US2314724A - Colostomy protector - Google Patents

Description

March 23, 1943..l

E. P. MARSAN coLosToMY iRoTEcToR Filed Nov. '28, 1941 INVENT OR.

iw/w www! Patented Mar. 23, 1943 UNITED STATESPATENT OFFICE COLOSTOMY PROTECTOR Edward Paul Marsan, Chicago, Ill.

Application November 28, 1941, Serial No. 420,787

4 Claims.

are placed in the incised space and secured to Y the abdomen. These intestinal ends form what are usually termed rose buds, and one of them is adapted to serve as and to provide an artificial rectum or anus to evacuate fecal matter from -the intestinal tract.

One of the aims of my invention is to provide a structure that is adapted to be placed over the rose buds and eliminate the use of the colostomy pads which are extensively used. It is the practice to have the patient irrigate every twenty-four hours in order to avoid as much as possible promiscuous evacuation at various times. This however does not always result in proper control land the patient must therefore be provided with protection against the uncontrolled evacuation. Large cotton pads for this purpose are more or less eiective when held in place by tight binders or elastic belts, but they are quite objectionable because of the fact that several pads are usually required each day, and whenever evacuation takes place the user must nd some convenient place to partially disrobe while renewing Athe pad and dispose of the soiled pad. The reason for. this procedure is quite obvious.

Another object of my invention is to provide a protector that is convenient and comfortable to use and which is not conspicuous. So far as I amv aware, the articles of this character which i are available are bulky in size; they are unhandy to manipulate due to the use in many of them of reinforcing skeleton frames whichnot only are cumbersome but also give` an unsightly appear- ,ance tothe outer garments; and manyrof them are provided with inflated rubber cushioning portions to `encompass the buds. vices,.the rubber` is unsanitary since it is diflicult to `cleanse and sterilize, it is comparatively shortlived as wellas expensive, and after being in use a 'few days it Will'give off offensive odors.

In the latter del A further object of my invention isv to provide 5 a protector that will eliminate many unnecessary partssuch` as the inflated pad and the snappedon distender or' shield as Well as the special pouches and the specially made belts and other accessories.V o

Another object of myr invention is to provide a protector wherein the liability of an offensive odor arising is overcome, and also wherein the sack or container may be readily removed and disposed of after each evacuation. In this connection I prefer to make use of sacks such as are obtainable in retail drug-stores at a very low cost and are made with thin Walls of latex which is tough and at the same time highly elastic and is capable of withstanding severe usage. As a further object I have provided novel means upon the cup, preferably in the form of a grooved or channeled flange that is self-sealing when in contact with the abdomen and thereby prevents egress of evacuated matter or the escape of odors from the protector. Also I have provided novel means within the margins of the cup-shaped protector that is adapted to prevent, to a large extent, the evacuated matter splashing back upon the abdomen where it is liable to scald the skin and be uncomfortable to the patient. With my novel protector the user may make a complete change in a very few minutes in any wash-room orpublic comfort station and thus eliminate the necessity of going about with fecal matter'in a sack or bag until the user arrives at home.

In accordance with the objects of my invention, other features will be pointed out hereinafter, or they will be apparent to others skilled in the art after my invention is understood from the following description.

My improved protector will be more readily understood by reference to the accompanying drawing taken in connection with my within description thereof, and the features of novelty of my invention are pointed out in the claims hereto appended. In this connection it will be under# stood that the disclosure is of a typicalor preferred form in which my colostomy protector may be made. Therefore I do not wish to be understood as limiting myself to the precise construction which is shown since modifications maybe made without departure from the scope of- 'my invention as expressed in the claims hereof.

I will now describe the drawing, in which, Fig'- ure 1 is a small perspective view of my invention showing it in use. Figure 2 is a front or outer elevation of the cup-shaped or body portion of the protector ywith the belt andr 'sack removed. Figure 3 is a rear elevation looking into the cup-'- shaped main or body portion shown'in Figure 2. Figure 4 is a side or edge elevation of the protector, and Figure 5 is akview looking "at the bottom thereof. Figure 6 is transverse section made on the broken line 6-6 across Figure 3 Y and looking upward in the direction of the arrows. Figure 7 is a view similar to Figure 8 but of a modified protector made in a more sim-V plied form.

Y that is concave-convex in cross-section as seen particularly in Figure 6, and itis of anloval or pear-like outline which I have found is most satisfactory in actual use. Extending around the rim of the body I, there is an annular nange 2 that provides a flat confronting surface to be brought into intimate contact with the abdomen around the protruding budsf of the surgicallyformed artificial anus. As seen in the drawing, the flange and the cupped body provide a smooth straight basal surface entirely in one plane and without projecting portions beyond such plane. Suitable loops 4 are formed on the outer face of the basal ange alongside the cupped portion I, to receive the adjacent ends of a belt or harness I3 that are provided with suitablefastening devices I2 that detachably engage the respective loops. As will be noted, the loops do not horizontally aline with each other, but .one of slight- 1y above the other to permit the belt portions to be disposed respectively above and below the bone of the hip on the .right and left sides and renders the use of an ordinary pair of Suspenders possible. e

The lower portion of the body is formed with a tubular neck 8 through which there isa discharge passageway communicating with the interior of the cupped body. An annular rib or bead 9 is made around the lower edge of the neck 8, and the adjacent portion of the annular flange 2 where it meets the neck is slightly depressed as indicated in Figure 4 so that there is a stepped back area 'I extending across the rear portion of the neck in a horizontal direction. The neck provides a suitable stub that is kadapted to be inserted into the upper open. end of the latex sack 6, .shown in dotted lines in Figure l,

and which is adapted to be secured in place by means of a rubber-band such as are used with stationery and other commodities. This secures the sack rmly vin place above the rib or bead 9, but permitsof the ready removalia'nd replacement whenever desirable. 'Ihe evacuated matter discharges into the cupped body and passes downward through the neck into the sack which is pendent upon the latter and is retainedin the sack until disposal of the latter.

In the event the evacuated matter is more or less fluid and `is forcefully discharged, I have provided means Within the cupped body to prevent a backward splash of the matter. These means are in the form of inwardly extending anges Ii?, IQ, that project towards each other from opposite sides of the cupped body in the manner shown in Figures Y3 and 6. These splash flanges have their Vouter surfaces flush with the surfaces of the adjacent portions of the annular ange 2, and their inner surfaces are of a chamfered character so that they slope into the cup in the vmanner shown in detail in Figure 6. This permits vof the ready cleansing and sterilizing of thevarious parts of the protector.

Another vnovel Vfeature of my improved protector is the provision of an annular groove or channel Il `that extends around the flange 2 intermediate the edges thereof and is preferably continuous from end to end and terminates at the depressed area -1 at the back of the neck. This groove is upon the back face of the ange, that is. it isA upon the surface which is adapted to contact the abdomen of the user, so that when the protector isplaced in position with the belt tightened the skin tissue will bulge or be drawn into Vthe groove to Vcreate a slight vacuum and thereby provide adependable seal that prevents seepage of evacuated matter and the escape of odor from the same.

I prefer to form the structure of a plastic material that is more or less transparent, such for example as dental plastic acrylic which is susceptible of being tinted a esh-color and is light in weight. The shape and dimensions of the cupped portion are such that the buds are readily accommodated therein without irritation being set up due to contact therewith, and the entire structure is made so that there is pracically no annoyance to the user in any ordinary exercise or motion of the human body.

Having described my invention, what I claim 'was new and desire to secure by Letters Patent is:

1. As a new article of manufacture, a surgical appliance embodying a non-yielding cup-shaped body having a rear opening and adapted to surround and shield a colostomy; a hollow stub integral with said body and communicating with the lower portion thereof; a groove in the edge of the body wall surrounding said opening, said groove having less width than the thickness of the wall and adapted to form a Avacuum seal between said body and the skin 4tissue around the colostomy; and a exible sack detachably mounted on said hollow stub. 4 2. As a new article of manufacture, a rigid surgical appliance embodying a non-yielding cupshaped body having a rear opening and adapted to surround and shield a colostomy; a hollow stub integral with said body and communicating therewith; a base flange integral with said body and extending annularly around the rear thereof, the said flange and the edge of the bodywall presenting a fiat contact surface in a common plane; and a groove intermediate the margins of the aforesaid contact-surface, the said groove adapted to form a vacuum seal with the skin tissue around and spaced from the colostomy.

3. As a new article of manufacture, a surgical appliance embodying a non-collapsible cupshaped body provided with a rear opening and adapted to surround and shield a colostomy; `a hollow stub integral with said body and having communication therewith; a rigid base-ange integral with said body and extending annularly around the vrear thereof, the said base-flange and the proximate edge of the body wall presenting a flat contact surface in a common plane; and inwardly extending splash-flanges projecting towards each other from opposite side portions of said opening and disposed wholly within the confines of said cup-shaped body, the exterior faces of said splash-flanges being disposed in a plane substantially coincident with the common plane of the aforesaid fiat contact surface.

4. As a new article of manufacture, a rigid surgical appliance embodying a non-yielding cupshaped body having a rear opening and adapted to surround and shield a colostomy; a hollow stub integral with said body and communicating therewith; a base flange integral'with said body and extending outwardly around the rear thereof inwardly extending flanges projecting towards each other from opposite sides of said opening and disposed wholly within the iconnes of the cup-shaped body and adapted to prevent backsplash through said opening; said base flange and EDWARD PAUL MARSAN;

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