Note: Descriptions are shown in the official language in which they were submitted.
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A COUPLING FOR AN OSTOMY _
This invention relates lo) a coupling for
joining an ostomy bus or pouch to a pad or
surgical dressing. Ostomy bags are usually
secured to a pad or surgical dressing which
contacts the user's skin and surrounds the
stoma. There is a need for a coupling between
I pad and bag which allows the bag to be readily
removed when necessary, and replaced by a clean,
empty bag. At theism time, it is essential
that the coupling should be a secure one, and
prevent leakage particularly 'of liquids and
gases
According to the invention, there is
provided a coupling for joining a pad or dressing Jo
an ostomy bag including first and second coupling
elements each of closed loop form to define a
stoma aperture therein. The first (body side)
element has a lateral flange whereby it can be
fixed to the adhesive pad or dressing and the
second (bag side) element has a lateral flange
whereby it can be fixed to one wall of an ostomy
bag. The first element includes an inner wall
which continuously encircles the aperture and
a series of projecting members uniformly radially
spaced from the inner wall and located in a array
which surrounds the inner wall. The second
element includes a rib member encircling the
aperture and is contracted to made sealing
engagement, when the coupling elements are joined,
with the outer surface of the inner wall, the rib
. 35
., .= .
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also having a step formation arranged to engage
the said projections to assist in holding the two
coupling elements together.
According to a preferred feature of the
S invention, the rib member has a deflectable
sealing skirt Extending therefrom, which when the
coupling elements are joined, engages the outer
surface of the inner wall.
According to an advantageous feature
of the invention, the projections take the form
of arcuate ribs, each having an inwardly-f~cing
hook portion. The outer surface of the rib bag side
member may advantageously have a step formation
of substantially right angle shape as seen in
vertical axial crosssection. In conjunction with
the hook portion on each of the projections the
right angle step formation provides improved
security of attachment of the two coupling
elements.
2Q According to an optional feature of the
invention, the bag side coupling element may be
formed to define a gas vent structure including a
recess for receiving a filter member or fitted
pad. The filter member or pad may consist of or
carry material such as activated carbon which
will remove odorous gases from any flats gases
which are vented from the bag.
The array of projections may for example
be made up of a plurality of arcuate ribs, e.g.,
12 in number, each of which is spaced from its
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neighbor by a space whose length measured around
the periphery is from 1/10 to 1/2 of the peripheral
length of each arcuate rib. Each arcuate rib
may have a hook portion defined by a smoothly
curved surface and a straight hooking surface,
as seen in vertical axial cross-section. The
hooking surface may be at an angle from 50 to 70,
preferably 60, Jo the axis of the coupling.
Fig. 1 is a front view of a first or
body side coupling element of a coupling according
to one embodiment of the invention not showing
the adhesive pad or dressing;
Fig. 2 is a vertical axial cross-secti~n
through the coupling element shown in Fig. 1
but showing the adhesive pad or dressing;
Fig. 3 is a vertical axial section on an
enlarged scale, compared to Fig. 2, showing the
detail of the construction of the first coupling
element;
Fig. 4 is a rear view of one example of a
second or bag side coupling element not showing
the bag, intended to cooperate with the body side
I coupling element of Figs 1 - 3;
Fig. 5 is a vertical axial cross-section,
on an enlarged scale, showing the detailed
construction of the coupling element of Fig. 5 as
attached to an ostomy bag;
so
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Fig 6 is a vertical axial cross-section
through an upper portion of the element of
Fig. 4, showing a recess for receiving a filter
member or a filter pad;
Fig. 7 is a rear view of the gas vent
structure including the recess shown in
Fig. g; and
Fig. 8 is a vertical axial cross-seotion
of the coupling elements attached.
The illustrated first and second coupling
elements are of closed loop form and define apertures
20, 22 intended to receive the stoma of the
lo wearer. While these apertures have been illustrated
as circular, there is Jo reason why they should not
be elliptical or of other shape; however, a circular
configuration has been found to be satisfactory.
These coupling elements may each be integrally-
I molded from a moldable synthetic plastics
material. One example of a suitable material
is that known as EVA, it polymerized ethylene
vinyl acetate. Other synthetic plastics materials
may be suitable.
The first coupling element 24 has a
lateral flange 26 and an inner wall 28. The
surface 30 of the flange is intended to be secured,
for example, by adhesive, to the surface of an
adhesive pad or dressing 10 as shown in Figs. 2
and 3. The adhesive pad or dressing can be
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O provided with an aperture similar though of smaller
diameter than aperture 20. Alternatively, the
pad or dressing can be provided with a small starter
hole that the ostomate increases in size to fit
snugly around the stoma.
The adhesive pad or dressing 10 can be
made from any of the materials currently employed
for this purpose. Suitable adhesive dressings
are taught by Chin in US. Patents 3,339~546 and
3,972,328 and by Chin et at, in US. Patent
4,192,785.
The inner wall 28 completely encircles
the stoma aperture 20, and a series of projecting
members 32 are secured to or integral with the
flange 26, spaced from one another in a peripheral
direction, and radially spaced from the inner
wall 28. In outhaul words, these projecting members
are disposed in a circular array which surrounds
the inner wall 28. In conjunction with the inner
wall 28 they define a space which, when the
coupling is connected, it occupied by a rib member
to be described.
Each projecting member 32 is arcuate as
can be seen from Fig. 1 and each has an inwardly
facing hook portion 34. This may extend along
the whole peripheral length of each arcuate
projection 32. As best seen in Fig. 3, each arcuate
projection 32 may have its hook portion defined
by a smoothly curved surface 36 and a straight
hooking surface OWE As seen in vertical axial
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cross-section, the straight surface 38 may be
disposed at an angle of 60 to the axis 40 of the
coupling.
The second or bag side coupling element
is intended to cooperate with the body side
coupling element just described. The second
coupling element is shown in Figs. 4-7 and
includes rib member 50 encircling the aperture 22,
the rib member 50 being integral with a deflectable
sealing skirt 52 located on the radially inner
side of the rib 50 and with a step formation 54
located on the radially outer side of the rib 50.
The deflectable sealing skirt or sealing strip 52
may take the form described in British Patent
; lo 1,586,823. As seen in Fig. 5, it has two
surfaces 58, 60 which taper towards one another,
the radially outer surface 58 being disposed
preferably at 30 to the axis 40 of the coupling
and the radially inner surface 60 being disposed
preferably at 30 to the said axis 40. It has
been found that the illustrated configuration
gives a good compromise between the conflicting
requirements of tight liquid-proof sealing and
ease of separation of coupling manually by old,
infirm, or not particularly dexterous persons.
The step formation 54 is in part defined by a
surface 62 which is located in a plane substantially
normal to the axis 40, although of course a surface
located in a plane at a small angle to the normal
could also be employed. The surface 62 in
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combination with the curved surface 64 defines
a substantially right angle corner which, when
the two coupling elements are joined together,
engages sloping hook surface 38 on the first
coupling element. The resilience of the plastics
coupling elements and the curving of surfaces 36
and 64 lead to a construction in which the two
coupling elements can be readily pushed together
in o their locked condition, each coupling element
lo deforming slightly as it is engaged with the other
one and then springing back to the normal
configuration illustrated in Figs. 3 and 5
respectively. The provision of spaces 33,
Fig. 1, between the individual projections 32
lo means that this deformation is readily achieved
without needing to apply a substantial force.
The second coupling element also includes
a lateral flange 66 whose surface 68 is secured in
any convenient manner, for example, by adhesive,
to one wall of an ostomy bag 90. This is preferably
done during the manufacture of the ostomy bag and
a plastics heat welding operation may be employed.
The ostomy bag 90 may be a closed bag as shown,
for example, by Arizona in US. Patent 3,302,647
or a bag having a trainable resealable bottom
opening as shown, for example, by Pratt in US. Patent
3,612,053.
Fig. 8 shows the body side coupling of
Figs. l to 3 and the bag side coupling of
Figs 4 and 5 without optional gas vent structure 76
.
a
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in their coupled state.
As seen best in Fig. 4 the second coupling
element 24 has gripping tags 70, each having a
hole 72 therein so that a belt or strap may, if
S desired, be attached to the coupling element 24
to support the weight of the bag.
The second coupling element 24 it also
integrally formed, according to an optional
embodiment of the invention, with an integral gas
vent structure 76 consisting of a plastics wall 78
defining a recess 80 (Figs. 6 and 7). The recess 80
is intended to receive a filter member or a filter
pad; for example one may employ open-cell polyurethane
foam loaded with activated carbon particles. The
wall 78 of the recess has a flat surface 82 which
is secured to the ostomy bag wall during the Mooney
lecture of the ostomy bag or during the attachment
of the coupling to the ostomy bag, and a line of
weakening 84 is disposed across the wall 78 as
2Q indicated. The line of weakening 84 is "goal-post"
shape and when finger pressure is applied the wall 78
breaks along the line 84 and so provides an
exit path for gases which have passed through the
filter pad, not shown located in the recess 80.
The ostomy bag wall adjacent the second coupling
element is punctured in a region which is within
the boundary defined by the surface 82, so
affording a path for flats gases within the bag
to pass out ox the hole so punctured and into the
filter pad located in the recess 80.
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With this construction, the user may use
the gas vent filtering feature if he wishes, but
need not do so. Moreover, this construction allows
the filter pad to be readily removed and replaced
5 if desired.
This invention also extends to a first
coupling element having an inner wall continuously
encircling an aperture and also having a series
of projecting members located in an array which
surrounds the inner wall, peripherally spaced from
one another, the inner wall and the projecting
members being connected to a lateral flange.
The invention further provides a
coupling element which includes a rib member
encircling an aperture and which is constructed to
make sealing engagement by way of a sealing
skirt with a facing surface, the rib having on its
radially outer surface a step formation of
substantially right angle configuration and located
such that it can effect a locking action with a
confronting angled surface.
The ostomy bag coupling particularly
described and illustrated herein has the following
useful and advantageous improved features, compared
to any prior coupling known to the applicants.
Firstly, it has more flexibility, that is to say
the coupling when worn by a wearer can deform
more readily to follow the curvature of the body
as the wearer moves, bends, and twists. This
extra flexibility is achieved principally by
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the presence of separate spaced projections separated
by spaces or slots, compared to the more rigid
construction which is a consequence of a peripheral
channel arrangement as illustrated in British
Patent No. 1,571,657.
Secondly, the smooth clean configuration
of the interior surface of the coupling, that is to
say the interior surface of the wall 28 on the
first coupling element, means that there is less
likelihood for unwanted deposits, e.g., of feces,
to build up. Moreover, the action of removing
the bag side coupling element from the body
side coupling element involves a wiping action
which usually wipes clean the radially outer
surface of the wall 28 and the inwardly facing
surfaces of the projections 32. In consequence,
build-up of unwanted matter within the space
between the wall 28 and the projections 32 is less
likely to occur.
Thirdly, by the employment of the dimensions
and proportions indicated in Figs. 3 and 5, a
coupling having a lesser "outstand" may be produced.
That is to say, the extent of projection of the
coupling away from the body of the wearer is less t
which is an advantage in that it makes the
coupling and ostomy bag less likely to be visible
or noticed under the clothing of the wearer.
Moreover, it is less cumbersome to wear. With a
coupling according to Figs. 3 and 5, a reduction
of over 30% in overall thickness or "outstand"
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has been made, compared to a widely-used prior
known coupling.
Fourthly, the construction disclosed and
illustrated herein allows the incorporation of a
gas vent structure and a gas filter as part of
the bag side coupling and therefore no special
extra filter arrangement or gas vent structure
is needed.
Fifthly, the security of attachment of the
two coupling elements is enhanced by the choice
of the particular engaging configuration, namely
the right angle step portion cooperating with a
confronting angled surface of the hook portions
on the array of projections.
lo Also, it should be appreciated that it is possible to xevarse the coupling elements. In this
case, flange 25 would be secured to a wall of an
ostomy bag around the stoma aperture and flange 66
would be secured to an adhesive pad or dressing.
