US1945081A - Lavage table - Google Patents

Description

1934- E. J. RYAN El Ar. 1,945;08l

LAVAGE TABLE I Filed July 15, 1931 2 Sheets-Sheet 1 $7 6% 4. Mfg? Jan. 30, 1934. I E J. RYAN ET AL 1,945,081

LAVAGE TABLE Filed July 13, 1931 2 Sheets-Sheet 2 Patented Jan. 30, I934 UNITE STATES FFECE LAVAGE TABLE Application July 13, 1931. Serial No. 550,464

9 Claims.

This invention relates to lavage tables particularly designed for irrigation treatments of body cavities. It is especially adapted for the treatment of the colon by injections of liquid into the bowel followed by elimination of the treatment liquid and bowel contents.

Patients requiring colon treatment may be divided into two classes, namely, those of the atonic type, indicating paralysis of the bowel or lack of contractile power, and those of the spastic type.

The preferred method of treatment for the first mentioned class of patients consists in introducing the treatment liquid into the colon by means of a rubber tube which may be withdrawn periodically and the patient either assumes a sitting posture for the purpose of eliminating the treatment fluid and bowel contents, or the patient remains in a semi-reclining position and the matter to be eliminated is withdrawn by intermittently applying suction producing means to the tube.

In the treatment of spastic patients, the patient preferably remains in a semi-reclining position throughout the treatment. A self-retaining sygmoid tube of hard rubber or metal is inserted into the rectum and this tube, being small in diameter relatively to the rectum, permits elimination to take place by contraction of the bowel without removal of the tube until the treatment has been concluded.

The lavage table of the present invention is suitable for use in the treatment of both classes of patients, and is particularly well adapted for the treatment of cases in which the patients remain in a semi-reclining position throughout the treatment. The table is equipped with a specially designed removable combination seat and guard located above the toilet or hopper which receives the eliminated material, said seat and guard being formed to accommodate a patient in a semi-reclining position and to protect the patient and table from contamination with the treatment fluid and eliminated matter.

Another advantage of the invention is the provision of means for directing clean water to the body of the patient following the treatment.

Another advantage is the provision of means for raising and lowering the table sectionally.

Another advantage is the provision of means for suspending the hopper beneath the table in proper relation to the table and guard.

Other objects and advantages will appear as we proceed with the following specification.

In the drawings:

Fig. l is a side elevation of a lavage table embodying our invention.

Fig. 2 is a plan view of the same.

Fig. 3 is a perspective view of the removable guard with which the table is equipped.

Fig. 4 is a vertical sectional view taken on the line A-i of Fig. 2, showing the guard in section.

The floor on which the apparatus is supported is indicated at 10. In that embodiment of the invention shown in the drawings, the frame of the lavage table consists of two uprights 11 at one side and two uprights 12 at the other side, preferably integral at their upper ends with longitudinally extending bars 13 and 14, respectively. Brace bars 15 may be provided to tie together the bars 11 and the bars 13, respectively, near their lower ends. A subframe member 16 extends transversely of the frame from the bar 13 to the bar 14 and a second subfranie member 17, spaced from the member 16, also extends transversely across the main frame for a purpose later to be described.

On top of each bar 13 and 14 is a lug 18 apertured to receive a hinge pin 19 by which the table top is pivotally secured to the frame. The table top consists of three sections indicated at 20, 21 and 22, respectively. The section 20, adapted to support the back and head of the patient, is pivotally mounted, adjacent its forward edge, on the pins 19 and its rearward end may be raised or lowered and held in desired position by the clamp 23 engaging the rod at which depends from the section 20. 25 indicates brackets on the table top for holding desired attachments, shoulder braces and the like.

The middle table section 21 is provided with rearwardly extending arms 26 through which the hinge pins 19 extend in order to pivotally secure the section 21 to the frame. A concave portion 27 is formed in the upper surface of the section 21 adjacent its rearward margin and a groove 28 extends from said concave portion to an aperture 29 in the section 21. Said aperture 29 is preferably cut in the form indicated by the outline 30 shown on Fig. 2.

The foot section 22 is pivotally secured at 31 to arms 32 which extend forwardly from the table section 21. Adjacent the forward edge of the section 22 is a stop board 33 at right angles to the section 22. Said stop board is adjustably mounted on the section 22 and may be fixed in position by tightening the wing nut 34 on the bolt 35 which extends outwardly from the stop board 33 through the slot 36 in the side bar 37 and an inwardly directed splash flange.

of the section 22. moved.

The bar 3'? is a rack bar adapted to engage the rod 38 which is pivotally secured to the frame at 39. When it is decided to lower the foot section 22 said section is elevated slightly to release the brace rod 38 from the rack bar 3'7 whereupon the rod 38 slips downwardly to the guide 'and permits the section 22 to drop into the dotted line position of Figure l. The brace rod 36 moves on its pivot 39 into the space between the guide 40 and rack bar 37 toward the forward margin of the section 22 to any desired extent.

To permit raising the forward end of the section 21, said section is provided on the lower surface with a vertically disposed rack 41 which meshes with a pinion on the shaft 42 on which a hand wheel 43, for actuating the rack bar, is mounted.

Associated with the section 21 is an important feature of the invention, namely, a removable seat and guard, shown in perspective in Fig. 3 and indicated by the dotted line 44 in Fig. 2. It comprises a seat 45 which is curved and inclined upwardly from the rear toward the front. The seat 45 is supported by a tubular guard wall 46 substantially oval in cross section and provided with an outwardly directed flange 47 located somewhat above the bottom edge of the wall 46. Preferably the seat 45 is provided with a groove 48 at its apex and a flexible apron 49 at its rearward margin. The seat is suificiently wide to form on the wall 46 an outwardly directed flange The contour of the seat is such that the hips and thighs of the patient in a semi-reclining position will properly rest on the seat. When in position on the table section 21, as shown in Fig. 1, the

The stop board 33 may be reflange 4'7 will rest on the table top and the flexible apron 49 will bridge the gap between the relative 1y movable sections 20 and 21.

Subframe members 16 and 1'7 have heretofore been described. They are provided for the purpose of supporting the toilet or hopper 50, the flanged or enlarged portion 51 of the hopper resting on said transverse subframe members as shown in Fig. l. The hopper is provided at each side of the front center with inwardly directed nozzles so located and directed that clean water may be sprayed upon the body of the patient at the conclusion of the treatment. 52 is an inlet pipe for supplying water to the hopper 50 and nozzles 50, and 53 is a branch water line leading to a suction device 54 having an outlet 55 which enters into the bowl 56. The latter is connected through the pipe 57 with the sewer. The nipple 58 of the suction device 54 may have attached to it any desired form of flexible tube for use in applying to a patient the suction produced in said nipple and attached conduit by the flow of water through the conduit 53, suction device 54 and conduit 55.

The tubular wall 46 below the flange 47 of the guard extends into or to the open top of the hopper 50 and insures proper delivery of eliminated matter to the hopper. The lower portion of the hopper communicates with the sewer but is normally closed by a closure member, not shown, which is secured to an arm that is operatively connected through a series of levers 59, 60 and 61 with a hand lever 62 pivotally connected to the frame at 63. When the hand lever is depressed the closure in the hopper is actuated to open the passageway to the sewer. When it is desired to retain the hopper in open communication with the sewer the lever 60 may be engaged by the hook 64 by depressing the hand lever 62. A tubular guard 65 may be secured to the lower flange of the hopper to depend therefrom and cover the connection between hopper and sewer. 66 indicates a pair of foot rests attached to the side of the frame. The foot rests are pivotally secured to the frame and are movable laterally and longitudinally of the frame.

The construction described is compact and provides all that is required for the convenience of the operator giving the lavage treatment.

Tanks for holding the treatment liquids and valved conduits for transmitting same to the patient are not shown in the drawings, but it will. be understood that the groove 48 in the seat 45 is intended to accommodate the conduit for treatment fluid. The groove 28 whch extends from the concave portion 27 to the aperture 29 has two functions, one being to drain the seat 21 and par-- ticularly the concave portion 27, and the other being to accommodate the tube through which the treatment fluid is being passed to the patient.

The provision of means for raising and lowering the head section 20, which permit lowering said section below the plane of the frame members l3 and 14, is particularly useful in cases of patients sufiering from prolapsed bowels or a con dltion known as ptosis.

Changes may be made in details of construction without departing from the scope of our invention and we do not intend to be limited to the exact form shown and described except as set forth in the appended claims.

We claim:-

l. A lavage table provided with an opening in its table top, and a combination seat and guard on the table surrounding said aperture, the seat being inclined upwardly from its rear toward the l front of the table, and adapted to support the ips and thighs of a patient when in a semireclining position.

2. A lavage table provided with an opening in its table top, and a combination seat and guard M associated with the apertured table top', said seat and guard consisting of a tubular guard wall, an inclined seat forming inwardly and outwardly directed flanges on top of the guard wall, and a. flange at right angles to the guard wall located above the lower margin of said wall and adapted to rest on the table top with the lower end of the guard wall projecting through said table top aperure.

3. A lavage table provided with an opening in its table top, a combination seat and guard associated with the apertured table top, said seat and guard consisting of a guard wall adapted to extend through the apertured table, an inclined seat mounted on the upper portion of the guard wall, the apex of the seat being at its median forward portion, and an apron adapted to conform to the shape of the body extending rearwardly from the seat.

4. A lavage table comprising a frame having a pair of uprights integral with a longitudinally extending bar at each side of the frame, and a pair of transverse bars extending from one longitudinal bar to the other, a lug on top of each longitudinal bar, a table top consisting of three I. sections, the head and central sections being pivotally connected at their proximate edges to said frame lugs and the foot section being pivotally connected to the forward end of the center section, and means on the frame and on said sev- 15G eral table sections for adjusting the positions of said sections.

5. A lavage table comprising a main frame, a table top supported on the main frame, the table top being apertured approximately midway between its ends, a subframe consisting of transversely extending bars secured to the main frame and located beneath said frame and slightly forwardly and rearwardly, respectively, of the aperture in the table top, and a hopper supported on said transverse bars directly beneath said table top aperture.

6. A lavage table comprising a main frame, a table top supported on the main frame, the table top being apertured approximately midway between its ends, a subframe consisting of transversely extending bars secured to the main frame and located beneath said frame and slightly forwardly and rearwardly, respectively, of the aperture in the table top, a hopper supported on said transverse bars directly beneath said table top aperture, and a combined guard and seat on the table top, the lower portion of the guard extending through the table aperture into the top of the hopper.

7. A lavage table comprising a frame, a table top supported on the frame, the table top being apertured approximately midway between its ends, a hopper supported by the frame and located beneath the aperture in the table top, a suction device located at one side of the frame,

conduits for connecting the hopper and the suction device to a sewer, and water supply conduits leading to the hopper and through the suction device.

8. A lavage table comprising a frame, a table top supported on the frame, the table top being apertured approximately midway between its ends, a hopper supported by the frame and located beneath the aperture in the table top, a closure member in the hopper, means for actuating the closure and means for maintaining the closure member in open position.

9. A lavage table comprising a frame, a table top consisting of a head section pivotally secured at its forward end to the frame, a central apertured section pivotally secured at its rearward end to the frame, a foot section pivotally secured to the forward end of the center section, means for independently raising and lowering said sections, and a movable toilet seat and guard located on the table, with the guard extending downwardly into the aperture, the toilet seat being inclined upwardly from its rear toward the front of the table, said seat and said head section of the table top being adapted to support a patient in a semi-reclining position when said head section has been pivotally moved to raise the head end.

EDMUND J. RYAN. MAURICE H. KOWAN.

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