy and comprising a first 3 and a second adhesive wafer 9 for adhering to the user's skin, wherein the inlet opening 4 for accommodating a stoma 5 is situated in the first adhesive wafer, and the outlet opening 6 is situated in the second adhesive wafer 9, and the first and second wafers being connected with common front 2 and rear walls forming the bag.
  • the outlet opening is provided with a a catheter tube provided with a flange 8 for insertion in the efferent leg of the ostomy.
  • Fig. 4 shows a third embodiment generally designated 10 of an ostomy appliance of the invention comprising one adhesive wafer and a non-return valve for dressing a loop-ostomy which appliance comprises a front wall 2 and a rear wall of a flexible material forming a bag, said bag comprising an adhesive wafer 3 for adhering to the user's skin, said rear wall and wafer having an opening 11 for accommodating a stoma through which opening waste material can enter the bag wherein the bag comprises second opening part 12 for alignment with the efferent leg of the ostomy, said second opening part being separated from the first opening part by the walls of the appliance and a catheter tube 7 for insertion in the efferent leg of the ostomy, which catheter tube is provided with a flange part 8.
  • the appliance is divided into an upper part 13 and a lower part 14 by a non-return valve 15.
  • a conduit 16 leads from the lower part 15 through the wall of the bag to the ostomy area, and via the catheter tube 7 into the efferent leg of the ostomy.
  • This embodiment further comprises a sealable outlet 17 allowing draining of a part of or all the material entering the appliance or for withdrawing samples for analysis or for introducing of nourishment to be absorbed in the downstream part of the intestine or medicaments for local or systemic treatment or other ingredients for treating or cleaning the downstream part of the intestine.
  • FIG. 5 shows a fourth embodiment 20 of an ostomy appliance of the invention comprising two adhesive wafers and a non-return valve for dressing a double ostomy
  • an ostomy appliance of the invention comprising two adhesive wafers and a non-return valve for dressing a double ostomy
  • said appliance comprises a front wall 2 and a rear wall of a flexible material forming a bag, said bag comprising an adhesive wafer 3 for adhering to the user's skin, said rear wall and wafer having a first opening 4 for accommodating a stoma through which opening waste material can enter the bag.
  • the appliance is divided into an upper part 13 and a lower part 14 by a non-return valve 15.
  • a conduit 16 leads from the lower part 14 to a second adhesive wafer 9 for adhering to the user's skin, wherein and an outlet opening 6 is situated in the second adhesive wafer, which is provided with a catheter tube 7 for insertion into the efferent leg of the ostomy , which catheter tube is provided with a flange part 8.
  • This embodiment also comprises a sealable outlet 17 allowing draining of a part of or all the material entering the appliance or for withdrawing samples for analysis or for introducing of nourishment to be absorbed in the downstream part of the intestine or medicaments for local or systemic treatment or other ingredients for treating or cleaning the downstream part of the intestine.
  • a sealable outlet may be any suitable outlet known per se that may be opened and reclosed such as a plug or bung fitting in a hole and which suitably is secured to the appliance by e.g. a strap preventing separation from the appliance.

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  • Health & Medical Sciences (AREA)
  • Epidemiology (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (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 se rapporte à un accessoire pour stomie à boucle ou une stomie double. Ledit accessoire comprend une paroi avant et une paroi arrière constituée d'un matériau souple formant une poche ou une plaquette adhésive s'adhérant à la peau du patient. Ladite paroi arrière et ladite plaquette présentent une première ouverture permettant d'adapter une jambe afférente de la stomie, afin que les refus puissent passer à travers ladite ouverture. La paroi arrière comprend en outre une seconde ouverture s'alignant avec la jambe efférente de la stomie afin d'extraire le contenu viscéral en aval à partir du site de la stomie au moyen d'un système facile à mettre en oeuvre. Ledit système permet de collecter le contenu viscéral atteignant le site de la stomie et de le distribuer dans la partie en aval restante de l'intestin, ce qui permet l'utilisation normale de la nutrition dans le système gastro-intestinal.
PCT/DK2002/000691 2001-10-15 2002-10-14 Accessoire pour stomie WO2003032878A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DK200101517A DK200101517A (da) 2001-10-15 2001-10-15 En stomiindretning
DKPA200101517 2001-10-15

Publications (1)

Publication Number Publication Date
WO2003032878A1 true WO2003032878A1 (fr) 2003-04-24

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/DK2002/000691 WO2003032878A1 (fr) 2001-10-15 2002-10-14 Accessoire pour stomie

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WO (1) WO2003032878A1 (fr)

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016166466A1 (fr) * 2015-04-14 2016-10-20 Centre Hospitalier Regional Universitaire De Lille Connecteur passif entre deux stomies rapprochées
WO2019171335A1 (fr) * 2018-03-08 2019-09-12 Sds Push Limited Dispositifs destinés à être utilisés avec des orifices créés chirurgicalement
TWI684437B (zh) 2018-07-27 2020-02-11 盧建璋 人工造口裝置
TWI688380B (zh) 2019-03-13 2020-03-21 張乙馨 一體式人工造口裝置
US11045347B2 (en) 2019-03-04 2021-06-29 Kaohsiung Chang Gung Memorial Hospital Artificial stoma device

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3672370A (en) * 1970-03-20 1972-06-27 Arthur E Marsan Colostomy irrigator
US4367732A (en) 1980-12-05 1983-01-11 Coloplast A/S Skin barrier
WO1984001103A1 (fr) 1982-09-23 1984-03-29 Tesi Ab Bandage d'enterostomie
US5051259A (en) 1987-12-15 1991-09-24 Coloplast A/S Skin barrier product with discontinuous adhesive layer
EP0800804A1 (fr) * 1996-04-10 1997-10-15 Bristol-Myers Company Fabrication d'appareils d'ostomie personnalisés
US5714225A (en) 1993-01-15 1998-02-03 Coloplast A/S Skin plate product
EP0888760A1 (fr) * 1997-07-04 1999-01-07 Coloplast A/S Dispositif d'ostomie

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3672370A (en) * 1970-03-20 1972-06-27 Arthur E Marsan Colostomy irrigator
US4367732A (en) 1980-12-05 1983-01-11 Coloplast A/S Skin barrier
WO1984001103A1 (fr) 1982-09-23 1984-03-29 Tesi Ab Bandage d'enterostomie
US5051259A (en) 1987-12-15 1991-09-24 Coloplast A/S Skin barrier product with discontinuous adhesive layer
US5714225A (en) 1993-01-15 1998-02-03 Coloplast A/S Skin plate product
EP0800804A1 (fr) * 1996-04-10 1997-10-15 Bristol-Myers Company Fabrication d'appareils d'ostomie personnalisés
EP0888760A1 (fr) * 1997-07-04 1999-01-07 Coloplast A/S Dispositif d'ostomie

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2016166466A1 (fr) * 2015-04-14 2016-10-20 Centre Hospitalier Regional Universitaire De Lille Connecteur passif entre deux stomies rapprochées
FR3034984A1 (fr) * 2015-04-14 2016-10-21 Centre Hospitalier Regional Univ Lille Connecteur passif entre deux stomies rapprochees
WO2019171335A1 (fr) * 2018-03-08 2019-09-12 Sds Push Limited Dispositifs destinés à être utilisés avec des orifices créés chirurgicalement
CN111818885A (zh) * 2018-03-08 2020-10-23 英赛兹有限公司 用于与以手术方式形成的腔道一起使用的装置
TWI684437B (zh) 2018-07-27 2020-02-11 盧建璋 人工造口裝置
US11045347B2 (en) 2019-03-04 2021-06-29 Kaohsiung Chang Gung Memorial Hospital Artificial stoma device
TWI688380B (zh) 2019-03-13 2020-03-21 張乙馨 一體式人工造口裝置

Also Published As

Publication number Publication date
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