JPH0332374B2 - - Google Patents

Description

[Detailed Description of the Invention] "Industrial Technical Field" This invention relates to a colostomy and an artificial urinary skin fistula treatment device, more specifically, it is attached to a colostomy or an artificial urocutaneous fistula and is disposed of without leaking excrement. The present invention relates to an artificial anus and an artificial urocutaneous fistula treatment device.

"Conventional technology" For patients with rectal cancer, rectal stenosis, fecal fistula, or anal atresia,
After removing the affected area, a part of the colon is cut mainly in the left flank of the S-discendent colon to expose a part of the colon in the abdomen, and the opening (stoma) is used as an artificial anus to defecate.

On the other hand, patients who have undergone surgery for bladder cancer, prostate cancer, urethral disease, or who have suffered damage to the nerves of the urinary system due to transportation problems, etc., have a portion of the urinary canal exposed on the right side of the abdomen, and its opening The stoma is used as an artificial urocutaneous fistula to urinate.

``Problems to be Solved by the Invention'' Conventionally proposed stoma bags are attached directly to the skin of the abdomen with adhesive, which causes skin irritation and considerable discomfort to the wearer. It was also not sanitary.

A treatment device that is attached via a stoma ring without using adhesive has also been proposed, but the hard plate adheres tightly to the abdomen and presses against the abdominal wall, which tends to cause skin irritation, and the ring tends to irritate the skin on average. Because the product does not absorb well, feces, urine, odors, etc. may leak out.

Furthermore, the belt used to attach the stoma bag is narrow, so if the wearer is obese, there is a risk that it may get stuck in the abdomen or the stoma bag may roll over during sleeping or exercising, causing feces, urine, odor, etc. to leak out. Yes, social life is extremely limited.

"Means for Solving the Problems" This invention eliminates the above-mentioned drawbacks, and its gist is to have engaging parts alternately on the front and back sides near both ends, and an opening in the center. forming a loop-shaped engagement piece on the longitudinally inner edge of the central opening;
a wide elastic belt having a length that can be wrapped around a required part of the abdomen; having a flat part and belt engaging ends that are slightly inclined toward the front side on both sides of the flat part and extend outward so as to be parallel to the flat part; A circular hole for defecating and urinating is formed in the center of the flat part, a circular recess having a constant width and a larger diameter than the circular hole for defecating and urinating is formed on the back side of the flat part, and a circular recess is formed around the circular recess. a stoma ring fitting part with a collar protruding from the back side, from the outside to the inside near the lower part of the longitudinal outer edge of the belt engaging end;
In addition, a belt fitting notch is formed from the bottom to the top,
A belt engaging groove is formed in the vertical direction of the belt engaging end, a downward protrusion is provided approximately in the middle of the ceiling side of the belt engaging groove, and the ceiling edge is provided between the protrusion and the inner side edge in the vertical direction. a hard synthetic resin plate provided in the central opening of the wide elastic belt, the belt guide groove being formed to reach an upper part vertically and communicating with the belt engaging groove; It has a hole for defecation and urination at a location corresponding to the central hole for defecation and urination, has a certain thickness, has a slightly wider area than the hard synthetic resin plate, and has a hole made of the hard synthetic resin on the front side. A first elastic ring with a semicircular cross section is formed to tightly fit within the ring fitting portion of the plate, and a second elastic ring with a semicircular cross section having a slightly larger diameter than the first elastic ring with a semicircular cross section is formed on the back side of the first elastic ring. an elastic stoma ring having a stretchable and flexible cushion sheet; on the front side of the hard synthetic resin plate, around the central circular hole for defecation and urination, and around the inlet for defecation and urination formed at the top; This is an artificial anus and artificial urocutaneous fistula treatment device consisting of a stoma bag that can be attached freely.

Therefore, the first object of the present invention is to provide a stoma ring having a stretchable flexible cushion sheet with a hole for defecation and urination formed in the center, and a stoma ring having a semi-circular cross section provided around the front side of the hole for defecation and urination. The first elastic ring is tightly fitted into the stoma ring fitting part of the hard synthetic resin plate, and the second elastic ring, which is also semi-circular in cross section and has a slightly larger diameter than the first elastic ring, makes soft contact with the skin around the stoma. This completely prevents the leakage of feces, urine, odor, etc. from between the skin, wrinkles, and the hard synthetic resin plate, and the elastic and flexible cushion sheet of the stoma ring protects the skin from the hard synthetic resin plate. Since it does not come into contact with the resin plate, skin irritation is prevented, and the soft and stretchable cushion sheet comes into contact with the skin, eliminating displacement of the entire treatment instrument, and even when strongly pressed from above, the hard synthetic cushion sheet To provide an artificial anus and an artificial urocutaneous fistula treatment instrument in which a resin plate is prevented from biting into the skin at a predetermined location.

The second object of the present invention is that the width of one stretchable flexible sheet to which the hard synthetic resin plate is attached is made wider than the hard synthetic resin plate.
Pulling the stoma bag, the weight of the stoma bag, turning over while sleeping, standing and sitting movements,
The stoma, even during other strenuous body movements or exercise.
To provide an artificial anus and an artificial urinary-cutaneous fistula treatment device that do not displace or turn over.

The third object of this invention is that the belt engaging portions at both ends of the hard synthetic resin plate are slightly inclined outward, so that the pulling force of the elastic belt wound around the abdomen applies pressing force evenly to the abdominal wall. To provide an artificial anus and an artificial urinary skin fistula treatment device that can be stably attached.

A fourth object of the present invention is to form a belt fitting notch leading to the engagement groove at the belt engagement end of the hard synthetic resin plate and a belt guide groove on the ceiling side of the engagement groove to facilitate attachment and detachment of the belt. A colostomy and an artificial urinary skin fistula that can easily attach and detach the hard synthetic resin plate, facilitate the removal of instruments, replace the stoma bag, and clean the stoma, and maintain the protection and hygiene of the stoma. Provide processing equipment.

"Structure" An embodiment of the artificial anus and artificial urinary skin fistula treatment device according to the invention of this application will be described as shown in the accompanying drawings. In Figures 1, 2, and 5, the hard synthetic resin plate is placed in the center of a belt 50 made of stretchable fabric, wider than the hard synthetic resin plate 10 described later, and long enough to be wrapped around the abdomen. 10
Loop-shaped engaging pieces 56, 56 that fit into the engaging grooves 28 of the hard synthetic resin plate 10 are formed on the longitudinally inner edges 54, 54 of the central opening 52. , and engaging portions 58 and 58 are provided alternately on the front and back sides of both ends.

In FIGS. 3, 4 to 12, the hard synthetic resin plate 10 has a flat portion 12, and on both sides of the flat portion 12, as shown in FIG.
Belt engaging ends 22, 22 are formed to extend outwardly in parallel with the flat portion 12, and a circular hole 14 for defecation and urination is formed in the center of the flat portion 12, particularly as shown in FIG. A circular recess 18 having a constant width and a larger diameter than the defecation and urination hole 14 is formed on the back side of the flat part 12 (i.e., the surface that contacts the abdomen), and a circular recess 18 is formed around the large diameter circular recess 18. A collar 20 is provided to protrude inward to form a stoma ring fitting part 16.

Furthermore, a belt fitting notch 26 is formed from the outside to the inside and from the bottom to the top near the bottom of the longitudinal outer edge 24 of the belt engaging ends 22, 22 of the hard synthetic resin plate 10, and the belt engaging notch 26 is formed from the outside to the inside and from the bottom to the top. A belt engaging groove 28 is formed in the longitudinal direction of the mating end 22, and the belt engaging groove 2
A downward protrusion 32 is provided at approximately the middle of the ceiling side 30 of the belt 8, and a belt guide groove 36 is formed between the protrusion 32 and the vertically inner side edge 34 to reach an upper part perpendicularly to the ceiling side 30. It communicates with the engagement groove 28.

In FIGS. 6, 7, 13 to 15, an elastic stoma ring 40 made of silicone rubber or the like is fitted into a circular recess 18 on the back side of the hard synthetic resin plate 10. It has a defecation and urination hole 42 corresponding to the defecation and urination hole 14, has cushioning properties around it, has a certain thickness and elasticity, and is made of the hard synthetic resin. A sheet 44 having a slightly larger area than the plate 10 is formed, and the hard synthetic resin plate 10 is placed around the defecation and urination hole 42 on the front side of the sheet 44.
A first ring 46 with a semicircular cross section that tightly fits inside the ring fitting part 16 is formed, and a first ring 46 with a semicircular cross section is formed around the circular hole 42 for defecation and urination on the back side of the sheet 44. A second ring 48 having a slightly larger diameter and a semicircular cross section is formed.

1 and 3, the periphery 64 of the defecation and urination inlet 62 at the upper part of the stoma bag 60 is pasted or high-frequency welded to the front side of the hard synthetic resin plate 10.

"Function" In the colostomy and artificial urocutaneous fistula treatment device having the above-described configuration, a stoma bag is placed in advance on the front side of the hard synthetic resin plate 10 in the central opening 52 of one elastic belt 50. The periphery 64 of the defecation and urination inlet 62 on the upper part of the belt 60 is adhered and the integrated structure is guided, and the loop-shaped engaging pieces 56, 56 are attached to the belt through the notches 26, 26 of the belt engaging ends 22, 22, respectively. Insert into the fitting grooves 28, 28 and return below the belt fitting grooves 28, 28, and sew the ends of each loop-shaped engaging piece 56 to the belt 50 to integrate it with the hard synthetic resin plate 10. do.

Next, the first elastic stoma ring 40 has a semicircular cross section.
Fitting the ring 46 into the stoma ring fitting part 16 of the hard synthetic resin plate 10 and bringing it into close contact;
The stretchable flexible cushion sheet 44 is attached to the circular collar 20.
The second ring 48, which has a semicircular cross section, is fitted onto the stoma (not shown) from the outside, and at the same time, the stretchable flexible cushion sheet 44 is brought into contact with the skin of the abdominal wall around the stoma, and the stretchable belt is brought into contact with the abdominal wall skin around the stoma. The hard synthetic resin plate 10 is worn by the engaging portions 58, 58 by wrapping both ends of the plate 50 around the waist.

"effect" This invention has the following unique effects.

(1) The first ring 46 with a semicircular cross section of the elastic stoma ring 40 is connected to the stoma ring 46 of the synthetic resin plate 10.
Since it is tightly fitted into the ring fitting part 16 and the second ring 48, which has a large diameter and a semicircular cross section, is in close contact with the abdominal wall,
Leakage of feces, urine, odor, etc. is completely eliminated, and since the flexible cushion sheet 44 comes into contact with the inner surface of the hard synthetic resin plate 10, skin irritation is prevented, and the stretchable flexible cushion sheet 44
This makes it possible to eliminate misalignment of the entire processing instrument, which is safe and sanitary.

(2) Make one stretchable belt 50 wider than the synthetic resin plate 10, fit the synthetic resin plate into the opening 52 formed in the center, and attach the loop-shaped engagement pieces 56, 56. Since it engages with the belt engaging ends 22, 22 of the synthetic resin plate, the elastic stoma ring 40 and the stoma ring
The bag 60 is stably attached to the abdomen, and there is no chance of it turning over or shifting during sleep or exercise.
2 is inclined slightly outward, so that even if the pulling force of the elastic belt 50 is small, the force of pressing the artificial anus and artificial urocutaneous fistula treatment device against the abdomen is sufficient.

(3) Fitting notches 2 are provided at the bottom of the belt engaging ends 22, 22 at both ends of the flat portion 12 of the synthetic resin plate 10.
6, 26 are formed and guided from bottom to top to communicate with belt engaging grooves 28, 28, respectively, and belt guide grooves 3 are formed inside these ceiling sides 30, 30.
6, 36, the loop-shaped engagement pieces 56, 56 of the belt 50 can be easily fitted, and when guided downward within the belt engagement grooves 28, 28, the downward protrusions 32, 32 prevent them from accidentally coming off. So there is no failure.

(4) Conversely, from the downward protrusions 32, 32 to the guide groove 36,
If the upper end of the belt 50 is guided into the belt 36, the lower end can be easily removed from the fitting notches 26, 26, thereby facilitating removal of the treatment instrument, replacement of the stoma bag 60, cleaning of the stoma, etc.

[Brief explanation of drawings]

FIG. 1 shows the elastic stoma ring removed from the colostomy and artificial urinary skin fistula treatment device according to the present invention.
A perspective view of the embodiment with each end of the belt partially cut away, FIG. 2 shows an elastic stoma from the embodiment of FIG.
Fig. 3 is a front view showing the process of attaching the stoma bag to the outside of the hard synthetic resin plate, and Fig. 4 is a perspective view showing the belt partially cut at two places with the bag removed. , a partially enlarged front view showing a state in which the loop-shaped engagement piece of the hard synthetic resin plate is engaged with the loop of the opening formed in the center of the belt; FIG. 5 shows the opening formed in the center of the belt; FIG. 6 is a partially enlarged view showing the loop-shaped engagement piece of the present invention, and shows a state in which an elastic stoma ring having a flexible cushion sheet is fitted into the stoma ring fitting portion of the hard synthetic resin plate. A front view, FIG. 7 is a vertical sectional view taken along the line V11-V11 in FIG. 6, FIG. 8 is a vertical sectional view taken along the line V111-V111 in FIG. 6, and FIG. 9 is a front view of the hard synthetic resin plate. , FIG. 10 is a plan view of FIG. 9, and FIG. 11 is a plan view of FIG.
The back view of FIG. 9 and the rear view of FIG. 12 are
13 is a front view of the elastic stoma ring, FIG. 14 is a plan view of FIG. 13,
FIG. 15 is a partially cutaway enlarged perspective view of the elastic stoma ring shown in FIG. 13, and FIG. 16 is a partial front view showing the above-mentioned treatment instrument wound around the abdominal stoma. 10... Hard synthetic resin plate; 12... Flat part; 14... Circular hole for defecation and urination; 16... Stoma ring fitting part; 18... Large diameter circular recess; 20
...Circular collar; 22...Belt engagement end; 24...Vertical outer edge; 26...Fitting notch; 28...Belt engagement groove; 30...Ceiling side; 32...Downward protrusion;
34... Longitudinal inner side edge; 36... Belt guide groove; 40... Elastic stoma ring; 42... Circular hole for defecation and urination; 44... Expandable flexible sheet; 4
6... First ring with semicircular cross section; 48... Second ring with semicircular cross section; 50... Elastic belt; 52...
...Central opening; 54...Inner longitudinal edge; 56...
Loop-shaped engagement piece; 58... Engagement portion; 60... Stoma bag; 62... Inlet for defecation and urination.

Claims (1)

[Scope of Claims] 1. Engaging parts are alternately formed on the front and back sides near both ends, and an opening is formed in the center, and loop-shaped engagement pieces are formed on the longitudinal inner edge of the central opening. and a wide elastic belt having a length that can be wrapped around a required part of the abdomen; and a flat part and belt engaging ends that are slightly inclined toward the front side on both sides of the flat part and extend outward in parallel with the flat part. A circular hole for defecating and urinating is formed in the center of the flat part, and a circular recess with a constant width and a larger diameter than the circular hole for defecating and urinating is formed on the back side of the flat part. It has a stoma ring fitting part with a circular collar protruding from the back side, and the belt fits from the outside to the inside and from the bottom to the top near the lower part of the longitudinal outer edge of the belt engaging end. a belt engaging groove is formed in the vertical direction of the belt engaging end, a downward protrusion is provided approximately in the middle of the ceiling side of the belt engaging groove, and the protrusion and the inner side edge in the longitudinal direction are connected to each other. a hard synthetic resin plate provided in the central opening of the wide elastic belt, forming a belt guide groove reaching perpendicularly above the ceiling side and communicating with the belt engaging groove; The synthetic resin plate has a defecation and urination hole at a location corresponding to the central defecation and urination hole, has a certain thickness, and has a slightly wider area than the hard synthetic resin plate. A first elastic ring with a semicircular cross section is formed on the front side to tightly fit into the ring fitting part of the hard synthetic resin plate, and a second elastic ring with a semicircular cross section having a slightly larger diameter than the first elastic ring with a semicircular cross section is formed on the back side. an elastic stoma ring having a stretchable flexible cushion sheet formed with an elastic ring; on the front side of the hard synthetic resin plate;
An artificial anus and artificial urocutaneous fistula treatment device consisting of a stoma bag that can be freely attached around the urinary inlet;