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objectives:

- should be easy to apply

- should be easily concealed

- should be flexible

- should be light weight

- should be cost effective
 

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Constraints:

- Must secure to stoma

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- must have leak proof storage method of body excrement

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- Must have waterproof adhesive method

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- Must have method of concealing body odour

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- must have two pieces

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- must be comfortable

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- Must have method to couple two pieces effectively/securely

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- Must have easy disposal for waste

Gathering Information

- convex flextend skin barrier pushes skin back and stoma forward

- activated carbon filter aids in smell reduction. if charcoal filter gets wet, it may lose function

- two piece system needs to get changed twice a week. bag must be emptied once/twice a day

- internal lining contains smell combatting agent

- belts are optional to secure flange in place

- colostomy bags attach to stoma in the colon

- snap must be sealed all the way around to be effective

- must be unsealed as needed to release gas and prevent popping

- if flange is cut to the wrong size, there will be leakage and the flange will not be secured

- bags can fall off due to excess movement

- most two-piece systems are fastened with snaps

- stoma does not contain nerve endings

- mc junction is the connection between skin and stoma

- filters get clogged very quickly

- certain designs contain reusable bags with disposable liners

- non-opaque bags can cause insecurities

- belts not at level will impair flange

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Gathering Information

- convex flextend skin barrier pushes skin back and stoma forward

- activated carbon filter aids in smell reduction. if charcoal filter gets wet, it may lose function

- two piece system needs to get changed twice a week. bag must be emptied once/twice a day

- internal lining contains smell combatting agent

- belts are optional to secure flange in place

- colostomy bags attach to stoma in the colon

- snap must be sealed all the way around to be effective

- must be unsealed as needed to release gas and prevent popping

- if flange is cut to the wrong size, there will be leakage and the flange will not be secured

- bags can fall off due to excess movement

- most two-piece systems are fastened with snaps

- stoma does not contain nerve endings

- mc junction is the connection between skin and stoma

- filters get clogged very quickly

- certain designs contain reusable bags with disposable liners

- non-opaque bags can cause insecurities

- belts not at level will impair flange

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Preliminary Research - Materials

Belt Component for security and comfort:

 

Drysuit materials: 

  • Provides thermal insulation.

  • Water resistant properties allow for water to remain on the outside of the materials

  • Made of Neoprene, a synthetic rubber, that encloses tiny gas bubbles and allows for water to be kept out

  • Flexible material, but not completely tear resistant. 

  • Polyester and synthetic materials are preferred because natural materials as they are better at insulating and preventing leaks, which can be frequent with ostomy patients

  • Water-proof but breathable material like Gore-Tex. Prevents excessive humidity and condensation. This function though does not apply to when you are underwater.

  • CON: can be hard to put on due to inherent elasticity. 

SLIP materials:

  • Can be used to prevent leakage or seeping through of water or wastes. 

  • Helpful in preventing infections as it “resists adhesion from colonization of microorganisms”

  • Widely useful in the biomedical field

  • Self cleaning due to antibacterial agents

Stealth Belt:

  • Made of nylon, which is a synthetic, breathable and flexible 

  • Stretchiness allows for all day comfort** and double enclosure prevents breakage or slipping off ostomy belt.

 

Seal:

  • Newly innovated silicone seal is supple like latex

  • Considered very flexible and far more durable

  • Hypoallergenic, thus providing the biocompatible portion

  • Might need to be clipped on, but can be more useful given a seal lock

Skin Adhesives:

Silicone adhesives

  • translucent self-levelling silicone adhesive

  • Cures at room temperature (when it is exposed to atmospheric moisture)

  • Retains adhesive properties when exposed to water (and sweat)

  • Transparent and non-sterile

  • Latex free (in case of allergies) -> biocompatible

Inner Lining:

  • LDPE low density, but waterproof and tear resistant

  • Resistant to impact, moisture and toxic hazards

  • Lightweight but strong, and increasingly sustainable

Odour Trapping:

LIFE odor can trap VOCs in the polymer matrix to stop microbes from entering the environment. The LIFE  minimize unpleasant odors.minimizes odours 24/7

Preliminary Ideas

Tackling the idea of comfort and stability for Himesh, our group is concerned with the ostomy belt and the seal between the ostomy pouch and flange.

 

For the belt:

  • We can use a drysuit or even nylon material. With a thicker width compared to the current ostomy belt, the nylon/drysuit belt will provide extra comfort for Himesh as he participates in his physically demanding lifestyle

  • The water resistant material makes it easier to wear while in the shower, as it won’t provide an uncomfortable wet feeling or become heavy against his body

  • Providing insulation, but breathable movement, the nylon belt adheres to his activity

  • The belt also conceals the ostomy pouch, making it psychologically more comforting to wear (especially in public as “degradation” is a common feeling among ostomy patients) the opacity of the nylon provides this comfort. 

  • In addition, the polyester material will be leak proof.

 

For the Seal:

  • Using a silicone seal will provide flexibility and durability when it comes to Himesh’s bending and twisting

  • A lock seal can be used to provide extra security in case of sudden unexpected movement

  • A secure adhesive (that applies silicone to skin) allows for security to the body and the  silicon

  • Water resistant properties prove useful when Himesh sweats as the adhesive retains its ability.

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Concept Generation

Tackling the Design...

My group members and I felt it was necessary to provide Mr. Patel full control of securing the colostomy system. This lead to the Lock-and-Twist idea of the two-piece connection

 

 

The Group Discussion gave each member the opportunity to discuss the pros and cons of the potential prototype.

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This allowed us to look at the solution with different perspectives and ultimately gave us a basis of which we went about when finalizing the design.

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Group Discussion

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