The invention relates to an expandable collecting bag that can be used in an ostomy appliance.
In connection with surgery for a number of diseases in the gastro-intestinal tract, one of the consequences in many cases is that the patient is left with an abdominal stoma, such as a colostomy, an ileostomy or a urostomy in the abdominal wall for the discharge of visceral contents. The discharge of visceral contents cannot be regulated at will. For that purpose, the user will have to rely on an appliance to collect the material emerging from such opening in a bag, which is later emptied and/or discarded at a suitable time.
An ostomy appliance may be in the form of a one-piece appliance for which a collecting bag for human body wastes is permanently, or fixedly, secured to an adhesive base plate for attachment to the human skin. Alternatively, the ostomy appliance may be a two-piece appliance comprising a base plate and a collecting bag which may be coupled to and uncoupled from each other through a coupling means. This has the effect that the base plate does not need to be separated from the skin of the user as often as exchange of the collecting bag requires. The base plate may need only to be changed every third or fourth day depending on the user, whereas the collecting bag may be changed more than once per day. Typically, it is desirable to need as few exchanges of the base plate as possible in order to reduce the risk of skin complications.
Collecting bags may be provided in different sizes depending on the desired use. For example, larger bags may be used at night, whereas smaller bags may be used when discretion is needed. In some situations—e.g. during exercise—the use of so-called stoma caps may be preferred. Stoma caps are small collecting bags just covering the base plate and the stoma. However, since the discharge from the stoma cannot be regulated at will, a user wearing a stoma cap may need a collecting volume of a size exceeding the volume of the cap.
WO2013/142577 describes an expandable ostomy pouch and an expandable ostomy cap, which include a first portion and a second portion sharing a common cavity. The first portion and the second portion are configured such that the second portion can be inverted and inserted within the first portion in a compacted state. The second portion can be manually pulled out or can be expanded due to gravity and/or due to elevated pressure with the pouch due to the stomal discharge, as the cavity is filled with stomal discharge.
The invention relates to an expandable collecting bag for an ostomy appliance. The collecting bag may for example be of the stoma cap with an expandable portion. The edges of the expandable portion of the collecting bag are attached to each other with the outer surfaces facing each other, and the cap portion of the collecting bag envelopes the expandable portion, and the edges of the cap portion are attached to each other with the inner surfaces facing each other. Thereby the expandable portion will have a natural tendency to be folded up inside the cap portion and, furthermore, the cap portion will be thin and discreet because of the edges of the expandable portion being folded with the outer surfaces facing each other.
In a first aspect, the invention relates to an expandable collecting bag for an ostomy appliance comprising a cap portion and an expandable portion, the collecting bag having at least two configurations, a non-expanded and an expanded configuration, where in the expanded configuration, the cap portion and the expandable portion constitute one continuous collecting cavity with inner surfaces facing the continuous collecting cavity and outer surfaces facing outwards, the edges of the expandable portion being attached to each other with the outer surfaces facing each other and the edges of the cap portion being folded over and enveloping the expandable portion with the inner surfaces facing each other.
An expandable collecting bag for an ostomy appliance as described above will have a natural tendency to be folded up, because the edges of the expandable portion is being attached to each other with the outer surfaces facing each other and the edges of the cap portion is folded over and attached to each other with the inner surfaces facing each other. Therefore, the collecting bag will be thin and discreet in the non-expanded configuration due to the fact that there will be only two layers of foil materials at the edge of the expandable portion. Furthermore, because of the natural tendency of the expandable portion to be folded up, the risk of unintended expansion of the expandable portion is minimized or even eliminated, whereas expansion by gravity or by the user pulling at the expandable portion is possible.
In the following, whenever referring to the proximal side of a device or part of a device, the referral is to the skin-facing side, when the ostomy appliance is worn by a user. Likewise, whenever referring to the distal side of a device or part of a device, the referral is to the side facing away from the skin, when the ostomy appliance is worn by a user. In other words, the proximal side is the side closest to the user, when the appliance is fitted on a user, and the distal side is the opposite side—the side furthest away from the user during use.
The axial direction is defined as the direction of the stoma, when the appliance is worn by a user. Thus the axial direction is substantially perpendicular to the abdominal surface of the user. The thickness of the collecting bag is in the axial direction.
The longitudinal direction is defined as the direction from the top towards the bottom of the collecting bag when an ostomy appliance including the collecting bag is worn by a user. The length of the collecting bag is in the longitudinal direction and the width is in the direction transverse to the longitudinal direction.
An ostomy appliance is well-known in the art. The ostomy appliance may be in the form of a stoma cap, which is also well-known in the art. The collecting bag of the ostomy appliance usually comprises a front wall on the distal side and a rear wall on the proximal side. The walls are made of gas—and liquid impermeable foil—material (for example of polyethylene (PE), polyvinyl-chloride (PVC) or ethylene-vinyl-acetate (EVA)) which is welded at the edges or the rim. The waste inlet opening is provided in the rear wall.
The collecting bag may be mentioned as being folded up when it is in a non-expanded configuration and likewise the collecting bag may be mentioned as being un-folded when it is in an expanded configuration.
The front wall and the rear wall both have an inner surface and an outer surface, the inner surfaces facing inwards towards the collecting volume and the outer surfaces facing outwards. Thus, the inner surfaces of the collecting bag correspond to the inner surfaces of the front wall and rear wall, respectively, and the outer surfaces of the collecting bag correspond to the outer surfaces of the front wall and rear wall, respectively.
In an embodiment of the invention, the collecting bag includes a portion of absorbing material inside the collecting bag. This absorbing material may be, e.g., synthetic crimped fibre materials of polyolefin, absorbing foams or sponge-like material as well as super-absorbing materials, such as hydrogel-forming polymeric material. The material may be used to absorb some of the liquid output exiting the stoma and thus makes the cleaning process easier when the collecting bag is to be exchanged for another. In a related embodiment, the absorbing material may be positioned towards the bottom of the cap portion, in which case the material may assist in expanding the bag as the bag is filling due to the weight of the bag. The material may also be loosely arranged within the bag.
In an embodiment of the invention, the expandable portion is provided with a pulling strip of any suitable material. This strip may be attached to the portion during the production, e.g., at the welding, and may serve the purpose of allowing the user to expand the collecting bag by pulling at the strip. The strip may protrude at the lower edge of the cap portion in the non-expanded configuration of the collecting bag, so that it is easier to grasp.
In an embodiment of the invention, the cap portion is generally circular with a diameter of less than 100 mm. The expandable portion may alternatively be generally quadrangular with a length in the longitudinal direction of the collecting bag of less than 100 mm and a width of less than 60 mm.
Another aspect of the invention relates to a method of producing an expandable collecting bag for an ostomy appliance comprising a cap portion and an expandable portion, the collecting bag having at least two configurations, a non-expanded and an expanded configuration, the method comprising the steps of
This method provides for a thin and discreet expandable collecting bag as described above.
In an embodiment, the foil blanks corresponding to the finished front wall include an upper part and a lower part attached to each other and the foil blanks corresponding to the finished rear wall include an upper part and a lower part attached to each other.
In an embodiment, the method includes welding as the attachment of the edges to each other.
The non-expandable configuration is thin and discreet because the edges of the expandable portion (see
In the embodiment shown in
Other embodiments, e.g., other combinations of quadrangular and circular shapes, are also within the scope of this invention. Other shapes of the expandable portion and cap portion may also be contemplated. The only limit is that the expandable portion must be able to be contained within the boundaries of the cap portion so that the edges of the expandable portion does not protrude beyond the edges of the cap portion.
Number | Date | Country | Kind |
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PA 2014 70431 | Jul 2014 | DK | national |
PA 2014 00492 | Sep 2014 | DK | national |
Filing Document | Filing Date | Country | Kind |
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PCT/DK2015/050210 | 7/10/2015 | WO | 00 |