EP1890741A2 - Dispositif permettant d'effectuer une hydrotherapie du gros intestin - Google Patents

Dispositif permettant d'effectuer une hydrotherapie du gros intestin

Info

Publication number
EP1890741A2
EP1890741A2 EP06721943A EP06721943A EP1890741A2 EP 1890741 A2 EP1890741 A2 EP 1890741A2 EP 06721943 A EP06721943 A EP 06721943A EP 06721943 A EP06721943 A EP 06721943A EP 1890741 A2 EP1890741 A2 EP 1890741A2
Authority
EP
European Patent Office
Prior art keywords
liquid container
valve
tube
check valve
liquid
Prior art date
Legal status (The legal status 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 status listed.)
Withdrawn
Application number
EP06721943A
Other languages
German (de)
English (en)
Inventor
Christian Tschannen
Mattias Tschannen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
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
Priority claimed from CH00678/06A external-priority patent/CH702495B1/de
Application filed by Individual filed Critical Individual
Publication of EP1890741A2 publication Critical patent/EP1890741A2/fr
Withdrawn legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0233—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
    • A61M3/0254—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped
    • A61M3/0262—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped manually, e.g. by squeezing a bulb
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0233—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
    • A61M3/0245—Containers therefor, e.g. with heating means or with storage means for cannula

Definitions

  • the invention relates to a device for carrying out an intestinal lavage according to the preamble of patent claim 1 and a gut tube for use with such a device according to the preamble of patent claim 8.
  • Constipation or stool constipation is a very common health problem of the population of industrial nations. 20-30% of people over the age of 60 and 50% of those in need of care are affected, ie a total of about 10% of the total population. Despite its widespread use, constipation is a taboo affair and sufferers are reluctant to seek help from healthcare professionals. In addition, the treatment of constipation is difficult. Laxatives often do not work or the effect begins with a time delay of sometimes several days. In addition, laxatives can cause significant physical side effects.
  • An age-old method of eliminating constipation is to perform a bowel run, i. the introduction of liquid, preferably water, into the rectum. At the inlet, the introduced liquid contributes to the liquefaction of the stool.
  • the intestine also experiences a stretch. This leads via a reflex arc to increased transport movements (intestinal peristalsis) and finally to controlled defecation.
  • Flatulence ie increased gas volume in the intestinal tract, causes feelings of fullness and increased wind emission.
  • an inlet gas-forming bacteria can be removed from the large intestine.
  • the goal of the inlet is to empty and cleanse the bowel through regular flushing.
  • Intestinal enemas are also used for the preparation of diagnostic and therapeutic measures in the anal area, for example, before surgery or examinations of the rectum.
  • the inflow fluid is administered by means of a foil bag (also called an irrigator), which is suspended in an elevated manner relative to the patient, via a correspondingly long tube. Due to the increased position of the irrigator a gradient and thus a hydrostatic pressure is generated, through which the fluid can flow into the rectum.
  • the pressure and thus the inlet velocity is very low and can not be influenced by the patient.
  • the system is very prone to failure.
  • the inflow of the fluid is often hampered by the blockage in the rectum itself or due to kinking of the feeding tube. Personal handing is not possible for many patients. They depend on an assistant.
  • the purity of the device, especially the preferably used rubber hose is difficult.
  • the product Rectobag ® from B. Braun consists of a transparent inlet bag for 2000 ml, 2 tube clamps, a Y-piece with funnel attachment and firmly mounted intestinal tube with a 50 ml balloon and a 50/60 ml syringe to block the balloon.
  • the inlet bag has a large closable filling opening and it is usually suspended. An enema with this device can be performed only by a caregiver. Self-application is not possible.
  • An object of the present invention is to provide a device for performing an intestinal lavage available, which can be applied by the patient independently and easily, meets the highest standards of hygiene and is largely recyclable.
  • this object is achieved by a device for carrying out an intestinal lavage with the features of independent claim 1 and a intestinal tube.
  • the device according to the invention combines an elastic, manually deformable liquid container with a gut tube, it being an essential feature of the invention that the device comprises a check valve which protects the liquid container against a return of contaminated liquid and thus its contamination in each Operation phase safely prevented.
  • liquid pumped by manual pressure on the liquid container in the rectum The patient sits to the best on the toilet and can do so independently and easily rectal irrigation.
  • a check valve By means of a check valve, the return of contaminated with stool particles rinsing liquid is prevented, and at the same time a continuous pumping mechanism is made possible by a valve-controlled ventilation of the liquid container.
  • the combination of liquid container and valves results in a mechanical pump, with the help of which liquid can be transported.
  • the pump works by manually deforming the liquid container by applying force from the user. But it can also be gravity driven, the valve combination makes the deformation of the container just avoidable in this mode.
  • the present invention advantageously allows the amount of fluid and the timing of the enema to be controlled by the patient himself according to his subjective feelings. Since contamination of the liquid container and other parts of the device, which are arranged with respect to the flow direction at the inlet upstream of the check valve is prevented, these components of the device can be used several times without having to clean them.
  • Another advantage of the device according to the invention is that it can also be operated by a second person.
  • FIG. 1 shows a longitudinal section through a device according to a first embodiment in the assembled state with integrated in the container vent valve.
  • Fig. 2a is a side view of a device in an embodiment according to Figure 1;
  • FIG. 2b shows a highly schematic longitudinal section through a device according to FIG. 2a;
  • FIG. 3a shows a side view of a device in a further embodiment with external vent valve
  • FIG. 3b shows a highly schematic longitudinal section through a device according to FIG. 3a in the region of a T-piece
  • FIG. 4a is a side view of a ventilation valve according to a preferred embodiment
  • FIG. 4b shows a longitudinal section through a ventilating valve rotated according to FIG. 4a installed in a container wall
  • FIG. 5a shows a side view of a further embodiment of the device according to the invention in the position of use
  • 5b shows a side view of a further embodiment of the device according to the invention in the position of use
  • 5c shows a side view of a further embodiment of the device according to the invention in the position of use
  • 5d shows a side view of a further embodiment of the device according to the invention in the position of use
  • FIG. 6a shows a side view of a further embodiment of the device according to the invention in the position of use
  • FIG. 6b is a longitudinal section through a bottle bottom of a device according to Figure 6a with inserted check valve.
  • Fig. 7 is a side view of a gut tube according to a preferred embodiment of the invention.
  • 8a is a side view of a gut tube according to another preferred embodiment of the invention
  • 8b shows a longitudinal section through a gut tube according to FIG. 8a in the region of the funnel with a valve according to a first embodiment
  • FIG. 8a is a side view of a gut tube according to another preferred embodiment of the invention
  • 8b shows a longitudinal section through a gut tube according to FIG. 8a in the region of the funnel with a valve according to a first embodiment
  • FIG. 8c shows a longitudinal section through a gut tube according to FIG. 8a in the region of the funnel with a valve according to a further embodiment, wherein the tube body has been omitted.
  • a manually deformable liquid container 10 with an upper-side closure preferably in the form of a cap 1 1 with central outflow nozzle 12, has a suction or Ventilventii 2 in a lower region.
  • an extension tube 3 is detachably fastened attached to the front end of a connector 4 with a check valve 40 attached, preferably releasably tightly inserted by clamping, or glued or welded, is.
  • the connector 4 with check valve 40 has at the free end a male coupling piece, preferably a Aufstecktülle 41, on which a gut tube 5 is detachably fastened.
  • the closure of the liquid container 10 is opened and this filled by a large filling opening 13 easily and conveniently with rinsing liquid.
  • the cap 1 preferably a screw cap is then screwed sealingly on a corresponding thread on a container neck.
  • a user becomes the front closed and blunt intestinal tube, which in the distal end region at least one, preferably laterally in the tubular body 51st arranged, outlet opening 52 has to introduce into the intestine.
  • This can be done easily and in a private atmosphere by the user in a sitting position on the toilet.
  • the liquid container 10 is turned over and brought into an operating position, as shown in Figure 2 (without user). In this position, the rinsing liquid alone flows gravity-driven out of the two outlet openings 52, also called eyes, since the ventilation valve 2 allows a subsequent flow of air into the container 10.
  • vent valve 2 in the vicinity of the container bottom has the advantage that the incoming air does not rise by the rinsing liquid upwards and is thereby avoided that creates an undesirable bubbling noise.
  • the user will increase the fluid pressure to the desired level by applying slight pressure to the flexible container 10.
  • the user always has the opportunity to regulate the fluid pressure virtually without delay by increasing or reducing the manual pressure on the container.
  • the direct sensory control in combination with the direct manual manipulation ensures a high degree of user comfort.
  • the at least one ventilation valve is in preferred embodiments of the invention, a beak valve, which in turn is preferably inserted sealingly in a corresponding receiving opening in the container wall 14 or the container bottom 1 5.
  • a beak valve which in turn is preferably inserted sealingly in a corresponding receiving opening in the container wall 14 or the container bottom 1 5.
  • FIG. 4a such a per se known beak valve is shown in a side view and in FIG. 4b it is shown rotated by 90 ° in a longitudinal section when installed with the surrounding portions of the container wall.
  • the embodiment of Figure 4b combines the function of the vent valve with the function of a pressure relief valve.
  • one or more vents 16 are arranged in the wall region, which is covered by an outer circumferential sealing lip 22 of the beak valve 21, one or more vents 16 are arranged.
  • RECTIFIED SHEET (RULE 91) ISA / EP constantly exclude. If the pressure applied manually from the outside is no longer maintained, then the elastic container attempts to return to its original shape, producing a negative pressure in the interior.
  • the beak valve 21 allows without much resistance an air inflow E in the container interior, so that the container has taken within a few seconds its original shape and is available for a further pumping cycle.
  • the containers according to a preferred embodiment are made with a wall thickness of 1.4 mm at a volume of 750 ml and a weight of 50 to 60 grams per bottle.
  • the container is made in one piece with the at least one vent valve, wherein the vent valve may be integrated in the bottom or in the side wall.
  • a device is according to a further preferred embodiment Darge ⁇ , wherein the vent valve 2 immediately downstream 'in one, the Aufstecktülle, T-piece 42 is disposed.
  • the valve 2 'sits in a horizontal portion of the tee 42, so that the flow of the rinsing liquid is virtually unaffected by the vertical leg of the tee.
  • Both variants ensure that only rinsing fluid and no air is introduced into the intestine during use, even with repeated pumping. Both embodiments can be used several times because the check valve prevents the backflow of contaminated liquid prevented. It should be mentioned that both methods work by sole holding up (gravity).
  • the patient himself can control the volume of liquid introduced into the rectum. This is important because the sensation of the inflowing fluid is individually different.
  • vent valve is placed upstream of the check valve.
  • the air supply via the vent valve allows the flexible container after compression to return to its original shape, and at the same time is prevented by the check valve that any contaminated flushing liquid is sucked back into the container.
  • the devices according to Figures 2a and 3a are shown in longitudinal section, of the device according to Figure 2a in the sectional view 2b, the extension tube 3 only partially and in the representation 3b, the device only partially in the region of the pipe section are.
  • the intestinal tube 5 includes a proximal se hopper 53 or Funnel Connector made of a suitable elastomeric material of suitable GroES ⁇ , by means of which it can be attached removably and tight manner by simple fitting onto the spout 41st
  • FIGS. 5a, 5b, 5c and 5d show how the valve positions can be varied by means of a series of devices according to the invention.
  • FIG. 6 shows a further embodiment of the device according to the invention, in which a ventilation valve 6 is arranged sunk in the container bottom 15 '.
  • the container can be parked without problems on the floor 15'.
  • the vent valve is again very quickly above the Spülfiüsstechnik and communicates directly with the air space in the container so that it does not come to bleeding undesirable bubbling.
  • the valve 6 is a combined venting and pressure relief valve, this positioning again minimizes the risk that, if the liquid container is compressed too much, flushing fluid will escape from the pressure relief valve.
  • the device according to the invention When used in the clinical area (doctor's office, hospital, nursing home, etc.), the device according to the invention, in particular the extension tube with the check valve, if necessary, is washed in the bedpan washer and / or placed in disinfectant solutions.
  • the intestinal tube and check valve should be replaced in the clinical setting after each application.
  • the life of the container (including closure and vent valve) in the clinical area is about one year.
  • a variety of washes at 90 0 C are performed, which makes the device according to the present invention in comparison to the previously commercially available disposable Irrigatorsystemen extremely favorable.
  • the personal use of the device is recommended for hygienic reasons.
  • the intestinal tube must be thoroughly cleaned with soap and water from stool particles and rinsed.
  • Intestinal tubes should be replaced after a few applications. It is beneficial to use water-soluble lubricants, as the treated with lubricants intestinal tubes can be cleaned better after use.
  • the check valve may come into contact with stool particles during use, it should occasionally be replaced.
  • the check valve is releasably attached to the extension tube.
  • the check valve is not arranged in the extension tube, but directly in the intestinal tube.
  • This type of new intestinal tube is preferably designed as a disposable product so that any potentially contaminated components of the device are disposed of after use. The amount of waste incurred is kept to a minimum, so that the costs per treatment remain as low as possible.
  • the device without a gut tube can also be used as an anal or vaginal douche.
  • anal or vaginal douche On the conical check valve a suitable shower attachment is plugged.
  • the relevant body region can be splashed with water and thereby cleaned.
  • the anal shower optimal and at the same time gentle anal hygiene can be achieved after a bowel movement. This is particularly important for wound healing after surgical procedures in the anal area, but also in anal eczema due to intolerance of toilet paper.
  • the vaginal douche wounds in the vaginal area can be regularly rinsed and cleaned. Especially the wound healing of a Episiotomy (often performed relief cut during the birth process) requires regular rinsing for a long time.
  • the intestinal tubes are available in different sizes offered by Charriere 16 - 40 and in lengths of 20 - 40 cm.
  • Charriere 16 - 40 For diagnostic purposes such as e.g. a colon contrast enema is usually used short andrigige intestinal tubes, while for colon cleansing, the longer intestinal tubes are used.
  • the unit Charrang (Charr.) Is used to indicate the size, whereby three Charr. one millimeter. In English-speaking countries the size is called French (FR).
  • FR French
  • adult intestinal tubes of 30 to 40 cm in length and for children of 20 to 30 cm in length are used for adults.
  • the preferred sizes of adult intestinal tubes are between 28 to 40 charr. and for children 16 to 28 Charr ,.
  • the present on the market intestinal tubes have no check valve, or no mechanism which prevents the introduced into the rectum fluid can flow through the eyes into the lumen of the tube body and through this back out of the hopper.
  • FIGS. 7 and 8 show two preferred embodiments of intestine tubes according to the invention.
  • the intestinal tubes according to the invention can be advantageously used for introducing liquid from the containers 10, 10 'described above. But they can also be used in syringes and the like and in any case ensure that they are not contaminated during use by reflux.
  • 7 shows a gut tube 7 with a so-called external check valve 43, in which the valve 43 is installed between the funnel 53 and intestinal tube tip 54 in the two-part tubular body 55.
  • the check valves are preferably mounted in a separate housing 56 and selected from the group of valves with membrane or ball, the housing being mounted between the funnel and Darmrohspitze.
  • the intestinal tube is preferably inserted maximally as far as the housing 56 of the check valve 43 into the intestine.
  • the intestinal tube 8 comprises a funnel 57 with an internal check valve 44, 44 '.
  • This combination can preferably be produced by injection molding in one piece, the funnel or Funnel Connector 57 and the tubular body 51 are preferably made of plastic, for example! made of PVC
  • the check valves 44 are preferably selected from the group of Duckbill Valves or valves, the Heimlich valves, the Phillips valves or the Umbrella Valves or valves.
  • FIG. 8b shows a longitudinal section through the funnel 57 with the integrated beak valve 44.
  • the longitudinal section according to FIG. 8c shows a funnel 57 'according to another embodiment with an integrated cross-slit valve 44'.
  • the cross-slot valve has the advantage that it allows for the same valve diameter, the larger flow rate.
  • the intestinal tubes 5, 7, 8 are preferably manufactured as disposable articles and are disposed of according to regulations after use. Depending on the length of the intestinal tubes with check valve 7, 8 and depending on the preference of the user, these can be attached directly to the liquid container 10, or it can also be an extension tube interposed. List of reference numbers

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  • Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

L'invention concerne un dispositif (1 ) permettant d'effectuer une hydrothérapie du gros intestin et comprenant un contenant de liquide (10, 10', 10') manuellement déformable et un tube intestinal (5, 5', 7, 8) qui s'attache directement ou indirectement au contenant de liquide et est doté d'au moins un orifice de sortie (52) destiné à céder au rectum d'un utilisateur un liquide issu du contenant de liquide. Le nouvel appareil est particulièrement facile à utiliser tout en garantissant qu'aucun liquide contaminé ne puisse être renvoyé à d'autres parties du dispositif en passant par le tube intestinal. Pour ce faire, une valve anti-retour (40, 40', 40') est placée entre un orifice de sortie (53) du tube intestinal et le contenant de liquide (10, 10', 10') et une soupape de ventilation (2, 2', 2', 2'') destinée à la ventilation du contenant de liquide (10, 10', 10') est placée directement sur ou en liaison de communication avec le contenant de liquide (10, 10', 10') en amont de la valve anti-retour (40, 40', 40'). Pour davantage simplifier et rendre plus hygiénique l'utilisation, l'invention propose également un tube intestinal doté d'une valve anti-retour intégrée.
EP06721943A 2005-05-03 2006-05-03 Dispositif permettant d'effectuer une hydrotherapie du gros intestin Withdrawn EP1890741A2 (fr)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
CH7702005 2005-05-03
CH00678/06A CH702495B1 (de) 2005-05-03 2005-05-23 Darmspülgerät.
CH2782006 2006-02-22
PCT/CH2006/000241 WO2006116891A2 (fr) 2005-05-03 2006-05-03 Dispositif permettant d'effectuer une hydrotherapie du gros intestin
CH6792006 2006-10-18

Publications (1)

Publication Number Publication Date
EP1890741A2 true EP1890741A2 (fr) 2008-02-27

Family

ID=36950296

Family Applications (1)

Application Number Title Priority Date Filing Date
EP06721943A Withdrawn EP1890741A2 (fr) 2005-05-03 2006-05-03 Dispositif permettant d'effectuer une hydrotherapie du gros intestin

Country Status (2)

Country Link
EP (1) EP1890741A2 (fr)
WO (1) WO2006116891A2 (fr)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102462868A (zh) * 2010-11-18 2012-05-23 北京麦迪海药业有限责任公司 一种新型带止回阀的医用灌肠器
CN103961757B (zh) * 2013-01-29 2016-08-03 中国人民解放军总医院 智能膀胱冲洗控制系统
DK177969B1 (en) * 2013-07-02 2015-02-09 Mbh Internat A S An enema device and method of using the device
US11235900B2 (en) * 2013-12-16 2022-02-01 Kiley Steven Wilson Flowable food feeding device
DK201870651A1 (en) * 2018-10-03 2020-05-04 Mbh-International A/S An enema device, and a delivery container for use in said enema device.
CN112891668A (zh) * 2021-03-31 2021-06-04 姜伟 一种直肠灌洗一体器及其灌洗设备

Family Cites Families (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
IT1315277B1 (it) * 1999-12-30 2003-02-03 Medical Internat Licensing N V Dispositivo per lavanda rettale.
ITMI20010550A1 (it) * 2001-03-15 2002-09-15 Cecco Enio Riccardo Di Apparecchiatura di lavaggio ad uso autonomo per cure intestinali
US20030073974A1 (en) * 2001-10-12 2003-04-17 Falconer Malcolm Ian Bowel irrigation probe
WO2005032617A2 (fr) * 2003-10-08 2005-04-14 Roy Abell Procede d'administration de lavage du colon

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See references of WO2006116891A2 *

Also Published As

Publication number Publication date
WO2006116891A2 (fr) 2006-11-09
WO2006116891A3 (fr) 2007-03-29

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