Stoma support device
阅读说明:本技术 造口支撑装置 (Stoma support device ) 是由 A·V·V·L·N·斯里尼瓦桑·穆尔蒂·阿拉瓦利 于 2019-07-25 设计创作,主要内容包括:本发明公开了一种造口支撑装置。一种造口装置包含杆以及第一锚定部分和第二锚定部分,所述第一锚定部分和所述第二锚定部分被配置成以可拆卸方式支撑所述杆。所述杆被配置成定位在身体管腔的肠袢中以将所述身体管腔的至少一部分支撑在腹壁上。所述杆包含具有相应的第一连接部分和第二连接部分的第一端部分和第二端部分。所述第一锚定部分和所述第二锚定部分包含第三连接部分和第四连接部分,所述第三连接部分和所述第四连接部分被配置成分别以可拆卸方式与所述杆的所述第一端部分和所述第二端部分的所述第一连接部分和所述第二连接部分配合,所述第一锚定部分和所述第二锚定部分从所述杆横向延伸。(The invention discloses a stoma support device. An ostomy device includes a stem and first and second anchoring portions configured to detachably support the stem. The rod is configured to be positioned in an intestinal loop of a body lumen to support at least a portion of the body lumen on an abdominal wall. The rod includes first and second end portions having respective first and second connection portions. The first and second anchor portions include third and fourth connecting portions configured to removably mate with the first and second connecting portions of the first and second end portions of the rod, respectively, the first and second anchor portions extending laterally from the rod.)
1. An ostomy device, comprising:
a shaft configured to be positioned in an intestine loop of a body lumen to support at least a portion of the body lumen on an abdominal wall, the shaft comprising a first end portion and a second end portion having respective first and second connection portions; and
first and second anchor portions configured to removably support the rod, the first and second anchor portions including third and fourth connection portions configured to removably mate with the first and second connection portions of the first and second end portions of the rod, respectively, the first and second anchor portions extending laterally from the rod.
2. The ostomy device of claim 1, wherein said first anchoring portion and said second anchoring portion define respective longitudinal axes.
3. The ostomy device of claim 1, wherein at least one of said first anchoring portion or said second anchoring portion comprises an arcuate profile.
4. The ostomy device of claim 3, wherein said arcuate profile of said at least one of said first anchoring portion or said second anchoring portion has a concave surface.
5. The ostomy device of claim 3, wherein said arcuate profile of said at least one of said first anchoring portion or said second anchoring portion has a convex surface.
6. The ostomy device of claim 1, wherein at least one of said first anchoring portion or said second anchoring portion comprises a liner portion.
7. The ostomy device according to claim 6, wherein said gasket portion is formed of foam.
8. The ostomy device according to claim 6, wherein said liner portion comprises an adhesive layer.
9. The ostomy device according to claim 1, wherein said first and second connection portions of said stem and said third and fourth connection portions of said first and second anchoring portions comprise a dovetail configuration.
10. A surgical kit, comprising:
a shaft configured to be positioned in an intestine loop of a body lumen to support at least the intestine loop of the body lumen on an abdominal wall, the shaft comprising a first end portion and a second end portion;
a pair of first anchor portions configured to removably support the rod, the first anchor portions being transversely connectable with the respective first and second end portions of the rod, the first anchor portions each defining a longitudinal axis;
a pair of second anchor portions configured to removably support the rod, the second anchor portions being removably connectable with the respective first and second end portions of the rod, the second anchor portions comprising an arcuate profile having a concave surface; and
a pair of third anchor portions configured to removably support the rod, the third anchor portions extending laterally from the respective first and second ends of the rod, the third anchor portions comprising an arcuate profile having a convex surface.
11. The surgical kit of claim 10, wherein the first anchor portion includes a connecting portion configured to removably mate with the respective first and second end portions of the rod.
12. The surgical kit of claim 10, wherein the second or third anchor portion includes a connecting portion configured to removably mate with the respective first and second end portions of the rod.
13. The surgical kit of claim 10, wherein each of the first anchoring portions includes a pad portion at opposite ends thereof.
14. The surgical kit of claim 13, wherein the cushion portion is formed of foam.
15. The surgical kit of claim 13, wherein each of the pad portions includes an adhesive layer.
16. A surgical method, comprising:
forming an abdominal incision into a patient's abdomen to access the patient's abdominal cavity;
withdrawing a loop of the body lumen from the abdominal cavity through the abdominal incision;
positioning a rod between the loop of the body lumen and the abdomen of the patient across the abdominal incision to prevent the loop of the body lumen from retracting through the abdominal incision into the abdominal cavity of the patient;
removably supporting the rod by connecting first and second anchor portions to respective ends of the rod;
forming a first incision into the body lumen to define a first opening within the body lumen;
forming a second incision into the body lumen to define a second opening within the body lumen; and
replacing the first and second anchor portions with third and fourth anchor portions having profiles different from the profiles of the first and second anchor portions.
17. The surgical method of claim 16, wherein replacing the first and second anchor portions includes providing the third and fourth anchor portions each having a concave surface.
18. The surgical method of claim 16, wherein replacing the first and second anchor portions includes providing the third and fourth anchor portions each having a convex surface.
19. The surgical method of claim 16, further comprising securing the first and second anchor portions to the abdomen of the patient with an adhesive on a pad portion on the first and second anchor portions.
20. The surgical method of claim 16, further comprising suturing a portion of the body lumen to the abdomen of the patient.
Technical Field
The present disclosure relates to a stoma support device and method for performing stoma procedures, and more particularly, to a modular stoma support device and method of use thereof.
Background
During a stoma procedure, a portion of an internal body lumen (e.g., the intestine or colon) is exteriorized to form a stoma. A stoma may be created in connection with a stoma procedure by securing an aliquot of an internal body lumen to the abdominal wall, thereby providing internal access into the internal body lumen for collecting fecal matter. Ostomy is sometimes performed in emergency situations due to diverticulitis, trauma, radiation complications, intestinal torsion, intestinal necrosis, intestinal perforation, etc. Ostomy may be temporary to allow treatment of the intestine or to reduce inflammation at the surgical site. In some cases, the ostomy may be permanent.
In ostomy surgery, an internal body lumen is secured to the abdominal wall and/or skin tissue of the abdomen. Securing the internal body lumen to the abdominal wall and/or the skin tissue of the abdomen keeps the stoma in the desired position and prevents it from retracting into the abdominal cavity. Typically, a colostomy bag is attached to the stoma site with an adhesive to collect waste material from the internal body lumen. Although the stoma has no sensory nerve endings and is not sensitive to pain, complications such as leakage, skin irritation, infection, etc. may occur at the stoma site of the fixed colostomy bag. Therefore, the condition of the stoma must be assessed periodically.
Accordingly, there is a continuing need in the medical field for alternative mechanisms for collecting fecal matter or waste from internal body lumens that overcome the above disadvantages and may improve the quality of life for patients in need of ostomy.
Disclosure of Invention
According to an embodiment of the present disclosure, an ostomy device includes a stem and first and second anchoring portions configured to detachably support the stem. The rod is configured to be positioned in an intestinal loop of a body lumen to support at least a portion of the body lumen on an abdominal wall. The rod includes first and second end portions having respective first and second connection portions. The first and second anchor portions include third and fourth connection portions configured to removably mate with the first and second connection portions of the first and second end portions of the rod, respectively. The first anchor portion and the second anchor portion extend laterally from the rod.
In an embodiment, the first and second anchor portions may define respective longitudinal axes.
In another embodiment, at least one of the first anchor portion or the second anchor portion may include an arcuate profile.
In yet another embodiment, the arcuate profile of at least one of the first or second anchor portions may have a concave surface.
In yet another embodiment, the arcuate profile of at least one of the first or second anchoring portions may have a convex surface.
In yet another embodiment, at least one of the first anchor portion or the second anchor portion may include a pad portion.
In yet another embodiment, the cushion portion may be formed of foam.
In yet another embodiment, the liner portion may include an adhesive layer.
In yet another embodiment, the first and second connection portions of the rod and the third and fourth connection portions of the first and second anchor portions may comprise a dovetail configuration.
According to another embodiment of the present disclosure, a surgical kit includes a rod, a pair of first anchor portions configured to removably support the rod, a pair of second anchor portions configured to removably support the rod, and a pair of third anchor portions configured to removably support the rod. The rod is configured to be positioned in an intestinal loop of a body lumen to support at least the intestinal loop of the body lumen on an abdominal wall. The rod includes a first end portion and a second end portion. The first anchor portion may be transversely connected with the respective first and second end portions of the rod. The first anchor portions each define a longitudinal axis. The second anchor portion may be removably connected with the respective first and second end portions of the rod. The second anchor portion includes an arcuate profile having a concave surface. A third anchor portion extends transversely from the respective first and second ends of the rod. The third anchor portion includes an arcuate profile having a convex surface.
In an embodiment, the first anchor portion may include a connecting portion configured to removably mate with the respective first and second end portions of the rod.
In another embodiment, the second or third anchor portion may include a connecting portion configured to removably mate with the respective first and second end portions of the rod.
In yet another embodiment, each of the first anchor portions may include a pad portion at opposite ends thereof.
In yet another embodiment, the cushion portion may be formed of foam.
In yet another embodiment, each of the pad sections may include an adhesive layer.
According to another aspect of the present disclosure, a surgical method comprises: forming an abdominal incision into the abdomen of the patient to access the abdominal cavity of the patient; removing a loop of intestine of the body lumen from the abdominal cavity through the abdominal incision; positioning a rod between a loop of the body lumen and the abdomen of the patient across the abdominal incision to prevent the loop of the body lumen from being withdrawn into the abdominal cavity of the patient through the abdominal incision; supporting the rod in a detachable manner by connecting the first anchoring portion and the second anchoring portion to respective ends of the rod; forming a first incision into a body lumen to define a first opening within the body lumen; forming a second incision into the body lumen to define a second opening within the body lumen; and replacing the first and second anchor portions with third and fourth anchor portions having profiles different from the profiles of the first and second anchor portions.
In an embodiment, replacing the first and second anchor portions may include providing third and fourth anchor portions each having a concave surface.
In another embodiment, replacing the first and second anchor portions may include providing third and fourth anchor portions each having a convex surface.
In yet another embodiment, the method may further comprise securing the first and second anchor portions to the abdomen of the patient with an adhesive on the pad portions on the first and second anchor portions.
In yet another embodiment, the method may further comprise suturing a portion of the body lumen to the abdomen of the patient.
Drawings
Various embodiments of the presently disclosed ostomy device are described hereinafter with reference to the accompanying drawings, wherein:
figure 1 is a top perspective view of an ostomy device according to an embodiment of the disclosure;
FIG. 2 is a bottom perspective view of the ostomy device of FIG. 1;
FIG. 3 is an exploded perspective view of the ostomy device of FIG. 1 with separate parts;
figure 4 is a top perspective view of an ostomy device according to another embodiment of the disclosure;
FIG. 5 is a bottom perspective view of the ostomy device of FIG. 4;
figure 6 is a top perspective view of an ostomy device according to another embodiment of the disclosure;
FIG. 7 is a bottom perspective view of the ostomy device of FIG. 6;
figure 8 is a top perspective view of an ostomy device according to another embodiment of the disclosure;
figure 9 is a kit comprising the ostomy device of figures 1-8;
FIG. 10 is a perspective view of a surgical site of a patient; and is
Figures 11 and 12 are top views of the ostomy device of figures 1 to 8 illustrating the use of the ostomy device.
Detailed Description
The presently disclosed ostomy device will now be described in detail with reference to the drawings, wherein like reference numerals designate identical or corresponding elements in each of the several views. However, it is to be understood that the disclosed embodiments are merely exemplary of the disclosure and may be embodied in various forms. Well-known functions or constructions are not described in detail to avoid obscuring the disclosure in unnecessary detail. Therefore, specific structural and functional details disclosed herein are not to be interpreted as limiting, but merely as a basis for the claims and as a representative basis for teaching one skilled in the art to variously employ the present disclosure in virtually any appropriately detailed structure.
Referring to fig. 1 and 2, the ostomy device of the present disclosure is shown generally as
Referring to fig. 3, the first and
In embodiments, the
Referring now to fig. 4 and 5, an ostomy device according to another embodiment of the present disclosure is shown generally as
The
Referring now to fig. 6 and 7, an ostomy device according to another embodiment of the present disclosure is shown generally as
Referring now to fig. 8, an ostomy device according to another embodiment of the present disclosure is shown generally as
Referring now to fig. 9, the
Referring to fig. 10-12, an incision into the abdomen of a patient is made at incision site "I", such as when used in a loop ostomy procedure (e.g., a circumflex sigmoid colostomy, a loop ileostomy, etc.). A portion of the body lumen or loop of intestine "L" is pulled outward through the incision site "I" so that the loop of intestine "L" extends out of the abdomen of the patient. The body lumen may comprise an intestine, such as the small or large intestine, the colon or the rectum. To prevent the loop of intestine "L" from backing through the incision site "I" and back into the abdominal cavity, the
The tissue contacting surfaces of the
To prevent possible skin irritation at the stoma "ST" after prolonged use of the
Those of ordinary skill in the art will understand that the structures and methods specifically described herein and illustrated in the accompanying drawings are non-limiting exemplary embodiments and that the description, disclosure and drawings are to be considered as merely illustrative of specific embodiments. Therefore, it is to be understood that the present disclosure is not limited to the precise embodiments described and that various changes and modifications may be effected therein by one of ordinary skill in the pertinent art without departing from the scope of the present disclosure. For example, while a dovetail configuration is used to removably connect
Additionally, elements and features shown or described in connection with certain embodiments may be combined with elements and features of certain other embodiments without departing from the scope of the present disclosure, and such modifications and variations are intended to be included within the scope of the present disclosure. Accordingly, the subject matter of the present disclosure is not limited by what has been particularly shown and described.
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