• 专利附录
  • 专利说明
  • 权利要求
  • 类似技术
  • 同族专利
  • 引用文献
  • 法律状态
  • 优先权
    • 专利摘要:
    BASE PLATE FOR OSTOMY UTENSIL, OSTOMY UTENSIL, AND CONVEX SUPPORT DEVICE. It is a base plate comprising an adhesive wafer and a convex support device. It is an ostomy appliance comprising a base plate with an adhesive wafer and a convex support device.
    公开号:BR112013013521B1
    申请号:R112013013521-2
    申请日:2011-12-16
    公开日:2020-10-20
    发明作者:Bent Ekfeldt；Birthe Vestbo Andersen；Esben Stroebeck；Michael Hansen；Kristoffer Hansen；Steffen Kongensbjerg Larsen；Matthew Laws；Liam O'Brien
    申请人:Coloplast A/S；
    IPC主号:
    专利说明:

    FIELD OF THE INVENTION
    [01] The present invention relates to a base plate for an ostomy appliance. In particular, the present invention relates to a base plate comprising an adhesive wafer to which a convex support device is attached. The present invention further relates to a convex support device for a base plate of an ostomy appliance. In addition, the present invention relates to an ostomy appliance comprising a base plate with a convex support device and a collection bag. Background
    [02] Base plates are used in ostomy utensils to attach collection bags to the skin of a user who has a stoma, in which the user is also called an ostomy patient or an ostomy patient.
    [03] The base plate is typically formed by a backing layer, for example, a polyurethane film, on which a skin-friendly adhesive is placed. A through passage is arranged on the base plate to receive a stoma so that the base plate can be adhered to the skin surrounding the stoma.
    [04] In order to collect output from the stoma, the opening of an ostomy pouch is arranged around the through passage. The ostomy pouch can, for example, be arranged by welding the pouch to the backing layer of the base plate. In technique, this is called a one-piece ostomy tool. Alternatively, a coupling arrangement, adhesive or mechanical, can be arranged so that collection bags can be detachably arranged on the base plate. This allows the bag to be changed when it is full without detaching the base plate from the skin. In technique, this is called a two-piece ostomy utensil.
    [05] Numerous ostomates develop sunken or retracted starlings. This is a phenomenon where the stoma sinks into the abdomen creating a recess or cavity in the stomach where the stoma is placed. Applying a standard flat base plate around such a retracted stoma would, for one thing, leave the area of peristomal skin immediately around the stoma uncovered and thus exposed to the stoma outlet. In addition, in some cases, the stoma is so retracted that it is not even possible for it to extend or protrude through the through passage in the base plate. This means that the risk of leakage is increased. By leakage, it is understood that the stool outlet containing aggressive enzymatic fluids, enters below the base plate adhesive and leads to failure of adhesion. In order to treat the issue of retracted starlings, and the frequent leakage problems consequently encountered, convex base plates were developed.
    [06] Basically, they have a convex surface contour where an external flat area is adhered to an area of external skin that surrounds the stoma, but where the skin is not pulled inwards towards the stoma. An intermediate area of the convex surface, which has a sloping surface along the geometric axis of the through passage, adheres to the skin area between the outer skin area and the inner skin area described hereinafter. Finally, a flat internal area of the convex surface is adhered to an area of internal skin that immediately surrounds the stoma.
    [07] Such products have been available on the market for many years. Its primary purpose and advantages are that they have the ability to prevent the peristomal skin of the ostomy bearer's body from collapsing in the stoma and practically closing the stoma, for example, due to excess skin folds caused by overweight or obesity . Such a collapse potentially causes a displacement of the body's product. Another purpose of convex products is to increase the capacity of the stoma to project properly beyond the interface between the base plate and the body surface, maintaining a necessary pressure in the peristomal skin area, thus ensuring that the stoma outlet is deposited. directly into the collection bag.
    [08] In general, however, these products are relatively rigid and inflexible and will not follow the ostomy bearer's body movements caused by physical activity very satisfactorily. Strictly, experiments have shown that the use of these products can, in some cases, result in peristomal skin damage such as ulceration and pressure bruising.
    [09] More recently, an increased variety of convex base plate products has been made available for ostomy patients. In particular, if the recess or cavity in the body can be relatively shallow, that is, when the stoma is only retracted to a lesser degree, a less bulky and less rigid convex base plate may be appropriate. In addition, there is a desire to relieve at least part of the discomfort experienced by the user caused by the rigidity and inflexibility of the known rigid convex base plates. To overcome these and other needs, what is commonly accepted as “soft convex base plates” was developed. They have a higher degree of flexibility than rigid convex base plates and, thus, improve user comfort. These products may or may not comprise an injection molded convex element.
    [010] However, the increased flexibility and comfort of “soft convex base plates” products have compromised their ability to maintain the necessary pressure on the peristomal skin area in order to keep the stoma projecting properly.
    [011] Thus, there is an unmet need to improve convex base plates in order to provide products that can contain adequate and relatively constant pressure in the peristomal skin area without compromising, at the same time, the enhanced flexibility experiences with the base plates. soft convex. Summary of the Invention
    [012] With the present invention, products with an ideal balance between the flexural strength values and the axial compression strength of convex ostomy devices have been achieved. To date, it has not been possible for users to find a product in the ideal balance range, due to the fact that the devices available are either too rigid or too soft. The product types according to the invention offer a comfortable level of resistance to flexion and security against peristomal collapse, while also maintaining the necessary peristomal pressure without the risk of pressure ulcers occurring. Detailed Description of the Invention
    [013] In a FIRST aspect, the present invention relates to a base plate for an ostomy appliance that comprises a skin friendly adhesive with a first through passage to receive a stoma, in which the passage is surrounded by a first adhesive area protrudes from and surrounded by a second adhesive area, the first adhesive area protruding at least 7 mm from the second adhesive area; and the resistance to axial compression to move the first adhesive area towards the second adhesive area axially along the central geometric axis of the through passage is above 10 Newtons in 3 mm compression; and the flexural strength of the base plate around a flexural geometrical axis extending horizontally perpendicular to the central geometrical axis of the first through passage is below 2.25 Newtons in 20 mm flexion.
    [014] It will be noted that, when providing a base plate that has a high axial compression resistance, the base plate will have an improved ability to maintain its convex shape when attached to the user's skin. Thus, in cases where the stoma is supplied in a cavity of the user's skin, the probability that the base plate will disconnect from the skin in the cavity mentioned above is reduced. It will be seen that this reduces the risk of fecal matter flow between the base plate and the user's skin, whereby the risk of leakage and irritation of the user's skin is reduced or even eliminated, due to the ability to maintain the necessary peristomal pressure .
    [015] In addition, it will be noted that, by providing a base plate that can be easily flexed, the base plate will be more comfortable to use than conventional base plates. The reason for this is that it will be easier for a user to flex the upper body towards the legs (which will result in contraction in the skin of the stomach or folds in the skin of the stomach being compressed). In other words, when the reaction force of a convex base plate is below 2.25 N when exposed to flexion, it means that the convex base plate is more flexible and, therefore, more comfortable.
    [016] Based on the revelations in this document confirmed during interviews with users and health care professionals, it was found that this is, in fact, an ideal balance range between the values of flexural strength and compressive strength axis of convex ostomy devices. So far, it is not possible for users to find a product in this ideal balance range due to the fact that the devices are either too rigid or too soft. With products according to the invention this may now be possible.
    [017] The prior art devices depend on a mechanism where a sufficiently rigid plate levels the fur and skin folds around the stoma and therefore needs an axial force strong enough to press the skin that immediately surrounds the stoma to enter so that the chargeback crosses the base. The present invention flexes to form skin folds (due to low flexural strength) facilitating the requirement for structured convex stiffness.
    [018] The invention ensures that the base plate has a superior fit for the peristomal contours of users with concave peristomal areas due to its construction that creates the necessary pressure for the peristomal area while it is flexible, particularly in the horizontal direction, which ensures freedom increased movement and user mobility. In addition, a safer seal to the user's skin than with the standard care products available is achieved and results in a reduced degree of leakage under the base plate.
    [019] In the context of this order, horizontal direction means a direction substantially parallel to a user's waist line when the product is attached to a user's body around a stoma.
    [020] It is the experience of this document with this type of products that the adhesive force necessary to keep the base plate fixed to the skin can be reduced. As the base plate does not work against the natural movements and folds of the skin, but due to the flexibility to work with the natural movements and folds of the skin, the adhesive force, that is, the adhesive resistance, may be less. This way, it is easier to remove the base plate, and the skin does not irritate with every change of base plate. In this way, users experience a reduction in the frequency of the problem related to product changes.
    [021] In a preferred embodiment, the resistance to axial compression is less than 40 N. As a result, the risk of creating pressure marks or ulcers compared to standard convex products is reduced, although the ability to keep the stoma on the plate base and, thus, avoiding leakage, is maintained.
    [022] The through passage in the base plate can be arranged substantially in the center of the adhesive wafer and be adapted to receive a stool from the user. However, in some embodiments, an inner circumference defined by the inner edge of the through hole can be eccentrically arranged in relation to an outer circumference defined by the outer edge of the base plate.
    [023] In embodiments, the base plate additionally comprises a convex support device. Such convex base plates are manufactured by compressing a flat base plate together with a convex support device, for example, in the shape of a convex shell. Such a convex support device can be manufactured by an injection molding process. The convex shell has the desired shape and contour and is made of a material that is more rigid than the flat base plate. The flat base plate is compressed in the shape of a convex shell, so they are joined together, typically by welding or through an adhesive. This can also be accomplished through vacuum forming.
    [024] In embodiments, the convex support device comprises a second through passage. The second through passage can be aligned with the first through passage of the base plate to receive a charger from a user.
    [025] In modalities, the convex support device is fixed in a first fixation zone. Typically, such a first attachment area is in the first adhesive area.
    [026] In modalities, the convex support device is fixed in a second fixation zone. Typically, such a second attachment area is in the second adhesive area. Preferably, however, if the support device is attached to the second attachment zone, it is also attached to the first attachment zone.
    [027] In modalities, the second fixation zone surrounds the first fixation zone.
    [028] In some of the modalities mentioned above, the convex support device is fixed to the base plate in a first fixation zone. This first fixation zone can be circular and coaxial with the central geometric axis of the passage through the base plate. In some embodiments, the convex support device is also attached to the base plate in a second attachment zone that surrounds the first attachment zone. Like the first fixation zone, the second fixation zone can be circular and the two zones can be coaxial. The convex support device can be attached to the distal side of the base plate, for example, to the support layer. In some embodiments, the convex support device is not attached to the base plate in a defined area or space between the first and second attachment zones, although in other embodiments, it can be additionally attached to said area or space, for example. example, through adhesive.
    [029] In modalities, the convex support device is built-in. It can be completely embedded in the adhesive material or between the adhesive and the backing layer of the base plate. In that case, a first attachment zone can be one or more areas on one or both sides of the convex support device. That or those area (s) may constitute a percentage of the total adhesive surface area of the first and second adhesive areas. Thus, the gripping of the convex support device can be achieved without the need for welding and / or adhesive fixings.
    [030] Depending on the degree and / or position (s) of the attachment of the convex support device to the base plate, the flexural and axial compression strengths of the base plate can be influenced. In particular, in relation to the flexural strength, it is understood that, if the convex support device is fixed in two fixation zones, it will be more resistant to flexion than if it is fixed only in one fixation zone. Similarly, if the convex support device is fixed on most or all of its surface, it will be more resistant to the surplus than if it is fixed only on a smaller percentage of its surface. In addition, the same is true for the fixing position. If the convex support device is fixed to the base plate relatively far from the passage through it, it will be more resistant to bending than if it is fixed close to the passage.
    [031] In embodiments of the invention, it is ensured that a convex support device can be attached to the base plate relatively far from the through passage while still showing a very low flexural strength, making the products of the invention highly flexible and, thus, comfortable to use, see, for example, Figures 9 and 12.
    [032] In modalities, the support device can define a first and a second flexural geometric axis in which both define a right angle with the central geometric axis of the crossing. In addition, the first and second bending axes can define a right angle to each other, although in other embodiments, the bending axes are not at a right angle to each other. In one embodiment, the flexural strength during flexion of the base plate over the first and second flexural geometrical axes is identical. Alternatively, the flexural strength during bending the base plate around the second geometry axis is greater than during the base plate around the first geometry axis. In use, the base plate can be adapted to be oriented in such a way that the first geometric axis of flexion extends, in general, in the horizontal direction.
    [033] In one embodiment, the flexural strength can be determined by flexing the base plate at a predetermined flexing distance around the respective flexural geometric axis. The predetermined bending distance can be 5 mm, or 10 mm, or 15 mm, or 20 mm, or 25 mm, or 30 mm, or 35 mm, or 40 mm, or 45 mm or 50 mm. Alternatively, the predetermined flexion distance constitutes a predetermined percentage of the diameter of the base plate or the convex support device, as 10 percent, as 15 percent, as 20 percent, as 25 percent, as 30 percent, as 35 percent, as 40 percent or as 50 percent; the predetermined percentage can be in the range of 10 to 50 percent, as 20 to 40 percent or as 22 to 36 percent.
    [034] Flexural strength can be measured as the reaction force of the base plate that acts on the tool used to flex the base plate, when the base plate flexed the flexion distance or predetermined percentage. Alternatively, the flexural strength can be the maximum resistance that the base plate exerts on the tool during flexing from the non-flexed state to the flexed stage. Consequently, the flexural strength can be the resistance exerted on the tool before the base plate is flexed to the flexion distance or predetermined percentage.
    [035] In modalities, the flexural strength is below 2 Newtons in 20 mm bending around the horizontal horizontal bending axis.
    [036] In modalities, the flexural strength is below 1 Newton in 20 mm bending around the horizontal horizontal bending axis.
    [037] In one embodiment, the resistance to flexion is above 0.5 N to prevent collapse of the peristomal skin area.
    [038] In modalities, the convex support device is designed in such a way that the flexural strength of the base plate is below one of the flexural strength levels mentioned above, such as below 2 Newtons, when the base plate is flexed 20 mm around the flexural geometric axis from an initial uninflected position to a flexed position.
    [039] Flexural strength is determined by mounting the base plate on a tool that comprises two opposing tool members that are forced towards each other during the flexion test, through which the base plate is flexed. The distance between the two opposing tool members before the test action is defined at a distance that corresponds to the diameter of the convex support device before the test starts. In this way, any part of the base plate that extends beyond the central geometric axis of the base plate than the rim (outer periphery) of the convex support member can be bent before the base plate is attached to the test device. Once the base plate has been positioned between the two opposing tool members, the two tool members can be moved towards each other in order to determine the flexural strength.
    [040] An improved axial compression strength of the base plate can be determined by compressing the base plate in a direction parallel to the central geometric axis of the through passage. Compressing the base plate means causing a compression force on the base plate. As in the case of flexural strength, the axial compression strength may, in one embodiment, be the measured strength once the base plate has been compressed at the predetermined axial distance, although in other modalities, the axial compression strength is the axial strength maximum pressure that was measured during axial compression of the base plate from the uncompressed state to the compressed state.
    [041] In one embodiment, the base plate is compressed a predetermined axial distance, which can be 1 mm, or 2 mm, or 3 mm, or 4 mm, or 5 mm, or 6 mm. Alternatively, the predetermined axial distance may constitute a predetermined percentage of the largest axial dimension of the base plate or the convex support device, such as 5 percent, or 10 percent, or 15 percent, or 20 percent, or 25 percent, or 30 percent, or 35 percent, or 40 percent, or 45 percent, or 50 percent.
    [042] In modalities, the axial compression strength can be 10 Newtons, or 15 Newtons, or 20 Newtons, or 25 Newtons, or 35 Newtons, or 40 Newtons, or 45 Newtons, or 50 Newtons or 60 Newtons .
    [043] The axial compression strength can be determined by applying an axial pressure to the base plate in such a way that the first fixing zone or first adhesive area and the second fixing zone or second adhesive area are moved / compressed in the direction each other in a direction parallel to the central geometric axis. In other words, one or both of the zones or areas is / are pushed towards the other. It should be understood that axial pressure is applied in such a way that all or all of the first and / or second adhesive area or area is moved along the central geometric axis. As an example, the force can be applied to predetermined positions on the base plate. In one embodiment, the force is applied to the two points / zones that, in the direction of the central geometric axis of the crossing, are more distant from each other. In another embodiment, axial pressure is applied to the first and second zones, in which the convex support device is attached to the adhesive wafer. Means may be provided to retain the test specimen so that it does not move in the transverse direction when exerting the compression force.
    [044] In embodiments of the invention, the base plate has a flexural strength below 2.25 Newtons in flexion of 20 mm and an axial compressive strength of 3 mm from 5 to 40 times the maximum flexural strength measured in Newtons.
    [045] In the context of the application, the meaning of the word design (or other variants of it) must be understood as a design element that is "additionally advanced" than the rest of something. When it is mentioned that a stoma protrudes, this means, therefore, that the stoma opening (in the first adhesive area) is in a position where it touches the skin first, that is, it is more proximal to the user's skin than the rest of the plate. base (the second adhesive zone). When it is mentioned that a first adhesive area protrudes from a second adhesive area, it should be understood that at least part of the first adhesive area rests on a plane substantially parallel to the plane of the second adhesive area and detaches a distance along a geometric axis perpendicular to those planes. With a base plate according to the invention, it means that the first adhesive area is closer to the skin than the second adhesive area when observed before the product is actually mounted on the skin. Thereby, a convex device is formed.
    [046] In one embodiment, the invention relates to a base plate for an ostomy appliance, the base plate comprising an adhesive wafer to adhere the base plate to an area of a user's skin, in which the adhesive wafer defines a through passage to receive a charger from a user, in which the base plate comprises a convex support device that is attached to the adhesive wafer in a first zone, in which the convex support device is designed in such a way that a resistance to bending of the base plate around an axis of flexion that is perpendicular to a central geometric axis of the through passage is below a predetermined first level, and such that an axial compression resistance of the base plate in a direction parallel to the axis central geometry is above a second predetermined level.
    [047] It is preferred that the first predetermined level is 2 Newtons per 20 mm, and the second predetermined level is 10 Newtons per 3 mm.
    [048] In one embodiment, the convex support device is designed in such a way that the flexural strength of the base plate is below 2 Newtons, when the base plate is flexed 20 mm around the geometric axis of flexion from a position not initial flexed to a flexed position.
    [049] In one embodiment, the convex support device is designed in such a way that the axial compression resistance of the base plate is at least 10 Newtons, when the base plate is compressed 3 mm in an axial direction from an uncompressed position initial to a compressed position.
    [050] In another embodiment of the invention, the plate comprises a convex support layer formed by vacuum heating produced from a suitable thermoplastic material such as, but not limited to, polypropylene, polyethylene or polyurethane or combinations thereof.
    [051] In the field of ostomy utensils, a base plate is usually defined as an entity that basically consists of two primary components. The first component is a backing layer (also called a top film), a surface that acts as a carrier layer for a skin friendly adhesive and the other surface acts as a base for fixing a collection bag. The backing layer can be permeable, impermeable or semi-permeable to moisture. The second component is the adhesive layer of a skin friendly adhesive, at least the part of the adhesive that is in contact with the skin should be skin friendly. The base plate may additionally comprise other elements, for example, one or more removable liners to be removed before applying the adhesive surface to the skin.
    [052] Common materials used for backing layers include polyethylene and polyurethane. Common materials for removable liners include polypropylene or polyethylene terephthalate.
    [053] Regarding skin friendly adhesives, pressure sensitive adhesives have been used for a long time to fix medical devices, such as ostomy tools to the skin.
    [054] Due to the delicate nature of the skin, there is a narrow window where a pressure sensitive adhesive can work as a satisfactory and skin friendly adhesive: on the one hand, the adhesive should have the ability to attach the medical device to the skin and the device should not fall off during use and, on the other hand, removing the medical device from the skin should not damage the skin (known as skin cell separation).
    [055] Some examples of different types of pressure sensitive adhesives that can be used for the baseplate adhesive of the present invention are introduced below. The examples are not an exhaustive list.
    [056] Hydrocolloid adhesives containing particles or hydrophilic absorbents, which absorb moisture into the adhesive volume and transmit moisture when conditions are saturated, are a well-known group of pressure sensitive adhesives useful for attaching medical devices to the skin.
    [057] Pressure sensitive adhesives based on polymers such as SIS and PIB are well known in the field of ostomy utensils. A couple of examples can be seen in WO 99/11302 which describes adhesives for medical use based on SIS, PIB and hydrocolloids and in US patent 4,551,490 which describes adhesives containing SIS / SI, butyl rubber / PIB, tackifier , mineral oil and hydrocolloids.
    [058] Another type of pressure sensitive adhesive suitable for the base plate of the present invention is based on polymers which can, in general, be copolymers of ethylene and a polar monomer. Copolymers typically comprise less than about 70% ethylene, have water vapor transmission greater than 50 g / m2 / day and a melt flow rate of less than 2 g / 10 min (190 ° C / 21.1 N). The melt flow index can be measured by the methods given in ISO 1133 and ASTM DL238. Examples of such polymers are copolymers of ethylene and vinyl acetate and copolymers of ethylene and butyl acrylate. Particularly preferred are copolymers of ethylene and vinyl acetate with more than about 40% (w / w) vinyl acetate, a melt flow rate of less than 2 g / 10 min (190 ° C / 21.1 N), and a water vapor transmission greater than 50 g / m2 / day for a 150 jam blade when measured according to the MVTR Test Method.
    [059] The polar monomer can be a polar oil, generally those that have satisfactory solubility in the polar domains of the polymer, that is, they provide softness without sacrificing much the tensile strength of the polymer. The preferred polar oils are esters, ethers and glycols, and Polypropylene Oxide, for example, alpha-butoxy-polyoxypropylene, is particularly preferred.
    [060] In a SECOND aspect, the present invention relates to an ostomy appliance comprising a base plate as discussed in this document and a collection bag.
    [061] In the second aspect, the collection bag is detachably attached to the base plate, thus forming a two-piece ostomy tool.
    [062] In the second aspect, the collection bag is permanently attached to the base plate, thus forming a one-piece ostomy tool.
    [063] It will be found that the ostomy utensil according to the second aspect can comprise any combination of features and / or elements of the invention according to the first aspect.
    [064] A THIRD aspect of the present invention relates to a convex support device for a base plate of an ostomy appliance, the device having a through passage and the device having a flexural strength around a flexural geometric axis extending horizontally, which is perpendicular to a central geometric axis of the through passage, which is below 2.25 Newtons in 20 mm flexion and an axial compressive strength in a direction parallel to the central geometric axis above 10 Newtons in 3 mm compression.
    [065] The convex support device can be used with regular base plates (i.e., "flat" or flat plates) to achieve a convex product with the same benefits as described in relation to the first aspect of the invention. In addition, the convex support element can be connected or fixed to the base plate in a similar manner and / or in similar positions as described in relation to the first aspect. Alternatively, the convex support device of the third aspect of the invention may be provided with means for fixing part or all of its surfaces, for example, in the form of an adhesive covered by one or more removable liners which is / are removed prior to application, so that the convex support device can be fixed to a regular base plate. Thus, even users who are not in possession of a convex ostomy appliance can apply the convex support device to their standard product and enjoy the benefits described. Brief Description of the Drawings The invention will now be described in detail with reference to the Figures, in which: Figure 1 shows a cross-sectional view of the base plate according to the present invention. Figures 2 and 3 show a cross-sectional view of the base plate when attached to a user's skin. Figure 4 reveals a test device for determining the axial compression strength of a base plate. Figure 5 shows flexion of a base plate. Figures 6 and 7 show the provision of a base plate in a flexural strength test device; and Figure 8 reveals a graph illustrating the combination of flexural strength and axial compressive strength of various embodiments of the invention. Figure 9 shows, in perspective, a support device according to example 1. Figure 10 shows, in section, the support device of Figure 9 applied around a stoma. Figure 11 shows the support device according to Figures 9 and 10 when the area of peristomal skin around the stoma is moved. Figure 12 shows, in perspective, a subexample according to example 1. Figure 13 shows a top view of the support device of Figure 12 embedded in the adhesive of an adhesive wafer. Figure 14 shows a sectional view of the support device of Figure 13. Figure 15 shows a support member according to example 2. Figure 16 shows the support member of example 2 in section along lines II - II in Figure 15. Figure 17 shows the support member of example 2 in section along lines III - III in Figure 15, Figure 18 is a perspective view of a detail of a support member. Figure 19 shows a support element of example 3. Figure 20 shows a base plate that has the support element of Figure 19. Figure 21 shows the base plate with the support element of Figure 19 in section along the line III - III in Figure 20. Figure 22 shows a convex shell that has fold restraining means according to example 4. Figure 23 shows the convex shell of Figure 22 in section along line II - II in Figure 22 Figure 24 shows another version of a convex shell as described in example 4. Figure 25 shows a convex shell according to example 5. Figure 26 shows a sectional view of the convex shell of Figure 25 along line AA Figure 25. Figure 27 is a plot of graphical illustration of resistance to flexural strength and resistance to axial compression measured from prior art devices and devices according to the invention. Detailed Description Of Drawings
    [066] Figure 1 shows a cross-sectional view of a base plate 100 comprising an adhesive wafer 102 and a convex support device 104. The convex support device 104 is attached to the adhesive wafer 102 in a first attachment zone 108 and in a second fixation zone 106. In the Figures, the convex support device 104 and the adhesive wafer 102 are not attached to each other in the area between the first fixation zone 108 and the second fixation zone 106. This can be especially seen in Figure 3.
    [067] In Figures 2 and 3, the base plate 100 is attached to a user's skin 110 by means of a skin-friendly adhesive that is provided on a proximal side 112 of adhesive wafer 102. Due to the convex shape of the support device convex 104, the base plate 100 is forced to contact the user's skin 110 substantially over its entire surface in cases in which the stoma is supplied in a concave cavity of the user's skin.
    [068] Figure 4 reveals a test device 114 for testing the axial compression strength of the base plate 100. The test device 114 comprises an upper axial test part 116 and a lower axial test part 118. During use, the base plate 100 is placed on the lower axial test part 118 and the upper axial test part 116 is moved towards the lower axial test part 118 so as to cause a compressive force on the base plate 100. In one embodiment, the baseplate 100 is not retained in a transverse direction 120 during the test, whereby the compressive force applied by the upper axial test portion 116 can cause a portion of the baseplate 100 to move in the transverse direction 120. In another embodiment , the base plate 100 is retained in the transverse direction 120, for example, adhering the base plate to the lower axial test part 118 by means of the adhesive of the adhesive wafer 102.
    [069] During the test, the maximum axial compression strength or peak is determined by determining the maximum reaction force that the base plate 100 exerts on the upper axial test part 116 and / or the lower axial test part 118 during test.
    [070] Figure 5 reveals the base plate 100 in a non-flexed state 122 and in a flexed state 124. Flexural strength can be determined using the method described in relation to Figures 6 and 7.
    [071] Initially, a flexural strength test device 126 is provided, which comprises an upper flexion test part 128 and a lower flexion test part 130.
    [072] Subsequently, the base plate 100 is supplied and inserted into the flexural strength tester 126. The base plate 100 is inserted into the flexural strength tester 126 by folding a more radial part 132 of the baseplate 100 such that the width of the base plate substantially matches the width of the convex support device 104. The base plate 100 is inserted into the flexural strength tester 126 such that it is retained between the upper flexion test part 128 and the lower bending test part 130 without any additional holding or holding means.
    [073] Subsequently, the upper flexion test part 128 and the lower flexion test part 130 are forced towards each other as indicated by arrows 134. This causes the base plate 100 to be moved from the non-flexed state 122 which can be seen in Figure 6, for the flexed state 124 which can be seen in Figure 7.
    [074] During the bending action, the reaction force exerted by the base plate on the upper bending test part 128 and the lower bending test part 130 is determined and the maximum value is determined. This value is used as a measurement for flexural strength. Alternatively, the force exerted on the upper flexion test part 128 and the lower flexion test part 130, since the two parts 128,130 have been moved a predetermined distance, can be used as a measurement for flexural strength.
    [075] Figure 8 basically shows, in schematic form, a relationship between the resistance to the flexural capacity, shown in the second vertical (y) geometric axis, and the axial compression resistance, shown in the first horizontal (x) geometric axis. scaled to illustrate the limits of the invention. In modalities, any base plate according to the invention is located in the indicated “new technology” area. Examples
    [076] Below are numerous examples of convex support devices that have the ability to achieve and control the axial compression strength and / or flexural strength of the base plate of the invention. The convex support device can also be called a convex support element or a convex support member. EXAMPLE 1
    [077] Example 1 refers to a support device for stabilizing a skin area comprising a proximal annular element for placement around the skin area to be stabilized and an axially displaced distal annular element of the proximal annular element, being that the proximal annular element and the distal annular element are interconnected by at least one resilient element.
    [078] The at least one resilient element allows the annular elements to be axially detached in relation to each other, although they are still oriented towards a common neutral configuration. As understood in this example, the term resilient refers to a material or structure that is stretchable and compressible under the application of a force, but which will return to its original shape when no force is applied.
    [079] This provides a device where an area of skin can be stabilized and supported in order, for example, to provide rest or easy access, while still allowing the user to move around and perform daily activities. In addition, the flexibility of the support device reduces the risk of, for example, pressure injuries and, in general, increases user comfort.
    [080] Next, and in the application as a whole, it should be understood that the terms 'proximal' and 'distal' are used to describe the relative orientation of objects and elements with reference to the skin surface. Thus, for example, the proximal annular element is closer to the skin than the distal annular element, and the proximal surface of the proximal annular element is the surface that faces the skin when the support device is used, while the distal surface of the proximal annular element is the surface that faces away from the skin.
    [081] The at least one resilient element can be a spring element. This provides a simple way to provide flexibility and movement between the distal and proximal annular ring.
    [082] Alternatively or in addition, the at least one resilient element can be formed of a compressible material.
    [083] The support device can be applied to the distal side of the adhesive wafer, that is, to the non-adhesive side.
    [084] The support device can have a convex shape, thus forming itself a convex support device or it can be an integrated part of a convex device, for example, a convex shell, forming, in both cases a convex support device on a base plate of an ostomy appliance.
    [085] One embodiment of the example relates to a support device for stabilizing an area of skin comprising a proximal annular element for placement around the area of skin to be stabilized and a distal annular element axially displaced from the proximal annular element, being that the proximal annular element and the distal annular element are interconnected by at least one resilient element.
    [086] Another embodiment of the example relates to a support device, wherein the at least one resilient element is a spring element.
    [087] Another embodiment of the example relates to a support device, in which at least one resilient element is formed of a compressible material.
    [088] Another embodiment of the example is related to a base plate for an ostomy appliance that comprises an adhesive wafer to adhere to the skin surrounding a stoma and which comprises a through hole in the adhesive wafer to receive said stoma, in which the stove The base additionally comprises a support device of the other embodiments of the example.
    [089] Another modality of the example is related to a base plate, in which the support device is integrated with a convex shell.
    [090] Another embodiment of the example is related to a base plate, in which the support device is at least partially embedded in the adhesive wafer.
    [091] Another modality of the example is related to a base plate, in which the support device is applied to the distal side of the adhesive wafer. Details of example 1
    [092] A support device 200 for supporting a skin area is shown in Figure 9. The support device has a proximal ring ring 202. The proximal ring ring 202 is connected to a distal ring ring 203 through the spring element 204 'and 204 ”.
    [093] The proximal annular ring is formed as a circular ring and has a proximal through-hole 205 that is of a suitable size to confine a desired skin area, for example, a stoma or a wound site.
    [094] The distal annular ring is also formed as a circular ring and has a distal through hole 206. The distal annular ring has a larger circumference than the proximal annular ring. This allows easy access to the proximal through-hole 205 through the distal through-hole 206.
    [095] The proximal annular ring 202 and distal annular ring 203 are detached along the longitudinal geometric axis A-A that extends through the centers of both annular rings.
    [096] The proximal annular ring 202 and distal annular ring 203 are connected through spring elements 204 'and 204 ”. The spring elements extend from the proximal surface 203 ”of the distal annular ring and connect to the proximal annular ring 202 on its distal surface 202 '.
    [097] The spring elements 204 'and 204 ”are resilient at least in the longitudinal direction along the longitudinal geometric axis A-A. In this way, the proximal annular ring 202 and distal annular ring 203 can be compressed in the direction of each other or spaced apart in an axial direction along the geometric axis A-A. However, the force spring elements return to alignment and position when no force is applied to the support device. Consequently, when applied, the support device will be oriented to a neutral position in which the annular rings are in a desired position in relation to each other.
    [098] Figures 10 and 11 illustrate, in cross-section, the support device 200 attached to the skin 210 of a human being in order to support and stabilize the area around a stoma 211.
    [099] In Figures 10 and 11, the support device 200 is applied so that the proximal annular ring 202 compresses the area of peristomal skin 212, that is, the skin surrounding the stoma. The distal annular ring 203 is held against the skin 202 by an adhesive wafer 207. Alternatively or in addition, a brace (not shown) can be used to keep the support device compressed against the skin. By pressing the distal annular ring 203 against the skin, force is applied to the proximal annular ring 202 through the spring elements 204 'and 204 ”.
    [0100] By dimensioning the spring elements 204 'and 204 ”, it is possible to obtain the necessary pressure on the peristomal skin area. Different pressure forces may be necessary in order to adapt the specific support device to a specific user. The specific user may need customized support devices in order to consider different skin conditions, such as topography, for example, scars and injuries. Thus, some users require only a small amount of force, while others may require much greater pressure. Numerous parameters can be changed in order to change the pressure force, for example, the material of the spring elements can be changed or the thickness or other dimensions can be changed.
    [0101] When the proximal annular ring 202 compresses the area of the peristomal skin, the pressure causes a slight lifting of the stoma, or, otherwise, the bulge of the stoma in relation to the peristomal skin is increased. This facilitates access to the stoma and the fur in the proximal through hole, for example, during cleaning or inspection of the stoma as well as during use. The increased projection of the stool ensures that the stool outlet that comes out of the stool opening is directed more securely into the interior, for example, from a collection pouch (not shown) that can be attached to the support device or a base plate comprising the support device.
    [0102] Furthermore, this construction of the support and application device also keeps the stoma protected while the proximal annular ring provides increased stiffness thereby reducing the risk of strangulation or collapse of the stoma or the immediate surrounding skin area. This type of problem is frequent, but not exclusively, observed in obese users where skin folds tend to close the stoma or the peristomal area. The rigidity of the proximal and distal annular rings can be modified to provide an appropriate balance between rigidity and flexibility to accommodate the needs of the respective users. Consequently, the ability of the support device to resist axial bending and / or compression can be differentiated according to the user's needs.
    [0103] That is, for example, an advantage when users move around, thus bending and stretching the hair as shown in Figure 11, where the support device 200 is shown when the user, for example, flexes. Such flexion creates a fold on one side 213 and a stretch on the other side 214. The spring elements 204 'and 204 ”absorb the flex and bend. The proximal annular ring prevents the skin from bending in and over the stoma.
    [0104] An additional subexample of a spring element-based support device 220 is shown in Figure 12. Similar to the example in Figures 9 to 11, the support device is formed by a proximal annular ring 222 and a distal annular ring 223 The proximal and distal annular rings are interconnected by eight spring-loaded members 224. This provides improved stability.
    [0105] Figures 13 and 14 show how the support device 220 of Figure 12 can alternatively be embedded in the adhesive 225 of an adhesive wafer 227 or in the base plate of an ostomy appliance with its through holes 226 and 228 aligned. EXAMPLE 2
    [0106] Example 2 refers to a support member connected to a base plate of an ostomy device. The support member comprises an annular ring defined by an outer edge and an inner edge that define a through hole having a central geometric axis CC, wherein said ring comprises at least one reinforcement element extending radially from the through hole in the direction of the outer edge of the annular ring.
    [0107] This provides reinforcement of the base plate in selected areas, which is advantageous in order to avoid collapse around the stoma when the user moves in specific positions where the risk of collapse is high. However, at the same time, flexibility and thus high comfort can still be maintained.
    [0108] The support member can advantageously be a convex shell in which the outer edge and the inner edge are placed in separate planes offset in relation to each other along a central geometric axis.
    [0109] The reinforcement element can be provided by forming at least one reinforcement element in the form of a groove formed in the annular ring. The groove can, for example, have a U-shape when viewed in cross-section. The groove can be formed when the support member is formed, for example, through injection molding, or it can be supplied later, for example, by pressing the grooves in the annular ring.
    [0110] An inner circumference of the support member defined by its inner edge can be eccentrically arranged in relation to an outer circumference defined by its outer edge. This results in the distance between the outer and inner edges that differ around the circumferential extension of the annular ring. This provides differentiated flexibility around the annular ring since large areas, that is, where the distance between the outer and inner edges are greater, will be more rigid and, therefore, have a greater resistance against collapse. Consequently, the ability of the support element to resist axial bending and / or compression can be differentiated according to user needs.
    [0111] One embodiment of the example relates to a support member for use on a base plate of an ostomy device, wherein the support member comprises an annular ring defined by an outer edge and an inner edge that define a through hole which has a central geometric axis CC, wherein said ring comprises at least one reinforcement element extending radially from the through hole towards the outer edge of the annular ring.
    [0112] Another modality of the example is related to a support member, the support member being a convex shell in which the outer and inner edges are placed on separate planes offset in relation to each other along the geometric axis central DC.
    [0113] Another embodiment of the example relates to a support member, wherein the at least one reinforcement element is in the form of a groove formed in the annular ring.
    [0114] Another modality of the example is related to a support member, in which the groove has a U shape in cross section.
    [0115] Another modality of the example is related to a support member, in which an inner circumference defined by the inner edge is eccentrically arranged in relation to an outer circumference defined by the outer edge. Details of example 2
    [0116] Figures 15 to 18 show a support member 300 that has the advantages as described in the present document.
    [0117] The support member 300 is in the form of an annular ring which is defined by an outer edge 303 and an inner edge 304. The inner edge 304 also defines a through hole 305 through which a stoma can be received when the support member is incorporated into a base plate for use in an ostomy appliance.
    [0118] The through hole defines a geometric axis C-C, which corresponds to the central geometric axis of the inner edge. The inner edge 304 is eccentrically placed in relation to the outer edge 303, thus dividing the support member 300 into two areas, that is, a first area 306 where the radial distance from the inner edge to the outer edge is greater than in a second area 307.
    [0119] Three reinforcement elements 308, 309, 310 extend radially from the inner edge 304 towards the outer edge 303 in the first area 306. The reinforcement elements are formed as grooves in the support member 300 which has a U-shape when viewed in cross-section, as can be seen in Figure 17. This increases the stiffness of the first area 306, thus reducing the risk of collapse that the first area 306 of the support member 300 in a stoma protruding through the through hole 305.
    [0120] The reinforcement elements can also be solid so as not to form grooves as noted in the subexample of Figure 18. The reinforcement elements 312 can protrude or extend axially from the proximal surface 311 of the convex support device, as this is the case with the U-shaped groove of Figures 15 to 17, but, instead of the U-shape, they are completely solid thus leaving no holes or irregularities in the distal surface 313 of the convex support device. The solid reinforcing elements 312 can, however, still be relatively soft or resilient so that their contribution to the flexural strength of the convex support device in the horizontal flexing direction is negligible.
    [0121] Reinforcement elements 312 can not only reduce the risk of support element 300 collapsing in a protruding stoma, they can also reduce risk or effectively prevent the pressure force of the peristomal skin make the base plate with the convex support device “turn from the inside out” and / or consequently move from the body. In the event that the stoma bearers subject their body to a more extreme movement (such as reaching something too high or too low, or during physical exercise), the pressure force of the peristomal skin area on the base plate may momentarily rise to a level higher than the situation of normal use and can, consequently, push the base plate away from the body in the peristomal area. Since the base plate is attached to the body over a larger area that corresponds to the area of peristomal skin, the result may be that the base plate with the convex support device turns or “turns from the inside out” in the peristomal area, but remains fixed to the edge. This is not, of course, desirable as it would certainly lead to leakage and a need to change the product. To avoid this situation, the solid reinforcement elements described 312 can be comprised in the convex support device.
    [0122] In order to accommodate sunken or retracted starlings, the support member has a convex shape, which can be seen in Figure 16. Basically, when referring to a shape or convex element in relation to the ostomy device, refers to an insert or an element where the two outer edges, for example, the outer edge 303 and the inner edge 304 of example 2, are displaced axially along the central geometric axis CC, which also corresponds to the geometric axis along the the stoma extends longitudinally when the ostomy tool is used. EXAMPLE 3
    [0123] Example 3 refers to a base plate for an ostomy utensil comprising an adhesive wafer to adhere to the skin surrounding a stoma, the base plate comprising a support element attached to the distal side of the adhesive wafer, the support element comprises a proximal annular element for placement around the stoma and at least two support arms extending radially from the outer edge of the proximal annular element and extending axially from the proximal annular element in the distal direction.
    [0124] This provides a base plate that provides support around the stoma and support in a relevant desired skin area to provide increased comfort and safety.
    [0125] Thus, in a specific version of example 3, two support arms extend diametrically in opposition to the proximal annular element. This allows a user to flex around the support arms without experiencing discomfort, while at the same time decreasing the risk of the base plate bending unintentionally in other directions. It should be understood, by a diametrically opposite extension of the support arms, that each of the arms extends radially away from the proximal annular element to which they connect.
    [0126] One embodiment of the example relates to a base plate for an ostomy appliance comprising an adhesive wafer to adhere to the skin surrounding a stoma, the base plate comprising a support element attached to the distal side of the adhesive wafer, the support element comprises a proximal annular element for placement around the stoma and at least two support arms extending radially from the outer edge of the proximal annular element and extending axially from the proximal annular element in the distal direction.
    [0127] Another embodiment of the example is related to a base plate comprising two support arms extending diametrically in opposition to the proximal annular element. Details of example 3
    [0128] Figure 19 shows a support element 400, and Figures 20 and 21 show a base plate 401 formed by an adhesive wafer 407 and support element 400. Adhesive wafer 407 has an adhesive 402 disposed in a layer of support 403 so that the adhesive wafer has a proximal adhesive surface and a non-adhesive distal surface.
    [0129] The support element is fixed to the non-adhesive distal surface, for example, by gluing or welding. The adhesive wafer 407 is formed with a first through hole 406 and the support element has a second through hole 408. The adhesive wafer and the support element are aligned so that the first and second through holes are coaxially aligned along a central geometric axis CC. This allows a chargeback to be received by the 401 base plate.
    [0130] The support element is formed by an internal annular ring 409, which provides support and stability to the area of skin surrounded by the ring corresponding to the second through hole 408.
    [0131] Two arms 410, 411 extend on opposite sides of the inner ring 409. The arms allow flexibility when the base plate is bent or flexed around the respective arms, but have or cause greater rigidity or rigor if the plate base is folded or flexed transversely in relation to the extension of the respective arms.
    [0132] In order to provide additional support, the arms also extend in an axial direction, that is, along or parallel to the central geometric axis CC defined by the two through holes 406, 408. This provides arms that tilt in one direction axial and thus provide axial stability to the base plate.
    [0133] In order to attach a collection bag to the base plate in the event of a 2-piece product, a 412 coupling ring is shown attached to the distal side of the adhesive wafer.
    [0134] It should be understood that the arms can have numerous shapes and configurations. For example, in one embodiment, the two or more support arms are provided in a bifurcated configuration extending from the proximal annular element. This allows for an even more differentiated effect of the support element, while still providing increased comfort and safety in a desired relevant skin area. Consequently, the ability of the support element to resist axial bending and / or compression can be differentiated according to user needs. EXAMPLE 4
    [0135] Example 4 refers to a convex shell for use on a base plate of an ostomy appliance, where the convex shell comprises an annular ring defined by an outer edge and an inner edge that define a through hole, being that said annular ring comprises a first and second halves defined by a bending axis AA, which is perpendicular to the central geometric axis C-C of the through hole, wherein the convex shell comprises first bending restraint means to alter flexibility of the convex shell when the first half is folded in the direction of the second half around the geometric fold axis AA.
    [0136] Having a flexibility that can change depending on the angle of bending, it is possible to provide an ostomy device that is soft and comfortable when regular body movement occurs, but where it is possible to prevent the skin area around the stoma collapse in external, or extreme, movement positions.
    [0137] Thus, for example, the first fold restraint means provide a first flexibility when the angle between the first and second halves is between 180 and 90 degrees and a second flexibility when the angle between the first and second halves is between 90 and 20 degrees, the first flexibility being less than the second flexibility.
    [0138] In this context, the phrase “inferior” in relation to flexibility, should be understood in such a way that the reactive force resulting from the convex shell when the bend angle between the first and the second halves is between 180 and 90 degrees is smaller that the reactive force resulting from the convex shell when the bend angle between the first and second halves is between 90 and 20 degrees.
    [0139] Consequently, as long as the body movement bends the ostomy device in the range of the first bending angle, then the ostomy device will be comfortable to use and will follow the body movement. However, if the movement results in the ostomy device being bent in the range of the second fold angle, the ostomy device will provide reinforced stiffness to the area around the stoma providing stability to the peristomal area.
    [0140] More specifically, the first fold restraint means may be in the form of at least one groove extending along the first geometrical axis, wherein said groove has two opposing contact surfaces which have the ability to engage each other when the convex shell is bent, or flexed, to a predetermined degree around the first geometric axis.
    [0141] This provides high flexibility as long as the two opposite contact surfaces do not fit. However, if a bend, or bending movement of the user, causes the two contact surfaces to engage, the force required for further bending, or bending, the convex shell considerably increases high rigidity and support around the chargeback.
    [0142] The first fold restriction means in the convex shell can be placed on either side of the annular ring, that is, both on the side facing the ostomy holder when the product is in use and / or on the opposite side to the ostomy patient.
    [0143] In modalities in which the first fold restraint medium (s) is (are) placed on the side facing the user, a distance between the convex shell and the plate can be provided base of the ostomy utensil in the area between the inner and outer edges of the annular ring, thus creating a volume between the two parts when the annular ring is attached to the base plate of the ostomy utensil on said edges. In addition, or alternatively, there may be extra adhesive material on the base plate over at least part of the base plate area between the inner and outer edges of the annular ring.
    [0144] These features ensure that the flexibility of the base plate is maintained due to the fact that the adhesive material of the base plate can deform, for example, stretch and / or follow the movements of the user's body regardless of the characteristics of the convex shell in that area.
    [0145] One embodiment of the example relates to a convex shell for use on a base plate of an ostomy appliance, in which the convex shell comprises an annular ring defined by an outer edge and an inner edge that define a through hole, in that said annular ring comprises a first and second halves defined by a geometric axis of bend AA, which is perpendicular to the central geometric axis C-C of the through orifice, the convex shell comprising first bending restraint means to alter flexibility of the convex shell when the first half is folded in the direction of the second half around the geometric fold axis AA.
    [0146] Another modality of the example is related to a convex shell, in which the first fold restraint means provide a first flexibility when the angle between the first and the second halves is between 180 and 90 degrees and the second flexibility when the angle between the first and second halves is between 90 and 20 degrees, and where the first flexibility is less than the second flexibility.
    [0147] Another embodiment of the example is related to a convex shell, in which the first fold restraint means are in the form of at least one groove extending along the first geometric axis, in which said groove has two surfaces opposite contacts that have the ability to fit together when the convex shell is bent to a predetermined degree around the first geometric axis. Details of example 4
    [0148] A convex shell 500 for use on a base plate (not shown) to attach an ostomy collection bag to a user's body is shown in Figures 22 and 23.
    [0149] The convex shell 500 comprises an external flat surface 502 extending in a foreground perpendicular to the central geometric axis CC of a through hole 503 formed in the convex shell 500 to receive the stoma, where the external flat surface 502 extends radially into the outer edge and transits to an intermediate tilt surface 504. The intermediate tilt surface 504 extends radially into the outer flat surface 502 towards an inner flat surface 505. The inner flat surface 505 extends in a second plane perpendicular to the central geometric axis CC of the through hole 503 and extends radially from the intermediate slope surface 504 towards an inner edge 506 of the convex shell 500 that defines the through hole 503.
    [0150] Six fold restraint means 507 are formed as respective grooves 508 extending transversely through the convex shell 500 of the inner flat surface 505 to the outer flat surface 502. Each groove has a first and a second groove wall 508 ', 508 ”that define a bend angle a.
    [0151] When the convex shell 500 is bent, or flexed, around the folding axis AA, which is perpendicular to the central geometric axis CC, for example, when a user leans, the two halves of the convex shell defined by the axis AA bend geometry will bend towards each other. At the same time, the groove walls 508 'and 508 ”will also bend towards each other. This results in a decrease in the bend angle a. At one point, if bent, or flexed, to a certain extent, the groove walls 508 'and 508 ”will come into contact when the bend angle reaches zero. At that point, the force required to bend or flex the convex shell 500 will increase considerably since the force required to bend the convex shell must also compress the material of the convex shell in order to further bend it.
    [0152] Understanding that the material of the convex shell 500 affects folding considerably when the two groove surfaces 508 ', 508 ”come into contact allows the converse to modify the flexibility or flexural strength of the convex shell in order to suit specific needs using different materials that have different compressible characteristics.
    [0153] It should be desirable to change the flexibility, at additional intervals, since the six grooves in the convex shell can be formed so that the respective groove walls have different angles between them. That way, when the grooves that have an angle fit together, the stiffness is slightly increased, and when the grooves that have a larger initial angle meet, the stiffness will increase even more.
    [0154] A convex shell 600 that has numerous restraint means 607 is shown in Figure 24. The restraint means are in the form of grooves 608, where a number of first grooves 609 extend in one direction through the convex shell and countless seconds grooves 610 extend in another direction transversal to the direction of the first grooves. EXAMPLE 5
    [0155] Example 5 refers to a convex shell for use in an ostomy utensil base plate, where the convex shell comprises an annular ring defined by an outer edge and an inner edge that define a through hole, in that said ring additionally comprises at least four transition sections extending transversely through the annular ring, dividing the annular ring into at least one first, second, third and fourth segments.
    [0156] From the term, it should be understood that a "transition section" is a section in which the characteristics between two segments close to the convex shell change.
    [0157] By changing the characteristics of the convex shell in such sections, it is possible to control the flexion of the shell and, as will be described in this document, it will be possible to keep the area around the stoma more stable and resistant in the direction of collapse, while providing improved flexibility in the peristomal area for more satisfying comfort.
    [0158] Transition sections can be provided as grooves.
    [0159] The first, second, third and fourth segments can be arranged symmetrically. This can, for example, be accomplished by arranging the first and third segments in opposition to each other, and the second and fourth segments in opposition to each other.
    [0160] The first and third segments can be thicker than the second and fourth segments. This is an additional and / or alternative way to control flexion. This results in the tendency to flex the convex shell in the transition sections where the thickness changes.
    [0161] Alternatively, the first and third segments can be formed from a different material than the second and fourth segments, which is another way to control flexion.
    [0162] Alternatively or in addition, the second and fourth segments may have greater flexibility than the first and third segments. Details of example 5
    [0163] The convex shell 700 of Figure 25 comprises an annular ring 705 defined by an outer edge 706 and an inner edge 707. The inner edge 707 defines a through hole 708 that has a geometric axis C-C. In addition, when considering the convex shell along the geometric axis C-C of the through hole 708, the convex shell is symmetrical around the geometric axes A-A and B-B, which are perpendicular to each other.
    [0164] In use, the convex shell will preferably be applied to a user so that the geometric axis A-A is mainly vertical and the geometric axis B-B is mainly horizontal when a user is standing. Or, in other words, the convex shell will be applied so that the user's natural movements cause the convex shell, and thus the convex skin plate, to tilt around the geometric axis B-B.
    [0165] Four transition sections, formed as first, second, third and fourth grooves 710, 711, 712, 713 extend transversely through the annular ring. The grooves divide the annular ring into at least a first segment 715 defined by the first and second grooves; a second segment 716 defined by the second and third grooves; a third segment 717 defined by the third and fourth grooves; and a fourth segment 718 defined by the fourth and first grooves.
    [0166] An orifice 720 is provided in the backing layer 702 and in the adhesive 703 which is coaxially aligned with the orifice through 708 of the convex shell.
    [0167] As can be seen in Figure 26, the first groove 710 extends along a geometry axis i-i and the fourth groove 713 extends along a geometry axis ii-ii. Similarly, although not shown, the second groove 711 extends along the geometric axis i-i, and the third groove 712 extends along the geometric axis ii-ii.
    [0168] It should be understood that the features and principles of the examples presented in the application can be applied individually or in any suitable combination to produce a convex support device for the base plate according to the invention. Example 6 Experimental part
    [0169] Numerous tests of resistance to flexibility and bending and resistance to axial compression according to the test methods described have been performed on numerous products currently marketed and on the applicant's products according to the invention. The products and test results are presented and compared below. The flexibility and compression tests were performed on a texture analyzer TA.XT Plus, serial number 10663 from Texture Technologies using cells with a load of 1, 5 and 30 kg in an air-conditioned laboratory at a constant temperature of 23 degrees Celsius and constant relative humidity of 50%. Tested products:
    [0170] B.Braun Softima 1-piece ileostomy roll-up with convex utensil, pre-cut hole © 30 mm
    [0171] Coloplast Utensil SenSura Convex Light, pre-cut hole from 15 mm to 33 mm (max)
    [0172] Convatec Esteem 1-piece ileostomy viscosity with convex utensil, 32 mm pre-cut hole
    [0173] Dansac Nova 1, 1-piece closed colostomy utensil with convex, pre-cut hole Q 28 mm
    [0174] Hollister Moderma Flex 1-piece urostomy tool with convex, pre-cut hole 15 mm
    [0175] Salts Confidence 1-piece colostomy utensil with convex, pre-cut hole s 28 mm
    [0176] Welland Flair 1-piece colostomy tool with convex, pre-cut hole at 29 mm
    [0177] Prototype products with convex support devices A, B, C, D, EeF.
    [0178] The material for the convex support device of prototype products is preferably primarily a polyethylene-based material, such as, but not limited to, Engage 8401 ® or Engage 8402® which are both elastomers of polyolefin in the form of copolymer and ethylene-octene from Dow Chemical or Flexirene®, a linear low density polyethylene (LLDPE) from Polimeri Europa. For additional control characteristics, for example, resilience of the convex support device, additional materials such as, but not limited to, EVA copolymers, for example, grades of Escorene® with ExxonMobil Chemical can be added.
    [0179] The convex support device is produced by a classic plastic injection molding process. The polymeric material is fed into a heated barrel, mixed and forced into a mold cavity where it cools and hardens until the cavity is configured. The backing layer, the adhesive and the removable liner are additionally shaped into a convex shape to match the convex support device. The convex support device is placed on the support layer and heat-welded to it on the outer and inner perimeters of the shell (which corresponds to the first and second attachment zones). During the heat welding process, the convex support device and the support layer are joined as a result of pressure, heat and time.
    [0180] Prototypes A and C are a base plate comprising a convex support device based on the principles of example 5 which has an axial distance between the inner and outer edges of the annular ring measured along the central geometric axis CC of 7 mm.
    [0181] Prototypes B and D are a base plate comprising a convex support device based on the principles of example 4 that has an axial distance between the inner and outer flat surfaces of the convex shell measured along the central geometric axis CC of 9 mm.
    [0182] Prototypes E and F are a base plate comprising a convex support device based on the principles of examples 4 and 5 in combination, the transition sections of example 5 being provided on the distal side of the convex support element and the fold restraint means of example 4 are provided on the proximal side of the convex support device. The axial distance between the inner and outer edges of the annular ring of the convex shell measured along the central geometric axis C-C is 9 mm.
    [0183] The tests were carried out on two test specimens of each type of products A, B, C and D and on a test specimen of types E and F (see additional comment on table 1 in relation to Hollister Moderma Flex). The tested specimens do not include a removable liner on the adhesive surface of the base plates. A very thin sheet of paper towel was applied to the adhesive surface in order to avoid unintentional adhesion. The contribution to flexural and axial compression strengths, respectively, of this very thin and flexible component, is discarded. Tables 1 and 2 show results of the axial compression test and the flexibility test, respectively.
    Table 2

    [0184]
    [0185] As can be derived from table 1 above, all products and prototypes tested have an average peak compression load, that is, an axial compression resistance between more than 12 Newtons to more than 50 Newtons corresponding to the products that are they are in the relatively compressible range, but still have the capacity to maintain a necessary peristomal pressure, at very rigid and practically inflexible in the axial direction.
    [0186] Table 2 shows the average flexural load, that is, the flexural strength of products and prototypes. As noted in the table, all prototypes of the applicant exhibit an average flexural load below 2.25 Newtons which means that the prototypes are relatively flexible.
    [0187] Some resistance to flexing may be necessary to prevent collapse of the peristomal skin area. Thus, the resistance to the flexural capacity is preferably in the range between 0.8 N and 2.25 N.
    [0188] Joining the values of tables 1 and 2 as expressed in Figure 27 (and schematically indicated in Figure 8), it is evident that the new technology according to the invention comprises the only types of product that offer a level of resistance comfortable flexion and security against peristomal collapse while simultaneously maintaining the peristomal pressure necessary to let the stoma protrude and significantly reduces the risk of pressure ulcers. In other words, in the present application, it was realized that the devices of the prior art of convex ostomy exert unnecessary high pressure on the peristomal skin in order to achieve the beneficial effects of such convex devices, namely, to ensure that the stoma is design correctly and sufficiently for the collection bag to prevent leakage from the reversal outlet under the base plate as previously discussed. With the base plate according to the present invention, the same benefits are achieved only with a lower peristomal skin pressure, reducing the risk of pressure ulcers.
    [0189] Furthermore, it has also been realized by the present invention that the base plate does not need to have a high flexural resistance, that is, to be very rigid, to maintain the necessary pressure on the peristomal skin. In fact, another significant benefit of this invention is also, therefore, that a more skin friendly and less aggressive adhesive can be used to attach the convex tool to the user's body than with prior art convex devices. Applying a more flexible baseplate according to the invention on the skin, less adhesive force is required for this to remain in place due to the fact that, according to the invention, the skin can now follow the movements of the body of user. This goes against prior art products, where the beneficial effects of convex products are achieved by the high stiffness of products that force the skin to prevent collapse, but which, at the same time, compromise the product's ability to follow body movements and thereby compromising the product's flexibility. Since less adhesive force is required to attach the base plate of the invention to the skin, this means that the adhesive may be more friendly to the skin due to the fact that a weaker adhesive will, among other effects, result in skin cell peeling by removing the product from the skin.
    [0190] A particular advantage of the products of the invention is that with a base plate according to the various possible modalities of the present invention that has a flexural strength of 2.25 N or less when the product is flexed 20 mm and a resistance to axial compression greater than 10 N in compression of 3 mm, the products are achieved that will remain in the body for an extended time of use due to the ability to follow body movements more satisfactorily. Products are exchanged less frequently due to leakage. And when leakage occurs, the affected patch area is considerably smaller. On top of these explicit features, users feel more free and comfortable with flexible products.
    [0191] It will be seen that individual user needs can determine how a product is designed according to the many possible combinations of the present invention. One user may need a product with relatively high axial compression strength while another user may need a product with relatively moderate axial compression. With the present invention, products are obtained that enforce these possibilities without compromising the comfort of a flexible but safe product.
    权利要求:
    Claims (11)
    [0001]
    1. Base plate (100) for an ostomy utensil comprising a skin-friendly adhesive with a first through passage to receive a stoma, the passage surrounded by a first adhesive area protruding from and surrounded by a second adhesive area , characterized by the fact that the first adhesive area protrudes at least 7 mm from the second adhesive area; and wherein the resistance to axial compression to move the first adhesive area in the direction of the second adhesive area axially along the central geometric axis of the through passage is above 10 Newtons in 3 mm compression; and where the flexural strength of the base plate around a bending axis extending horizontally perpendicular to the central axis of the first through passage is below 2.25 Newtons in bending of 20 mm.
    [0002]
    Base plate (100) for an ostomy appliance according to claim 1, characterized in that it additionally comprises a convex support device (104) that has a second through passage.
    [0003]
    3. Base plate (100) for an ostomy appliance, according to claim 2, characterized by the fact that said convex support device is fixed in a first fixation zone.
    [0004]
    4. Base plate (100), according to claim 3, characterized by the fact that the first fixing zone is in the first adhesive area.
    [0005]
    Base plate (100) according to claim 3 or 4, characterized by the fact that said convex support device is fixed in a second fixation zone.
    [0006]
    6. Base plate (100), according to claim 5, characterized by the fact that the second fastening zone is in the second adhesive area.
    [0007]
    Base plate (100) according to claim 5 or 6, characterized by the fact that said second attachment zone surrounds said first attachment zone.
    [0008]
    Base plate (100) for an ostomy appliance according to any one of claims 2 to 7, characterized in that said convex support device is built-in.
    [0009]
    9. Ostomy utensil, characterized by the fact that it comprises a base plate (100) as defined in any of the preceding claims, which additionally comprises a collection bag that is detachably attached to it.
    [0010]
    10. Ostomy appliance, characterized by the fact that it comprises a base plate (100) as defined in any one of claims 1 to 8, which additionally comprises a collection bag that is permanently attached to it.
    [0011]
    11. Convex support device (104) for a base plate (100) of an ostomy appliance, said device (104) having a through passage, characterized by the fact that the device (104) has a flexural strength around a horizontal flexing axis extending horizontally, which is perpendicular to a central geometric axis of the through passage, which is below 2.25 Newtons in 20 mm flexion and a resistance to axial compression in a direction parallel to the central central axis above 10 Newtons in 3 mm compression.
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    引用文献:
    公开号 | 申请日 | 公开日 | 申请人 | 专利标题
    US4219023A|1978-05-23|1980-08-26|Galindo Eugene R|Convex insert and ostomy bag structure|
    US4846820A|1982-06-24|1989-07-11|E. R. Squibb & Sons|Ostomy device|
    US4551490A|1983-06-27|1985-11-05|E. R. Squibb & Sons, Inc.|Adhesive composition resistant to biological fluids|
    US4710182A|1986-12-04|1987-12-01|Hollister Incorporated|Ostomy appliance and method of making|
    US4834731A|1987-11-19|1989-05-30|Hollister Incorporated|Ostomy appliance and convex pressure ring assembly therefor|
    US4973323A|1989-09-01|1990-11-27|Hollister Incorporated|Ostomy appliance|
    US5125917A|1991-01-04|1992-06-30|William Whealin|Ostomy appliances|
    DK122791D0|1991-06-24|1991-06-24|Coloplast As|wound dressing|
    DK152991A|1991-08-30|1993-02-28|Coloplast As|ADAPT TO USE WITH STOMI EQUIPMENT|
    DK170739B1|1992-03-20|1996-01-08|Coloplast As|Convex ring for use with ostomy equipment|
    DK171342B1|1994-03-11|1996-09-16|Coloplast As|Ostomy equipment comprising an annular body with a single convex proximal side, which is provided with an adhesive|
    FR2721204B1|1994-06-17|1997-01-17|Braun Biotrol B|Convex ring for invaginated ostomies.|
    US5607413A|1996-03-12|1997-03-04|Dansac A/S|Convex ostomy faceplate with floating flange and finger recess|
    US5811116A|1996-04-30|1998-09-22|Hollister Incorporated|Adhesive wafer with embossed skin-contacting surface|
    DK99397A|1997-08-29|1999-05-05|Coloplast As|Adhesive and use of this agent|
    JPH11290364A|1998-04-08|1999-10-26|Alcare Kk|Excrement storage wear|
    DK174650B1|1999-02-25|2003-08-04|Coloplast As|An ostomy appliance|
    US6790200B2|2001-01-11|2004-09-14|Marlen Manufacturing And Development Co., Inc.|Ostomy pouch and method of assembly|
    US6673056B2|2001-11-05|2004-01-06|Hollister Incorporated|Snap-in insert for convex ostomy faceplate|
    US20030171737A1|2002-03-11|2003-09-11|Leise, Walter F.|Soft convex adhesive wafer|
    US6723079B2|2002-03-27|2004-04-20|Bristol-Myers Squibb Company|Controlled evacuation ostomy device with external seal|
    RU2220685C1|2002-06-25|2004-01-10|Общество с ограниченной ответственностью "Пальма"|Container unit for collecting exudate from stoma|
    US6840924B2|2002-07-03|2005-01-11|Bristol-Myers Squibb Company|Ostomy appliance|
    DK200300018A|2003-01-10|2004-07-11|Coloplast As|ostomy appliance|
    DK176790B1|2003-03-31|2009-09-07|Coloplast As|Sticky patch|
    US7029464B2|2003-03-31|2006-04-18|Marlen Manufacturing & Development Co.|Ostomy pouch with stretch-to-fit stoma opening|
    DE20307688U1|2003-05-16|2003-07-31|For Life Produktions Und Vertr|Convex fastener, to secure a one- or two-piece colostomy bag to the colon outflow, has an adhesive surface at the flange to attach to the colon skin with elliptical interface surfaces and an elliptical center opening|
    DE602005006263T2|2004-05-03|2009-06-25|Coloplast A/S|ostomy appliance|
    US7223228B2|2004-05-07|2007-05-29|Gt Urological, Llc|Urethral occlusive assembly for preventing urinary incontinence|
    GB2418860B|2004-09-24|2009-11-11|Welland Medical Ltd|Reinforced pads for ostomy bags|
    WO2008150878A1|2007-05-29|2008-12-11|Cvdevices, Llc.|Devices, systems, and methods for deforming a body channel|
    WO2009021517A1|2007-08-10|2009-02-19|Coloplast A/S|A faecal management device|
    WO2009029228A2|2007-08-27|2009-03-05|Torax Medical, Inc.|Magnetic gastric band or the like, and related methods|
    WO2009048400A1|2007-10-11|2009-04-16|Milux Holding Sa|Method for controlling flow in a bodily organ|
    CA2740552A1|2008-11-12|2010-05-20|Coloplast A/S|To control bending in a skin plate for use in an ostomy appliance|
    WO2012079592A1|2010-12-17|2012-06-21|Coloplast A/S|A convex supporting device for an ostomy appliance|CA2689582C|2007-06-12|2016-08-09|Convatec Technologies Inc.|Ostomy appliance|
    WO2010060115A1|2008-11-19|2010-05-27|Convatec Technologies Inc.|Ostomy pouch appliance|
    KR101925739B1|2009-09-11|2018-12-05|컨바텍 테크놀러지스 인크|Controlled discharge ostomy appliance and shield therefor|
    WO2012079592A1|2010-12-17|2012-06-21|Coloplast A/S|A convex supporting device for an ostomy appliance|
    US8672908B2|2011-03-07|2014-03-18|Hollister Incorporated|Convex barrier ring|
    GB201115160D0|2011-09-02|2011-10-19|Trio Healthcare Ltd|Discharge solidifier and malodour control|
    US10285847B2|2011-09-29|2019-05-14|Convatec Technologies Inc.|Ostomy pouch with filtering system|
    GB2498974B|2012-02-01|2017-09-27|Pelican Healthcare Ltd|A mounting for an ostomy pouch|
    EP2914224B1|2012-11-02|2018-09-26|Coloplast A/S|Securement of collecting bags for human body wastes to the skin|
    HUE043066T2|2012-12-06|2019-08-28|Coloplast As|An adaptable ostomy base plate|
    EP2950761B2|2013-01-29|2020-09-23|Coloplast A/S|Ostomy appliance|
    USD747807S1|2013-06-11|2016-01-19|Coloplast A/S|Ostomy wafer shell|
    CN105828753B|2013-12-18|2018-04-24|科洛普拉斯特公司|Ostomy base can be adapted to|
    US9072581B1|2014-09-25|2015-07-07|King Saud University|Eye dropper positioning and guiding apparatus|
    WO2016146135A1|2015-03-16|2016-09-22|Coloplast A/S|Ostomy device|
    WO2017059869A1|2015-10-08|2017-04-13|Coloplast A/S|Body side member of an ostomy appliance|
    BR112018007554A2|2015-10-14|2018-10-23|Convatec Technologies Inc|medical device with opening system|
    RU2732115C2|2015-10-20|2020-09-11|Колопласт А/С|Body-facing stoma adapter accessory|
    EP3445296A1|2016-04-20|2019-02-27|Hollister Incorporated|Ostomy barrier|
    EP3912603A1|2016-11-15|2021-11-24|Hollister Incorporated|Convex ostomy barrier|
    EP3706619A1|2017-11-09|2020-09-16|11 Health and Technologies Limited|Ostomy monitoring system and method|
    CA3091903A1|2018-03-08|2019-09-12|The Insides Company Limited|Devices for use with surgically created orifices|
    USD893514S1|2018-11-08|2020-08-18|11 Health And Technologies Limited|Display screen or portion thereof with graphical user interface|
    CN114007558A|2019-04-25|2022-02-01|康沃特克科技公司|Ostomy wafer with adhesive and foam layer, ostomy device comprising the ostomy wafer and method of application|
    US20200337884A1|2019-04-25|2020-10-29|Convatec Technologies Inc.|Ostomy wafers incorporating adhesives, ostomy devices including the same, and methods of applying ostomy wafers and ostomy devices|
    WO2021113435A1|2019-12-06|2021-06-10|Hollister Incorporated|Soft convex ostomy appliance|
    法律状态:
    2018-12-18| B06F| Objections, documents and/or translations needed after an examination request according [chapter 6.6 patent gazette]|
    2019-09-17| B06U| Preliminary requirement: requests with searches performed by other patent offices: procedure suspended [chapter 6.21 patent gazette]|
    2020-07-07| B09A| Decision: intention to grant [chapter 9.1 patent gazette]|
    2020-10-20| B16A| Patent or certificate of addition of invention granted [chapter 16.1 patent gazette]|Free format text: PRAZO DE VALIDADE: 20 (VINTE) ANOS CONTADOS A PARTIR DE 16/12/2011, OBSERVADAS AS CONDICOES LEGAIS. |
    优先权:
    申请号 | 申请日 | 专利标题
    DKPA201070556|2010-12-17|
    DKPA201070554|2010-12-17|
    DKPA201070553|2010-12-17|
    DKPA201070554|2010-12-17|
    DKPA201070555|2010-12-17|
    DKPA201070555|2010-12-17|
    DKPA201070556|2010-12-17|
    DKPA201070553|2010-12-17|
    DKPA201170498|2011-09-09|
    DKPA201170498|2011-09-09|
    PCT/DK2011/050492|WO2012079592A1|2010-12-17|2011-12-16|A convex supporting device for an ostomy appliance|
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