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WO1999059656A1 - Seringue a lavement, dispositif auxiliaire de seringue a lavement et injecteur et procede de lavement par utilisation de ces objets - Google Patents

Seringue a lavement, dispositif auxiliaire de seringue a lavement et injecteur et procede de lavement par utilisation de ces objets Download PDF

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Publication number
WO1999059656A1
WO1999059656A1 PCT/JP1999/002549 JP9902549W WO9959656A1 WO 1999059656 A1 WO1999059656 A1 WO 1999059656A1 JP 9902549 W JP9902549 W JP 9902549W WO 9959656 A1 WO9959656 A1 WO 9959656A1
Authority
WO
WIPO (PCT)
Prior art keywords
enema
anus
aid
tube
injection
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/JP1999/002549
Other languages
English (en)
Japanese (ja)
Inventor
Takao Kawamura
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.)
GREAT CHYREN CO Ltd
Original Assignee
GREAT CHYREN CO Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from JP10344810A external-priority patent/JP2000135285A/ja
Priority claimed from JP11078249A external-priority patent/JP2000033119A/ja
Application filed by GREAT CHYREN CO Ltd filed Critical GREAT CHYREN CO Ltd
Priority to AU44815/99A priority Critical patent/AU4481599A/en
Publication of WO1999059656A1 publication Critical patent/WO1999059656A1/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
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71—Suction drainage systems
    • A61M1/77—Suction-irrigation systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0233—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
    • A61M3/0241—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being supplied by gravity
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0233—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs
    • A61M3/0254—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped
    • A61M3/0262—Enemata; Irrigators characterised by liquid supply means, e.g. from pressurised reservoirs the liquid being pumped manually, e.g. by squeezing a bulb
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00—Medical syringes, e.g. enemata; Irrigators
    • A61M3/02—Enemata; Irrigators
    • A61M3/0279—Cannula; Nozzles; Tips; their connection means
    • A61M3/0283—Cannula; Nozzles; Tips; their connection means with at least two inner passageways, a first one for irrigating and a second for evacuating

Definitions

  • a large container is used, and water or hot water at about body temperature is often used as an enema, and may also be used as an intestinal washer for eliminating fecal impaction.
  • They are of the syringe type, and of the larger type, the hanging type, which uses the pressure of the liquid head to inject the enema.
  • the part to be inserted into the anus may be inserted as it is with a syringe type.
  • a rubber tube is attached to the end of the flow tube that extends from the liquid container, and this is inserted into the anus.
  • the tip tube may be washed and used repeatedly, and when worn out, only the tip can be replaced.
  • the first class of simple enema uses pharmaceuticals, if it is used regularly, the medicinal effect will gradually decrease, and a larger amount of enema will be required.
  • a part of the infusate mixed with dirt may cause the anal insertion part of the enema container and the anal
  • the user when using a fig type enema, the user inserts the tip of the enema into the anus into the anus and injects it by pressing the enema container by hand.
  • the tip of the enema When removing from the anus, a part of the injection liquid mixed with dirt leaks from the gap and soils your hands, etc. If it is necessary to use two enemas, handle it hygienically Some items were difficult to use.
  • the second category of enema devices which are stored in large containers and use hot water at about the body temperature, are more suitable for regular use than simple enema devices, but have drawbacks. Not available for syringe type or hanging type Difficulty of using it alone by one skilled person, and unsanitary practice of reusing all components to access the anus, cleaning contaminated parts and reusing them Even if the contaminated part was disposable, it was necessary to perform sanitary management and throw it in a trash can.
  • the present invention eliminates the above-mentioned drawbacks of the conventional enema device, and allows the user to adjust the amount of liquid to be injected at the time of injection, without soiling the hands and the like due to leakage of enema fluid.
  • the aim is to provide a simple enema device that can be easily used at home or on the go.
  • Another object of the present invention is to provide an enema device with enhanced selectivity for the type of liquid to be injected.
  • the present invention also provides several types of infusion devices that are less susceptible to leakage of the enema during infusion of the enema, and that are hygienic and easy for unskilled personnel.
  • the purpose is to provide an enema device for assisting the elderly to defecate independently or assisting the care recipient in the home care. Disclosure of the invention
  • the present application uses an enema assisting device that is attached to the anus until defecation, instead of the current enema method in which the anus is only introduced and removed during the injection of the enema.
  • This enema assisting device is composed of a biodegradable material that can be discarded in the toilet at the same time as defecation after use, and is provided in the flow path from the enema liquid supply port at one end to the intestinal liquid supply port at the other end.
  • An infusion device for injecting enema is connected to this enema aid with a check valve.
  • the injecting device is separated and cut off from an injection tube for supplying the enema to the enema aid, and the injection tube and the enema aid after the infusion of the enema into the intestine is completed.
  • an enema fluid container a manual pump or an electric pump for delivering the enema fluid to the infusion tube, and an enema fluid container.
  • the enema assisting device is inserted into the anus once, and once worn, maintains its state until the patient defecates with defecation.
  • the body of the enema aid is made of, for example, paper or pulp.
  • the inside of the enema aid may be formed from biodegradable plastic from the tip of the round projection into the anus to the supply port of the enema, and may be a tube having a check valve inside. This check valve prevents the backflow of contaminated liquid from the intestine.
  • the c- infusion tube which is preferably provided with a paper sanitary separator so that the hand does not come into direct contact with the buttocks near the anus when inserting the enema aid into the anus, is preferably Its outer diameter is slightly larger than the inner diameter of the supply port of the enema aid.
  • the material is preferably a hard plastic with flexibility.
  • the user inserts the tip of the infusion tube about 10 mm into the supply port of the enema aid immediately before use, and uses the infusion tube due to the elasticity of the biodegradable plastic used in the supply port. Adhere the tip of the to the enema aid.
  • a remote separation mechanism hygienically separates the enema aid from the infusion tube.
  • the remote separation mechanism is preferably constructed by placing a remote separation tube having an inner diameter slightly larger than the outer diameter of the injection tube on the outer side of the injection tube. Further, a ring for increasing the pressing area may be formed at the distal end of the remote separation tube on the side of the enema aid to make it thicker.
  • a lever remote separation lever
  • the lever separately connected to the injection tube and the remote separation tube is provided on the near side, for example, about 30 cm away from the enema aid. By operating the lever to slide the injection tube and the remote separation tube, the separation between the enema aid and the injection tube is performed.
  • the injection tubing was further connected with a piston pump. It is connected to a manual pump or a small electric pump using dry batteries.
  • the above-mentioned pump can be integrated with the enema container, but the enema container can also be made into a portable plastic bag.
  • the user prepares water corresponding to the volume of the enema or the hot water up to the body temperature according to the empirical advice of the individual or the advice of the doctor in advance, and various enema solutions, and fills the enema container.
  • enter the toilet manually connect the enema aid and the injection tube, and insert the enema aid into the anus by itself.
  • After inserting the enema aid sit on the toilet and operate the pump to gradually insert the enema into the intestine.
  • the remote separation lever After injecting an amount that feels enough to defecate and prompting you, quickly operate the remote separation lever to separate and cut the infusion tube and the enema aid, and drop the end of the tube into the toilet bowl. Collect quickly so that it is not available.
  • the enema aid is expelled from the anus, and defecation proceeds.
  • the work is completed by flushing the toilet with washing water.
  • the above-mentioned invention is further developed, and the structure of the enema assisting device inserted into the anus is changed to be formed integrally with the tube for injecting the enema, and the portion to be inserted into the anus is injected into the anus.
  • the swelling slightly increased and the thickness of the swelling slightly increased, thereby increasing the adhesion to the anus when the enema was injected.
  • connection terminal of the disintegrable enema fluid injection tube was changed to allow a wider range of enema fluids and infusion means to be selected, so that a commercially available enema could be used, and the anus after the enema fluid was injected A separation method using a safety cutter was used to cut the inserted enema aid and the injection tube.
  • the enema aid inserted into the anus and the enema liquid injection tube are formed as a single body, the overall structure is simplified.
  • the distal end of a single enema injection tube made of a degradable resin is The structure is covered with a molded pulp that has been treated to withstand waterproofing between the surfaces, and the enema liquid injection tube that touched the buttocks near the anus from the sanitary separator paper described above is also discarded upon defecation. It became possible, and both sanitary and image quality were improved.
  • the tip of the degradable resin tube at the anus insertion part is shrunken or a short valve tube is put on the tip, which is necessary. Accordingly, it was found that this could be achieved by providing a pressure-operated valve-like throttle in the middle of the tube. Since the part inserted into the anus slightly expands when the enema is injected, the adhesion between the anus and the enema aid during operation is increased, and the possibility of fluid leakage from the gap is greatly reduced.
  • a method of separating the enema aid inserted into the anus from the infusion tube a method of cutting it off from the middle with a safe cutter is used as a means for injecting the enema.
  • Various means such as a manual pump, a small electric pump, and a commercially available enema container were made possible.
  • a manual pump, a small electric pump, and a commercially available enema container were made possible.
  • by cutting the injection tube at the part that touches the anal buttocks and discarding it simultaneously with defecation have been improved.
  • the part that is inserted into the anus and contaminated is made of a different material
  • the structure is such that it can be separated from the enema liquid container and the injection device.
  • water or hot water instead of existing liquid medicines, it is possible to use water or hot water at about body temperature, and even a small amount of edible oil, as an enema liquid.
  • the part inserted into the anus is called an enema assisting device, and its mechanical properties, that is, those that are flexible and can be bent by hand, are tube-shaped and inflexible by hand.
  • enema aids Those that collapse when bent are called pipe-shaped enema aids.
  • the shape and the material that can be discarded as they are in the toilet after use have come into contact with moisture, causing the shape to collapse.
  • An enema assisting device was constructed by applying material properties such as polyvinyl alcohol, so that it could be discarded in the toilet after use.
  • the material and meat of the enema assisting device are utilized by utilizing the hydrated swelling properties of gelatin and the like.
  • the thickness and shape are devised, the enema aid is inserted into the anus, and the mechanical strength of the enema aid decreases after the enema is infused, and it changes to a more flexible tube, and the anal sphincter Part of the enema aid is crushed and thinned by the pressure, and at the same time, the internal flow path is also collapsed to provide the function of preventing backflow of the enema fluid filled in the intestine and the function of preventing leakage when removing the enema aid. did.
  • the enema aid has a cross section of a shape similar to the shape characteristics of the anus, so that it is more closely attached to the anus.
  • the shape of the part to be inserted into the anus is basically circular, but in the present application, the above-mentioned leakage of the enema is more effective.
  • An enema aid has an insertion part with an elliptical vertical cross section. In the same manner, in the existing simple enema device, the liquid leakage can be reduced by adopting the cross-sectional shape of the present application.
  • a part of the gas that fills the rectum or sigmoid colon and obstructs defecation is removed.
  • a hole for exhaust is made in a part of the pipe that constitutes the flow path in order to discharge to the outside, and the outer surface of the pipe and its inner surface are covered with a pipe that is insulated so that it can slide.
  • connection between the infusion device and the enema assist device is made by placing the enema assist device on the connection pipe of the infusion device.
  • a slide release mechanism is provided on the outer circumference of the connection pipe so that it is not necessary to touch and remove the enema aid directly with the finger after use, and operate this slide mechanism.
  • a pump is used in a manual injection device in which a container and a pump are integrated and an enema is injected into the intestine by pressing with a finger.
  • a ring-type push-out mechanism for the enema assisting device inside the pump and arranging the ring-type push-out mechanism to simultaneously push out and operate at the final stage of the injection of the pump, particularly the enema assisting device and the injecting device.
  • the stroke in the final step of injecting the enema into the injection device could also be used as the operation to separate the enema aid without having to be aware of the slide operation for withdrawal.
  • the slide mechanism that allows the infusion device and the enema aid to be detached from the enema aid and a force distant place.
  • the first is a slash Two tubes whose outside diameter is smaller than the other inside diameter are overlapped concentrically, and the tip of the inner tube protrudes from the tip of the outer tube so that the flow of the enema assisting device After injecting the enema solution, slide the outer tube until it is flush with the inner tube, and pull out the inner tube attached to the connection port of the enema aid.
  • the second is to use the pressure of the liquid as a means to disconnect and connect the enema aid and the injection device, and to drive the toner in the ultra-compact cylinder
  • a driving means connected to the cylinder by a pressure flow path
  • the piston is operated so as to be pushed out, and the injection device and the enema assisting device are detached. Is the way.
  • pulp that has disintegration over time by containing water after infusion of the enema is completed.
  • a material that is degradable over time and soluble over time to crush a part of the flow path of the enema aid and stop the flow of liquid.
  • an enema assisting device to be inserted into the anus is made of at least two tubes made of a flexible and swellable material such as gelatin or polyvinyl alcohol, and the ends of which are bundled together. Washing of the sigmoid colon, mainly for bedridden patients, by injecting hot water at about the body temperature from one side and discharging gas, stool, and water from the other into the intestine from the other side. An enema aid for the intestine was devised.
  • a safe upper limit temperature is set for the human body, and if a liquid exceeding this temperature is to be used as an enema or enema wash, injection will be performed above a certain temperature by a valve mechanism using a shape memory alloy. Or a safety system such as an infusion pump that does not work due to electrical control using a thermostat, closing a valve in the middle, or bypassing high-temperature liquid to the toilet. Came up with a solution.
  • the second point is the injection pressure of the enema.
  • Manual injection of enema is small in volume and relatively safe, but power-driven liquids with large liquid volumes have no track record of use. You have to think from the perspective of using Therefore, in the present application, the hanging type, that is, the container for the enema is placed at a position higher than the anus, and the enema is injected by the difference in water pressure. Mechanization was performed with reference to the injection method. By setting the maximum pressure for safe infusion of enema to about millimeters or centimeters in a water column, referring to the existing hanging-type enema, it is possible to reduce The required strength is required.
  • an injecting device that injects enema by injecting enema by injecting enema by using the restoring force of the panel as a power means that does not require a pressing action with the fingers when injecting the enema.
  • a valve with a flow rate adjustment function was installed in the flow path of the injection device.
  • a more secure constant-pressure pump that can adjust the discharge pressure by controlling the rotation speed without using a constant displacement pump was proposed.
  • the user moves during the enema to determine how to detect the position of the anus in the human body, how to determine the angle of entry into the anus, and how to determine the depth of insertion into the anus.
  • this may be a costly risk, such as what to do with this measure, if you have an anus disease, or how to deal with individual and physical differences in data.
  • a magnet-type suction connection method which is easy to connect and disconnect with respect to the inside of the injection device and the connection with the hot water washer, was adopted.
  • powder medicines for enemas, edible oils, and other liquids for enema are placed in the middle of the channel of the injection device.
  • a part to which a body medicine or the like can be added was provided so that the medicine or the like could be injected into the intestine with hot water at the time of enema.
  • the status of constipation varies widely, but in particular, constipation in which stool has dehydrated and solidified from the sigmoid colon to the vicinity of the rectum and has adhered or adhered is mostly determined to occur during defecation.
  • a simple electromagnetic vibration device is provided on a part of the handle of the injection device, and for a patient as described above, a holding device for the injection device that oscillates a low-frequency vibration within a safe range.
  • a vibrating enema aid into the anus, dehydrate and solidify the tip in the intestine, and contact the stool that adheres or adheres to the intestinal wall, giving a relatively safe range of vibration to the stool While injecting the enema solution little by little while inventing.
  • a suppository-shaped enema in the enema, but it has a length that can be inserted into the anus as an insertion aid for using such a suppository-shaped enema, and can slide each other.
  • the outer diameter of one is smaller than the other, and the suppository enema is attached to the recess at the tip of the double-layered pipe structure, and the outer pipe is held by hand and the suppository enema is placed in the anus.
  • the internal pipe is pushed out to push the suppository enema at the tip into the intestine without touching the finger directly to the anus.
  • An infusion device composed of a material that is disintegratable over time due to contact with disposable water, or that is biodegradable or water-soluble has been proposed.
  • FIG. 1 is a perspective view of one embodiment of the present invention
  • FIG. 2 is a perspective view of the tip of the infusion tube of FIG. 1
  • FIG. 3 is a perspective view of the configuration of the remote separation mechanism of FIG. 1
  • Fig. 4 shows the state of the enema with a person standing
  • Fig. 5 shows the state of the enema with a person sitting on the toilet
  • Fig. 6 is a diagram showing the enema aid and the injection tube separated from around the anus.
  • FIG. 7 is a configuration diagram of an embodiment of an infusion tube-integrated enema assist device
  • FIG. 8 is a configuration diagram of a tip of the infusion tube of FIG. 7,
  • FIG. 9 is a configuration diagram of the cutting process of the injection tube of FIG. 7,
  • FIG. 10 is a perspective view of a ring cutter
  • Fig. 11 shows the state diagram when the enema aid is used
  • Fig. 12 is a schematic diagram of a basic enema aid
  • Fig. 13 shows the state of the enema aid of Fig. 12 collapsed by the pressure of the anal sphincter
  • FIG. 14 is an explanatory diagram of a change in the shape of the human buttocks and the anus
  • FIG. 15 is a perspective view of a simple enema device with an elliptical insertion portion
  • Fig. 16 is an illustration of a slide-type gas discharge mechanism (parallel slide type)
  • Fig. 17 is an illustration of a slide-type gas discharge mechanism (rotary slide type)
  • Fig. 18 is a slide separation. Sectional view of an injection device with a mechanism
  • Fig. 19 is a perspective view of the injection device with a slide separation mechanism (the operation part is a disk type),
  • Figure 20 is a block diagram of the integrated enema device
  • Fig. 21 is a modified example of an integrated enema device (with a ring type extrusion mechanism).
  • Fig. 21 is a perspective view of a double tube slide type separation mechanism.
  • FIG. 24 is a perspective view of a hydraulically driven slide mechanism
  • Fig. 25 shows the configuration of an enema appliance using a hydraulically driven slide mechanism
  • Fig. 26 shows the connection between an independent enema aid for assisting in defecation or nursing care and a double tube slide separation mechanism.
  • Fig. 27 is a block diagram of a self-sustaining defecation support or nursing care enema aid.
  • Fig. 28 is a modified example of a self-sustaining defecation support or nursing care enema aid (with hygienic separator).
  • Fig. 29 is an illustration of the separation and separation of the care enema aid and the enema fluid injection tube.
  • Fig. 30 is an explanatory diagram of cutting and separating using a stationary liquid clip and a cutter.
  • Fig. 31 is a configuration diagram of a cutter-type separating device with a clip.
  • Fig. 32 is a perspective view of a special care enema aid
  • FIG. 33 is a cross-sectional view of the panel pressure-driven injection device
  • FIG. 34 is a perspective view of a panel pressure-driven integrated enema device
  • Fig. 35 is a perspective view of a small electric integrated enema device.
  • Fig. 36 shows the configuration of the handle type injection device
  • Fig. 37 is a diagram showing the use of a hand-held infusion device with a vibrator
  • Fig. 38 is a block diagram of a hand-held infusion device using a hot water washer
  • Fig. 39 is an infusion for suppository enema. Perspective view of the instrument
  • FIG. 40 is a sectional view of an injection tube connected using a permanent magnet.
  • 1 is an enema assisting device
  • 2 is an intestinal infusion port
  • Dotted line 3 is the tube made of biodegradable plastic inside, and the supply port 5 It plays the role of feeding the enema to the intestinal fluid inlet 2.
  • 4 is a check valve in the tube made of biodegradable plastic, which is structurally similar to the air bleed prevention tube used in bicycles.
  • Reference numeral 6 denotes a handle, which is a part held by hand when inserting the enema aid 1 into the anus.
  • Numeral 7 is a sanitary separation paper made of paper.
  • the sanitary separator 7 is provided so that when the user inserts the enema aid 1 into the anus, the hand does not directly contact the skin of the buttocks around the anus.
  • Reference numeral 8 denotes the tip of the injection tube attached to the supply port of the enema aid 1.
  • Reference numeral 9 denotes a remote separation tube for separating the enema assisting device 1 from the infusion tube 8 after use, 10 denotes a remote separation mechanism, and 11 denotes a remote separation lever.
  • 1 2 is a small electric pump operated by a dry battery. In the case of 13, the pump is operated only when the user presses the switch.
  • Reference numeral 14 denotes an enema container for holding water, hot water, and other enema liquids, and the standard capacity is usually about 1 liter.
  • the anal insertion side of the enema aid 1 is coated with a biodegradable plastic on the surface, so that even if the surface on the anal insertion side is wet, moisture is not immediately permeated.
  • the part of the enema aid 1 other than the biodegradable plastic is made of pulp and has appropriate hardness and elasticity.
  • the size of the enema assisting device 1 is designed to be large enough to be flushed with a flushing toilet.
  • Fig. 2 shows a perspective view of the tip of the 8 injection tube. Reference numeral 15 in FIG.
  • FIG. 3 is a perspective view of the remote separation mechanism 10. The left part of FIG. 3A is crimped to the pump-side end of the remote separation tube 9. Also, the parts in FIG. 3B are adhered over the injection tube 8. Then, insert the parts shown in Fig. 3B into the parts shown in Fig. 3A. Fig. 3 B The assembly shown in Fig.
  • 3C is constructed by assembling the levers 11 through the crank-shaped slit of the parts shown in Fig. 3A.
  • a panel (not shown) is interposed between the parts shown in Fig. 3A and the parts shown in Fig. 3B.
  • Lever 1 1 1 returns to its original position.
  • the tip of the injection tube 8 should be exposed to the side of the enema aid 1.
  • disconnecting the enema aid 1 from the injection tube 8 remove the locks on both parts and return the lever 1 1 to its original position by spring force.
  • the tip of the injection tube 8 Make sure that the part matches the end of the remote separation tube 9.
  • the supply port 5 of the enema assisting tool 1 hits against the pressing area expanding ring 16 and comes out of the tip of the injection tube 8, so that the enema assisting tool 1 and the injection tube 8 are separated.
  • Fig. 4 shows an enema image in which the user performs enema with the manual pump while standing.
  • Fig. 5 shows an enema image of a user performing enema using a manual pump while the user is sitting on a Western style toilet.
  • Figure 6 shows the image of the user separating the enema catcher and the injection tube after the end of the enema.
  • FIG. 7 is a configuration diagram showing one embodiment of the present invention.
  • 1001 is an anus insertion part of an enema aid made mainly of pulp.
  • 1002 is an enema infusion tube made of a degradable resin.
  • the injection tube 1002 is made of a single tube up to the portion indicated by the dotted line of the anal insertion part.
  • Reference numeral 1003 is a hygienic separator paper so that fingers do not directly touch the periphery of the anus when the enema trap is inserted into the anus.
  • Reference numeral 104 denotes a manual pump for enema, a small electric pump, or an adapter for connection with a commercially available enema.
  • the tip of the decomposable resin injection tube 1002 is covered with a short non-return tube 1101 having a check valve function to provide a backflow prevention function.
  • a tube with a non-return action with a closed end is used (reference numeral 1102).
  • the inside of the tube 100 near the tip of the insertion part 1001 as shown in Fig. 9 was used. A cut is made to the passage of, and when the enema is injected, a part of the liquid leaks to the pulp side and pressure is applied in the circular direction. If necessary, add a water injection foaming agent to the pulp portion to assist in expansion.
  • a material having a movable blade 1106 of a cutter in a ring 1107 as shown in FIG. 10 is used.
  • inject the enema into the cutter ring 1 1 0 7 through the injection tube 1 0 2 and after the injection, move the power ring as close to the anus as possible. Cut the tube at a force point of about cm and finish the work. The procedure is completed when the user puts abdominal pressure on his / her stomach and discards the enema aid inserted into the anus simultaneously with defecation.
  • Figure 11 shows this cutting.
  • the anal insertion part 1001 of the enema aid is made of degradable resin on the surface.
  • resin coating is not necessarily required by adjusting the density of the pulp material or performing another surface treatment because it is integrally molded with the degradable tube.
  • the anus insertion part is manufactured with specifications that maintain its shape about 20 minutes after the injection of the enema.
  • FIG. 12 is a perspective view of the most basic shape of an enema assisting device.
  • Reference numeral 2001 denotes an intestinal infusion port for injecting an enema into the intestine
  • reference numeral 2002 denotes a body of an enema assisting device
  • reference numeral 2003 denotes a liquid flow path inside the dotted line.
  • Reference numeral 4 denotes a connection port to be attached to the connection pipe of the injection device.
  • the material of the enema aid 2002 the material whose strength is reduced over time due to contact with moisture and whose shape collapses is basically selected.
  • the required size and shape of the enema assist device 200 depends on the above properties, but when used for a normal flushing toilet, it should be set within the maximum size of the fecal valve normally excreted by humans. Is done.
  • gelatin or pulp was used as the material.
  • gelatin the details of its properties and processing methods have been published by each company, and various gelatins and prepared products have been manufactured.
  • Gelatin is made from collagen, and most of its components are proteins, which are biodegradable. Normally, the strength of gelatin is adjusted by adding glycerin, etc. It is adjusted by the amount added. In addition, pulp is usually manufactured using various additives called binders, but in the present application, in order to improve disintegration or decomposability when wet, such materials are omitted and the molding method is omitted. The shape of the pipe is created by. Now, when the enema assisting device 200 shown in Fig. 12 is manufactured using the good processability of gelatin, that is, the property that it can be melted and hardened many times by heating and cooling.
  • the injection pressure of the enema is about 100 Omm at the water column.
  • the enema assisting device 200 and the injection device are designed on the assumption. These values are based on the safety of the existing dropping type enema instruments, and by adopting values that have been proven in safety, ensuring sufficient enema injection pressure and confirming the existing safety We paid attention to the fact that the data of the above can be used as it is.
  • the tube-shaped wall of the part to be inserted into the anus should be thinned to the extent that it can withstand the appropriate strength, and before insertion into the anus, The area near the tip was immersed in water or hot water, and the surface was easily lubricated by the swelling action, inserted into the anus, and then the enema was injected. Further, by adjusting the strength of the enema assist device, a part of the part inserted into the anus as shown in Fig.
  • connection between the enema assisting device and the injection device is made such that the connecting pipe of the injection device is inserted into the connection port of the enema assisting device, and the injection is performed so that the two are held in close contact with each other.
  • the outer diameter of the connection pipe on the instrument side is slightly larger than the connection port of the enema aid to maintain the necessary frictional force until the enema aid is pulled out and removed after injecting the enema.
  • the overall strength of the enema aid is weaker than resin products such as polyethylene, polyvinyl chloride, and silicone used in ordinary medical devices. Conversely, as described above, the reduction in strength was applied to improve safety and usability.
  • polybutyl alcohol is used.However, processing methods, materials and properties of composite materials have been widely announced by related companies, and they are also used for medical devices, etc. In applications such as the present application, the material is generally recommended to be incinerated, so it is assumed that it will be used for small amounts or for use other than water washing. Most of the biodegradable plastics that are currently produced are hard and used for pipe-shaped enema aids. And what will be produced in the future Some of them can be processed into a soft tube shape, but the details are omitted because they are currently within the scope of confidentiality of each company. However, it is said that the decomposition time of the current biodegradable plastic is at least about one week for a film-like substance in soil decomposition.
  • FIG. 14 is an explanatory diagram of a change in the shape of the anus when the buttocks of the human body are viewed from below.
  • a healthy person When the anus is closed, a healthy person will have a shape similar to the line segment shown in figure 205. If it starts to open slightly due to defecation or the like, it will be an ellipse if it is expressed in the form of 2006.
  • defecation of a thicker stool is performed, the shape becomes closer to a circle like 2007. This is a characteristic of the anal muscle. Even if a circle such as 207 shrinks, it never shrinks like a dot. However, the stool may stay in the intestine, so it may be close to a circle, but may have various shapes depending on the situation.
  • the portion to be inserted into the anus is usually not so deep, and the insertion portion is also made thinner in order to insert from the closed state of the anus.
  • the enema assisting device having an oval cross section of 209 instead of a circular shape such as 208 in the cross-sectional shape of a part of the enema assisting device is misdirected. If used without it, a gap would be difficult to create because the shape of the anus at 206 would approximate the slightly open shape.
  • an enema assisting device having this elliptical cross-section insert it into the anus so that the direction of the crack in the hip matches the longitudinal direction of the ellipse.
  • Fig. 15 shows a simple type of enema, which is a simple enema and has a partially cut elliptical cut surface at the anus insertion part. Is inserted into the anus according to the anterior-posterior direction of the human body, and then withdrawn and removed after injecting the enema.
  • a gas discharge mechanism shown in Fig. 16 for discharging gas filled around the rectum and sigmoid colon when performing an enema. This is to create an exhaust port 210 for discharging gas in a part of the flow path pipe 210 of the injection device, and the outer diameter of 210 is almost equal to its inner diameter so that they can slide with each other. Equipped with a pipe for open / close valve that maintains airtightness of the slide surface. Then, before inserting the enema solution, attach the enema assisting device to the infusion device and insert it into the anus. Before injecting the enema, open the exhaust port 201 to allow the gas to fill the intestine and affect defecation. Discharge 2 0 1 7.
  • Fig. 17 shows the same mechanism as the rotary type.
  • Exhaust holes can also be made in the outer open / close valve pipe, and exhaust can be performed with the inner and outer holes overlapping. The exhaust is closed with both holes not overlapping each other.
  • pipes made of aluminum alloy or stainless steel are used for the exhaust part, but resin pipes can also be used.
  • a suitable lubricant is sealed on the slide surface of each pipe to improve airtightness and reduce friction.
  • the slide operation is manually opened and closed in a manual injection device, but in the case of an electric motor, the exhaust port is automatically closed when the enema is injected by the power slide mechanism. It is operated as follows.
  • the power mechanism a mechanism that slides using hydraulic pressure, a mechanism that uses a small motor or a simple electromagnet, and the like are employed.
  • a stone valve is provided in the middle of the flow path of the injection device, and unless this valve is operated with hydraulic pressure, the enema will not be sent to the subsequent flow path,
  • the injection operation that is, the switching operation of the exhaust port, is linked.
  • the vent can be used not only for the discharge of gas filled in the intestine, but also for the external discharge of the air enrolled in the channel at the beginning of the enema injection.
  • Fig. 18 is a cross-sectional view for explaining an injection device with a slide mechanism that can be pushed out and removed without directly touching the enema aid with fingers after using the enema aid. Since the connecting pipe 200 is inserted and connected to the connecting port 204 of the enema aid 200, the slide mechanism 202 is pushed out with a finger after use to operate it. This is the basic structure for pushing out and removing the enema aid.
  • Numeral 2021 is a tube for an injection device for the purpose of sending enema from an electric injector to a connection pipe. A lubricant is applied to the slide surface of the slide mechanism and the connection pipe.
  • Fig. 19 is a perspective view of an injection device with a slide mechanism in which the slide operation portion of the slide has a disk shape.
  • FIG. 20 is a block diagram of a manual integrated enema device.
  • add a small amount of edible oil such as olive oil or sesame oil, turn the screw 203 again to close the lid, and place it at the tip of the enema aid separating mechanism 204.
  • the enema assisting device 200 should be adjusted so that the direction of the handle and the longitudinal direction of the oval of the enema assisting device coincide with the longitudinal direction of the user. Attach 2 to the injection device. Next, the user wets the tip of the enema aid 200 with hot water, and after a while inserts the tip of the enema aid 200 into the anus. Next, the enema is injected into the intestine by pressing the bellows type enema pump 202 with a finger.
  • the injection device is provided with an anti-reflux valve inside to prevent back flow from the anal side during injection or withdrawal. If necessary, it is also possible to leave the enema assisting device 200 in the anus after injecting the enema and dispose it in the toilet at the same time as defecation.
  • the parts 222, 220, and 204 can be used repeatedly, but if any part is damaged, such as a hole, it must be replaced. In the case of a manual integrated infusion device, the enema liquid container volume is assumed to be around 200 cc.
  • Figure 21 is a perspective view of an integrated enema device with a ring-type push-out mechanism for an enema aid.
  • the configuration consists of a bellows-type enema pump with a screw-type opening at the top, a screw lid with a slide separation mechanism that is connected to the pump with screws, and a screw lid. It consists of a ring-type extrusion mechanism 200 mounted on 26.
  • the two upper and lower rings are connected to each other by three or more slide connection rods of the same length, which are connected to one side through holes of the same size opened in the screw cap 220.
  • the ring is located inside the bellows type enema pump 2022 and the other side is located at the base of the external connecting pipe 201.
  • the enema aid immerse the tip of the enema aid in hot water, or soak it in hot water before attaching it to the connecting pipe 201, and then put it in the anus.
  • the enema is injected into the intestine by inserting the tip of 02 into the intestine by pressing the pump 2202 with your finger.
  • Push pump 2 0 2 2 The ring-type push-out mechanism 20 25 is also pushed by the pressure at the same time, and the enema aid is pushed out and removed at the same time. Therefore, when removing the enema aid 200 from the anus after injecting the enema, remove the enema aid from the anus together with the infusion device by leaving a little of the enema from the pump 222.
  • the enema aid shown in this example has a bent shape, it is first made into a straight tube and then bent by heat. Gelatin is used for enema aids, including previous examples.
  • a straight, short tube-shaped enema aid can also be manufactured using the method of manufacturing soft capsules, and can be produced at a relatively low cost. In this case, it is manufactured in the form of a capsule first, and after finishing, both ends are cut and, at the same time, the oil for molding inside is discharged to form a tube.
  • FIG. 22 is a perspective view of a double tube slide type separation mechanism of the enema aid used when the aid is slightly separated from the infusion pump.
  • An outer tube 200 that can be slid in such a way that it can be placed over the inner tube 202 with a tube that is used repeatedly, and the tip of the 2027 is connected to the enema aid 2 Connect to 0 0 4.
  • slide the outer tube 202 so that it pushes out the inner tube or pulls the inner tube in relative motion, so that the two tubes have the same tip.
  • the 207 attached to the connection port of the enema assist device comes off, and the enema assist device separates and separates.
  • reference numeral 29 in Fig. 22B is an enlarged flange, which is used to push out the working surface with the enema aid. The extrudability is increased by making it larger than the area of the outer tube.
  • Figure 23 is an arrangement diagram using the double tube slide type separation mechanism.
  • a pulp handle 2303B that is held by hand when inserting the enema assist device 200 into the anus, so that fingers do not directly touch the anus when inserted into the anus
  • a paper sanitary separator paper 203 that can be readily dissolved in water is provided.
  • the enema is sucked from the enema tank 200 35 containing hot water at about body temperature through the suction tube 203 and injected into the intestine through the enema aid 200.
  • the user When the infusion of the enema is completed, the user operates the remote separation lever 203 to separate and separate from the enema aid as in the first embodiment, and waits for defecation. It can be used by ordinary people, but it is suitable for elderly people and others to support independent defecation.
  • FIG. 24 is a perspective view of a hydraulically driven slide mechanism using hydraulic pressure.
  • the slide mechanism is attached to the outside of a connecting pipe or a connecting tube 201 connecting the injection device and the enema assisting device, and has a ring-shaped cylinder 2 having a hollow inside in a cylindrical shape.
  • the same ring-shaped bistone is contained in the cylinder 0 38, and when the operation lever 204 is pushed in, the hydraulic port 210 4 1 passes through the tube 204 2 through the hydraulic port 210 4.
  • the liquid is injected under pressure into the cylinder.
  • the piston 209 moves in the direction of compressing the restoring spring 204, and the pushing ring 200, 36 slides in the pushing direction, so that the front enema assisting device can be moved.
  • Restoration panel 204 may be omitted for simplification of processing, and restoration may be performed manually after use.
  • the shape of the extruded ring may not be a perfect circular ring, but may be an elliptical ring.
  • the inside of the cylinder 208 is connected to the connecting pipe or connecting tube of the injector. It is fixed to. This mechanism is relatively This is particularly effective when injecting the enema from the distant infusion pump into the enema aid.
  • the enema aid is used even if the path from the enema infusion pump to the enema aid is slightly curved. Since it can be reliably pushed out, it can also be used for nursing care or support for independent evacuation of elderly people, etc., as described in Figure 25 below.
  • the injection device shown in Fig. 25 is suitable for the use of the enema aid shown in Fig. 26 or the independent enema aid shown in Fig. 27 for assisting in defecation or nursing care, which is a somewhat special enema.
  • Auxiliary equipment, slightly shaped like a goat, and made of hollow gelatin inside, and the one shown in Fig. 26 allows the user to use hot water at about body temperature or a small amount of cooking oil.
  • the posture when performing an enema is different from normal.
  • the enema aid When the enema aid is inserted into the anus, do not hold the enema aid with your fingers, etc., and lightly sit on the toilet seat such as a Western style toilet. Then, inject the enema solution by holding the enema aid in the toilet seat, move the hips after the injection, move the buttocks to the normal defecation position, and immediately before the defecation, the enema aid and enema solution It can be used to separate the injection tubes and. However, depending on the user, it may be difficult to judge the start of defecation, and depending on the usage, there is a possibility that a part of the injection device may be stained by defecation.
  • the flow path of the disposable enema assisting device is slightly extended so that the injection device can be connected from an appropriate distance from the anus. This is designed to reduce the possibility of contamination of the injection device during defecation.
  • Fig. 29 is an illustration of the connection, disconnection and detachment of the care enema aid inserted into the anus and the enema fluid injection tube.
  • the enema can be used to reduce the contamination of the fingers when inserting the enema aid into the anus.
  • a handle such as 203 B to facilitate holding and insertion into the assisting device, and use a water-soluble sanitary separator such as 220 29 to prevent direct contact between the anus and fingers.
  • enema can be performed more hygienically.
  • the amount of liquid required for the slide is small. Assuming that the required liquid pressure of the enema fluid is about 100 Omm water column, about 1 g per square millimeter is applied to the enema aid and connecting pipe or connecting tube. The holding friction required for the enema aid and the infusion pipe or infusion tube is determined by multiplying the infusion pressure by the enema fluid flow area and the safety factor.
  • the driving pressure required for the actual hydraulic slide mechanism takes into account the transmission efficiency of the ton. Either a separation mechanism driven by the force of a finger or a switch operation using a small electric motor or the like as a power source is used. Water or oil such as hydraulic oil is used as the liquid for hydraulic pressure.
  • the separation and detachment of the enema aid and the injection device is made of pulp that has disintegration over time when exposed to moisture, using the soft property of the enema aid as shown in Fig. 30.
  • the clip 205 sandwich the gelatin tube of the enema aid 2002 to block the internal liquid flow path, and then use the panel cutter 2504.
  • a method was also adopted in which the injection device and the enema aid were cut off and separated.
  • Fig. 31 shows the configuration of a clip-type separation device with clip for an enema assisting device made by obtaining tips from a stapler in office supplies.
  • the mounting base for the push-out lever 205 and the spring-loaded force collector 2054 has a mechanism that returns with a restoring panel, and is cut and restored by restoring the lever.
  • the enema aid whose flow path was stopped by the tap is released.
  • FIG. 32 is a perspective view of a special care enema trap.
  • This enema aid cannot be defecated in a sitting position, and is intended to be used as an intestinal lavage or enema for bedridden caregivers.
  • the part is processed and bundled as one to form the tip part 206, one tube 206 is used for hot water injection at about body temperature, and the other tube 206 Is used for the discharge of gas filling the intestine and for the discharge of bowel wash or stool.
  • the length of the tube is as long as the part inserted from the anus and beyond the sigmoid colon, and the operation is performed by a healthcare professional or a specialist trained by the healthcare professional.
  • the pump used to inject the intestinal wash is a pump with pressure and flow control.
  • enema aid If there is stool around the rectum, excrete it in advance using the above-mentioned enema aid. First, immerse the necessary part of the enema aid in hot water or the like until the appropriate flexibility is reached, and the specialist inserts the enema aid into the anus using medical rubber gloves. At this time, the insertion is smooth and smooth due to the swelling property of the gelatin, and the insertion is continued deeper while appropriately injecting hot water from the injection tube side of hot water at about body temperature. At this time, the front side of the discharge tube should be placed at a place where waste such as toilet bowls can be disposed of so that continuous injection and discharge can be performed.
  • FIG. 33 is a sectional view of a panel-driven infusion pump.
  • pull the button 200 by operating the handle 207 and pull the button 207 through the thread pulling string 207.
  • 0 7 1 works to fix the piston without returning.
  • add hot water or a small amount of edible oil to the container, and seal the container with the screw cap 200.
  • At the end of the liquid supply tube 204 there is a handle of an injection device having an on-off valve, and preparation for injecting the enema is performed.
  • the piston fixed lever 20071 When ready, first operate the piston fixed lever 20071 so that the biston can move with the spring force of 270. After the air in the channel is discharged from the end of the enema assist device by slightly operating the enema injecting lever of the handle of the injecting device, insert the enema assist device into the anus. Next, the injection lever is gradually operated to inject the enema in the enema container 206 into the intestine. At this time, if the flow rate of the enema fluid becomes too fast, the ball valve 2064 for preventing backflow is pushed upward, and the pressure loss increases due to the narrowing of the fluid passage and the flow rate. Is adjusted to decrease. In addition, even if the enema fluid is about to flow back, the ball valve closes and the backflow is prevented.
  • FIG. 34 is a perspective view of a panel pressure driven integral enema device.
  • After attaching the enema aid to the connecting pipe 210 remove the lock of the 2007 5 and insert the enema aid into the anus. Operate the enema infusion lever 20079 to inject the enema, and operate the enema aid disconnection lever 20080 after the operation to discard the enema aid in the toilet bowl.
  • the injection device is made of resin, stainless steel, aluminum alloy, etc., except that rubber is used for part of the piston and part of the flow path.
  • FIG. 35 is a perspective view of a small electric integrated enema device.
  • a built-in commercially available dry battery or rechargeable battery in the injector body 208 is used to drive the built-in small electric pump.
  • the enema aid 200 2 is attached to the connecting pipe 201, and the tip of the enema aid is appropriately immersed in hot water to ensure lubricity on the surface. Is adjusted to an appropriate angle. Subsequently, the injection device itself is held with one hand, and the enema assisting device 200 is inserted into the anus. When the infusion of the enema is completed, remove the enema aid 200 from the anus and operate the enema aid push-out and release switch 208 to discard the enema aid 200 in the toilet bowl. You.
  • a temperature switch using a shape memory alloy such as a Ni-Ti system. If an attempt is made to supply hot water exceeding a predetermined temperature by mistake, an alarm will sound.
  • a mechanism is used so that the flow path of the enema is not blocked or the switch of the electric pump does not enter.
  • shape memory alloys for example, Daido special steel, etc., whose operating temperature is within 40 ° C and within 2 ° C has been put to practical use.
  • a fixed displacement type electric pump is used for the small electric integrated type electric pump.
  • a small electric motor is used for the slide extrusion mechanism of the enema trap. The flexible wire is extruded and released. Therefore, there are two small motors inside the injector.
  • FIG. 36 is a block diagram of a hand-held infusion device for receiving an enema from a hot water washer of the toilet and injecting it into the intestine.
  • the hot water washer There are two types of connection to the hot water washer: receiving hot water from the liquid supply tube of 209 4 and sending a signal to open and close the pump on the hot water washer by the signal transmission cable 209 3.
  • the signal on the handle side is usually provided by a contact signal without voltage, and controls the signal circuit or power circuit on the hot water washer side.
  • a joining point In the middle of the handle, there is a joining point that can be opened and closed with a permanent magnet or a screw.
  • the internal flow path on the pump side is slightly thicker.
  • Enema liquid injection lever — 2091 not only sends a signal to the hot water washer side, but also mechanically opens and closes a rubber tubular channel inside to adjust the flow rate.
  • the slide extrusion lever of the enema assist device is simply mechanically connected to the upper extruding mechanism, and has a structure in which the enema assist device is manually extruded.
  • Fig. 37 also shows a hot water washer as a source of hot water and electricity, and a switch 20095 for dissociating stool that has adhered or dehydrated around the rectum or sigmoid colon from the intestinal wall. It is an explanatory view equipped with a vibrator 20096 that operates. If the stool adheres or dehydrates around the intestinal outlet, a passage obstruction will occur, and in most cases, the symptoms will be apparent after the stool is stiffened during defecation. Flights still out I won't.
  • the enema assisting device used is not a normal enema assisting device, but a thicker, longer, and more durable one with a cylindrical center and a flow path around it.
  • the vibrator uses a relatively low frequency, the mechanical action is adjustable, and the force is gradually increased by observing the weak action, but the user touches the tip of the enema aid to the stool in the intestine and turns the vibrator on. While inching the switch, inject the enema solution little by little while feeling the adhesion between the stool and the intestine and the feeling of sticking.
  • the type of enema hot water at about the body temperature with edible oil may be used. If you feel that a small amount of enema is injected into the intestine, inject an appropriate amount, then remove the enema aid from the anus and discard it in the toilet.
  • Fig. 38 is an illustration of an injection device using a hot water washer.
  • the toilet 2 When hot water is supplied from the hot water source 200 9 of the hot water washer and the pressure of the hot water becomes higher than the set value, the toilet 2 is passed through the excess hot water drain tube 2 10 0 by the safety valve 2 9 8. It is designed to be drained into 101.
  • This is a safety measure when using a system that is not completely matched, not only to reduce the impact on the human body, but also to prevent instantaneous high pressure from being applied to the liquid supply line. It is also a safe measure for an enema device that is assembled from parts with weak target strength.
  • FIG. 40 shows a connection method of an injection tube which can be adopted in each of the above-described embodiments.
  • a magnet 216 of a polarity that generates an attractive force is fixed to a connection end of two tubes 211, The two tubes are connected by the attractive force of this magnet to make one tube.
  • Reference numeral 210 denotes a guide member that forms a fitting recess at the connection end of one tube, and reference numeral 210 denotes a guide member that forms a fitting protrusion at the connection end of the other tube. It is. By fitting these two guide members, the two tubes can be connected without being shifted in the diameter direction.
  • FIG. 39 is a perspective view of an injection device for a suppository enema.
  • the inner pipe 2 103 is inserted into a pulp outer pipe 210 having a predetermined length. Insert the suppository enema 2 1 0 5 into the recess at the end of the pipe, and hold the outer pipe 2 1 0 2 with your fingers. Insert the end of the inner pipe with your fingers, push out the end of the inner pipe, push out the suppository enema from the infusion device into the intestine, and dispose of the used injection device as it is in the toilet bowl. Pulp injection equipment has the property of rapidly disintegrating when it comes into contact with water in the toilet bowl. Industrial applicability
  • the enema device, enema assisting device, and infusion device of the present invention have completely changed the conventional enema method.
  • a normal enema that injects the enema from the lower side to the upper side there is a risk of fluid leakage when the enema is pulled out from the anus.
  • the unsanitary nature of the leak from the anus was prominent.
  • the enema assisting device of the present application first, even when the user inserts the enema assisting device into the anus, the hand does not come into direct contact with the buttocks around the anus.
  • the enema aid of the present invention, the injection tube with a remote separator, the manual or small electric pump, and the bag-type enema container can all be stored in a small bag for compactness. Possible Therefore, the product of the present invention can be easily used not only at home but also on the go.
  • the enema method and enema aid of the present invention have completely changed the conventional enema method.
  • a normal enema that injects the enema from the bottom to the top there is a risk of fluid leakage when the enema is pulled out of the anus. In such cases, the unsanitary effects of fluid leakage from the anus were prominent.
  • the enema assisting device for insertion into the anus of the present application first, when inserting and mounting the enema assisting device in the anus, the user can directly contact the buttocks around the anus with fingers.
  • enema alone in a relaxed position and use it as a supplementary device for enema products on the market, or without using water or hot water at about body temperature, without using special chemicals.
  • Defecation can be induced with oil, emulsion, etc., and since the volume of the enema can be set to a relatively large value, inject the enema while feeling the physical condition of the individual while injecting the enema. The amount can be adjusted.
  • the safety cutter is used as the cutting and separating mechanism, most of the parts contaminated with feces etc. can be discarded in the toilet bowl simultaneously with defecation, and other parts can be incinerated, so the burden on the user Is greatly reduced.
  • the enema assisting device and the injection device of the present invention greatly improve the unsafe image and the inconvenience of the conventional enema device.
  • the part that is directly inserted into the anus directly which is the most unsafe part of the enema, is separated from the other parts.
  • the part that is directly inserted into the anus and contaminated is called an enema aid, disposable, or used Rather than being disposed of later in a trash can, it is made of a material and in a shape that can be directly discarded in places where contamination occurs, that is, in toilets such as flush toilets, so post-treatment is much more sanitary. It is convenient.
  • the injection device has been made reusable, which leads to effective use of resources.
  • enema has a natural effect on the body and is less likely to cause side effects due to habituation.
  • gelatin or polyvinyl alcohol having hydration swelling properties and heat processability is used as a material for the enema assisting device.
  • the surface is slimy and has a lubricating action, but the whole is a little hard and easy to insert, and after injection of warm water, it deforms over time due to the pressure of the anal sphincter, and leakage of the infusate from the anus This makes it possible to provide a function that does not easily cause problems.
  • the enema assist device can be discarded in the toilet after use makes it possible to adapt a different enema defecation method. That is, in the past, the part inserted into the anus after the injection of the enema was designed so that the part was removed from the anus and then defecation was performed for a while. It is also possible to select a method of using the toilet so that it is discharged into the toilet simultaneously with defecation, with the enema aid inserted in the anus even after the injection.
  • an enema is usually designed to expect defecation immediately after injecting an enema solution.However, if the enema can also be used as in the present application, hot water at about body temperature after defecation is used. Enema is performed by adding a small amount of food oil suitable for the user, or by performing ileum washing around the sigmoid colon from the rectum, thereby discharging the feces around the stomach and discharging from the rectum. By forming a thin oil film around the sigmoid colon to prevent excessive dehydration from the stool at the next defecation and improve stool passage, it is possible to obtain a light bowel movement When Become.
  • the present invention provides a panel-powered injection device, a small electric injection device, and the like so that the user can perform the operation at the time of enema or intestinal washing without burden on the user as much as possible. Improved.
  • an interface that can be supplied with hot water from the existing hot water washer and hot water washing toilet seat, it is extremely used for regular use in toilets.
  • the system can be used by anyone with peace of mind.
  • Other items include hygiene control in suppository enemas, and the combination of relatively safe bowel wash tubes for the bedridden elderly and other care recipients with the above-mentioned injection device. It is one that is expected to greatly develop.
  • the present invention relates to an enema device for facilitating defecation, an enema assisting device, an infusion device, and an enema method using the same.
  • enemas have been difficult for users to use.
  • the hands sometimes got dirty with a leak of dirt. Therefore, the part to be contaminated by insertion into the anus is separated from the other part, the part to be inserted into the anus is the enema aid (1), and the other part is the syringe.
  • the enema aid (1) is made of a material that can be discarded as it is after use, for example, gelatin, etc., and the separation mechanism (10) is used without soiling the fingers after use.
  • the device can be separated and separated from the injection device, and can be discarded as it is in the toilet.
  • enema device characterized by comprising a remote separation mechanism for separating the device from a force place remote from the device, and a manual pump or an electric pump and a liquid container for delivering liquid to the injection tube.
  • the remote separation mechanism is configured to circumscribe a concentric tube on the outside of the infusion tube and to give a relative sliding motion to the tip of the pair of tubes, thereby providing the enema.
  • An enema assisting device characterized in that the material of the enema assisting device is composed of a degradable material that self-decomposes after defecation after liquid injection.
  • a liquid injection tube is used as a means for injecting a liquid into the enema aid, the injection tube is joined to the enema aid, the enema aid is inserted into the anus, and the liquid is passed through the injection tube. 4. The method according to claim 3, wherein after the injection is completed, the enema aid and the injection tube are separated from the enema aid by a remote operation from a power point away from the enema aid. Enema method. 6. An enema aid that is inserted into the anus and has an infusion port for enema and a function to prevent backflow.
  • An enema assisting device made of a material, characterized in that an enema liquid injection tube made of a degradable material with a length of at least 10 cm from the part inserted into the anus was formed integrally. And an enema aid.
  • the thickness of the part inserted into the anus is slightly expanded and deformed and swells due to the injection pressure of the enema, which enhances the tightness of the anus and the area where the anus and the enema aid are inserted.
  • An enema aid that reduces leakage of enema from gaps.
  • the infusion tube integrally formed with the enema aid can be cut off from a force near the anus by using a safety device after the infusion of the enema, so that the enema aid can be discarded in the toilet simultaneously with defecation. And enema method.
  • a tube or pipe-shaped enema aid that is used for intestinal infusion by inserting the tip into the anus and using water or hot water at about body temperature or edible oil as an enema, and an infusion device as a means for injecting the enema Can be connected to and separated from the anus, can be inserted into the anus and used, can be discarded with the stool as it is after use, and have a predetermined shape and material that will not block the flow path in the drainage passage after the toilet
  • an enema assisting device characterized in that it is made of a material having any property of disintegration with time or biodegradability, water solubility, or hydration swelling by contact with water. .
  • tubular enema aid having hydration swelling according to claim 9, wherein:
  • the strength on the inner surface side of the tube is relatively strong, and the strength on the outer wall side is relatively soft. It can be inserted into the anus by finishing it with fragile properties, or by injecting an enema into it, which reduces its mechanical strength and changes more flexibly than when it is inserted into the anus. A part of the tube-shaped part is deformed and collapsed by the pressure of the anal sphincter, the cross-sectional area perpendicular to the insertion direction is reduced, and the gap between the tube-shaped enema aid inserted into the anus is reduced. To prevent liquid leakage from
  • the enema assisting device when the enema assisting device is separated from the injection device and left as it is in the anus until defecation, it has a function of reducing or preventing the backflow of the enema from the rectum to the outside of the anus. Enema aid.
  • Part of the cross section perpendicular to the insertion direction of the enema aid inserted into the anus is not circular but elliptical, and the cross-sectional shape of the anus and enema aid at the time of insertion is approximated. Enema aid to do.
  • An enema assisting device characterized in that a part of the cross section perpendicular to the insertion direction of the part to be inserted into the anus is made elliptical instead of circular so as to approximate the shape of the anus at the time of insertion.
  • an enema aid into the anus and, before injecting the enema fluid, make an exhaust hole in a part of the pipe that constitutes the flow path so that a part of the gas filled around the rectum or sigmoid colon can be discharged out of the anus.
  • Open the pipe slide it in contact with the outer surface of the pipe in a slidable manner, slide the outer pipe to open and close the exhaust passage, discharge gas in the flow path to the outside, and enema
  • An injection device characterized in that it has a structure capable of separately using an injection and an injection.
  • An injection device characterized in that:
  • a ring-type push-out mechanism for sliding the enema assisting device out of the pump is provided inside the pump, and the ring-type push-out mechanism is operably pushed out in the final step of pump injection, and the enema liquid is injected.
  • the slide mechanism is
  • An enema device comprising: an enema aid for forming a flow path of an enema from the outside into the intestine; and an injection device for injecting the enema into the enema aid, wherein the injection device and the enema aid
  • the toilet bowl is closer to the anus than the connecting point with A liquid-stopping or water-stopping clip made of a material that can be discarded as it is and can be decomposed, disintegrated, or dissolved over time by absorbing water is provided.
  • a mechanism to prevent the backflow of the liquid inside, and a cutter is installed slightly upstream, that is, on the injection device side, or the enema aid is separated from the injection device by using a safety device.
  • An enema aid that is made of a swellable and flexible material to be inserted into the anus to inject enema or intestinal wash, and that can be discarded in the toilet after use.
  • the tip of the intestinal insertion side is molded into a single bundle of tubes, and one side of the tube is used to inject liquid into the intestine
  • the other is used for discharging gas remaining in the intestine and assisting the discharge of stool, and the enema assisting device is characterized in that it can be inserted into the anus at least to reach the sigmoid colon. .
  • An injection device characterized by having a function of mechanically or electrically controlling the amount.
  • An injection device comprising a valve provided with a flow rate adjusting function on a flow path of the injection device.
  • An injection device characterized by having an injection.
  • An injection device characterized in that when the supply pressure of hot water exceeds a predetermined safety setting range, excess hot water is supplied to the toilet as a surplus hot water to maintain the pressure in the liquid supply path within the set pressure.
  • An enema device characterized in that an attaching / detaching portion is provided between one end and the other end of the flow path, which is attachable / detachable using a magnet's attraction force.
  • An injecting device having a structure in which the liquid or powder drug can be injected into the intestine immediately before the enema by placing it in a flow path of water or hot water at a temperature of about the body temperature.
  • An enema device comprising an enema trap inserted into the anus to form an enema fluid channel between the outside and the intestine, and an injection device connected to the enema aid to inject the enema fluid ,
  • An oscillation source capable of transmitting vibration to the enema assisting device inserted into the anus is provided, and the enema assisting device is brought into contact with feces adhered or fixed to the rectum or sigmoid colon, and safe from the oscillation source.
  • the enema device has a length that can be inserted into the anus, A pipe structure that can slide with each other and has two outer layers with one outer diameter smaller than the other inner diameter is constructed.
  • a suppository enema to the dent at the tip of the pipe structure, hold the outer pipe by hand, push the inner pipe by hand, insert the suppository enema into the anus, and then remove the inner pipe from the anus.
  • the suppository enema at the tip has a mechanism that can be pushed out of the intestine without touching the finger directly to the anus and can be removed, and it comes into contact with water that can be disposed of in the toilet after use
  • An enema aid characterized by being made of a material that is disintegratable with time, biodegradable or water-soluble.

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  • Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pulmonology (AREA)
  • Vascular Medicine (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

L'invention concerne une seringue à lavement permettant de faciliter la défécation, un dispositif auxiliaire de seringue à lavement et un injecteur, ainsi qu'un procédé de lavement par utilisation de ces objets. La seringue à lavement comprend un élément, soit le dispositif auxiliaire (1) de seringue à lavement destiné à être introduit dans l'anus où il est souillé, et un autre élément, soit un injecteur. Le dispositif auxiliaire (1) de seringue à lavement est constitué d'une matière, telle que la gélatine, directement jetable dans une cuvette de toilette après usage et il est formé de manière à pouvoir être séparé de l'injecteur grâce à un mécanisme (10) de séparation permettant de le jeter directement dans une cuvette de toilette sans se salir les mains. Cela permet d'éliminer les difficultés habituelles de manipulation d'une seringue à lavement, en particulier d'une seringue à lavement de type en figue qui est susceptible de salir les mains en raison d'une fuite de liquide mélangé à des excréments lors de l'injection d'un lavement ou lorsqu'un contenant est retiré de l'anus.
PCT/JP1999/002549 1998-05-15 1999-05-17 Seringue a lavement, dispositif auxiliaire de seringue a lavement et injecteur et procede de lavement par utilisation de ces objets Ceased WO1999059656A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU44815/99A AU4481599A (en) 1998-05-15 1999-05-17 Enema syringe, enema syringe auxiliary and injector and enema method using them

Applications Claiming Priority (6)

Application Number Priority Date Filing Date Title
JP17045098 1998-05-15
JP10/170450 1998-05-15
JP10/344810 1998-10-29
JP10344810A JP2000135285A (ja) 1998-10-29 1998-10-29 浣腸補助具及び分離方法
JP11078249A JP2000033119A (ja) 1998-05-15 1999-02-17 浣腸補助具及び注入器具
JP11/78249 1999-02-17

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WO1999059656A1 true WO1999059656A1 (fr) 1999-11-25

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Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003030968A1 (fr) * 2001-10-12 2003-04-17 Coloplast A/S Systeme d'irrigation des intestins et sonde concue pour ce systeme
CN103181792A (zh) * 2011-12-30 2013-07-03 德州学院 便秘疏通器
US8663180B2 (en) 2007-01-19 2014-03-04 Coloplast A/S Irrigation system with a pump
CN103919581A (zh) * 2014-04-25 2014-07-16 张洪林 一种取便设备
CN105982715A (zh) * 2015-01-27 2016-10-05 李沂泽 旋割式肛门清便器
USD817483S1 (en) 2016-04-07 2018-05-08 Coloplast A/S Anal irrigation catheter adapted for use in an anal irrigation system
USD828550S1 (en) 2016-04-07 2018-09-11 Coloplast A/S Connector of an anal irrigation system
USD837977S1 (en) 2016-04-07 2019-01-08 Coloplast A/S Replacement tubing with connectors adapted for use in anal irrigation system
US10183112B2 (en) 2013-08-30 2019-01-22 Hollister Incorporated Device for trans anal irrigation
CN109498883A (zh) * 2019-01-11 2019-03-22 杜娟 一种肛肠护理装置
US10737013B2 (en) 2014-07-08 2020-08-11 Hollister Incorporated Portable trans anal irrigation device
US10765796B2 (en) 2014-07-08 2020-09-08 Hollister Incorporated Trans anal irrigation platform with bed module
CN112933322A (zh) * 2021-01-25 2021-06-11 四川大学华西第二医院 一种新型多功能灌肠袋
EP3925641A1 (fr) * 2020-06-15 2021-12-22 Dentsply IH AB Système d'irrigation
US11383021B2 (en) 2016-07-08 2022-07-12 Hollister Incorporated Wireless electronic pump design for a body cavity irrigation device
US11497844B2 (en) 2016-12-14 2022-11-15 Hollister Incorporated Transanal irrigation device and system
US11577018B2 (en) 2016-07-08 2023-02-14 Hollister Incorporated Body cavity irrigation integrated manual controller and pump device, system and method
US11596422B2 (en) 2016-11-03 2023-03-07 Hollister Incorporated Adjustable bowel treatment arm
WO2023193859A1 (fr) * 2022-04-08 2023-10-12 Coloplast A/S Connecteur pour un système d'irrigation

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JPH09108344A (ja) * 1995-10-19 1997-04-28 Sekisui Chem Co Ltd 薬液注入容器

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Publication number Priority date Publication date Assignee Title
JPS532600U (fr) * 1976-06-25 1978-01-11
JPH0522186Y2 (fr) * 1989-04-19 1993-06-07
JPH0413147U (fr) * 1990-05-25 1992-02-03
JPH0524047U (ja) * 1991-09-17 1993-03-30 積水化学工業株式会社 薬液注入容器
JP3016661U (ja) * 1995-04-05 1995-10-09 信田 信義 簡易灌腸器
JPH09108344A (ja) * 1995-10-19 1997-04-28 Sekisui Chem Co Ltd 薬液注入容器

Cited By (22)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2003030968A1 (fr) * 2001-10-12 2003-04-17 Coloplast A/S Systeme d'irrigation des intestins et sonde concue pour ce systeme
US8663180B2 (en) 2007-01-19 2014-03-04 Coloplast A/S Irrigation system with a pump
CN103181792A (zh) * 2011-12-30 2013-07-03 德州学院 便秘疏通器
US11116891B2 (en) 2013-08-30 2021-09-14 Hollister Incorporated Device for trans anal irrigation
US10183112B2 (en) 2013-08-30 2019-01-22 Hollister Incorporated Device for trans anal irrigation
CN103919581A (zh) * 2014-04-25 2014-07-16 张洪林 一种取便设备
US10737013B2 (en) 2014-07-08 2020-08-11 Hollister Incorporated Portable trans anal irrigation device
US11497845B2 (en) 2014-07-08 2022-11-15 Hollister Incorporated Trans anal irrigation platform with bed module
US10765796B2 (en) 2014-07-08 2020-09-08 Hollister Incorporated Trans anal irrigation platform with bed module
CN105982715A (zh) * 2015-01-27 2016-10-05 李沂泽 旋割式肛门清便器
USD817483S1 (en) 2016-04-07 2018-05-08 Coloplast A/S Anal irrigation catheter adapted for use in an anal irrigation system
USD837977S1 (en) 2016-04-07 2019-01-08 Coloplast A/S Replacement tubing with connectors adapted for use in anal irrigation system
USD828550S1 (en) 2016-04-07 2018-09-11 Coloplast A/S Connector of an anal irrigation system
US11383021B2 (en) 2016-07-08 2022-07-12 Hollister Incorporated Wireless electronic pump design for a body cavity irrigation device
US11577018B2 (en) 2016-07-08 2023-02-14 Hollister Incorporated Body cavity irrigation integrated manual controller and pump device, system and method
US11596422B2 (en) 2016-11-03 2023-03-07 Hollister Incorporated Adjustable bowel treatment arm
US11497844B2 (en) 2016-12-14 2022-11-15 Hollister Incorporated Transanal irrigation device and system
CN109498883A (zh) * 2019-01-11 2019-03-22 杜娟 一种肛肠护理装置
CN109498883B (zh) * 2019-01-11 2021-08-24 鲁施菲尔 一种肛肠护理装置
EP3925641A1 (fr) * 2020-06-15 2021-12-22 Dentsply IH AB Système d'irrigation
CN112933322A (zh) * 2021-01-25 2021-06-11 四川大学华西第二医院 一种新型多功能灌肠袋
WO2023193859A1 (fr) * 2022-04-08 2023-10-12 Coloplast A/S Connecteur pour un système d'irrigation

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