Abdominal band for gastrostomy etc.

Abstract

This reduces the impact on the gastrostomy catheter caused by the gastrostomy abdominal band (or enterostomy abdominal band) shifting sideways, and prevents the gastrostomy catheter from being removed. [Solution] The abdominal band 10 for gastrostomy, etc., includes an abdominal support portion 11, a back support portion 12 connected thereto, and detachable fastening portions 14A, 14B provided at the outer ends of the abdominal and back support portions. A gastrostomy, etc., catheter protection portion 21 that bulges outward is provided in the center of the abdominal support portion, forming a gastrostomy, etc., catheter protection space. Because there is a gastrostomy, etc., catheter protection space, even if the abdominal band shifts slightly laterally, the force of the shift is unlikely to reach the gastrostomy catheter. In addition, a fastenable pull-out prevention portion 13 is provided on the side of the gastrostomy, etc., catheter protection portion. By passing the pull-out prevention portion 13 around the loop of the gastrostomy tube and fastening it, the tube can be prevented from being pulled out.

Description

[Technical Field]

[0001] This invention relates to abdominal bands for gastrostomy, etc., including abdominal bands for gastrostomy and abdominal bands for enterostomy. [Background technology]

[0002] Gastrostomies and other devices can be classified into button-type and tube-type devices based on their appearance outside the body, with the button-type being the overwhelming majority at present. In either case, because the button (a button-like lid that can be freely opened and closed to close the opening of the catheter that comes out of the body) and tube protrude from the body, patients wear an abdominal band to cover them. The abdominal band is simply wrapped around the torso and directly covers the button and tube. As a result, when the patient shifts sideways or turns over in bed, the abdominal band slips off. This in turn pulls the button and tube to the side. Because the button and tube are directly connected to organs inside the body (the stomach and various intestines), pulling on them can be painful. In some cases, accidents have occurred in which the gastrostomy or other catheter connected to the button or tube becomes dislodged.

[0003] Patent Document 1 describes an abdominal band for disposing of a tube that has come out of the body. This abdominal band for gastrostomy has a through-hole formed in the abdominal portion to allow the tube to be pulled out and a pocket for storing the tube that has come out. Because the gastrostomy tube can be stored in the pocket when not in use, it is possible to reduce the discomfort felt when a gastrostomy tube is in place and prevent the gastrostomy tube from accidentally coming loose. [Prior art documents] [Patent documents]

[0004] [Patent Document 1] Utility Model Registration No. 3066243

[0005] However, even with the above-mentioned gastrostomy abdominal band, the gastrostomy tube is in contact with the abdominal band at the point where it comes out of the body, so if the abdominal band shifts to the side, the tube is pulled and causes pain, but this problem remains. The same is true for button-type gastrostomy tubes.

[0006] Furthermore, when administering nutrients, in the case of button-type catheters, the button-like lid is opened and the tube is connected to a gastrostomy or other catheter. Therefore, in both button-type and tube-type catheters, the tube extends from the body and nutrients are injected from its tip. However, patients may suddenly or intentionally pull out the tube that has extended outside (removing it). In some cases, the gastrostomy or enterostomy itself may be pulled out. Summary of the Invention

[0007] This invention provides an abdominal band for gastrostomy, etc., which does not shift sideways, causing lateral force to be applied to the gastrostomy catheter or enterostomy catheter (whether button type or tube type), causing pain or causing the catheter to be pulled out.

[0008] This invention also provides an abdominal band for gastrostomy, etc., which can prevent accidents such as the tube being pulled out when administering nutritional supplements, or the button or tube being removed even when not in use.

[0009] In this invention, the concept of a catheter includes a tube.

[0010] The abdominal band for gastrostomy, etc. according to this invention has an abdominal pad, in the center of which is provided a gastrostomy, etc. catheter protection part that bulges outward to form a gastrostomy, etc. catheter protection space, and a fastenable pull-out prevention part is provided on the side of the gastrostomy, etc. catheter protection part.

[0011] Because the portion of the gastrostomy catheter protruding from the patient's body or connected to the outside is located within the gastrostomy catheter protection space, it does not come into direct contact with the abdominal band. Therefore, even if the abdominal band shifts slightly to the side, there is ample space before the gastrostomy catheter comes into contact with the abdominal band, eliminating or reducing the pain caused by contact with the abdominal band. Furthermore, because the portion of the gastrostomy catheter closest to the body is within the protection space, the protection part gets in the way of any attempt to grab it, preventing accidents such as pulling it out. Furthermore, a fastenable pull-out prevention part is provided on the side of the gastrostomy catheter protection part. Therefore, when administering nutritional supplements, if a loop is formed around the gastrostomy catheter (tube) protruding from the abdominal band, and the pull-out prevention part is passed through this loop and fastened to the abdominal band, the pull-out prevention part will block the pulling force even if the protruding tube is pulled, preventing the tube from being pulled out.

[0012] The present invention also provides an abdominal band for gastrostoma, etc., in which a gastrostoma catheter protection part is provided in the center of the abdominal part that bulges outward to form a gastrostoma catheter protection space.The present invention further provides an abdominal band for gastrostoma, etc., which has an abdominal part and a part continuous with the abdominal part (which may be made of the same material as the abdominal part), and is characterized in that a fastenable pull-out prevention part is provided on the abdominal part or the part continuous with the abdominal part. [Brief explanation of the drawings]

[0013] [Figure 1] FIG. 1 is a surface view of an abdominal band for gastrostomy, etc. [Figure 2] FIG. 1 is a back view of an abdominal band for gastrostomy, etc. [Figure 3] FIG. 2 is a cross-sectional end view taken along line III-III in FIG. [Figure 4] FIG. 4 is a cross-sectional end view taken along line IV-IV in FIG. [Figure 5] This shows the shape of the fabric before sewing the abdominal part. [Figure 6] FIG. 1 is a perspective view showing the state in which an abdominal band for gastrostomy etc. is worn on a human body and how to use it. [Figure 7] FIG. 10 is a front view of a modified example of an abdominal band for gastrostoma, etc. [Figure 8] FIG. 10 is a rear view of a modified abdominal band for gastrostoma, etc. [Figure 9] 10 shows the shape of the fabric of the abdominal pad portion of a modified example before sewing. [Figure 10] FIG. 10 is a perspective view showing a modified abdominal band for gastrostoma etc. worn on a human body and how to use it. DETAILED DESCRIPTION OF THE INVENTION

[0014] Figure 1 is a front view of an abdominal band for gastrostomy, etc., Figure 2 is a back view of the abdominal band, Figure 3 is a cross-sectional end view taken along line III-III in Figure 1, Figure 4 is a cross-sectional end view taken along line IV-IV in Figure 1, and Figure 5 shows the shape (pattern) of the fabric for the abdominal pad before sewing. Figure 6 is a perspective view showing the state in which an abdominal band for gastrostomy, etc. is worn on the human body and how to use it.

[0015] In these drawings, the abdominal band 10 for gastrostomy, etc. comprises an abdominal support portion 11, a back support portion 12 connected thereto, a fastenable pull-out prevention portion 13 provided between the abdominal support portion 11 and the back support portion 12, and fastening portions 14A and 14B provided at the outer ends (including the portions extending from the outer ends) of the abdominal support portion 11 and the back support portion 12, respectively, which are detachable from each other.

[0016] A gastrostoma etc. catheter protection part 21 is provided in the centre of the abdominal part 11, which bulges outwards (in the direction away from the body when the abdominal part 11 is placed against the abdomen and the abdominal band 10 is worn on the body (this is referred to as the front of the body in this specification)), and forms a gastrostoma etc. catheter protection space in the front of the abdomen of the body wearing the abdominal band 10. The surface of the protection part 21 is preferably made of a soft material so as not to injure the body, but should also have the strength or elasticity to maintain the protective space. Preferably, a core is inserted in the protection part 21. In this embodiment, a sponge (sea sponge) is used as the core, and the front and back of this are covered with polyester fabric (cloth). The sponge is elastic and has enough uprightness to maintain the protective space.

[0017] Figure 5 shows the type of fabric (sponge and cloth) 21A that forms the gastrostomy or other catheter protection part 21. In the drawing, the side edges 22 are slightly inclined outward as they go upward, the top edge 23 is inclined upward toward the center, and the center of the fabric is cut out from top to bottom in the shape of an acute-angled triangle (wedge) (drawing a gentle convex curve) (indicated by edge 24). These two acute-angled edges 24 are butted together and sewn together to form a three-dimensional gastrostomy or other catheter protection space. Both edges 22 are connected to the fastening part 14A and the back part 12. To form a three-dimensional space, more pieces of fabric can be sewn together, and it is also possible to give it a rounded (hemispherical) shape as needed. The core is not limited to a sponge, and a thick cloth or the like can also be used.

[0018] In this embodiment, the backrest 12 is made of a cotton-polyethylene blend as the core batting, and cotton for the front and back fabrics, with these three layers sewn together to create a quilted finish. Cotton absorbs sweat and feels good against the skin. Adding batting increases heat retention and durability, and also prevents the garment from losing its shape. Needless to say, the front and back fabrics are not limited to cotton, and various other materials such as polyester and blends can be used.

[0019] The pull-out prevention part 13 is constructed by sewing approximately half of the center of a long, thin hook-and-loop fastener, whose length is about twice the width of the abdominal band 10, to a position near the abdominal part 11 of the back support part 12 (to the right of the abdominal part 11 in Figure 1). Approximately one-quarter of the length of the hook-and-loop fastener is left unfixed and placed above and below as free ends. The pull-out prevention part 13 may be provided on the abdominal part 11, or on the fastening part 14A on the left side in Figure 1.

[0020] The upper and lower free ends are indicated by the symbols 13A and 13B. When the free ends 13A and 13B are folded inward and placed over the central part fixed to the back portion 12, the hook-and-loop fasteners are firmly attached (fastened) to each other.

[0021] Fastening portions 14A and 14B are quilted, just like back support portion 12. Fastening portion 14B is divided into two portions, upper and lower, and has hook-and-loop fastener 15 fixed (sewn) to the back surface (Fig. 2). The surface of fastening portion 14A is made of a material to which hook-and-loop fastener 15 adheres (for example, Quicklon (trademark), hook-and-loop fastener, etc.). Therefore, when this abdominal band 10 is worn on the body with abdominal support portion 11 against the abdomen and back support portion 12 against the back, hook-and-loop fastener 15 of fastening portion 14B adheres to the surface of fastening portion 14A, keeping the abdominal band wrapped around the body. Fastening portion 14B may be one portion instead of being divided into two, or it may be divided into three or more portions.

[0022] The abdominal padding portion 11 and the fastening portion 14A, the abdominal padding portion 11 and the back padding portion 12, and the back padding portion 12 and the fastening portion 14B are butted together, and cotton tape 16 is sewn to both sides of the front and back of the butted portions to finish the butted portions. This reduces the step at the joints of these portions 11, 12, 14A, and 14B, making them as flat as possible to reduce discomfort and strengthen the connections between these portions. Various tailoring methods are possible, such as omitting cotton tape 16 by covering the front and back of some of these portions 11, 12, 14A, and 14B with a single large piece of fabric. Additionally, cotton tape 17 is applied to the outer edges of the abdominal padding portion 11, the back padding portion 12, and the fastening portions 14A and 14B, which are folded and sewn to prevent them from unraveling. The treatment of the outer edge is not limited to using cotton tape; there are various other methods, such as folding the outer edge inward and sewing it.

[0023] As shown in Figure 6, when the abdominal band 10 is attached to the patient, CurrentThe gastrostomy catheter protection part 21 of the abdominal support part 11 covers the part of the gastrostomy catheter (tube) that protrudes from the body (in the case of a tube type) or the button-like cap or the tube part connected externally (in the case of a button type), while maintaining a protective space. Because the part of the gastrostomy catheter that protrudes from the body does not come into contact with the abdominal band 10, even if the abdominal band 10 shifts slightly laterally, no or only a small external force is applied to the gastrostomy catheter, eliminating or reducing the patient's pain. Accidents such as the gastrostomy catheter being pulled out are also unlikely to occur. Even if a person unconsciously, accidentally, or intentionally tries to pull out the gastrostomy catheter, the protection part 21 of the abdominal support part 11 gets in the way, preventing direct contact with the gastrostomy catheter, thereby preventing accidents. Figure 6 shows the case of a gastrostomy catheter.

[0024] When administering nutrients, a loop 30 is formed with the gastrostomy or other catheter tube that has been passed under the abdominal band 10 and has been exposed, and the lower free end 13B of the pull-out prevention part 13 is passed through this loop 30 and secured with a hook-and-loop fastener to the part of the pull-out prevention part 13 that is secured to the abdominal band. The loop 30 of the tube is prevented from moving by the pull-out prevention part 13. Therefore, even if the nutrient supply side of the tube is pulled, it is possible to prevent accidents such as the gastrostomy or other catheter (tube) coming out of the patient's body. When the tube is pulled out from the top edge of the abdominal band 10, the free end 13A can be used. Two parallel pull-out prevention parts may be provided, one for the top and one for the bottom.

[0025] The gastrostomy catheter protection part 21 of the abdominal part 11 may be made of a soft rope (plastic, metal, etc.), wire, or bowl-shaped molded product (wood, plastic, etc.) as a core, and may be covered with a soft fabric (woven fabric, nonwoven fabric, knitted fabric, etc.). In this case, a peephole may be opened at the top of the bulging protection part (a lid that can be opened and closed freely may be provided over the hole).

[0026] The slip-out prevention part may be a ring through which the loop of the tube passes, and may be anything that can be closed, opened, fastened, tied, and undone (collectively referred to as fastenable). For example, a key ring, string, etc. may be attached to the abdominal belt. Instead of the hook-and-loop fastener in the above-mentioned embodiment, a button (and buttonhole), a hook, a clasp, etc. may also be used.

[0027] For the fastening parts, buttons (and buttonholes), hooks, strings, etc. may be used as long as they do not cause discomfort.

[0028] Furthermore, the entire abdominal band can be made of an elastic ring-shaped material (for example, knitted fabric), eliminating the need for a fastening part. If the function of preventing pull-out is not required, then the pull-out prevention part is also unnecessary. In this case, the abdominal band for gastrostomy, etc. is provided with only a gastrostomy catheter protection part. Conversely, the abdominal band for gastrostomy, etc. may not have a gastrostomy catheter protection part, but only a pull-out prevention part. As mentioned above, gastrostomy, etc. includes not only gastrostomy but also intestinal fistula.

[0029] The abdominal and back support parts may not be directly connected, but there may be a connecting part between them.

[0030] Figures 7 to 10 show modified examples of the abdominal band for gastrostoma, etc. of the embodiment described above. Figure 7 is a front view of the modified abdominal band for gastrostoma, etc. Figure 8 is a back view of the modified abdominal band for gastrostoma, etc. Figure 9 shows the shape (pattern) of the fabric of the modified abdominal part before sewing. Figure 10 is a perspective view showing the modified abdominal band for gastrostoma, etc. worn on the human body and how to use it. In these figures, the same items (components, parts) as those shown in Figures 1, 2, 5, and 6 are designated by the same reference numerals with the letter a affixed, and duplicate explanations will be omitted, with the differences being explained below.

[0031] The most distinctive feature of the modified gastrostomy abdominal band 10a is that it can be used upside down. Here, "upside down" refers to opposite sides of the center line (the line indicating the center in the width direction) extending longitudinally of the gastrostomy abdominal band 10a, not inside out. Therefore, in Figures 7 and 8, the fastening portion 14Aa is on the left side and the fastening portion 14Ba is on the right side. However, when this is turned upside down, the fastening portion 14Aa is on the right side and the fastening portion 14Ba is on the left side. While the pull-out prevention portion 13a is located on the left side of the abdominal support portion 11a in Figures 7 and 8, it is located on the right side when this is turned upside down. To enable the gastrostomy abdominal band 10a to be used upside down, the outward (toward the front of the body) bulge of the gastrostomy catheter protection portion 21a formed on the abdominal support portion 11a is formed symmetrically (or may be nearly symmetrically) vertically (with respect to the center line).

[0032] In order to form the shape of the gastrostomy catheter protection part 21a symmetrically from top to bottom, the mold of the fabric 21Aa is symmetrical from top to bottom as shown in Figure 9 and is divided into two parts on the left and right. The opposing sides 24a of the parts created by the division are arc-shaped. The side sides 22a are perpendicular to the center line. For convenience, both the top and bottom sides are indicated by 23a.

[0033] The two pieces are sewn together with the edges 24a butted together. The two pieces are sewn together using a special flat seam sewing machine, for example. Flat seams are usually called flat seams, and they are highly elastic and can create strong, reliable seams. The seams are made using three types of thread: the upper needle thread, the lower looper thread, and the cover stitch thread. In particular, because the two pieces are sewn together with the edges butted together, the shape can be maintained neatly.

[0034] By making the free ends 13Aa, 13Ba of the pull-out prevention portion 13a slightly longer, the loop 30 of the tube can be fixed more firmly as shown in FIG.

[0035] As can be seen by comparing Figure 10 with Figure 6, the tube loop 30 can be fixed (to prevent it from being pulled out) on the opposite side of the patient's body as shown in Figure 6 (the left side in the figure). Because the abdominal band 10a for gastrostomy, etc. can be turned upside down, it is of course also possible to fix the loop 30 on the right side of the patient's body in the figure, just like in Figure 6. This has the advantage that the tube loop 30 can be fixed on either the left or right side of the patient, depending on the patient's posture, body shape, the position of the operator administering the nutritional supplement, etc.

[0036] The fabric of this modified gastrostomy abdominal band has a three-layer structure overall, with the outer layer (polyester, French terry), inner cushion portion (nonwoven fabric), and inner layer (polyester) bonded together using a resin lamination process. Quilted fabrics tend to cause distortion in the unsewn areas with use, but this has been improved. The thickness and strength of the inner cushion portion (nonwoven fabric) are different between the abdominal portion 11a (gastrostomy catheter protection portion 21a) and the other portions (back portion 12a, fastening portions 14Aa, 14Ba). In other words, the abdominal portion 11a (bulging gastrostomy catheter protection portion 21a) is made strong and taut (thick) to maintain its bulge, while the other portions are made thin and soft to make it easier to wrap around the body.

[0037] The hook-and-loop fastener 15a provided on the fastening portion 14Ba is elongated in the longitudinal direction of the abdominal band 10a. This enhances the fastening effect. Furthermore, if the hook-and-loop fastener 15a is the male (side A), the fabric on the surface of the abdominal band acts as the female (side B), making it possible to fasten not only the fastening portions 14Aa and 14Ba to each other, but also the fastening portion 14Ba to the abdominal pad portion 11a, allowing for a wide range of adjustments to the shape to fit the body. [Explanation of symbols]

[0038] 10,10a Abdominal band for gastrostomy etc. 11,11a Abdominal part 12,12a Backrest 13,13a Pull-out prevention part 13A,13B,13Aa,13Ba Free end 14A,14B,14Aa,14Ba Fastening part 15, 15a Hook and loop fastener (fastening part) 21, 21a Gastrostomy catheter protection section 30 tubing loops

Claims

1. An abdominal band for gastrostomy, etc., in which a gastrostomy, etc. catheter protection part which has elasticity and maintains an outwardly bulging shape by itself is formed in the center of the abdominal band, so as to form a gastrostomy, etc. catheter protection space for protecting the gastrostomy, etc. catheter protruding from the body surface between the abdominal band having an abdominal part and the surface of the body on which the gastrostomy, etc. abdominal band is worn, and a pull-out prevention part is provided at a position to the side of the gastrostomy, etc. catheter protection part, which forms a fastenable ring through which the loop of the gastrostomy, etc. catheter can pass as it is pulled out from the side between the body surface and the abdominal band to the outside.

2. 2. The abdominal band for gastrostoma or the like according to claim 1, comprising the abdominal support portion and a back support portion connected thereto.

3. 3. The abdominal band for gastrostoma or the like according to claim 1 or 2, comprising the abdominal support portion, a back support portion connected thereto, and fastening portions provided on the outer ends of the abdominal support portion and the back support portion, which are detachable from each other.

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