Colon hydrotherapy and evacuator system

• US 4,874,363 A
• Filed: 07/23/1987
• Issued: 10/17/1989
• Est. Priority Date: 07/25/1986
• Status: Expired due to Fees

• Current Assignee: Roy Abell
• Original Assignee: Walter L. Abell
• Inventors: Abell, Walter L.
• Primary Examiner(s): Rosenbaum, C. Fred
• Assistant Examiner(s): Costantino, Mario
• Application Number:
  US07/077,734
• Time in Patent Office: 817 Days
• Field of Search: 604/27-34, 604/36, 604/39, 604/41, 604/43, 604/118, 604/246, 604/247, 604/248, 604/249, 604/250, 604/275, 604/276, 604/277, 604/278, 128/750, 200/DIG. 2, 200/81 H, 200/81 R
• US Class Current: 604/28
• CPC Class Codes: A61M 2210/1064 Large intestine
• CPC Class Codes: A61M 3/0208 before use
• CPC Class Codes: A61M 3/022 Volume; Flow rate
• CPC Class Codes: A61M 3/0241 the liquid being supplied by gravity
• CPC Class Codes: A61M 3/0258 by means of electric pumps
• CPC Class Codes: A61M 3/0275 Pulsating jets; Vibrating nozzles
• CPC Class Codes: A61M 3/0287 with an external liquid collector
• CPC Class Codes: A61M 39/28 Clamping means for squeezing flexible tubes, e.g. roller clamps tube strippers A61M1/83

Abstract

An apparatus and method for providing a colonic lavage to a patient comprises a speculum for insertion into the colon of the patient with the speculum being generally tubular and having a tapered end within the colon with opposing openings formed therein and discharge and inlet openings outside the anal canal. The inlet opening is connected to a lavage liquid holding chamber through an inlet conduit and the discharge conduit is connected to a collection chamber through a discharge conduit. The discharge conduit has a resilient collapsible portion that passes through a pinch valve that can be actuated to close the discharge conduit. In operation, lavage liquid is pumped from the holding chamber while the pinch valve is closed causing the colon to fill with liquid. When the colon is full, pumping is discontinued and the pinch valve opened allowing liquid and loosened fecal matter within the colon to be purged through the discharge conduit to the collection chamber.

Claims

1. An apparatus for providing a colonic lavage to a patient comprising:

a container for receiving and holding a lavage liquid;

a speculum for insertion through the anal canal and into the colon of the patient, said speculum defining a longitudinal passage therethrough and having a nozzle opening for placement within the colon, a discharge opening for placement outside the anal canal, and a liquid inlet opening for placement outside the anal canal;

a liquid delivery conduit in communication at one of its ends with said container and in communication at its other end with said liquid inlet opening;

a pump means disposed within said container for delivering lavage liquid under pressure from said container through said liquid delivery conduit to said liquid inlet opening of said speculum;

a collection chamber for receiving contaminated lavage liquid;

a filter disposed on the top of said collection chamber for removing odor and bacteria from the air within said chamber as the chamber fills with contaminated lavage liquid;

a discharge conduit having a resilient collapsible portion, said discharge conduit being in communication at one of its ends with said discharge opening and in communication at its other end with said collection chamber;

means for selectively closing and opening said discharge conduit, said means comprising a pinch valve for selectively collapsing and releasing the resilient collapsible portion of the discharge conduit;

means for creating a pulsing action of lavage liquid through said inner opening of said speculum comprising means for alternately actuating said pump means while simultaneously closing said discharge conduit and deactuating said pump means while simultaneously opening said discharge conduit.

2. The apparatus of claim 1 wherein said speculum comprises an elongated tubular body defining a longitudinal passage and having a first generally tapered end for insertion into the anal canal, a second open end for connection to said discharge conduit and a tubular transversely extending inlet opening in communication with said longitudinal passage adjacent said open end, said tapered end having a pair of opposing openings formed therein for the movement of lavage liquid into the colon and movement of liquid and fecal matter out of the colon.

3. The apparatus of claim 2 wherein said inlet opening is radially aligned on said body with said opposing openings whereby said speculum can be inserted into a colon having a generally elliptical cross section and said opposing openings aligned with the semi-major axis of the ellipse within the colon by aligning said inlet opening with the axis.

4. The apparatus of claim 1 wherein said means for alternately actuating said pump means while closing said discharge conduit and deactuating said pump means while opening said discharge conduit comprises a control means including a plurality of timing means, said control means being operatively connected to said pump means and said pinch valve for selectively actuating and deactuating said pump means and said pinch valve in response to signals from said plurality of timing means.

5. The apparatus of claim 1 wherein said means for alternately actuating said pump means while closing said discharge conduit and deactuating said pump means while opening said discharge conduit comprises a control means being operatively connected to said pump means and said pinch valve for selectively actuating and deactuating said pump means and said pinch valve in response to said manual switch being activated and deactivated.

6. The apparatus of claim 5 wherein said switch is activated by excess air pressure and wherein said control means includes a remote pressure tube operatively attached to said switch at one end and having means for producing excess air pressure within said tube attached to its other end.

7. The apparatus of claim 6 wherein said means for producing excess air pressure within said tube comprises a mouthpiece adapted to be placed into and receive air pressure from the mouth of an operator.

8. The apparatus of claim 6 wherein said means for producing excess air pressure within said tube comprises a squeeze bulb adapted to be squeezed by an operator.

9. The apparatus of claim 1 further comprising means for permitting the flow of liquid in a direction from said container to said speculum and preventing the flow of liquid in a direction from said speculum to said container, said means comprising a one-way valve in series with said liquid delivery conduit between said pump and said speculum.

10. The apparatus of claim 1 further comprising means for moving the apparatus from place to place, said means comprising a stand having a generally horizontal support surface, a plurality of wheels attached to the bottom of the support surface and a pair of vertical stanchions extending upwardly from the support surface with the upper ends of said stanchions having a handle for pushing the stand across the floor.

11. The apparatus of claim 10 further comprising a pinch valve support arm rotatably attached at one end to one of said stanchions and having said pinch valve firmly attached to its other end and means for releasibly maintaining said support arm in a predetermined rotary attitude with respect to said stanchion.

12. A method for clearing a blockage from a speculum of the type having a tubular body defining a single longitudinal passageway therethrough, a tapered end with opposing nozzle openings in communication with said passageway for insertion into the colon of a patient and a discharge end having discharge and liquid inlet openings in communication with said passageway for positioning outside the anal canal comprising the steps of:

selecting a flow rate for moving liquid through the liquid inlet opening;

moving liquid through the liquid inlet opening while preventing the flow of liquid through the discharge opening;

discontinuing the movement of liquid through the liquid inlet opening while allowing the flow of liquid through the discharge opening; and

repeating the steps of moving liquid through the liquid inlet opening and discontinuing the movement of liquid through the liquid inlet opening in a rapid, alternating manner to generate a pulsating flow of liquid through the nozzle openings to break up the blocking material so that it can flow through said longitudinal passageway and out the discharge opening.