WO2004049984A2 - Poche de stomie, kit de rincage et procede - Google Patents

Poche de stomie, kit de rincage et procede Download PDF

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Publication number
WO2004049984A2
WO2004049984A2 PCT/ZA2003/000179 ZA0300179W WO2004049984A2 WO 2004049984 A2 WO2004049984 A2 WO 2004049984A2 ZA 0300179 W ZA0300179 W ZA 0300179W WO 2004049984 A2 WO2004049984 A2 WO 2004049984A2
Authority
WO
WIPO (PCT)
Prior art keywords
bag
ostomy
flushing
ostomy device
kit
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.)
Ceased
Application number
PCT/ZA2003/000179
Other languages
English (en)
Other versions
WO2004049984A3 (fr
Inventor
Dumisani Itumeleng Anthony Sibiya
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.)
SIBIYA BONGINKOSI VICTOR
Original Assignee
SIBIYA BONGINKOSI VICTOR
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 SIBIYA BONGINKOSI VICTOR filed Critical SIBIYA BONGINKOSI VICTOR
Priority to AU2003291220A priority Critical patent/AU2003291220A1/en
Publication of WO2004049984A2 publication Critical patent/WO2004049984A2/fr
Publication of WO2004049984A3 publication Critical patent/WO2004049984A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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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
    • A61F5/4404—Details or parts
    • 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
    • A61F5/442—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices having irrigation ports or means

Definitions

  • This invention relates to ostomy bags and cleaning such bags, and is particularly but not exclusively concerned with enterostomy bags.
  • ostomies are created worldwide each year for a variety of conditions including cancer, inflammatory bowel disease, diverticular disease of the colon and injuries to the bowel from penetrating abdominal trauma. Such ostomies permit bowel contents to pass into an external bag.
  • the ostomy comprises suturing an opening in the intestine to an opening in the abdominal wall such that the intestinal contents exit via this orifice rather than through the normal anal orifice.
  • An ostomy base consisting of an adherent wafer with a central orifice is positioned over the stoma such that any intestinal effluent flows through the central orifice.
  • an ostomy bag In use, for enterostomies, an ostomy bag is fitted to the base via an inlet annulus on the bag that sealingly engages an outlet annulus around the central orifice.
  • the bag has an outlet tube that is turned over and clipped to seal the bag in use. The bag is cleaned by removing it from the base, opening the outlet tube, draining the contents into a toilet and washing the bag.
  • Removing and reconnecting the bag from its base is a difficult process, especially for the elderly who may have coordination or fine motion impairment. Improper reconnection of the bag to its base leads to leakage of odours and in some cases, stomal effluent. Often faecal matter passes into the space between the wafer and the body; this leads to irritation and can result in serious infections.
  • an ostomy device comprising a flexible bag for receiving body fluids, an inlet port for admitting body fluids, a closable outlet for discharging fluids accumulated in the bag in use, and a closable flushing inlet through which liquid can pass to flush the bag.
  • the device includes a wafer base that adheres to the skin of a user.
  • the bag may be permanently or releasably attached to the wafer base.
  • the flushing inlet is preferably positioned to be above the inlet port in use.
  • the flushing inlet is preferably positioned adjacent the inlet port.
  • the flushing inlet may be attached to the wafer base.
  • a removable closure may be provided for closing the flushing inlet, such as a suitable stopper or cap.
  • the flushing inlet may be provided with a suitable valve; the valve provides a convenient means to release gas accumulated in the bag in use.
  • guide means is provided to distribute fluid flowing through the flushing inlet around the interior walls of the bag.
  • the guide means may comprise a deflector inside the bag adjacent the flushing inlet.
  • the deflector may have a plurality of distribution channels and, conveniently for this purpose, has an umbrella like shape.
  • the guide means may comprise a body defining a fluid passage inside the bag, the body being formed with a plurality of suitably distributed perforations forming outlets from the fluid passage into the bag.
  • the body is a tube closed at one end and forming the flushing inlet at the other end, the tube having a longitudinal and circumferential array of openings.
  • an ostomy bag flushing kit comprising a collapsible container for fluid, means for suspending the container, an opening into the container, an outlet from the container, and a hose for connecting the outlet to an ostomy bag.
  • the hose and outlet may be permanently connected to each other.
  • a valve may be provided for controlling the flow of fluid out of the container.
  • the valve may be provided in the hose at a suitable position along its length, preferably near the outlet from the hose.
  • Yet another aspect of the invention provides an ostomy kit comprising flushing kit and a plurality of ostomy devices as described above.
  • Still yet another aspect of the invention provides a method of flushing an ostomy bag that is fitted to a person including the steps of: opening a lower region of the bag to discharge fluids in the bag; opening the bag at an upper region thereof while it is attached to the person; and directing a liquid through the bag to clean the interior walls of the bag.
  • the liquid may be water.
  • a sterilising solution is added to the water.
  • Figure 1 shows a schematic side view of a person fitted with a colostomy device of the invention
  • Figure 2 shows a detail of the lower end of the bag of Figure 1 that is closed by being folded over and clipped
  • Figure 3 shows a sectioned side view of a portion of the device of Figure
  • Figure 4 shows a front view of the portion of Figure 3;
  • Figure 5 shows a side view of a guide means provided in the device of
  • Figure 1 Figure 1 ;
  • Figure 6 shows a plan view of the guide means of Figure 5;
  • Figure 7 shows a the bag of Figure 1 in use with a flushing kit of the invention
  • Figure 8 shows a side view of a variant of guide means for a colostomy device of the invention.
  • Figures 1 and 2 show an ostomy bag 10 having a wafer base 12 that adheres to the skin around an intestinal stoma 14 of a person 16.
  • the wafer base may be sutured to the colon if desired.
  • the wafer base has a flat pad 12.1 that adheres to the skin around the stoma and has a boss 12.2 with a central orifice 12.3 trimmed with scissors to fit the stoma when it is worn.
  • the bag has a wide mouth at its free end which is closed by a clip 10.2 during normal wear, as shown in Figure 2, allowing temporary storage of the stomal effluent without spillage.
  • a flushing inlet 18 is formed at the top of the bag adjacent to the wafer base.
  • a plug 20 is provided for closing the flushing inlet.
  • the inlet opens onto an umbrella shaped guide 22 that forms channels 22.1 opening into the lumen of the bag in such a way as to allow fluid flowing into the inlet to be distributed around the wall of the bag.
  • Figures 5 and 6 show the guide 22 in more detail.
  • the bag and wafer are separate, but connectable by two annular rings 30.1 on the bag that fits sealingly with two annular ribs 30.2 formed on the boss 12.2. If desired, the ostomy bag may be permanently connected to the wafer base.
  • FIG. 7 shows flushing system 30 comprising a collapsible, re-usable plastics container or water bag 32 with a filler opening 34 at its top for storing water, a hook 36 for suspending the bag from a suitable elevated support, an outlet 38 at the base of the bag, and a hose 40 secured to the outlet.
  • a valve 42 is provided near the free end of the hose.
  • Figure 8 shows a variant of ostomy bag 80 in which the flushing inlet is formed by a stiff tube 82 of plastics heat welded to the bag to have a portion 82.1 outside the bag and a portion 82.2 inside the bag.
  • a stopper 84 on a plastics tie 84.1 engaged with the portion 82.1 tube is provided for releasably closing the inlet.
  • the free end 86 of the inside portion of the tube is flattened and welded closed.
  • Circumferentially and longitudin- ally spaced holes 88 are formed in the inside portion 82.2 of the bag.
  • a valve 90 is fitted to the tube for conveniently releasing stomach gasses.
  • the ostomy bag is cleaned as follows.
  • the water bag is filled with water at a suitable temperature, optionally with a cleansing and/or sterilising solution, with the valve of the hose being in its closed position.
  • the bag is then hung at a suitable height using the hanging hook on the bag.
  • the free end of the hose is then attached to the flushing inlet of the ostomy bag, while it is still on the wearer.
  • the clip at the outlet of the ostomy bag is released when the bag is positioned above or hangs over a suitable receptacle such as a toilet bowl.
  • the valve on the hose is then opened, allowing the water to run into the bag and out of its free end into the receptacle, emptying and cleaning the bag and cleansing the skin around the stoma.
  • the ostomy bag may be squeezed, folded, rubbed, etc. to ensure good cleaning.
  • the hose is disconnected when water flow ceases.
  • the outlet from the ostomy bag is then closed by folding it over itself and replacing the clip.
  • the ostomy bag does not have to be removed with each cleaning, making improper replacement with its attendant leaks impossible. Since there is minimal manipulation of the bag and its wafer base during cleaning, the base stays attached to the skin longer, reducing the chances of leakage under the wafer which would otherwise occur with frequent removal and attachment of the bag to the base in conventional ostomy systems. There is less irritation of the skin on which the base is placed since the base does not have to be removed and replaced often. The skin around the stoma is washed free of stomal effluent each time the appliance is emptied, reducing irritation of the skin from prolonged contact with stomal effluent.
  • the metal hook 36 may be replaced by a reinforced plastics loop or eye formed in or at the periphery of the bag 32.
  • the hose 40 instead of being connected to the cleaning water bag, may be fitted with an elastomeric coupling adaptor so that it can be connected directly to a tap or other water source. While an example of the invention illustrates and describes a colostomy bag, the principles apply to all enterostomies and ostomy bags.

Landscapes

  • 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 concerne un dispositif pour stomie comprenant une poche souple (10, 80) destinée à recevoir un liquide biologique et présentant une plaquette séparable (12) permettant de fixer la poche à un utilisateur ainsi qu'une entrée de rinçage refermable (18, 82) permettant d'introduire du liquide afin de rincer la poche tandis qu'elle est toujours placée sur un utilisateur. Un moyen de guidage (22, 82) est prévu pour le liquide de rinçage autour des parois de la poche. Une pluralité de ces dispositifs (10, 80) sont prévus dans un kit comprenant un récipient repliable (32) de liquide, un moyen (36) de suspension du récipient ainsi qu'un tube destiné à relier la sortie à une poche de stomie via un robinet (42).
PCT/ZA2003/000179 2002-11-29 2003-12-01 Poche de stomie, kit de rincage et procede Ceased WO2004049984A2 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU2003291220A AU2003291220A1 (en) 2002-11-29 2003-12-01 Ostomy bag, flushing kit and method

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
ZA200209700 2002-11-29
ZA02/9700 2002-11-29

Publications (2)

Publication Number Publication Date
WO2004049984A2 true WO2004049984A2 (fr) 2004-06-17
WO2004049984A3 WO2004049984A3 (fr) 2004-08-12

Family

ID=32470941

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/ZA2003/000179 Ceased WO2004049984A2 (fr) 2002-11-29 2003-12-01 Poche de stomie, kit de rincage et procede

Country Status (2)

Country Link
AU (1) AU2003291220A1 (fr)
WO (1) WO2004049984A2 (fr)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2006000985A2 (fr) 2004-06-21 2006-01-05 Schena Kenneth R Systeme de nettoyage de sac de colostomie
US7815618B2 (en) 2004-06-21 2010-10-19 Schena Kenneth R Colostomy bag cleaning system
WO2011130242A3 (fr) * 2010-04-12 2012-02-23 Schena Kenneth R Procédé, appareil et système pour l'irrigation d'une poche pour stomie
CN120393148A (zh) * 2025-06-06 2025-08-01 中国人民解放军陆军军医大学第二附属医院 一种一次性使用的肾内科便携式尿液收集袋

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4134404A (en) * 1977-04-29 1979-01-16 Williams Jr Clarence B Portable colostomy kit
US4194506A (en) * 1977-11-22 1980-03-25 Voorhies Paul A Kit for an ostomate
US4668227A (en) * 1985-05-08 1987-05-26 Kay Dennis M Stoma hygiene system and process therefor
US4654037A (en) * 1986-01-17 1987-03-31 Marlen Manufacturing And Development Co. Ostomy pouch irrigator
US5470325A (en) * 1992-02-28 1995-11-28 Fundock; Michael Ostomy bag with combination venting/cleaning assembly
DK174538B1 (da) * 2001-01-26 2003-05-19 Coloplast As Renseindretning

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2006000985A2 (fr) 2004-06-21 2006-01-05 Schena Kenneth R Systeme de nettoyage de sac de colostomie
EP1809217A4 (fr) * 2004-06-21 2008-07-23 Kenneth R Schena Systeme de nettoyage de sac de colostomie
US7815618B2 (en) 2004-06-21 2010-10-19 Schena Kenneth R Colostomy bag cleaning system
US7842018B2 (en) * 2004-06-21 2010-11-30 Schena Blaine M Colostomy bag cleaning system
WO2011130242A3 (fr) * 2010-04-12 2012-02-23 Schena Kenneth R Procédé, appareil et système pour l'irrigation d'une poche pour stomie
CN120393148A (zh) * 2025-06-06 2025-08-01 中国人民解放军陆军军医大学第二附属医院 一种一次性使用的肾内科便携式尿液收集袋

Also Published As

Publication number Publication date
AU2003291220A1 (en) 2004-06-23
WO2004049984A3 (fr) 2004-08-12

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