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WO1988003818A1 - Dispositif d'irrigation au travers d'un stomate - Google Patents

Dispositif d'irrigation au travers d'un stomate Download PDF

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Publication number
WO1988003818A1
WO1988003818A1 PCT/US1987/000589 US8700589W WO8803818A1 WO 1988003818 A1 WO1988003818 A1 WO 1988003818A1 US 8700589 W US8700589 W US 8700589W WO 8803818 A1 WO8803818 A1 WO 8803818A1
Authority
WO
WIPO (PCT)
Prior art keywords
primary passage
intestine
channels
conduit
stoma
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/US1987/000589
Other languages
English (en)
Inventor
Ingrid Burma Bloxom, Jr.
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
Application filed by Individual filed Critical Individual
Publication of WO1988003818A1 publication Critical patent/WO1988003818A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F5/00—Orthopaedic methods or devices for non-surgical treatment of bones or joints; Nursing devices ; Anti-rape devices
    • A61F5/44—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices
    • A61F5/442—Devices worn by the patient for reception of urine, faeces, catamenial or other discharge; Colostomy devices having irrigation ports or means

Definitions

  • the present invention relates to a device par- v tially designed to introduce irrigating liquid into the intestine of an ostomy patient through a surgic ⁇ ally formed stoma and also structured to establish fluid communication between the interior of the intestine and a conduit which initially directs irrigating fluid to the intestine through the stoma and attached fluid introducing device.
  • the estab ⁇ lishment of fluid communication allows the deter ⁇ mination of sufficient peristaltic action in the intestine to indicate stoppage of the introduction of irrigating liquid thereto.
  • Colonic irrigation is a well-known medical treatment, not only in the case of conventional enemas through the anus end of the rectum, but also in the case of irrigation through surgically provided openings, known as stomas, into other parts of the colon, as in the case of colostomy and ilestomy patients.
  • stomas surgically provided openings
  • the degree of discomfort and length of ordeal in irrigating the colon to the extent of discharging fecal matter from the colon is significant.
  • Such stomas are formed from the end of a shortened colon after the end has been drawn up through the abdominal wall and outer skin.
  • Equipment to introduce irrigation liquid into the colon of an ostomy patient is disclosed, for example, in U.S. Patent 3,830,235 to Mar ⁇ an.
  • Such equipment conventionally includes a bag for the irrigation liquid, a flexible tube to convey liquid from the bag to a device through which the liquid is introduced into the colon, a clip to shutoff the flow to the tube, and a discharge device to catch the backflow of fecal matter, etc. when the fluid in ⁇ troducing device is removed from the stoma.
  • the subject inventor has recognized has recognized that the discomfort and time required for colonic or other intestinal irrigation is minimized by detecting the buildup of peristaltic action of the intestine in response to injection of irrigating liquid and, importantly, the termination of the injection or supply of irrigating liquid when there is an indi ⁇ cation of sufficient peristaltic action to provide the desired evacuation without the aid of additional liquid.
  • Such prompt termination of the introduction of irrigating liquid has the further important advan ⁇ tage of preventing an excessively large amount of liquid introduced into the intestine from suppressing the peristaltic action initiated by the smaller amount of liquid initially introduced.
  • a monitoring device in various em ⁇ bodiments, has been utilized by the present inventor to determine the requisite amount of peristaltic action and provide an indication to stop the intro ⁇ duction of irrigating liquid into the intestine.
  • fluid communication has to be established and maintained between the interior of the intestine and the monitoring device.
  • a liquid flow has to be first established between a supply of irrigating liquid and the in ⁇ terior of the intestine.
  • Fluid introducing devices known in the prior art are generally formed to protrude into the intestinal 5 area through the stoma to a point of actual engage ⁇ ment with the intestine wall. Due to obvious flexi ⁇ bility of the intestine and the surrounding stoma collar, a passage or path of introduction of the fluid through the device into the intestine is some- 10 times blocked causing a failure of an adequate supply of irrigating liquid to the intestine or the pre ⁇ vention of peristaltic action from being properly monitored through a backflow of fluid to the afore ⁇ mentioned monitoring device. In light of these pro- 15 blems there is a need in this area for an introduc ⁇ tion device capable of providing an efficient and reliable supply of irrigating fluid to the intestine and at the same time establishing and maintaining fluid communication between the interior of the
  • any type of monitoring device associ ⁇ ated with the supply or channelling conduit directing the irrigating liquid to the introduction device.
  • the present invention is directed towards a device for introducing irrigating fluid into the interior of an intestine primarily through a surgi ⁇ cally formed stoma or alternately through a natural opening of the body. Also the device is specifically
  • a montoring device structured to establish and maintain reliable fluid communication between the interior of the intestine and a montoring device which may be attached to a liquid channelling conduit initially directing the irrigating liquid to the device and therethrough into or the interior of the intestine.
  • the subject device may be more commonly referred to as a "stoma cone" and in a preferred embodiment may include a substantially conical configuration having a first end defining what may be generally referred to as the apex of the conical configuration. This first end is, when applied to the stoma or opening in the body, inserted into the interior of the intestine in registry therewith.
  • the opposite end of the body protrudes exteriorly from the stoma or body orifice and includes an at least partially hollow interior portion.
  • a primary passage is in ⁇ tegrally formed to extend through the body and be opened at its opposite end.
  • one open end of the primary passage is aligned with the first end of the body on the interior of the intes ⁇ tine while the opposite end of the passage is in direct communication and exits at the hollow interior portion of the body.
  • the interior open end of the primary passage is specifically configured to recieve or be connected in fluid communication with a fluid channelling conduit.
  • a fluid channelling conduit is connect- able to a supply of irrigating liquid and also may be secured to a monitoring device.
  • the existence of the monitoring device is operative on the basis of deter ⁇ mining the creation of peristaltic action in the intestine sufficient to begin evacuation thereof.
  • the determination of such peristaltic action is based on the establishment and maintenance of fluid communication between the interior of the intestine and the monitoring device itself.
  • the subject stoma cone differs from prior art introduction devices at least in part by the creation of a plurality of spaced apart channels integrally formed in the body and communicating at an interior end of each such channels with the primary passage at a point along its length spaced from the first end of the body.
  • each channel extends angu ⁇ larly outward from the primary passage and terminates on the exterior surface of the body in an open end.
  • the plurality of secondary channels in effect create secondary lines of fluid communication leading from the interior of the intestine to the primary passage at a location spaced from the open end of the primary passage positioned on the interior of the intestine.
  • the invention accordingly comprises the features of construction, combination of elements and arrange ⁇ ment of parts which will be exemplified in the con ⁇ struction hereinafter set forth, and the scope of the invention will be indicated in the claims.
  • Figure 1 is an isometric view of the device of the present invention.
  • Figure 2 is a side elevation of the embodiment of Figure 1 with interior structural details repre ⁇ sented in phantom lines.
  • Figure 3 is an end elevational along line 3-3 of Figure 2.
  • Figure 4 is an opposite end elevation along line 4-4 of Figure 2.
  • Figure 5 is a sectional view of the subject device as applied to a stoma and intestine to be irrigated and being connected to a supply of irrigat- ing liquid through a liquid channelling conduit, certain components of this view being represented in phantom lines.
  • the present invention relates to a fluid introduction device generally indicated as 10 and known in the medical field as a "stoma cone.”
  • the device 10 includes an outwardly extending main body portion 12 generaly formed into a conical configuration terminating at a first end 16 and at an opposite end in the form of a flange 14.
  • the end 16 may generally define what can be referred to as the apex of the conical configura ⁇ tion of body 12 and, as shown in Figure 5, is dis ⁇ posed on the interior of the patient, more specific ⁇ ally, within the interior 52 of the intestine 50, to be described in greater detail hereinafter.
  • the body 12 includes an at least partially hollow interior portion 18 opening at the undersurface of the flange 14 (see Fig. 4) and extending inwardly into the interior of the body 12 where it terminates at a junction or socket 19 defin ⁇ ing an interior open end of a primary passage 20.
  • the open end or junction 19 is specifically con ⁇ figured and disposed to receive and allow connection thereto of a fluid channelling conduit (see Fig. 5) also to be described in greater detail hereinafter.
  • the primary passge 20 terminates at an opposi ⁇ tely disposed open end 22 again which exits or com ⁇ municates with the interior space 52 of the intestine 50 to be irrigated.
  • the end or flange 14 remains exteriorly of the patient or abdominal wall 47 and is specifically applied by being extended through the stoma generally represented in Figure 5 in phantom lines.
  • the shape of the stoma has its configuration maintained somewhat by a collar 43 and an annular connector 45 serves to secure the collar to the exterior skin surface of the abdominal wall 47. Accordingly, in its operative position the first end 16 of the device 10 is disposed on the interior of the intestine as at 52 and therefore establishes fluid communication by the existence of the passage 20 and the open position of the open end 22 with the fluid handling conduit 40 connected to the end 19 as at the correspondingly positioned end 44 of conduit 40.
  • An important feature of the present invention is the existence of a plurality of channels 24, 26 and 28 disposed in spaced relation to one another and each terminating on the outer surface of the body 12 adjacent the open end 22 and first end 16 of the primary passage 20 and body 12 respectively. More specifically, the open ends 25, 27 and 29 define openings also communicating with the interior 52 of the intestine 50 wherein the opposite ends of the re ⁇ spective channels 24, 26 and 28 intersect with and are in fluid communication with the passage 20 along a portion of its length spaced from the end 22.
  • each of the channels 24, 26, and 28 are angled outwardly to the exterior surface of the body 12. Also in a preferred embodiment, each of these channels are disposed at an angle of substan ⁇ tially 45° to the central longitudinal axis of pass ⁇ age 20.
  • a support stand 34 having an upper end properly shaped to engage and support a fastening member 36 contained on the supply means 30 which may be in the form of a container 32 holding the irrigating liquid contained therein as shown.

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

Le dispositif (10) de structure en forme de cône est destiné à l'introduction d'un liquide d'irrigation dans l'intestin (50) au travers d'un stomate ou tout autre ouverture appropriée dans le corps (12) d'un patient lorsqu'une telle irrigation intestinale est nécessaire pour stimuler l'évacuation fécale. Le dispositif (10) comprend un passage principal (20) ainsi qu'une pluralité de canaux angulaires secondaires (24, 26, 28) pour s'assurer qu'une communication de fluide est établie entre l'intérieur de l'intestin (50) et un conduit d'acheminement du fluide, lequel conduit étant à son tour relié à une alimentation en liquide d'irrigation (32) et à un dispositif de contrôle (30) pour déterminer que l'action péristaltique dans l'intestin (50) est suffisante indiquant par là qu'une quantité suffisante de liquide d'irrigation a été introduite pour établir la décharge fécale.
PCT/US1987/000589 1986-11-28 1987-03-20 Dispositif d'irrigation au travers d'un stomate Ceased WO1988003818A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US93577886A 1986-11-28 1986-11-28
US935,778 1992-08-28

Publications (1)

Publication Number Publication Date
WO1988003818A1 true WO1988003818A1 (fr) 1988-06-02

Family

ID=25467650

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US1987/000589 Ceased WO1988003818A1 (fr) 1986-11-28 1987-03-20 Dispositif d'irrigation au travers d'un stomate

Country Status (2)

Country Link
AU (1) AU7129687A (fr)
WO (1) WO1988003818A1 (fr)

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5330447A (en) * 1991-08-28 1994-07-19 Pardes Spezialstrumpfe Gmbh Irrigator for colostomy patients
US10028893B2 (en) 2014-06-18 2018-07-24 University Of Virginia Patent Foundation Ostomy pump system and related methods of use and manufacture
CN118845335A (zh) * 2024-09-25 2024-10-29 四川省肿瘤医院 一种造口冲洗装置

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US737795A (en) * 1903-05-18 1903-09-01 Victor C Vant Woud Syringe-pipe.
US1676308A (en) * 1926-04-22 1928-07-10 Wallace E J Collins Sanitary syringe nozzle
US3910274A (en) * 1974-03-18 1975-10-07 Hollister Inc Stoma irrigating system
US3990448A (en) * 1974-08-26 1976-11-09 Plastronics, Inc. Enema tip
US4050461A (en) * 1976-04-23 1977-09-27 Ruby Max H Stoma irrigation system

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US737795A (en) * 1903-05-18 1903-09-01 Victor C Vant Woud Syringe-pipe.
US1676308A (en) * 1926-04-22 1928-07-10 Wallace E J Collins Sanitary syringe nozzle
US3910274A (en) * 1974-03-18 1975-10-07 Hollister Inc Stoma irrigating system
US3990448A (en) * 1974-08-26 1976-11-09 Plastronics, Inc. Enema tip
US4050461A (en) * 1976-04-23 1977-09-27 Ruby Max H Stoma irrigation system

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5330447A (en) * 1991-08-28 1994-07-19 Pardes Spezialstrumpfe Gmbh Irrigator for colostomy patients
US10028893B2 (en) 2014-06-18 2018-07-24 University Of Virginia Patent Foundation Ostomy pump system and related methods of use and manufacture
CN118845335A (zh) * 2024-09-25 2024-10-29 四川省肿瘤医院 一种造口冲洗装置

Also Published As

Publication number Publication date
AU7129687A (en) 1988-06-16

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