US 2510766 A
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Description (OCR text may contain errors)
June 6, 1950 c, F. SURFACE coLosToMY CONTROL DEVICE Filed Dec. e. 1947 V lilla.
[NVE/vraie Carl F Surface Patented June 6, 1950 connetterti*- 'eoN'rnn-ignjnvien -f @arl E.; .Surfacei lies Moines; Ici/via AincatoifijDeceinber6, 194?? feral"No.V '795,125-
This invention reltes-.' generally@ te- .medicali instruniente?v and.; im particular to :ai colostomvA control; device for t periodically.. opening. andi close ing. theeanusx of.l a ieolo'st'omyepatient;
Colostomy patients-tare generally." l'iesitantf.tol1 engage,` in. regular1 and--socialbactivitiesi because-tof;V the fear ci"l embarrassment... Althoughcolostoinn I control;v devices new; cnxrnnler.ciallylr availablev 'arev generallyz:satisiactirygt. some of? them are objectionaible" becauseiofii 'their bulk-1' whichlnakes themzeasily discerniblein fusegttiieir inabilitylxto; properly#blockath'eanus; their.l re-i and clash-igz-ofaztlieanu'ss of .the colostomyj patient adaptent. be: worn: 'ithout discernmentcaipableoifeectively,.blocking the 'paseage ofl`4 fecal :material: through the/anus..
A1J feature.: oit this: invention g isi found.V in? 1 the provisoziof-.a .'colostorny.l control' device ini which y a resilient tubularfrnember is=formed1a`t one; end with I ai hollow, extendibleflandll contractible head membenioialdis'cf shapefadapted toi be' extended axiaiflyiaoffzthextuloulaneniember.
of: the-z tulnilarfl memberf: projects .through and is'v attaGhedJiito-:f a.:- :disc or v:parl member. .havingy anY annnlarortion fore contacting. the". abdominal Walla? O feithef Vciolosto'rn-y..patient about? ltherl outer. V end of the anus formed in such Wall.` 'lille-tribul lar meinblelubetweenithedisc" member: and the headi be 1.;:;is,:of; allengtrr substantially equal"v to ith tlnelgnesfs of; thea abdominal wal-1, vv'vh'ereb'ir` 011i Oflthei'shead-r member the'tubular" is inseliablef within? the "anus-f to posi? cada mendberr Withinthe. intestine i ofVV 'Iheil heaetsmemberf, on beingy con.-H tgtdiis, .adapted 110? contactthe" abdominal v wall-aboutfthe innerfendmifthe anus. so. astto eiectiyel Ast opftlie a'ssagaoiz iecaldisenarge from the-.intestinecthrougtheanus;
Further", objects, featuresflsandi advantages? of thispfiiI-LlintoniiWilke become?.`apparentv from? the@ ssi following description Vwhen taken inceifineetion.`
Wtli` the accompany-ing drawings, in which:-
-Fignl'is a side elevational view-ofthe colostcmycontrol device -of this. invention, with parts iz'fshoWn-in: section,showing the device in its .as-fv semblyor used Desi-.tion Within the. anus of'.v a.
colo'stoiny patient; f
sertingnthe colostomy control; device. IWithinthe with-reference miniediawings; ihefccmstomy' device of thisrinvention,...indicatedeenerally' at i is shown Fig. 1 ini its position'witliin" an. anusr il l of y colost'omyi patient 'for blocking lor;
stopping the passage'ofifcal material Lfr'or'n the? alimen-tary' canall or Vi tine! [2 through the.
anus, The anus itis: illustratedaslbeing-.forine'd in. the-abdominal' Wall,A clesignated 'generally aS,"
I3;` and comprising 'an epith" eliunfigy layer t4, and, a"
VA-.pe rit0ne'a l" lining. l 6,' .s oj. tliai,` the'l'thicln'ss "of the abdominal' wall is eguali to" the' combined thick? 1j nessesjoi the epitheliuri"layer'iand'the peritoneal? lining;
In colostomy .operatl'onsvthe discharge end l 'It ii? of the intestines.' l 2`v is: usually "securedto the "inner end' wofthev anusfl lf' so that'a. portion" t9 ofthe; intestine extends; in Aai.sulcrstanti'ally` parallell re-'f lation"alongthe'ini'ier'siirfaceA of the peritoneal* lining it and about the inner' endl'ofthe anus.
@The intestine portion I9 thus" constitutes a sub? stantially annular shouliderwithinthe: intestine at itsV junction with: the: abdominal `Wall'.
TheY colostomy devicelmincludes a'.tubular"Y memberl oi a--rubbenoi'flike resilientcomposie'4 member 22de -concenti^ically arranged' vrelative toV the tubular' memberlsofastube-*capableofy ex'-l .iensionin' substantiaif-axiai augnment-witn nie.
tubular member. It is contemplatedffthat"the' wall of the tubularA member A2-I'sb'eA ola somewhatgreater thick'n'ese than" the 'Walibi' *theY hollow* head "inember 2i? to iprov-ide some -rigidityin the 50-.itubular-memb`er'; and=to5=faci1itate the expansion-- I and contraction of'th'e head menfiberZZ.
Thev outer orV opposite endf 23E off? thai-tubularelevatioiiai view, i illustrated?.
ably connected with a disc or pad member 21 of an aluminum composition, and of a substantially saucer shape. The central section 28 of the disc is depressed and formed with a center opening 29. From the depressed section 28, the disc is curved outwardly and then inwardly so that its peripheral section 3I is adapted to contact the outer surface of the epithelium layer I4 at a spaced position about the outer end 32 of the anus I I.
The disc opening 29 is of a diameter substantially equal to the diameter of the tubular member 2l, so that on insertion of the circumferential bead 24 through the opening 29, the wall of the opening is received within the recess 33 between the beads 24 and 26 so to to be in frictional releasable engagement with the inner adjacent sides of the beads 24 and 26 and with the bottom of the recess 33. Stated otherwise, the beads 24 and 26 are arranged at opposite sides of the disc member 21 in what might be termed a grommet connection with the disc.
In the use of the colostomy device the head member 22 is extended by the provision of a pin member 34 of a wood or other suitable material (Figs. 2 and 4) of a length greater than the tubular member 2| and adapted to be inserted within the tube through its open outer end 23. By pressing the pin 34 inwardly of the tube 2| and against the wall section 3E of the head member 22, the head member is axially extended Vto its position illustrated in Fig. 2, whereby the tubular member 2| is readily insertable within the anus II. In the insertion of the tubular member 2l within the anus, the rim portion 31 of the head member 22 is readily collapsed by the anus wall on its passage through the anus.
It is contemplated that the length of the tubular member 2i between the circumferential bead 26 and the head member 22, be substantially equal to the thickness of the abdominal wall I3. As a result, on insertion of the tubular member 2l within the anus II, to a position defined by the engagement of the disc 21 with the outer surface of the abdominal wall I3, the head member 22 is positioned within the intestine I2 inwardly of the shoulder portion I9. On removal of the pin 34. from within the tubular member "2 I, the head member 22 is permitted to contract to its position illustrated in Fig. l, so that its peripheral section 31 moves into contact engagement with the intestine shoulder I9. The inner end I8 of the anus I i is thus completely blocked so as to prevent the passage of fecal material from the intestine i2 therethrough.
From a consideration of Fig. l, it will be apparent that any pressure built up by the fecal material within the intestine I2, will act to hold the shoulder IS and peripheral or rim section 31 in closer contact engagement. Further, the resiliency of the head member 22 prevents the application of any pressure, on contraction of the head member 22, from being applied on the intestine 52 or against the abdominal wall I3 so as to effect any uncomfortable feeling to the colostomy patient.
Any liquid seepage from about the head member 22 and through the anus l I about the tubular member 2i is prevented from passing outwardly from under the disc 21 by merely arranging a suitable pad material (not shown) within the space 38 formed between the outer surface of the abdominal wall I3 and the outward convexly curved section 39 of the disc member 21. It will beunderstood, of course, that a flexible belt or` girdle (not shown) is worn by the colostomy patient so as to extend over the disc 21.
In the removal of the colostomy device the pin 34 is re-inserted within the tubular member 2I and manipulated to again extend the head member 22. With the head member 22 in its extended position, as shown in Fig. 2', the device is moved outwardly from the anus II.
From a consideration of the above description, it is seen that the invention provides a colostomy control device which is of a compact and simple construction, and readily and conveniently manipulated for the purpose of periodically opening and closing the anus II. When the device is in use, the colostomy patient need only carry about with him the pin 34 which can be readily carried within a pocket or a purse. It is apparent, of course, that a pencil or the like would be used in place of the pin 34 in emergency cases.
The abdominal wall I3, varies in thickness for different persons. The tubular member 2|, therefore, will thus vary in length according to the thickness of the abdominal wall. It will be appreciated also that the tubular member 2I will deteriorate as a result of the action thereon of the fecal material discharged from the intestine I2. By virtue of the detachable connection of the tubular member 2I with the disc member 21 it is only necessary, under such conditions, to replace the tubular member 2l Although the invention has been described and illustrated with respect to a preferred embodiment thereof, it is to be understood that it is not to be so limited since changes can be made therein which are within thefull intended scope of the invention as defined by the appended claims.
i. A device for periodically opening and closing the anus of a colostomy patient, comprising a disc member having a depressed center portion formed with a central opening and an inwardly curved peripheral portion adapted to contact the abdominal wall of the patient about the outer end of said anus, a tubular member insertable within said anus and formed at one end with a resilient hollow extendible and contractible head member of a disc shape, with said head member being open to the space within said tubular member, and means for attaching the other end of said tubular member with said disc member at the central opening therein, said head member, on extension thereof, being insertable through said anus and into the intestine of the patient, and said tubular member being of a length between said disc member and head member substantially equal to the thickness of the abdominal wall whereby said head member, on contraction thereof, is engageable with the abdominal wall about the inner end of said anus so as to block the discharge of fecal material from the intestine through said anus.
2. A device for periodically opening and closing the anus of a colostomy patient, comprising a resilient tubular member integrally formed at one end with aY hollow disc shape head member open to said tubular member and capable of being extended into substantial axial alignment with said tubular member, a pair of axially spaced circumferential beads at the other end of'said tubular member, with said tubular member, between the inner one of said beads and said head member, having a length substantially equal to the thickness of the abdominal wall of the patient, and a disc member formed with a central opening therein adapted to receive the other end of the tubular member such that said pair of ribs are arranged at opposite sides o'f said disc and in releasable frictional engagement with the surface portions thereof surrounding said opening, with the peripheral portion of said disc being adapted to contact the abdominal wall about the outer end of said anus, said tubular member. on extension of said head member, being insertable within said anus to position the head member within the intestine of the patient, and said head member, on contraction thereof,y being adapted to engage the abdominal Wall about the inner end of said anus whereby to block the passage 0f fecal material from said intestine through said anus.
3. A device for periodically opening and closing the anus of a colostomy patient, comprising a disc member having a central opening therein and formed with an annular -portion adapted to contact the abdominal wall of the patient about the outer end of said anus, a tubular member having an extensible and contractible hollow head member of a disc shape at one end adapted to be extended into substantial axial alignment 6 the other end of said tubular member with said disc member at the central opening therein, and a pin member insertable within said tubular member for extending said head member. with said tubular member having a length between said head member and disc member substantially equal to the thickness of said abdominal Wall, said head member, on extension thereof,
being insertable within said anus to a position with said tubular member, means for connecting within the intestine of the patient, such that on contraction, thereof, by withdrawal of said pin member, said head member is engageable with the abdominal wall about the inner end of said anus so as to block the passage of fecal material from said intestine through said anus.
CARL F. SURFACE.
REFERENCES CITED The following references are of record in the lle of this patent:
UNITED STATES PATENTS Number Name Date 2,243,529 Grossman May 27, 1941 2,324,520 Lamson July 20, 1943