Adjustable Patient Tube Holder on Fixed Dermal Patch
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Solution Overview
Problem
Existing patient tube securement apparatuses, such as those used for endotracheal tubes, face challenges in securely positioning tubes without causing skin damage, are time-consuming to apply and adjust, and can lead to unwanted extubation during treatment.
Innovation Solution
A patient tube securement apparatus comprising a dermal patch that attaches to the patient's skin and a user interface that can be easily rearranged without removing the dermal patch, along with a partially rigid structure and adjustable tube holders to securely position and adjust the tube.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If medical tape or adhesive is used to secure the tube to a patient, then the tube can be secured in position, but the application process becomes time-consuming and complicated, and may compromise skin integrity upon removal
Solution Approach 1:
The securement apparatus is divided into two distinct segments: a dermal patch that remains attached to the patient's skin and a user interface that can be easily removed and repositioned. This segmentation allows the tube to be secured reliably through the dermal patch while enabling quick adjustments by simply detaching and reattaching the user interface portion, eliminating time-consuming reapplication processes.
Solution Approach 2:
The dermal patch serves as an intermediary element between the patient's skin and the user interface. It provides a stable anchor point that remains fixed on the skin while allowing the user interface to be independently adjusted or removed without affecting the skin attachment, thus resolving the contradiction between securement reliability and adjustment flexibility.
2Reliability
If medical tape or adhesive is used to secure the tube to a patient, then the tube can be secured in position, but the removal and reapplication process may compromise skin integrity and cause patient discomfort
Solution Approach 1:
By separating the securement system into a skin-attached dermal patch and a removable user interface, the invention allows adjustments to be made by detaching only the user interface portion. The dermal patch remains firmly attached to the skin, avoiding repeated removal and reapplication that would compromise skin integrity and cause discomfort.
Solution Approach 2:
The dermal patch is applied to the patient's skin in advance and remains in place throughout the treatment period. This preliminary action establishes a stable foundation that eliminates the need for repeated skin contact and reapplication, thereby preventing skin damage and discomfort associated with multiple tape removals and reapplications.
3Adaptability or versatility
If a securement apparatus is designed to be easily adjustable, then flexibility in tube positioning is improved, but the securement reliability may be compromised
Solution Approach 1:
The apparatus is segmented into a permanently fixed dermal patch that ensures reliable securement to the skin and a separately adjustable user interface that provides positioning flexibility. This segmentation allows the system to simultaneously achieve both securement reliability through the fixed patch and positioning adaptability through the movable interface.
Solution Approach 2:
The user interface portion is designed with dynamic characteristics, allowing it to be easily detached, repositioned, and reattached according to therapeutic needs. Meanwhile, the dermal patch maintains a static, fixed position on the skin, ensuring continuous reliable securement. This dynamic design resolves the contradiction between adjustability and securement strength.
Data Source
AI summary
A patient tube securement apparatus is disclosed that may be used for oral or nasal intubation of a patient.The apparatus may comprise an endotracheal tube securement apparatus for securing an endotracheal tube to a patient, the apparatus comprising a dermal patch arranged to be positioned on the skin of the patient, and at least one tube holder on the dermal patch.The apparatus may comprise a patient tube securement apparatus for securing a patient tube to a patient, the apparatus comprising a dermal patch arranged to be positioned on the skin of the patient, and at least one tube holder on the dermal patch.Examples are provided in which the tube holder is adjustably mounted on the dermal patch such that the position of the tube holder on the dermal patch can be adjusted without removing the dermal patch from the skin of the patient.