US2563597A - Ileostomy surgical device - Google Patents

Description

Aug- 7, 1951 J. H. FRIEDMAN y ILEOSTOMY SURGICAL DEVICE Filed Oct. 25, 1948 s mllulllll Il Patented Aug. 7, 1951 U-NITED STATES 1 PATENT l OFFICE ILEOSTOMY SURGICAL'DEVICE f-Joseph H. Friedman, Chicago,` Ill., assignoryby .mesneassignmenta of one-half to Marlene VSue -Comess and Janine Rae Comess ApplicationOctobcr 23, 1948, Serial No.565173 l 1 l. A"Ihis'invent-ionrelates to a surgical -device and more particularlytc"an-improved appliance for `user-in -certain` abdominal operations such as colostomies and-ileostomies. i

@It is-well knownin the medical profession that "prclapse'ofthe bowel `or=c`olon^is a seriousl and -apprehensivecomplication which often l follows ,abdominal'surgery such ascolostomy or ileos `U-`tomy. `-`lnrsuch 4cases -the `bowelror colon l may prolapse or protrude itself out of the incision to such'anf'cxtentthat the patient must Abe ho..e

`pitalized'and treated for considerable periods of time In-fact; oftentimesit is `necessary to rc- "sort'to' furthersurgery tolshorten the protrusion.

" `.(Dbviouslmsuch acondition endangers the health of 'the "patient, inconveniences him, is expensive to treat and, in the `case of treatment by surgery,

the number of operations is limited.

`lv4-`It is;-therefore, a primary robject of this inven- *tion `toi-"afford a surgical'appliance which will .'preventlor atleast minimize the occurrence of i such complications. An-object relating thereto is to provide aA device fiwhich willprevent'prolapse of the bowel or colon. More-'particularly the device isdesigned to retain the end of the organ in position without inter- Mfering Vwith the discharge of feces therefrom.

Another object is tovprovide a colostomy and/or `-ileostorny cup or pouch having a `prolapse-preventing device associated therewith.

A further object is'to afford a colostomy and/cr "ileostorny pouch which may be used with or withw out a prolapse-preventing device to prevent the escape of fluids-and gases.

@Still `another object is to provide a colostomy vand/orlileostomy appliancewith improved body- --sealingmeans- Andyet another object is to provide a simply "constructedyyet eective and inexpensive colos- "`-ito4my `and/or ileostomy surgical device.

" With''theforegoing and other objects in View which will appear as the description proceeds, the

invention lconsists of certain novel features of construction, arrangement and a combination of Mparts hereinafter 4fully described, illustrated in the` accompanying drawings, and particularly pointed out in the appended claims, it being une Vr'cleistoci -that various changesin the form, pro- 1-portion, size and minor details of the structure mmay be made-without departing `from the spirit` for` sacricing any of the advantages of the incvention.

For` the purpose ci facilitating an understanding` of my invention, Ihave illustrated inthe accompanying drawings a preferred embodiments thereof,`f1om an inspectionof which.; when considered in connection with the following description, my invention, its mode of construction; as-

sembly and operation, and many of its advantages outerend thereof;

Fig. 2 is a perspective view of thesame inember showing the opposite end thereof;

Fig. 3 is a full sectional view of the assembled invention `illustrating the same in operational position;

Fig. 4 is a front elevationalA View ci theepouch member of the device; and

Fig. 5 is a fragmentary elevational View of the improved device, viewed from the rear.

Turning now to the drawings reference .numeral It indicates generally an assembled device comprising a prolapse-preventing member II and a colostomy and/orileostomy pouch or container I2.

The member Il comprises a cylindrically shaped tube I3 whichrnay be made of any suitable material, although the embodiment -chosen for illustrationismade from a rather hard rubber composition. A soft-rubber annular ringy I4 i isivaillxed as by vulcanizing to the inner` face I5 i ot the tube I3.

`cross-section but is formed with a thickened portion It to` afford anannular inner shoulder Il,

The tube I3is not of uniform @the .purpose of which will become apparentes the description proceeds. #The outer-end of the tube It has a portion ofthe cylindrical wall cut- ;xiout asat. i8, the function of which will' likewise may bevariedby employing two concentric tubes,

one itting tightly within the other.

Buch a construction may be used toV Vary .the position. of

the inner shoulder` Il with respect Vto the tube face I5.

.Y of amaterial suoli as rubber.

provided .near its top with a round opening 1.2i)

Turning now to the description of the container .I2,.the embodiment chosen for illustration comprises along flat pouch IQ which may be formed .The pouch `J I 9 is obliquely disposed in relation` to the pouch. The

k .-marginal edges of the wall `ofthefpouch I9 surrounding.. this .openin'g.; 20 are outwardly .flanged It is this tube 22 which cushions the pouchl against the body B of the wear-er and seals the same as at 23 circumferentially about the incision. Thus the end of the bowel or colon C protrudes for a short distance into the mouth of the pouch. `A tube 24 terminating at one end with the annular tube 22 and at the other with a one-way-valve 25 permits inflation of the annular cushion 22. Means for removably fastening the pouch to the body of the wearer is provided and comprises a wire yoke 26 and an elastic belt 2l which encircles the body of the wearer and attaches to the yoke.

The yoke 26 comprises a framework of two, parallel, longitudinally-disposed wires 28 and 29 fitted across the back of the pouch I9 and positioned opposite the pouch mouth 2U. The ends of the wires 28 and 29 are bent around the sides of the pouch and attached as at 30 and 3I to an annular ring 32. This ring is designed to be slipped over the tube 22 and fitted snugly around the neck 2l. A pair of lateral connecting wires 33 and 34 connect to the longitudinal members 23 and 29, one at each side of the pouch. These lateral wires may be bent as at 35 and 36 to provide connecting bars to which strap-end connecting buckles 3l' and 38 may be attached. Y

To permit association of the prolapse-preventing member II with the container I2, a novel structure is utilized. To the inner surface of the .back wall of the pouch I9, an outwardly protrudingcurved ledge 4B is alxed. This ledge is Y positioned on the wall opposite the mouth 20 so that the outer end of the member I I may be supported thereon; the curvature of the tube I3 and tab being complementary.

A stiff bracing member 4I is axed to the back of the yoke 26 to prevent the pouch wall I9 from yielding when the device is placed in operational position. The brace is positioned directly behind the support tab 49 and may be further braced and ailixed by a vertical stud 42. itself affixed to the pouch by means of parallellyaligned, outwardly-protruding tabs 43 and 44 through which the ends of the stud 4Z are threaded.

Fig. 3 illustrates the operational position of the device in which the inner end of the tube Il is placed over the end of the colon C so that the tip bears against the shoulder Il. This prevents prolapse of the organ. The mouth 20 of the pouch I2 is placed over the device and positioned so that the outer end portion of the tube B rests upon the ledge 40 with its outer end abutting the back wall of the pouch I9 as shown in Fig. 3 of the drawings. It should be noted that the cut-out portion I8 of the tube I3 is .positioned at the bottom so that there is adequate clearance between the backwall of the pouch I9 and at least a portionof the tube I3. Hence the drainage of feces from the colon C into the pouch I9 cannot be blocked or cut-off by pressure of the pouch against the outerend of the tube. The elastic belt 2l is then passed around the body of the wearer and the buckles snapped onto the connecting bars 35 and 36. Thhs the pouch itself bears against the body of the wearer so that the member II is retained in position over the end of the colon C and the entire device is sealed to the body B by the tube 22 as at 23. Moreover the softiubber ring I4 further seals the device and also This stud is A 4 cushions it at this point to prevent undue irritation to the wearer.

It should be obvious that such a device as described hereinabove not only prevents prolapse of the colon or bowel while simultaneously permitting ready discharge of feces, but also affords an improved pouch for collecting the discharge. It affords a double seal of the container against the body with non-irritating 'cushions at the points of contact, and the device itself is simple, sanitary and permits-complete freedom of movement by the wearer.

It Vis believed that my invention, its mode of construction and assembly, and many of its advantages should be readily understood from the foregoing without further description, and it should also be manifest that while a preferred embodiment of the invention has been shown and described for illustrative purposes, the structural details are nevertheless capable of wide variation within the purview of my invention as defined in the appendedY claims.

What I claim and desire to secure by Letters Patent of the United States is: l.

1. In a device of the character described, a prolapse-preventing member comprising a short hollow tube having an inner shoulder `spaced from the inner face of said tube, said tube having a. portion of its wall adjacent the outer end removed.

2. In a device of the character described, a prolapse-preventing member comprising a short hollow tube having an inner vshoulder spaced from the inner face of said tube, said tube hav- Y ing a portion of its wall adjacent the said outer end removed, and an annular lcushion affixed to the inner face of said tube. 1

3. A colostomy or ileostomy appliance comprising a pouch, an upper portion of the inner wall of said pouch having a mouth formed therein, an annular inflatable cushion surrounding said mouth, an outwardly protruding curved ledge affixed to the inner surface of the'backwall of said pouch opposite said mouth, a bodyencircling belt and means for securing said belt to said pouch.

4. In combination with a colostornyror ileostomy pouch, a prolapse-preventing member comprising a short rubber tube adaptedto t over u the end of an` exposed organ, and an annular inner shoulder within said tube bearing against the end of said organ, said shoulder disposed in a plane at right anglesto said tube. 5. In combination with a colostomy or Vileostomy pouch, a prolapse-preventing member comprising a short rubber tube adapted to fit over the end of an exposed organ, an annularinner shoulder within said tube bearing against the end of said organ, a lower portion of the tube wall adjacent the outer end of said tube removed, and a soft-rubber annular cushion aiixe to the inner end of said tube. Y

6. A colostomy or ileostomy appliance comprising a pouch, an upper portion of the inner wall of said pouch having a mouth formed therein, an annular inflatable cushion surrounding said mouth, an outwardly protruding curved ledge aflixed to the inner surface of the backwall of said pouch opposite said mouth, a prolapsepreventing tube supported within said pouch by said ledge, a wir@ yokev surrounding an upper portion of said pouch, a stiff bracing member affixed to said yoke behind said ledge, and a body-encircling belt removably fastened to said yoke.

7. In a device of the character described, a prolapse-preventing member comprising a hollow tube having an inner shoulder spaced from the inner end-face of said tube and disposed in a v plane at right angles to said tube, said tube adapted to nt over the end of an exposed human organ with the end of said organ in prolapsepreventing abutment with said inner shoulder.

8. A colostomy or ileostomy appliance comprising a pouch, an upper portion of the inner Wall of said pouch having a mouth formed therein, an outwardly protruding curved ledge affixed to the inner surface of the backwall of said pouch opposite said mouth, a prolapse-preventing tube supported Within said pouch by said ledge, a wire yoke surrounding an upper portion of said pouch, a stiff bracing member aixed to said yoke behind said ledge, and a body-encircling belt removably fastened to said yoke.

9. A colostomy or ileostomy appliance comprising a pouch, an upper portion of the inner wall of said pouch having a mouth formed therein, an outwardly protruding curved ledge affixed to the inner surface of the backwall of said pouch opposite said mouth, a wire yoke surrounding an upper portion of said pouch, a stiff bracing member affixed to said yoke behind said ledge, and a body-encircling belt removably fastened to said yoke.

10. In a device of the character described, a colostomy pouch having a mouth formed therein, a mounting member positioned Within said pouch and affixed thereto, a prolapse-preventing tube supported within said pouch by said mounting member, a yoke surrounding a portion of said pouch and a bracing member ailixed to said yoke behind said mounting member.

11. In combination with a prolapse-preventing tube a colostomy or ileostomy appliance comprising a pouch having a mouth formed therein, a mounting ledge positioned opposite said mouth within said pouch and ahxed thereto, said ledge adapted to support said prolapsepreventing tube, and means for supporting said pouch in operational position about the body of a wearer.

l2. A colostomy or ileostomy appliance comprising a pouch having a mouth formed therein, a protruding curved supporting member positioned opposite said mouth within said pouch and integrally formed therewith, a yoke surrounding a portion of said pouch and bracing means affixed to said yoke behind said mounting member.

JOSEPH H, FRIEDMAN.

REFERENCES CITED The following references are of record in the file of this patent:

UNITED STATES PATENTS Number Name Date 2,441,508 Porcell May 11, 1948 FOREIGN PATENTS Number Country Date 435,993 France Jan. 11, 1912 576,181 Great Britain Mar. 22, 1946 802,823 France June 22, 1936l

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