JP4618638B2 - Defecation device - Google Patents

Description

  The present invention relates to a defecation device that enables forcibly discharging stool of a person who cannot defecate by himself / herself with an easy operation.

  Conventionally, in order to forcibly discharge feces from the rectum, the treatment person scrapes the feces with his / her finger. Treatment with human fingers is uncomfortable for the person to be treated, and there is also a problem that treatment takes time. Therefore, the present inventors have invented a defecation device that gradually crushes and discharges stool with a crushing blade, and has put it into practical use. By the way, the repeated use of the defecation device is uncomfortable for the person to be treated even if washing or the like is performed, and the cost is increased if the defecation device is disposable.

  On the other hand, the present inventor inserts a cylindrical body that can be inserted into the intestine from the anus into a long bag body from the distal end side, and provides a tension member that pulls the distal end portion of the bag body outward from the cylindrical body, While inserting the anus from the anus into the intestine, the tip of the cylinder is pressed against the stool, and the bag is pulled into the cylinder with a tensile member, and the stool inside the intestine is taken into the bag inside the cylinder. A defecation device has been invented in which stool is forcibly discharged from the rear in a state in which stool is contained in the bag (see Patent Document 1).

Thereafter, the present inventor further attaches an absorbent pad arranged so as to surround the anus at a position around the anus on the skin surface side of a waterproof sheet covering the anus and its surroundings, and closely attaches the absorbent pad to the skin surface. An adhesive layer with release paper is provided, the sheet part surrounded by the absorbent pad is bulged to the opposite side of the skin surface to form a flexible bag part that accommodates stool, and the finger is placed from the outside of the bag part A defecation device was invented that was inserted into the rectum through a sheet to scrape out the stool and accommodate it in the bag. This defecation device is manufactured at a lower cost than the above-described technique and can be treated more easily. By the way, this defecation device uses an adhesive layer when the sheet is brought into close contact with the skin surface. If a material having a strong adhesive force is used to prevent detachment or leakage during treatment, the skin surface may be affected depending on the person to be treated. There was a risk of injury.
JP 2003-159323 A

  The problem to be solved by the present invention is to solve these conventional problems and to provide a defecation device that can be easily treated and discarded without damaging the skin surface of the person to be treated.

The configuration of the present invention that solves this problem is as follows.
1) Attach an absorbent pad to surround the anus at the perianal position on the skin side of the waterproof sheet covering the anus and its surroundings. Pressing means for forming a flexible bag part that swells greatly to the opposite side and accommodates feces, and that seals the sheet or absorbent pad in close contact with the skin surface on the surface opposite to the skin surface side of the sheet The finger is inserted from the outside of the bag part into the rectum through the sheet, the stool is scraped out and accommodated in the bag part, and a finger is inserted in the central part of the bag part to insert the finger. Easy defecation device , provided with a closing adhesive part with release paper that closes the bag part on the outer peripheral part on the skin side of the sheet, and an absorbent wipe pad attached to the inside of the blocking adhesive part of the sheet 2) Bag part A tube that fountains liquid into the rectum is penetrated in a watertight manner, and the tube is placed in a bag. The defecation device according to 1), which is detachably connected to the tube of the water supply apparatus outside the unit 3) is disposed so as to surround the anus at the position around the anus on the skin side of a waterproof sheet covering the anus and its surroundings An absorbent pad is attached, and the sheet part surrounded by the absorbent pad is bulged to the opposite side of the skin surface to form a flexible bag part that accommodates feces and inserted into the rectum in the same bag part Then, the scraping tool that scrapes out the stool is penetrated, and the scraping tool penetrated through the stool is fixed to the sheet of the bag part so that the scraping tool can be advanced and retreated in the margin part of the bag part. Provided with a pressing means for sealing the sheet or absorbent pad closely to the skin surface, the stool scraped by the advancement and retreat of the scraping tool is accommodated in the bag portion, and the bag portion on the outer peripheral portion on the skin surface side of the sheet Provide a blocking adhesive part with release paper to close the inside of the sheet blocking adhesive part Attaching the absorbent pads arranged so as to surround the anus absorbent defecation device 4 fitted with a wiping pad) anal and perianal position of the skin surface side of the waterproof sheet of the area covering the periphery, the absorbent pad The sheet part surrounded by a large bulge to the opposite side of the skin surface forms a flexible bag part that accommodates stool, and the stool that penetrates into the rectum and scrapes the stool is passed through the bag part. The piercing tool is kept in a watertight state with the sheet of the bag portion so that the scraping tool can be advanced and retreated with respect to the bag portion, and the sheet or absorbent pad is placed on the surface opposite to the skin surface side of the sheet. Closer with release paper provided with presser means to seal closely to the surface, so that feces scraped by advancement and retreat of the scraping tool are stored in the bag part, and the bag part is closed on the outer peripheral part on the skin side of the sheet An adhesive part is provided, and an absorbent wiping pad is placed inside the blocking adhesive part of the sheet. With defecation instrument 5) the liquid from the tip of the raking device provided with a water supply means for fountain into the rectum 3) or 4) defecation instrument 6) pressing means described is a pressing member of ring shape surrounding the bag portion and the 1) to 5) Defecation device according to any one of 7) The presser member forms a cylindrical insertion opening that projects into the anus with the opening protruding toward the skin surface, and the insertion opening is formed on the skin surface of the sheet. The defecation device 8) presser means according to the above 6), wherein the sheet is inserted into the anus together with the sheet from the opposite side, the sheet is fixed to the anus, and the sheet can be held tightly to the skin surface with the anus expanded. Is a deformable U-shaped presser member that is partially open, and the person to be treated is seated on the presser member placed with the seat on the upper side, and the seat is placed on the skin surface by the deformation of the weight and the presser member. The stool is discharged from the U-shaped opening of the presser member 1) to 5) Defecation device according to any one 9) The defecation device 10) according to any one of 6) to 8) above, wherein the pressing member is composed of an air tube, and the skin is made of an opaque material, In the defecation device according to any one of 1) to 10), wherein the defecation device according to any one of 1) to 9) described above is provided with an opening means for forming an opening for discharging feces in the bag portion. .

  According to the present invention, the sheet is pressed against the skin surface by the pressing means so as to be brought into close contact with the skin surface. In addition, since the pressing means does not touch the skin surface or stool, it can be reused, and the cost can be reduced compared to the case where the adhesive layer is omitted.

  The sheet of the present invention is desirably a stool that is accommodated such as a synthetic resin sheet having flexibility such as polyethylene and polypropylene, and a waterproof and opaque that does not leak its odor to the outside, and that does not affect the environment when discarded, The seat is widened from the lower abdomen to the buttocks so that the local area can be concealed, and the patient is considered.

  The scraper is made of elastic plastic with a soft umbrella, reducing pain during insertion into the anus and preventing the intestinal wall from being damaged. The advancement / retraction of the scraping tool is a method of advancing / retreating with the margin part of the sheet constituting the bag part by being fixed to the penetration part of the bag part or the stretchability of the sheet, and maintaining the water penetration state with the penetration part of the bag part against the bag part. There is a method of advancing and retracting, and it is arbitrarily selected according to the material and cost of the sheet. Further, water supply means for spraying liquid such as warm water or medicine from the tip of the scraping tool into the rectum may be provided to facilitate the discharge of the stool or soften the stool.

  As the presser means, there are used elastic materials such as air tubes, sponges, rubber, etc., and hard materials such as plastic molded according to the shape of the skin surface. The feces are discharged from the enclosed area. A handle may be formed on the pressing member for easy handling, or an insertion port portion that can be inserted and fixed together with the sheet in the anus may be formed to facilitate the fecal discharge operation with the anus expanded.

  A wiping pad is attached to the skin side of the sheet to wipe it off after the treatment, making it unnecessary to prepare a towel. If the wiping pad is preliminarily immersed with any one of disinfectant, deodorant and antibacterial agents, it can be treated more hygienically. In addition, when a blocking adhesive part that closes the bag part is provided at the outer peripheral part on the skin surface side of the sheet, a state where the mouth of the bag part is easily closed after treatment and leakage of odor is prevented without performing binding or the like You can carry it around. Embodiments of the present invention will be specifically described below with reference to the drawings.

  The first embodiment shown in FIGS. 1 to 6 is an example of a defecation device that performs a scraping operation with a finger. 1 is a front view of the defecation device of Example 1, FIG. 2 is a cross-sectional view taken along line AA of FIG. 1, FIG. 3 is a rear view of the defecation device of Example 1, and FIGS. It is explanatory drawing which shows a use condition. In the figure, 10 is a defecation device, 11 is a sheet, 11a is an overhang portion that is in close contact with the foot, 12 is a bag portion, 12a is an overhang portion that is in close contact with the foot, 12b is a cut, 13 is an insertion recess, and 14 is a presser foot. Members, 15 is an absorbent pad, 16 is a blocking adhesive part, 16a is a release paper, 17 is a wiping pad, 18 is an adhesive layer, B is feces, H is rectum, and M is a finger.

  As shown in FIGS. 1 to 3, the defecation device 10 according to the first embodiment is configured such that a portion located in the anus of the colored opaque waterproof sheet 11 having flexibility covering an area extending from the lower abdomen to the buttocks is defined as an adhesion surface. A bag portion 12 having a predetermined capacity that swells to the opposite side and accommodates the stool B is formed, an edge portion 12a having a cut 12b is formed on the outer surface of the bag portion 12, and a finger M is formed at the center portion of the bag portion 12. Is inserted into the anus together with the sheet 11, an annular absorbent pad 15 is attached to the perianal position on the skin surface side of the sheet 11, and the annular occlusion adhesive portion 16 is absorbed on the outer periphery of the absorbent pad 15. An adhesive layer 18 for attaching the sheet 11 to the lower abdomen and the buttocks is provided on the skin surface side periphery of the sheet 11, and a part of the sheet 11 on the surface opposite to the skin surface side is provided. The holding member 14 made of an opened U-shaped tube is connected to the bag 1 It is arranged so as to surround the.

  First, after applying lubricating cream or the like to the anus of the person to be treated to make it easy to slip, as shown in FIG. 4 (a), the pressing member 14 and the sheet 11 are stacked in this order on a table not shown. The person to be treated is seated on the sheet 11 so that the absorbent pad 15 is disposed on the skin surface around the anus, and the sheet 11 is sealed in close contact with the skin surface by the weight of the person to be treated and the deformation of the pressing member 14. Then, the sheet 11 is attached to the lower abdomen and the heel with the adhesive layer 18 from which the release paper (not shown) has been peeled off, and the finger M is inserted from the U-shaped open part of the pressing member 14 as shown in FIG. Insert into the anus together with the sheet 11 through the recess 13. Since the finger M is covered with the sheet 11, the finger M is not soiled, and even if the finger M is inserted deeply, the margin portion of the sheet 11 constituting the bag portion 12 follows and does not break.

  Next, as shown in FIG. 5A, the stool B in the rectum H is scraped out with the finger M, guided around the insertion recess 13, and accommodated in the bag portion 12. At this time, since the sheet 11 is in intimate contact with the pressing member 14, odor does not leak to the outside. This is repeated as long as the finger M reaches, and the feces B in the rectum H are discharged. When the discharge of the stool B is completed, as shown in FIG. 5B, the presser member 14 is removed, the sheet 11 is detached from the anus, the anus and surroundings are wiped off with the wiping pad 17, and the release paper 16a is peeled off. The mouth of the bag part 12 is closed with the closed adhesive part 16. Then, as shown in FIGS. 6A and 6B, the bag 12 is opened along the cut 12b of the edge 12a to discard the stool B, and the sheet 11 is disposed of by incineration or the like.

  As described above, the discharge operation of the stool B is easy, and since it is an extremely simple disposable structure, it can be treated at a low cost. Further, since the sheet 11 is brought into close contact with the pressing member 14 without using an adhesive layer as in the prior art, the skin surface is not damaged when the sheet 11 is detached, and the pressing member 14 can be reused and the adhesive layer is not used. The defecation device 10 can be manufactured at low cost.

  7 and 8 show another example of the defecation device of the first embodiment. FIG. 7 is a longitudinal sectional view of a defecation device of another example of the first embodiment, and FIG. 8 is an explanatory view showing a use state of the defecation device of another example of the first embodiment. In the figure, 14a is an insertion port part, 14b is a handle part, 14c is a pressing part, 18a is release paper, 19 is a tube, 19a is a connection part, 19b is a pump, 19c is a valve, and W is hot water. In another example of the first embodiment, as shown in FIG. 7, the pressing member 14 is an elastic annular member made of rubber, and an opening portion 14 a having a predetermined diameter is formed by projecting the opening portion to be inserted into the anus. The outer peripheral portion is bent to the opposite side to the insertion port portion 14a to form the handle portion 14b, and the pressing portion 14c for pressing the absorbent pad 15 against the skin surface is formed on the opposite side to the handle portion 14b. . A tube 19 is passed through the bag portion 12 in a watertight manner, and hot water W is supplied from the outside so that it can be fountained into the rectum H.

  As shown in FIG. 8, the treatment person abuts the sheet 11 on the skin surface, and inserts the insertion opening 14 a of the pressing member 14 into the anus together with the sheet 11 to expand the anus. And the hot water W is fountained with the tube 19, and the stool B is softened and discharged. Therefore, since a part of the presser member 14 is inserted and fixed to the anus, it is not necessary for the treatment person to hold the presser member 14, the treatment can be easily performed, and the anus is expanded. Easy to put in and out. Moreover, since the stool B is softened by the hot water W, the stool and the like can be easily discharged. After the treatment, the tube 19 is detached at the connecting portion 19a and the feces B and the hot water W are discarded, and then disposed together with the sheet 11. Other reference numerals and configurations are the same as those in the first embodiment.

  Example 2 shown in FIGS. 9 to 14 is an example of a defecation device that performs a scraping operation with a scraping tool. 9 is a front view of the defecation device of Example 2, FIG. 10 is a cross-sectional view taken along line AA of FIG. 9, FIG. 11 is a rear view of the defecation device of Example 2, and FIGS. It is explanatory drawing which shows a use condition. In the figure, 20 is a defecation device, 21 is a sheet, 21a is an overhanging part to be in close contact with the foot, 22 is a bag part, 22a is an edge part, 22b is a cut, 23 is a scraping tool, 23a is an umbrella part, and 23b is a gripping part. , 23c is a plug, 23d is a nozzle, 23e is a flow path, 23f is a tube, 23g is a water supply, 25 is a seal portion, 26 is a pressing member, 27 is an absorbent pad, 28 is a blocking adhesive portion, 28a is a release paper, 29 Is a wiping pad, 30 is an adhesive layer, and 30a is a release paper.

  As shown in FIGS. 9 to 11, the defecation device 20 of Example 2 is a portion located in the anus on the skin surface side of the colored opaque waterproof sheet 21 having an area covering from the lower abdomen to the buttocks. The bag portion 22 having a predetermined capacity for accommodating the stool B is formed by bulging to the opposite side of the contact surface, an edge portion 22a having a cut 22b is formed on the outer surface of the bag portion 22, and the center of the bag portion 22 is formed. An elongated scraper 23 having a soft umbrella 23a at the tip is provided in the front part so as to be able to advance and retreat in a watertight state by the seal part 25, and an annular absorbent pad is provided around the anus on the contact surface of the sheet 21 27, an annular blocking adhesive portion 28 and an absorbent wiping pad 29 are attached to the outer periphery of the absorbent pad 27, and the adhesive layer 30 is attached to the skin surface side periphery of the sheet 21 to the lower abdomen and the buttocks. And is opposite to the skin side of the sheet 21 The pressing member 26 on a surface comprising an annular tube is arranged so as to surround the bag portion 22. Further, a tube 23f of a water supply tool 23g for supplying hot water W is detachably connected to a gripping portion 23b of the scraping tool 23 so that water can be sprayed from a nozzle 23d through a flow path 23e formed in the scraping tool 23. 23c is a water-soluble stopper, which prevents clogging during insertion into the rectum H.

  First, after applying lubrication cream or the like to the anus of the person to be treated to make it easy to slip, the operator presses the sheet 21 against the skin surface with the pressing member 26 as shown in FIG. Then, the sheet 21 is attached to the lower abdomen and the buttocks with the adhesive layer 30 from which the release paper 30a has been peeled off, the gripping part 23b is gripped and the scraping tool 23 is inserted into the anus as shown in FIG. Warm water W is supplied at 23 g, and the stool B is softened by the hot water W fountained from the umbrella portion 23a. At this time, the plug 23c is dissolved by intestinal fluid or hot water W or detached by the water pressure of the hot water W. Since the scraper 23 is kept sealed by the seal portion 25, the stool B and odor do not leak to the outside.

  Next, as shown in FIG. 13A, the stool B in the rectum H is scraped to the outside by the umbrella portion 23 a of the scraping tool 23, guided around the seal portion 25, and accommodated in the bag portion 22. At this time, since the sheet 21 is in intimate contact with the pressing member 26, odor does not leak to the outside. This is repeated as long as the umbrella part 23a of the scraping tool 23 reaches, and the feces B in the rectum H are discharged. When the discharge of the stool B is completed, as shown in FIG. 13 (b), the scraping tool 23 is retracted, the pressing member 26 is removed, the sheet 21 is detached from the anus, and the anus and its surroundings are wiped off with the wiping pad 29. The mouth of the bag portion 22 is closed with the closing adhesive portion 28 from which the release paper 28a has been peeled off. Then, as shown in FIGS. 14A and 14B, the bag portion 22 is opened along the cut 22b of the edge portion 22a to discard the stool B, and the sheet 21 is disposed of by incineration or the like.

  As described above, the discharge operation of the stool B is easy, and since it is an extremely simple disposable structure, it can be treated at a low cost. Further, since the sheet 11 is brought into close contact with the pressing member 26 without using an adhesive layer as in the prior art, the skin surface is not damaged when the sheet 21 is detached, and the pressing member 26 can be reused and the adhesive layer is not used. The defecation device 20 can be manufactured at low cost.

  FIG. 15 shows another example of the defecation device according to the second embodiment. FIG. 15 is a cross-sectional view of another example of the defecation device according to the second embodiment. In the figure, reference numeral 24 denotes a fixing portion. The defecation device 20 according to another example of the second embodiment is fixed to a portion where the sheet 21 is penetrated in the middle of the scraping tool 23. As shown in FIG. 15, when the scraping tool 23 is advanced and retracted during use, the sheet 21 constituting the bag portion 22 advances and retracts at the margin, so that the scraping is not hindered and the operability is not changed at all. In this example, since the seal portion 25 can be omitted, it can be manufactured at a lower cost. Other reference numerals and configurations are the same as those in the second embodiment.

  The defecation device of the present invention is used for the treatment of persons who cannot defecate by themselves, such as elderly people, patients, and disabled people.

It is a front view of the defecation device of Example 1. It is AA sectional drawing of FIG. It is a rear view of the defecation device of Example 1. It is explanatory drawing which shows the use condition of the defecation apparatus of Example 1. FIG. It is explanatory drawing which shows the use condition of the defecation apparatus of Example 1. FIG. It is explanatory drawing which shows the use condition of the defecation apparatus of Example 1. FIG. It is a longitudinal cross-sectional view of the defecation device of the other example of Example 1. It is explanatory drawing which shows the use condition of the defecation device of the other example of Example 1. FIG. It is a front view of the defecation device of Example 2. It is AA sectional drawing of FIG. It is a rear view of the defecation device of Example 2. It is explanatory drawing which shows the use condition of the defecation apparatus of Example 2. FIG. It is explanatory drawing which shows the use condition of the defecation apparatus of Example 2. FIG. It is explanatory drawing which shows the use condition of the defecation apparatus of Example 2. FIG. It is sectional drawing of the defecation device of the other example of Example 2. FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Defecation device 11 Sheet | seat 11a Overhang | projection part 12 Bag part 12a Overhang | projection part 12b Cut | interruption 13 Insertion recessed part 14 Holding member 14a Insertion part 14b Handle part 14c Pressing part 15 Absorption pad 16 Occlusion adhesive part 16a Release paper 17 Wiping pad 18 Adhesion layer 18a Release paper 19 Tube 19a Connection part 19b Pump 19c Valve 20 Defecation device 21 Sheet 21a Overhang part 22 Bag part 22a Edge part 22b Cut 23 Pricking tool 23a Umbrella part 23b Gripping part 23c Plug 23d Channel 23f Flow path 23f Water supply tool 24 Adhering part 25 Sealing part 26 Holding member 27 Absorption pad 28 Blocking adhesive part 28a Release paper 29 Wiping pad 30 Adhesion layer 30a Release paper B Stool H Rectum M Finger W Hot water

Claims (11)

Attach an absorbent pad that surrounds the anus to the position around the anus on the skin side of the waterproof sheet covering the anus and its surroundings, and the sheet part surrounded by the absorbent pad is on the side opposite to the skin side Forming a flexible bag part that swells greatly to accommodate stool, and has a pressing means for sealing the sheet or absorbent pad in close contact with the skin surface on the surface opposite to the skin surface side of the sheet; The finger is inserted from the outside of the bag part into the rectum through the sheet, the stool is scraped out and accommodated in the bag part, and a recess for inserting the finger is formed in the central part of the bag part to facilitate the insertion of the finger. A defecation device in which a closing adhesive portion with release paper for closing the bag portion is provided on the outer peripheral portion of the skin surface side of the sheet, and an absorbent wiping pad is attached to the inside of the blocking adhesive portion of the sheet . The defecation device according to claim 1, wherein a tube for squirting liquid into the rectum is provided in the bag portion so as to penetrate in a watertight manner, and the tube is detachably connected to the tube of the water supply device outside the bag portion . Attach an absorbent pad that surrounds the anus to the position around the anus on the skin side of the waterproof sheet covering the anus and its surroundings, and the sheet part surrounded by the absorbent pad is on the side opposite to the skin side Forming a flexible bag part that swells greatly to accommodate the stool, penetrating the scraping tool that is inserted into the rectum and scrapes the stool into the bag part, and the penetrating scraping tool with the sheet of the bag part The scraping tool can be moved forward and backward at the margin part of the bag part, and a pressing means for sealing the sheet or absorbent pad closely to the skin surface is provided on the surface opposite to the skin surface side of the sheet. The stool scraped by advancing and retreating is accommodated in the bag part, and a closure adhesive part with release paper that closes the bag part is provided in the outer peripheral part on the skin surface side of the sheet, and the inside of the sheet adhesive adhesive part is absorbent A defecation device fitted with a wiping pad . Attach an absorbent pad that surrounds the anus to the position around the anus on the skin side of the waterproof sheet covering the anus and its surroundings, and the sheet part surrounded by the absorbent pad is on the side opposite to the skin side Forming a flexible bag part that swells greatly to accommodate the stool, penetrating the scraping tool that is inserted into the rectum and scrapes the stool into the bag part, and the penetrating scraping tool with the sheet of the bag part A holding means for sealing the sheet or absorbent pad closely to the skin surface is provided on the surface opposite to the skin surface side so that the scraping tool can be moved forward and backward while being kept in a watertight state. The stool scraped by the advancement / retraction of the exit tool is accommodated in the bag part, and a closure adhesive part with release paper for closing the bag part is provided at the outer peripheral part on the skin surface side of the sheet, inside the closure adhesive part of the sheet A defecation device with an absorbent wipe . The defecation device according to claim 3 or 4, further comprising water supply means for spraying liquid into the rectum from the tip of the scraping tool. The defecation device according to any one of claims 1 to 5, wherein the pressing means is an annular pressing member surrounding the bag portion . The presser member forms a cylindrical insertion opening that projects into the anus with the opening protruding toward the skin surface, and the insertion opening is inserted into the anus together with the sheet from the opposite side of the skin surface of the sheet. The defecation device according to claim 6, wherein the sheet is fixed to the anus, and the sheet can be held in close contact with the skin surface with the anus expanded . The presser means is a deformable U-shaped presser member that is partially opened, and the person to be treated is seated on the presser member placed with the seat on the upper side, and the seat is skinned by the deformation of the weight and the presser member. The defecation device according to any one of claims 1 to 5, wherein the feces are discharged from a U-shaped open portion of the presser member in close contact with the surface . The defecation device according to any one of claims 6 to 8, wherein the pressing member is composed of an air tube . The defecation device according to any one of claims 1 to 9, wherein the sheet is made of an opaque material so that the skin surface cannot be seen . The defecation device according to any one of claims 1 to 10, wherein an opening means for forming an opening for discharging feces is provided in the bag portion .

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