Note : Les descriptions sont présentées dans la langue officielle dans laquelle elles ont été soumises.
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Improved Colostomy Device
Technical Field
The present invention relates to an improved medical
colostomy device for containing or helping to pass stool. The
device is inserted into the rectum of patients who can't control
stool output, who are in a coma, or who are bedridden and need long
term treatment. The device, if needed, is inserted into the rectum
and after a certain passage of time is used, to help pass stool via
evacuation through the drainage hose.
Background
In general, there are many medical colostomy devices composed
of various parts. For example, such a device was disclosed in Korea
Patent No. 103444, entitled "Medical Colostomy Device Kateta",
published May 1, 1996. As shown in this patent, a medical colostomy
device has the following parts: internal and external balloons
disposed on the internal and external sides and the rim of a
supporting tube, an extension part which consists of a number of
air tubes and round tubes connected with the external balloon.
The extension is disposed on the rim of the external balloon
making internal and external balloons. The extension part expands
and contracts freely. An exhausting tube is disposed under the
supporting tube forming a thin membrane along the external balloon,
and an air tube, and a round tube. A connecting tube is disposed
under the internal and external balloons and a supply tube which
goes through the connecting tube.
Accordingly, the above medical colostomy device takes an
important role in managing patients who can't control stool output,
or who are in a coma or who need long term treatment as the result
of a stroke and cannot control bowel function or who need an enema.
But there are some problems with the device when placed in the
rectum such as the internal and external balloons being pushed into
the upper part of rectum, the leakage of liquids and gases as the
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supplying tube for injection and air and connecting tube are
connected separately with the outside of exhausting tube so the gap
between rectum and anus can not be closed fully, and the
accumulation of liquids and gases from the rectum in the space
between the anus and drainage hose.
Another example, as shown in Korea Utility Model No. 109896,
entitled "Medical Colostomy Device" and published September 18,
1997, a medical colostomy device forms the supplying tube and the
internal tube as an integration disposed on the internal and
external tubes, a connecting tube with a joint tube under the
external tube, a holder on the angled part of the supplying tube,
an air supplying tube, an injection supplying tube, a washing fluid
supplying tube connected with the internal and external tubes of
above supplying tube, connecting socket can be inserted and
installed connecting with washing fluid case, air cylinder and
supplying tube.
Accordingly, the above device is effective for patients, who
have colostomy on their abdomens after rectum cancer surgery etc.
or who should be on long-term bed rest, without any inconvenience
or bad effects. It is, however, uncomfortable for patients whose
anuses are worn-out from having loose bowels, who are incontinent
or who are stricken with paralysis.
Another example, as shown in Korea Utility Model No. 118334,
entitled "Tubes of Medical Colostomy Device" and published February
26, 1998, in composing the internal wall thickly with elastic
material to maintain the original shape of the vacant slab, when
extending under the lower side of the external balloon in which the
vacant slab is formed, making it air-tight is successful when
expanding internal and external balloons.
For the above case, even though air is supplied for expanding
the external balloon, making it air-tight is achieved perfectly
without any gap, as it contacts with the external tube closely when
expansion of the internal balloon is formed inside the external
balloon.
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But the tubes are pushed into the upper rectum and the leakage of liquids and
gases happens as tubes for air supplying are located outside of the exhausting
tube.
The above device can hurt a patient's body as the edges of the supporting tube
formed between the internal and external tubes rub against the inner walls and
it's
difficult to insert into the patients with small anuses.
Summary of Invention
Accordingly, it is desirable to eliminate the above problems, to help control
bowel
output and enemas easily, and to prevent the tubes from being pushed into the
upper part
of the rectum making it perfectly air-tight when in use. This device can be
used by
patients who cannot control bowel movements, those who are bedridden, those
who have
frequently loose bowels with worn-out anuses, and those who are stricken with
paralysis.
It is also desirable to insert a colostomy device into the anus without
causing any
damage on the inner wall, especially for patients who have small anuses.
In accordance with an aspect of the present invention, there is provided a
colostomy device insertable into the anus without causing damage to the inner
wall of the
anus, comprising: an external balloon, an internal balloon disposed within the
external
balloon, a supporting tube between the external and internal balloons, the
external
balloon disposed around the supporting tube, a drainage hose extending from
the
supporting tube, a fluid supply tube connected to the external and internal
balloons, and a
fixing aid on an external side of the drainage hose for preventing the device
from being
pushed into an upper part of the rectum when the device is used, wherein the
supporting
tube is foldable when the external balloon is deflated so that it can be
easily inserted into
the anus.
To achieve the desired features described above when composing a colostomy
device with internal and external balloons and drainage hose, the fixing aid
may be
disposed on the external side of the drainage hose which is a little distant
from the tubes,
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and the supply tube for supplying air to the internal and external balloons
may be
connected to the internal and external balloons through the inside of the
drainage hose.
For the above fixing aid, a holder made from elastic material may be adhered
and
composed on the external side of the drainage hose and a detachable duplex
adhesive
plate may be disposed on the whole side of the holder.
In executing the present invention, air ring can be used for a holder and a
fixing
hand disposed long on both sides is used with a holder of which the width is
composed
narrowly.
A colostomy device with the above composition can be selected and used
according to the conditions of applicable patients.
A protection cover made from soft and elastic material such as silicon and
disposed on the rim of the external side of the support tube composing a
colostomy
device, may cover angles of the support tube.
In case of patients who have small anuses, after letting out air from the
internal
and external balloon, the colostomy device is folded by half and is easily
inserted into the
anus with a protective cover wrapped at the front end part.
In another aspect of the present invention, there is provided use of the
colostomy
device of the invention for insertion into the anus.
In another aspect of the present invention, there is provided a method of
preparing
the colostomy device of the invention for insertion, the method comprising
folding the
supporting tube when the external balloon is deflated.
Brief Description of the Drawings
FIG 1 is aside view of the present invention
FIG 2 is a side view of the other exemplified figure
FIG 3 is a side view of the other exemplified figure
FIG 4 is a conditional view of the duplex adhesive plate of the present
invention
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FIG 5 is a conditional view of the duplex adhesive plate of the present
invention
FIG 6 is a side view of the other exemplified figure
FIG 7 is a side view of FIG 6
FIG 8 is a partial cross-sectional view of the other exemplified figure
5 FIG 9 is an exemplifying view of the present invention for inserting the
colostomy device
easily.
Descriptions of major parts of this invention as shown on the drawings.
(2) Colostomy device
(4) External balloon
(6) Internal balloon
(8) Drainage hose
(10) Air supply tube
(11) Fixing band
(12) Holder
(14) Duplex detachable plate
(15) Support tube
(16) Air ring
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(17) Protection cover
(15) check valve
(19) Protection membrane
Best Mode for Carr ling Out the Invention
Detailed descripti.nna n-P t-.ha present invention are
provided as follows according to the attached drawings.
As a cullditioudl view of a colostomy device (2) , FIG 1
to includes a ring configured external balloon(4), an elastic
thin membrane, an internal balloon (6) diopoocd within the
external balloon(4), a supporting tube between the external
and internal balloon and a fixing aid on thA extei-nab side
of the drainage hose(s) for preventing tubes from being
pushed into the upper part of the rectum when a colostomy
dcvicc is used(2), for the general colostomy device in
which a drainage hose(S) is connected and disposed under
the external ba.lloon(4).
As the above fixing aid, a holder (12) is adhered on
the external side of the drainage hose(s) as an integration
type by a thin silicon-like material as shown in FIG 1 and
connccta the round detachable duplex adhesive plate(14) to
the whole side.
ax an example, ai rri rig (1.6) can be used as an
alternative for the holder (11) .
As buiother example, Lhe width of the holder(13) is
adhered narrowly as an integration type on the ext rnra
side of the drainage hone(9) as shown in FIG. 6 composing
fixing band(11) disposed long on both and sides is used for
3O appli.cahlp patients by attaching to the onus.
To prevent leakage of liquids and gases through the
inserted part while using the device in the present
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invention, the air supply tube(l0) which is for supplying
or exhausting air to/from the internal and external
balloons(4) and (6) is connected to the internal and
external balloons(4) and (6) through the inside of the
3 drainage hose (S) after passing through the thin holder (13) .
1'hc chock valve (18) which runs one way only from the
outer drainage hose(S) to the inner drainage hose(9) is on
the drainage hose (8) hatwetwr the4 external balloon (4) and
the fixing aid. In executing the present invention,
io covering the edges of the supporting tube(3.5) with the
above protection membrane(19), the silicon-like sort. and
elactic material which is composed on the rim of the
supporting tube(15) between the internal and external
hallnnn (4) and (6) apt shown in FIO. 8, the colostomy
15 device can be easily inserted without any damage to the
inner walls of the anuw.
In case of patients with email anuses who need to
install the eolootomy devise (2) , it is difficult to insert
the internal balloon (6) with air supplied, so the internal
7o and exr.s%r.,rial balloon (4) and (6) should be deflated as
shown in FIG 9, a colostomy device (2) is folded by half
lengthwise for volume reduction and it is easily inserted
into the anus with the other protection cover(17) made from
soft material wrapped at the front and part. After
25 completing installation, the internal and external balloons
(4) and (6) are supplied with air and become expanded,
thereafter the protection cover(17) is taken off from them
and is exhausted out during bowel movement or injection.
Unexplained (20) in the rectum, and unexplained= (22)
30 is the anal tube.
The pr.asent invention composed as above, is tor
containing bowel movements or helping to pass stool,
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installing it in the rectum of the pationta who can't
control bowel movamcnta, who are in a coma or who are
bedridden and need long term treatment., The device, if
needed, is used conveniently for enemas and works in the
tollowing manner.
As shown in FIG 2, when the colostomy device(2) is
installed and used on the anus of a patient, the fixing aid
on the external aide of the drainage hose (8) contacted to
the anus of the patient supporting it, prevents the
internal and external ra 11ooris (4) and (5), from being
pushed into the upper part of rectum(20) when the colostomy
device is used(2).
When a holder(12) is used for the above fixing aid,
making it air-tight is done perfectly since the duplex
IS adhesive plate(14) is inserted on the whole side of the
holder(12) and adhered around the anus.
The above duplex adhesive plate (14) wi(:h free bends
features excellent' air-tight effect since the shape changes
and adapts to the shape of the anus.
VI
The material for this duplex adhesive plate (14)
should be elastic and harml.enn to people without causing
any adverse skin rwaction. when an air ring is used u..
the fixing aid in the present invention as shown In FIG 3,
the air rltxy (16) prevents leakage of liquids and gasps from
Lhe rectum, adhering the extornal tube closely to the wall
of the rectum during injection-
The adhesive plate(14) is impossible to use for
patients who have inflammation and skin damage, so Lhw
fixing band (11) with i dh" ive part composed on the end part
of the band as shown in FIG G should be used. When acing
the fixing band(11), the position of the colostomy
device (2) can be fixed adhering around the a,ni.is of the
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paticnt am ohown in FIG 7.
When the Colostomy device(2) provided in the present
invention, is installed in the rectum(20) located at tho
anus of a patient. ass shown in FIC3 2, there is no leakage of
liquids and gases and no gap between the drainage hose (8)
and anus since the air supply tube(10) is inserted inside
the drainage hose ( ) .
The drainage hose(s) located inside the anal tube
with cheek valve(18) which runs ono day only from the outer
drainage hose (8) to the inner cira i nage hose (8) prevents the
leakage of liquids and gases.
The drainage hose($) formed on the external side of
the fixing aid, can be removed if necessary, empec:lally in
the case of ambulatory patients, using it during injection
and bowel movement without any inconvenience_
in COtVosing the present invention, 1-ha protection
membrane(19) is3 1iipvsed on the rim of the supporting
tube (15) as shown in FIG. 6 and the colvatomy device can
be easily inserted without causing any damage to the inner
walls of the anus covering the edges of the supporting
tube (15) by the protection membrane (19) as the internal
balloon located in the supporting tube(m) smippl.i.ess air
when the exlerual tube removes air, when the colostomy
device is installed to the anus of a patient.
In case of patients with small anuses, it in easy to
insert the colostomy device (2) . First, let air out as shown
in FIG 9 and then fold they eoloetoty device(2) in half.
Then wrap the front end part in the protection cover(17)
and insert the device to the anus o:C a patient.
Industrial_Applieabiliiy
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Accordingly, the presenL i vention relates to a
colostomy device which can be used for intuutinent patients
and/or for movement with the following positive effecLe;
prevwnting the internal and external balloons from being
S pushed into the upper part of the rectum by the fixing aid
while using the device, preventing the leakage of liquids
and games, 'protecting Lhe epidermis around the anus by the
Check valve of the drainage hose which drains duly liquids
or gases that enter the zpace between the anal tube and
drainage hoses, and facilitating easy installation of the
colostomy device.
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