Stoma wipe and adhesive remover and method
A stoma wipe and adhesive remover is for use by an ostomy patient in cleaning a stoma and the area of skin surrounding the stoma, also known as the peristomal skin. The stoma wipe includes a convenient, pre-moistened and disposable towelette. The towelette includes an absorbent fibrous web of material into which is absorbed a liquid cleaning solution having a soap component, an emulsifying component, a water component and an antifungal component. The wipes can be packaged in a convenient, portable, re-sealable package. The stoma wipe is suitable for cleaning a stoma and its surrounding skin area without causing irritation to the stoma and the surrounding skin area, while at the same time removing adhesive residue from an ostomy appliance. The cleaning of the skin and removing old adhesive residue improves adherence of the stoma pouch to the skin area surrounding the stoma.
1. A method of removing adhesive, skin oils and dirt buildup from the peristomal skin area of a stoma in an ostomy patient, the method comprising contacting the skin around the stoma with a formulated wipe, the wipe comprising a substrate impregnated with a non-irritating cleaning composition, wherein the substrate is capable of absorbing and retaining a fluid therein, and the cleaning composition consists essentially of water; a non-lathering detergent; a non-foaming surfactant capable of dissolving the adhesive; an antimicrobially effective amount of a preservative composition; and a carboxylic acid in an amount sufficient to maintain the pH between 5.5 and 7.0; wherein the cleaning composition is free of emollients, oils, lotions, fragrances, and volatile solvents.
2. A method according to claim 1 , wherein the non-foaming surfactant is a non-ionic surfactant having a hydrophile to lipophile balance (HLB) of 14 to 16.
3. A method according to claim 2 , wherein the HLB is from 14.5 to 15.5.
4. A method according to claim 3 , wherein the HLB is about 14.9 to 15.1.
5. A method according to claim 1 , wherein the carboxylic acid comprises citric acid.
6. A method according to claim 1 , wherein the non-lathering detergent comprises an imidazoline-based amphoteric surfactant.
7. A method according to claim 6 , wherein the amphoteric surfactant comprises an amphoacetate or amphopropionate surfactant.
8. A method according to claim 1 , wherein the preservative composition comprises 3-iodo-2-propynyl-N-butylcarbamate and diazolidinyl urea.
9. A method according to claim 2 , wherein the non-foaming surfactant is an ethoxylated sorbitan ester.
10. A method according to claim 2 , wherein the surfactant is polysorbate 20.
11. A method according to claim 1 , wherein the cleaning composition consists essentially of
water;
polysorbate 20;
sodium cocoamphoacetate or disodium cocoamphodiacetate;
citric acid;
diazolidinyl urea; and
iodopropynyl butylcarbamate.
12. A kit or packaged article comprising a plurality of formulated wipes and instructions for use of the wipes by an ostomy patient or the patient's caregiver to clean the peristomal skin and/or remove adhesive from around the patient's stoma, wherein the wipes comprise an absorbent or adsorbent insoluble substrate having a mild cleaning composition on at least on the surface of the substrate, and wherein the cleaning composition is free of volatile organic liquids, fragrances, oils, lotions, and emollients, and consists essentially of water; a non-ionic surfactant capable of removing adhesive; an ionic detergent; a carboxylic acid at a level sufficient to maintain the pH between 5.5 and 7; and an antimicrobially effective amount of a preservative composition.
13. A kit according to claim 12 , wherein the substrate is a non-woven fabric.
14. A kit according to claim 12 , wherein the non-ionic surfactant has an HLB of 14 to 16.
15. A kit according to claim 14 , wherein the HLB is 14.5 to 15.5.
16. A kit according to claim 14 , wherein the HLB is about 15.
17. A kit according to claim 12 , wherein the ionic detergent is an imidazoline-based amphoteric surfactant.
18. A kit according to claim 17 , wherein the detergent is an imidazoline-based amphoacetate surfactant.
19. A kit according to claim 17 , wherein the detergent is an imidazoline-based amphopropionate surfactant.
20. A kit according to claim 12 , wherein the carboxylic acid is citric acid.
21. A formulated wipe suitable for use by an ostomy patient or the patient's caregiver to remove adhesive or clean the skin around the patient's stoma, the wipes comprising a non-woven fabric substrate impregnated with a mild cleaning composition, wherein the mild cleaning composition is free of volatile organic liquids, oils, emollients, fragrances, and lotions, and consists essentially of water; a nonionic surfactant; an imidazoline-based amphoteric surfactant; an antimicrobially effective amount of a preservative composition; and citric acid.
22. A formulated wipe according to claim 21 wherein the mild cleaning solution is impregnated into the substrate by exposing the substrate to a composition comprising 95% or greater water by weight.
23. A formulated wipe according to claim 21 , wherein the non-ionic surfactant has an HLB of 14 to 16.
24. A formulated wipe according to claim 21 , wherein the non-ionic surfactant has an HLB of about 15.
25. A formulated wipe according to claim 21 , wherein the amphoteric surfactant is an imidazoline-based amphoacetate surfactant.
26. A formulated wipe according to claim 21 , wherein the amphoteric surfactant is an imidazoline-based amphopropionate surfactant.
27. A formulated wipe according to claim 21 , wherein the detergent is an imidazoline-based amphoacetate or amphopropionate surfactant, and the nonionic surfactant is a sorbitan ester ethoxylate.
28. A formulated wipe according to claim 21 , wherein the non-ionic surfactant is polysorbate 20, the imidazoline-based amphoteric surfactant is disodium cocoamphodiacetate, the carboxylic acid is citric acid, and the preservative composition comprises diazolidinyl urea and iodopropynyl butylcarbamate.
29. A formulated wipe according to claim 21 in the form of a rectangular or square sheet.
30. A formulated wipe according to claim 21 in the form of a mitt.
31. A sealed package comprising a plurality of formulated wipes according to claim 21 .
32. A kit comprising a plurality of wipes according to claim 21 and instructions for their use by an ostomy patient or the patient's caregiver to use the wipes to clean the skin around the patients' stoma.