Temporary colostomy apparatus

• US 5,261,898 A
• Filed: 11/13/1990
• Issued: 11/16/1993
• Est. Priority Date: 11/13/1990
• Status: Expired due to Fees

• Current Assignee: Melvin I. Eisenberg, Stanton G. Polin
• Original Assignee: Melvin I. Eisenberg, Stanton G. Polin
• Inventors: Polin, Stanton G., Eisenberg, Melvin I.
• Primary Examiner(s): Isabella, David
• Assistant Examiner(s): CLARKE, ROBERT A
• Application Number:
  US07/611,764
• Time in Patent Office: 1,099 Days
• Field of Search: 604/100, 604/327, 604/328, 604/332, 604/338, 604/339, 604/29, 604/31, 604/192, 600/29, 600/31, 606/192, 623/11
• US Class Current: 604/328
• CPC Class Codes: A61F 2/0013 inflatable
• CPC Class Codes: A61F 2005/4455 Implantable
• CPC Class Codes: A61F 5/445 Colostomy, ileostomy or urethrostomy devices A61F5/441, A61F5/442, A61F5/443 take precedence
• CPC Class Codes: A61L 28/0015 obtained otherwise than by reactions only involving carbon-to-carbon unsaturated bonds

Abstract

A temporary colostomy apparatus for diverting the fecal stream and comprising an open ended excrement tube including a fecal receiving end having a liquid inflatible balloon on the outside thereof. A dissolvable and absorbable band is snugly wrapped around the outside of the colon at a preselected location. The tube is inserted inside the colon through a slit opening, so that the balloon is further inward but adjacent the band. The balloon is inflated so that the outer circular periphery thereof contacts the inside surface of the arrested colon and has a circumference slightly larger than the band. The inflated balloon and the band are in an abutting relationship with a common area of the colon sandwiched therebetween, to prevent outward movement of the tube. A retainer ring is positioned on the disposal end of the tube and pressed against the outside of the body to prevent inward movement of the tube. A disposable bag is secured to the disposal end of the tube on the outside of the body for collecting the fecal stream fully diverted into the receiving end of the tube. The colon is sutured to the abdominal wall adjacent the surgical openings in the colon and abdomen, to further stabilize the position of the tube inside the colon. When normal colon and rectal bowel functions could be resumed and prior to any substantial dissolving of the band, the balloon is deflated and the excrement tube is removed from the colon. The band remains encircled around the colon and in time the band is dissolved, absorbed and excreted from the body.

Claims

1. A temporary colostomy apparatus for inserting through an incision in the abdomen and a slit in the colon of the patient to divert the fecal stream, said apparatus comprising:

a hollow excrement tube for positioning inside the colon after passing through said incision in the abdomen and said slit in the colon, said tube having a receiving end and a disposal end including an outer edge, said fecal stream passing from said receiving end to said disposal end of the tube;

an inflatible balloon secured to the outside of said receiving end of the tube, said balloon being inflated to contact the inside surface of the colon so that said tube and the inflated balloon block the fecal stream inside the colon for diverting the fecal stream into the receiving end of the tube;

a band for wrapping around the outside of the colon between said balloon and said slit in the colon, said inflated balloon having a larger circumference than the band and being positioned adjacent to said band in an abutting relationship to sandwich a common segment of said colon therebetween and thereby preventing said tube from moving outward toward said slit, the material forming said band dissolving after a period of time in the body; and

dissolvable sutures for securing the band around the colon.

2. The temporary colostomy apparatus of claim 1, wherein said absorbable material for the band is polyglycolic acid mesh.

3. The temporary colostomy apparatus of claim 1 includes:

an internal fluid passageway extending from the disposal end to the receiving end of the tube and communicating with said balloon; and

an external fluid passageway communicating with said internal fluid passageway and positioned on the outside of the body of the patient, so that fluid flows from the external passageway to the internal passageway for inflating the balloon.

4. The temporary colostomy apparatus of claim 3 includes:

a monitoring balloon positioned on the outside of the body in communication with the external passageway to inflate simultaneously with the inflating of the first mentioned balloon and to deflate simultaneously with the deflating of the first mentioned balloon.

5. The temporary colostomy apparatus of claim 3 includes:

an input into said external fluid passageway;

a one way valve is interposed between said input and said external fluid passageway to permit fluid to flow into the external fluid passageway and block back flow from the external fluid passageway and out from said input.

6. The temporary colostomy tube of claim 4, wherein said external fluid passageway is a hollow tubular member, said monitoring balloon being secured on said tubular member, said tubular member having an aperture aligned with an opening formed in said monitoring balloon to communicate with the monitoring balloon so that a portion of the fluid flow is utilized for inflating the monitoring balloon.

7. The temporary colostomy apparatus of claim 1, wherein the material of said band is excretable from the body of the patient.

8. The temporary colostomy tube apparatus of claim 1 includes:

a flexible washer having a central opening for receiving the disposal end of the tube for preventing inward movement of the tube, said washer including means for adjusting the position of the washer.

9. The temporary colostomy apparatus of claim 1, wherein said internal balloon inflates to a substantially cylindrical shape.

10. The temporary colostomy apparatus of claim 1, wherein the length of said internal balloon at said receiving end of the tube is greater than the diameter of the arrested colon where said excrement tube is inserted.

11. A temporary colostomy apparatus for inserting through an incision in the abdomen and a slit in the colon to divert the fecal stream, said apparatus comprising:

a hollow excrement tube for positioning inside the colon after passing through said incision in the abdomen and said slit in the colon, said tube having a receiving end and a disposal end for passing said fecal stream from said receiving end to said disposal end on the outside of the body;

an internal inflatible balloon secured to the outside of said receiving end of the tube, said internal balloon being inflated to contact the inside surface of the colon so that said tube and the inflated balloon block the fecal stream inside the colon for diverting the fecal stream into the receiving end of the tube;

a band for wrapping around the outside of the colon between said balloon and said slit in the colon, said inflated balloon having a larger circumference than the band and being positioned adjacent to said band in an abutting relationship to sandwich a common segment of said colon therebetween and thereby preventing said tube from moving outward toward said slit, said band being formed of a material to dissolve after a period of time in the body; and

a removable sheath for covering said balloon to protect said balloon, prior to operatively positioning said tube inside the colon.

12. A temporary colostomy apparatus for inserting through an incision in the abdomen and a slit in the colon of the patient to divert the fecal stream, said apparatus comprising:

a hollow excrement tube for positioning inside the colon after passing through said incision in the abdomen and said slit in the colon, said tube having a receiving end and a disposal end including an outer edge, said fecal stream passing from said receiving end to said disposal end of the tube;

an inflatible balloon secured to the outside of said receiving end of the tube, said balloon being inflated to contact the inside surface of the colon so that said tube and the inflated balloon block the fecal stream inside the colon for diverting the fecal stream into the receiving end of the tube;

a band for wrapping around the outside of the colon between said balloon and said slit in the colon, said inflated balloon having a larger circumference than the band and being positioned adjacent to said band in an abutting relationship to sandwich a common segment of said colon therebetween and thereby preventing said tube from moving outward toward said slit, the material forming said band dissolving after a period of time in the body;

at least one groove formed inward from the outer edge of the disposal end of the tube; and

a disposal bag for positioning on the disposal end of the tube, said groove providing a pathway into the disposal bag when said bag is bent and blocks the flow of the fecal stream out from the disposal end of the tube.

13. A method for diverting the fecal stream in the colon of the patient using a colostomy apparatus including an excrement tube having a receiving end and a disposal end, an inflatible balloon disposed at the receiving end of the tube, and a sheet of material dissolvable in the body of the patient, said method comprising the steps of:

making an incision in the abdomen at a predetermined location to gain entry into the abdominal cavity;

wrapping said dissolvable sheet material around the outside of the colon to form a band at a desired location spaced from an area on the colon selected to be slit open;

slitting the colon open at said area;

inserting said excrement tube through said incision and said slit and into the lumen of the colon, so that the balloon is spaced a greater distance from the slit than said band;

inflating said balloon so that the outer periphery of the balloon contacts the inside surface of the colon; and

positioning the tube so that the inflated balloon abuts said band with a common segment of the colon therebetween, to prevent outward movement of the balloon toward said slit, said tube and inflated balloon blocking the fecal stream to divert the fecal stream into the receiving end of the tube for passage through the tube to be discharged from said disposal end;

securing the disposal end of the tue to the outside of the body of the patient to prevent movement of the tube further inside the colon and away from the slit opening; and

deflating said balloon and removing said tube from the colon and the body of the patient during a predetermined time period after the band has been positioned inside the body of the patient, said time period being prior to any substantial dissolving of said band.

14. The method of claim 13 includes:

sensing when said first balloon deflates to indicate that the fecal stream is not being fully diverted through the tube.

15. The method of claim 14, includes:

inflating a monitoring balloon on the outside of the body simultaneously with the inflating of said first mentioned balloon; and

deflating the monitoring balloon when said first mentioned balloon is being deflated.

16. The method of claim 13, wherein said apparatus includes a flexible retainer ring for positioning on the disposal end of the excrement tube, and said method further comprising:

bending said retainer ring so that the front side of the ring is substantially flat against the outside of the abdomen; and

securing said bent retainer ring against said abdomen.

17. The method of claim 13, wherein said tube is removed from the body after 14 days from the date said band is wrapped around the colon.

18. The method of claim 13, wherein said band is formed from a polyglycolic acid mesh.

19. A method for diverting the fecal stream in the colon of the patient using a colostomy apparatus including an excrement tube having a receiving end and a disposal end, an inflatible internal balloon disposed at the receiving end of the tube, and a sheet of material dissolvable in the body of the patient, said method comprising the steps of:

making an incision in the abdomen at a predetermined location to gain entry into the abdominal cavity;

wrapping said dissolvable sheet material around the outside of the colon to form a band at a desired location paced form an area on the colon selected to be slit open;

slitting the colon open at said area;

inserting said excrement tube through said incision and said slit and into the lumen of the colon, so that the balloon is spaced a greater distance from the slit than said band;

attaching a segment of the colon adjacent to said slit in the colon to the abdominal wall adjacent to the abdominal incision after the excrement tube has been positioned in the colon;

inflating said internal balloon so that the outer periphery of the balloon contacts the inside surface of the colon; and

positioning the tube so that the inflated balloon abuts said band with a common segment of the colon therebetween, to prevent outward movement of the balloon toward said slit, said tube and inflated balloon blocking the fecal stream to divert the fecal stream into the receiving end of the tube for passage through the tube to be discharged from said disposal end;

securing the disposal end of the tube to the outside of the body of the patient to prevent movement of the tube further inside the colon and away from the slit opening; and

deflating said internal balloon and removing said tube from the colon and the body of the patient before any substantially dissolving of said band.

20. A method for diverting the fecal stream in the colon of the patient using a colostomy apparatus including an excrement tube having a receiving end and a disposal end, an inflatible balloon disposed at the receiving end of the tube, and a sheet of material dissolvable in the body of the patient, said method comprising the steps of:

making an incision in the abdomen at a predetermined location to gain entry into the abdominal cavity;

wrapping said dissolvable sheet material around the outside of the colon to form a band at a desired location spaced from an area on the colon selected to be slit open;

slitting the colon open at said area;

inserting said excrement tube through said incision and said slit and into the lumen of the colon, so that the balloon is spaced a greater distance from the slit than said band;

inflating said balloon with an opaque solution so that the outer periphery of the balloon contacts the inside surface of the colon; and

positioning the tube so that the inflated balloon abuts said band with a common segment of the colon therebetween, to prevent outward movement of the balloon toward said slit, said tube and inflated balloon blocking the fecal stream to divert eh fecal stream into the receiving end of the tube for passage through the tube to be discharged from said disposal end;

securing the disposal end of the tube to the outside of the body of the patient to prevent movement of the tube further inside the colon and away from the slit opening; and

deflating said internal balloon and removing said tube from the colon and the body of the patient before any substantial dissolving of said band.

21. A temporary colostomy apparatus for inserting through an incision in the abdomen and a slit in the colon of the patient to divert the fecal stream, said apparatus comprising:

a hollow excrement tube for positioning inside the colon after passing through said incision in the abdomen and said slit in the colon, said tube having a receiving end and a disposal end including an outer edge, said fecal stream passing from said receiving end to said disposal end of the tube;

an inflatible balloon secured to the outside of said receiving end of the tube, said balloon being formed from an opaque material, said balloon being inflated to contact the inside surface of the colon so that said tube and the inflated balloon block the fecal stream inside the colon for diverting the fecal stream into the receiving end of the tube; and

a band for wrapping around the outside of the colon between said balloon and said slit int eh colon, said inflated balloon having a larger circumference than the band and being positioned, adjacent to said band in an abutting relationship to sandwich a common segment of said colon therebetween and thereby preventing said tube from moving outward toward said slit, the material forming said band dissolving after a period of time in the body.

22. A method for diverting the fecal stream in the colon of the patient using a colostomoy apparatus including an excrement tube having a receiving end and a disposal end, an inflatible internal balloon disposed at the receiving end of the tube, and a sheet of material dissolvable in the body of the patient, said sheet having opposite ends, said method comprising the steps of:

making an incision in the abdomen at a predetermined location to gain entry into the abdominal cavity;

wrapping said dissolvable sheet material around the outside of the colon to form a band at a desired location spaced from an area on the colon selected to be slit open;

attaching said opposite ends of the sheet with dissolvable sutures;

slitting the colon open at said area;

inserting said excrement tube through said incision and said slit and into the lumen of the colon, so that the balloon is spaced a greater distance from the slit than said band;

inflating said internal balloon so that the outer periphery of the balloon contacts the inside surface of the colon; and

positioning the tube so that the inflated balloon abuts said band with a common segment of the colon therebetween, to prevent outward movement of the balloon toward said slit, said tube and inflated balloon blocking the fecal stream to divert the fecal stream into the receiving end of the tube for passage through the tube to be discharged from said disposal end;

securing the disposal end of the tube to the outside of the body of the patient to prevent movement of th tube further inside the colon and away from the slit opening; and

deflating said internal balloon and removing said tube from the colon and the body of the patient before any substantial dissolving of said band.