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WO1984001103A1 - Bandage d'enterostomie - Google Patents

Bandage d'enterostomie Download PDF

Info

Publication number
WO1984001103A1
WO1984001103A1 PCT/SE1983/000332 SE8300332W WO8401103A1 WO 1984001103 A1 WO1984001103 A1 WO 1984001103A1 SE 8300332 W SE8300332 W SE 8300332W WO 8401103 A1 WO8401103 A1 WO 8401103A1
Authority
WO
WIPO (PCT)
Prior art keywords
skin
bandage
protective plate
enterostomy
section
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/SE1983/000332
Other languages
English (en)
Inventor
Gustaf Torsten Harald Silander
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.)
Tesi AB
Original Assignee
Tesi AB
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 Tesi AB filed Critical Tesi AB
Publication of WO1984001103A1 publication Critical patent/WO1984001103A1/fr
Priority to DK2516/84A priority Critical patent/DK251684D0/da
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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges

Definitions

  • Enterostomy bandage This invention relates to an enterostomy bandage.
  • the surgeon is forced to expose an artificial of the intestine on the abodomen, a so-called colostomy .when the colon is concerned or an ileostomy when the ileum is concerned.
  • a stomy can be the transversely cut-off remaining end of the intestine when, for example, the rectum has been removed by operation because of tumor.
  • the intestine opening opens in the abdominal skin. It is. however, necessary to temporarily relieve an intestine section in order to render possible a healing process which is undisturbed by the passing of feces, for example of an operation wound in the rectum opening or at inflammatory intestinal processes.
  • a loop mostly of the right-hand portion of the colon transversum is drawn forth to the outside of the abdominal skin and retained there by a supporting rod of varying design which is inserted one decimeter under the loop.
  • This supporting rod has the object to prevent the intestinal loop from being retracted into the abdominal cavity, which would result in peritonitis.
  • the support usually consists of a round or flat rod of rigid plastic material with or without movable parts.
  • the support mostly is sutured to the skin.
  • two intestine openings are created, one in the oral and one in the anal direction.
  • This condition is defined as double-leg colostomy or "loop-colostomy” .
  • Analogous thereto the transversely cut-off and exposed intestine portion is defined as one-leg colostomy. What is said hereinafter applies both to colostomy and ileostomy, but the colostomy conditions have been chosen for exemplifying the invention.
  • the present invention eliminates these difficulties in respect of bandaging and double-leg colostomy.
  • the present invention thus, relates to a colostomy bandage comprising a skin-protecting plate of an adhesive material suitable to be attached directly to the body, and is characterized in that a stiffening oblong section is integrated with the central portion of the skin-protecting plate, which section is intended to be inserted under and support an intestine loop drawn forth out of the body.
  • Fig. 1 shows an example of a conventional colostomy bandage
  • Fig. 2 is a section along the line B-B in Fig. 1
  • Fig. 3 shows a colostomy bandage according to the invention
  • Fig. 4 is a section along the line C-C in Fig. 3
  • Fig. 5 is a section along the line A-A in Fig. 3
  • Fig. 6 is a perspective view of a colostomy bandage according to the invention.
  • FIG. 1 an example of a conventional colostomy bandage is shown and, there-fore, "PRIOR ART" is indicated in the Figure.
  • Such a colostomy bandage comprises a skin-protective plate 1, for example of a material marketed under the registered trade name STOMAHESIVE by Squibb Surgicare Ltd. Also other materials, however, may exist. These materials have in common good adherence to the body. Above the skin-protective plate a plastic film is provided, on which a colostomy bag (not shown) can be pasted. In Fig. 1 a plastic ring 2 is shown for connecting a bag.
  • FIG. 1 two intestine openings 3,4 are shown which have been drawn forth and sutured as described above.
  • a supporting rod 5, which comprises a foldable cross-bar 6, has been inserted under the intestine loop 3.4 and abuts the body 10 about the operation wound 7.
  • the skin-protective plate 1 at the beginning is unbroken.
  • a hole 8 corresponding to the intestine loop is cut in the skinprotective plate 1 whereafter the plate is attached directly on the body 10.
  • the skin-protective plate either covers the supporting rod 5. or the skin-protective plate is applied under the supporting rod as shown in Fig. 1.
  • Fig. 2 a section along the line B-B is shown, from which appears that a space 9 is formed to the sides of the supporting rod 5. Feces from the intestine opening 3,4 flow into this space, for example as indicated by the arrow 27 , and thus into the operation wound.
  • the afore-described method belongs to prior art.
  • the present invention more precisely, has the object to eliminate both the problem that feces penetrate into the operation wound, and a problem implying that feces also penetrate under the skin-protective plate at its connection to the supporting rod, especially when the skin-protective plate is located over the supporting rod. This latter problem causes the skin-protective plate to partially loosen, so that feces can leak out outside the bandage, which gives rise to sore skin and pains.
  • the stomy bandage comprises a skin-protective plate of an expedient materual, for example STOMAHESIVE, which plate has substantially the same size and thickness as the conventional plates.
  • the skin-protective plate 11 further comprises a stiffened section 12, which is stiffened in that a stiffening oblong bar 13 is attached in, or rigidly mounted on the surface of the skin-protective plate (shown by dash-dotted lines in Fig. 3).
  • the bar 13 has such a thickness and is so attached in or at the skin-protective plate 11 that its thickness at said section only slightly exceeds or substantially is equal to the thickness of the remaining skin-protective plate.
  • the invention thus, briefly implies to integrate a stiffening bar 13 or corresponding member in the skin-protective plate 11.
  • the skin-protective plate is perforated along two lines 14,15 extending from one edge 16 of the skin-protective plate 11 past and on both sides of the bar 13.
  • the skin- protective plate 11 is provided with two semicircular perforations 17,18 in the place for the stiffened section 12, which perforations have an area corresponding to the size of the intestine loop 3,4 on both sides of said section.
  • STOMAHESIVE contains gelatine, pectin, sodium carboxymethyl cellulose and polyisobutylene.
  • the bar 13 consists of an elastic, but stiff material, and preferably the bar is a plastic bar, but it can be manufactured of any suitable material.
  • the bar preferably has a length of 50-100 mm and a width of 2-7 mm.
  • the bar 13 preferably is provided with a hole 27 to be utilized for facilitating bandage exchange.
  • the colostomy bandage is cut open prior to its application.
  • the colostomy bandage can be provided with marking lines, along which the cutting is to be made.
  • a collecting bag (not shown) can be attached directly.

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • Vascular Medicine (AREA)
  • Epidemiology (AREA)
  • Nursing (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Prostheses (AREA)

Abstract

Un bandage d'entérostomie comprend une plaque (11) de protection de la peau constituée d'un matériau adhésif approprié pour la fixer directement contre le corps. Selon l'invention, le bandage d'entérostomie se caractérise en ce qu'une section oblongue de raidissement (12) est intégrée dans la partie centrale de la plaque de protection de la peau, laquelle section (12) est destinée à être insérée sous une anse intestinale pour supporter cette dernière, laquelle anse intestinale est sortie du corps.
PCT/SE1983/000332 1982-09-23 1983-09-21 Bandage d'enterostomie Ceased WO1984001103A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
DK2516/84A DK251684D0 (da) 1982-09-23 1984-05-22 Enterostomibandage

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SE8205451A SE433168B (sv) 1982-09-23 1982-09-23 Enterostomibandage

Publications (1)

Publication Number Publication Date
WO1984001103A1 true WO1984001103A1 (fr) 1984-03-29

Family

ID=20347967

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/SE1983/000332 Ceased WO1984001103A1 (fr) 1982-09-23 1983-09-21 Bandage d'enterostomie

Country Status (4)

Country Link
EP (1) EP0120885A1 (fr)
DK (1) DK251684D0 (fr)
SE (1) SE433168B (fr)
WO (1) WO1984001103A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003032878A1 (fr) 2001-10-15 2003-04-24 Coloplast As Accessoire pour stomie
FR3013207A1 (fr) * 2013-11-15 2015-05-22 Ct Hospitalier Regional Universitaire Dispositif pour maintenir en place l'intestin grele et/ou le colon au cours d'une operation de stomie et ensemble comportant un tel dispositif

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2561844A (en) * 1939-09-23 1951-07-24 Collignon Pierre Individual dressing
EP0023580A1 (fr) * 1979-07-24 1981-02-11 Intermedicat GmbH Embout pour cathéter

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2561844A (en) * 1939-09-23 1951-07-24 Collignon Pierre Individual dressing
EP0023580A1 (fr) * 1979-07-24 1981-02-11 Intermedicat GmbH Embout pour cathéter

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003032878A1 (fr) 2001-10-15 2003-04-24 Coloplast As Accessoire pour stomie
FR3013207A1 (fr) * 2013-11-15 2015-05-22 Ct Hospitalier Regional Universitaire Dispositif pour maintenir en place l'intestin grele et/ou le colon au cours d'une operation de stomie et ensemble comportant un tel dispositif

Also Published As

Publication number Publication date
EP0120885A1 (fr) 1984-10-10
SE433168B (sv) 1984-05-14
DK251684A (da) 1984-05-22
DK251684D0 (da) 1984-05-22
SE8205451D0 (sv) 1982-09-23
SE8205451L (sv) 1984-03-24

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