Abstract: An apparatus and associated methods relate to an external catheter configured with a urine collection bag having a semi-rigid and flexible internal tube adapted to permit fluid engagement with urine streaming from a patient, in a manner that does not require precisely locating a patient's buried, retracted or retractive penis supported by secure connection to the patient coincident to the outer circumference of the internal tube with an adhesive having a removable non-adhesive backing to prevent the dislodging or misplacement of the external catheter or obstruction of the flow of urine and the secure attachment of the tube to a transparent urine collection bag permitting visualization of the inner contents of the bag.

Abstract: Various devices, systems, and methods are provided for allowing surgical instruments to access a body cavity through an access device, such as a cannula. In one embodiment, a cap can be removably and replaceably coupled to a proximal end of cannula and can have an opening therethrough that communicates with an inner passageway of the cannula. Various surgical elements can be passed through the cap and cannula and into a patient when the cannula is positioned within the patient. The cap can have a side slot formed therein. The slot can be configured to allow surgical elements, such as sutures, to pass through the cap and into the cannula. At least one surgical seal can be in the cap and can be configured to receive surgical elements therethrough.

Abstract: A convex ostomy barrier assembly for attaching an ostomy appliance to a peristomal skin surrounding a stoma includes a skin barrier, an inlet opening defined in the skin barrier for receiving the stoma, and a convexity adjusting device. The convexity adjusting device includes a convex insert and an inflatable bladder, wherein the convex insert is configured to provide a convexity to the skin barrier and the inflatable bladder is configured to adjust at least one characteristic of the convexity.

Abstract: A lid for an ostomy implant is provided. A base includes an attachment means for attachment to the implant and a sliding part. The sliding part is arranged such that when the sliding part is slid along a first sliding route, the sliding part causes the lid to be attachable to or detachable from the implant, and when the sliding part is slid along a second sliding route, the sliding part causes the lid to open, for evacuating a stoma to which the ostomy implant is connected, and closed, for preventing leaks from the stoma, while the lid remains attached to the implant.

Abstract: A medical plug apparatus for use in conjunction with an ostomy procedure includes a cap and an elongated cylindrical shaft. The cap has a top surface, a bottom surface, and a first thickness. The elongated cylindrical shaft extends orthogonally away from the bottom surface of the cap from a proximal end to a distal end and has shaft diameter and the shaft length adapted to plug a stoma cavity upon inserting the elongated cylindrical shaft into the stoma cavity. The cap includes a gripping portion that has a gripping diameter such that, upon exerting a pulling force on the first region and the second region of the gripping portion, the elongated cylindrical shaft is directed outwardly away from the patient by the pulling force causing a substantially axial tension force on the elongated cylindrical shaft.

Abstract: A device for the sanitary drainage of the contents of an ostomy pouch into a waste receptacle (e.g., toilet) is provided. The device includes a base; an extendible shaft coupled to the base; a body that receives the ostomy pouch while it is attached to a patient and directs the contents of the pouch into a chute; a pivoting mechanism that couples the body to the shaft to adjust the angle there between; and a chute coupled to the body that directs the contents of the ostomy pouch into the waste receptacle. The device and the adjustability that it provides offers patients, particularly mobile patients, the ability to sanitarily and ergonomically empty their ostomy pouches into a waste receptacle, such as a toilet, while in a standing position.

Abstract: An implant for the prevention or treatment of a hernia in the proximity of an organ stoma formed in an abdominal wall includes a porous structure having a surface intended to face the abdominal cavity covered by a first film of anti-adhesive material. The porous structure includes a first part intended to be in contact with a stoma organ and having a first thickness, and a second part having a second thickness greater than the first thickness, the first part including a surface intended to face the abdominal wall covered by a second film of anti-adhesive material.

Abstract: The invention discloses an ostomy accessory (13) for an intestinal stoma of a mammal patient, and comprises an insertion portion (8) for inserting into an intestinal stoma (3) of an ostomy, and also comprises an evacuation portion (9, 9? adapted to evacuate fecal matter from an intestine connected to said intestinal stoma through said insertion portion.

Abstract: Controlled or automatic release of gas from ostomy ports. In some embodiments a gap is selectively formed between a cap and a body of an ostomy port. In some embodiments, a dedicated gas exhaust lumen is provided as part of the port. Optionally, the gas release uses a filter to reduce odor.

Abstract: A drainable ostomy pouch includes a collection portion and a drain chute extending from the collection portion having a discharge opening for permitting emptying of contents from the pouch. The drain chute is foldable between an open condition in which the drain chute is extended from the collection portion, and a closed condition in which the drain chute is folded towards the collection portion; and a pocket for receiving at least a portion of the drain chute when the drain chute is in its closed condition.

Abstract: A method and device may be used to avoid surgically re-opening a stoma or the like in an animal, including human beings. The stoma stabilitating device comprises an anchoring portion, preferably flat, that includes an opening configured to surround a stoma. The anchoring portion preferably includes an inner tension ring attached to an inner edge to define the opening and a tension ring attached to an outer edge. The anchoring portion may include additional structural rings. The device may be of a mesh construction and used to maintain, for example, a stoma, a fistula, a tracheotomy and any other pathway from outside the body to the inner part of the body. The device may be used to maintain an open pathway for air and to maneuver devices within a cavity. The device may also be used internally.

Abstract: An apparatus for percutaneous delivery of a sealant comprising: at least two fluid reservoirs, an introducer needle having a distal tip that is in fluid communication with at least one reservoir, a fluid delivery tube that is in fluid communication with a second reservoir, wherein the fluid delivery tube has a tip and wherein the fluid delivery tube is configured so that the tip of the fluid delivery tube does not extend past the distal tip of the introducer needle during use.

Abstract: An apparatus includes a body configured to be at least partially inserted into a rectum of a patient. The body defines a first passageway and a second passageway between a proximal end portion and a distal end portion. The first passageway is configured to receive a medical tool and the second passageway is configured to communicate an insufflation medium. An insufflation port is coupled to the second passageway and is configured to communicate the insufflation medium to the second passageway. A retention portion is coupled to the body and is configured to have a dimension transverse to an axis defined by the body sufficient to retain at least a portion of the body in the rectum. The retention portion is configured to be located beyond an anus of the patient.

Abstract: A method and kit for treating a disc that is leaking nucleus pulposus through at least one defect in the annulus fibrosus. The method includes injecting a fibrin sealant into the disc to reduce at least a portion of the at least one defect, wherein the fibrin sealant injected into the disc comprises fibrinogen and an activating compound, wherein at least a portion of the fibrin forms after injection, with the proviso that a corticosteroid is absent from the fibrin sealant injected into the disc.

Abstract: A method of repairing a defect in an annulus fibrosus of an intervertebral disc, without excising the entire nucleus pulposus of the disc. The method includes inserting an introducer needle through the annulus fibrosus by puncturing the annulus fibrosus with the introducer needle, injecting an in situ curable, bio-compatible polymerizable or polymeric material composition into the disc through the introducer needle directly or indirectly so that the in situ curable composition contacts a defect in the annulus fibrosus; and curing said material in situ.

Abstract: A flexible membrane is situated within a rigid or semi-rigid cap. The edge of the cap wall is adhesively fixed to the tissue surrounding the stoma. The interior of the cap is pressurized to press the membrane to seal the stoma against the discharge of solid and semi-solid waste. Gas escapes through a vent with a filter element. The cap can be pressurized by an external pump or an integral pump member situated on top of the cap. A relief valve prevents over pressurization. A collection pouch can be provided as part of a device. The device can be removably mounted on a standard two-piece faceplate.

Abstract: A flexible membrane is situated within a rigid or semi-rigid cap. The edge of the cap wall is adhesively fixed to the tissue surrounding the stoma. The interior of the cap is pressurized to press the membrane to seal the stoma against the discharge of solid and semi-solid waste. Gas escapes through a vent with a filter element. The cap can be pressurized by an external pump or an integral pump member situated on top of the cap. A relief valve prevents over pressurization. A collection pouch can be provided as part of a device. The device can be removably mounted on a standard two-piece faceplate.

Abstract: Methods, systems, and apparatus for a fill port for a flexible container such as a flexible self supporting dewatering or marine structure. The container includes a flexible material having at least one opening and a fill port having an inner port body and an outer port body. At least one face of the inner and/or outer port body has a plurality of cellular surfaces with cavities that do not extend through the inner and/or outer port body on which they are positioned. The cavities receive a portion of the flexible material when the inner port body, the flexible material, and the outer port body are secured together and in use, thus minimizing stresses on the flexible material surrounding the fill port by equally distributing the forces acting on this material during the filling stage and thus reducing the risk of tears or failure to the flexible container.

Abstract: A controlled evacuation ostomy appliance comprises a membrane that is urged into sealing engagement with a stoma, by the generation of radial tension in the membrane. A tensioning device applies tension, with respect to the stoma, at one or more positions that are (i) outboard of the periphery of the projecting portion of the stoma, and/or (ii) between the level of the peristomal skin and the level of the most projecting part of the stoma. Tension limiting means are disclosed. The membrane may be gas-permeable to allow flatus to be vented.

Abstract: The present invention relates to a device, method, system and kit for receiving effluent from an individual. In an alternative embodiment, the present invention is directed to a device, method, system and kit for collecting effluent from an individual during a medical or diagnostic procedure including but not limited to, imaging or viewing one or more sections of an individual's gastrointestinal tract. In another alternative embodiment, the effluent is collected in a hollow area in order to prevent the effluent form contaminating a component, device or apparatus used in connection with the medical or diagnostic procedure.

Abstract: The invention relates to an appliance for irrigation and/or drainage, which appliance comprising a body side member comprising an adhesive wafer for securing the appliance to the patient's skin, said wafer can be provided with an aperture for receiving a stoma, surrounding a wound, a fistula or a drainage site, a wall of flexible material, the wall comprising a rear wall and a front wall, the rear wall being attached to the wafer and having an opening suitable for surrounding the surface area of the skin to be cleansed, and the front wall comprising a coupling flange adapted for removable coupling and sealing to matching coupling means, an sealed chamber which, when inflated, provides a distance between the adhesive wafer and the coupling flange.

Abstract: The present invention relates to a coupling assembly such as a coupling assembly for coupling an ostomy bag to a base plate, said base plate being adhered around a stoma. The present invention especially relates to a coupling assembly comprising a first, second and third coupling part, which are coupled together to form a coupling assembly.

Abstract: A method and apparatus for alerting a colostomate or medical attendant to the presence of fecal matter. The device includes a hollow plug detachably securable to a flexible port positioned about the stoma. The port carries an alarm circuit which is triggered when fecal matter enters the plug lumen which will alert the colostomate to an impending episode. The signal may be vibratory, audible or visible and may be transmitted to a remote location. The device includes an inflatable air cuff which, when inflated, presents a physical barrier to the passage of fecal matter. Gas may pass through filters in the tube. The method involves positioning the device in the stoma, inflating the cuff and generating an alarm when matter is sensed.

Abstract: An ostomy appliance is described in the form of a controlled discharge device for controlling discharge from the stoma and/or an ostomy pouch for collecting discharged waste. The appliance may include one or more of: an elastomeric stoma seal for providing a seal around or directly against the stoma; a stoma occluder for occluding the stoma without passing internally into the stoma; a peristomal foam wall; a confinement seal for confining at least solid excreta to a confinement region adjacent to the stoma; a stowable collector bag; and interchangeable controlled discharge devices and ostomy pouches. The foam wall may provide a barrier to stool, but allow escape of flatus. The foam wall and/or the stoma occluder and/or the confinement seal may apply a force in a direction to increase the sealing force on the stoma seal.

Abstract: A method and apparatus for alerting a colostomate or medical attendant to the presence of fecal matter. The device includes a hollow plug detachably securable to a flexible port positioned about the stoma. The port carries an alarm circuit which is triggered when fecal matter enters the plug lumen which will alert the colostomate to an impending episode. The signal may be vibratory, audible or visible and may be transmitted to a remote location. The device includes an inflatable air cuff which, when inflated, presents a physical barrier to the passage of fecal matter. Gas may pass through filters in the tube. The method involves positioning the device in the stoma, inflating the cuff and generating an alarm when matter is sensed.

Abstract: The present invention relates to a device, method, system and kit for receiving effluent from an individual. In an alternative embodiment, the present invention is directed to a device, method, system and kit for collecting effluent from an individual during a medical or diagnostic procedure including but not limited to, imaging or viewing one or more sections of an individual's gastrointestinal tract. In another alternative embodiment, the effluent is collected in a hollow area in order to prevent the effluent form contaminating a component, device or apparatus used in connection with the medical or diagnostic procedure.

Abstract: A new and improved ostomy or incontinence appliance that is user-friendly, sanitary, environmentally safe, provides novel attachment means, and further includes optional features including a temporary breather flange that allows for healing of the stoma orifice when irritated and a novel stoma locator adaptor that aids a user and provides proper placement and alignment of the appliance.

Abstract: An ostomy cartridge for use in host device in a mammal includes a body formed at elastomeric partially of polymeric material and a stem. The stem is secured to the body and is operable to permit insertion of the body into the host device and removal of the body from the host device. The stem and the body cooperate with one another and the host device to prevent flow of liquid and solid waste through the host device to the exterior of the mammal with which the host device is associated.

Abstract: A ostomy device having a mounting disc and an ostomy pouch with a stoma receiving portal. The mounting disc is sealed about the portal and includes a flexible plastic disc having a convex central body portion and surrounding annular rim. A foam disc is adhesively adhered to the plastic disc, and a first skin barrier disc having an outer diameter corresponding to the outer diameter of the foam disc is adhesively adhered to an adhesive face of the foam disc. The skin barrier disc includes an inner diameter that is stretchable from a smallest diameter that is a point distal from an inner diameter of the plastic disc to a largest diameter that is substantially corresponding to an inner diameter of the plastic disc.

Abstract: The disposable excreta management device has a longitudinal centerline, a transverse centerline, a wearer-facing surface and an opposing surface. The disposable excreta management device comprises a flexible bag to contain excreta and an adhesive flange to attach the device to the body of a wearer. The flexible bag has an opening positioned on the wearer-facing surface. The excreta management device has an orifice provided on the flexible bag and comprises a seal means to resealably close the orifice. A peel force of the seal means to the surface of the flexible bag is between 0.3 N/cm and 4.0 N/cm.

Abstract: A closed drainage system for irrigating ostomies which consists of 1) a standard hospital enema bag and tube, 2) a colostomy bag with a stop cock valve and with a flapped opening for receiving an enema bag tube, 3) a collection bag tube, and 4) a collection bag with hanging hooks and a drain spout. The system allows for large volume ostomy irrigation and, further, allows for the products of irrigation to be enclosed until their controlled removal thereby containing offensive odors, preventing soiled sheets and reducing the risk of spreading infectious diseases.

Abstract: The applicator is used for a placement of an excreta management device on a wearer. The applicator has a longitudinal centerline, a transverse centerline, a device facing surface and an opposing surface. The applicator comprises a handle disposed at transverse ends, a pressure portion disposed along the longitudinal centerline, a middle portion disposed between the handle and the pressure portion and a spacer. When the applicator folded into a pair of right and left pieces along the longitudinal centerline, the spacer is inserted between the right and left pieces. The pressure portion presses the excreta management device toward the wearer's skin during the use of the applicator. The opposing surface of the right piece and the opposing surface of the left piece are separated from one another at the middle portion by the spacer when the applicator is folded.

Abstract: An ostomy appliance including an adhesive barrier member having a hole for receiving a stoma, ureter, or catheter, an outer receiving member or bag releasably attached to the adhesive barrier member, and a disposable inner bag liner releasably attached to the adhesive barrier member. A single base coupling ring is attached to the barrier member and includes a first coupling area on an inner surface thereof, relative to the hole, and a second coupling on an outer surface thereof. The inner bag, which is coupled to the barrier member using an inner bag coupling ring, is coupled to the barrier member at the first coupling area and the outer receiving member is coupled to the barrier member at the second coupling area, such that both the inner bag and outer receiving member are mounted on the same single barrier member ring.

Abstract: A drainable ostomy pouch having sidewalls of flexible sheet material defining a cavity therebetween and a downwardly-extending neck portion terminating in a discharge opening that is closed by folding the neck portion upwardly and opened by unfolding the neck portion downwardly. Each of the sidewalls of the neck portion is provided with a transversely-extending bias member that is formed of stiff but flexible, springlike plastic material. The bias members are normally flat so as to be in straight parallel closed condition but are openable under inwardly-directed finger pressure applied to their opposite ends to cause them to bow outwardly away from each other.

Abstract: An ostomy pouch clamp/closure and a method of production are described. The clamp comprises a blade member and a trough member hingedly coupled to the blade member and having a blade member receiving channel. At least one of the members comprises integrally molded first and second portions, being respectively a rigid portion of a first relatively hard plastics, and a soft or comfortable-feel portion of a second relatively deformable plastics. The clamp can be formed using two-shot molding. The channel also includes an elongate constriction for releasably retaining the blade member in the channel, providing a mechanical interlock along the entire length of the clamp. The clamp also includes a snap lock at its distal end.

Abstract: A device for cleaning the interior and exterior of a colostomy pouch or the like. The device includes a middle water sprayer for cleaning the interior of the pouch and two lateral water sprayers for cleaning the exterior of the pouch. The water sprayers are attached to a conduit which is connected to a source of water such as a flexible hose connected to a faucet. A water shield is provided to prevent the operator from being sprayed during the cleaning procedure. The waste material cleaned from the pouch is discharged through the spray shield into a conventional toilet where the water and waste is removed by flushing the toilet.

Abstract: A system using a secondary cleansing fluid achieves a fully functional irrigation and cleansing system for a medical container and associated tubing and adapter. A connection to a standard interior faucet, using pressurized water in conjunction with a negative pressure device, creates siphoning of a secondary fluid into fluid contact with the water for mixing. In addition, the system provides for an efficient connection for the associated tubing of less than half an inch in diameter for filling, cleansing, and flushing.

Abstract: A suprapubic fluid collection device contains leakage from an ostomy site. The device comprises an adhesive patch, a collection bag, and a urinary catheter. The adhesive patch has adhesive on one side for securing the patch around the ostomy site and a ring member projecting from the other side. The ring member circumscribes the ostomy site. The collection bag has a first opening and a channel member circumscribing the first opening and projecting from the exterior of the collection bag. The channel member of the collection bag mates with and secures the ring member of the adhesive patch. The collection bag has a second opening formed therein and a drainage spout communicating with the interior of the collection bag. The urinary catheter extends within the interior of the collection bag between the second opening and the first opening. The catheter has a distal end for insertion within a human bladder and a proximal end.

Abstract: A medical device for holding a feeding tube providing substantially rigid fastening of the tube to the patient. The device includes a drainage bag cooperatively disposed about the tube for containing any drainage that may occur through a body opening in which the tube is inserted. The drainage bag may be provided with a feeding tube-engaging port capable of accommodating feeding tubes of various diameters.

Abstract: A system using a secondary cleansing fluid achieves a fully functional irrigation and cleansing system for a urostomy patient night drainage container and associated tubing and adapter. A connection to a standard interior faucet using pressurized water in conjunction with a negative pressure device creates siphoning of a secondary fluid into fluid contact with the water for mixing. In addition, the system provides for an efficient connection for the night container tubing of less than half an inch in diameter for filling, cleansing, and flushing.

Abstract: A colostomy pouch rinsing device comprises a faucet coupling assembly including a central elbow member having an upper section including faucet coupling devices and a lower section including a first compression unit; a water control handle including a main body and a control lever coupled thereto; a rubber hose having an inboard end being coupled to the faucet coupling assembly, the outboard end of the hose being coupled to the water control handle; a spray head formed in a hollow, generally cylindrical configuration with an upper end including a plurality of water apertures projecting therethrough; and copper tubing with an inboard end being threadedly coupled to the projection member of the handle and an outboard end formed contiguously with the spray head.

Abstract: A manual gas venting and cutting apparatus for use in cutting an opening in and manually venting gas from the interior of a conventional unvented ostomy collection pouch includes a valve assembly having an open position, which permits gas to pass therethrough and a closed position, for preventing gas to pass therethrough. The valve assembly has an input portion for communicating with the interior of the ostomy collection pouch and an output portion for communicating with the atmosphere and a mounting device for mounting the valve assembly to a selected portion of the ostomy collection pouch. The mounting device releasably contains therein a portion of the valve assembly so as to position the input portion thereof proximate the interior of the ostomy collection pouch, and the output portion of the valve assembly proximate to the atmosphere.

Abstract: A manual gas venting and cutting apparatus for use in cutting an opening in and manually venting gas from the interior of a conventional unvented ostomy collection pouch includes a valve assembly having an open position, which permits gas to pass therethrough and a closed position, for preventing gas to pass therethrough. The valve assembly has an input portion for communicating with the interior of the ostomy collection pouch and an output portion for communicating with the atmosphere and a mounting device for mounting the valve assembly to a selected portion of the ostomy collection pouch. The mounting device releasably contains therein a portion of the valve assembly so as to position the input portion thereof proximate the interior of the ostomy collection pouch, and the output portion of the valve assembly proximate to the atmosphere. Also included is a cutting device for providing a geometrically-shaped opening through the ostomy collection pouch,.

Abstract: A multipurpose colostomy device for fixing in the stoma or rectum of a human body, includes an internal balloon, a ring configured external balloon surrounding the internal balloon, a connecting tube disposed under the both internal and external balloons, a joint tube operatively connected to a drainage hose and disposed under connecting tube, a supporting plate disposed between the connecting and joint tubes for fixing the colostomy to the abdominal wall, and an L-shaped supply tube containing a pair of air passages, a washing fluid passage and an enema fluid passage.

Abstract: An ostomy bag cleaning device (10) for introducing water into an ostomy bag (12) in order to loosen and evacuate waste contained therein and retain evacuated waste material until sanitarily disposal thereof. The cleaning device (10) includes a pump reservoir (14) for storing clean water to be used as a cleaning medium for an ostomy bag (12). A pump (16) includes a pump impeller (26) positioned within the pump reservoir (14) such that the water may be withdrawn therefrom. Water is withdrawn from the pump reservoir (14) through a flexible hose (38). A waste receptacle (18) is provided for receiving and storing the waste and wasted water from the ostomy bag (12) until sanitary disposal thereof. A carrying case (42) is provided for storing the pump reservoir (14), the pump (16), the waste receptacle (18), and any associated equipment. A rigid support structure (44) is provided for receiving both the pump reservoir (14) and the waste receptacle (18) such that the position of each is maintained.

Abstract: An irrigator for colostomy patients consists of a bag for receiving a flushing liquid, the bag having a membrane dividing the bag into an air chamber on one side and a closable flushing liquid chamber on the other side. A drainage line is connected to the bag, and a pump is connected to the air chamber is provided for pressurizing the same.

Abstract: The invention relates to an apparatus for irrigating and draining body wounds of patients, having a base plate, which can be sealingly fixed to the area surrounding a wound and which has an opening for the passage of tubes and lines and which is provided with a closed bag fixed or fixable in sealing manner to the base plate and which is provided with an opening in the fixing area. The apparatus can also be used for treating animal wounds.

Abstract: An integral hinged clip having two limbs. One limb is held by two opposed resilient catch portions of the other limb within a channel defined by said other limb. The catch portions effecting said holding in their normal undeformed positions. The clip is useful as a closure for a drainable ostomy pouch.

Abstract: As ostomy appliance having a collection pouch and a flexible faceplate, the faceplate including an outer ring of thin, microporous sheet material and an inner ring of flexible, thermoplastic film impervious to gases and body fluids. The outer microporous ring surrounds the inner ring so that their adjacent margins overlap and are sealed to each other. The faceplate also includes a barrier ring secured to the inner marginal portion of the microporous ring on the side opposite from the attachment of the impervious inner ring. A fluid-impervious annular seal is provided between the impervious inner ring and the barrier ring at a location radially inwardly from the microporous ring, thereby securing the parts together and isolating the inner margin of the microporous ring from contact by stomal fluids.

Abstract: An ostomy pouch having a plug for the stoma and a pouch to collect natural discharges. The plug stops the natural discharges from collecting in the pouch. The pouch is employed to catch any discharges that might leak through the plug and to form a reservoir when the plug is dislodged. Such a reservoir is especially required when one is in training for the use of the stoma plug. The pouch has an openable top through which the user can reach to remove the stoma plug so that the contents of the colon can be drained into the pouch. The bottom of the pouch is also openable, allowing the user, when sitting on a water closet, to drain the pouch into the toilet without undressing any more than would a person without a colostomy. After discharge of the pouch, the bottom drain can be resealed, the plug placed back into the stoma, and the top of the pouch closed.The pouch is detachably mounted on a person's body. As confidence and control in the use of the ostomy plug is developed, the pouch can be used less and less.