WO2007013202A1 - Dispositif de fixation d’un sac collecteur à une stomie - Google Patents

Dispositif de fixation d’un sac collecteur à une stomie Download PDF

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Publication number
WO2007013202A1
WO2007013202A1 PCT/JP2006/305498 JP2006305498W WO2007013202A1 WO 2007013202 A1 WO2007013202 A1 WO 2007013202A1 JP 2006305498 W JP2006305498 W JP 2006305498W WO 2007013202 A1 WO2007013202 A1 WO 2007013202A1
Authority
WO
WIPO (PCT)
Prior art keywords
flange
pressing ring
stoma
belt
groove
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/JP2006/305498
Other languages
English (en)
Japanese (ja)
Other versions
WO2007013202A9 (fr
Inventor
Katsuichi Kurashige
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 JP2005005860U external-priority patent/JP3115054U/ja
Priority claimed from JP2006001753U external-priority patent/JP3121956U/ja
Application filed by Individual filed Critical Individual
Publication of WO2007013202A1 publication Critical patent/WO2007013202A1/fr
Publication of WO2007013202A9 publication Critical patent/WO2007013202A9/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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; Colostomy devices
    • A61F5/445—Colostomy, ileostomy or urethrostomy devices
    • A61F5/448—Means for attaching bag to seal ring
    • 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
    • A61F5/449—Body securing means, e.g. belts, garments

Definitions

  • the present invention relates to an attachment device for attaching a waste storage bag (receiving bag) to an opening of a colostomy.
  • the colostomy is an artificial excretion opening in which a hole is made in the abdominal wall of a person who has had the rectum or the like removed by surgery, and the distal end of the cut intestine is exposed, and is also called a "stoma”.
  • a receiving bag such as a bouch must be attached to the stoma opening portion of the abdominal wall.
  • a mounting member for attaching and detaching the receiving bag is attached with an adhesive or double-sided tape. Attaching to the skin around the ma is done (hereinafter referred to as the “adhesion method”).
  • Patent Document 1 Japanese Patent Publication No. 6-98164
  • Patent Document 2 Japanese Patent Laid-Open No. 10-305057
  • Patent Document 3 Japanese Patent Application Laid-Open No. 60-100960
  • Patent Document 4 JP-A 63-181759
  • Patent Document 5 Japanese Patent Laid-Open No. 04-180754
  • Patent Document 6 Japanese Unexamined Patent Publication No. 2003-144475
  • Patent Document 7 Japanese Utility Model Publication No. 02-131421
  • Patent Document 1 An example seen in Patent Document 1 (“Conventional Example 1”) is a device body called a perforated disk plate having a diameter of about 50 mm and made of a hard material and having an opening for stoma in the center, and a flexible rubber plate.
  • a pack (a stool bag) that is a plastic bag and a flat belt that attaches the plate to the body, and the opening of the pack is covered with a protruding part with a height of about 20 mm standing on the plate surface.
  • a colostomy prosthesis designed to be attached.
  • Patent Document 2 Another example (“conventional example 2”) found in Patent Document 2 is a waste-containing bag, a body-side flange connected to the waste-containing bag via a force ring, and a body-side member pressed against the body.
  • a stoma prosthesis comprising a mounting member that is fixed to the body, wherein the body-side member includes a skin-contact member having a through-hole through which the stoma can be passed, and a plurality of protrusions projecting from the surface of the skin-contact member.
  • the mounting member includes a pressing ring that can be secured to the outer periphery of the protruding portion, and a belt that is attached to the pressing ring and wound around the body.
  • a pad having a through hole may be sandwiched between the body side member and the body. In this case, the pad is disposed on the oil applied to the skin on the outer periphery of the stoma.
  • the above-mentioned mounting tool has a predetermined shape and dimensions and is mounted with a dedicated receiving bag called a bouch or a pack to which a coupling member is attached.
  • a dedicated receiving bag called a bouch or a pack to which a coupling member is attached.
  • general soft plastic bags such as supermarket shopping bags, which are unspecified for shape 'dimension' applications, can also be used as receiving bags.
  • Dedicated voucher etc. it is somewhat expensive, and it is expected that it will be difficult to obtain at the time of a disaster, etc., so it is preferable to select from materials as close as possible.
  • a bouch wearing device that can be attached to the body with a belt or the like is easy to shift due to the movement of the body and is tightened with a large force, so it is strong and lacks flexibility.
  • the first of the problems of the present invention is to provide a mounting tool that is flexible and does not need to be tightened with a large force with good adhesion.
  • Another object of the present invention is to make it possible to use, as a receiving bag, a general soft plastic bag such as a supermarket shopping bag that can be used only by a dedicated bouch.
  • the member for wearing the bouch may bite into the skin and cause pain.
  • a part of the mounting member may be damaged by direct contact with an easily damaged stoma.
  • a further problem of the present invention is to not damage a stoma that is less painful.
  • a problem common to conventional vouch attachments is that the bouch attachment / detachment portion includes unnecessary irregularities, and it is difficult to clean and clean the dirt that has entered the portion.
  • Another object of the present invention is to enable easy cleaning and cleaning of dirt.
  • Flange 1 (see Fig. 1 (A)), which is a perforated disc with a predetermined thickness, is made of a soft rubber or elastomer with moderate soft strength and has an opening 6 for stoma in the center.
  • Short Cylinder-shaped coupling member 2 for mounting the bouch 8 (see Fig. 1 (B), Fig. 2), with its base part being held together and fixed at a position surrounding the stoma opening on the upper surface of the flange
  • a circular press ring 3 made of stainless steel (see Fig. 3 and Fig.
  • a belt 4 (see Fig. 3 and Fig. 4) that is connected to the pressure ring and is attached to the body so as to apply a pressing force by pulling it to the left or right or three directions, and a stoma opening on the flange.
  • a pressing ring holding portion made of a hard resin short circular tube with a groove 51 for gripping the pressing ring at the top. The pressing ring belt is applied to the groove.
  • the outer groove wall is lacking at the contact point, and the inner wall of the groove is moved toward the inside of the cylinder by the thickness of the belt, and the base of the protrusion is embedded and fixed integrally with the flange at a predetermined position on the upper surface of the flange.
  • a stoma receiving device equipped with a pressing ring holding portion 5 see FIGS. 1 (B) and 1 (C)).
  • moderate softness refers to a range where the value of “JIS hardness A by A-type durometer” is approximately 10 to 30. It is desirable for the flange to be in close contact with the skin surface, and it is preferable that this level of softness is not soft enough. .
  • An example of such a soft rubber is silicone rubber.
  • the inner periphery of the base of the coupling member is disposed outside the inner periphery of the center opening of the flange, and the flange The corner of the wall surface of the central opening of the is rounded.
  • the side surface of the ridge constituting the pressing ring holding portion, the surface of the flange connected thereto, and the coupling so as to facilitate the cleaning and cleaning of dirt.
  • the inner wall of the member and the surface force S of the flange surrounded by the member are both finished to a smoothly continuous concave surface.
  • the outer edge portion is thinned over a predetermined width to be softened so that the end of the flange does not bite into the skin and cause pain.
  • the leading edge is rounded.
  • a connecting ring (9) provided separately from the pressing ring is provided so that a stable mounting state can be obtained without applying an excessive tightening force.
  • a three-pronged belt in which three belts that pass through the waist and the crotch are stretched can be used. It should be noted that a belt of rubber or soft plastic having a width of about 30 to 35 mm is suitable for benoret itself because it is resistant to dirt.
  • the diameter of the flange can be about 100 to 120 mm
  • the thickness can be about 10 mm
  • the diameter of the pressing ring can be about 70 to 90 mm.
  • a coupling member and a pressing ring holding portion formed separately from a flange from a hard resin are previously molded into a rubber mold.
  • the flange can be formed by placing it at a predetermined position and supplying a soft rubber or elastomer material thereto. This is called the insertion molding method, and the coupling member and the pressing ring holding portion made of different materials can be firmly fixed to the upper surface of the flange.
  • the large pressing ring 3 is held by the sturdy pressing ring holding part 5, and the base of the pressing ring holding part is embedded in the flange 1. Since it acts as a hard core, the flange 1 retains its shape and gives the rigidity required to be uniformly pressed against the stoma site. Therefore, the pressing state of the flange against the body surface is stable, the state of close contact with the skin is appropriate, there is no anxiety about slippage during sports, and excessive belt tightening force is required.
  • the coupling member 2 can be diverted, or a general plastic bag such as a supermarket shopping bag can be used by the pressing ring holding portion 5 and the pressing ring 3.
  • a typical soft plastic bag 10 can also be used as a receiving bag. This is useful when the stock of dedicated vouches is exhausted or when it is difficult to obtain.
  • the pressing ring 3 is tightly held in the groove 51 even at the location where the pressing ring holding portion 5 makes a round without a break around the stoma opening 6 and the belt 4 of the pressing ring 3 contacts. There is no possibility that the contents will leak from the soft plastic bag sandwiched between the pressing ring 3 and the groove 51.
  • the base portion of the coupling member 2 made of hard resin does not exist inside the inner periphery of the center opening 6 of the flange 1 made of soft rubber or elastomer, In addition, since the corner of the wall surface of the center opening of the flange is rounded, the tip of the easily damaged scratcher is protected from direct damage to the base of the hard coupling member.
  • the side surface of the ridge constituting the pressing ring holding portion 5 and The surface of the flanges and the inner wall of the coupling member 2 and the surface of the flange surrounded by the same member are all finished in a smooth concave surface, so that the attached dirt can be easily wiped off with tissue paper, etc. You can leave and easily wash and flush.
  • the outer edge of the flange is thinned and softened over a predetermined width, and the tip is rounded, so that one end of the flange is surrounded by the body posture. Even when it touches the skin, the outer edge will bend flexibly, and it will not bite into the skin and cause pain.
  • the flange 1 as a member for mounting the bouch and the pressing ring 3 that presses the flange 1 against the body surface are supported by being pulled and supported from three directions by the three-pronged belt 4. It is not necessary to apply an excessive pulling force that is more stable than the support by pulling in two directions.
  • the first embodiment of the present invention uses a male coupling member 2 fixed to the flange 1 and a dedicated bouch 8 to which a female coupling member is attached (see Fig. 2). This is an example of wearing.
  • Fig. 5 (A) shows the installation status.
  • the male coupling member 2 fixed to the flange 1 is covered with a soft plastic bag 10 and fastened with an appropriate fastener such as a circular spring 11 from above.
  • the bag 10 is installed as a stoma receiving bag.
  • Fig. 5 (B) shows the installation status.
  • a perspective view of the spring 11 is shown in the balloon provided in the figure.
  • a soft plastic bag 10 is placed on a pressing ring holding portion 5 fixed to a flange 1, and the pressing ring 3 is applied from above to cover the top of the pressing ring holding portion 5.
  • the bag 10 is pushed into the groove 51 and the bag 10 is installed as a stoma receiving bag.
  • Fig. 5 (C) shows the installation status.
  • FIG. 1 (A) is a plan view of the receiving bag mounting tool of the present invention, (B) is a cross-sectional view taken along the direction AA shown in FIG. 1 (A), and (C) is FIG. It is a sectional view seen from the BB direction shown in (A).
  • FIG. 2 is a plan view of the bouch.
  • FIG. 3 is a view showing a flat belt and a pressing ring.
  • FIG. 4 is a view showing a trident belt.
  • FIG. 5 is a view showing a mounting state of a pouch and a soft plastic bag in the receiving bag mounting tool of the present invention.
  • FIG. 6 is a cross-sectional view showing a conventional example of a bouch attachment device.

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 entend proposer un dispositif de fixation flexible et adhésif n’exigeant pas de force de fixation importante, et plus particulièrement, un dispositif de fixation dans lequel non seulement une poche mais également un sac plastique souple comme un sac plastique donné à la caisse d’un supermarché peut servir de sac collecteur. L’invention concerne un dispositif de fixation d’un sac collecteur à une stomie comportant une bride (1) constitué de caoutchouc souple et ayant une ouverture centrale (6) pour la stomie, un élément d’accouplement (2) permettant de fixer une poche tubulaire circulaire et de petite dimension (8) réalisé en résine dure, l’élément d’accouplement occupant une position entourant l’ouverture dans la surface supérieure de la bride, une bague de pression (3) permettant de comprimer la bride contre une partie de la stomie à la surface d’un corps, une ceinture (4) accouplée à la bague de pression et enroulée autour du corps, une portion de maintien de bague de pression (5) en forme de courte nervure tubulaire circulaire en dure résine, entourant, sur la bride, l’ouverture et ayant au somme une rainure (51) permettant de saisir la bague de pression. Au niveau des portions de la rainure avec lesquelles la ceinture de la bague de pression est en contact, la rainure ne possède pas de parois à rainures externes et les parois internes sont rentrées vers l’intérieur du tube circulaire par l’épaisseur de la ceinture. La base de la bague est incrustée intégralement en une position prédéterminée de la bride.
PCT/JP2006/305498 2005-07-25 2006-03-20 Dispositif de fixation d’un sac collecteur à une stomie Ceased WO2007013202A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
JP2005005860U JP3115054U (ja) 2005-07-25 2005-07-25 ストーマ用パウチ装着具
JP2005-005860U 2005-07-25
JP2006-001753U 2006-03-13
JP2006001753U JP3121956U (ja) 2006-03-13 2006-03-13 ストーマ用受け袋装着具

Publications (2)

Publication Number Publication Date
WO2007013202A1 true WO2007013202A1 (fr) 2007-02-01
WO2007013202A9 WO2007013202A9 (fr) 2007-03-15

Family

ID=37683109

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/JP2006/305498 Ceased WO2007013202A1 (fr) 2005-07-25 2006-03-20 Dispositif de fixation d’un sac collecteur à une stomie

Country Status (1)

Country Link
WO (1) WO2007013202A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2019526405A (ja) * 2016-08-19 2019-09-19 サラ エル オルソン 外部カテーテル安定化器
EP3038573B1 (fr) * 2013-08-30 2025-06-11 Bruce Goldsmith Un appareil de stomie et sa méthode d'assemblage

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5310199U (fr) * 1976-07-09 1978-01-27
JPS63181759A (ja) * 1986-12-09 1988-07-26 クレイグ・メデイカル・プロダクツ・リミテッド 人工肛門用袋カップリング
JPH01190354A (ja) * 1987-11-16 1989-07-31 E R Squibb & Sons Inc 一体ｏ−リングを有する人工肛門用カップリング
JPH04180754A (ja) * 1990-11-16 1992-06-26 Tokyo Eizai Kenkyusho:Kk 体内排出物処理装具用接皮部材
JPH10305057A (ja) * 1997-05-06 1998-11-17 Katsuichi Kurashige ストーマ用補装具
JP2001029377A (ja) * 1999-07-15 2001-02-06 Alcare Co Ltd 外科用吻合装置

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS5310199U (fr) * 1976-07-09 1978-01-27
JPS63181759A (ja) * 1986-12-09 1988-07-26 クレイグ・メデイカル・プロダクツ・リミテッド 人工肛門用袋カップリング
JPH01190354A (ja) * 1987-11-16 1989-07-31 E R Squibb & Sons Inc 一体ｏ−リングを有する人工肛門用カップリング
JPH04180754A (ja) * 1990-11-16 1992-06-26 Tokyo Eizai Kenkyusho:Kk 体内排出物処理装具用接皮部材
JPH10305057A (ja) * 1997-05-06 1998-11-17 Katsuichi Kurashige ストーマ用補装具
JP2001029377A (ja) * 1999-07-15 2001-02-06 Alcare Co Ltd 外科用吻合装置

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP3038573B1 (fr) * 2013-08-30 2025-06-11 Bruce Goldsmith Un appareil de stomie et sa méthode d'assemblage
JP2019526405A (ja) * 2016-08-19 2019-09-19 サラ エル オルソン 外部カテーテル安定化器
US11684754B2 (en) 2016-08-19 2023-06-27 Levity Products, Inc. Method of stabilizing catheter tube using stabilizing device

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Publication number Publication date
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