|Publication number||US3004537 A|
|Publication date||Oct 17, 1961|
|Filing date||Dec 9, 1958|
|Priority date||Dec 9, 1958|
|Publication number||US 3004537 A, US 3004537A, US-A-3004537, US3004537 A, US3004537A|
|Original Assignee||Romulus Turliuc|
|Export Citation||BiBTeX, EndNote, RefMan|
|Patent Citations (10), Referenced by (2), Classifications (6)|
|External Links: USPTO, USPTO Assignment, Espacenet|
Oct. 17, 1961 R. TURLIUC SUBAQUAL APPARATUS FOR INTESTINAL LAVAGE 2 Sheets-Sheet 1 Filed Dec. 9, 1958 INV EN TOR. W
1961 R. TURLIUC 3,004,537
SUBAQUAL APPARATUS FOR INTESTINAL LAVAGE Filed D60. 9, 1958 2 Sheets-Sheet- 2 Fig.2
3,004,537 SUBAQUAL APTARATUS FGR INTESTINAL LAVAGE Romulus Turliuc, 17 Deinhardsteingasse, Vienna, Austria Filed Dec. 9, 195%, Ser. No. 779,152
8 Claims. (Cl. 128-427) The present invention relates to a subaqual apparatus for intestinal lavage.
The previous apparatus for subaqual lavage were rather inconvenient for the patients, who were hardly able to move throughout the duration of the treatment and had to maintain the same position for half an hour or a longer time. Besides, any careless movement caused dirty wash water to discharge into the bath water; this was disagreeable both to the patient and to the staff. The patient was sitting erect when using the prior apparatus and the weight of his body rested squarely on the wash head, which was inconvenient. The patient was constrained by straps and rubber supports and was also connected by means of such elements to the wash head so that he could not feel at ease. The intestine tubes used were in most cases entirely of metal or entirely of rubber, and in the latter case they were internally stiffened. The former had the disadvantage that the metal tip was liable to injure the intestine. The rubber tube, on the other hand, swelled and became rough during use. The continual contraction and slackening of the sphincter caused the adjoining mucous membrane to chafe on the rough rubber. This was very disagreeable to the patient particularly toward the end of the bath. The so-called intestine relief when performed by the prior apparatus involved also the danger of infection by a preceding germ carrier.
It is, therefore, one object of the present invention to provide a subaqual apparatus for intestinal lavage which has the advantage of affording extreme freedom of movement and convenience to the patient. The lavage is performed while the patient is in a lying, perfectly relaxed position, in which only the rear end of the wash head can contact the bottom of the tub, whereas the buoyancy of the water, which is particularly strong when the patient is in this position, and the resilient suspension assist in avoiding unpleasant pressure on the patient. The patient has considerable freedom of movement in the tub during the treatment; he can stretch out, sit up and even turn to one side or the other, without any interference. He could even get out of the bath, if required, without assistance. During these movements of the patient the wash head would no longer be sealed to the body of the patient and dirty wash water would enter the bathtub. To avoid this disadvantage in the present apparatus the glass elbow at the top of thedischarge line is disposed some centimeters below the water level. If the wash head becomes untight the discharge line will exert a suction effect due to the head of the water column above the wash head. This will prevent a discharge ofwash water into the bath and will cause the inflowingwater from the bath to flow through the discharge line. For this reason the patient can slightly take off and adjust the wash head during the treatment, which adds further to' his convenience. The resulting arrangement of the sight glass some centimeters below the water level is not a disadvantage because a lamp arranged behind it enables the patient to make a sufliciently exact observation of the matter flowing therethrough. The discharge by the patient is facilitated because he need notovercome the large head of the water column in the discharge line of other apparatus. If this large head is desired in special cases the sight glass may be: lifted above the water level by the extendable tube carrying it to enable a more exact observation of the matter discharged, whereas the above-mentioned suction atent 2 effect of the discharge line is lost unless the water jet pump disposed in the collecting container is operated.
The coupling incorporated in the discharge line facilitates the application of the small and handy wash head to the patient because only a short length of the discharge hose remains on the wash head as contrasted with the long hose of the prior apparatus. The extendable and rotatable telescopic discharge line is connected to the wash head by the coupling when the patient having the wash head applied to him is already sitting in the tub. v The novel suspension means for the wash head eliminates the carriers which were previously affixed to the rim of the tub and between which the patient was sithug and which in most cases imparted a feeling of constraint. The light-weight front carrying member of rubber and/or plastic does not disturb during the application and removal of the wash head. The same applies to the lightweight strap forming the rear carrying member and having a front part of rubber and a rear part of flexible plastic. The freedom of movement of the patient requires obviously a special intestine tube to prevent any injury to the patient. This tube consists ofa smooth metal part which contacts the sphincter whereas the tip is made of soft rubber so arranged that its diameter does not exceed that of the metal tube.
The so-called intestine relief is performed when the water which has entered the intestine cannot be discharged because of a cramp in the sphincter or other obstructions. In the prior subaqual apparatus for intestinal lavage the germ-containing wash water flowed in this position of the regulating valve through the same cock which controls also the freshwater coming from the wash water supply so that this cock was soiled. This is not possible with the new regulating valve because the supply and discharge line separate immediately after the wash head and lead to separate cocks of the regulating valve. The two cocks are only mechanically coupled for joint rotation. In the position intestine relief the germ-con taining wash water can flow from the intestine only through the open relief cock, to the discharge, which is on a lower level, because the supply cock is closed and the line before the supply cock is filled with water as far as to the T. The discharge is possible because the water which has entered the intestine is under the pressure of the muscles and because the line exerts a siphon action and, finally, as a result of the suction produced by the water jet pump. Additional safety means comprise a special return flow valve in the line between the cock and the intestine tube and a small bore which is provided in the supply cock and through which a small amount of water from the wash water container flows continuously in the position intestine relief to prevent an unintended emptying of the supply hose, which would enable germcontaining wash water to back up as far as to the supply cock. Finally, the U-shaped sight glass in the relief line should be mentioned. The position of this glass above the'relief cock improves the observation and prevents germs from entering the line in drops from the relief cock, which is always infected. Thus, any danger of infection can be eliminated by the disinfection of the intestine probe, the connection pipe carrying it, the T, and the short hoses with the check valve. Two sets of these parts should be available and should be alternately disinfected.
With this and other objects in view, which will become apparent in the following detailed description, the present invention will be clearly understood in connection with the accompanyingdrawings, in which:
FIGURE 1 is a perspective top view of the apparatus for intestinal lavage;
P16. 2 is a longitudinal sectional view of the apparatus;
FIG. 3 is a perspective view of the wash head with an intestine tube;
FIG. 4 is a fragmentary view of the regulating valve with the supply and relief lines; and
FIG. 5 a perspective view of the intestine tube.
Referring now to the drawings, the apparatus comprises a wash water supply container 1 with a cover 2, a thermometer 3, and a water gauge glass 4. From the check glass 5 the hose 6 leads to the top cock 7 of the regulating valve 8. This cock controls only the inflowing water. The lower cock 9 controls the relief line 10. The plugs of both cocks are operable by means of a common spindle 8, which couples them in such a manner that when the supply cock 7 is open in the position open of the regulating valve the relief cock 9 will be closed and vice versa. In the position closed of the regulating valve both cocks are closed. In the position "relief a small bore 11, about 1 in diameter (FIG. 4), in the supply cock is effective to permit of a slight flow of water into the line toward the check valve 12. The line 6 leads from the supply cock 7 through the check valve 12 to the T 14, to which the relief line and the wash head 15 are connected. The relief line 10 leads from said T 14 in the collecting container 18 and incorporates the relief cock 9 and a U-shaped sight glass 17, which is suitably aflixed to the regulating valve 8.
The intestine tube 16 comprises a metal tube, the upper end of which is reduced in diameter. An end piece 16' of soft rubber is pulled over this end portion and is substantially flush with the full outside diameter of the metal tube. The lower end of the intestine tube is connected by a short rubber sleeve 16" to an elbow 20, which is disposed in the wash head 15 and carried by the connection pipe 22 which is adjustable in the direction of the longitudinal axis of the wash head. For cleaning, the elbow 20 carrying the intestine tube can easily and simply be removed from the wash head 15 by loosening the cap nut 21 and screwing out the connecting pipe 22. The e1- bow 20 has two supports 20' (FIG. 3) to prevent its rotation in the wash head whereas the connecting pipe is fixed by a cap nut 21 cooperating with a collet 23.
The wash head 15 of the apparatus carries at its rear end two lugs 15', to which the rear carrying member 26 is affixed by means of a pin 25 which can be pulled out. The front portion of this carrying member-26 consists of rubber to ensure an immediate response to the movements of the patient. The rear part 26', which carries a removable suspended weight 27 of about 2 kg. consists of flexible plastic to reduce its friction on the rim of the tub or the roller 29 aifixed to said rim with suction cups studs 38', 39 which facilitate the manipulation of the coupling even when it is submerged. The other end of the telescopic tube assembly is connected by a rubber sleeve 41 to the sight glass 42, which forms a right angle and is fitted in the bent tube '44 of the receiver 18. The tube 44 extends into the receiver and terminates a few centimeters over the bottom thereof. The connection between the sight glass and the tube 44 of the receiver 18 is sealed by a rubber sleeve 43. The tube 44 of the receiver is adjustable in height. A watertight matted lamp 47 for illuminating the discharge is attached below the elbow of the sight glass 42.
The receiver 18 must be capable of taking up large quantities of wash water instantaneously because the entire amount of water cannot flow at once through the constructed discharge of the tub. To increase the suction effect of the discharge line, the receiver 18 incorporates a water jet pump "50. The jet nozzle of the pump 50 discharges an annular water jet, which conforms to the discharge pipe 52 of the pump. This pipe 52 forms at the same time the discharge pipe of the receiver 18 and discharges into the discharge of the tub. The intense water jet produces a suction effect and has also the mechanical function of preventing any clogging. A vacuum gauge 54 connected to the receiver 18 enables a ready check of the vacuum, which may amount to as much as 50 cm. water column, and its adjustment by throttling the supply of water to regulate the suction efiect of the discharge line as desired.
While I have disclosed one embodiment of the present invention, it is to beunderstood that this embodiment is given by example only and not in a limiting sense, the scope of the present invention being determined by the objects and the claims.
' '1. A subaqual apparatus for intestinal lavage, which comprises, in combination, a wash head adapted to be submerged in a bath tub, means for supplying water to said wash head, an intestine tube for connecting said wash head to the intestine of a person in said tub, a pivoted arm adapted to be supported to extend above said tub, a front carrying member attached to said wash head and suspended from said arm, a strap connected to said wash head and adapted to be movably supported by the rear rim of said tub and carrying weights for tensioning said strap, which weights are disposed outside said tub when said strap is thus supported, and a discharge line including a telescopic tube assembly, a glass elbow con- 28. A pivoted arm 30 aflixed to the wall is disposed over the tub and carries a depending coil spring 31 which is slidable on the arm 30 and is connected at its lower end by means of a tension-regulating chain 32 and a hook 33 to the front carrying member 34 of the wash head 15 to apply tension thereto. This front carrying member 34 is easily removable by loosening a nut 35 (FIG. 3) and consists of two rubber cords 34', the lower ends of which are held together at the wash head 15 by a metal part 34" whereas the upper ends carry the plastic member 34 to be suspended from the hook 33. a
The adjustable part of the discharge line consists of two or more metal tubes 39, 40, which are telescopically arranged and relatively rotatable. The extension of the tubes 39, 40 is limited by means of a small chain 45. Because the water which surrounds the tubes 39, 40 is under a higher pressure than that which prevails in the tubes, the latter need not ensure a particularly tight seal; any leak can only cause a small amount of bath water to enter the tubes 39, 40. This discharge line is connected by means of a readily detachable bayonet joint coupling 38 to the short flexible hose 37 attached to the wash head nected to one end of said tube assembly, and a coupling detachably connecting the other end of said tube assembly to said wash head, said tube assembly comprising two relatively rotatable tubes, whereby said wash head is adapted to be suspended with freedom. of rotation and of movement in the longitudinal direction of said tub and said discharge line is adapted to follow such rotation and movement of said wash head. I
2. The apparatus as set forth inclaim 1, in which said front carrying member is readily detachably affixed to the front end of said wash head and which comprises suspension means connecting said front carrying member to said arm, said suspension means comprising a chain having a hook detachably connected to said front carrying member and a coil spring connecting said chain to said pivoted arm, and said chain'being variable in length for regulation of tension.
3. The apparatus, as set forth in claim 1, in which said strap is detachably connected to said wash head and comprises a front portion of rubber and a rear portion of flexible plastic of low friction.
4. The apparatus as set forth in claim 3, in which said wash head is formed with two eye lugs and said strap is formed at its front end with a loop connected to said wash head by a pin extending through said loop and said eye lugs. g
5. The apparatus as set forthin claim. 1, which com prises a roller adapted to be aifixed to said rear rim of said tub and to support said strap and guide it around said rim.
6. The apparatus, as set forth in claim 1, which comprises an elbow having two arms, one of which carries said intestine tube, said elbow being slidably mounted in said wash head for movement in the direction of its other arm, two supports holding said elbow against rotation in said wash head, a connecting pipe screw-connected to said other arm of said elbow, and a collet and cap nut connecting said connecting pipe to said wash head and permitting of an adjustment of said connecting pipe in its axial direction relative to said Wash head.
7. In a subaqual apparatus for intestinal lavage, which comprises a wash head, a supply line and a relief line, the improvement which comprises a regulating valve comprising two cocks, one of which is disposed in said supply line and the other in said relief line, and means for mechanically coupling said two cocks to open selectively one of them when the other is closed, said cock in said supply line having a bleeder bore which ensures that the discharge line will remain filled with water when said cock in the supply line is closed and said cock in the relief line is opened, whereby a backflow of water from said wash head into said supply line is prevented, and said supply and said relief lines being joined only a short distance from said wash head.
8. Apparatus as set forth in claim 7, in which said relief line incorporates a U-shaped sight glass arranged downstream of and above said cock in said relief line to prevent a backflow of water in said relief line.
References Cited in the file of this patent UNITED STATES PATENTS 1,588,032 Klaiber June 8, 1926 1,628,849 Klaiber Mar. 17, 1927 1,813,608 Brosch July 7, 1931 2,024,967 Dierker Dec. 17, 1935 2,044,912 Miller June 23, 1936 2,087,780 Powell July 20, 1937 2,148,541 Dier ker Feb. 28, 1939 2,313,805 Crawford Mar. 16, 1943 FOREIGN PATENTS 203,551 Switzerland June 16, 1939 1,014,491 France June 18, 1952
|Cited Patent||Filing date||Publication date||Applicant||Title|
|US1588032 *||Sep 4, 1924||Jun 8, 1926||Albert Klaiber||Medical apparatus for the treatment of the intestines|
|US1628849 *||Apr 12, 1926||May 17, 1927||Albert Klaiber||Medical apparatus for the treatment of the intestines|
|US1813608 *||Dec 18, 1928||Jul 7, 1931||Anton Brosch||Apparatus for submerged intestinal lavage|
|US2024967 *||Oct 22, 1932||Dec 17, 1935||Dierker Hugh E||Method and apparatus for rehabilitating peristalsis of the colon|
|US2044912 *||Feb 8, 1933||Jun 23, 1936||Faultless Rubber Co||Fountain syringe|
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|US2313805 *||Nov 8, 1941||Mar 16, 1943||Crawford Boyd B||Colonic irrigator|
|CH203551A *||Title not available|
|FR1014491A *||Title not available|
|Citing Patent||Filing date||Publication date||Applicant||Title|
|US5405319 *||Dec 30, 1993||Apr 11, 1995||Abell; Roy||Bowel evacuation system|
|US6228048||Oct 23, 1998||May 8, 2001||Cm Robbins Company Inc.||Colonic irrigation apparatus and method|
|U.S. Classification||604/248, 604/276, 4/374|