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Патент USA US2117621

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May 17, 1938.
E. G. MILLS
COLOSTOMY APPLIANCE
Filed Feb. 18, ‘1936
2,117,621
2,117,621
Patented May 17, 1938 `
UNITED STATES
PATENT
ÓFFICE `
2,117,621
_coLos'roMY APPLIANGE
Edmund G. Mms, Newton, Mass.
Application February 1s, 193s, serial No. 64,463
z claims. _ (ci. 12a-ess)
ward as compared with the vertical axis of the el- f
'This invention relates to improvements in co
lipsoid. This provides so that the shape, in gen
lostomy appliances.
eral, bears against the outer abdominal wall with
More particularly it provides a combined re
ceptacle and shield for ñtting over and around an equal intensity of pressure at all points along the
orifice left in a human lateral abdominal wall - edge of th'e shell. A pair of slots in the shell, one
upon a surgical removal of the lower part of the pair near each end, below the horizontal mid
colon. As a receptacle. if its edges are tightly height of the shell, receive a single broad strip
sealed against the abdominal wall, it receives and or belt, threaded through these slots so as to lie
holds safely the intestinal discharge from said exteriorly along the wall of the shell, through the
orifice until such time as convenience permits the full distance between the slots, and again at each
end portion of the shell, beyond the slots,---patient ,to dispose of the same. As a shield it pro
tects the region from casual blows, and from the whence the belt passes around the patient’s body,
and is secured by any suitable belt-fastening
rubbing of clothing.
The invention improves upon prior 'devices pro-_ means, such as a buckle.
A sheet or sheets of any suitable absorbent maposed for this general purpose,-in comfort, in
security and in convenience for the person who is ' terial, placed Within the shell as a lining, extend
obliged to live with such a situation. It does this beyond the edges of the shell, all the way around,
simply and economically, and does it so securely and intervene between those edges and the wear
that it permits the patient to engage in all the or» er’s body, as a sealing pad, against which the
thin edges of the shell may be pressed by a suitdinary kinetic activltiesof life.
able tightening of the belt. The described rela
It is an object to provide both a superior recep
tion of the belt, shell and wearer’s body provides
tacle structure, and a superior seal, and-a supe
rior security thereof. each by coaction with the a coaction whereby the belt extends along the
other helping attain the improved emciency for` under slope of the bulge or dome of the shell;
5
10
15
20
each other and for the device as a` whole.
25
The improved sealing engagement between the
receptacle and the patient’s body assures, without
discomfort, a safe holding of contents.
The single-strap up-pressing and in-pressing
makes ñrm securement of the receptacle in its
30 said sealing engagement without being subject to
Y being disturbed by any ordinary active motions
» of the wearer’s body. '
C3 CH
40
The pressing of the stiff walls edgewise to the
body of the wearer, with curved extent-conform
ing to the wearer’s body curvature gives requisite
intensity of pressure to hold the seal perfect. The
receptacle has the general shape of an elliptical
dome curved around the wearer’s body, with the
basal terminus of this dome extending or receding
without ceasing to be a part of the bulge or rise
of such a dome. In other words, there is no basal
flange.
These results are attained by making a shell of
45 sheet metal whose thin walls have shape approxi
mating that of the surface of a semi-ellipsoid.
These edges when in .use will terminate abruptly
against the wearer’s body. Instead of being cut
straight, as on the plane of the longitudinal axis,
their horizontal extent is concave, bowed out
50
ward with respect to that axis, to follow the hori
zontal curve of an abdomen. And at the ends of
the shell the edge line of up and down extent line,
as seen in projection on a vertical plane, is con
55 vex toward the wearer’s body, being bowed in
5
10
15
20
and there it applies pressure upward as well as 25
simultaneously inward against the wearer’s body.
The receptacle may be emptied in a convenient
and sanitary manner, without the belt falling out
of place, by holding the free unbuckled strap-end
on the wearer’s under-garment, with an ordinary gn
spring pinch clip, While the shell end is held in
hand' and tipped outward. Fresh lining may be
inserted While the shell is in this tipped position.
It is intended that the patent shall cover, by
suitable expression in the appended claims, what- 35
ever features of patentable novelty exist in the
invention disclosed.
In the accompanying drawing:
Figure 1 is an elevation showing a device em
bodying the invention applied at the abdomen of 40
a person;
Figure 2 is a top plan, on an enlarged scale, of
the device of Figure 1 with the absorbent mate
rial omitted;
Figure 3 is a front elevation of the device of 45
Figure 2;
Figure 4 is anelevation in section on v4--4 of
Figure 1, on an enlarged scale.
Referring to the drawing, the receptacle l0'
preferably will be a light-weight metal shell hav- 50
ing a modiñed semi-ellipsoid shape.
The edges
I2 of- the shell have the sharpness of a smoothly
cut piece of thin metal, so that under mild pres
sure these edges, all around the shell, embed
themselves rather deeply in a pad I4 which ab- 55
2
_
2,117,621
sorbently lines the interior of the shell and which
extends beyond the shell edges. 'l‘his pad is rela
tively soft, for constituting a cushion between
the sharp shell edges and the body of the person
using the appliance; and its sharpness favors its
deep seating in the cushion with consequent eii'ec
tiveness of sealing under a pressure which need
_ be only gentle.
The shell preferably has length considerably
lo greater than its width, and is arranged for its
longer dimension to extend horizontally in direc
tion around the wearer’s body. 'I'he upper and
lower edges have a concave aspect when viewed
from above, because they recede medially toward
the crest of the bulge, for approximately fitting
the curvature of the abdominal region of a per
son’s body.
'I‘he short up and down edges at
the ends of the shell have a 'convex aspect, when
viewed in elevation, because medially they ex
tend further from the crest of the bulge in order
to reach and to press firmly the abdominal wall,
which wall recedes as it proceeds laterally around
the person. 'I'he described stiffness with approxi
mation of actual ilt to body shape, coupled with
25 the stiifness of edges, permits the edges to be
_pressed deeply linto the pad, about equally all
the way around, under mild pressure applied' by
the narrow part of the wearer’s body, draws the
receptacle firmly upward and inward tightly
against the soft round surface of the abdomen.
Nevertheless, by a mere loosening of the belt, it
may be conveniently manipulated on and around
the belt, for disposal of contents and for the
inserting of a fresh lining pad. ’I'his manipula
tion is facilitated by the fact that the belt en
gages the receptacle low down on its under slope,
permitting a. tilting of the receptacle outward over 10
the loosened belt as a sustaining pivot. Yet
these conveniences afforded for this operation de
tract nothing from the effectiveness and safety
of the device when the belt is tightened against
the wearer’s body. The cooperative eifect of the 15
shell edges bedded in the soft pad material assure
safety of sealing with a minimum of discomfort.
I claim as my invention:
l. A colostomy- appliance comprising a domed
shell, whose basal edge appears approximately 20
as an ellipse when projected on a surface per
pendicular to that axis of the dome which passes
through its apex, wherein there are combined
the features that, the side walls of the dome are
curved so as to reach that basal 'edge at a steep 25
angle to any plane perpendicular to that axis;
and the course of said basal edge as seen from said
the strap I6; and this assures a suil‘iciently tight axis is a succession of reverse curves, of which
seal at every location around the edge when the y those constituting the longer sides of the ellipse
shell is bound in place by the belt I6.
The convexity of the stiñ shell-receptacle is
utilized as a cqacting element in securing- and
maintaining the shell in proper position. For this
I employ a. broad strap or belt I6, which may be
of canvas or other suitably strong material,
threaded through pairs of slots I8 provided in
follow approximately the line at which the dome
sides would be cut by an intersecting cylinder
having the size and curvature of a _human trunk
and having its axis perpendicular to both the
the shell near the ends. These are located in the
under slope of the mound which the shell, con
there is means on the shell for positioning the
belt on the shell asymmetrically of the dome and
on that slope thereof -which is lower when the
stitutes, below the longitudinal axis of the shell.
40 'I'he belt engages exteriorly against this- under
slope-wall of the shell throughout the whole dis
tance between the two pairs of slots i8; and en
gages exteriorly against each end portion of shell
beyond the slots, whence the respective ends of
the belt pass around the wearer’s body and are
said axis of the dome and the longer axis of the
ellipse; and there is a belt adapted to go around 35
the body of a person wearing the appliance; and
appliance is being worn, being the slope below
40
the plane through the apex and the longer axis
of elliptical projection, whereby tension of the
belt applies the shell with inward and upward
pressure of its basal edge toward the body of a
person wearing it.
45
secured together by any suitable means, such as A
2. A colostomy appliance asin claim l, in
the buckle 20.
which the shell has near each end thereof, and
In use, the receptacle shell is to be removably below the bulge thereof, a pair of vertical slots
secured to the belt I6 by said threading of belt through which said belt is threaded; and a pad
through slots I8 in the shell. 'I‘his attains the within the shell having edge portions protruding 50
important end, that the receptacle cannot be for being engaged between the said edges of the
accidentally detachable from the belt. When shell and the body of the wearer.
tightened, the single strap belt, passed around
EDMUND G. MILLS.
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