Protective clothing
The preventive clothing addresses the issue of patients unintentionally pulling out medical tubes by incorporating a tube pull-out prevention means with a sliding fastener and planar bodies, ensuring safe and uninterrupted intravenous treatment.
Patent Information
- Application Number
- JP2023084549
- Authority / Receiving Office
- JP · JP
- Patent Type
- Patents
- Current Assignee / Owner
- Priority Date
- 2022-05-30
- Filing Date
- 2023-05-23
- Publication Date
- 2025-05-12
- Estimated Expiration
- 2043-05-23
AI Technical Summary
Existing preventive clothing designs for patients undergoing intravenous treatment do not adequately prevent patients from unintentionally pulling out medical tubes, leading to treatment interruptions and potential complications such as phlebitis and blood clots.
The preventive clothing incorporates a tube pull-out prevention means featuring a first planar body, a sliding fastener, and a second planar body that covers the opening and closing operation portion of the sliding fastener, securing the medical tube and limiting hand movement to prevent tube removal.
This design effectively prevents patients from unintentionally pulling out medical tubes during treatment, ensuring safe and uninterrupted care, reducing the risk of complications, and minimizing unnecessary work for healthcare providers.
Smart Images

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Abstract
Description
[Technical field]
[0001] The present invention relates to protective clothing. [Background technology]
[0002] Patent Document 1 discloses home medical care clothing. Depending on the patient's condition, medication may be administered directly into the patient's blood vessels over a long period of time by infusion or the like. Depending on the patient's level of consciousness, the patient may unconsciously pull on the infusion tube with their hands, causing the tube to come out during treatment. In addition, in the case of treatment involving long-term placement of the tube, pulling on the infusion tube with their hands may cause the tube to come out of the blood vessel or be torn off.
[0003] If a tube comes out during treatment, not only does the patient's treatment have to be interrupted, but it also creates extra work, such as cleaning up the leaked liquid, and requires the nurse to reset the drip. Given the recent shortage of manpower in the medical field, there has been a demand for a solution to prevent patients from pulling out the tube.
[0004] In addition, in treatments that require long-term placement of a tube, if the tube becomes detached from the central vein, the patient is likely to develop phlebitis due to the administration of intravenous drip to the periphery. On the other hand, if the tube is torn off, the tip of the tube remains in the blood vessel, which may cause a blood clot. In other words, the act of pulling out the tube by the patient is extremely dangerous.
[0005] Therefore, the home medical care clothing mainly includes a main body, two sleeves connected to the main body, and two gloves attached to the ends of the sleeves. The gloves have a space that can be stored with the palm open, allowing a certain degree of hand movement, and a curved hard plate is stored inside the gloves to limit the range of hand movement. The gloves are attached to the sleeves by a fastener so that they can be easily attached and detached, making it difficult for the care recipient to remove the gloves by himself.
[0006] As a result, when administering intravenous drip or other treatment to the care recipient over a long period of time, the tube is prevented from being pulled out even if the care recipient's hands are not tied to the bed frame, etc. The care recipient is also prevented from being tied down for a long period of time, and can receive treatment in a stable mental state. [Prior art documents] [Patent documents]
[0007] [Patent Document 1] Utility Model Registration No. 3226495 Summary of the Invention [Problem to be solved by the invention]
[0008] Compared to previous preventive clothing, the home medical care clothing has gloves attached to the ends of the sleeves, making it unnecessary to tie the hands of the care recipient to the bed frame during treatment with intravenous drips, etc. Furthermore, the care recipient has more freedom of movement with both hands, which makes it easier for the care recipient to maintain a stable mental state even during long-term treatment with intravenous drips, etc. On the other hand, the gloves limit the range of motion of both hands, making it difficult to pull on the intravenous drip tube, preventing the patient from pulling out the tube during treatment.
[0009] However, although the care recipient has more freedom of movement with both hands, the gloves restrict the movement of the fingertips, bending and straightening, etc. For example, it is difficult for the care recipient to perform actions such as replacing the sheets on the bed or picking up objects during treatment, and there is a problem that the treatment lasting for a long time is accompanied by mental distress.
[0010] Furthermore, the sleeves of the home medical care clothing are opened over the entire length of the area covering the outside of the arms, taking into consideration the ease of administering intravenous drips and other medical procedures. The open areas are opened and closed by hook-and-loop fasteners at multiple locations on the sleeves, and during treatment, the arms of the person being cared for are easily exposed, making it easier to administer treatments such as injections and intravenous drips.
[0011] With this structure, the care recipient can hook the glove onto the tube to pull out the tube, which may cause the above problem. In addition, the gloves can be attached and detached from the sleeves by fasteners, and if the care recipient does not wear gloves, the opening of the sleeve can be easily opened with the hand exposed at the end of the sleeve, which may cause the problem of the care recipient being able to pull out the tube.
[0012] The present invention has been made in consideration of the above circumstances, and aims to provide a prophylactic garment that prevents the patient from pulling out the tube by providing a tube pull-out prevention means on the main body part in the area where the medical tube is attached to the patient. [Means for solving the problem]
[0013] The preventive clothing of the present invention is a preventive clothing worn by a patient when undergoing treatment using the patient's blood vessels, and comprises a main body portion worn on the patient's upper body, an opening area formed between the collar and cuffs of the main body portion, and a tube pull-out prevention means for preventing the patient from pulling out a medical tube arranged from the collar to the inside of the main body portion, wherein the tube pull-out prevention means is characterized in that it has a first planar body that is positioned on the inside of the main body portion at least near the collar or the cuffs and is capable of adjusting the gap between the main body portion and the patient, a sliding fastener that closes the opening area in an openable and closable manner, and a second planar body that is positioned on the outside of the main body portion and covers at least the opening and closing operating portion of the sliding fastener during treatment.
[0014] In addition, in the preventive wear of the present invention, the first planar body and the second planar body are each attached to the main body in a detachable state, and the second planar body is fixed to the main body so as to straddle the opening area during treatment and is arranged overlapping the first planar body.
[0015] In addition, the preventive wear of the present invention is characterized in that one end side of the second planar body is fixed to the main body part on the back side of the opening area, and the other end side of the second planar body is removably fixed to the main body part on the front side of the opening area via a hook-and-loop fastener.
[0016] In the preventive garment of the present invention, the main body portion in the vicinity of the collar is formed with a tube fixing portion for fixing the medical tube in a wound state.
[0017] In addition, in the preventive clothing of the present invention, the main body covers one of the patient's arms while leaving the other arm exposed, and the main body is worn by the patient with its front and back sides turned inside out, thereby covering the other arm of the patient.
[0018] In addition, the preventive clothing of the present invention ,before The patient is positioned on the front side of the body portion, and the patient is positioned on the front side of the body portion. No treatment A front opening area formed on the arm side and a front opening area that can be freely opened and closed For front opening It is characterized by having a slide fastener.
[0020] In addition, in the preventive clothing of the present invention, Note The end of the ride-type fastener and its surrounding area are characterized in that they are positioned to protrude from the main body portion toward the collar opening.
[0021] In the preventive wear of the present invention, a tube fixing portion for fixing the medical tube in a wound state is formed on the main body portion near the collar, and the tube fixing portion is Note It is characterized by being placed on the back side of the ride-type fastener. Effect of the Invention
[0022] The preventive clothing of the present invention comprises a main body and a tube pull-out prevention means formed around the opening area of the main body. The tube pull-out prevention means comprises a first sheet-shaped body that covers a part of the medical tube, a slide fastener disposed in the opening area, and a second sheet-shaped body that hides the opening and closing operation part of the slide fastener during treatment. This structure prevents a patient with a low level of consciousness from unconsciously pulling out the medical tube during treatment such as an IV drip, and prevents the tube from being pulled out during treatment. As a result, the patient can be safely treated, and the creation of extra work for doctors, nurses, etc., such as re-administration of the IV drip, is prevented.
[0023] Furthermore, in the preventive clothing of the present invention, the first planar body is arranged in an overlapping state with the second planar body, so that even if the opening area is opened by the patient during treatment, the first planar body covers the medical tube, making it difficult for the patient to reach the medical tube, and preventing the patient from pulling out the medical tube.
[0024] Furthermore, in the preventive wear of the present invention, the second planar body is fixed to the main body so as to straddle the opening region during treatment. With this structure, even if the patient peels off the hook-and-loop fastener of the second planar body near the collar and discovers the opening / closing operation part, the rest of the second planar body remains fixed to the main body, preventing the opening region from being fully open.
[0025] In addition, in the preventive clothing of the present invention, a tube fixing part is formed on the main body part near the collar, which fixes the position of the medical tube in a wound state. With this structure, even if a patient pulls on the medical tube that has been led out to the outside of the preventive clothing, the medical tube on the tip side of the tube fixing part is less likely to be pulled, and the medical tube is less likely to be pulled out.
[0026] In addition, in the preventive clothing of the present invention, the sleeve of the main body is placed on one arm of the patient, but not on the other arm. The preventive clothing can be used on the other arm of the patient by turning the main body over, which is a so-called reversible structure. This structure allows the patient to treat both arms with one preventive clothing, which reduces the cost of hospitalization.
[0027] In addition, in the preventive clothing of the present invention, the front opening area is formed on the main body part on the opposite side of the sleeves from the collar, and is closed by a first sliding fastener so as to be freely opened and closed. With this structure, a nurse or the like can easily expose the front of the patient's chest by opening the front opening area about halfway and folding the main body part toward the sleeves. This makes it easier for the nurse or the like to observe and treat the patient while administering treatment such as intravenous drip to the patient. In addition, the collar of the main body part is less likely to hit the patient's face, reducing stress.
[0028] In addition, in the preventive garment of the present invention, the tube pull-out prevention means is arranged on the inside of the main body and the sleeves. This structure prevents a patient with a low level of consciousness from unconsciously pulling out the medical tube during treatment such as an IV drip, thereby preventing the tube from being pulled out during treatment.
[0029] In addition, in the preventive clothing of the present invention, the slide fasteners on the sleeves are difficult to open and close without using both hands, which prevents a patient with a low level of consciousness from unconsciously opening the sleeve opening during treatment such as an IV drip.
[0030] In the preventive clothing of the present invention, the tube fixing part is formed on the back side of the main body near the collar. With this structure, the medical tube is fixed in a wound state by the tube fixing part. Since the medical tube is located on the back side of the patient, it is difficult for the patient to reach it, and even if the patient pulls on the medical tube that has been led out of the preventive clothing, the medical tube on the tip side of the tube fixing part is difficult to pull, making it difficult for the medical tube to be pulled out. [Brief description of the drawings]
[0031] [Figure 1] FIG. 1 is a plan view illustrating a preventive garment according to one embodiment of the present invention. [Diagram 2] FIG. 1 is a plan view illustrating a preventive garment according to one embodiment of the present invention. [Figure 3A] FIG. 1 is a plan view illustrating a preventive garment according to one embodiment of the present invention. [Figure 3B] FIG. 1 is a plan view illustrating a preventive garment according to one embodiment of the present invention. [Figure 4] FIG. 1 is a schematic diagram illustrating a state in which a preventive garment according to one embodiment of the present invention is used. [Diagram 5] FIG. 2 is a plan view illustrating a reversible state of the preventive clothing according to one embodiment of the present invention. [Figure 6] FIG. 11 is a plan view illustrating a preventive garment according to another embodiment of the present invention. [Figure 7] FIG. 11 is a plan view illustrating a preventive garment according to another embodiment of the present invention. [Figure 8] FIG. 13 is a plan view illustrating a preventive garment according to another embodiment of the present invention. [Figure 9] FIG. 13 is a plan view illustrating a preventive garment according to another embodiment of the present invention. DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0032] A preventive garment 10 according to one embodiment of the present invention will be described in detail below with reference to the drawings. In the description of this embodiment, the same components are generally designated by the same reference numerals, and repeated description will be omitted.
[0033] Fig. 1 is a plan view illustrating the prophylactic garment 10 of this embodiment. Fig. 2 is a plan view illustrating the prophylactic garment 10 of this embodiment, showing a state in which the second planar body 31 of the tube pull-out prevention means 24 has been detached from the main body 11. Figs. 3A and 3B are plan views illustrating the prophylactic garment 10 of this embodiment, showing a state in which the first planar body 26 of the tube pull-out prevention means 24 has been detached from the main body 11 and the opening region 25 has been fully opened via the slide fastener 35.
[0034] As shown in FIG. 1, the prophylactic garment 10 is used as an outerwear to be worn over underwear or pajamas worn by a patient. In particular, some patients have a low level of consciousness or suffer from dementia or other illnesses due to their condition. In addition, in the case of the above-mentioned patients, they may lie on a bed 51 (see FIG. 4) for a long time and unconsciously try to pull out the medical tube 12 used for intravenous drip during treatment with intravenous drip. Depending on the condition of the patient, the prophylactic garment 10 may be worn directly on the patient's bare skin. In addition, the length of the prophylactic garment 10 is long enough to enter the trousers worn by the patient, thereby preventing the patient from inserting his / her hand from the lower end of the prophylactic garment 10.
[0035] The preventive garment 10 is worn by patients who have difficulty grasping the treatment status, such as the above-mentioned patients with a low level of consciousness, during treatment to prevent the patient from unconsciously pulling on the medical tube 12 with their hands and pulling out the medical tube 12. This prevents the medical tube 12 from coming out during treatment due to the patient's own actions, or the fixing part of the needle (not shown) at the tip of the medical tube 12 from coming off, causing the medical tube 12 or the needle to remain in the blood vessel. The medical tube 12 in this embodiment includes not only a central venous tube used for infusion, blood transfusion, blood collection, etc., but also a peripheral infusion tube.
[0036] The prophylactic clothing 10 is not limited to use by doctors and nurses when treating patients in hospitals, home medical care, ambulances, etc., but can also be used by users of elderly care facilities, for example. The prophylactic clothing 10 is also not limited to use in drug treatments via drip infusion, but can also be used in situations where a patient is connected to a medical tube 12 for a long period of time, such as during dialysis or blood transfusion.
[0037] As shown in the figure, the prophylactic wear 10 mainly comprises a main body part 11 to be worn on the upper body of the patient, and a tube pull-out prevention means 24 arranged in association with the main body part 11. The prophylactic wear 10 is made of, for example, gauze fabric, which improves the feel against the patient's skin. The prophylactic wear 10 may also be made of 100% cotton fabric, in which case it can be used by people with allergies. The fabric of the prophylactic wear 10 may also be made of other fabrics such as natural fibers, such as silk, or chemical fibers, such as polyester or rayon.
[0038] The prophylactic garment 10 has, for example, a sleeve 23 formed on the right arm 52 (see FIG. 4) side, and no sleeve formed on the left arm side. The above-mentioned treatment such as intravenous drip is administered to one of the patient's arms. Therefore, the prophylactic garment 10 is formed with a tube pull-out prevention means 24 corresponding to that one arm, thereby preventing the patient from pulling out the medical tube 12. This prevents the patient from pulling on the medical tube 12 during treatment, causing the medical tube 12 to be pulled out, and also prevents the nurse from having to do unnecessary work such as cleaning up the pulled-out intravenous drip or re-administering the treatment.
[0039] Furthermore, by forming the left arm side of the preventive garment 10 in a vest shape without the sleeve 23, doctors, nurses, etc. can easily measure the patient's temperature, blood pressure, etc. by using the left arm to which the medical tube 12 is not connected. It also becomes easier for nurses, etc. to put the preventive garment 10 on the patient. Note that the sleeve 23 of the preventive garment 10 of this embodiment is not limited to being formed on one arm, and may be formed on both arms.
[0040] As will be described in detail later, during the treatment, the medical tube 12 is inserted from the patient's collar 13 into the inside of the main body 11 and routed towards the sleeve 23. A second planar body 31 serving as the tube pull-out prevention means 24 is disposed on the surface of the main body 11, and the second planar body 31 covers the upper side of an opening region 25 formed around the sleeve 23. Furthermore, the opening region 25 is closed by a slide fastener 35 serving as the tube pull-out prevention means 24, and a first planar body 26 serving as the tube pull-out prevention means 24 is disposed inside the opening region 25 so as to narrow the collar 13 and the sleeve 14. This structure makes it difficult for the patient to pull on the medical tube 12 with his or her free left hand during treatment, preventing the patient from pulling out the medical tube 12 by himself or herself.
[0041] An opening region 11A for front opening is formed in the approximate center of the front side of the main body 11. A hook-and-loop fastener 15 and a sliding fastener 16 are sewn to the main body 11 so as to close the opening region 11A so as to be freely opened and closed, forming a two-stage opening and closing structure. The front-opening structure of the prophylactic garment 10 makes it easier to put the prophylactic garment 10 on a patient and to remove the prophylactic garment 10 from a patient.
[0042] The hook-and-loop fastener of this embodiment is a member that connects or separates pieces of fabric by, for example, bonding together a loop-shaped portion and a hook-shaped portion sewn to the surface of the fabric. The slide-type fastener of this embodiment is a member that connects or separates pieces of fabric by, for example, engaging a pair of left and right teeth sewn to the end of the fabric with a knob (slider). The knob corresponds to the opening / closing operation portion of the present invention.
[0043] 2, the main body 11 has an overlapping region 11B along the opening region 11A, and a pair of hook-and-loop fasteners 15 and a slide fastener 16 are sewn between them on the inside of the overlapping region 11B. In order for a patient to insert his or her hand inside the main body 11 during treatment, the patient must first remove the hook-and-loop fastener 15 and then use the slide fastener 16 to open the opening region 11A.
[0044] This structure makes it difficult for the patient to insert his / her hand into the inside of the main body 11 through the opening region 11A, and prevents the medical tube 12 from being pulled out. Furthermore, the sliding fastener 16 is structured to close the opening region 11A by moving the tab 16A from the collar 13 side of the opening region 11A to the lower body side, which is the opposite of normal clothing. As a result, even if the patient inserts his / her hand into the inside of the main body 11 through the collar 13, for example, the tab 16A is not near the collar 13 and the sliding fastener 16 does not move down by itself, so the opening region 11A does not open. In the prophylactic garment 10, the openings around the neck and sides of the main body 11 are narrowed to prevent the hand from entering.
[0045] Also, the neck of the main body 11 is formed in a V-neck shape, and the overlapping region 11B is formed by escaping from the center of the main body 11 to the left side. As a result, even if the main body 11 shifts toward the face of the patient during treatment, the hook-and-loop fastener 15 or the sliding fastener 16 will not come into contact with the chin or the surrounding area, causing discomfort to the patient, such as rubbing against the skin.
[0046] As shown in the figure, hook-and-loop fasteners 32, 33, and 34 for attaching and detaching the second sheet-like body 31 to and from the main body 11 are sewn to the shoulder 20 of the main body 11 around the cuff 14 and collar 13 of the main body 11. In this embodiment, the hook-and-loop fastener 32 is disposed around the cuff 14 of the sleeve 23, the hook-and-loop fastener 33 is disposed on the upper arm of the sleeve 23, and the hook-and-loop fastener 34 is disposed on the shoulder 20 around the collar 13. The second sheet-like body 31 is disposed so as to straddle the opening region 25, and one end (not shown) of the second sheet-like body 31 is sewn and fixed to the sleeve 23 and shoulder 20 on the back side of the opening region 25. As described above, the hook-and-loop fasteners 32 to 34 are sewn to the other end 31A of the second sheet-like body 31.
[0047] With this structure, when the patient is being treated, the second planar body 31 is attached to the main body 11 via the hook-and-loop fasteners 32 to 34. As will be described in detail below, the second planar body 31 covers the upper surface of the slide fastener 16 that closes the opening region 25, making it difficult for the patient to fully open the opening region 25 via the slide fastener 35 unless the patient detaches all of the second planar body 31 from the main body 11. As a result, when the opening region 25 is partially open, it is difficult for the patient to insert his or her hand into the inside of the main body 11, preventing the medical tube 12 from being pulled out.
[0048] 3A shows a state in which the slide fastener 35 has been removed and the sleeve 23 and a part of the main body 11 are partially open at the front so that the inner side of the sleeve 23 of the main body 11 can be seen. As shown in the figure, the opening region 25 is formed from the cuff 14 of the sleeve 23 to the collar 13 of the shoulder 20, and is structured to be opened and closed by the slide fastener 35. Then, the opening region 25 is in a fully open state and the first sheet-like body 26 is detached from the main body 11 by removing the hook-and-loop fasteners 27, 28, 29, so that the front side of the main body 11 including the sleeve 23 and the shoulder 20 is open at the front toward the lower body of the patient.
[0049] With this structure, when treating a patient, for example, the main body 11 in a front-open state is laid on the top surface of a bed and the patient is laid on it, making it easy for the patient to wear the prophylactic garment 10. At this time, the nurse administers a treatment such as an IV to the right arm of the patient, fixes the medical tube 12, and then attaches the first planar body 26 to the main body 11 via the hook-and-loop fasteners 27-29. Then, the nurse operates the slide fastener 35 to close the opening region 25, and attaches the second planar body 31 to the main body 11 via the hook-and-loop fasteners 32-34. In other words, the nurse can easily wear the tube pull-out prevention means 24 on the patient by gradually closing the opening region 25 from the front-open state of the main body 11, such as the sleeves 23.
[0050] Here, the first sheet-like body 26 is disposed inside the main body 11 and has a structure that allows it to be freely attached and detached to the main body 11. As shown in the figure, hook-and-loop fasteners 27-29 for attaching and detaching the first sheet-like body 26 to and from the main body 11 are sewn to the sleeves 23 and shoulders 20 of the main body 11. In this embodiment, the hook-and-loop fastener 27 is disposed around the cuff 14 of the sleeves 23, the hook-and-loop fastener 28 is disposed on the upper arm of the sleeves 23, and the hook-and-loop fastener 29 is disposed on the shoulders 20 around the collar 13. The hook-and-loop fasteners 27-29 are sewn overlapping the hook-and-loop fasteners 32-34 so as to sandwich the fabric of the main body 11 therebetween.
[0051] One end 26A of the first planar body 26 is sewn to the sleeve portion 23 or shoulder portion 20 near the opening region 25, and hook-and-loop fasteners 27-29 are sewn to the other end 26B of the first planar body 26. The first planar body 26 is then attached to the main body 11 via the hook-and-loop fasteners 27-29 so as to cover the upper side of the patient's right arm or shoulder. The first planar body 26 is formed in a quadrangle shape that is substantially the same as the second planar body 31, and is sewn to the main body 11 so as to overlap the second planar body 31 over substantially the entire surface when worn.
[0052] With this structure, even if the patient unconsciously opens the opening region 25 fully via the slide fastener 35, the opening region 25 will be partially blocked by the first planar body 26 from the inside of the main body 11. Then, until the patient peels the hook-and-loop fasteners 27-29 off the main body 11 and the first planar body 26 detaches from the main body 11, it will be difficult for the patient to insert their hands into the inside of the main body 11, preventing the medical tube 12 from being pulled out.
[0053] Furthermore, as described above, the first planar body 26 is disposed between the patient and the main body 11. The hook-and-loop fastener 27 is disposed near the cuff 14 of the sleeve 23, and the hook-and-loop fastener 29 is disposed near the collar 13 of the shoulder 20. With this structure, the gap between the patient and the main body 11 at the cuff 14 or collar 13 is adjusted according to the tightness of the first planar body 26. In other words, the gap is narrowed by narrowing the main body 11 so that the first planar body 26 comes into contact with the patient.
[0054] When treating a patient, the patient will attempt to insert his / her free left hand into the inside of the main body 11 through the cuff 14 or collar 13, but the first planar body 26 eliminates any gap through which the left hand can enter. As a result, it becomes difficult for the patient to insert his / her hand into the inside of the main body 11 through the cuff 14 or collar 13, and the medical tube 12 is prevented from being pulled out.
[0055] As shown in Fig. 3B, a tube fixing part 41 is formed on the back side of the inside of the shoulder part 20 of the main body part 11. The tube fixing part 41 is disposed near the collar opening 13 of the main body part 11, and has a structure to prevent the medical tube 12 from being pulled out by the patient. Specifically, the tube fixing part 41 has a fixing sheet 42, two tube locking sheets 43, 44, and a hook-and-loop fastener 45. The fixing sheet 42 and the tube locking sheets 43, 44 are detachable from the main body part 11 via the hook-and-loop fastener 45. The fixing sheet 42 is detachable from the main body part 11 via the hook-and-loop fastener 45, and is fixed to the main body part 11 so as to cover the tube locking sheets 43, 44 from the upper surface side.
[0056] As shown in the figure, the medical tube 12 is inserted into the inside of the main body 11 from the collar 13 of the prophylactic garment 10 and routed toward the sleeve 23. At this time, the medical tube 12 is wrapped around the tube retaining sheets 43, 44, for example, once and retained in an S-shape, and the tube retaining sheets 43, 44 are then attached to a hook-and-loop fastener 45. Thereafter, the medical tube 12 is further fixed between the main body 11 and the fixing sheet 42.
[0057] With this structure, medical tubing 12 is fixed by wrapping it around tube locking sheet body 43, and is doubly fixed by tube locking sheets 43, 44 and fixing sheet body 42. As a result, even if the patient pulls on medical tubing 12 leading out from collar opening 13 of main body 11, the medical tubing 12 on the tip side beyond tube fixing part 41 is prevented from being pulled, and medical tubing 12 is prevented from being pulled out of the patient's right arm.
[0058] Next, the state of use of the preventive clothing 10 will be described with reference to Fig. 4. Fig. 4 is a schematic diagram illustrating the state of use of the preventive clothing 10 of this embodiment. In the following description, the description of the preventive clothing 10 explained with reference to Figs. 1 to 3B will be referred to, and the same reference numerals will be used in principle for the same members of the preventive clothing 10, and repeated description will be omitted.
[0059] FIG. 4 shows a state in which a patient wearing a prophylactic garment 10 lies on his back on a bed 51 and receives treatment by drip infusion. As shown in the figure, a medical tube 12 for drip infusion is inserted from the collar 13 of the prophylactic garment 10 into the inside of the main body 11, and after being fixed to the tube fixing part 41 as described above with reference to FIG. 3B, it is routed to the sleeve part 23 side. Then, the medical tube 12 is guided from the back side of the patient to the right arm 52 side of the patient and routed along the right arm 52, and for example, the needle at the tip of the medical tube 12 is inserted into a blood vessel in the upper arm and fixed to the right arm 52 via a fixing tape. In the case of treatment by long-term placement of the medical tube 12, the tip of the medical tube 12 itself is inserted into a central vein.
[0060] 3A, for example, the prophylactic garment 10 is laid on the bed 51 with the opening regions 25, 11A fully open and the main body 11 open at the front before the patient lies down on the bed. Then, after the patient lies down on the prophylactic garment 10, the medical tube 12 is inserted into the desired location of the right arm 52 by a nurse.
[0061] Next, the nurse performs the first to third stages of fitting work described below, so that the tube pull-out prevention means 24 of the prophylactic garment 10 is fitted to the patient's right arm 52 to which the medical tube 12 is fixed.
[0062] First, in the first stage of the wearing operation, as shown in FIG. 3A, the first planar body 26 is fixed to the main body 11. The first planar body 26 then serves as a first prevention structure against the patient's attempt to pull out the medical tube 12. Specifically, the nurse attaches the hook-and-loop fasteners 27-29 of the first planar body 26 with the opening region 25 fully open, thereby fixing the first planar body 26 to the main body 11. In particular, by adjusting the attachment positions of the hook-and-loop fasteners 27, 29 at the collar 13 and cuffs 14, the gap between the patient and the first planar body 26 is reduced, and the first planar body 26 is brought into contact with the patient as much as possible.
[0063] Next, as the second stage of the wearing operation, the opening region 25 is fully closed as shown in FIG. 2. The slide fastener 35 then serves as a second prevention structure against the patient's attempt to pull out the medical tube 12. Specifically, after the nurse fixes the three first planar bodies 26 to the main body 11, the nurse moves the tab 35A of the slide fastener 35 from the cuff 14 side to the collar 13 side to fully close the opening region 25. With this operation, the three first planar bodies 26 are stored inside the main body 11.
[0064] Finally, in the third stage of the wearing operation, as shown in FIG. 1, the second planar body 31 is fixed to the main body 11. The second planar body 31 then serves as a third prevention structure against the patient's attempt to pull out the medical tube 12. Specifically, the nurse attaches the hook-and-loop fasteners 32-34 of the second planar body 31 with the opening region 25 in a fully closed state, thereby fixing the second planar body 31 to the main body 11. In particular, in the vicinity of the collar 13, the attachment position of the hook-and-loop fastener 34 is adjusted to hide the tab 35A of the sliding fastener 35 between the main body 11 and the hook-and-loop fastener 34, thereby preventing the patient from opening the sliding fastener 35.
[0065] By completing the first to third stages of attachment described above, the medical tubing 12 on the patient's right arm 52 is covered by the first planar body 26, and the opening area 25 is closed by the sliding fastener 35. Furthermore, the opening area 25 in the fully closed state is covered by the second planar body 31, and thus a tube pull-out prevention means 24 consisting of a triple prevention structure for preventing the patient from reaching the medical tubing 12 is attached above the medical tubing 12.
[0066] A patient with a low level of consciousness has difficulty understanding the danger of pulling out medical tube 12 without permission, and will attempt to pull out medical tube 12 fixed to right arm 52 in order to relieve the discomfort in right arm 52.
[0067] If the patient attempts to insert his / her free left hand into the inside of main body 11 through cuff 14 or collar 13, first planar body 26 prevents the left hand from entering by narrowing the gap as much as possible between cuff 14 or collar 13 and the patient. If the patient gives up on inserting his / her left hand and pulls on medical tubing 12 leading out from collar 13, medical tubing 12 is wrapped and fixed by tube fixing part 41, thereby preventing the medical tubing 12 on the tip side of tube fixing part 41 from being pulled out of the patient's right arm.
[0068] Furthermore, as mentioned above, the first planar body 26 is positioned so as to overlap almost the entire surface of the second planar body 31, and the second planar body 31 can be used to further narrow the gap between the patient and the cuffs 14 or collar 13, thereby preventing the left hand from entering.
[0069] Furthermore, in order for the patient to open opening region 25 and pull out medical tube 12, the patient must first pull second planar body 31 in the circumferential direction of right arm 52 to peel off hook-and-loop fasteners 32-34. Next, the patient must find tab 35A of slide fastener 35 and pull tab 35A along right arm 52 to open opening region 25.
[0070] As described above, since the tab 35A is hidden by the second planar body 31, the patient must peel the second planar body 31 off from the main body 11, and the loud noise generated in the process of peeling off the hook-and-loop fastener 34 makes it easy for nurses at the nurse station or on rounds to notice the patient's action of pulling out the tube. Then, the nurse can stop the patient from peeling off the hook-and-loop fasteners 32-34 before the medical tube 12 is pulled out, thereby preventing the above-mentioned unnecessary work caused by the medical tube 12 being pulled out. When the patient peels off the hook-and-loop fasteners 32-33 of the second planar body 31, the tab 35A remains hidden by the second planar body 31 attached to the main body 11 by the hook-and-loop fastener 34, and the opening region 25 remains fully closed.
[0071] On the other hand, even when the hook-and-loop fastener 34 is peeled off and the second planar body 31 is detached from the main body 11, and part of the opening area 25 is opened, the first planar body 26 covers the upper surface side of the medical tubing 12.
[0072] As described above, first planar body 26 is disposed so as to overlap almost the entire surface of second planar body 31, so that even when opening region 25 is open, first planar body 26 blocks the inside of opening region 25. Therefore, in order for the patient to reach medical tubing 12, he or she must further insert his or her left hand into the inside of main body 11 through open opening region 25 and peel off hook-and-loop fasteners 27-29 of first planar body 26.
[0073] With this structure, it is extremely difficult for a patient with a low level of consciousness to unconsciously break through all of the first to third prevention structures and reach the medical tube 12. In addition, the second planar body 31 is made of a soft material, and while the patient is dealing with the slide fastener 35 or the first planar body 26, the hook-and-loop fasteners 32 to 34 may accidentally stick to the second planar body 31, causing the second planar body 31 to cover the opening region 25. As a result, the occurrence of the above-mentioned event caused by the patient pulling on the medical tube 12 is suppressed, and it is possible to prevent the patient from bothering nurses and the like, and to perform treatment safely.
[0074] Furthermore, in the preventive garment 10 of this embodiment, the slide fastener 35 is structured to close the opening region 25 from the cuff 14 side to the collar 13 side, making it difficult for the patient to operate the slide fastener 35 with one hand to open the opening region 25. Furthermore, in the first sheet-like body 26, the hook-and-loop fasteners 27-29 are structured to be attached to the inner surface side of the main body 11. Therefore, when the patient inserts his / her left hand through the opening region 25, it becomes difficult for him / her to peel off the hook-and-loop fasteners 27-29.
[0075] Furthermore, even if the left arm of a patient not receiving treatment such as an IV drip is not fixed to the bed frame with a string or the like during treatment, the patient is less likely to unconsciously remove the needle from the fixed part or pull on the medical tube 12. As a result, the patient's left arm itself is not fixed, and the range of motion of the patient's left hand is not restricted by a glove or the like, significantly reducing the patient's stress.
[0076] In addition, the first and second planar bodies 26, 31 can be adjusted by using hook-and-loop fasteners 27-29, 32-34 to adjust how tightly they wrap around the arm, making it possible to adjust the pressure on blood vessels and nerves caused by fastening and to prevent subcutaneous bleeding.
[0077] The first sheet-like body 26 and the second sheet-like body 31 are also placed on the upper arm on one side of the patient's elbow. Depending on the type of treatment, the tip of the medical tube 12 is often fixed to the patient's upper arm. The first sheet-like body 26 and the second sheet-like body 31 themselves are made of a soft material, but the first sheet-like body 26 and the second sheet-like body 31 at the sewn locations of the hook-and-loop fasteners 28, 33 are hard. As a result, even if the patient touches the fixed location of the medical tube 12 from above the prophylactic garment 10, it is difficult for the patient to grasp the fixed location, and the medical tube 12 is difficult to tear off.
[0078] In addition, the first planar body 26 and the second planar body 31 are divided and arranged in multiple locations to avoid the areas of the patient's elbow and shoulder joints, thereby increasing the range of motion of the patient's elbow and shoulder, providing the patient with a treatment environment that is as comfortable as possible.
[0079] Furthermore, by making the slide fasteners 16, 35 out of plastic, it becomes possible to perform X-ray imaging while the prophylactic garment 10 is still being worn, eliminating the need to change the prophylactic garment 10 on the patient.
[0080] Finally, the use of the preventive clothing 10 in a reversible state will be described with reference to Fig. 5. Fig. 5 is a plan view illustrating the reversible state of the preventive clothing 10 of this embodiment. In the following description, the description of the preventive clothing 10 described with reference to Figs. 1 to 4 will be referred to, and the same reference numerals will be used for the same members of the preventive clothing 10 in principle, and repeated description will be omitted.
[0081] 5, the prophylactic garment 10 can also be used when a patient wishes to receive treatment such as an intravenous drip in the left arm. In this case, the main body 11 can be turned inside out so that the sleeve 23 is positioned on the left arm.
[0082] In the so-called reversible state of the prophylactic garment 10, the second planar body 31 before reversibility shown in Fig. 1 is positioned inside the main body 11 and functions as the first planar body (not shown) of the present invention, and the first planar body 26 before reversibility shown in Fig. 1 is positioned outside the main body 11 and functions as the second planar body 61. The medical tube 12 is inserted into the inside of the main body 11 from the collar 13 of the prophylactic garment 10 and routed from the back side of the patient to the sleeve 23 via a tube fixing part (not shown). The tube fixing part in the reversible state is formed on the outer surface of the back side of the main body 11 before reversibility shown in Fig. 1 and has the same structure as the tube fixing part 41 described above with reference to Fig. 3B.
[0083] This structure allows the patient to receive treatment such as intravenous drips in both arms with one prophylactic garment 10, reducing the cost to the patient during hospitalization. Even in the reversible state of the prophylactic garment 10, the same effect as the prophylactic garment 10 before reversibility shown in Figure 1 can be obtained.
[0084] In the present embodiment, the prophylactic garment 10 has been described as being provided with the first planar body 26 and the second planar body 31 as the tube pull-out prevention means 24 at three locations, namely, the vicinity of the cuff 14, the vicinity of the collar 13, and the periphery of the upper arm, but the present invention is not limited to this. The first planar body 26 and the second planar body 31 can be provided at least at two locations, namely, the vicinity of the cuff 14 and the vicinity of the collar 13, to obtain the same effect as the prophylactic garment 10 described above. In addition, when the first planar body 26 and the second planar body 31 are provided at two locations, the range of motion around the shoulders is somewhat narrowed, but the first planar body 26 and the second planar body 31 may be formed to extend from the shoulder side to the periphery of the upper arm. On the other hand, the first planar body 26 and the second planar body 31 may be provided at four locations in total, by adding one more location between the elbow and the cuff 14 to the structure shown in FIG. 1. In addition, various modifications are possible without departing from the spirit and scope of the present invention.
[0085] Next, a preventive garment 70 according to another embodiment of the present invention will be described in detail with reference to the drawings. In describing the preventive garment 70, the same components as those in the above-mentioned preventive garment 10 will be generally designated by the same reference numerals, and repeated description will be omitted. In addition, as will be described in detail later, the preventive garment 70 differs from the above-mentioned preventive garment 10 mainly in the structure relating to the front opening region 73 of the main body 71, the structure relating to the slide fastener 35 provided in the opening region 25 of the tube pull-out prevention means 24, and the arrangement region of the tube fixing portion 41, but the other structures are generally similar.
[0086] Figures 6 and 7 are plan views illustrating the prophylactic garment 70 of this embodiment, showing the state in which the tube pull-out prevention means 24 is attached. Figure 8 is a plan view illustrating the prophylactic garment 70 of this embodiment, showing the state in which the opening area 25 of the tube pull-out prevention means 24 is fully opened via the slide-type fastener 35. Figure 9 is a plan view illustrating the prophylactic garment 70 of this embodiment, showing an enlarged view of the tube fixing part 41 formed on the second sheet body 31 and the fabric holding part 82 of the slide-type fastener 35.
[0087] 6, the prophylactic garment 70 mainly comprises a main body 71 to be worn on the upper body of the patient, and a tube pull-out prevention means 24 attached to the main body 71. A sleeve 72 is formed on the left arm side of the patient of the main body 71, and a sleeveless vest shape is formed on the right arm side of the patient of the main body 71. The material and the function and effect of the prophylactic garment 70 due to its shape are the same as those of the prophylactic garment 10, and the description of the prophylactic garment 10 given above is to be referred to.
[0088] The main body 71 and the sleeve 72 are formed with the tube pull-out prevention means 24. When the tube pull-out prevention means 24 is completely attached, the opening area 25 formed in the sleeve 72 is fully closed via the slide fastener 35, and the second sheet body 31 is attached to the main body 71 and the sleeve 72 via the hook-and-loop fasteners 32 to 34. As described above, the tab 35A of the slide fastener 35 is hidden by the second sheet body 31. The slide fastener 35 corresponds to the second slide fastener of the present invention, and the tab 35A corresponds to the opening and closing operation portion of the present invention.
[0089] A collar opening 13 that forms a V-neck shape around the neck is formed in the approximate center of the front side of the main body 71. An overlapping area 71A that covers a front opening area 73 (see FIG. 7) is formed to the right of the collar opening 13 of the main body 71. A dashed line 74 indicates an arrangement area of a slide fastener 75 for closing the front opening area 73 so that it can be opened and closed freely. Note that hook-and-loop fasteners 76, 77, 78, and 79 may be partially arranged on both sides of the slide fastener 75, so that the front opening area 73 has a two-stage opening and closing structure. Note that the slide fastener 75 corresponds to the first slide fastener of the present invention.
[0090] As shown in FIG. 7, the front opening region 73 of the main body 71 is opened by moving the tab 75A of the slide fastener 75 from the collar 13 side to the lower body side. With this structure, when a doctor or nurse performs observation or treatment such as auscultation or electrocardiogram on a patient, the slide fastener 75 is opened about halfway and the main body 71 is opened toward the left arm side, so that the patient's chest is easily exposed, making it easier to perform the examination while administering treatment such as intravenous drip. At this time, the collar 13 of the main body 71 is also opened widely toward the left arm side of the patient, preventing the fabric or hook-and-loop fastener of the main body 71 from hitting the patient's face, and reducing stress on the patient during treatment such as intravenous drip.
[0091] A hook-and-loop fastener 80 is disposed above the slide fastener 75 of the main body 71, and the hook-and-loop fastener 80 is attached to the back side of the shoulder of the main body 71. With this structure, the location of the hook-and-loop fastener 80 is difficult to reach with the right hand, which can move freely, even for a patient undergoing treatment, and it is possible to prevent the patient from unconsciously removing the hook-and-loop fastener 80, operating the slide fastener 75, and opening the front opening region 73. Furthermore, the main body 71 also has hook-and-loop fasteners 76, 77, 78, and 79 partially disposed thereon, which makes it difficult for the patient undergoing treatment to open the front opening region 73.
[0092] As shown in FIG. 8, a first planar body 26, a second planar body 31 and a sliding fastener 35 for freely closing and opening the opening area 25 are arranged on the main body 71 and the sleeve portion 72 as a tube pull-out prevention means 24.
[0093] As described above, the first sheet body 26 is fixed to the main body 71 and the sleeves 72 by adhering the hook-and-loop fasteners 27-29 to each other on the insides of the main body 71 and the sleeves 72. The slide fastener 35 fully closes the opening region 25 when the first sheet body 26 is fixed. The second sheet body 31 is fixed to the main body 71 and the sleeves 72 by adhering the hook-and-loop fasteners 32-34 to each other on the outsides of the main body 71 and the sleeves 72. With this structure, the prophylactic garment 70 can also achieve the effect of the tube pull-out prevention means 24 described above.
[0094] As shown in FIG. 9, in the prophylactic garment 70, the tube fixing part 41 is formed integrally with the second sheet-like body 31 near the collar 13 of the main body 71. As described above, the tube fixing part 41 has two tube locking sheets 43, 44 and a hook-and-loop fastener 45. The medical tube 12 is wound around the tube locking sheets 43, 44, for example, once and locked in an S-shape, and the tube locking sheets 43, 44 are then attached to the hook-and-loop fastener 45. The second sheet-like body 31 is then fixed to the main body 71, and the medical tube 12 is fixed between the second sheet-like body 31 and the main body 71. The second sheet-like body 31 is disposed on the back side of the main body 71 relative to the slide fastener 35, making it difficult for the patient to reach, and the effects obtained by the tube fixing part 41 are as described above.
[0095] Next, as indicated by circles 81, on the collar 13 side of the sliding fastener 35, a pair of fabric holding portions 82 are formed further forward than the end 35B of the sliding fastener 35. The end 35B of the sliding fastener 35 and its surrounding area are formed to protrude further toward the collar 13 than the main body 71. Similarly, the fabric holding portions 82 are also formed to protrude further toward the collar 13 than the main body 71. As described above, the end 35B in this embodiment refers to the end of a pair of multiple teeth on the left and right of the sliding fastener 35, and is the end at which the tab 35A can move relative to the opening region 25.
[0096] With this structure, in order for a nurse or the like to open the opening area 25, which is in a fully closed state, via the sliding fastener 35, the nurse or the like can easily open the opening area 25 by, for example, holding the fabric holding portion 82 with the left hand and pulling it toward the collar opening 13 while sliding the tab portion 35A of the sliding fastener 35 toward the cuff 14 with the right hand.
[0097] On the other hand, if a patient undergoing treatment unconsciously uses tab 35A with only the right hand, which is freely movable, to open opening region 25, the patient can pull tab 35A toward cuff 14. However, because end 35B of slide fastener 35 and its surrounding area are not supported by main body 71, they hang down and move in conjunction with the pulling action of the patient, making it difficult to apply a stable force to slide fastener 35.
[0098] As a result, the patient can only use his right hand during treatment, making it difficult to slide tab 35A of slide fastener 35 toward cuff 14, and making it difficult to open opening region 25. Furthermore, as described above, tab 35A of slide fastener 35 is covered and hidden by second sheet body 31, and the patient cannot easily find tab 35A.
[0099] In this embodiment, the prophylactic garment 70 has a sleeve 72 on the left arm side of the patient, and no sleeve 72 on the right arm side of the patient, but the present invention is not limited to this case. The prophylactic garment 70 has a reversible structure like the prophylactic garment 10, and in Fig. 6, the sleeve 72 provided with the tube pull-out prevention means 24 is arranged on the left arm side of the patient, but as in the above-mentioned explanation of Fig. 5 for the prophylactic garment 10, by turning the main body 71 and the sleeve 72 inside out, the sleeve 72 is arranged on the right arm side of the patient, and the prophylactic garment 70 can achieve the same effect as the prophylactic garment 10. In addition, various modifications are possible without departing from the scope of the present invention. [Explanation of symbols]
[0100] 10 Protective clothing 11 Main body 11A,25 Opening area 12 Medical tubing 13 Neck opening 14 Cuffs 15,27,28,29,32,33,34,45 Hook and loop fastener 16,35 Slide fastener 16A, 35A knob 20 Shoulder 23 Sleeves 24 Tube pull-out prevention measures 26 First planar body 31,61 Second planar body 41 Tube fixing part 42 Fixed planar body 43, 44 Tube retaining surface 51 Bed 52 Right Arm 70 Protective clothing 71 Main body 72 Sleeves 73 Front opening area 75 Slide zipper 76,77,78,79,80 Hook and loop fastener 82 Dough holding part
Claims
1. A preventive garment worn by a patient during treatment using the patient's blood vessel, A main body portion to be worn on the upper body of the patient; an opening region formed between the collar and the cuffs of the main body; a tube pull-out prevention means for preventing the patient from pulling out a medical tube disposed inside the main body from the collar opening; The tube pull-out prevention means is a first planar body that is disposed inside the main body at least near the collar or the cuff and that is capable of adjusting a gap between the main body and the patient; A slide fastener that closes the opening area in an openable and closable manner; A prophylactic garment characterized by having a second planar body that is arranged on the outside of the main body and covers at least the opening and closing operation portion of the slide fastener during treatment.
2. the first planar body and the second planar body are each detachably attached to the main body, The prophylactic garment according to claim 1, characterized in that the second planar body is fixed to the main body so as to straddle the opening area during treatment and is arranged overlapping the first planar body.
3. The preventive wear described in claim 2, characterized in that one end side of the second planar body is fixed to the main body part on the back side of the opening area, and the other end side of the second planar body is removably fixed to the main body part on the front side of the opening area via a hook-and-loop fastener.
4. 4. The prophylactic garment according to claim 1, wherein a tube fixing portion is formed on the main body portion in the vicinity of the collar opening, for fixing the medical tube in a wound state.
5. The main body portion covers one arm of the patient while exposing the other arm of the patient, 5. The preventive garment according to claim 4, wherein the main body is turned inside out and worn by the patient to cover the other arm of the patient.
6. A front opening area is formed on the front side of the patient and on the arm side of the patient that is not treated, relative to the center of the main body.
2. The protective garment according to claim 1, further comprising a front-opening slide fastener for closing the front-opening region in an openable and closable manner.
7. 7. The protective garment according to claim 1, wherein the end of the slide fastener and its surrounding area are arranged to protrude from the main body portion toward the collar opening.
8. a tube fixing portion for fixing the medical tube in a wound state on the main body portion near the collar opening; 7. The protective garment according to claim 6, wherein the tube fixing portion is disposed on the rear side of the slide fastener.
Citation Information
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