APPARATUS FOR CONTINUOUSLY REMOVING GAS THROUGH A NATURAL OR ARTIFICIAL OPENING IN THE BODY OF A PATIENT
20220354684 · 2022-11-10
Inventors
Cpc classification
A61M2205/7536
HUMAN NECESSITIES
A61M1/69
HUMAN NECESSITIES
A61F5/441
HUMAN NECESSITIES
International classification
A61F5/441
HUMAN NECESSITIES
Abstract
The present invention relates to an apparatus for removing, in a manner that is as odor-free as possible, intestinal gas or other malodorous gases as part of a system for the closed, preferably continuous, removal and/or collection of stools or other strongly odor-forming excretions or secretions from the human or animal body, wherein the stool or the removed excretions or secretions are guided outside the body through a hose-like or tube-like structure which, in addition to an inflow port and an outflow port and a passage region that connects said ports and is intended for the passage of stool or other excretions or secretions, has a branch where intestinal gas or other malodorous gases are separated from the stool or the other excretions or secretions and are conducted through an adsorption and/or filter device to an outlet, wherein at least some regions of the adsorption and/or filter device are spaced apart from the passage region in order to prevent, as far as possible, close contact with the stool or other excretions or secretions flowing through the passage region.
Claims
1. An apparatus (1) for removing, in a manner that is as odor-free as possible, intestinal gas or other malodorous gases, as part of a system for the closed, preferably continuous, removal and/or collection of stools or other strongly odor-forming excretions or secretions from the human or animal body, wherein the stool or the removed excretions or secretions is or are guided outside the body through a hose-like or tube-like drainage line (12) downstream to a collection container (13), characterized by a hose-like or tube-like structure (4) inserted upstream of the collection compartment of the collection container (13), which structure, in addition to an inflow port and an outflow port and a passage region that connects said ports and is intended for the passage of stool or other excretions or secretions, has a branch (9) where intestinal gas or other malodorous gases are separated from the stool or the other excretions or secretions, and are conducted through an adsorption and/or filter device (5) to an outlet.
2. The apparatus (1) according to claim 1, characterized in that the branch (9) and/or the structure (4) comprising a branch (9) is arranged upstream of a return-inhibiting element at the inlet of the collection compartment of the collection container (13).
3. The apparatus (1) according to claim 2, characterized in that the return-inhibiting element comprises foil-based, lip-like or sail-like components (13ax,13ay) preferably wherein the distance between the foil-based, lip-like or sail-like components (13ax,13ay) tapers in the main flow direction, that is in the direction of the drainage line (12) to the collection compartment of the collection container (13).
4. The apparatus (1) according claim 1, characterized in that the adsorption and/or filter device (5) is spaced apart at least in sections from the passage region, in order to prevent, as far as possible, close contact with the stool or other excretions or secretions flowing through the passage region.
5. The apparatus (1) according to claim 1, characterized in that the longitudinal direction of the flow channel between the branch (9) and the adsorption and/or absorption and/or filter device encloses with the longitudinal direction of the passage region between the branch (9) and the outflow port an angle of 90° or less than 90°, for example an angle of 75° or less, preferably an angle of 60° or less, in particular an angle of 45° or less, or even an angle of 30° or less.
6. The apparatus (1) according to claim 1, characterized in that the maximum flow cross section in the region between the branch (9) and the adsorption and/or absorption and/or filter device (5) is less than or equal to the minimum flow cross section in the passage region.
7. The apparatus (1) according to claim 1, characterized in that the flow cross section in the region between the branch (9) and the adsorption and/or absorption and/or filter device (5) is constricted by a barrier with respect to the minimum flow cross section in the passage region.
8. The apparatus (1) according to claim 7, characterized in that the barrier is configured as a tongue (4a), which is arranged within the passage region at approximately the height of the branch (9).
9. The apparatus (1) according to claim 7, characterized in that the barrier is configured as a tongue (4a), which is articulated upstream of the branch (9) and covers the branch (9) to the adsorption and/or absorption and/or filter device (5) at least in regions with respect to the passage region in the case of the passage of stool or other excretions or secretions.
10. The apparatus (1) according to claim 8, characterized in that the tongue (4a) is configured to be bendable and/or elastic, and/or is preferably made of plastic.
11. The apparatus (1) according to claim 8, characterized in that the tongue (4a) is integrated with or connected to the hose-like or tube-like structure by adhesion or another joining technology.
12. The apparatus (1) according to claim 8, characterized in that the tongue (4a) is fixed via a rigid connection at the hose-like or tube-like or T-shaped structure (4).
13. The apparatus (1) according to claim 8, characterized in that the tongue (4a) comprises one or more holes (6) for the passage of gases.
14. The apparatus (1) according to claim 1, characterized in that the inlet opening of the adsorption and/or absorption and/or filter device (5), which inlet opening faces the passage region or the branch (9), is covered by a gas-permeable, but preferably water-repellent separating layer (7).
15. The apparatus (1) according to claim 14, characterized in that the separating layer (7) comprises a slightly wettable surface (lotus effect), in particular on the side thereof facing the passage region or the branch (9).
16. The apparatus (1) according to claim 14, characterized in that the separating layer (7) is configured as a microporous membrane, for example made of expanded polytetrafluorethylene, preferably with a maximum pore diameter of less than 1 mm, preferably with a maximum pore diameter of 100 μm or less, in particular with a maximum pore diameter of 10 μm or less.
17. The apparatus (1) according to claim 14, characterized in that the separating layer (7) from a paper, in particular from a waterleaf paper.
18. The apparatus (1) according to claim 1, characterized in that the adsorption and/or absorption and/or filter device (5) comprises one or more surface-active substances that adsorb the odorous substances accumulating on the surface, and/or one or more absorbing substances that absorb the odor-active substances in the manner of a physical solution.
19. The apparatus (1) according to claim 1, characterized in that the adsorption and/or absorption and/or filter device (5) includes an adsorbing or absorbing or filtering granulate, for example activated carbon, for example in a quantity of 100 mL or less, preferably in a quantity of 50 mL or less, in particular in a quantity of 20 mL or less, or in a quantity of 10 mL or less, or even in a quantity of 5 mL or less.
20. The apparatus (1) according to claim 19, characterized in that the adsorption and/or absorption and/or filter device (5) contains the granulate, for example the activated carbon, in a quantity of 2 mL or more, preferably in a quantity of 5 mL or more, in particular in a quantity of 10 mL or more, or in a quantity of 20 mL or more, or even in a quantity of 30 mL or more.
21. The apparatus (1) according to claim 19, characterized in that the adsorption and/or absorption and/or filter device (5) comprises in the interior thereof one or more lamellar structures (16) in order to guide the gas to be cleaned through the adsorption and/or absorption and/or filter device (5).
22. The apparatus (1) according to claim 21, characterized in that a plurality of lamellar structures (16) are offset against one another and/or are intertwined in the manner of interwoven fingers.
23. The apparatus (1) according to claim 19, characterized in that the adsorption and/or absorption and/or filter device (5) comprises in the interior thereof at least one snail-shaped, spiral-shaped and/or helical structure (16a) in order to guide the gas to be cleaned through the adsorption and/or absorption and/or filter device (5).
24. The apparatus (1) according to claim 19, characterized in that the adsorption and/or absorption and/or filter device (5) comprises a material that filters infectious pathogens, in particular in the region of the downstream or outlet-side opening (5a, 5d) thereof.
25. The apparatus (1) according to claim 1, characterized in that the adsorption and/or absorption and/or filter device (5) is arranged in a replaceable cartridge (5b, 20) or in a removable cap (19).
26. The apparatus (1) according to claim 25, characterized in that the replaceable cartridge (5b, 20) or the removable cap (19) is provided, in the region of the free front side thereof or the circumference thereof, with one or more outlet openings.
27. The apparatus (1) according to claim 25, characterized in that the replaceable cartridge (5b, 20) or the removable cap (19) can be connected via a bayonet closure or via a screw closure to the hose-like or tube-like or T-shaped structure (4) at the branch (9) thereof.
28. The apparatus (1) according to claim 27, characterized in that the replaceable cartridge (5b, 20) or the removable cap (19) can be connected via the closure thereof optionally also to the inflow port (2a) of the hose-like or tube-like or T-shaped structure (4).
29. The apparatus (1) according to claim 25, characterized in that the hose-like or tube-like or T-shaped structure (4) and/or the replaceable cartridge (5b, 20) and/or the removable cap (19) comprises at least one compartment (26) for accommodating an aromatic substance.
30. The apparatus (1) according to claim 29, characterized in that the compartment (26) for accommodating an aromatic substance is open to the outside and/or sealed with a removable cover, for example in the form of a peel-off foil (28).
31. The apparatus (1) according to claim 29, characterized in that the compartment (26) for accommodating an aromatic substance is configured to be annular and surround a central outlet opening (30) of the adsorption and/or absorption and/or filter device (5).
32. The apparatus (1) according to claim 31, characterized in that inside the central opening (30) of the annular compartment (26) for accommodating an aromatic substance, a wick or a non-woven-like and/or wide-meshed and/or large-pored fabric (31) is arranged, for example a wick stretched transversely over the central opening (30) or a non-woven-like and/or wide-meshed and/or large-pored fabric (31), which extends into the compartment (26) containing the aromatic substance for the moistening thereof with the aromatic substance.
33. The apparatus (1) according to claim 1, characterized in that the hose-like or tube-like or T-shaped structure (4) comprises at the inflow port (2a) thereof and/or at the outflow port (3a) thereof a bayonet closure or a screw closure for connecting a hose (12) or collection vessel or collection bag (13) or the like.
34. The apparatus (1) according to claim 1; characterized in that the hose-like or tube-like or T-shaped structure (4) is integrated with a collection vessel or collection bag (13), in particular in the region of the inflow port (3) thereof.
35. The apparatus (1) according to claim 1, characterized in that the hose-like or tube-like or T-shaped structure (4) comprises a hose or tube extension (21) communicating from the outflow side thereof through the branch (9) with the adsorption and/or absorption and/or filter device (5).
36. The apparatus (1) according to claim 35, characterized in that the hose or tube extension (21) communicating with the adsorption and/or absorption and/or filter device (5) extends into a collection vessel or into a collection bag (13), in particular beyond a return-inhibiting foil (13a,13ax,13ay) there or another return-flow-inhibiting structure.
37. The apparatus (1) according to claim 1, characterized in that the hose-like or tube-like or T-shaped structure (4) is integrated with or can be connected to a head unit that is anchored or can be anchored in the rectum of a patient, which head unit can be anchored in the rectum via a balloon element that is placed or can be placed in the rectum.
38. The apparatus (1) according to claim 1, characterized in that the hose-like or tube-like structure and/or a collection vessel that is integrated or connectable therewith and/or a collection bag (13) that is integrated or connectable therewith and/or a hose unit or head unit that is integrated or connectable therewith is made of a PVC-based material or of a material containing PVC or of a material that is coated or coextruded with one or more PVC layers.
39. The apparatus (1) according to claim 1, characterized in that the hose-like or tube-like or T-shaped structure (4) comprises a T-shaped form.
40. The apparatus (1) according to claim 1, characterized in that the apparatus is structurally arranged in series or in parallel to the stool-removing system.
41. The apparatus (1) according to claim 1, characterized in that the removed stool or the removed excretions or secretions are conducted through the hose-like or tube-like or T-shaped structure (4) of the apparatus in such a way that, in the case of a roughly normal vertical position of the apparatus (1), a contamination or an occlusion of the gas-discharging components of the apparatus is prevented to a great extent, wherein in particular accumulations of for example intestinal gas within the system can be prevented.
42. The apparatus (1) according to claim 1, characterized in that a hook (34) for vertically suspended fastening of the bag (13) is provided on the hose-like or tube-like or T-shaped structure (4).
43. The apparatus (1) according to claim 42, characterized in that the hook (34) is configured to be widely projecting in such a way that, in the case of a collection bag (13) that is laid flat, the hose-like or tube-like or T-shaped structure (4) attached to the collection bag (13) is thereby upwardly inclined in the upstream direction.
44. The apparatus (1) according to claim 42, characterized in that the hook (34) is configured as a double-sided hook projecting in diametrically opposed directions or as a mounting bracket that can be rotated around the longitudinal axis of the hose-like or tube-like or T-shaped structure (4) and can also be engaged as the case may be in predetermined positions.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0054] Further, structural and functional features of the odor-adsorbing, and/or filtering, and/or gas-removing unit according to the invention are yielded from the following description of preferred embodiments of the invention as well as based on the drawings which show:
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DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
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[0069] Attached at the outer circumference of the wall of the tubular cylindrical basic element 4 of the apparatus is a degassing, adsorbing and/or filtering module 5 in a reversibly detachable form, or even in a form permanently connected to the basic element 4. The module 5 is nestled on the wall of the basic element 4 closed circularly as a collar, or even as a non-closed, C-shaped shell. The basic element 4 has, in the region of the connection of the filter module 5, one or more openings 6, which follow a gap-shaped intermediate space 6a, that points towards the adsorbing or filtering material and is bounded by a water-impermeable, but gas-permeable separating layer 7. The separating layer 7 can be made e.g., of a GoreTex-like material, which can be supplemented on the side facing the intermediate space 6a by a soil-repellent, for example lotus-like effect. Alternatively, a cost-effective, HME-filter-typical waterleaf paper can be used as a separating layer 7, which also acts in a water-repellent manner and at the same time is air-permeable. Conceptually, the side of the separating layer 7 facing the stool is preferably designed such that an exposure to stool does not lead to a long-term, gas-tight occlusion of the separating layer 7. Preferably on the lower end of the intermediate space 6a directed towards the bag 13, it transitions to an opening 6b in the stool-carrying or stool-removing area of the basic element 4. Stool that reaches the intermediate space 6a via the openings 6 can therefore flow via the opening 6b back into the lumen of the basic element 4. In a modification of this structural form, the stool-carrying lumen of the basic element 4 can also be connected to the intermediate space 6a solely via the opening 6b, in other words, not comprise any openings 6. The intermediate space 6a then extends from the opening 6b upwardly in a chimney-like manner, whereby the separating layer 7 lying above the opening 6b is protected from a direct stool exposure in the normal vertical position of the apparatus 1.
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[0071] As an alternative to positioning a modular apparatus 5 between the drainage line 12 and collection bag 13, as a functional unit that can be connected serially if necessary, the basic element 4 can also be integrated in a fixed design directly into the upper inlet region 3 of the collection vessel 13. In the case of a bag-like container 13, the foil body thereof is connected with a tight seal by a direct welding or adhesion to the downwardly oriented leg of the T-piece that is pointing to the bag 13.
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[0079] If the bag 13 is disconnected from the drainage 12 and disposed of, the closure cap 19 is detached from the leg 9, is placed on the connector 2a and connected there with a tight seal. The separating layer 7 then prevents the free outflow of liquid through the lateral leg 9.
[0080] In order to impede the penetration of removed stool into the lateral leg 9, a tongue 4a protecting the transition from the stool-carrying path to the laterally branching leg 9 is also attached inside the T-piece-like basic element 4 in the form of a curtain-like or siphon-like structure.
[0081] In order to remove intestinal gas that has already penetrated into the collecting area of the bag 13, or in order to convey gas back into the T-piece-shaped basic element 4 upstream from the return inhibition via a return-inhibiting function integrated in the collecting bag 13, such as for example return-inhibiting foil layers 13a, and to conduct it from there through the adsorber and/or filter 5 to the environment, the T-piece-shaped basic element 4 has on the proximal end thereof a rod-like, tube-like or hose-like extension 25, which extends over a return-inhibiting foil or function into the collecting bag 13. The profile of the extension 25 is designed such that gas can be conducted either around the extension 25 or through the extension 25 from the collecting internal area of the bag 13 in regions of upstream of the bag 13. In the described structural form with a T-piece 4 integrated permanently into the inlet portion 3 of the bag 13, it is possible in an advantageous manner to dispense with an outlet that is commonly integrated directly into the bag wall in conventional collection bags 13. Outlet components that are integrated inside the collecting compartment into the wall thereof are especially problematic when the collection bag 13 gets into a flat horizontal position and the bag contents then potentially wet or saturate the filter whereby the filter loses its degassing function partially or completely.
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[0084] The released aromatic substance is preferably based on volatile, oil-based solutions with sufficiently good running properties in the releasing non-woven. The reservoir 32 that is connected to the non-woven-like fabric 31 consists for example of a felt-like or sponge-like component, and can optionally be refilled with aromatic substance via a small-lumen opening 33 from the outside, for example through an ampule-like container that can be squeezed between the fingers, directly before the combination of the module 5 with the drainage apparatus 1 or with the T-piece-like basic element 4. With this system, the user can select between several fragrance variants. Furthermore, when switching the collection bag 13 or the entire system, the user can remove the module 5 from the bag 13 or from the system and transfer it to a new bag 13 or a new system. The module 5 can thus be used in the case of a patient over the total duration of use of the drainage apparatus 1. Once the reservoir is depleted, it can be filled again with aromatic substance through the opening.
[0085] Therefore, the invention describes an apparatus, which can be used as an accessory or be integrated permanently into a system for removing stool or other excretions or secretions, for absorbing and/or filtering gases, which collect for example in the course of a continuous closed stool removal within a stool-draining system, and wherein said gases are dissipated or decompressed without releasing unpleasant odors to the environment, wherein the apparatus is structurally arranged in series or in parallel to the stool-removing system, wherein the removal of the gas to the environment takes place outside of the collecting area of the collection vessel 13, and the respective gas-discharging component or function cannot be contaminated with the collected contents and consequently be rendered non-functional.
[0086] The removal of the gas to the environment preferably takes place directly above the collecting area, for example in the stool-removing hose of the system to the collecting area.
[0087] Gas that has already penetrated into the collection area of the vessel 13 can be removed, for example through a rod-like, tubular or hose-like extension in the region of the gas outlet and be decompressed from there.
[0088] The gas-discharging function of the filtering and/or absorbing material is maintained by a soil-repellent and/or water-repellent separating layer between the stool-removing internal area of the apparatus and the respectively connected filter module or absorber module 5.
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TABLE-US-00001 List of Reference Numbers 1 Apparatus 2 End 2a Connector 3 Inlet 3a Connector 4 Basic element 4a Tongue 4b Transition area 4c Transition 5 Module 5a Opening 5b Filter cartridge 5c Seal 5d Opening 5e Filter material 6 Opening 6a Intermediate space 6b Opening 7 Separating layer 9 Leg 9a Closure mechanism 10 Insert 10a Opening 10b Insert 11 Opening 12 Drainage line 13 Bag, collection vessel 13a Foil layer 13a Foil layer 13a Foil layer 14 Module base 15 Module cover 16 Lamella 16a Wall 17 Opening 19 Closure cap 20 Cartridge 21 Component 21a End 21b End 22 Opening 23a Side 23b Side 25 Extension 26 Compartment 27 Storage component 28 Peel-off foil, capsule 29 Dispenser module 30 Opening 31 Fabric 32 Reservoir 33 Opening 34 Hook L Opening M Material N Angle of inclination O Opening R Slope S Area T Separating layer Z Region