JP3581573B2

JP3581573B2 - Feces removal device

Info

Publication number: JP3581573B2
Application number: JP20110898A
Authority: JP
Inventors: 重信高根
Original assignee: 重信高根
Priority date: 1998-06-30
Filing date: 1998-06-30
Publication date: 2004-10-27
Anticipated expiration: 2018-06-30
Also published as: JP2000014767A

Description

【０００１】
【発明の属する技術分野】
本発明は、排便能力が弱ったり、なくなってしまった老人や患者の腸内に停滞している便を強制的に除去したり、便通を回復させるために腸内に停滞している糞の一部を除去したり、宿便を除去したり、また、検査のために腸内の便を採取するのに用いる排糞装置に関する。
【０００２】
【従来の技術】
長い日数便通のない状態になっている人の腸内には、糞が停滞しており、たまった糞は大腸の働きによって水分を失ってかたくなっている。従来において、この治療には、直腸へ液状の薬剤を注入し、便意を起こさせ、かたくなっている腸内へ停滞している糞を軟らかくする方法がよく取られている。それでも便通がうまく行かない場合や、老人や患者の状態によって、直腸へ液状の薬剤を注入することができない場合などには、医療用の手袋を付け、直接手の指を直腸に入れて、手で掻き出す方法が取られていた。しかし、人の指が入ることから患者の不快感が強く、また、指の長さに限界があることから届かない場合があり、また指を長い時間動かすことが痛くてできないため十分な効果を得られない場合があった。
【０００３】
【発明が解決しようとする課題】
本発明が解決しようとする課題は従来のこれらの問題を解消し、糞を吸引する位置を自由に変えて確実に排糞でき、直腸へ挿入される不快感を少なくし、処置する人が楽で、十分な効果が得られる排糞装置を提供することにある。
【０００４】
【課題を解決するための手段】
かかる課題を解決した本発明の構成は、
１）直腸内へ挿入できる直腸挿入管の内部に同直腸挿入管の長手方向に進退する内管を設け、同内管を吸引装置に接続し、直腸挿入管より進出させた内管の先端部を屈曲させる手段を設け、内管の先端開口の向きを変えられるようにし、前記内管を腸内の糞が停滞している位置まで進出させて糞を吸引して体外へ排出する排糞装置
２）内管外周と直腸挿入管内周の空間を閉塞した前記１）記載の排糞装置
３）直腸内へ挿入できる直腸挿入管の内部に同直腸挿入管の長手方向に進退する内管を設け、同内管を吸引装置に接続し、前記直腸挿入管を水・湯又は薬剤を送り込む注入装置に接続し、前記内管外周と前記直腸挿入管内周の空間から水・湯又は薬剤を注入し、直腸挿入管より進出させた内管の先端部を屈曲させる手段を設け、内管の先端開口の向きを変えられるようにし、前記内管を腸内の糞が停滞している位置まで進出させて糞を吸引して体外へ排出する排糞装置
４）直腸内へ挿入できる直腸挿入管の内部に同直腸挿入管の長手方向に進退する内管を設け、直腸挿入管より進出させた内管の先端部を屈曲させる手段を設け、内管の先端開口の向きを変えられるようにし、同内管と前記直腸挿入管を吸引装置に接続し、前記内管を腸内の糞が停滞している位置まで進出させて内管及び内管外周と直腸挿入管内周の空間から糞を吸引して体外へ排出する排糞装置
５）内管の先端を屈曲させる手段として、内管先端の多方向に複数の線材を結着し、同線材を引いて内管が屈曲する構造とした前記１）〜４）いずれか記載の排糞装置
６）内管の先端に糞を細かくして吸引しやすいようにする破砕装置を設けた前記１）〜５）いずれかに記載の排糞装置
７）破砕装置として、弾性板に複数の硬質板を所定の間隔で貼着し、弾性板又は硬質板の先端部に線材を結着し、同線材を直腸挿入管から外に引き出し、同線材を外部で操作して弾性体を屈曲させて糞を掻くようにした構造とした前記６）記載の排糞装置
８）直腸挿入管の外周壁に膨縮自在なバルーンを設けた前記１）〜７）いずれかに記載の排糞装置
９）吸引装置として、直腸挿入管又は内管に接続される吸引チューブを備えた汚物収納容器に負圧発生装置を接続し、汚物収納容器の上方空間を負圧にして糞を吸引チューブを介して吸引できるようにした前記１）〜８）いずれかに記載の排糞装置
にある。
【０００５】
【作用】
本発明では、直腸挿入管を直腸へ挿入し、同直腸挿入管の長手方向に進退する内管を直腸挿入管より突出させ、内管の先端を直腸内で停滞している糞のすぐ近傍に位置させる。次に吸引装置によって内管の先端開口より糞を吸引し、体外へ排出する。
内管外周と直腸挿入管内周の空間を閉塞したものは、内管と直腸挿入管の間から糞が洩れるのを防ぐ。
内管外周と直腸挿入管内周の空間を注入装置に接続したものは、内管外周と直腸挿入管内周の空間より腸内へ水・湯又は薬剤を注入して腸内に停滞している糞を軟らかくし、吸引装置に接続した内管の方で軟らかくなった糞を吸引して体外へ排出する。
内管及び直腸挿入管と吸引装置を接続したものは、内管及び内管外周と直腸挿入管外周の空間から腸内の糞を吸引する。
直腸挿入管より進出させた内管の先端を屈曲させる手段を設けているので、糞を吸引する内管の開口先端の位置と向きを変えてより広範囲の糞を吸引する。
内管の先端を屈曲させる手段として、内管先端の多方向に複数の線材を結着し、同線材を引いて内管が屈曲する構造としたものは、内管を屈曲させる方向の線材を引いて内管を屈曲させて、内管の開口先端の位置と向きを変えてより広範囲の糞を吸引する。
内管の先端に破砕装置を設けたものは、腸内で大腸の働きによってかたくなった糞を細かく破砕して吸引しやすくする。
破砕装置として、弾性板に複数の硬質板を所定の間隔で貼着し、弾性板又は硬質板に線材を結着したものは、線材を外部の後方で引いて、硬質板の間の弾性板の部分が段階的に曲がることによって、人の指を曲げるのと同じ動きをさせて、糞を掻き取るようにして細かくして吸引しやすくする。
直腸挿入管の外周壁に膨縮自在なバルーンを設けたものは、直腸挿入管を直腸へ挿入し、バルーンを膨らませて、痛みを感じさせることなく直腸挿入管を人体へ固定する。
吸引装置として、汚物収納容器と負圧発生装置を用いたものは、負圧発生装置によって汚物収納容器の上方空間を負圧雰囲気にして、腸内との圧力差によって糞を体外へ排出する。
【０００６】
【発明の実施の形態】
内管は複数でもよく、また内管の内部に複数の注入路又は排出路を設けてもよい。
内管の径は太くても細くてもよく用途に応じて選ばれる。
内管は大きな力で腸壁に当った場合に腸壁を傷つけないように曲がる弾性を持ち直腸挿入管より直線的に進退できる適度な強度を持ったものが好ましい。
直腸挿入管は直腸へ挿入するため、ある程度の剛性が必要だが、腸の内壁等を傷つけないよう軟らかいものが好ましい。また先端は丸みのある形状にして腸の内壁等を傷つけないものが好ましい。
線材には、鋼線、樹脂線などがあり、強度があり腐触しにくものが好ましい。
弾性板や硬質板は腐食しにくいものが好ましい。
【０００７】
【実施例】
本発明の各実施例について図面を参照して具体的に説明する。
実施例１（図１〜６参照）
図１〜６に示す実施例１は、内管と直腸挿入管の間を閉塞し、内管を吸引装置に接続し、吸引装置として汚物収納容器に負圧発生装置を接続し、内管の先端に破砕装置を設け、破砕装置として弾性板に複数の硬質板を所定の間隔で貼着し、弾性板又は硬質板に線材を結着し、直腸挿入管の外周壁に膨縮自在なバルーンを設けた排糞装置の例である。
図１は実施例１の排糞装置の説明図である。図２は実施例１の排糞装置の側面図である。図３は図２のＡ−Ａ断面図である。図４は実施例１の排糞装置の概略図である。図５は実施例１の排糞装置を使用している状態を示す説明図である。図６は実施例１の排糞装置を使用している状態を示す説明図である。
図中、１は排糞装置、２は直腸挿入管、３は内管、４は破砕装置、４ａは弾性板、４ｂは硬質板、４ｃは支持部、５は線材、６は保護チューブ、７は樹脂フィルム、８はバルーン、９はバルーン用空気注入管、１０は空気ポンプ、１１はＯリング、１２は汚物収納容器、１３は負圧発生装置、Ｃ1は直腸、Ｃ2は直腸に停滞している糞である。
実施例１では図１〜６に示すように直腸挿入管２の内側の先端近くに溝を設け、その中にＯリング１１を設ける。次に直腸挿入管の内径より小さな外側の内管３を設ける。Ｏリング１１は、直腸挿入管２の内周と内管３の外周によって圧縮変形され、その反力で直腸挿入管内周と内管外周の空間を閉塞する。内管３の先端開口に弾性板４ａを突出するようにして取り付ける。弾性板４ａの内側に支持部３ｃを取り付ける。次に３つの硬質板４ｂを図１に示すように間隔をあけて弾性板４ａの内径側に取り付ける。先端の硬質板４ｂは弾性板４ａより突出するようにして弾性板４ａに取り付ける。この先端の硬質板４ｂの先端には図１に示すように丸みがつけられていて、この部分が腸の内壁に当たった場合に腸を傷つけないようにしている。次に弾性板３ａの先端に取り付けた硬質板４ｂの先端付近に線材５を取り付け、先端より下方の硬質板４ｂの内側に保護チューブ６を取り付け、線材５を保護チューブ６の穴に貫通させるようにして破砕装置に沿うように取り付け、排出管３の内部を通って排出管３の途中より外部に出るように取り付ける。次に下方の線材４を保護チューブ６の穴に貫通させるようにして、保護チューブ６を取り付ける。本実施例１では、この支持部４ｃ、弾性板４ａ、線材５、硬質板４ｂで破砕装置４を構成する。次にこの破砕装置４を樹脂フィルム７で覆う。このように破砕装置４を樹脂フィルム７で覆うことによって破砕装置４に水分や汚れが付着して腐触が進まないようにし、また汚れがひどくなったら樹脂フィルム７を交換すれば長期間使用でき、また長期間、清潔に使用できる。弾性板４ａの硬質板４ｂ同士が取り付けられている間には穴が貫通させてあるので、この部分で両側の樹脂フィルム７同士を接触させ、接着する。次に図２，３に示すように直腸挿入管２の外周に２つのバルーン８を設ける。次にバルーン８に各々バルーン用空気注入管９を取り付け、バルーン用空気注入管９の後端を空気ポンプ１０に取り付ける。次に汚物収納容器１２を設けて、内管３の後端を取り付ける。次に、汚物収納容器１２に別の排出チューブを取り付け、排出チューブのもう一方に負圧発生装置１３を取り付ける。また、保護チューブ６で覆った線材５は、内管３の途中で外へ取り出されていて、保護チューブ６と内管３の間は弾性と密閉性のある接着剤で取り付けられている。また、内管３の途中で取り出された線材５を覆った保護チューブ６の端には、線材５と保護チューブ６の間を密閉し、かつ、線材５が摺動可能なようにゴムキャップが取り付けられている。また、線材５の内管３の途中より取り出した端には取手が取り付けられている。また、直腸挿入管２の内側にはＯリング１１が設けられており、内管３と直腸挿入管２の間をシールし、かつ、内管３を摺動できるように支持する。
この実施例１の排糞装置を使用するには、まず、バルーン８を膨らませない状態で、直腸挿入管を直腸へ挿入する。この際には、２つのバルーン８で肛門を直腸内と体外から挟むように位置させる。次に空気ポンプ１０により空気をバルーン８に送って、バルーン８を膨らませる。２つのバルーン８の片方が直腸内、片方が体外で膨んで、２つのバルーン８によって肛門をはさむようにして直腸挿入管２を人体に固定する。このようにして直腸挿入管２を固定することによって、直腸挿入管が動いて痛みを感じさせたり、肛門等を傷つけたりすることがないようにする。次に、体外に出ている直腸挿入管２の後端より突出している内管３を直腸挿入管２の後端に押し込むことによって、肛門に固定した直腸挿入管２より内管を突出させて行く。処置を行う人が感触を確めながら、図５，６に示すように内管３の先端に設けている破砕装置４が腸内に停滞している糞に当たるまで内管３を伸ばす。次に、負圧発生装置１３を作動させ、線材５の後方端に取り付けた取手を引く。すると破砕装置４の弾性板４ａの先端に取り付けた硬質板４ｂが直腸挿入管２側へ引かれる。先端の硬質板４ｂが直腸挿入管２側へ引かれることにより、硬質板４ｂと一体となっている弾性板４ａが曲がっていく。この際、３つの硬質板４ｂが弾性板４ａに取り付けられているため、弾性板４ａは硬質板４ｂ同士の間が曲がってあたかも人が指を曲げたような動きをする。この動きによって掻き取り体４が腸に停滞している糞を掻き取って直腸挿入管２の先端から突出した内管３の先端開口へ誘導する。また、線材５は破砕装置４に沿って取り付けられているので、線材５が破砕を邪魔しないようにする。内管３の先端開口は、後方に設けられた負圧発生装置１３に連結されているため、破砕装置４によって内管３の先端開口へ誘導された糞は内管３の内へ吸引され、体外の汚物収納容器１２へ送られ、集められる。この処置中に便通が回復しても、２つのバルーン８が直腸挿入管２と肛門の間を密閉し、かつＯリング１１が直腸挿入管２と内管３の間を密閉するので、便は内管３を通って汚物収納容器１２へ排出される。よって清潔で、場所を選ばず容易に使用できる。また、後処理も簡単である。もし、腸内のかたくなってしまった糞が多く深く停滞している場合には、さらに内管３を突出し、破砕装置４で糞を破砕して、内管３で吸引させれば便通を確実に回復させることができる。このように腸内の糞を吸引する位置を自由に変えて腸内に停滞している糞を排出すれば、確実に排糞でき、人の指を直接患者の直腸に入れる必要がなくなって患者の不快感が少なくなり、人の指よりも奥の腸内深くまで挿入させることができ、処置する人は患者の状態に気を配りつつ、線材５と内管３を外部から操作すればよいので、比較的長い時間、この処置を行っても指で行うのに比べてかなり疲れることが少ない。また直腸挿入管２の内管３からお湯や薬剤を腸内へ注入し、排便をさせやすくしてもよい。このように本実施例１の排糞装置を用いれば、便通を回復させるのに十分な効果をあげることができる。
実施例２（図７，８参照）
図７，８に示す実施例２は、内管を吸引装置に接続し、直腸挿入管を薬剤注入装置に接続し、内管の先端を屈曲できる手段として、内管先端の多方向に複数の線材を結着し、同線材を引いて内管が屈曲する排糞装置の例である。
図７は実施例２の排糞装置の側面図である。図８は図７のＢ−Ｂ断面図である。
図中、１５は回転盤、１６は線材、１９は注入装置である。
実施例２では図７，８に示すように、内管３の先端の四方に線材１６を結着し、線材１６を直線的に張った状態で、直腸挿入管２を貫通して後方まで延長し、上下、左右の線材を各々回転盤１５の上下、左右の円周上に取り付ける。また、線材１６を直腸挿入管２より外部に引き出す部分は、糞が外部に洩れることがないよう隙間にゴム材を取り付ける。また、図８に示すように直腸挿入管２内周と内管３外周の空間を薬剤の注入路として用いる。直腸挿入管２の終端にゴム材を取り付け、直腸挿入管２の終端より引き出した内管３がゴム材を圧縮して内管３と直腸挿入管２の間を密閉している。直腸挿入管の終端部分には注入チューブを設け注入装置１９を接続する。
実施例２の排糞装置は直腸挿入管２を直腸に挿入して固定した後、注入装置１９によって薬剤を送り込む。薬剤は直腸挿入管２内周と内管３外周の空間を通って、直腸挿入管の先端から直腸へ挿入される。薬剤によって直腸内で停滞してかたくなっている糞が軟らかくなる。本実施例２では糞を軟らかくして吸引することによって非常に効果的に排糞を行う。薬剤によって糞を軟らかくしたならば、吸引装置を駆動させる。吸引装置は内管３に接続されているので、内管３の先端開口より軟らかくなった糞を吸引する。さらに線材１６の取り付けられた回転盤１５を回すと、一方の線材が引っ張られ、一方の線材が緩む。よって内管３の先端の一方が引っ張られ、対向している内管３の一方が緩むことによって、図７に示すように直腸挿入管より突出した内管３は多方向に屈曲する。吸引させながら内管３の先端を多方向に屈曲させることによって、広い範囲の糞を排除することができる。よって確実に排糞できるようになる。さらに、直腸挿入管の人体への入れ替えなしに直腸への薬剤への注入と糞の排出が行えるので短時間で処置でき、患者の負担を減らすことができる。
その他符号、構成、作用、使い方は実施例１と同じである。
実施例３（図９参照）
図９に示す実施例３は内管と直腸挿入管を吸引装置に接続した排糞装置の例である。
図９は実施例３の排糞装置を使用している状態を示す説明図である。
実施例３では図９に示すように内管と直腸挿入管を吸引装置に接続している。このように内管及び内管外周と直腸挿入管内周の空間から腸内の糞を吸引できるようにして、効果的に排糞できるようにしてもよい。
その他、符号、構成、作用、使い方は実施例１と同じである。
【０００８】
【発明の効果】
本発明によれば、糞を吸引する位置を自由に替えて確実に排糞でき、直腸へ挿入される不快感を少なくし、処置する人が楽で、十分な効果が得られる排糞装置を提供することができる。
内管と直腸挿入管の間を閉塞したものは、内管と直腸挿入管の間から糞が漏れるのを防いで、清潔で容易に使用できる排糞装置となる。
内管外周と直腸挿入管内周の空間を注入装置に接続し、内管を吸引装置に接続したものは、腸内へ水・湯又は薬剤を注入して腸内に停滞している糞を軟らかくして、吸引して排出することによって、非常に効果的に、また直腸挿入管の人体への入れ替えなしに直腸への水・湯又は薬剤の注入と糞の排出が行えるので短時間で処置でき、患者の負担を減らすことができる。
内管及び直腸挿入管と吸引装置を接続したものは、内管及び内管外周と直腸挿入管内周との空間の位置を異にする個所から糞を吸引することで効果的に排糞できるようにする。
内管の先端に屈曲できる手段を設けたものと、屈曲できる手段として内管先端の多方向に複数の線材を結着したものは、内管の開口先端の位置と向きを変えてより広範囲の糞を吸引するようにして確実に排糞できるようにする。
内管の先端に破砕装置を設けたものと、破砕装置として弾性板に複数の硬質板を所定の間隔で貼着し、弾性板又は硬質板に線材を結着したものは、糞を細く破砕して吸引しやすくして確実に腸内の糞を排除する。
直腸挿入管の外周壁に膨縮自在なバルーンを設けたものは、患者に痛みを感じさせたり、肛門等を傷つけないようにし、また糞が体外に漏れないようにして清潔に使用できるようにする。
吸引装置として、汚物収納容器と負圧発生装置を用いたものは、排除した糞を汚物収納容器に集めるようにして、後処理を簡単に行えるようにする。
【図面の簡単な説明】
【図１】実施例１の排糞装置の説明図である。
【図２】実施例１の排糞装置の側面図である。
【図３】図２のＡ−Ａ断面図である。
【図４】実施例１の排糞装置の概略図である。
【図５】実施例１の排糞装置を使用している状態を示す説明図である。
【図６】実施例１の排糞装置を使用している状態を示す説明図である。
【図７】実施例２の排糞装置の側面図である。
【図８】図７のＢ−Ｂ断面図である。
【図９】実施例３の排糞装置を使用している状態を示す説明図である。
【符号の説明】
１排糞装置
２直腸挿入管
３内管
４破砕装置
４ａ弾性板
４ｂ硬質板
４ｃ支持部
５線材
６保護チューブ
７樹脂フィルム
８バルーン
９バルーン用空気注入管
１０空気ポンプ
１１Ｏリング
１２汚物収納容器
１３負圧発生装置
１５回転盤
１６線材
１９注入装置
Ｃ1 直腸
Ｃ2 直腸に停滞している糞[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention provides a method for removing faeces remaining in the intestine of an aged or a patient who has weakened or lost their defecation ability, or for removing feces that have remained in the intestine to restore bowel movement. The present invention relates to a feces removal apparatus used to remove a part, remove feces, and collect intestinal stool for examination.
[0002]
[Prior art]
Feces are stagnant in the intestines of people who have been in a state of lack of bowel movements for many days, and the accumulated feces lose water due to the action of the large intestine and become hard. Conventionally, this treatment is often performed by injecting a liquid drug into the rectum, causing a constipation, and softening the feces stagnant in the hardened intestine. If the bowel movement is still unsuccessful, or if the elderly or patient is unable to inject a liquid drug into the rectum, put on medical gloves and put your fingers directly into the rectum. The method of scraping was used. However, patient's discomfort is strong due to the insertion of human fingers, and it may not be able to reach due to the limited length of the fingers. In some cases, it could not be obtained.
[0003]
[Problems to be solved by the invention]
The problem to be solved by the present invention is to solve these conventional problems, to freely change the position where the feces are sucked, to surely excrete feces, to reduce discomfort inserted into the rectum, and to make it easier for the person to be treated. Therefore, an object of the present invention is to provide a feces discharge device that can obtain a sufficient effect.
[0004]
[Means for Solving the Problems]
The configuration of the present invention that has solved such a problem includes:
1) An inner tube which can be inserted into the rectum is provided with an inner tube which advances and retreats in the longitudinal direction of the rectum insertion tube, the inner tube is connected to a suction device, and a distal end portion of the inner tube which is advanced from the rectum insertion tube. Means for bending the tip of the inner tube so that the direction of the opening of the distal end of the inner tube can be changed , and the feces discharging device for advancing the inner tube to a position where feces in the intestine is stagnated, sucking the feces and discharging the feces outside the body. 2) The feces removal apparatus according to the above 1), wherein the space between the inner tube outer circumference and the rectum insertion tube inner circumference is closed. 3) An inner tube that advances and retreats in the longitudinal direction of the rectum insertion tube is provided inside the rectum insertion tube that can be inserted into the rectum. Connecting the inner tube to a suction device, connecting the rectal insertion tube to an injection device for feeding water, hot water or a drug, and injecting water, hot water or a drug from the space around the inner tube outer circumference and the inner circumference of the rectal insertion tube. A means for bending the distal end of the inner tube advanced from the rectal insertion tube, So can change the opening direction, Haikuso apparatus 4 is discharged to the outside of the body of the inner tube is advanced to a position where feces in the intestine has stagnated sucks feces) rectal insertion tube that can be inserted into the rectum An inner tube which advances and retreats in the longitudinal direction of the rectum insertion tube is provided therein, and a means for bending a distal end portion of the inner tube advanced from the rectum insertion tube is provided so that a direction of a tip opening of the inner tube can be changed. The inner tube and the rectal insertion tube are connected to a suction device, and the inner tube is advanced to a position where feces in the intestine are stagnated to suck feces from the space between the inner tube and the inner tube outer circumference and the inner circumference of the rectal insertion tube. wherein as a means for bending the tip of Haikuso device 5) in the pipe for discharging from the body, and binding the plurality of wires in multiple directions of the inner tube distal end, and a structure in which the inner tube is bent by pulling the trains material Te 1 ) to 4) is easily sucked finely feces on the tip of Haikuso device 6) in tube according to any one The tip of the Haikuso 7) crushing device, and attaching a plurality of rigid plates at predetermined intervals in the elastic plate, the elastic plate or a hard plate according to above 1) to 5) or provided with a crushing device for the The feces removal device according to the above item 6), wherein a wire is attached to the portion, the wire is drawn out of the rectal insertion tube, and the wire is manipulated outside to bend the elastic body to scrape feces. 8) A feces removal device according to any one of 1) to 7), wherein an inflatable balloon is provided on the outer peripheral wall of the rectal insertion tube. 9) As a suction device, a suction tube connected to the rectal insertion tube or the inner tube is used. A feces discharge device according to any one of the above 1) to 8), wherein a negative pressure generator is connected to the waste storage container provided, and the space above the waste storage container is made negative pressure so that feces can be sucked through a suction tube. In the device.
[0005]
[Action]
In the present invention, the rectum insertion tube is inserted into the rectum, the inner tube which advances and retreats in the longitudinal direction of the rectum insertion tube is projected from the rectum insertion tube, and the tip of the inner tube is placed in the vicinity of the stagnation in the rectum. Position. Next, the feces are sucked through the opening of the distal end of the inner tube by the suction device and discharged outside the body.
The closure of the space between the outer circumference of the inner tube and the inner circumference of the rectal insertion tube prevents leakage of feces from between the inner tube and the rectal insertion tube.
Connect the ones on the injection device between inner Kangaishu and rectal insertion tube circumference sky, stagnation by injecting water, hot water or the drug into the internal Kangaishu and rectal insertion tube circumference of spatial by Ri intestine to intestine to have to soften the feces, by sucking the soft since feces in towards the inner tube connected to the suction drawing device discharges from the body.
The one in which the inner tube and the rectal insertion tube are connected to the suction device sucks feces in the intestine from the space around the inner tube and the outer periphery of the inner tube and the outer periphery of the rectal insertion tube .
Since the means for bending the distal end of the inner tube advanced from the rectal insertion tube is provided, a wider range of feces is sucked by changing the position and direction of the opening distal end of the inner tube for sucking feces.
As a means to bend the tip of the inner tube, a structure in which a plurality of wires are bound in multiple directions at the tip of the inner tube, and the inner tube is bent by pulling the same wire, the wire in the direction to bend the inner tube is used. By pulling, the inner tube is bent to change the position and orientation of the opening end of the inner tube to suck a wider range of feces.
The one provided with a crushing device at the tip of the inner tube finely crushes the feces hardened by the action of the large intestine in the intestine to facilitate suction.
As a crushing device, a device in which a plurality of hard plates are adhered to an elastic plate at predetermined intervals and a wire is bound to the elastic plate or the hard plate, the wire is pulled rearward outside, and the portion of the elastic plate between the hard plates is used. By bending in a stepwise manner, it makes the same movement as bending a person's finger, scraping feces and making them finer and easier to suck.
In the case where an inflatable balloon is provided on the outer peripheral wall of the rectal insertion tube, the rectal insertion tube is inserted into the rectum, the balloon is inflated, and the rectal insertion tube is fixed to the human body without causing pain.
In the apparatus using the waste container and the negative pressure generator as the suction device, the space above the waste container is set to a negative pressure atmosphere by the negative pressure generator, and the feces are discharged out of the body by a pressure difference from the intestine.
[0006]
BEST MODE FOR CARRYING OUT THE INVENTION
A plurality of inner tubes may be provided, and a plurality of injection channels or discharge channels may be provided inside the inner tube.
The diameter of the inner tube may be thick or thin and is selected according to the application.
It is preferable that the inner tube has elasticity to bend so as not to damage the intestinal wall when it hits the intestinal wall with a large force, and has an appropriate strength capable of linearly moving forward and backward from the rectal insertion tube.
The rectum insertion tube is required to have a certain rigidity to be inserted into the rectum, but is preferably soft so as not to damage the inner wall of the intestine. It is preferable that the tip has a rounded shape and does not damage the inner wall of the intestine.
The wire includes a steel wire, a resin wire, and the like, and a wire having strength and resistance to corrosion is preferable.
It is preferable that the elastic plate or the hard plate does not corrode easily.
[0007]
【Example】
Embodiments of the present invention will be specifically described with reference to the drawings.
Example 1 (see FIGS. 1 to 6)
In Example 1 shown in FIGS. 1 to 6, the space between the inner tube and the rectal insertion tube is closed, the inner tube is connected to a suction device, and a negative pressure generator is connected to the waste container as a suction device. A crushing device is provided at the tip, a plurality of hard plates are attached to the elastic plate at predetermined intervals as a crushing device, a wire is attached to the elastic plate or the hard plate, and an inflatable balloon is provided on the outer peripheral wall of the rectal insertion tube. It is an example of a feces discharge device provided with.
FIG. 1 is an explanatory diagram of the feces discharge apparatus according to the first embodiment. FIG. 2 is a side view of the feces discharge apparatus according to the first embodiment. FIG. 3 is a sectional view taken along line AA of FIG. FIG. 4 is a schematic diagram of the feces discharge apparatus of the first embodiment. FIG. 5 is an explanatory diagram illustrating a state in which the feces disposal apparatus of the first embodiment is used. FIG. 6 is an explanatory diagram illustrating a state in which the feces discharge apparatus of the first embodiment is used.
In the figure, 1 is a feces removal device, 2 is a rectal insertion tube, 3 is an inner tube, 4 is a crushing device, 4a is an elastic plate, 4b is a hard plate, 4c is a support, 5 is a wire, 6 is a protective tube, 7 Is a resin film, 8 is a balloon, 9 is a balloon air injection tube, 10 is an air pump, 11 is an O-ring, 12 is a waste container, 13 is a negative pressure generator, C1 is the rectum, and C2 is stagnant in the rectum. Shit.
In the first embodiment, as shown in FIGS. 1 to 6, a groove is provided near the inner end of the rectal insertion tube 2, and an O-ring 11 is provided therein. Next, an outer inner tube 3 smaller than the inner diameter of the rectal insertion tube is provided. The O-ring 11 is compressed and deformed by the inner periphery of the rectal insertion tube 2 and the outer periphery of the inner tube 3, and closes the space between the inner periphery of the rectal insertion tube and the outer periphery of the inner tube by the reaction force. The elastic plate 4a is attached to the opening at the distal end of the inner tube 3 so as to protrude. The support 3c is attached inside the elastic plate 4a. Next, three hard plates 4b are attached to the inner diameter side of the elastic plate 4a at intervals as shown in FIG. The hard plate 4b at the tip is attached to the elastic plate 4a so as to protrude from the elastic plate 4a. The distal end of the hard plate 4b at the distal end is rounded as shown in FIG. 1 so as not to damage the intestine when this portion hits the inner wall of the intestine. Next, the wire 5 is attached near the tip of the hard plate 4b attached to the tip of the elastic plate 3a, the protection tube 6 is attached inside the hard plate 4b below the tip, and the wire 5 is passed through the hole of the protection tube 6. Then, it is attached so as to follow the crushing device and to pass through the inside of the discharge pipe 3 and to go outside from the middle of the discharge pipe 3. Next, the protection tube 6 is attached so that the lower wire 4 passes through the hole of the protection tube 6. In the first embodiment, the crushing device 4 is constituted by the support portion 4c, the elastic plate 4a, the wire 5, and the hard plate 4b. Next, the crushing device 4 is covered with a resin film 7. By covering the crushing device 4 with the resin film 7 in this manner, moisture and dirt are prevented from adhering to the crushing device 4 and corrosion is prevented. If the dirt becomes severe, the resin film 7 can be replaced for a long time. It can be used clean for a long time. Since the holes are penetrated while the hard plates 4b of the elastic plate 4a are attached to each other, the resin films 7 on both sides are brought into contact with each other at this portion to be bonded. Next, as shown in FIGS. 2 and 3, two balloons 8 are provided on the outer periphery of the rectal insertion tube 2. Next, a balloon air injection tube 9 is attached to each of the balloons 8, and a rear end of the balloon air injection tube 9 is attached to an air pump 10. Next, the waste storage container 12 is provided, and the rear end of the inner pipe 3 is attached. Next, another discharge tube is attached to the waste container 12, and the negative pressure generator 13 is attached to the other of the discharge tubes. The wire 5 covered with the protective tube 6 is taken out in the middle of the inner tube 3, and is attached between the protective tube 6 and the inner tube 3 with an elastic and airtight adhesive. A rubber cap is provided at the end of the protective tube 6 covering the wire 5 taken out of the inner tube 3 so as to seal the space between the wire 5 and the protective tube 6 and to allow the wire 5 to slide. Installed. Further, a handle is attached to an end of the wire 5 taken out of the inner tube 3. Further, an O-ring 11 is provided inside the rectal insertion tube 2 to seal between the inner tube 3 and the rectal insertion tube 2 and to support the inner tube 3 so as to be slidable.
To use the feces removal apparatus of the first embodiment, first, a rectal insertion tube is inserted into the rectum without the balloon 8 being inflated. At this time, the anus is positioned between the rectum and the outside of the body by the two balloons 8. Next, air is sent to the balloon 8 by the air pump 10 to inflate the balloon 8. One of the two balloons 8 expands inside the rectum and the other expands outside the body, and the rectal insertion tube 2 is fixed to the human body with the two balloons 8 sandwiching the anus. By fixing the rectal insertion tube 2 in this way, it is possible to prevent the rectal insertion tube from moving and causing pain, and from damaging the anus and the like. Next, the inner tube 3 protruding from the rear end of the rectal insertion tube 2 protruding from the body is pushed into the rear end of the rectal insertion tube 2 so that the inner tube protrudes from the rectal insertion tube 2 fixed to the anus. go. While confirming the feel of the person performing the treatment, the inner tube 3 is extended until the crushing device 4 provided at the tip of the inner tube 3 hits feces stagnating in the intestine as shown in FIGS. Next, the negative pressure generator 13 is operated, and the handle attached to the rear end of the wire 5 is pulled. Then, the hard plate 4b attached to the tip of the elastic plate 4a of the crushing device 4 is pulled toward the rectal insertion tube 2. When the hard plate 4b at the tip is pulled toward the rectal insertion tube 2, the elastic plate 4a integrated with the hard plate 4b is bent. At this time, since the three hard plates 4b are attached to the elastic plate 4a, the elastic plate 4a bends between the hard plates 4b and moves as if a person bends a finger. By this movement, the scraping body 4 scrapes the feces stagnant in the intestine and guides the feces to the distal end opening of the inner tube 3 protruding from the distal end of the rectal insertion tube 2. Further, since the wire 5 is attached along the crushing device 4, the wire 5 does not hinder the crushing. Since the distal opening of the inner tube 3 is connected to the negative pressure generator 13 provided at the rear, the feces guided to the distal opening of the inner tube 3 by the crushing device 4 is sucked into the inner tube 3, It is sent to the extraneous waste storage container 12 and collected. Even if the bowel movement is restored during this procedure, the two balloons 8 seal the space between the rectal insertion tube 2 and the anus, and the O-ring 11 seals the space between the rectal insertion tube 2 and the inner tube 3. The waste is discharged to the waste container 12 through the inner pipe 3. Therefore, it is clean and can be easily used anywhere. Post-processing is also simple. If there is a lot of hardened feces in the intestine and the stagnation is deep and stagnant, the inner tube 3 is further protruded, the feces are crushed by the crushing device 4 and the inner tube 3 is sucked to ensure bowel movement. Can be recovered. By freely changing the position where the feces in the intestine is sucked and discharging the feces that are stagnant in the intestine, the feces can be reliably eliminated, and there is no need to put the finger of the person directly into the patient's rectum. The discomfort of the patient can be reduced, the patient can be inserted deeper into the intestine deeper than the finger of the person, and the operator can operate the wire 5 and the inner tube 3 from the outside while paying attention to the condition of the patient. Therefore, even if this procedure is performed for a relatively long time, the procedure is less tiring than using a finger. In addition, hot water or a medicine may be injected into the intestine from the inner tube 3 of the rectal insertion tube 2 to facilitate defecation. As described above, by using the feces removal apparatus of the first embodiment, a sufficient effect for restoring bowel movement can be obtained.
Example 2 (see FIGS. 7 and 8)
In the second embodiment shown in FIGS. 7 and 8, the inner tube is connected to a suction device, the rectal insertion tube is connected to a drug injecting device, and the distal end of the inner tube is bent in a plurality of directions in multiple directions. This is an example of a feces discharging apparatus in which a wire is bound and the inner tube is bent by pulling the wire.
FIG. 7 is a side view of the feces discharge apparatus according to the second embodiment. FIG. 8 is a sectional view taken along line BB of FIG.
In the figure, 15 is a rotating disk, 16 is a wire, and 19 is an injection device.
In the second embodiment, as shown in FIGS. 7 and 8, wires 16 are attached to the four ends of the inner tube 3, and the wires 16 are stretched linearly and extend through the rectal insertion tube 2 to the rear. Then, the upper, lower, left, and right wires are attached to the upper, lower, left, and right circumferences of the turntable 15, respectively. Further, a rubber material is attached to a portion where the wire 16 is drawn out from the rectal insertion tube 2 so that feces do not leak outside. Further, as shown in FIG. 8, the space around the inner periphery of the rectal insertion tube 2 and the outer periphery of the inner tube 3 is used as a drug injection path. A rubber material is attached to the end of the rectum insertion tube 2, and the inner tube 3 pulled out from the end of the rectum insertion tube 2 compresses the rubber material to seal the space between the inner tube 3 and the rectum insertion tube 2. An injection tube is provided at the end of the rectal insertion tube, and an injection device 19 is connected to the injection tube.
In the feces removal apparatus of the second embodiment, after the rectal insertion tube 2 is inserted into the rectum and fixed, the drug is fed by the injection device 19. The drug is inserted into the rectum from the distal end of the rectal insertion tube through the space around the inner periphery of the rectal insertion tube 2 and the outer periphery of the inner tube 3. The drug softens stagnation and stagnation in the rectum. In the second embodiment, feces are excreted very effectively by softening and sucking the feces. Once the feces have been softened by the drug, the suction device is activated. Since the suction device is connected to the inner tube 3, the suction device sucks feces softened from the opening at the tip of the inner tube 3. When the turntable 15 to which the wire 16 is attached is further turned, one wire is pulled and one wire is loosened. Accordingly, one of the distal ends of the inner tube 3 is pulled and one of the opposed inner tubes 3 is loosened, so that the inner tube 3 protruding from the rectal insertion tube is bent in multiple directions as shown in FIG. By bending the distal end of the inner tube 3 in multiple directions while sucking, a wide range of feces can be eliminated. Therefore, feces can be surely eliminated. Furthermore, since the rectal can be injected into the rectum and the feces can be discharged without replacing the rectal insertion tube with the human body, the treatment can be performed in a short time, and the burden on the patient can be reduced.
Other symbols, configurations, operations, and usages are the same as those in the first embodiment.
Example 3 (see FIG. 9)
Embodiment 3 shown in FIG. 9 is an example of a feces discharge device in which an inner tube and a rectal insertion tube are connected to a suction device.
FIG. 9 is an explanatory diagram illustrating a state in which the feces discharging apparatus of the third embodiment is used.
In the third embodiment, as shown in FIG. 9, the inner tube and the rectal insertion tube are connected to a suction device. In this way, faeces in the intestine may be sucked from the space between the inner tube and the outer periphery of the inner tube and the inner periphery of the rectal insertion tube, so that the feces can be effectively eliminated.
In addition, reference numerals, configurations, functions, and usages are the same as those in the first embodiment .
[0008]
【The invention's effect】
ADVANTAGE OF THE INVENTION According to this invention, the excretion device which can change the position which sucks feces freely, can excrete reliably, reduces the discomfort inserted into a rectum, and is easy for a person to treat, and a sufficient effect is obtained. Can be provided.
An obstruction that blocks between the inner tube and the rectal insertion tube prevents feces from leaking from between the inner tube and the rectal insertion tube, and becomes a clean and easily usable feces discharge device.
A connection between the inner Kangaishu and rectal insertion tube circumference of the air on the injection device, that connect the inner tube to the suction device, the feces by injecting water, hot water, or the drug into the intestine held up in the intestine By softening, aspirating and discharging, it is possible to inject water, hot water or medicine into the rectum and discharge feces very effectively without exchanging the rectal insertion tube into the human body, so that treatment can be performed in a short time. And reduce the burden on the patient.
The connection between the inner tube and the rectal insertion tube and the suction device allows the faeces to be discharged effectively by sucking the feces from a different place in the space between the inner tube and the inner tube outer periphery and the rectal insertion tube inner periphery. To
The one provided with a bendable means at the tip of the inner tube, and the one in which a plurality of wires are bound in multiple directions at the tip of the inner pipe as the bendable means, by changing the position and direction of the opening tip of the inner pipe, a wider range is provided. Suck the feces so that they can be discharged.
A crushing device provided at the end of the inner tube, and a crushing device in which a plurality of hard plates are attached to an elastic plate at predetermined intervals and a wire rod is bound to the elastic plate or the hard plate, the crushing of feces finely Make it easier to suck and surely eliminate intestinal feces.
An inflatable balloon is provided on the outer wall of the rectal insertion tube so that the patient does not feel pain, does not damage the anus, etc. I do.
In the case of using a waste container and a negative pressure generator as the suction device, the removed feces are collected in the waste container so that post-processing can be easily performed.
[Brief description of the drawings]
FIG. 1 is an explanatory diagram of a feces discharge apparatus according to a first embodiment.
FIG. 2 is a side view of the feces discharge apparatus according to the first embodiment.
FIG. 3 is a sectional view taken along line AA of FIG. 2;
FIG. 4 is a schematic diagram of a feces discharge apparatus according to the first embodiment.
FIG. 5 is an explanatory diagram showing a state in which the feces discharge apparatus of the first embodiment is used.
FIG. 6 is an explanatory diagram showing a state in which the feces discharge apparatus of the first embodiment is used.
FIG. 7 is a side view of the feces discharge apparatus according to the second embodiment.
FIG. 8 is a sectional view taken along line BB of FIG. 7;
FIG. 9 is an explanatory diagram illustrating a state in which the feces discharge apparatus of the third embodiment is used .
[Explanation of symbols]
REFERENCE SIGNS LIST 1 feces removal device 2 rectal insertion tube 3 inner tube 4 crushing device 4 a elastic plate 4 b hard plate 4 c support portion 5 wire 6 protection tube 7 resin film 8 balloon 9 balloon air injection tube 10 air pump 11 O-ring 12 filth container 13 Negative pressure generator 15 Turntable 16 Wire rod 19 Injection device C1 Rectal C2 Feces stagnant in the rectum

Claims

直腸内へ挿入できる直腸挿入管の内部に同直腸挿入管の長手方向に進退する内管を設け、同内管を吸引装置に接続し、直腸挿入管より進出させた内管の先端部を屈曲させる手段を設け、内管の先端開口の向きを変えられるようにし、前記内管を腸内の糞が停滞している位置まで進出させて糞を吸引して体外へ排出する排糞装置。Provide an inner tube that advances and retreats in the longitudinal direction of the rectum insertion tube inside the rectum insertion tube that can be inserted into the rectum, connect the inner tube to the suction device, and bend the distal end of the inner tube that has advanced from the rectum insertion tube A feces discharge device for providing a means for causing the end of the inner tube to be able to change the direction of the opening of the tip of the inner tube, moving the inner tube to a position where feces in the intestine are stagnated, sucking the feces, and discharging the feces outside the body.

内管外周と直腸挿入管内周の空間を閉塞した請求項１記載の排糞装置。2. The feces removal apparatus according to claim 1, wherein the space between the outer circumference of the inner tube and the inner circumference of the rectal insertion tube is closed.

直腸内へ挿入できる直腸挿入管の内部に同直腸挿入管の長手方向に進退する内管を設け、同内管を吸引装置に接続し、前記直腸挿入管を水・湯又は薬剤を送り込む注入装置に接続し、前記内管外周と前記直腸挿入管内周の空間から水・湯又は薬剤を注入し、直腸挿入管より進出させた内管の先端部を屈曲させる手段を設け、内管の先端開口の向きを変えられるようにし、前記内管を腸内の糞が停滞している位置まで進出させて糞を吸引して体外へ排出する排糞装置。 Injection device for providing an inner tube that advances and retreats in the longitudinal direction of the rectum insertion tube inside the rectum insertion tube that can be inserted into the rectum , connects the inner tube to a suction device, and feeds the rectum insertion tube with water, hot water or a drug. A means for injecting water, hot water or a drug from the space between the inner tube outer periphery and the inner periphery of the rectal insertion tube, and bending the distal end portion of the inner tube advanced from the rectal insertion tube; A feces discharge device that allows the direction of the feces to be changed, advances the inner tube to a position where feces in the intestine are stagnated , sucks the feces, and discharges the feces outside the body.

直腸内へ挿入できる直腸挿入管の内部に同直腸挿入管の長手方向に進退する内管を設け、直腸挿入管より進出させた内管の先端部を屈曲させる手段を設け、内管の先端開口の向きを変えられるようにし、同内管と前記直腸挿入管を吸引装置に接続し、前記内管を腸内の糞が停滞している位置まで進出させて内管及び内管外周と直腸挿入管内周の空間から糞を吸引して体外へ排出する排糞装置。A rectal insertion tube that can be inserted into the rectum is provided with an inner tube that advances and retreats in the longitudinal direction of the rectum insertion tube, means for bending the distal end of the inner tube that has been advanced from the rectum insertion tube is provided, and a tip opening of the inner tube is provided. The inner tube and the rectal insertion tube are connected to a suction device, and the inner tube is advanced to a position where feces in the intestine are stagnated, and the inner tube and the outer periphery of the inner tube are inserted into the rectum. A dung removal device that sucks dung from the space inside the tube and discharges it outside the body .

内管の先端を屈曲させる手段として、内管先端の多方向に複数の線材を結着し、同線材を引いて内管が屈曲する構造とした請求項１〜４いずれか記載の排糞装置。 The feces removal device according to any one of claims 1 to 4, wherein, as means for bending the tip of the inner tube, a plurality of wires are connected in multiple directions at the tip of the inner tube, and the inner tube is bent by pulling the wire. .

内管の先端に糞を細かくして吸引しやすいようにする破砕装置を設けた請求項１〜５いずれかに記載の排糞装置。 The feces discharge device according to any one of claims 1 to 5, wherein a crushing device is provided at a tip of the inner tube to make feces fine and facilitate suction.

破砕装置として、弾性板に複数の硬質板を所定の間隔で貼着し、弾性板又は硬質板の先端部に線材を結着し、同線材を直腸挿入管から外に引き出し、同線材を外部で操作して弾性体を屈曲させて糞を掻くようにした構造とした請求項６記載の排糞装置。 As a crushing device, a plurality of hard plates are attached to the elastic plate at predetermined intervals, a wire is attached to the tip of the elastic plate or the hard plate, the wire is drawn out from the rectal insertion tube, and the wire is externally 7. The feces discharging apparatus according to claim 6, wherein the elastic body is bent by operating the device to scrape feces .

直腸挿入管の外周壁に膨縮自在なバルーンを設けた請求項１〜７いずれかに記載の排糞装置。 The feces removal device according to any one of claims 1 to 7, wherein an inflatable balloon is provided on an outer peripheral wall of the rectal insertion tube .

吸引装置として、直腸挿入管又は内管に接続される吸引チューブを備えた汚物収納容器に負圧発生装置を接続し、汚物収納容器の上方空間を負圧にして糞を吸引チューブを介して吸引できるようにした請求項１〜８いずれかに記載の排糞装置。 As a suction device, a negative pressure generating device is connected to a waste container having a suction tube connected to a rectal insertion tube or an inner tube, and the feces is sucked through the suction tube by setting the space above the waste container to a negative pressure. The feces removal apparatus according to any one of claims 1 to 8, wherein the feces removal apparatus is capable of being used.