IMPROVED NOZZLE, ANAL IRRIGATION SYSTEM, METHODS OF ASSEMBLY AND OF ANAL IRRIGATION

Abstract

A nozzle suitable for irrigating the rectal and/or bowel cavities, the nozzle comprises an elongate stem incorporating a channel extending there through; whereby fluid may flow, in use, through said channel; said stem incorporating a fluid inlet and one or more fluid outlets; and a first skirt protruding, when secured to said elongate stem, radially from said stem; said first skirt being inherently flexible; whereby said skirt is sufficiently flexible for insertion through the anus and to thereafter rest against the internal wall of the rectum; wherein said first skirt comprises an annular hub which is secured to said elongate stem.

Claims

1. A nozzle suitable for irrigating the rectal and/or bowel cavities, the nozzle comprising an elongate stem incorporating a channel extending there through; whereby fluid may flow, in use, through the channel; the stem incorporating a fluid inlet and at least one fluid outlet; and a first skirt projecting, when secured to the elongate stem, radially from the stem and being provided as the first radially projecting member below said fluid outlets; the first skirt being inherently flexible; whereby the skirt is sufficiently flexible for insertion through the anus and to thereafter rest against the internal wall of the rectum; wherein said first skirt comprises an annular hub; said elongate stem and said first skirt being formed as two separate components; said annular hub being secured to said elongate stem.

2. The nozzle according to claim 1, wherein said stem comprises an annular recess which corresponds to said annular hub; whereby said first skirt is secured to said elongate stem.

3. The nozzle according to claim 1, wherein said nozzle further incorporates a second skirt projecting radially from said stem; said second skirt being provided in a location which is closer to the fluid inlet than the location of the first skirt; and wherein said elongate stem has a smaller internal diameter in the region of the stem where said annular hub is secured than in the region immediately above said second skirt.

4. The nozzle according to claim 1, wherein said annular hub is bonded to an outer portion of said stem.

5. The nozzle according to claim 2, wherein said elongate stem incorporates a tip which is tapered at its distal extremity and said annular hub has an inner diameter which is lower than the external diameter of the lower part of said tip; said annular hub being sufficiently flexible to flex radially to allow the tip to be pushed through said annular hub and for the annular hub to thereafter flex back into said annular recess to be retained thereby.

6. The nozzle according to claim 3, wherein said second skirt is less flexible than said first skirt.

7. The nozzle according to claim 3, wherein said second skirt is thicker than said first skirt.

8. The nozzle according to claim 3, wherein said stem increases in outer diameter towards said second skirt in a region above said second skirt.

9. The nozzle according to claim 1, wherein said first skirt further incorporates radial slits extending inwardly from its peripheral edge, whereby a plurality of petals are formed.

10. The nozzle according to claim 9, wherein said first skirt comprises five or fewer than five petals.

11. The nozzle according to claim 3, wherein said first skirt has an outer diameter which is greater than the outer diameter of said second skirt.

12. The nozzle according to claim 1, wherein said first skirt comprises no fold lines.

13. The nozzle according to claim 1, wherein said elongate stem incorporates a tip and at least one of said fluid outlets is formed as a first aperture in said tip.

14. The nozzle according to claim 13, wherein said tip comprises a side wall, wherein said side wall further incorporates at least a fluid outlet.

15. The nozzle according to claim 14, wherein said side wall incorporates a further fluid outlet.

16. The nozzle according to claim 15, wherein said further fluid outlet is located diametrically opposite a fluid outlet.

17. The nozzle according to claim 13, wherein said fluid outlet has a distal lip which is rounded.

18. The nozzle according to claim 1, wherein said annular hub comprises a first outer diameter located above said skirt and a second outer diameter located below said skirt; the first outer diameter above said skirt being smaller than said second outer diameter.

19. An anal irrigation system comprising a nozzle in accordance with claim 1.

20. The anal irrigation system according to claim 19, further comprising a plurality of first skirts with two or more different outer diameters; wherein each one of said skirts comprises an annular hub shaped and configured to be secured to said stem.

21. A method of assembling a nozzle suitable for irrigating the rectal and/or bowel cavities comprising the steps of: providing an elongate stem incorporating a channel extending there through; whereby fluid may flow, in use, through said channel; said stem incorporating a fluid inlet and one or more fluid outlets; selecting a first skirt with an annular hub; and securing said annular hub to said stem; wherein said first skirt projects radially and is the first radially projecting member of the nozzle below said fluid outlets.

22. The method of assembling a nozzle according to claim 21, comprising the step of providing a stem with an annular recess and placing said annular hub in said annular recess.

23. The method of assembling a nozzle according to claim 21, comprising the step of bonding said annular hub to said stem.

24. A method of assembling an anal irrigation system comprising the steps of assembling a nozzle according to claim 21, and further providing a plurality of tubular sections, a plurality of connectors suitable for connecting a plurality of tubular sections, and a pump for pressurising the liquid of the irrigation system, and connecting said nozzle, said tube sections and a pump.

25. A method of anal irrigation comprises the steps of at least partially inserting a nozzle in accordance with claim 1 in a patient in need of anal irrigation.

Description

BRIEF DESCRIPTION OF THE DRAWINGS

[0039] The invention will now be described with reference to the accompanying drawings which show by way of example only, embodiments of an apparatus for facilitating irrigation of the rectum and/or the bowel and/or the colon cavities via the anus. In the drawings:

[0040] FIG. 1 is a perspective view of an anal irrigation nozzle in multiple views.

[0041] FIG. 2A shows the stem of an anal irrigation nozzle in side elevation;

[0042] FIG. 2B shows in perspective view a first skirt suitable for attachment to an anal irrigation nozzle;

[0043] FIG. 3 shows a side elevation of the anal irrigation nozzle in accordance with an embodiment of the invention;

[0044] FIG. 4 shows a cross-sectional view from the nozzle.

[0045] FIG. 5 shows an assembly of an anal irrigation system.

DETAILED DESCRIPTION OF THE EMBODIMENTS

[0046] In an embodiment, the invention provides a nozzle attachment designed and configured to be used in conjunction with a tube configuration, for use as part of an anal irrigation apparatus or an anal irrigation system which may be of the kind shown in FIG. 5. The primary function of the nozzle is to allow the introduction of fluid into a patient's bowel to initiate an irrigation session. The nozzle is designed to create an improved insert and location of the nozzle in the rectum of the patient to prevent premature and unwanted leakage of fluid and fecal matter from the anus during an irrigation session. Nozzle 1 comprises a superior tip 2 incorporating one or more holes referenced respectively 3 (see FIG. 2), 4 and 5 and a first radially extending flexible skirt 6, a connector 7 (see FIG. 4) incorporating a second radially extending skirt 8 and an aperture 9 suitable for attachment to a tube and a flexible stem connecting therebetween. In use, the tip 2 is designed to be inserted in the anus, the first skirt 6 capable of deforming such that it is suitable for insertion passed the anus of a patient. The second skirt 8 on the connector is less flexible and is shaped to resist entry into the anus, preventing the nozzle from being fully inserted within the anus and optimally locating the nozzle such that the first skirt sits potentially across the anus and the flexible stem 10 sits within the rectum. The flexible first skirt 6 is resilient, and after deformation for insertion into the anus, returns to its original shape. At the conclusion of the irrigation session, the first skirt 6 can deform in the opposite direction as for insertion, allowing the nozzle to be removed from the patient's rectum and the fluid and fecal matter to drain away.

[0047] Although the current embodiment, describes the use of the nozzle as a separate attachment for use with a tube, further embodiments provide a nozzle which is integral with a tube or pump apparatus.

[0048] Furthermore, embodiments are envisaged where the nozzle is integral with an anal irrigation system such as for example in FIG. 5. It should be understood that the invention is particularly advantageous when optionally associated with mechanical, self-controlled systems or automated pump systems. The nozzle itself may be optionally a one-use disposable nozzle. In further embodiments, a lubricant may be employed either with the nozzle or the outer surface of the nozzle may have a particularly low level of friction or even an integral lubricated surface to allow the nozzle to be ready for use.

[0049] To provide clarity, the elements of an embodiment of the invention which are common to each figure have retained identical numerical references throughout.

[0050] First skirt 6 comprises 5 petals such as petal 11 separated by a number of radially extending slits such as slit 12. The slits are generally oblong in shape with a radius in their region most proximal to the stem. Adjacent outer most edges of the petals are also rounded. The slits do not extend up to the stem and commence at a distance which is at least ⅙ of their length whereby a web is provided between the slits and the stem.

[0051] An annular hub 13 (see FIG. 2B) is provided which defines a hole through which the nozzle's stem may be inserted. The annular hub is generally cylindrical and may comprise an inner diameter which may remain constant along its length. Its external diameter however has at least several diameters. The upper external diameter 14 located above the first skirt has a smaller external diameter than the lower external diameter 15 located below the skirt (see FIG. 4). In other words, the upper portion of the annular hub is not as thick as the lower portion of the annular hub. This provides greater support under the skirt.

[0052] In a preferred embodiment, stem 10 tapers outwards towards the lower diameter 15 as shown in region 16 which provides a wider support surface against which the annular hub may rest once fitted onto the stem. In preferred embodiments, the annular hub 13 corresponds precisely in shape and configuration to the annular recess 17. The annular hub may preferably be of inherently elastic material in order to allow it to stretch when the tip 2 of the stem is forced into the hole defined by the annular hub. In order to facilitate the insertion of the tip into the annular hub, the tip may have a distal region 18 which reduces in diameter towards its extremity and is thus rounded or tapered. The presence of the distal hole and the side holes 3 and 4 also facilitate the ability to momentarily reduce the diameter of the stem to allow the passage of the upper portion of the tip through the annular hub. Once the stem is sufficiently inserted into the annular hub so that the annular hub flexes back into the annular recess of corresponding size, the annular hub is effectively secured in place without necessarily requiring any additional bonding of the two separate components of the nozzle. In preferred embodiments, the annular hub may be further secured to the stem by the application of an appropriate adhesive or by other bonding mechanism which may for example lead to the components being chemically bonded.

[0053] Whilst the preceding embodiment envisages the use of a particular size of first skirt, other embodiments envisage first skirts which may be of greater outer diameter in order to be suitable for use with particular patients depending on their specific requirements.

[0054] As shown in FIG. 4, the inner diameter 19 of the stem is greater in the region of the second skirt 8 than it is either side of the annular recess as shown by inner diameter 20. This leads in combination with the reduction in external diameter above the second skirt to a region 21 where the thickness of the stem's wall is reduced, depending on the loads applied to the nozzle, to a region where the stem could more readily bend. This region of reduced wall thickness is also advantageous as it may also allow an operator to see or feel the extremity of a tubular if inserted into said portion.

[0055] FIG. 5 shows an assembled anal irrigation system comprising a nozzle 1 of the kind described above which is secured to tubular portion 22 which is inserted into aperture 9 of the nozzle and into the inner diameter 19 in order to achieve a sufficiently watertight fit. Tubular portion 22 has a bend forming a substantially right angle and is in turn connected via a connector 23 to flexible tubular 24. A further connector 31 attaches tubular 24 to a manually operable pump or chamber 25 which possesses flexible walls. Pump 25 is in turn attached via connector 26 to a tubular 27 which engages with a receiving portion of a valve 28. Thereafter, a further tubular 29 extends between valve 28 and the connector 32 for securing to a pouch 30. The pouch comprises a filling inlet 33 and an eye for facilitating the attachment of the pouch to any appropriate securing means such as a hook.