Abstract: The invention relates to method of manufacturing a custom stoma insert for a patient having a stoma, as well as to a stoma made using the method of the invention. The method comprises the steps of scanning the stoma and surrounding skin area to generate a three-dimensional scan of the area for which the stoma insert is to be manufactured; manipulating scan data obtained from the three-dimensional scan to render a three-dimensional model of the stoma and surrounding skin contours, such that the scan data is suitable for use in an additive manufacturing environment; creating a custom mould for the stoma insert using additive manufacturing such that the mould provides a complementary surface closely mirroring the contours of the stoma and surrounding skin area; and producing the stoma insert by casting a physiologically acceptable mouldable material into the custom mould.

Abstract: A frame is sealed in a waterproof manner to a pair of pants and/or waders, where the frame forms a frame aperture separating an outside from an inside of the pair of pants and/or waders. A lid is pivotably connected to the frame where the lid in an open position allows access through the frame aperture and the lid in a closed position does not. A seal is disposed between the frame and the lid forming a waterproof closure of the frame aperture when the lid is in the closed position. A latch is movably connected to the frame, the latch having an engagement surface configured for a user to press against. A protective protrusion is attached to the lid, wherein the engagement surface and the protective protrusion cooperatively form a finger gap configured to allow the user access to press against the engagement surface.

Abstract: A balloon catheter comprises a catheter and a balloon located on the distal end of the catheter. A pair of stimulating electrodes for receiving a constant current stimulating signal when the balloon is inflated with an electrically conductive medium and a plurality of sensing electrodes for producing voltage response signals are located on the catheter. The voltage response signals are indicative of the values of the transverse cross-sectional area of the balloon adjacent the sensing electrodes. A first lumen accommodates the inflating medium to and from the balloon, and a second lumen accommodates electrically conductive wires to the stimulating and sensing electrodes. A pressure sensing element is located in a protective housing in the second lumen, and communicates through a communicating opening in the protective housing and through a communicating port in the catheter with a hollow interior region of the balloon.

Abstract: An ostomy device comprises an ostomy bag; a peristomal pad with a body-side adhesive surface and at least one belt attachment means interposed between the ostomy bag and the bag-side surface of the peristomal pad, wherein the device comprises at least one skin protection means.

Abstract: There is provided a disposable ostomy bag assembly (1) comprising a bag (3) for receiving bodily waste materials; a compactable sheath (2) for closing and sealing the bag (3) after use; and a flange (4) for securing the assembly to the body of a patent and provided with an orifice to enable bodily waste to be received by the bag (3). The ostomy assembly (1) solves the problem of escaping malodour and bodily waste when the patient detaches the ostomy bag from the body (face plate (5)). The compactable sheath (2) can be stretched to acquire a cylindrical sheath (2) extending from the flange (4), whereby the sheath (2) may be closed in order to seal the contents of the bag (3). Closing the sheath (2) may simply be done by tying a knot (6).

Abstract: An ostomy armor includes a rigid base plate that covers a stoma of a patient and at least a portion of a waste collection bag attached to the stoma. The ostomy armor further includes a plate pad attached to the back surface of the rigid base plate. The ostomy armor also includes a belt that to hold the ostomy armor on the patient.

Abstract: A kit for collecting stool, comprising an adapter (1) for connecting the anus or a perianal stoma of a user to a peripheral device, said adapter comprises a flexible adhesive plate (2) having first through going hole, a flexible tube (3) extending from a first opening (11) to a second opening (12) and a first flexible coupling plate (4) having a second through going hole, wherein the flexible tube is attached to the flexible adhesive plate in an area surrounding the first opening and the flexible tube is attached to the first flexible coupling plate in an area encircling the second opening, allowing fluid communication from the first through going hole to the second through going hole through the flexible tube, and a peripheral device (20, 60) for coupling to the adapter.

Abstract: A convex shell for use in a base plate of an ostomy appliance includes an annular ring defined by an outer edge and an inner edge of defining a through-going hole. The annular ring has at least four transition sections extending transversely across the annular ring, dividing the annular ring into at least a first, second, third and fourth segment. By changing the characteristics of the convex shell in such sections, it is possible to control the bending of the shell. The shell also makes it possible to keep the area around the stoma more stable and resistant towards collapsing, while providing improved flexibility in the peristomal area for better comfort.

Abstract: Radially divided adhesive wafers are provided for applying to the skins of a human, and which increase the wear time for such adhesive wafers. The adhesive wafer includes a through-going hole for communication with a body opening and an adhesive proximal side for attachment of the wafer to the skin. The adhesive wafer has an inner annular adhesive layer, an outer annular adhesive layer encircling the inner annular adhesive layer, an attachment zone on the distal side of the wafer for attaching a collection bag, and a connecting element for mechanically connecting the first annular adhesive layer to the second annular adhesive layer. The connecting element includes first and second connection areas on the distal side of the respective first and second annular adhesive layers, at least one connection area being radially spaced from the radial edges of the respective annular adhesive layer.

Abstract: An ostomy device is provided including an ostomy pouch having an entrance opening, a body attachment wafer having a through-going opening and a coupling layer, which couples the pouch to the body attachment wafer and has a central opening therein. The body attachment wafer includes a plastic film, which is coated with a layer of skin friendly adhesive on the side thereof distal to the ostomy pouch. The coupling layer is affixed to the body attachment wafer along an attachment line extending around the central opening in the coupling layer, the attachment line being distanced from the central opening in the coupling layer. The region around the entrance opening of the pouch is affixed to the coupling layer in a landing zone located between the attachment line and the opening in the body attachment wafer.

Abstract: A medical undergarment system effective for supporting an ostomy system consists of a first diagonal catheter channel, a second diagonal catheter channel, a first vertical catheter channel, and a second vertical catheter channel. The system consists of tubing, a base undergarment, and a fluid bag. The medical undergarment system provides a comfortable yet stable ostomy system that can easily be slipped on and off by a user. The system enables convenient and easy removal of bodily fluid when using a catheter.

Abstract: A shield that is useful in connection with an ostomy pouching system when changing a wafer or changing a collection pouch. The shield includes a plate adapted to be disposed over the stoma and at least a portion of the ostomy pouching system, an absorbent material adapted to absorb body waste flowing from the stoma, which absorbent material is disposed adjacent to a portion of the plate, and an adhesive or other mechanism for selectively securing the plate and the absorbent material proximate to the stoma such that the plate is disposed over the stoma when portions of the ostomy pouching system are changed. Also disclosed is the combination of an animal body and the shield, as well as a method of containing the flow of body waste from a stoma.

Abstract: A controlled discharge ostomy appliance is described for use with an adhesive body fitment. The body fitment comprises an adhesive wafer having a stomal aperture that is manually shapeable by folding or rolling back a rim portion of the adhesive around the stomal aperture.

Abstract: There is provided a disposable ostomy bag assembly (1) comprising a bag (3) for receiving bodily waste materials; a compactable sheath (2) for closing and sealing the bag (3) after use; and a flange (4) for securing the assembly to the body of a patent and provided with an orifice to enable bodily waste to be received by the bag (3). The ostomy assembly (1) solves the problem of escaping malodour and bodily waste when the patient detaches the ostomy bag from the body (face plate (5)). The compactable sheath (2) can be stretched to acquire a cylindrical sheath (2) extending from the flange (4), whereby the sheath (2) may be closed in order to seal the contents of the bag (3). Closing the sheath (2) may simply be done by tying a knot (6).

Abstract: An ostomy barrier seal comprising an open-ended conical base 1; and a flange portion 2 extending radially from the base; wherein the conical base 1 has a top opening 3 and a bottom opening 5 for receiving a stoma of a user and the top opening diameter 9 is smaller than the bottom opening diameter 11; such that the stoma of the user fits through the bottom opening and the top opening expands to snuggly fit around and seal along the stoma wall; a related ostomy appliance incorporating the barrier seal; and a related method using the barrier seal to reduce the incidence of waste leakage in an ostomy patients.

Abstract: The ostomy receiving bag comprises a front wall (2) and a rear wall and has a top end and a bottom end. The top end of the rear wall is provided with an inlet to receive a stoma, and one wall is provided with at least one first half of a fixation pair (A), and the same effective wall after closure of the bag, if available, is provided with at least one second half of a fixation pair (B), such that when the first half and the second half of the fixation pair are attached, the volume of the receiving bag is reduced.

Abstract: An adhesive patch configured to attach an ostomy appliance to a patient includes a peripheral rim disposed around a central hole that is attachable to a stoma of the patient; and a band of adhesive extending from the peripheral rim to an inner border of the adhesive patch and having a pattern of curvilinear indentations extending to the peripheral rim of the patch.

Abstract: Disposable elements for use in ostomy. In one embodiment a cap with an integral bag is provided. In another embodiment a sealable bag is provided with means for sealing. In another embodiment, the ostomy port itself is disposable.

Abstract: An ostomy coupling is disclosed comprising a floatable coupling part. The coupling part is supported with respect to an adhesive wafer by means of a flexible support collar that permits displacement of the coupling part in a floatable manner. The flexible collar comprises plastics film and has bistable shapes. The collar is configured to hold the coupling part stably in (i) an extended position spaced from the adhesive wafer, to facilitate an ostomate to manually brace the coupling part in order to relieve the attachment force when an ostomy appliance is press fitted to the coupling part, and (ii) in a retracted position close to the adhesive wafer.

Abstract: The present invention is an ostomy-bag cover that provides a waterproof covering for an ostomy bag. This permits a patient wearing an ostomy bag to shower or bathe without getting his or her ostomy bag wet. In some embodiments, the ostomy-bag cover is constructed such that the patient can engage in water related activities, including swimming, while wearing the ostomy-bag cover over the ostomy bag and prevent the ostomy bag from getting wet. In some embodiments, the ostomy-bag cover includes a resealable opening configured to allow the patient to empty the ostomy bag without the need to remove the ostomy-bag cover. In other embodiments, the ostomy-bag cover includes a waterproof exhaust vent to allow air to be removed from the ostomy-bag cover.

Abstract: An adapter is disclosed for an ostomy coupling. The adapter provides a floatable coupling characteristic to an ostomy body fitment that has a non-floatable coupling part. The adapter comprises a first coupling part for attaching to the non-floating coupling part of the body fitment, a second coupling part for releasably attaching to an ostomy appliance, and a flexible collar between the first and second coupling parts. The flexible collar permits the second coupling part to be displaced away from the first coupling part, thereby creating a space for an ostomate to manually brace the second coupling part against an attachment force when an appliance is fitted.

Abstract: A mounting assembly for an ostomy pouch. The assembly includes a body flange having an adhesive coating on one side adapted to be adhered to the peristomal skin surface of an osteomate. Diametrically opposed loops project from the edge of the flange and form pockets. Also included is an ostomy pouch having a stoma receiving opening surrounded by a stiffly flexible ring having diametrically opposed loops that cooperate with the pockets on the flange loops. An adhesive coating is provided on the flexible ring and there is a mechanical interlock between the ring and flange. When the loops on the flexible ring are aligned with the pockets on the flange the flange and ring may be adhesively interlocked to attach the pouch to the body flange.

Abstract: The present invention provides methods and devices for the abatement of noise emanating from surgically created abdominal stomas. In one embodiment, the present invention provides a sound abatement device for an abdominal stoma. The device includes a noise suppressor formed of sound dampening material, which defines an opening and cavity suitable in size and shape for receiving and enveloping a stoma formed through a body wall of an individual. The device further includes a support arm extending from the noise suppressor, which includes a first end connected to the noise suppressor and a second end disposed opposite thereof. The device further includes a base member disposed proximate the second end of the support arm, which includes an attachment for connection to an individual. The device also includes an attachment feature for releasable attachment of the second end of the support arm to the base.

Abstract: A method of providing a stoma with a removable connection for a receptacle includes securing an implant onto the stoma of a patient, wherein the implant has an axial interior section for fixation inside the body and an axial exterior section extending outwards from the body, a free end of the exterior section accommodates mounting of a detachable device, and a distal portion of the interior section includes an anchoring section, extending radially from the distal portion of the interior section. The anchoring section has an inner anchoring ring, an outer anchoring ring and at least one connection member configured and dimensioned for resiliently connecting the inner and outer anchoring rings in a manner to provide axial resilience and anchorage to the anchoring section such that the anchoring section is able to respond to movements and absorb the shear of the implant in relation to adjacent organs.

Abstract: The present invention relates to an in situ cleanable filter for an ostomy appliance comprising a pathway for leading gases to a vent in an ostomy bag and a protective element contained in said pathway to prevent solid or semi-liquid waste from blocking the pathway where a channel or compartment formed by liquid impermeable layer(s) is defining at least part of the pathway and at least a part of said compartment or channel contain a protective element of an open celled compressible material having a memory and having a pore size of at least 60 PPI, said protective element extending in the same direction as the gas flow within the channel or compartment, said channel or compartment having an opening providing access to the pathway from the interior of the bag, said pathway having another opening being connected to a vent in the ostomy bag, optionally via a deodorizing filter. The invention relates to an ostomy appliance comprising a filter as above and a method for emptying and cleaning the filter.

Abstract: The urine collection bag support belt (10) supports urine bags (B) beneath clothing or when sleeping. The support (10) includes a waist cincture (12) having opposed first and second ends (18, 20) and a central portion. At least one releasable fastener (14, 16) is provided for releasably securing the first end (18) to the second end (20) in order to secure the cincture (12) to the waist. At least one strap (22) is attached to the central portion of the belt (12) and extends downward. The strap (22) is adapted for releasably supporting the urine bag (B). In addition, at least one elongated strip is secured to the belt (12) that supports the tubing (T) connected to the urine collection bag (B) by retaining a serpentine portion of the tubing (T) against the waist cincture (12).

Abstract: An ostomy faceplate and its method of application are disclosed in which the faceplate comprises an annular adhesive wafer of soft, moisture-absorbent, memory-free, essentially non-elastic and finger-moldable adhesive skin barrier material, the wafer's distal surface having an outer zone terminating at the outer periphery of the wafer and an inner zone extending inwardly from the inner limits of the outer zone to a stoma-receiving opening at the inner periphery of the wafer. The faceplate also includes a flexible backing layer covering the outer zone and a removable cover member having a smooth surface releasably covering the proximal bodyside surface of the wafer.

Abstract: A mounting structure for installation at a corporeal port opening. The mounting structure includes a reentrant tube on an exterior surface of which is disposed at least one balloon, with a proximal everted portion of the tubing extending from the distal portion of the tubing, with a gas flow passage associated with the tubing, for selective inflation of the balloon. A vacuum thermoforming process for making such mounting structure is described. The mounting structure is useful employed for anchoring of a therapeutic device such as an ostomy bag at a corresponding port of the body, with the balloon(s) of the device providing effective anchoring of the mounting structure and permitting the mounting structure to be comfortably worn by a patient during therapeutic intervention.

Abstract: A layered adhesive construction comprising a backing layer and a first and second layer of hydrocolloid adhesive, where the first and second layer of hydrocolloid adhesive have different composition, and the second layer of hydrocolloid adhesive is at least partly interposed between the first layer of hydrocolloid adhesive and the backing layer, the first and second adhesive layers consisting of a continuous phase and a discontinuous phase where the discontinuous phase of the first adhesive layer comprises a hydrocolloids providing a higher moisture absorption capacity and higher initial rate of absorption to the adhesive layer than the hydrocolloids in the discontinuous phase of the second adhesive layer, and the discontinuous phase of second layer of adhesive comprises hydrocolloids providing a higher cohesion following moisture absorption to the adhesive compared to the hydrocolloid in the discontinuous phase of the first adhesive layer.

Abstract: A mounting structure for installation at a corporeal port opening. The mounting structure includes mounting structure for installation at a corporeal port opening, such mounting structure including a blowmolded article comprising enlarged cylindrical sections interconnected by tube segments, adapted to engage the corporeal port opening at a tube segment intermediate the enlarged cylindrical sections and with the enlarged cylindrical sections being in abutting contact with internal and external corporeal surfaces surrounding said port opening. The mounting structure is useful employed for anchoring of a therapeutic device such as an ostomy bag at a corresponding port of the body, with the enlarged sections of the device providing effective anchoring of the mounting structure and permitting the mounting structure to be comfortably worn by a patient during therapeutic intervention.

Abstract: A disposable inner bag liner for an ostomy appliance, the inner bag liner being adhered to a release liner prior to attachment to an outer receiving member. The release liner includes an alignment element and a gripping element. An ostomy appliance including the aforementioned inner bag liner with the gripping element and/or the alignment element is also provided, along with a method of application of the inner bag liner.

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: 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: A stoma support plate and harness includes a support plate including a body, an aperture and a harness fastener; and a harness including at least one plate fastener and a closure. A method of supporting an ostomy skin barrier includes the steps of: providing a support plate including a body, an aperture and a harness fastener; placing the support plate over an ostomy skin barrier such that the ostomy skin bag opening and adaptor are accessible through the support plate aperture; and securing the support plate against the ostomy skin barrier with a harness including at least one plate fastener and a closure, wherein the harness wraps and closes around the body of user to apply pressure to the ostomy skin barrier to hold the ostomy skin barrier in place, such that an ostomy bag may be secured to the ostomy skin barrier through the aperture in the support plate.

Abstract: A manifold for ostomy bag irrigation, including an inlet member having a channel defined therein, a T-member having a channel defined therein and in fluid communication with the inlet member, a left tube having a plurality of apertures defined therein and having one end coupled to the T-member, a right tube having a plurality of apertures defined therein and having one end coupled to the T-member, a left cap having a channel defined therein and coupled to the second end of the left tube, and a right cap having a channel defined therein and coupled to the second end of the right tube.

Abstract: A disposable ostomy receiving bag having front and rear walls sealed together along the rim thereof and having a top end and a bottom end, and a cover of a sheet material covering one or both surfaces of the bag and only secured to the wall along the part of the rim being superimposed on the sealed rim of the front and rear walls. The bottom end can be folded to reduce the size of the bag, with the folded end discreetly hidden under the cover sheet. Should a larger collecting volume be needed, unfolding of the bag allows for an easy enlargement of the active volume of the bag simply by withdrawing the end of the bag from under the cover sheet.

Abstract: An apparatus to receive feces from an ostomy pouch or urine from a person for disposal which comprises an adjustable strap member worn about a neck of the person to hang down therefrom. A waste receptacle is provided. A mechanism is for detachably mounting the waste receptacle to distal ends of the adjustable strap member at a groin area of the person. The person can discharge the feces from an open end of the ostomy pouch and also urinate into the waste receptacle.

Abstract: A wound dressing member is provided for use in a vacuum bandage connected to a vacuum source. The wound dressing member is also provided for use with a wound having a wound surface. The wound dressing member includes a wound facing surface adapted to be in contact with and generally conform to the wound surface and a plurality of discrete holes formed in the wound facing surface. The member further includes a port configured to communicate with the vacuum source and with each hole formed in the wound facing surface. The wound dressing member further includes a stand-off having interconnected portions coupled to the wound facing surface and configured to provide a space between the wound facing surface and the wound surface.

Abstract: An ostomy coupling is disclosed comprising a floatable coupling part. The coupling part is supported with respect to an adhesive wafer by means of a flexible support collar that permits displacement of the coupling part in a floatable manner. The flexible collar comprises plastics film and has bistable shapes. The collar is configured to hold the coupling part stably in (i) an extended position spaced from the adhesive wafer, to facilitate an ostomate to manually brace the coupling part in order to relieve the attachment force when an ostomy appliance is press fitted to the coupling part, and (ii) in a retracted position close to the adhesive wafer.

Abstract: A high performance flatus gas filter assembly, and a body waste collection pouch with which it may be used, along with a method for making such an assembly, are disclosed. The assembly includes a filter pad having first and second layers of deodorizing filter media with an imperforate gas and odor barrier layer sandwiched therebetween for blocking the direct flow of gases between the opposing inner faces of the filter layers. An envelope of liquid and gas impermeable material defines a chamber for enclosing the pad. The envelope has walls with first and second openings communicating with central portions of the first and second filter layers, and defines a peripheral space about the pad to permit the outward flow of flatus gases from the peripheral edge surface of one of the filter layers inwardly into the peripheral edge surface of the other of the filter layers.

Abstract: A device (10) for use with an ostomy appliance, the device (10) having an opening (12), surrounded by a peripheral wall (13), to receive a stoma, and a flange part (14) connected to the peripheral wall (13), which flange part (14) extends substantially perpendicularly away from the opening (12).

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 set of coupling parts, such as parts for coupling an ostomy bag to a base plate, said base plate being adhered around a stoma. The set of coupling parts provides a connection part that may be interposed between a first coupling part and a second coupling part and where the coupling parts may be connected and disconnected from each other by the same movement of the connection part.

Abstract: An ostomy body side mounting wafer and a method of preparing the ostomy body side mounting wafer, where the wafer is assembled from two parts using laser welding. The laser light is provided through one of the parts having a low or lower absorption of the laser light. The other part has a higher absorption of the laser light, whereby the interface between the two parts is heated at the welding zone(s) of the laser light. In this manner, an assembly is obtained independently of the thicknesses of the materials and even close to openings or other edges.

Abstract: This patent discloses a colostomy bag belt to be worn by a person to help secure a colostomy bag to that person in an environment. The colostomy bag belt may include a liquid permeable layer fixed against a liquid impermeable layer to form a waste channel. An absorbent core may be located in the waste channel. The colostomy bag belt may include a colostomy bag hole and the absorbent core may be exposed to the environment through a belt top, belt bottom, and a perimeter of the colostomy bag hole. An adhesive layer may be located on the liquid permeable layer around the hole to adhere to the colostomy bag.

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 feeding apparatus includes a feeding tube that has a first end and a second end. A tether is removably attached to the feeding tube and is configured to secure the feeding tube to a neck or torso of a person receiving the feeding tube.

Abstract: A closed drainage system for irrigating colostomy bags wherein the bag is irrigated and cleaned while in its operable position associated with the person. More specifically, the invention mounts a manifold within the colostomy bag with an access to a water pressure from outside, the manifold providing a spray dispersion of fluid, or water preferably, at the top of the bag and gravity then drips it down through the bag and out the open bottom, preferably with the residue of the bag being washed out by the water and passing into a toilet where the user flushes the bag to completion of cleaning with all residue from the bag passing into the toilet. A water source from the toilet itself, or other suitable water supply, provides the pressured water to the manifold inside the top of the colostomy bag.

Abstract: Described herein is a transcecal ileostomy set including a balloon catheter equipped with a blocking balloon, which serves for obstruction of a small intestine, and a fixation balloon, which serves for fixation of the balloon catheter inside the large intestine when inflated. Furthermore, it includes a holder, adapted to be fixed to a patient's body from the outside, which serves for closing a large intestine wall by tightening a bioresorbable loop passing through the large intestine wall and abdominal wall. A rotary part of the plastic holder may be affixed with a protrusion serving as a block when turning to tighten the bioresorbable loop.