U.S. patent application number 16/216395 was filed with the patent office on 2019-05-09 for stretchable sleeve and wrap for protecting and securing catheter dressings and tubes on a patient.
The applicant listed for this patent is Kezia Fitzgerald, Michael Fitzgerald. Invention is credited to Kezia Fitzgerald, Michael Fitzgerald.
Application Number | 20190134353 16/216395 |
Document ID | / |
Family ID | 47439087 |
Filed Date | 2019-05-09 |
![](/patent/app/20190134353/US20190134353A1-20190509-D00000.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00001.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00002.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00003.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00004.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00005.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00006.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00007.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00008.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00009.png)
![](/patent/app/20190134353/US20190134353A1-20190509-D00010.png)
View All Diagrams
United States Patent
Application |
20190134353 |
Kind Code |
A1 |
Fitzgerald; Michael ; et
al. |
May 9, 2019 |
Stretchable Sleeve and Wrap for Protecting and Securing Catheter
Dressings and Tubes on a Patient
Abstract
An easily removable, non-irritating stretchable sleeve or chest
wrap for protecting and securing a PICC line or chest catheter
tubing and cap extending externally from the insertion point. The
sleeve or chest wrap is easily attached to a patient's arm or body,
securing the small length of the external PICC line or the central
venous catheter, protecting the tubing and cap from external
contaminants, and allowing easy access to the PICC line or the
central venous catheter for administration of drugs or nutrients,
and access for blood draws. This sleeve allows the patient freedom
of movement and is comfortable enough to prevent skin irritation
over long-term usage.
Inventors: |
Fitzgerald; Michael;
(Danvers, MA) ; Fitzgerald; Kezia; (Danvers,
MA) |
|
Applicant: |
Name |
City |
State |
Country |
Type |
Fitzgerald; Michael
Fitzgerald; Kezia |
Danvers
Danvers |
MA
MA |
US
US |
|
|
Family ID: |
47439087 |
Appl. No.: |
16/216395 |
Filed: |
December 11, 2018 |
Related U.S. Patent Documents
|
|
|
|
|
|
Application
Number |
Filing Date |
Patent Number |
|
|
13545937 |
Jul 10, 2012 |
10149964 |
|
|
16216395 |
|
|
|
|
61506148 |
Jul 10, 2011 |
|
|
|
Current U.S.
Class: |
1/1 |
Current CPC
Class: |
A61M 25/02 20130101;
A61M 5/1418 20130101; A61F 13/10 20130101; A61F 13/143 20130101;
A61M 2025/0213 20130101; A61M 39/08 20130101; A61M 2005/1586
20130101; A61M 2025/0206 20130101 |
International
Class: |
A61M 25/02 20060101
A61M025/02; A61F 13/10 20060101 A61F013/10; A61F 13/14 20060101
A61F013/14; A61M 39/08 20060101 A61M039/08; A61M 5/14 20060101
A61M005/14 |
Claims
1. A protective sleeve for an intravenous needle inserted into a
vein in a patient's arm, wherein a short length of tube extends
from the intravenous needle and comprises a cap on a distal end,
the protective sleeve comprising: a stretchable tubular member
having a first end with a first opening, a second end with a second
opening, a substantially flat internal surface, a substantially
flat external surface, a lumen substantially parallel with the
longitudinal axis, wherein the patient's arm is slidably placed
within the sleeve through the first opening through the lumen and
then through the second opening such that a portion of the arm is
contained within the sleeve and extends through both openings,
further wherein the sleeve is positioned on the arm over the
insertion point of the intravenous needle; the sleeve further
comprising a slit opening between the internal and external
surfaces that is positioned proximate to the intravenous needle
insertion point, wherein the tube extending from the intravenous
needle is placed through the slit opening; the sleeve comprising a
substantially flat strap disposed on the external surface, distal
from the slit opening, wherein the strap comprises a first end and
a second end that are both attached to the external surface of the
sleeve, further wherein a central portion of the strap is
unattached to the external surface of the sleeve, further wherein
the tube extending from the intravenous needle is placed underneath
the strap; and the sleeve further comprising a substantially flat
pocket disposed on external surface, distal from the strap, wherein
the pocket comprises a pocket opening, further wherein the distal
end of the tube extending from the intravenous needle is placed
into the pocket through the pocket opening; wherein the slit
opening, the strap and the pocket secure the tube extending from
the intravenous needle to the sleeve and the patient's arm.
2. The subject invention discloses a method of protecting a short
length IV catheter tube in a patient's arm, comprising the steps
of: inserting the catheter into a patient's vein near an elbow, the
catheter attached to the short length IV catheter tube; covering
the insertion site with a bandage; sliding a sleeve over the
patient's arm, wherein the sleeve comprises a stretchable
cylindrical housing having a proximal end, a distal end, a
substantially flat internal surface, a substantially flat external
surface, an internal cavity passing through the proximal end to
define a proximal opening, and further passing through the distal
end to define a distal opening, wherein the patient's arm is
slidably placed within the sleeve through the distal opening
through the cavity and then through the proximal opening such that
a portion of the arm is contained within the sleeve and extends
through both openings; positioning the sleeve on the patient's arm
over the insertion point; placing the short length IV catheter tube
through a narrow opening on the sleeve between the internal and
external surfaces; placing the short length IV catheter tube
underneath a substantially flat strap disposed on the external
surface of the sleeve, distal from the narrow opening, wherein the
strap comprises a first end and a second end that are both attached
to the external surface of the sleeve, further wherein a central
portion of the strap is unattached to the external surface of the
sleeve; placing the distal end of the short length IV catheter tube
into a substantially flat pocket disposed on external surface of
the sleeve, distal from the strap, wherein the narrow opening, the
strap and the pocket prevent the IV catheter tube from contacting
the patient's skin; and removing the distal end of the short length
IV catheter tube whenever necessary for administration of
medication or nutrients into the tube.
3. The protective sleeve of claim 1, wherein the protective sleeve
applies inward compression force that is applied over the internal
surface of the sleeve to the patient's arm without inhibiting
circulation of the patient's arm.
4. The protective sleeve of claim 1, wherein the protective sleeve
applies inward compression force such that the compression force
maintains that sleeve on the patient's arm and secures the short
length of tube extending from the intravenous needle without any
additional fasteners.
5. The protective sleeve of claim 1, wherein the protective sleeve
does not contain a fastener selected from the group consisting of
hook and loop fasteners, buttons, clamps, brackets, buckles,
magnets, snaps, tie straps, tape layers, or adhesives.
6. The protective sleeve of claim 1, wherein the protective sleeve
must be slid or rolled onto the patient's arm.
7. The protective sleeve of claim 1, wherein tubular member
comprises a unitary piece.
8. The protective sleeve of claim 1, wherein tubular member
comprises a substantially equal diameter from the first end to the
second end.
9. The protective sleeve of claim 1, wherein tubular member
comprises a cross-sectional shape of the sleeve selected from the
group consisting of substantially circular and substantially
elliptical.
10. The protective sleeve of claim 1, wherein the protective sleeve
is wearable on either arm of a patient.
11. The protective sleeve of claim 1, wherein the protective sleeve
further comprises a flexible substantially transparent window that
traverses the external and internal surfaces of the sleeve.
12. The protective sleeve of claim 1, wherein the slit opening, the
strap and the external pocket are all substantially parallel with
each other.
13. The protective sleeve of claim 1, wherein the sleeve comprises
a fabric that is non-irritating to the skin.
14. The protective sleeve of claim 1, wherein the sleeve comprises
a fabric that is selected from the group consisting of natural
fibers, such as cottons, wools, silks, twills, cloths and bamboo;
man-made fibers such as polyesters, nylons, tencels, viscose; and
any combination of natural or man-made fibers and weaves.
15. A chest wrap for a central venous catheter inserted into a vein
in a patient's chest, wherein the short length of tube extends from
the central venous catheter and comprises a cap on a distal end,
the chest wrap comprising: a stretchable substantially flat member
having a first end with a first fastener, a second end with a
second fastener, a substantially flat internal surface, a
substantially flat external surface, an internal lumen between the
internal surface and the external surface, wherein the chest wrap
is wrapped around a patient's chest and the first fastener is
attached to the second fastener to form a loop such that a portion
of the chest is contained within the looped chest wrap, further
wherein the chest wrap is positioned on the chest over the
insertion point of the central venous catheter; the chest wrap
further comprising a first slit opening between the internal
surface and the internal lumen that is positioned proximate to the
central venous catheter insertion point, wherein the tube extending
from the central venous catheter is placed through the first slit
opening into the internal lumen, further wherein the tube extending
from the central venous catheter is wrapped around the torso of the
patient; the chest wrap further comprising a second slit opening
between the internal lumen and the external surface, wherein the
tube extending from the central venous catheter is placed through
the second slit opening onto the external surface; the chest wrap
further comprising a third slit opening between the external
surface and the internal lumen, wherein the tube extending from the
central venous catheter is placed through the third slit opening
into the internal lumen; the chest wrap further comprising a
substantially flat strap disposed on the external surface, wherein
the strap comprises a first end and a second end that are both
attached to the external surface of the chest wrap, further wherein
a central portion of the strap is unattached to the external
surface of the chest wrap, further wherein the tube extending from
the central venous catheter is placed underneath the strap within
the internal lumen; wherein the first, second and third slit
openings, and the strap secure the tube extending from the central
venous catheter to the chest wrap and the patient's chest.
16. The chest wrap of claim 15, wherein the chest wrap applies
inward compression force that is applied over the internal surface
of the chest wrap to the patient's chest without inhibiting
circulation of the patient's chest.
17. The chest wrap of claim 15, wherein the first and second
fasteners may be selected from the group consisting of hook and
loop fasteners, buttons, clamps, brackets, buckles, magnets, snaps,
tie straps, tape layers, and adhesives.
18. The chest wrap of claim 15, wherein the substantially flat
member of the chest wrap comprises a unitary piece.
19. The chest wrap of claim 15, wherein the chest wrap comprises a
fabric that is non-irritating to the skin.
20. The chest wrap of claim 15, wherein the chest wrap comprises a
fabric that is selected from the group consisting of natural
fibers, such as cottons, wools, silks, twills, cloths and bamboo;
man-made fibers such as polyesters, nylons, tencels, viscose; and
any combination of natural or man-made fibers and weaves.
Description
CROSS REFERENCE TO RELATED APPLICATION
[0001] This application claims priority to and is a continuation of
U.S. patent application Ser. No. 13/545,937, filed Jul. 10, 2012,
and claims the benefit of U.S. Provisional Patent Application No.
61/506,148 filed on Jul. 10, 2011, the contents of which are
incorporated herein by reference.
FIELD OF THE INVENTION
[0002] This invention relates to easily removable, non-irritating
stretchable sleeve or chest wrap for protecting and securing a PICC
line or chest catheter tubing and cap extending externally from the
insertion point.
BACKGROUND OF INVENTION
[0003] Intravenous or IV therapy involves administration of liquids
directly into a patient's veins through an inserted catheter.
Long-term, continuous IV therapy (for administrating chemotherapy
regimens, frequent drawing of blood samples, antibiotic regimens,
or tube feeding [parenteral nutrition]) is usually accomplished
with a peripherally inserted central catheter line (or PICC line),
or through a more central location with a central venous catheter
or a Broviac catheter.
[0004] A PICC line is a soft, flexible tube, with one or more
internal lumens. The PICC line is surgically inserted into a
peripheral vein, often the arm, in a sterile procedure that must be
undertaken by a trained medical professional. During insertion, the
PICC line is drawn upward with an inserted guide wire until the
tube is in, or proximate to, the superior vena cava of the heart.
PICC lines are usually inserted 25 to 60 cm within a patient's
peripheral vein.
[0005] A central venous catheter is a soft, flexible tube, with one
or more internal lumens that has a larger diameter than a PICC
line. A Broviac catheter is a central venous catheter with a
smaller lumen for use with small children. The central venous
catheter is placed directly into a large vein in the neck, chest,
or groin.
[0006] PICC lines can remain in situ for extended periods of time,
from days to a year. PICC lines and central venous catheters are
more patient-friendly, because they necessitate only one tube
insertion, rather than repeated ones.
[0007] Once the PICC line or the central venous catheter is
inserted, the guide wire is removed and a small length of the PICC
line or the central venous catheter remains external to the
patient, extending outwards from the point of insertion. The
external end of the PICC line or the central venous catheter is
capped to prevent bacteria, viruses or contaminants from
entering.
[0008] This small length of the PICC line or the central venous
catheter often dangles, unsupported, near the point of insertion.
There is a constant danger of pulling or otherwise interfering with
the PICC line or the central venous catheter during normal daily
activities or during sleep. Tape is generally used to secure the
tubes while not in use. These tapes can lead to pain, inflammation,
infections, and reduced drug efficacy. The problem in movement is
especially pronounced in young children undergoing long-term
therapy with a PICC line or a central venous catheter.
[0009] Thus, this small length of the PICC line or the central
venous catheter, and the end cap, must be attached to the patient
to prevent movement or dislodgment of the internal tubing. This
movement or dislodgment may prevent the administered liquids from
reaching the desired veins, or cause significant inflammation to
the insertion point, air embolisms, arterial punctures, internal
bruising, and blood clots. The PICC line or the central venous
catheter external attachment must also protect the tubing from
being pierced or otherwise punctured due to movement. A pierced or
punctured PICC line or central venous catheter, would not only
prevent administered liquids from reaching the desired veins, it
may also allow bacteria or contaminants to enter, causing internal
infections in the patient.
[0010] Previous solutions to prevent movement of the PICC line or
the central venous catheter have included taping the external small
length of the lines with various medical tapes. These tapes often
leave adhesive residues that are irritating to the skin. These
irritations can often lead patients to inadvertently scratch the
insertion points, thereby moving the small length of the external
PICC line or the central venous catheter. Some newer medical tapes
reduce or virtually eliminate adhesive residue, but these tapes are
not as strong and still irritate the skin surrounding the insertion
point. Furthermore, this medical tape must often be partially
removed to access the PICC line or the central venous catheter and
then re-taped once the IV therapy is complete. This removal of the
tape and re-taping to the skin can result in significant
irritation. Moreover, when the end of the PICC line or the central
venous catheter is taped visibly from the outside of the patient's
clothing, it presents an unsightly and disturbing appearance that
can produce mental distress.
[0011] Accordingly, there is a need for a protective sleeve to
protect the PICC line or the central venous catheter insertion
points. This sleeve needs to be easily attached to a patient's arm
or body, secure the small length of the external PICC line or the
central venous catheter, protect the tubing and cap from external
contaminants, and allow easy access to the PICC line or the central
venous catheter for administration of drugs or nutrients, and
access for blood draws. This sleeve must also allow the patient
freedom of movement and be comfortable enough to prevent skin
irritation over long-term usage.
SUMMARY OF THE INVENTION
[0012] There are additional features of the invention that will be
described hereinafter and which will form the subject matter of the
claims appended hereto. In this respect, before explaining at least
one embodiment of the invention in detail, it is to be understood
that the invention is not limited in its application to the details
of construction and to the arrangements of the components set forth
in the following description or illustrated in the drawings. The
invention is capable of other embodiments and of being practiced
and carried out in various ways. Also, it is to be understood that
the phraseology and terminology employed herein are for the purpose
of the description and should not be regarded as limiting.
[0013] The subject invention discloses a protective sleeve for an
intravenous needle inserted into a vein in a patient's arm, wherein
the short length of tube extends from the intravenous needle and
comprises a cap on a distal end, the protective sleeve comprising:
a stretchable tubular member having a first end with a first
opening, a second end with a second opening, a substantially flat
internal surface, a substantially flat external surface, a lumen
substantially parallel with the longitudinal axis, wherein the
patient's arm is slidably placed within the sleeve through the
first opening through the lumen and then through the second opening
such that a portion of the arm is contained within the sleeve and
extends through both openings, further wherein the sleeve is
positioned on the arm over the insertion point of the intravenous
needle; the sleeve further comprising a slit opening between the
internal and external surfaces that is positioned proximate to the
intravenous needle insertion point, wherein the tube extending from
the intravenous needle is placed through the slit opening; the
sleeve comprising a substantially flat strap disposed on the
external surface, distal from the slit opening, wherein the strap
comprises a first end and a second end that are both attached to
the external surface of the sleeve, further wherein a central
portion of the strap is unattached to the external surface of the
sleeve, further wherein the tube extending from the intravenous
needle is placed through the strap; and the sleeve further
comprising a substantially flat pocket disposed on external
surface, distal from the strap, wherein the pocket comprises a
pocket opening, further wherein the distal end of the tube
extending from the intravenous needle is placed into the pocket
through the pocket opening; wherein the slit opening, the strap and
the pocket secure the tube extending from the intravenous needle to
the sleeve and the patient's arm.
[0014] The subject invention also discloses a protective sleeve for
a short length capped IV catheter tube extending from an insertion
point in a patient's arm, the protective sleeve comprising: a
stretchable cylindrical housing having a proximal end, a distal
end, a substantially flat internal surface, a substantially flat
external surface, an internal cavity passing through the proximal
end to define a proximal opening, and further passing through the
distal end to define a distal opening, wherein the patient's arm is
slidably placed within the sleeve through the distal opening
through the cavity and then through the proximal opening such that
a portion of the arm is contained within the sleeve and extends
through both openings, further wherein the sleeve is positioned on
the arm over the insertion point; the sleeve further comprising a
narrow opening between the internal and external surfaces that is
positioned proximate to the insertion point, wherein the IV
catheter tube is placed through the narrow opening; the sleeve
comprising a substantially flat strap disposed on the external
surface, distal from the narrow opening, wherein the strap
comprises a first end and a second end that are both attached to
the external surface of the sleeve, further wherein a central
portion of the strap is unattached to the external surface of the
sleeve, further wherein the IV catheter tube is placed through the
strap; and the sleeve further comprising a substantially flat
pocket disposed on external surface, distal from the strap, wherein
the pocket comprises a pocket opening, further wherein the distal
end of the IV catheter tube is placed into the pocket through the
pocket opening; wherein the narrow opening, the strap and the
pocket prevent the IV catheter tube from contacting the patient's
skin.
[0015] The subject invention further discloses a protective sleeve
for an external small length of an inserted PICC line, the
protective sleeve comprising: a stretchable tubular member having a
first end with a first opening, a second end with a second opening,
a substantially flat internal surface, a substantially flat
external surface, a lumen substantially parallel with the
longitudinal axis, wherein the patient's arm is slidably placed
within the sleeve through the first opening through the lumen and
then through the second opening such that a portion of the arm is
contained within the sleeve and extends through both openings,
further wherein the sleeve is positioned on the arm over the
insertion point of the PICC line; the sleeve further comprising a
slit opening between the internal and external surfaces that is
positioned proximate to the intravenous needle insertion point,
wherein the external small length of the PICC line is placed
through the slit opening; the sleeve comprising a substantially
flat strap disposed on the external surface, distal from the slit
opening, wherein the strap comprises a first end and a second end
that are both attached to the external surface of the sleeve,
further wherein a central portion of the strap is unattached to the
external surface of the sleeve, wherein the external small length
of the PICC line is placed through the strap; and the sleeve
further comprising a substantially flat pocket disposed on external
surface, distal from the strap, wherein the pocket comprises a
pocket opening, further wherein the distal end of the external
small length of the PICC line is placed into the pocket through the
pocket opening; wherein the slit opening, the strap and the pocket
secure the external small length of the PICC line to the sleeve and
the patient's arm.
[0016] The subject invention discloses a protective sleeve for an
external small length of a PICC line extending from an insertion
point in a patient's arm, the protective sleeve comprising: a
stretchable tubular housing having a proximal end, a distal end, a
substantially flat internal surface, a substantially flat external
surface, an internal cavity passing through the proximal end to
define a proximal opening, and further passing through the distal
end to define a distal opening, wherein the patient's arm is
slidably placed within the sleeve through the distal opening
through the cavity and then through the proximal opening such that
a portion of the arm is contained within the sleeve and extends
through both openings, further wherein the sleeve is positioned on
the arm over the insertion point; the sleeve further comprising a
narrow opening between the internal and external surfaces that is
positioned proximate to the insertion point, wherein the external
small length of the PICC line is placed through the narrow opening;
the sleeve comprising a substantially flat strap disposed on the
external surface, distal from the narrow opening, wherein the strap
comprises a first end and a second end that are both attached to
the external surface of the sleeve, further wherein a central
portion of the strap is unattached to the external surface of the
sleeve, wherein the external small length of the PICC line is
placed through the strap; and the sleeve further comprising a
substantially flat pocket disposed on external surface, distal from
the strap, wherein the pocket comprises a pocket opening, further
wherein the distal end of the external small length of the PICC
line is placed into the pocket through the pocket opening; wherein
the narrow opening, the strap and the pocket prevent the external
small length of the PICC line from contacting the patient's
skin.
[0017] The subject invention also discloses a protective sleeve for
an external small length of an inserted PICC line, the protective
sleeve comprising: a stretchable cylindrical housing having a first
end with a first opening, a second end with a second opening, a
substantially flat internal surface, a substantially flat external
surface, a lumen substantially parallel with the longitudinal axis,
wherein the patient's arm is slidably placed within the sleeve
through the first opening through the lumen and then through the
second opening such that a portion of the arm is contained within
the sleeve and extends through both openings, further wherein the
sleeve is positioned on the arm over the insertion point of the
PICC line; the sleeve further comprising a slit opening between the
internal and external surfaces that is positioned proximate to the
intravenous needle insertion point, wherein the slit opening is
configured to removably hold the external small length of the PICC
line, further wherein the external small length of the PICC line is
placed through the slit opening; the sleeve comprising a
substantially flat strap disposed on the external surface, distal
from the slit opening, wherein the strap comprises a first end and
a second end that are both attached to the external surface of the
sleeve, further wherein a central portion of the strap is
unattached to the external surface of the sleeve, wherein the strap
is configured to removably hold the external small length of the
PICC line, further wherein the external small length of the PICC
line is placed through the strap; and the sleeve further comprising
a substantially flat pocket disposed on external surface, distal
from the strap, wherein the pocket comprises a pocket opening,
wherein the pocket is configured to removably hold the external
small length of the PICC line, further wherein the distal end of
the external small length of the PICC line is placed into the
pocket through the pocket opening; wherein the slit opening, the
strap and the pocket immobilize the external small length of the
PICC line to the sleeve and the patient's arm.
[0018] The subject invention discloses a method of protecting a
short length IV catheter tube in a patient's arm, comprising the
steps of: inserting the catheter into a patient's vein near an
elbow, the catheter attached to the short length IV catheter tube;
covering the insertion site with a bandage; sliding a sleeve over
the patient's arm, wherein the sleeve comprises a stretchable
tubular member having a proximal end, a distal end, a substantially
flat internal surface, a substantially flat external surface, an
internal cavity passing through the proximal end to define a
proximal opening, and further passing through the distal end to
define a distal opening, wherein the patient's arm is slidably
placed within the sleeve through the distal opening through the
cavity and then through the proximal opening such that a portion of
the arm is contained within the sleeve and extends through both
openings; positioning the sleeve on the patient's arm over the
insertion point; placing the short length IV catheter tube through
a narrow opening on the sleeve between the internal and external
surfaces; placing the short length IV catheter tube through a
substantially flat strap disposed on the external surface of the
sleeve, distal from the narrow opening, wherein the strap comprises
a first end and a second end that are both attached to the external
surface of the sleeve, further wherein a central portion of the
strap is unattached to the external surface of the sleeve; placing
the distal end of the short length IV catheter tube into a
substantially flat pocket disposed on external surface of the
sleeve, distal from the strap, wherein the narrow opening, the
strap and the pocket prevent the IV catheter tube from contacting
the patient's skin; and removing the distal end of the short length
IV catheter tube whenever necessary for administration of
medication or nutrients into the tube.
[0019] The subject invention further discloses a method of
protecting an external small length of an inserted PICC line,
comprising the steps of: inserting the PICC line into a patient's
vein near an elbow; covering the insertion site with a bandage;
sliding a sleeve over the patient's arm, wherein the sleeve
comprises a stretchable cylindrical housing having a first end with
a first opening, a second end with a second opening, a
substantially flat internal surface, a substantially flat external
surface, a lumen substantially parallel with the longitudinal axis,
wherein the patient's arm is slidably placed within the sleeve
through the first opening through the lumen and then through the
second opening such that a portion of the arm is contained within
the sleeve and extends through both openings; positioning the
sleeve on the patient's arm over the insertion point; placing the
PICC line through a slit opening on the sleeve between the internal
and external surfaces; placing the PICC line through a
substantially flat strap disposed on the external surface of the
sleeve, distal from the slit opening, wherein the strap comprises a
first end and a second end that are both attached to the external
surface of the sleeve, further wherein a central portion of the
strap is unattached to the external surface of the sleeve; placing
the distal end of the PICC line into a substantially flat pocket
disposed on external surface of the sleeve, distal from the strap,
wherein the slit opening, the strap and the pocket secure the
external small length of the PICC line to the sleeve and the
patient's arm; and removing the distal end of the PICC line
whenever necessary for administration of medication or
nutrients.
[0020] The subject invention also discloses a method of protecting
an external small length of an inserted PICC line, comprising the
steps of: inserting the PICC line into a patient's vein near an
elbow; covering the insertion site with a bandage; sliding a sleeve
over the patient's arm, wherein the sleeve comprises a stretchable
tubular housing having a proximal end, a distal end, a
substantially flat internal surface, a substantially flat external
surface, an internal cavity passing through the proximal end to
define a proximal opening, and further passing through the distal
end to define a distal opening, wherein the patient's arm is
slidably placed within the sleeve through the distal opening
through the cavity and then through the proximal opening such that
a portion of the arm is contained within the sleeve and extends
through both openings; positioning the sleeve on the patient's arm
over the insertion point; placing the PICC line through a narrow
opening on the sleeve between the internal and external surfaces;
placing the PICC line through a substantially flat strap disposed
on the external surface of the sleeve, distal from the slit
opening, wherein the strap comprises a first end and a second end
that are both attached to the external surface of the sleeve,
further wherein a central portion of the strap is unattached to the
external surface of the sleeve; placing the distal end of the PICC
line into a substantially flat pocket disposed on external surface
of the sleeve, distal from the strap, wherein the narrow opening,
the strap and the pocket prevent the external small length of the
PICC line from contacting the patient's skin; and removing the
distal end of the PICC line whenever necessary for administration
of medication or nutrients.
[0021] In embodiments of the subject invention, the protective
sleeve may apply inward compression force that is substantially
applied over the internal surface of the sleeve to the patient's
arm without inhibiting circulation of the patient's arm. In further
embodiments of the subject invention, the protective sleeve may
apply inward compression force to the patient's arm such that the
compression force maintains that sleeve on the patient's arm and
secures either the short length of tube extends from the
intravenous needle, the IV catheter tube, or external small length
of the PICC line without any additional fasteners. In other
embodiments of the subject invention, the protective sleeve does
not contain a fastener selected from the group consisting of hook
and loop fasteners, buttons, clamps, brackets, buckles, magnets,
snaps, tie straps, tape layers, or adhesives.
[0022] In further embodiments of the subject invention, the
protective sleeve may apply inward compression force that is
substantially applied over the internal surface of the sleeve to
the patient's arm without inhibiting circulation of the patient's
arm. In even further embodiments of the subject invention, the
protective sleeve may apply inward compression force to the
patient's arm such that the compression force maintains that sleeve
on the patient's arm and secures either the short length of tube
extends from the intravenous needle, the IV catheter tube, or
external small length of the PICC line without any additional
fasteners. In other embodiments of the subject invention, the
protective sleeve does not contain a fastener selected from the
group consisting of hook and loop fasteners, buttons, clamps,
brackets, buckles, magnets, snaps, tie straps, tape layers, or
adhesives.
[0023] In additional embodiments of the subject invention, the slit
opening, the strap and the external pocket all comprise a
stretchability that applies sufficient compression force for
holding and securing either the external small length of the PICC
line and the distal end cap, the capped IV catheter tube, or the
short length of tube extending from the intravenous needle, such
that this compression force does not substantially affect
circulation in the patient's arm, and keeps these tubes in place
during treatment, during sleep, and during normal activities.
[0024] In embodiments of the subject invention, the protective
sleeve may be a continuous tubular member or cylindrical housing
that must be slid or rolled onto the patient's arm. In further
embodiments of the subject invention, the substantially flat member
or the substantially flat member of the sleeve may comprise a
unitary piece.
[0025] In additional embodiments of the subject invention, the
protective sleeve may have a substantially equal diameter from the
first end to the second end. In further embodiments of the subject
invention, the protective sleeve may have a substantially equal
diameter from the proximal end to the distal end.
[0026] In other embodiments of the subject invention, the
protective sleeve may have a tapering diameter from the first end
to the second end. In further embodiments of the subject invention,
the protective sleeve may have a tapering diameter from the
proximal end to the distal end.
[0027] In additional embodiments of the subject invention, the
cross-sectional shape of the sleeve may be selected from the group
consisting of substantially circular or substantially
elliptical.
[0028] In embodiments of the subject invention, the sleeve may be
worn on either arm.
[0029] In further embodiments of the subject invention, the sleeve
may further comprise a flexible substantially transparent or
semi-transparent window that traverses the external and internal
surfaces of the sleeve. In these embodiments, the sleeve should be
positioned on the patient's arm such that the flexible
substantially transparent or semi-transparent window is over the
PICC line or intravenous needle insertion point. In another
embodiment of the subject invention, this substantially transparent
window may be a mesh material.
[0030] In embodiments of the subject invention, the slit opening,
the strap and the external pocket may all be substantially parallel
with each other.
[0031] In further embodiments of the subject invention, the
protective sleeve, the strap and the external pocket may all be
composed of a slightly flexible and lightweight fabric that
stretches over a patient's arm and is non-irritating to the skin.
In these embodiments of the subject invention, this fabric may be
selected from the group consisting of natural fibers, such as
cottons, wools, silks, twills, cloths and bamboo; man-made fibers
such as polyesters, nylons, tencels, viscose; or any combination of
natural or man-made fibers and weaves.
[0032] The subject invention discloses a chest wrap for a central
venous catheter inserted into a vein in a patient's chest, wherein
the short length of tube extends from the central venous catheter
and comprises a cap on a distal end, the chest wrap comprising: a
stretchable substantially flat having a first end with a first
fastener, a second end with a second fastener, a substantially flat
internal surface, a substantially flat external surface, an
internal lumen between the internal surface and the external
surface, wherein the chest wrap is wrapped around a patient's chest
and the first fastener is attached to the second fastener to form a
loop such that a portion of the chest is contained within the
looped chest wrap, further wherein the chest wrap is positioned on
the chest over the insertion point of the central venous catheter;
the chest wrap further comprising a first slit opening between the
internal surface and the internal lumen that is positioned
proximate to the central venous catheter insertion point, wherein
the tube extending from the central venous catheter is placed
through the first slit opening into the internal lumen, further
wherein the tube extending from the central venous catheter is
wrapped around the chest of the patient; the chest wrap further
comprising a second slit opening between the internal lumen and the
external surface, wherein the tube extending from the central
venous catheter is placed through the second slit opening onto the
external surface; the chest wrap further comprising a third slit
opening between the external surface and the internal lumen,
wherein the tube extending from the central venous catheter is
placed through the third slit opening into the internal lumen; the
chest wrap further comprising a substantially flat strap disposed
on the external surface, wherein the strap comprises a first end
and a second end that are both attached to the external surface of
the chest wrap, further wherein a central portion of the strap is
unattached to the external surface of the chest wrap, further
wherein the tube extending from the central venous catheter is
placed through the strap within the internal lumen; wherein the
first, second and third slit openings, and the strap secure the
tube extending from the central venous catheter to the chest wrap
and the patient's chest.
[0033] The subject invention also discloses a chest wrap for a
Broviac catheter inserted into a vein in a patient's chest, wherein
the short length of tube extends from the Broviac catheter and
comprises a cap on a distal end, the chest wrap comprising: a
stretchable substantially flat having a first end with a first
fastener, a second end with a second fastener, a substantially flat
internal surface, a substantially flat external surface, an
internal lumen between the internal surface and the external
surface, wherein the chest wrap is wrapped around a patient's chest
and the first fastener is attached to the second fastener to form a
loop such that a portion of the chest is contained within the
looped chest wrap, further wherein the chest wrap is positioned on
the chest over the insertion point of the Broviac catheter; the
chest wrap further comprising a first slit opening between the
internal surface and the internal lumen that is positioned
proximate to the Broviac catheter insertion point, wherein the tube
extending from the Broviac catheter is placed through the first
slit opening into the internal lumen, further wherein the tube
extending from the Broviac catheter is wrapped around the chest of
the patient; the chest wrap further comprising a second slit
opening between the internal lumen and the external surface,
wherein the tube extending from the Broviac catheter is placed
through the second slit opening onto the external surface; the
chest wrap further comprising a third slit opening between the
external surface and the internal lumen, wherein the tube extending
from the Broviac catheter is placed through the third slit opening
into the internal lumen; the chest wrap further comprising a
substantially flat strap disposed on the external surface, wherein
the strap comprises a first end and a second end that are both
attached to the external surface of the chest wrap, further wherein
a central portion of the strap is unattached to the external
surface of the chest wrap, further wherein the tube extending from
the Broviac catheter is placed through the strap within the
internal lumen; wherein the first, second and third slit openings,
and the strap secure the tube extending from the Broviac catheter
to the chest wrap and the patient's chest.
[0034] The subject invention further discloses a method of
protecting a central venous catheter in a patient's chest,
comprising the steps of: inserting the catheter into a patient's
vein in the chest, the catheter attached to a short length tube;
covering the insertion site with a bandage; wrapping a chest wrap
over the patient's chest, wherein the chest wrap comprises a
stretchable substantially flat member having a first end with a
first fastener, a second end with a second fastener, a
substantially flat internal surface, a substantially flat external
surface, an internal lumen between the internal surface and the
external surface, wherein the chest wrap is wrapped around a
patient's chest and the first fastener is attached to the second
fastener to form a loop such that a portion of the chest is
contained within the looped chest wrap; positioning the chest wrap
on the patient's chest over the insertion point; placing the tube
extending from the central venous catheter through a first slit
opening between the internal surface and the internal lumen;
wrapping the tube extending from the central venous catheter around
the chest of the patient; placing the tube extending from the
central venous catheter through a second slit opening between the
internal lumen and the external surface; placing the tube extending
from the central venous catheter through a third slit opening
between the external surface and the internal lumen; placing the
distal end of the tube extending from the central venous catheter
through a substantially flat strap disposed on the external
surface, wherein the strap comprises a first end and a second end
that are both attached to the external surface of the chest wrap,
further wherein a central portion of the strap is unattached to the
external surface of the chest wrap, further wherein the tube
extending from the central venous catheter is placed through the
strap within the internal lumen, wherein the first, second, third
slit openings, and the strap secure the tube extending from the
central venous catheter to the chest wrap and the patient's chest;
and removing the distal end of the tube extending from the central
venous catheter whenever necessary for administration of medication
or nutrients into the tube.
[0035] The subject invention further discloses a method of
protecting a Broviac catheter in a patient's chest, comprising the
steps of: inserting the catheter into a patient's vein in the
chest, the catheter attached to a short length tube; covering the
insertion site with a bandage; wrapping a chest wrap over the
patient's chest, wherein the chest wrap comprises a stretchable
substantially flat member having a first end with a first fastener,
a second end with a second fastener, a substantially flat internal
surface, a substantially flat external surface, an internal lumen
between the internal surface and the external surface, wherein the
chest wrap is wrapped around a patient's chest and the first
fastener is attached to the second fastener to form a loop such
that a portion of the chest is contained within the looped chest
wrap; positioning the chest wrap on the patient's chest over the
insertion point; placing the tube extending from the Broviac
catheter through a first slit opening between the internal surface
and the internal lumen; wrapping the tube extending from the
Broviac catheter around the chest of the patient; placing the tube
extending from the Broviac catheter through a second slit opening
between the internal lumen and the external surface; placing the
tube extending from the Broviac catheter through a third slit
opening between the external surface and the internal lumen;
placing the distal end of the tube extending from the Broviac
catheter through a substantially flat strap disposed on the
external surface, wherein the strap comprises a first end and a
second end that are both attached to the external surface of the
chest wrap, further wherein a central portion of the strap is
unattached to the external surface of the chest wrap, further
wherein the tube extending from the Broviac catheter is placed
through the strap within the internal lumen, wherein the first,
second, third slit openings, and the strap secure the tube
extending from the Broviac catheter to the chest wrap and the
patient's chest; and removing the distal end of the tube extending
from the Broviac catheter whenever necessary for administration of
medication or nutrients into the tube.
[0036] In embodiments of the subject invention, the chest wrap may
apply inward compression force that is substantially applied over
the internal surface of the chest wrap to the patient's chest
without inhibiting circulation of the patient's chest. In further
embodiments of the subject invention, the chest wrap may apply
inward compression force to the patient's chest such that the
compression force maintains that chest wrap on the patient's chest
and secures either the central venous catheter or the Broviac
catheter without any additional fasteners. In other embodiments of
the subject invention, the first and second fasteners may be
selected from the group consisting of hook and loop fasteners,
buttons, clamps, brackets, buckles, magnets, snaps, tie straps,
tape layers, or adhesives.
[0037] In further embodiments of the subject invention, the
substantially flat member of the chest wrap may comprise a unitary
piece.
[0038] In additional embodiments of the subject invention, the
chest wrap may have a substantially equal width from the first end
to the second end. In other embodiments of the subject invention,
the chest wrap may have a tapering width from the first end to the
second end.
[0039] In other embodiments of the subject invention, the chest
wrap may further comprise a flexible substantially transparent or
semi-transparent window that traverses the external and internal
surfaces of the chest wrap. In these embodiments, the chest wrap
should be positioned on the patient's chest such that the flexible
substantially transparent or semi-transparent window is over the
Broviac catheter or central venous catheter insertion point. In
another embodiment of the subject invention, this substantially
transparent window may be a mesh material.
[0040] In even further embodiments of the subject invention, the
chest wrap and the strap may all be composed of a slightly flexible
and lightweight fabric that stretches over a patient's chest and is
non-irritating to the skin. In these embodiments of the subject
invention, this fabric may be selected from the group consisting of
natural fibers, such as cottons, wools, silks, twills, cloths and
bamboo; man-made fibers such as polyesters, nylons, tencels,
viscose; or any combination of natural or man-made fibers and
weaves.
[0041] There has thus been outlined, rather broadly, the more
important features of the invention in order that the detailed
description thereof that follows may be better understood, and in
order that the present contribution to the art may be better
appreciated. There are additional features of the invention that
will be described hereinafter and which will form the subject
matter of the claims appended hereto. These together with other
objects of the invention, along with the various features of
novelty, which characterize the invention, are pointed out with
particularity in the claims annexed to and forming a part of this
disclosure.
BRIEF DESCRIPTION OF THE DRAWINGS
[0042] Advantages of the present invention will be apparent from
the following detailed description of embodiments thereof, which
description should be considered in conjunction with the
accompanying drawings, in which:
[0043] FIG. 1 illustrates a perspective view of the stretchable
sleeve placed over a patient's arm with a single tube lumen secured
by the sleeve.
[0044] FIG. 2 illustrates a perspective view of the stretchable
sleeve placed over a patient's arm with a double tube lumen secured
by the sleeve.
[0045] FIG. 3 illustrates a top view of the unattached stretchable
sleeve.
[0046] FIG. 4 illustrates a bottom view of the unattached
stretchable sleeve.
[0047] FIG. 5 illustrates a top view of the internal surface of the
chest wrap in the unrolled position.
[0048] FIG. 6 illustrates a top view of the external surface of the
chest wrap in the unrolled position.
[0049] FIG. 7 illustrates a back perspective view of the chest wrap
in the rolled position around the chest of a patient and securing a
single tube lumen.
[0050] FIG. 8 illustrates a front perspective view of the chest
wrap in the rolled position around the chest of a patient and
securing a single tube lumen.
[0051] FIG. 9 illustrates a back perspective view of the chest wrap
in the rolled position around the chest of a patient and securing a
double tube lumen.
[0052] FIG. 10 illustrates a front perspective view of the chest
wrap in the rolled position around the chest of a patient and
securing a double tube lumen.
[0053] FIG. 11 illustrates a side perspective view of the chest
wrap in the rolled position and securing a single tube lumen.
DETAILED DESCRIPTION OF THE EMBODIMENTS
[0054] While several variations of the present invention have been
illustrated by way of example in particular embodiments, it is
apparent that further embodiments could be developed within the
spirit and scope of the present invention, or the inventive concept
thereof. However, it is to be expressly understood that such
modifications and adaptations are within the spirit and scope of
the present invention, and are inclusive, but not limited to the
following appended claims as set forth.
[0055] FIGS. 1-4 illustrate a stretchable arm sleeve 1 of the
subject invention. The sleeve 1 is a continuous tubular, or
cylindrical, structure with a longitudinal axis, a proximal end 2,
a distal end 3, a substantially flat external surface 4 and a
substantially flat internal surface 5. The external 4 and internal
surfaces 5 of the sleeve 1 are substantially smooth and clean,
other than the additional components described herein. These
substantially smooth surfaces reduce any protrusions that may
catch, snag, pull, or push any portion of the external short length
of the PICC line 6 and its end cap 7 that are to be secured by the
sleeve 1.
[0056] The sleeve 1 contains a lumen 8, or internal cavity that is
substantially parallel with the longitudinal axis. The lumen 8
passes through the proximal end 2 to define a proximal opening 9
that is substantially perpendicular to the longitudinal axis, and
further passes through the distal end 3 to define a distal opening
10 that is substantially perpendicular to the longitudinal axis.
The proximal opening 9, the distal opening 10, and the lumen 8 are
all configured for receiving and holding a patient's arm 11. In
use, a patient places his or her arm 11 through the proximal
opening 9, through the lumen 8 and out through the distal opening
10 to place the sleeve 1 over the PICC line insertion point 12 on
the arm 11.
[0057] In one embodiment of the subject invention, the sleeve 1 may
have a substantially equal diameter from the proximal end 2 to the
distal end 3. In another embodiment of the subject invention, the
sleeve 1 may have slightly taped diameter from the proximal end 2
to the distal end 3. This slightly tapered diameter embodiment may
be used to accommodate an elbow or forearm that has a larger
diameter than a wrist on the same arm.
[0058] In embodiments of the subject invention, the cross-sectional
shape of the sleeve 1 may be substantially circular or
substantially elliptical.
[0059] The sleeve 1 comprises is stretchable so as to allow the
sleeve 1 to be easily slipped on and off a patient's arm 11. This
stretchability should apply sufficient inward compression force
such that the sleeve 1 should substantially conform to the anatomy
of a patient's arm 11, such that compression force of the sleeve 1
does not substantially affect circulation in the limb, remains in
place during treatment, remains in place while the patient sleeps,
and remains in place if the patient moves or engages in normal
activities. This compression force should be inward compression
that is substantially equal over the internal surface 5 of the
sleeve 1. The sleeve 1 comprises a stretchability that allows it to
remain in place on the patient's arm and secure the PICC line 6 in
place without any additional fasteners, such as hook and loop
fasteners, buttons, clamps, brackets, buckles, magnets, snaps, tie
straps, tape layers, or adhesives.
[0060] This sleeve 1 must also allow the patient freedom of
movement in the covered arm 11. The sleeve 1 is designed for use
with all ages and sizes and can be worn on either arm 11.
[0061] FIGS. 1 and 2 show the insertion of a peripherally inserted
central catheter (PICC line) into the arm of a patient at the site
12 of an internal vein. The PICC line 6 uses a plastic tube with
one or more internal lumens as a means of administering liquid
medications or nutrients to the patient. These PICC lines 6 allow
intravenous therapies to continue for prolonged period of
times.
[0062] Once the PICC line is inserted, a small length of the PICC
line 6 remains external to the patient, extending outwards from the
point of insertion 12. The external end of the PICC line 6 is
capped 7 to prevent bacteria, viruses or contaminants from entering
the PICC line. As shown in FIG. 1, the small length of PICC line 6
may be one tube 13 for a single internal lumen. As shown in FIG. 2,
the small length of PICC line may include two tubes 14 for a double
internal lumen.
[0063] The end of the small length of the PICC line 6 contains a
cap 7. This cap 7 must be periodically replaced, typically weekly,
to reduce the risk of contamination. Replacing the cap 7 must also
be a sterile procedure that is conducted with washed hands, sterile
gloves, sterile clothing, and alcohol swaps in a sterile
environment.
[0064] The insertion point 12 of the PICC line 6 may be covered
with a traditional removable bandage 15. In this embodiment, this
removable bandage 15 should only cover a very small portion of the
external small length of the PICC line 6 that is proximate to the
insertion point 12.
[0065] In one embodiment of the subject invention, the sleeve 1 may
comprise a flexible substantially transparent or semi-transparent
window (not shown) that traverses the external 4 and internal
surfaces 5 of the sleeve 1. The sleeve 1 should be aligned over the
patient's arm 11 such that the flexible substantially transparent
or semi-transparent window is over the PICC line insertion point
12. In another embodiment of the subject invention, this
substantially transparent window may be composed of a mesh or
mesh-like material.
[0066] The sleeve 1 is designed to cover and protect both the arm
11 and external short length of the PICC line 6. The sleeve covers
the PICC line insertion area 12 and protects it from clothing,
rubbing, and other external influences.
[0067] The sleeve 1 comprises a slit opening 16 proximate to the
PICC line insertion point 12. This slit opening 16 passes through
the internal surface 5 to define an internal opening 17 that may be
substantially perpendicular to the longitudinal axis and further
passes through the external surface 4 to define an external opening
18 that may be substantially perpendicular to the longitudinal
axis. The slit opening 16, the internal opening 17, and the
external opening 18 are all configured for receiving and removably
holding the external small length of the PICC line 6. In use, a
patient moves the external small length of the PICC line 6 and the
distal end cap 7 through the slit opening 16 onto the exterior
surface 4 of the sleeve 1.
[0068] The sleeve 1 further comprises a substantially flat strap 19
on the external surface 4, distal from the slit opening 16. This
strap 19 comprises a first end 20 and a second end 21 that are both
attached to the external surface 4 of the sleeve 1. The strap 19
may be substantially rectangular or square in shape. The central
portion of the strap 19 is unattached to the sleeve 1 to form a
strap opening 22 that is configured for receiving and removably
holding the external small length of the PICC line 6. This strap
opening 22 may be substantially perpendicular to the longitudinal
axis. In use, a patient moves the external small length of the PICC
line 6 and the distal end cap 7, already passed through the slit
opening 16, through the strap opening 22 underneath strap 19.
[0069] The sleeve 1 further comprises a substantially flat pocket
23, disposed on external surface 4 of the sleeve 1, distal from the
strap 19. This pocket 23 comprises a pocket opening 24 that is
substantially perpendicular to the longitudinal axis and is
configured for receiving and removably holding the external small
length of the PICC line 6 and the distal end cap 7. The cap 7 and
the external small length of the PICC line 6 are contained in a
readily accessible position within the pocket 23 for use during IV
treatments. The pocket 23 secures the PICC line cap 7 and protects
it from dirt, fingers and other infection risks.
[0070] The pocket 23 permits easy accessibility to the PICC line 6
for medical professionals when administering infusion therapies
without the need to remove the external small length of the PICC
line 6 from the securing strap 19 or slit opening 16.
[0071] The slit opening 16, the strap 19 and the external pocket 23
are all substantially parallel with each other. The slit opening
16, the strap 19 and the external pocket 23 are all stretchable
such that they apply sufficient compression force for holding the
external small length of the PICC line 6 and the distal end cap 7
on the patient's arm 11 such that this force does not substantially
affect circulation in the limb, and keeps the external small length
of the PICC line 6 in place during treatment, sleep, and normal
activities.
[0072] The slit opening 16, the strap 19 and the external pocket 23
prevent the external small length of the PICC line 6 and the distal
end cap 7 from contacting the patient's skin, eliminating the need
for additional medical tape to secure the PICC line 6 or the cap 7.
This reduction of medical tape in the dressing reduces skin
irritation for the patient.
[0073] In embodiments of the subject invention, the sleeve 1, the
strap 19 and the external pocket 23 may all be composed of a
slightly flexible and lightweight fabric that stretches over a
patient's arm 11 and is non-irritating to the skin. In embodiments
of the subject invention, this fabric may be natural fibers, such
as cottons, wools, silks, twills, cloths and bamboo; man-made
fibers such as polyesters, nylons, tencels, viscose; or any
combination of natural or man-made fibers and weaves.
[0074] FIGS. 5-11 illustrate a stretchable chest wrap 25 of the
subject invention for securing and protecting a central venous
catheter 26 and/or Broviac line from dislodgement by the
patient.
[0075] The chest wrap 25 is a substantially flat wrap with a first
end 27, a second end 28, an internal surface 29, shown in FIG. 5,
and an external surface 30, shown in FIG. 6. There is a lumen 47
between the internal surface 29 and the external surface 30. The
external 30 and internal surfaces 29 of the chest wrap 25 are
substantially smooth and clean, other than the additional
components described herein. These substantially smooth surfaces
reduce any protrusions that may catch, snag, pull, or push any
portion of the external short length of the central venous catheter
31 and its end cap 32 that are to be secured to the chest wrap
25.
[0076] As illustrated in FIG. 5, the internal surface 29 of the
chest wrap 25 may comprise a fastener 33 on the first end 27. As
illustrated in FIG. 6, the external surface 30 of the chest wrap 25
may contain a second fastener 34 on the second end 28. As
illustrated in FIG. 11, the chest wrap may be wrapped into a
tubular, cylindrical-shaped, loop 35 with the first end 27
overlapping the second end 28 such that the fastener 33 attaches to
fastener 34. In embodiments of the subject invention, fasteners 33
and 34 may include any device which removably attaches first end 27
to the second end 28 to form loop 35. Such fastening means can
include, but is not limited to, hook and loop fasteners; hook and
eye fasteners; adhesives, including reusable adhesives; adhesive
tape; zippers; buttons; snaps; pins; stitching; clamps; and the
like.
[0077] The looped 35 chest wrap 25 forms a second lumen 36, or
internal cavity that is substantially parallel with the
longitudinal axis. The lumen 36 defines a top opening 37 that is
substantially perpendicular to the longitudinal axis, and further
defines a bottom opening 38 that is substantially perpendicular to
the longitudinal axis. The top opening 37, the bottom opening 38,
and the lumen 36 are all configured for receiving and holding a
patient's chest 39. In use, as illustrated in FIGS. 7-10, a patient
wraps the chest wrap 25 around the chest 39 over the Central venous
catheter insertion point 40 with the first end 27 overlapping the
second end 28 such that the fastener 33 attaches to fastener
34.
[0078] In one embodiment of the subject invention, the looped 35
chest wrap 25 may have a substantially equal diameter from the top
opening 37 to the bottom opening 38. In another embodiment of the
subject invention, the chest wrap 25 may have slightly taped
diameter from the top opening 37 to the bottom opening 38. This
slightly tapered diameter embodiment may be used to accommodate a
larger chest 39.
[0079] In embodiments of the subject invention, the cross-sectional
shape of the looped 35 chest wrap 25 may be substantially circular
or substantially elliptical.
[0080] The chest wrap 25 is stretchable so as to allow the chest
wrap 25 to be easily slipped on and off a patient's chest 39. This
fabric should apply sufficient inward compression force such that
the chest wrap 25 should substantially conform to the anatomy of a
patient's chest 39, such that compression force of the chest wrap
25 does not substantially affect circulation in the limb, remains
in place during treatment, remains in place while the patient
sleeps, and remains in place if the patient moves or engages in
normal activities. This compression force should be inward
compression that is substantially equal over the internal surface
29 of the chest wrap 25. The chest wrap 25 fabric allows it to
remain in place on the patient's chest and secure the central
venous catheter 31 in place.
[0081] FIGS. 8 and 10 show the insertion of a Central venous
catheter into the chest 39 of a patient at the site 40 of an
internal vein. Once the Central venous catheter is inserted, a
small length of the Central venous catheter 31 remains external to
the patient, extending outwards from the point of insertion 40. The
external end of the Central venous catheter 31 is capped 32 to
prevent bacteria, viruses or contaminants from entering the Central
venous catheter 31. As shown in FIGS. 7 and 8, the small length of
Central venous catheter 31 may be one tube 41 for a single internal
lumen. As shown in FIGS. 9 and 10, the small length of Central
venous catheter 31 may include two tubes 42 for a double internal
lumen.
[0082] The end of the small length of the Central venous catheter
31 contains a cap 32. This cap 32 must be periodically replaced,
typically weekly, to reduce the risk of contamination. Replacing
the cap 32 must also be a sterile procedure that is conducted with
washed hands, sterile gloves, sterile clothing, and alcohol swaps
in a sterile environment.
[0083] The insertion point 40 of the Central venous catheter 31 may
be covered with a traditional removable bandage 43. In this
embodiment, this removable bandage 43 should only cover a very
small portion of the external small length of the Central venous
catheter 31 that is proximate to the insertion point 40.
[0084] In one embodiment of the subject invention, the chest wrap
25 may comprise a flexible substantially transparent or
semi-transparent window (not shown) that traverses the external 30
and internal surfaces 29 of the looped 35 chest wrap 25. The chest
wrap 25 should be aligned over the patient's chest 39 such that the
flexible substantially transparent or semi-transparent window is
over the Central venous catheter insertion point 40. In another
embodiment of the subject invention, this substantially transparent
window may be composed of a mesh or mesh-like material.
[0085] The chest wrap 25 is designed to cover and protect both the
chest 39 and external short length of the Central venous catheter
31. The sleeve covers the Central venous catheter insertion area 40
and protects it from clothing, rubbing, and other external
influences.
[0086] The chest wrap 25 comprises a first slit opening 44
proximate to the Central venous catheter insertion point 40. This
slit opening 44 passes through the internal surface 29 to define an
internal opening 45 that may be substantially parallel to the
longitudinal axis of the looped 35 chest wrap 25. The slit opening
44 further passes into the internal lumen 47, beneath the external
surface 30 to define an external opening 46 that may be
substantially parallel to the longitudinal axis. The slit opening
44, the internal opening 45, the external opening 46, and the
internal lumen 47 are all configured for receiving and removably
holding the external small length of the Central venous catheter
31. In use, a patient moves the external small length of the
Central venous catheter 31 and the distal end cap 32 through the
slit opening 44 into the internal lumen 47 of the chest wrap
25.
[0087] Once the external small length of the Central venous
catheter 31 is passed through slit opening 44, the Central venous
catheter 31 is wrapped around the chest 39 of the patient through
internal lumen 47.
[0088] The chest wrap 25 comprises a second slit opening 48. This
slit opening 48 passes through the internal lumen 47 to define an
internal opening 49 that may be substantially parallel to the
longitudinal axis of the looped 35 chest wrap 25. The slit opening
48 further passes onto the external surface 30 to define an
external opening 50 that may be substantially parallel to the
longitudinal axis. The slit opening 48, the internal opening 49,
and the external opening 50, are all configured for receiving and
removably holding the external small length of the Central venous
catheter 31. In use, a patient moves the external small length of
the Central venous catheter 31 and the distal end cap 32 through
the slit opening 48 onto the external surface 30 of the chest wrap
25.
[0089] The chest wrap 25 comprises a third slit opening 56. This
slit opening 44 passes through the external surface 30 to define an
internal opening 57 that may be substantially parallel to the
longitudinal axis of the looped 35 chest wrap 25. The slit opening
56 further passes into a second lumen 59, beneath the external
surface 30 to define an external opening 58 that may be
substantially parallel to the longitudinal axis. The second lumen
59 is between the internal surface 29 and the external surface 30.
The slit opening 56, the internal opening 57, the external opening
58, and the second internal lumen 59 are all configured for
receiving and removably holding the external small length of the
Central venous catheter 31. In use, a patient moves the external
small length of the Central venous catheter 31 and the distal end
cap 32 through the slit opening 56 into the internal lumen 47 of
the chest wrap 25.
[0090] The chest wrap 25 further comprises a substantially flat
strap 51 on the external surface 30. This strap 51 comprises a
first end 52 and a second end 53 that are both attached to the
external surface 30 of the chest wrap 25. The strap 51 may be
substantially rectangular or square in shape. The central portion
of the strap 54 is unattached to the chest wrap 25 to form a strap
opening 55 that is configured for receiving and removably holding
the external small length of the Central venous catheter 31
underneath the second lumen 59. This strap opening 55 may be
substantially parallel to the longitudinal axis. In use, a patient
moves the external small length of the Central venous catheter 31
and the distal end cap 32, already passed through the slit opening
48 into the second lumen 59, through the strap opening 55
underneath strap 51.
[0091] The strap 51 permits easy accessibility to the Central
venous catheter 31 for medical professionals when administering
infusion therapies without the need to remove the external small
length of the Central venous catheter 31 from the slit opening 48
and the second lumen 59.
[0092] The slit opening 44, the slit opening 48, the slit opening
56, and the strap 51 are all substantially parallel with each
other. The slit opening 44, the slit opening 48, the slit opening
56, and the strap 51 all comprise a fabric that applies sufficient
compression force for holding the external small length of the
Central venous catheter 31 and the distal end cap 32 on the
patient's chest 39 such that this force does not substantially
affect circulation, and keeps the external small length of the
Central venous catheter 31 in place during treatment, sleep, and
normal activities.
[0093] The slit opening 44, the slit opening 48, the slit opening
56, and the strap 51 prevent the external small length of the
Central venous catheter 31 and the distal end cap 32 from
contacting the patient's skin, eliminating the need for additional
medical tape to secure the Central venous catheter 31 or the cap
32. This reduction of medical tape in the dressing reduces skin
irritation for the patient.
[0094] In embodiments of the subject invention, the chest wrap 25,
and the strap 51 may all be composed of a slightly flexible and
lightweight fabric that stretches over a patient's chest 39 and is
non-irritating to the skin. In embodiments of the subject
invention, this fabric may be natural fibers, such as cottons,
wools, silks, twills, cloths and bamboo; man-made fibers such as
polyesters, nylons, tencels, viscose; or any combination of natural
or man-made fibers and weaves.
* * * * *