U.S. patent number 3,556,096 [Application Number 04/763,082] was granted by the patent office on 1971-01-19 for cushioning and protective surgical bandage.
This patent grant is currently assigned to The Scholl Mfg. Co., Inc.. Invention is credited to Decla M. Fuller, John D. Fuller.
United States Patent |
3,556,096 |
Fuller , et al. |
January 19, 1971 |
CUSHIONING AND PROTECTIVE SURGICAL BANDAGE
Abstract
A cushioning and protective surgical bandage for disposition
adjacent a dressing and capable of maintaining specific dressing
fixation over a decubitus ulcer, pressure ulcer, bedsore, and other
afflictions suffered by a bedridden patient, although other uses
will by apparent to one skilled in the art.
Inventors: |
Fuller; John D. (Santa Cruz,
CA), Fuller; Decla M. (Santa Cruz, CA) |
Assignee: |
The Scholl Mfg. Co., Inc.
(Chicago, IL)
|
Family
ID: |
25066831 |
Appl.
No.: |
04/763,082 |
Filed: |
September 27, 1968 |
Current U.S.
Class: |
128/888;
602/58 |
Current CPC
Class: |
A61F
13/00021 (20130101); A61F 15/006 (20130101); A61F
13/069 (20130101); A61F 2013/530802 (20130101); A61F
13/622 (20130101); A61F 2013/15024 (20130101); A61F
2013/00565 (20130101) |
Current International
Class: |
A61F
13/00 (20060101); A61F 13/56 (20060101); A61F
13/15 (20060101); A61f 013/00 () |
Field of
Search: |
;128/171,155,156,157,132,159--166 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Eager; Adele M.
Claims
We claim:
1. A bandage to protect a decubitus ulcer and similar affliction
and maintain fixation of a dressing thereon comprising:
a first relatively thin body part;
a pressure sensitive adhesive spread on the underface of said body
part for application to the body of a patient adjacent a
dressing;
a second body part; and
a thick cushion carried by said second body part for disposition on
said first body part in alignment therewith, and means for
removably holding said cushion on said first body part.
2. The bandage of claim 1, wherein said cushion overlies a portion
of the dressing.
3. The bandage of claim 2, wherein said first body part underlies
said portion of the dressing.
4. The bandage of claim 1, wherein each said body part and said
cushion has an opening therein to receive the affliction and most
of the dressing thereon.
5. The bandage of claim 1, including a hinge connecting said body
parts.
6. The bandage of claim 1, wherein said body parts are not
connected but may be completely separated when desired.
7. The bandage of claim 5, including a neck portion projecting from
each said body part, and adhesive means connecting said neck
portions to form said hinge.
8. The bandage of claim 7, including spaced tabs projecting from
said first body part on the side opposite said neck portion, said
tabs each having an aperture therein and being devoid of adhesive,
and said holding means comprising a tie member held in said hinge
and having free end portions to overlie said second body part and
engage said tabs to maintain said body parts and cushion
assembled.
9. The bandage of claim 1, wherein said body parts and said cushion
are generally circular and each has a central aperture therein.
10. The bandage of claim 5, wherein said first body part is a
napped fabric and said hinge comprises: a napped fabric piece
secured to the exposed face of said cushion, and a nylon fastener
overlying and engaged with the napped fabric of said first body
part and said fabric piece.
11. The bandage of claim 1, wherein said first body part is a
napped fabric and including: a plurality of spaced patches of nylon
fastener secured to the exposed face of said cushion for engagement
with the napped fabric of said first body part when said cushion is
superposed on said first body part.
12. The bandage of claim 4, including: a cover over the unattached
face of said cushion, and a knockout disc defined in said cover
over the opening therein.
Description
SUMMARY OF THE INVENTION
Heretofore, extreme difficulty has been experienced in endeavoring
to maintain fixation of a dressing over a decubitus ulcer, pressure
ulcer, bedsore, and similar afflictions, especially in the case of
a bedridden patient. Usually such an affliction was covered with a
dressing consisting of material such as gauze or the equivalent,
treated with salve or other medicament when indicated, and over
which was disposed a standard gauze sponge. Usually the composite
dressing was held in position upon the body of a patient by means
of adhesive tape or in an equivalent manner. Such applied dressing
was responsive to friction and pressure, and frequently became
maladjusted, partially or fully removed from the affliction, thus
exposing the naked affliction to continued friction and pressure
due to the movement of the patient, so that it was necessary to
replace the dressing at too frequent intervals. Because of failure
to maintain dressing fixation, the healing of the affliction was
objectionally prolonged, often for several months.
The instant invention affectively overcomes such previously
existent problems in the provision of a bandage for disposition
over a dressing covering an exposed body affliction in such a
manner as to maintain proper fixation of the dressing over a
considerable period of time, yet permitting examination of the
dressing and its condition of application whenever desired. A
feature of this invention, therefore, is the provision of a
composition bandage having a part firmly attachable to the body of
a patient and a relatively thick cushioning part to overlie a
dressing on an affliction and eliminate friction and pressure from
the dressing, the overlying cushion part being separable at will
from the portion affixed to the body of the patient to permit
minute examination of the dressing at any time desired. It has been
found that the bandage of this invention has the advantages of
adding to the patient's comfort, effectively maintaining fixation
of a dressing over a decubitus ulcer or similar affliction,
relieving both the dressing and the affliction from pressure and
friction, materially lessening the number of dressing changes
required heretofore, and greatly reducing the time necessary to
acquire proper healing of the affliction.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a plan view of a blank which may be easily cut from stock
material as an initial step in the forming of a bandage embodying
principles of this invention;
FIG. 2 is a plan view of a finished bandage including the blank of
FIG. 1;
FIG. 3 is an enlarged fragmentary vertical sectional view
illustration how portions of the blank of FIG. 1 may be joined
after separation and the adhesive surfaces protected;
FIG. 4 is a fragmentary side elevational view of the bandage of
FIG. 2;
FIG. 5 is a greatly enlarged fragmentary vertical sectional view
taken substantially as indicated by the line V-V of FIG. 2 looking
in the direction of the arrows;
FIG. 6 is a plan view of a bandage similar to that of FIG. 2 but
illustrating a slight modification in structure;
FIG. 7 is a diagrammatic view illustrating a bandage embodying
principles of this invention as applied to the body of a
patient;
FIG. 8 is a greatly enlarged vertical sectional view taken
substantially as indicated by the staggered section line VIII-VIII
of FIG. 7;
FIG. 9 is a plan view of a bandage embodying principles of this
invention but embodying a somewhat different form of structure;
FIG. 10 is a side elevational view of the structure of FIG. 9,
taken substantially as indicated by the line X-X of FIG. 9, showing
the bandage in operative position; and
FIG. 11 is a plan view of a bandage embodying principles of this
invention but showing a still different form of construction.
DETAILED DESCRIPTION
The instant invention may be manufactured in various sizes to meet
various conditions. While several embodiments of the invention are
herein illustrated and described, it will be noted that the
advantages resulting from the use of the invention are
substantially the same in all instances, and a certain embodiment
of the invention may be preferred depending upon the condition of
the patient, the size of the affliction, etc., all embodiments
functioning in substantially the same way when applied to the body
of the patient.
That embodiment of the instant invention seen in FIGS. 1--5
inclusive, might better be described for purposes of clarity by way
of one method of making the same. A generally dumbbell-shaped
blank, generally indicated by numeral 1, may be severed from a
composite stock sheet. This blank is then severed along the line 2
seen in FIG. 1 to provide two initially separate body parts,
namely, a body part 3, which may be generally circular as shown,
having a neck 4 projecting from one part thereof, and a body part 5
of similar shape having a neck 6 projecting toward the neck 4 of
the other body part. After severance along the line 2, one of the
body parts is inverted relatively to the other.
Each body part comprises a fabric having a relatively thick nap or
pile thereon which is soft and cushioning, such for example as
moleskin. One surface of the fabric is provided with a
nonirritating pressure sensitive adhesive spread or coating 7 which
may be covered by a release member or temporary cover 8 being of
release material or having a release coating thereon which is
removed and discarded when the adhesive surface is put to use. Each
body part is also provided with a central aperture 9 of a size to
receive the particular affliction on the body of the patient. The
only difference between the two body parts 3 and 5 resides in the
fact that the body part 5 is provided with a pair of spaced
projecting tabs 10-10 each of which is provided with an aperture 11
therethrough, the part 3 not having any such tabs. After the
respective body parts have been inverted, the neck portions may be
overlapped in any suitable manner, the neck portion 6 of the body
part 5 overlapping a part of the neck portion 4 of body part 3
engaged with the adhesive surface 7 on the body part 3. The
temporary protective cover 8 may be rolled back into a fold 12
projecting outwardly from each neck portion so as to provide a tab
which may be grasped and the protective coating removed easily from
the respective body part when the adhesive surface is to be put to
use.
The neck portions of the respective body parts are engaged by way
of their adhesive surfaces and form a part of a flexible hinge
connection between the respective neck portions, generally
indicated by numeral 13. This hinge 13 is so constructed that it
will hold effectively the central portion of a tie member 14 which
may satisfactorily be in the form of a ribbon and which is utilized
to engage in the apertures 11 of the tabs 10-10 while passing over
the body part 3 with the respective body parts in superposed
position. On the adhesive surface 7 of the body part 3 a relatively
thick cushion 15 is secured, this cushion preferrably being a
chemical foam having intercommunicating cells such as a polyvinyl
chloride, polyurethane, or equivalent foam. This cushion has a
central aperture 16 therein which is in alignment with the aperture
9 in the body part 3.
One form of flexible hinge 13 is illustrated in FIG. 5. In this
example, the hinge comprises a lower strip of adhesive tape which
may be of the same material as the body parts 3 and 5, and which is
of the full width of the hinge. A reverse bend is made in the neck
4 of the body part 3 to provide confronting adhesive surfaces 7
between which are the ends of the tie member 14 so that the tie
member is locked firmly in position. This reverse fold extends only
approximately half the width of the hinge, the lower course of it
is notched as at 18 to permit the tie member 14 to extend
therethrough, similarly located notch 19 being provided in the
lower layer 17 of adhesive tape. The undercourse of the reverse
fold is secured to the adhesive surface of the tape 17. The neck 6
of the body part 5 extends over the upper course of the reverse
fold and is adhesively locked thereto, and a covering layer 20 of
adhesive tape of equal width as the lower layer 17 is disposed over
the top of the joined neck portions.
The embodiment of FIG. 6 embodies the same structure as above
described in connection with the first embodiment, with a single
exception that a smooth cover 21 is disposed over the body part 3,
which cover is provided with a perforated or scored tear line 22 by
which a central knockout portion 23 may be removed to define an
aperture in the cover in alignment with the aperture 9 in the body
part 3. This arrangement is utilized in case it is desired to have
a cover over the affliction and dressing thereon and the knock out
disc is provided for removal in the event it is desired to make a
close inspection of the dressing without pivoting the body part 3
and cushion 15 away from the body part 5 for that purpose.
In FIGS. 7 and 8 we have shown the bandage in use on the body 24 of
a patient lying on a bed diagrammatically indicated at 25. The
patient has an affliction 26, in the nature of a decubitus ulcer,
over which is disposed a dressing part 27, and the aperture 9 in
the body part 5 of the bandage preferably surrounds the dressing
part 27. After the dressing part 27 has been applied over the
affliction, the body part 5 is firmly secured in position upon the
patient's body by means of the adhesive surface 7 thereon. Then the
remainder of the dressing, namely a gauze sponge or the like 28 is
disposed over the dressing part 27 and this sponge is of a size to
overlie the marginal portion of the body part 5 around the aperture
9 therein. Then the body part 3 carrying the cushion 15, by means
of the hinge 13 is disposed over the body part 5 with cushioning
means 15 resting upon the bounding marginal portion of the dressing
sponge 28, as seen in FIG. 8. The respective end portions of the
tie member 14 are then engaged one each through an aperture 11 in a
tab 10 and ties to firmly secure the body part 3 and cushion 15 in
position and retain the same in position, these end portions of the
tie member 14 crossing over the top of the body part 3 as seen in
FIG. 7. As indicated by the dotted lines in FIGS. 1 and 6, and as
seen in FIG. 8 the underface of the tabs 10-10 are devoid of
adhesive so that they will not adhere to the night clothes of a
patient or the bedding.
With the bandage so attached to the body of a user and secured in
position over the dressing covering the patient's affliction, it
will be noted that the affliction is positively cushioned from
pressure and not subjected to any friction from bedding or night
clothes. The dressing is securely maintained in position by virtue
of the fact it is clearly prevented from the adverse affects of
friction or pressure. This fixation of the dressing may be
maintained for a considerable length of time, and it is a simple
expedient to untie the member 14, pivot the body part 3 and cushion
15 from over the body part 5 and an examination of the dressing may
readily be made, and if it appears the dressing may remain on the
affliction for a longer time the parts may be returned to the
position seen in FIG. 8 to further maintain fixation of the
dressing. Inspection is therefore easy at any and all times and the
need to change dressings is reduced to a minimum.
In the embodiment of FIGS. 9 and 10, circular body parts 3a and 5a
are provided which are of the same construction as previously
described with the exception that the neck portions 4 and 6 and the
tabs 10-10 have been eliminated. The body part 5a has been provided
with an inwardly extending tab 29 for easy removal of the
protective covering over the adhesive surface thereon.
In this arrangement, a hinge generally indicated by numeral 13a is
provided by way of adhesive attachment of a piece of fabric 30 of
the same character as the material used for the body parts 5a and
3a on the exposed surface of the cushion 15a. A strip 31 of nylon
tape fastener is disposed in engagement with the nap of the piece
30 and the nap of the body part 5a to joint the two body parts in
the form of a hinge. Fasteners of this type are sold on the open
market under the registered trademark "Velcro," and the fastener
has a series of relatively stiff cut loops extending from the
backing which loops engage with a naped fabric upon a slight
pressure contact therewith, and are held rather firmly but may be
easily separated from the fabric by a tearing motion. In order to
secure the bandage parts 3a and 5a in superposed position, a
plurality of patches 32 of nylon fastener are adhesively secured to
the exposed face of the cushion 15a, and when the parts are
superposed as seen in FIG. 10, these patches engage the napping of
the body part 5a to hold the device assembled and in operative
position.
The modification of the instant invention seen in FIG. 11 is
similar to that of FIGS. 9 and 10, with the exception that no hinge
connecting the two body parts 3a and 5a is utilized. In lieu of a
hinge one or more extra patches of nylon fastener as indicated at
33 may be adhesively applied to the exposed face of the cushion
member 15a. In this instance the body part 3a is totally separable
from the body part 5a and when it is desired to put the device to
use, the body part 5a is disposed adjacent the affliction on the
body of a user, underlying a portion of the dressing on the
affliction, and the body portion 3a placed thereupon and anchored
thereto by slight pressure so that the fastening patches on the
cushion 15a effectively engage in the napping of the body part 5a
to hold the parts together.
Both the embodiments of FIGS. 9 and 10 and that of FIG. 11 are easy
to manipulate for inspection or replacement of a dressing and both
maintain the dressing in proper fixation and cushion both the
patient and the dressing from the adverse effects of friction and
pressure, as above explained in connection with the first
embodiment of the invention.
In some instances the patient may have one or more decubitus ulcers
or similar afflictions, and in that event it is easy to utilize one
or more of the bandages of the instant invention at the same time.
In FIG. 7 we have illustrated the use of an extra bandage 34
underneath the patient's hip, in addition to the bandage above
described and applied to the side of the patient.
It should also be noted that the instant invention is so economical
as to structure, manufacture, and use that the entire bandage may
be discarded and disposed of after usage on a single patient,
regardless of the shortness of time in which it may have been used.
Thus, while the bandage may be initially sterilized, subsequent
sterilization for use on different patients is entirely eliminated,
thus saving hospital labor and equipment to a very material
extent.
It will be understood that modifications and variations may be
effected without departing from the spirit and scope of the novel
concepts of the present invention.
* * * * *