WO2019239433A1 - Dispositif de collecte de matières fécales - Google Patents

Dispositif de collecte de matières fécales Download PDF

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Publication number
WO2019239433A1
WO2019239433A1 PCT/IN2019/050457 IN2019050457W WO2019239433A1 WO 2019239433 A1 WO2019239433 A1 WO 2019239433A1 IN 2019050457 W IN2019050457 W IN 2019050457W WO 2019239433 A1 WO2019239433 A1 WO 2019239433A1
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WO
WIPO (PCT)
Prior art keywords
component
fecal
person
collection device
transit
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/IN2019/050457
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English (en)
Inventor
B. Sai Laxman BHARADWAJ
Abhay TANKSALI
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
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Filing date
Publication date
Application filed by Individual filed Critical Individual
Publication of WO2019239433A1 publication Critical patent/WO2019239433A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices
    • A61F5/451Genital or anal receptacles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices
    • A61F5/443Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices having adhesive seals for securing to the body, e.g. of hydrocolloid type seals, e.g. gels, starches, karaya gums
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices
    • A61F5/451Genital or anal receptacles
    • A61F5/453Genital or anal receptacles for collecting urine or other discharge from male member
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS 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
    • A61F5/00Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/44Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices
    • A61F5/451Genital or anal receptacles
    • A61F5/455Genital or anal receptacles for collecting urine or discharge from female member

Definitions

  • the present invention relates to the devices for managing fecal collection.
  • the invention provides a fecal collection device for collecting feces excreted by ambulatory as well as non- ambulatory persons.
  • Non-ambulation and incontinence are both problems affecting millions across the globe.
  • the problem has, over the years, been found to compromise the quality of life of subjects.
  • Non-ambulatory subjects include intensive care patients, immediate post-surgery patients, patients with trauma, spinal cord injuries, orthopedic patients, individuals with stroke/paralysis, old age, obese, neural degeneration, post-delivery, patients with diarrhea and incontinence and so on.
  • elimination of stool is a major concern. Enabling individuals to pass stools in a toilet and has presented as a pressing challenge in the clinical set-up.
  • feces in bed bound patients cause infections due to the pathogens from fecal origin which have been reported to contaminate open wounds, cause central-line infections, increase urinary tract infection (UTI) related risks and cause dermatitis.
  • UTI urinary tract infection
  • Figures la and lb illustrate a fecal collection device in accordance with an example embodiment of the present subject matter.
  • Figure 2 illustrates a retaining component of the fecal collection device according to another example embodiment of the present subject matter.
  • Figures 3a, 3b and 3c illustrate a transit component of the fecal collection device in an example embodiment of the present subject matter.
  • Figure 4 illustrates a collection component of the fecal collection device in accordance with an example embodiment of the present subject matter.
  • Figure 5 illustrates the fecal collection device in accordance with an example implementation of the present subject matter.
  • Figures 6a, 6b and 6c show a lid of the collection component according to an example embodiment of the present subject matter.
  • Fecal collection devices are often used for persons who are rendered immobile, owing to various reasons, such as diseases, surgery or injury.
  • Some of the conventionally known fecal collection devices comprise an indwelling component, i.e., a component that is required to be introduced within a subject's anal opening or rectum during usage. More often than not, such devices cause discomfort to users. Also, such devices are generally expensive to manufacture and need skilled nursing staff to apply the devices onto a user’s body.
  • an indwelling component i.e., a component that is required to be introduced within a subject's anal opening or rectum during usage. More often than not, such devices cause discomfort to users. Also, such devices are generally expensive to manufacture and need skilled nursing staff to apply the devices onto a user’s body.
  • Another category of conventionally known fecal collection devices comprises wearable sanitary products, such as diapers. Such wearable products not always be easily put-on on a person. Also, removal of the product after the product is soiled is difficult. Furthermore, these products do not always adapt to the anatomy of users well. Consequently, the likelihood of fecal matter excreted by a user to spread around the anal region is high. Spreading of the fecal matter not only make cleaning of the fecal matter difficult, it also makes the person susceptible to various infections that may be caused by the fecal matter.
  • the present subject matter describes a fecal collection device that provides for easy application and removal from the body of a person.
  • the fecal collection device described herein does not involve any indwelling component and can be applied to the body of a person such that spreading of fecal matter excreted by the person is prevented.
  • the fecal collection device is easy and cost-effective to manufacture and its usage is not time or labor intensive.
  • the fecal collection device comprises a retaining component which is to be affixed to a body of a person.
  • the retaining component is formed as a flexible adhesive patch.
  • the retaining component comprises a body which has an anterior and a posterior end. When affixed to the body of a person, the body of the retaining component is positioned along a perineum region of the person.
  • the retaining component being a flexible adhesive patch, sticks around the perineum region of the person.
  • the retaining component further comprises an orifice on the body of the retaining component, wherein the orifice is positioned along an anal opening of the person, such that the orifice encloses the anal opening of the person.
  • a transit component is coupled to the orifice to receive the fecal matter excreted by the person. The transit component transfers the fecal matter to a collection component.
  • invention provides a fecal collection device that does not rely on an indwelling component.
  • An objective of the invention is to provide a fecal collection device that can be used without touching the mucosal lining and that is hence non-invasive.
  • the application and removal of the fecal collection device is easy, irritation-free and user friendly.
  • Another objective of the invention is to provide a fecal collection device designed to require a least number of position changes for installation and removal of the fecal collection device.
  • the fecal collection device reduces the time and effort required for cleaning the feces of patients.
  • the fecal collection device is additionally designed to ensure sanitized collecting and disposing of the feces.
  • the fecal collection device is completely leak proof during collection of feces.
  • the fecal collection device ensures that the perineum of the patient is completely cleaned (free from feces) at the earliest.
  • the fecal collection device maintains a closed system throughout so that it reduces the chance of cross infection.
  • the usage of the device is in such a way that it can be used for at least 24 hours or more.
  • FIGS la and lb illustrate a fecal collection device 100 in accordance with an example embodiment of the present subject matter.
  • the fecal collection device 100 comprises a retaining component 102 and a transit component 104.
  • the retaining component 102 is formed as a flexible adhesive patch comprising a body region 1022 and an anterior region 1028 and an posterior region 1030 that together enable the retaining component 102 to be held in contact with the person’s skin or to conform to and be retained against the person’s anatomy in a desired location around the perineum.
  • the retaining component 102 is manufactured using a flexible material, that is sufficiently pliant or flexible to conform substantially to anatomical features in the region of the perineum.
  • the retaining component 102 is made of a material that is stretchable and has elastic properties.
  • the retaining component 102 may be manufactured using silicon, PU, latex free rubber, or any flexible material.
  • the body region 1022 further comprises an orifice 106 that is formed within the body region 1022 of retaining component 102.
  • the body region 1022 is to conform sealingly around the perineum region of the person such that the orifice 106 encloses the anal opening of the person.
  • the opening 106 may comprise a substantially circular, oval, rectangular, square, rhomboidal, or other regular or irregular polygonal shape.
  • a diameter of the orifice 106 may be about 40 millimeters (mm).
  • a diameter of the orifice 106 may be in range of 30-50 mm.
  • the fecal collection device 100 further comprises a transit component 104 that is coupled to the orifice 106.
  • the orifice 106 provides the necessary ingress passageway through which fecal matter excreted by the person through his anal opening enters the transit component 104 from where the fecal matter may be directed to a collection component.
  • the fecal collection device 100 may be manufactured such that the retaining component 102 and the transit component 104 are integrated together.
  • the fecal collection device 100 may be molded or 3D printed.
  • retaining component 102 and the transit component 104 may be manufactured separately, and the transit component 104 may be coupled to the retaining component 102, by insertion of an end of the transit component 104 into the orifice 106, prior to using the fecal collection device 100.
  • the orifice 106 is located substantially within a central region of retaining component 102 such that when the retaining component 102 is properly affixed to a person’s anatomy, the orifice 106 extends around the anal opening of the person.
  • the body region 1022 of the retaining component 102 comprises the anterior end 1028 and a posterior end 1030.
  • the anterior region 1028 comprises two wings 1024 and 1026 in a direction away from posterior end 1030.
  • sides of retaining component 102 may include a plurality of lateral flaps and positioned on either side of orifice 106 which may be stretched and adhesively conformed to the corresponding portions of a person’s perineal anatomy on either side of the anal opening to promote fluid tight sealing of the periphery of orifice 106 with anatomy surrounding the person’s anal opening.
  • the body region 1022 of the retaining component 102 is configured for positioning so as to conform to the anatomy around the perineum and to extends posteriorly in the direction of the sacral bone.
  • the retaining component 102 is positioned such that anterior end 1028 is positioned between the anterior perineal pubic ligament and the anus, while the posterior end 1030 is positioned over the buttocks and in the region between the anal opening and the coccyx.
  • the anterior end 1028 may even extend to a region forward of the anterior perineal pubic ligament, such that a surface of retaining component 102 that connects anterior end 1028 and the orifice 106 is in contact at least with the person’s anatomy between the anterior perineal pubic ligament and the periphery of the anal opening.
  • the wings 1024 and 1026 may be in elongated shape such that the wings 1024 and 1026 pass over the anterior perineal pubic ligament and conform to the person’s anatomy in the groin region or in the junctional area between the abdomen and thigh, preferably on either side of pubic bone.
  • the elongated wings 1024 and 1026 may help affixing the retaining component 102 and pass over the anterior perineal public ligament and conform along the groin region of the person.
  • the retaining component 102 may be configured such that when properly affixed to the region surrounding the perineum, the orifice 106 in retaining component 102 is located substantially in the region of the anal opening.
  • retaining component 102 is configured such that when properly affixed to the region surrounding the perineum, the periphery of the orifice 106 in retaining component 102 completely surrounds the person’s anal opening, and that anatomy conforming surfaces 1040 of retaining component 102 that are immediately adjacent the periphery of the orifice 106 sealingly or tightly adhere and conform to the person’s anatomy immediately surrounding the anal opening.
  • the posterior region 1030 of retaining component 102 may first be caused to adhere to the person’s anatomy at the region between the anal opening and the coccyx, and the anterior portion 1030 of the retaining component 102 may be caused to adhere and conform to the region between the anus and the anterior perineal pubic ligament.
  • the wings 1024 and 1026 may thereafter be passed over the pubic anterior perineal ligament, and pulled or stretched in an upward direction before causing the wings 1024 and 1026 to adhere to the person’s groin region.
  • retaining component 102 is caused to adhere closely to the corresponding anatomy of the person, and additionally causes the patch material at the periphery of the opening 106 to conform closely and sealingly to the person’s anatomy around the periphery of the person’s anal opening.
  • the wings 1024 and 1026 may first be applied to the person’s groin region, and thereafter the anterior end 1030 may be caused to adhere to the person’s anatomy between the anal opening and the anterior perineal pubic ligament, and subsequently the remaining surface of the retaining component 102 upto posterior end 1030 may thereafter be caused to adhere to the person’s anatomy at the region between the anus and the coccyx.
  • one or more surfaces such as, at least a surface opposite the anatomy conforming surface 1040 of retaining component 102 may be provided with a set of indicative markings that help for easy installation of the fecal collection device 100.
  • the retaining component 102 may be configured to have a predisposition to achieve certain shapes (or may be provided with certain shape memory characteristics) causing retaining component 102 to naturally conform to certain anatomical features thereby promoting an optimal orientation of retaining component 102 with regard to the person’s anatomy.
  • retaining component 102 may be structurally designed so as to slip onto the person’s groin and to resist being oriented or positioned or strapped in any position other than a desired position.
  • a care giver such as a nurse is guided to place the fecal collection device 100 at the appropriate position by virtue of an indicative mark 1036 that is intended to be oriented with the mid-line of the perineum.
  • retaining component may be provided with an indicative mark 1034 that helps the care giver to orient the center of the retaining component 102 with the person’s anal opening.
  • the indicative marking 1036 maybe an indicative thread that can help the care giver to conveniently apply the fecal collection device, especially in obese patients who cannot easily lift their hip.
  • the retaining component 102 is configured such that the wings 1024 and 1026 diverge away from each other to form a substantially Y-shaped, U-shaped or V-shaped diverging fork, wherein the divergence forms a substantially U-shaped or substantially V-shaped aperture or space between the wings 1024 and 1026.
  • the wings 1024 and 1026 may be kept short as depicted in the example embodiments illustrated in the accompanying figures, while in other embodiments the wings 1024 and 1026 may be elongated in shape and may pass over the anterior perineal public ligament and conform to the person’s anatomy in the groin region.
  • the aperture enables the wings 1024 and 1026 to be adhered to the person’s groin region without interfering with or having to contact the person’s genitalia.
  • the diverging wings 1024 and 1026 are applied to the person’s anatomy in the groin region along both sides of the person’s genitalia while the genitalia itself remains within the aperture region defined by the wings 1024 and 1026.
  • the retaining component 102 not being in contact with the genitalia of the person provides for comfort of the person.
  • the posterior region 1030 of retaining component 102 is shaped to conform to the shape of a gluteus muscles of a person. This may be achieved by having the periphery of the posterior region 1030 in an inverted V or an inverted W shape. In other embodiments posterior region 1030 of retaining component 102 may comprise a substantially triangular region. In one or more embodiments, posterior region 1030 of retaining component 102 may have at least one slit provided therein to enable the posterior region 1030 to adhere conformingly to each of the left and right buttocks.
  • the retaining component 102 may be configured such that the anatomy conforming surface 1040 of the retaining component 102 that is intended to conform to the person’s anatomy has adhesive disposed thereon wherein the adhesive promotes adherence between the retaining component 102 and corresponding skin surfaces of the person’s anatomy.
  • the adhesive material can be acrylates, hydrogels, silicon-based adhesives etc.
  • the adhesive surface of retaining component 102 may be protected by a backing material such as paper or foil or cloth which may be peeled off prior to installation.
  • the backing material is designed in a way to allow for it to be peeled off in segments to ensure ease of application.
  • the backing material may be strategically segmented in accordance with the sequence of application to allow for user control and accurate installation.
  • the surface of the retaining component 102 that is opposite to the anatomy conforming surface 1040 is substantially free of adhesive.
  • the retaining component 102 may incorporate light activated adhesives where adhesion can be achieved by using a particular wavelength of light. Similarly, the de-bonding or peeling of the retaining component 102 is done by applying light of a particular wavelength. This allows for controlled adhesion and de-bonding on the person’s body.
  • adhesive de-bonding can also be achieved by using an ultra sonic vibrator that provides for easy de-bonding.
  • the de-bonding of the patch can also be achieved by using any chemical methods or electro-chemical mechanisms.
  • the retaining component 102 may be configured to have properties of super absorbability by virtue of having gels inside it.
  • the retaining component 102 may be manufactured using materials that are flexible enough to move with the patient mobility to ensure it does not’ de-bond during the movements.
  • the retaining component 102 is additionally configured to enable removal with ease and to have optimal peel strength. In a preferred embodiment, removal is possible without friction and the materials of retaining component 102 may be breathable to ensure minimal skin irritation.
  • retaining component 102 can have a gel liquid in-between the two layers to allow for reduction in the pressure points as the gel keeps moving. This could be beneficial to prevent pressure sores, and could help with clinically present sores.
  • a periphery of the orifice 106 may be provided with a lip (raised edge) on the adhesive anatomy conforming surface 1040 of the retaining component 102.
  • the lip may be made up of either polyurethane or silicon, a pneumatic ring filled with saline/water or air etc.. The lip performs the role of creating a leak proof seal around the perineum and the anal opening.
  • the lip comprises a 3/4th circle that is directed inwards into orifice 106 such that application of pressure, by virtue of stretching the wings 1024 and 1026 or other portions of retaining component 102 during installation or application of the retaining component 102 on a person, would deform the 3/4th circle into a complete circle thereby reducing the chance of any fluid flowing outside of periphery defined by the orifice 106, and ensuring that all fecal matter expelled from the anal opening as well as any fluid introduced or delivered to the fecal collection device 100 is routed through the orifice 106.
  • lip is formed so as to create a cushion on the part of the skin over which the seal is attempted to be formed.
  • a pneumatic ring can also be used for a similar purpose.
  • the pneumatic ring is essentially a chamber connected to the outside by a tube that has a uni directional valve on the outer end on the tube. This tube can be inflated with air/water or any other fluid to distend the ring that is all along the shape of the orifice 106 to provide a seal similar to the lip.
  • Figure 2 illustrates the retaining component 102 of the fecal collection device in accordance with an example embodiment of the present subject matter.
  • the retaining component 102 has the anterior end 1028 and the posterior end 1030. Further, the retaining component 102 comprises the orifice 106.
  • the anterior end 1028 and the posterior end 1030 may be applied onto the perineum of the person in a similar way as described above with reference to figures la- lb.
  • Figures 3a, 3b and 3c illustrate the transit component 104 of the fecal collection device 100 in an example embodiment of the present subject matter.
  • Figure 3a illustrates a perspective view of the transit component 104
  • Figure 3b and Figure 3c illustrate a front view and a top view of the transit component 104, respectively, in accordance with one example embodiment of the present subject matter.
  • the transit component comprises a hollow tubular portion 302 that has a first end 304 and a second end 306.
  • the hollow tubular portion 302 is flexible or semi-flexible and is formed of a pliant material.
  • the first end 304 of the transit component 104 is coupled to the orifice 106 on the body region (1022) of the retaining component 102.
  • the second end 306 is distal to the first end 304 and is located such that, while travelling from the first end 304 towards the second end 306, there in an increasing gravitational gradient. This ensures that the fecal matter travels from the first end 304, where the fecal matter is received from the orifice 106 of the retaining component 102, towards the second end 306. Thus, the fecal matter is moved away from the person’s anal opening to an anterior end of the transit component 104.
  • the fecal collection device 100 may comprise a collection component (not shown) connected to the transit component 104 at the second end 306 for collection of the fecal matter.
  • the diameter of the first end 304 of transit component 104 may be smaller than a diameter of the second end 306 of transit component 104 thus, effectively forming a relatively smaller chamber at first end 302 of transit component 104 and a relatively larger chamber at a second end 306 of transit component 104, both chambers being connected by hollow tubular portion 302.
  • the larger chamber at a second end 306 of transit component may, in an example, serve as a storage for collection of fecal matter until the collection component is coupled to the second end 306 to remove the fecal matter.
  • the larger chamber at the second end 306 may also serve as a storage for fecal matter and the fecal matter may be directly disposed off from the transit component 104.
  • the larger chamber formed at second end 306 of transit component 104 is positioned anterior to the person’s genitalia and may rest between the person’s legs.
  • faecal matter passing through first end 302 is collected in the larger chamber at said second end 306 of transit component 104 and as a result of the separation between the larger chamber and first end 302, the fecal matter collected in the larger chamber is prevented from being forced back out of first end 302 in the direction of the person's perineum.
  • further safeguards to prevent backflow of the fecal matter may include fecal matter retaining components, such as threads, ties, or mechanical locks that prevent backflow of the fecal matter.
  • the first end 302 of transit component 104, the peripheral walls of the first end, and an intemal/extemal walls of transit component 104 may be flexible and resilient to enable said transit component 104 walls to conform to various shapes of the person’s perineum.
  • Implementing the transit component 104 in the above manner creates a natural triangular cross-sectional space along the inter gluteal space and helps for the feces to squirt in the anterior direction towards a second end 306 of transit component 104 and finally into the collection component.
  • FIG. 4 shows a collection component 400 in an example embodiment of the present subject matter.
  • the collection component 400 comprises a conduit 402.
  • a first end 404 of the conduit 402 is coupled the second end 306 of the transit component 104.
  • the collection component 400 further comprises a lid 406 which is coupled to a second end 408 of the conduit 402.
  • the fecal matter received in the transit component 104 may travel from the transit component 104 to the lid 406 via the conduit 402.
  • the lid 406 may be detachably attached to a disposable bag 410 which may collect the fecal matter received by the collection component 400.
  • the lid 406 may be integral to the disposable bag 410 and the lid 410 may be detachably coupled to the conduit 402. In such embodiments, the lid 406 may be disposed off along with the disposable bag 410.
  • the disposable bag 410 may have a container- like structure and the walls of the disposable bag 410 may also be reinforced using supporting means, such that the disposable bag 410 does not collapse when vacuum is created.
  • the supporting means may be rakes, beams etc.
  • a collection component such as a disposable bag may be directly couple to the transit component 104 at the second end 306.
  • the disposable bag may comprise an inlet that may adapt to the shape of the transit component 104 at the second end 306 and be sealing affixed thereto.
  • the disposable bag 410 may be provided with charcoal filters which may adsorb the odour (due to fecal matter) present in the air within the disposable bag 410.
  • the disposable bag 410 may be provided with a bacterial filter which may adsorb the odour or other contaminants in the air present within the disposable bag 410.
  • a combination of charcoal filters and bacterial filters may also be used.
  • Figure 5 illustrates the fecal collection device 100 in accordance with an example implementation of the present subject matter.
  • Figure 5 shows the collection component 400 coupled to the transit component 104.
  • the conduit 402 is coupled to the second end 306 of the transit component 104.
  • the lid 406 is coupled to the second end 408 of the conduit 402.
  • the disposable bag 410 is shown attached to the lid 406 such that the fecal matter may be collected in the disposable bag 410.
  • the fecal collection device 100 further comprises a control device 412 coupled with the collection component 400 and the transit component 104.
  • the control device 412 is coupled to the transit component 104 via a first fluid passageway 414.
  • the first fluid passageway 414 may be coupled to the fluid inlet 308 of the transit component 104.
  • the control device 412 may be coupled with the collection component 400 via a second fluid passageway 416.
  • control device 412 controls the operation of the fecal collection device 100 to detect presence of fecal matter in the transit component 104 and trigger removal of the fecal matter from the transit component 104.
  • the control device 412 determines presence of leak or blockage in the conduit 402 or the transit component 104. Blockage in the conduit 402 or the transit component 104 is indicative of presence of fecal matter therein.
  • the control device 412 closes an air inlet present on the control device 412 and fluidly coupled to the transit component 104.
  • the control device 412 comprises a controller to open and close the air inlet.
  • the controller may be microcontroller, microprocessors, etc.
  • the control device 416 then extracts air from the collection component 400 via the second fluid passageway 416.
  • air from the transit component 104 also flows into the collection component and is also extracted out by the control device 412 via the second fluid passageway 416.
  • the control device 412 may comprise a pump to extract air from the transit component 104 and the collection component 400.
  • the control device 412 analyses the rate of build-up of vacuum in the transit component 104 and the collection component 400.
  • a speed of the pump is electronically controlled and for a particular speed of the pump, there is a predetermined value of a pressure (exerted from outside on walls of the collection component 400 and transit component 104) which develops in the transit component 104 and the collection component 400.
  • the pump is started and the speed of the pump is slowly increased. As the speed is increased, the vacuum stabilizes at a higher pressure. The speed is again increased, and the same cycle is repeated for a predetermined number of times.
  • the control device 412 determines value of the pressure developed in the collection component 400 and the transit component 104.
  • the controller may employ pressure sensors to determine the pressure developed in the collection component 400 and the transit component 104. If the pressure does not build upto the predetermined value for that corresponding pump speed, the control device 412 determines that there is a leak or blockage in the conduit 402 of the transit component 104. For example, when the vacuum builds up more than the predetermined value, there may be a blockage and if the vacuum builds up less than the predetermined value, there may be leak.
  • the control device 412 opens the air inlet.
  • the opening of the air inlet may be performed by a proportional valve or a servo valve, operable by the controller, to gradually open the air inlet to allow the air to enter in the transit component 104 (via the first fluid passageway 414) and the collection component 400 (via the second fluid passageway 416) to eliminate the vacuum.
  • a rate at which the vacuum is eliminated for a corresponding amount of opening of air inlet is predetermined.
  • the pressure sensors may measure a drop in the pressure due to elimination of vacuum and may provide the measurement to the controller.
  • the controller analyses a rate of drop of the pressure and compares the rate of pressure drop with a predetermined value of the pressure drop.
  • the control device 412 determines if there is any blockage or leak in the conduit 402, transit component 104. If the pressure drop occurs faster than the predetermined rate, the control device 412 determines the presence of a leak. However, if the pressure drops slower than the predetermined rate of the pressure drop, the control system 412 determines a blockage. Further, if the pressure drop is slower than the predetermined later, such that the pressure drop has a little variation (a pre-known value, such as variation of 1-2 bar) from the predetermined rate, then it can be inferred as presence of foreign object in the transit component 104. The presence of foreign object indicates a presence of fecal matter in the transit component 104.
  • a pre-known value such as variation of 1-2 bar
  • LEDs light emitting diodes
  • alarms may be provided on the control device 412 to indicate blockage or presence of fecal matter upon detection of the same.
  • LEDs light emitting diodes
  • the control device 412 may turn on the red LED and sound the alarm.
  • the control device 412 may turn on the yellow LED and sound the alarm.
  • above first and second operation may be performed at regular intervals to detect the presence of fecal matter, leak, or blockage in the transit component 104 and collection component 400.
  • the above operations may be performed in every 30, 60, or 90 seconds.
  • a frequency of performing operations to determine fecal matter may be set using the control device 412 based on a condition of the person. For example, if the person is suffering from acute diarrhea, the operation to determine fecal matter may be conducted in very short time, say every 30 seconds. In another example, the frequency of performing the operations may be an hour, depending of medical assessment of the condition of the person.
  • a sensor may also be employed to detect a presence of fecal matter in the transit component 104.
  • sensors such as an optical sensor, an infrared sensor, a pressure sensor, a passive infrared sensor, a humidity sensor, an odour sensor, a pH sensor, a temperature sensor, a calorimetric sensor, etc., may be used to detect the presence of the fecal matter in the transit component 104.
  • the sensor may be communicatively coupled to the control device 412 to provide a corresponding sensor input that may be indicative of presence of fecal matter in the transit component 104.
  • the control device 412 when a presence of fecal matter is detected in the transit component 104, the control device 412 triggers a process of removal of the fecal matter from the transit component 104.
  • the control device 412 creates a vacuum in the transit component 104 and the collection component 400 by extracting the air form the transit component 104 and the collection component 400.
  • the control device 412 allows a fluid to flow into the transit component 104 through the first fluid passageway 414. The flow of fluid into the transit component 104, releases the vacuum and the fecal matter present in the transit component 104 starts flowing towards the collection component, for instance via the conduit 402.
  • the fluid may be air, water, saline, disinfectant, or a combination of the these.
  • the first fluid passageway 414 may be coupled to one or more the fluid sources via a multi way connector.
  • the first fluid passageway 414 may be coupled with two fluid sources via a T-junction connector.
  • the controller of the control device 412 may control the pump for suction of the fluid from a fluid source and for injecting the fluid in the transit component 104 via the first fluid passageway 414.
  • the speed of the pump may be regulated by the control device 412.
  • PWM pulse width modulation
  • the pump may be controlled using feedback mechanism from the pressure sensor coupled with algorithms, such as proportional integral derivative (PID) control, etc., that will ensure no jerky movements/flush cycles for a more comfortable yet effective wash with least amount of water.
  • PID proportional integral derivative
  • the input signal to the pumps may be controller to inject the fluid through the first fluid passageway 414 in a pulsating matter where the air and water pulsing minimizes the amount of water used and also provides for more abrasion/ rubbing on the skin to wash away the feces remnants stuck on the skin.
  • the control device 412 may employ sensors, such as infrared sensors, hall effect sensors as part of the encoder to measure the speed of the pump motor and based on the speed of the pump motor and the time for which the pump motor works, amount of fluid injected in the transit component 104 can be calculated. Based on a knowledge about the amount of fluid, the control device 412 can accordingly monitor and manage the amount of the fluid being injected into the transit component (104). Thus, the amount of fluid being used would be minimized.
  • control device 412 may control a rate of flow of the fluid in order to balance a rate of drop of pressure due to release of vacuum.
  • the control device 412 may continuously monitor the rate of pressure drop in order to determine any anomaly in the conduit 402 or the transit component 104. For example, if there is any sudden drop in the pressure during the removal of the fecal matter, the control device 412 may determine presence of a leak and the fecal removal process is stopped to avoid any spreading of the fecal matter through the detected leak.
  • the fecal matter removal process may also be initiated without the use of the control device 412.
  • a person may indicate the excretion of the fecal matter based on which the care giver may connect the fluid inlet 308 of the transit component 104 to a fluid source and the fluid may be injected into the transit component 104.
  • the injection of the fluid in the transit component 104 may enable the fecal matter to flow from the transit component 104 to the collection component.
  • the collection component may be a disposable bag which may be disposed off after the fecal matter is collected in the disposable bag. In an example, low pressure or vacuum may be created in the disposable bag, such that the disposable bag which may suck the fecal matter received at the transit component 104.
  • FIGs 6a, 6b and 6c show a lid of the collection component according to an example embodiment of the present subject matter.
  • the lid comprises an inlet 602, an outlet 604, a body portion 606.
  • the conduit 402 is coupled to the inlet 602 of the lid 406.
  • the lid 406 has a port 608 to which the second fluid passageway 416 may be coupled.
  • a disposable bag 410 may be coupled to the lid 406.
  • the disposable bag 410 may be attached to an outer periphery of the body portion 606 such that the disposable bag 410 encases the lid 406 and encloses the outlet 604.
  • the coupling of lid 406 and the disposable bag 410 is air tight to prevent spread of fecal matter during transfer of fecal matter from the transit component 104 to the disposable bag 410.
  • the fecal matter enters the lid 406 via the inlet 602 and leaves the lid 406 via the outlet 604 and subsequently gets collected in the disposable bag 410.
  • the body portion 606 of the lid 406 may be reinforced using reinforcing structures to prevent collapse of the lid 406 when vacuum is created by the control device 412 for detection and removal of fecal matter.
  • Figure 6b illustrates a cross-sectional view of the lid 406 in an example embodiment of the present subject matter.
  • the lid comprises aforementioned inlet 602, outlet 604, and body portion 606.
  • the body portion 606 is supported by supporting members 610.
  • the supporting members 610 prevent the lid 406 and the outlet 604 from collapsing when vacuum is created.
  • a back view of the lid 406 is shown in figure 6c.
  • a fecal collection device 100 configured in accordance with the teachings of the present invention offers the following advantages:
  • Feces is in contact with a minimal area in the perineum around the anus.
  • a care provider need not touch the disinfectant dispenser before, while and after the cleaning. • The care provider's hands remain aseptic and do not contaminate the ventilator tubes/ IV stand/ central line/ bed railing even if the care provider touches any of those.
  • the device is MRU CT and X ray compatible. Does not cause artefacts or shadows.
  • the use of radiolucent materials for manufacturing the collection device eliminates the possibility of artefacts or shadows which could be seen in the case of metal retaining devices adding an advantage of not needing to remove the device for imaging and being MRI compliant.
  • the fecal collection device being retained outside the body, does not distend the rectal walls and hence providing intact rectum during imaging of pelvis.
  • the two advantages here include potential for measuring the rectal dimensions by the radiologist and to allow for diagnosis of lesions or other conditions in and around the rectum.
  • the device can deal with those consistencies of feces which have not been able to be catered by the existing prior art.
  • the fecal collection device prevents spread of feces to other parts of the pelvis and thereby limiting complications (in relation to a diaper)

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  • Health & Medical Sciences (AREA)
  • Vascular Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Nursing (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Epidemiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Reproductive Health (AREA)
  • Chemical & Material Sciences (AREA)
  • Dispersion Chemistry (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)

Abstract

L'invention concerne un dispositif de collecte de matières fécales (100). Le dispositif de collecte de matières fécales (100) comprend un composant de retenue (102) qui doit être fixé à une partie du corps d'une personne. Le composant de retenue (102) est formé sous la forme d'un timbre adhésif souple. Le composant de retenue (102) comprend en outre une région de corps (1022), une extrémité antérieure (1028), une extrémité postérieure (1030). La région de corps (1022) est positionnée le long d'un périnée de la personne. La région de corps (1022) comprend en outre un orifice (106) qui enferme une ouverture anale de la personne. Le dispositif de collecte de matières fécales (100) comprend en outre un composant de transit (104), couplé à l'orifice (106), pour recevoir la matière fécale excrétée par la personne.
PCT/IN2019/050457 2018-06-14 2019-06-14 Dispositif de collecte de matières fécales Ceased WO2019239433A1 (fr)

Applications Claiming Priority (2)

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IN201841022405 2018-06-14
IN201841022405 2018-06-14

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