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; Colostomy devices
  • A61F5/445—Colostomy, ileostomy or urethrostomy devices
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
  • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges

Definitions

• Enterostomy bandage This invention relates to an enterostomy bandage.
• the surgeon is forced to expose an artificial of the intestine on the abodomen, a so-called colostomy .when the colon is concerned or an ileostomy when the ileum is concerned.
• a stomy can be the transversely cut-off remaining end of the intestine when, for example, the rectum has been removed by operation because of tumor.
• the intestine opening opens in the abdominal skin. It is. however, necessary to temporarily relieve an intestine section in order to render possible a healing process which is undisturbed by the passing of feces, for example of an operation wound in the rectum opening or at inflammatory intestinal processes.
• a loop mostly of the right-hand portion of the colon transversum is drawn forth to the outside of the abdominal skin and retained there by a supporting rod of varying design which is inserted one decimeter under the loop.
• This supporting rod has the object to prevent the intestinal loop from being retracted into the abdominal cavity, which would result in peritonitis.
• the support usually consists of a round or flat rod of rigid plastic material with or without movable parts.
• the support mostly is sutured to the skin.
• two intestine openings are created, one in the oral and one in the anal direction.
• This condition is defined as double-leg colostomy or "loop-colostomy” .
• Analogous thereto the transversely cut-off and exposed intestine portion is defined as one-leg colostomy. What is said hereinafter applies both to colostomy and ileostomy, but the colostomy conditions have been chosen for exemplifying the invention.
• the present invention eliminates these difficulties in respect of bandaging and double-leg colostomy.
• the present invention thus, relates to a colostomy bandage comprising a skin-protecting plate of an adhesive material suitable to be attached directly to the body, and is characterized in that a stiffening oblong section is integrated with the central portion of the skin-protecting plate, which section is intended to be inserted under and support an intestine loop drawn forth out of the body.
• Fig. 1 shows an example of a conventional colostomy bandage
• Fig. 2 is a section along the line B-B in Fig. 1
• Fig. 3 shows a colostomy bandage according to the invention
• Fig. 4 is a section along the line C-C in Fig. 3
• Fig. 5 is a section along the line A-A in Fig. 3
• Fig. 6 is a perspective view of a colostomy bandage according to the invention.
• FIG. 1 an example of a conventional colostomy bandage is shown and, there-fore, "PRIOR ART" is indicated in the Figure.
• Such a colostomy bandage comprises a skin-protective plate 1, for example of a material marketed under the registered trade name STOMAHESIVE by Squibb Surgicare Ltd. Also other materials, however, may exist. These materials have in common good adherence to the body. Above the skin-protective plate a plastic film is provided, on which a colostomy bag (not shown) can be pasted. In Fig. 1 a plastic ring 2 is shown for connecting a bag.
• FIG. 1 two intestine openings 3,4 are shown which have been drawn forth and sutured as described above.
• a supporting rod 5, which comprises a foldable cross-bar 6, has been inserted under the intestine loop 3.4 and abuts the body 10 about the operation wound 7.
• the skin-protective plate 1 at the beginning is unbroken.
• a hole 8 corresponding to the intestine loop is cut in the skinprotective plate 1 whereafter the plate is attached directly on the body 10.
• the skin-protective plate either covers the supporting rod 5. or the skin-protective plate is applied under the supporting rod as shown in Fig. 1.
• Fig. 2 a section along the line B-B is shown, from which appears that a space 9 is formed to the sides of the supporting rod 5. Feces from the intestine opening 3,4 flow into this space, for example as indicated by the arrow 27 , and thus into the operation wound.
• the afore-described method belongs to prior art.
• the present invention more precisely, has the object to eliminate both the problem that feces penetrate into the operation wound, and a problem implying that feces also penetrate under the skin-protective plate at its connection to the supporting rod, especially when the skin-protective plate is located over the supporting rod. This latter problem causes the skin-protective plate to partially loosen, so that feces can leak out outside the bandage, which gives rise to sore skin and pains.
• the stomy bandage comprises a skin-protective plate of an expedient materual, for example STOMAHESIVE, which plate has substantially the same size and thickness as the conventional plates.
• the skin-protective plate 11 further comprises a stiffened section 12, which is stiffened in that a stiffening oblong bar 13 is attached in, or rigidly mounted on the surface of the skin-protective plate (shown by dash-dotted lines in Fig. 3).
• the bar 13 has such a thickness and is so attached in or at the skin-protective plate 11 that its thickness at said section only slightly exceeds or substantially is equal to the thickness of the remaining skin-protective plate.
• the invention thus, briefly implies to integrate a stiffening bar 13 or corresponding member in the skin-protective plate 11.
• the skin-protective plate is perforated along two lines 14,15 extending from one edge 16 of the skin-protective plate 11 past and on both sides of the bar 13.
• the skin- protective plate 11 is provided with two semicircular perforations 17,18 in the place for the stiffened section 12, which perforations have an area corresponding to the size of the intestine loop 3,4 on both sides of said section.
• STOMAHESIVE contains gelatine, pectin, sodium carboxymethyl cellulose and polyisobutylene.
• the bar 13 consists of an elastic, but stiff material, and preferably the bar is a plastic bar, but it can be manufactured of any suitable material.
• the bar preferably has a length of 50-100 mm and a width of 2-7 mm.
• the bar 13 preferably is provided with a hole 27 to be utilized for facilitating bandage exchange.
• the colostomy bandage is cut open prior to its application.
• the colostomy bandage can be provided with marking lines, along which the cutting is to be made.
• a collecting bag (not shown) can be attached directly.

Landscapes

• Health & Medical Sciences (AREA)
• Life Sciences & Earth Sciences (AREA)
• Veterinary Medicine (AREA)
• Public Health (AREA)
• General Health & Medical Sciences (AREA)
• Surgery (AREA)
• Engineering & Computer Science (AREA)
• Biomedical Technology (AREA)
• Heart & Thoracic Surgery (AREA)
• Animal Behavior & Ethology (AREA)
• Molecular Biology (AREA)
• Medical Informatics (AREA)
• Pathology (AREA)
• Oral & Maxillofacial Surgery (AREA)
• Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
• Epidemiology (AREA)
• Nursing (AREA)
• Orthopedic Medicine & Surgery (AREA)
• Vascular Medicine (AREA)
• Orthopedics, Nursing, And Contraception (AREA)
• Prostheses (AREA)

Applications Claiming Priority (2)

Publications (1)

Family

ID=20347967

Family Applications (1)

Country Status (4)

Families Citing this family (2)

Family Cites Families (2)

• 1982
  • 1982-09-23 SE SE8205451A patent/SE433168B/sv unknown
• 1983
  • 1983-09-21 EP EP83903018A patent/EP0120885A1/en not_active Ceased
  • 1983-09-21 WO PCT/SE1983/000332 patent/WO1984001103A1/en not_active Ceased
• 1984
  • 1984-05-22 DK DK2516/84A patent/DK251684D0/da not_active Application Discontinuation

Non-Patent Citations (1)

Also Published As

Similar Documents

Legal Events