CA1180623A - Jacket for continuous nutrition using a feed tube - Google Patents

Jacket for continuous nutrition using a feed tube

Info

Publication number
CA1180623A
CA1180623A CA000412392A CA412392A CA1180623A CA 1180623 A CA1180623 A CA 1180623A CA 000412392 A CA000412392 A CA 000412392A CA 412392 A CA412392 A CA 412392A CA 1180623 A CA1180623 A CA 1180623A
Authority
CA
Canada
Prior art keywords
jacket
anyone
patient
parts
pocket
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
CA000412392A
Other languages
French (fr)
Inventor
Dorothea Selle
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Fresenius SE and Co KGaA
Original Assignee
Fresenius SE and Co KGaA
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Fresenius SE and Co KGaA filed Critical Fresenius SE and Co KGaA
Application granted granted Critical
Publication of CA1180623A publication Critical patent/CA1180623A/en
Expired legal-status Critical Current

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/02Holding devices, e.g. on the body
    • A61M2025/0206Holding devices, e.g. on the body where the catheter is secured by using devices worn by the patient, e.g. belts or harnesses

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Pulmonology (AREA)
  • Engineering & Computer Science (AREA)
  • Anesthesiology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Hematology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Biophysics (AREA)
  • Outer Garments And Coats (AREA)
  • Organic Low-Molecular-Weight Compounds And Preparation Thereof (AREA)
  • Lubricants (AREA)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)
  • Coloring Foods And Improving Nutritive Qualities (AREA)
  • Developing Agents For Electrophotography (AREA)
  • Finger-Pressure Massage (AREA)
  • Hydroponics (AREA)
  • Telephone Function (AREA)
  • Investigating Or Analyzing Materials By The Use Of Ultrasonic Waves (AREA)
  • Medicines Containing Plant Substances (AREA)
  • Meat, Egg Or Seafood Products (AREA)
  • Superconductors And Manufacturing Methods Therefor (AREA)
  • Seeds, Soups, And Other Foods (AREA)
  • Reciprocating Pumps (AREA)
  • Electrical Discharge Machining, Electrochemical Machining, And Combined Machining (AREA)
  • Apparatuses For Bulk Treatment Of Fruits And Vegetables And Apparatuses For Preparing Feeds (AREA)
  • Orthopedics, Nursing, And Contraception (AREA)
  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Beverage Vending Machines With Cups, And Gas Or Electricity Vending Machines (AREA)
  • Photographic Developing Apparatuses (AREA)
  • Nonmetallic Welding Materials (AREA)
  • Medical Preparation Storing Or Oral Administration Devices (AREA)

Abstract

ABSTRACT

A jacket for the continuous nutrition of a patient by way of a tube running into his or her body is designed in the form of a belt part with front and back parts. The jacket may be fixed in position by straps. The front part has pockets, placed side by side, for a pump and a bag of nutrient solution.

Description

11~306Z3 .l il General background of the invention li -I¦ The present invention is with respect to a jacket ~or the continuous feeding of a patient through a tube, having front and back parts joined together by two shoulder parts 1 and at their edges, at least one of the two parts being able to be undone for taking off and putting on the jacket, the front part having pockets for a pump and at least one nutrient solution container.

ll Continuous feeding by way o a tube may be used in ~j place of infusion therapy, which is normally undertaken in ¦l a hospital so that the patient becomes bed-ridden simply be-,~ cause of the treatment, this being the cause of high hospili-zation costs and the use of hospital beds simply for such ij treatment, although the patient might otherwise be treated i¦ as an out-patient. Feeding by way of infu~ion therapy is !i likely to be specially troublesome in the case o~ problem j, patients and children who may frequently not readily be kept ,1 in bed, such persons looking upon this form of feedin~ as 1~80623 ¦ a nuisance.

These troubles may be put to an end hy continuous en-l teral tube feeding, in which a flexible tube is used for the ¦¦ supply of nutrients into the patient's body. The nutrient 5 1I solution is placed in a bag or other container whose outlet I is joined up by way of a pipe with the tube running into the ¦ patient's body, the solution being pumped, normally by a ¦ peristaltic pump, through the pipe at a given,unchanging ¦¦ pumping rate to the tube. The tube, coming from the pump, is ¦ run into the patient's body by an opening therein, as for I example through a nostril, although it is better for it to ¦ be joined up with the gut Continous enteral feeding is more specially indicated in the case of: serious indigestion and malabsorption syn-dromes, postoperative conditions after resection of thestomach or intestine, and hypercatabolic conditions, as for example carcinoma.

Early-stage enteral feeding in the case of such condi-tions may take place not only with the patient hospitalized
2~ ¦ but furthermore as an out-patient, because exact dosing is ¦¦ possible; the makeup of the nutrient material may be changed Il as desired till the intestine has become used to this way ! of supplying the nutrients; in comparison with discontinuous ! feeding the body makes better use of the nutrients; ~on~
¦ tinuous feeding makes possible a higher rate of energy supply;
¦ there is only a low complication rate;and, more specially ¦ with diabetic patients, metabolism will be more balanced.

Because the feed supplying system has to be supported i on the body of a patient if he is to be able to get about, I

1~L8~623 certain steps have to be taken to keep to the desired con-ditlons of feeding.

One known jacket for parenteral nutrition is much like a normal waistcoat with a front part joined up smoothly with the two shoulder parts and with a back part covering all o~
the patient's back like a normal waistcoat. The jacket itself is made up of a net synthetic resin material which, although making possible breathing of the skin,is likely to give trouble if sweating takes place. The middle of the front part may be undone, that is to say opened up, using a zipper. Be-cause the side and back parts are fixed together at their edges undar the arms of the patient, an~ may not be undone here, the jacket has to be specially made for different sizes l of patient, keeping to the regular scale si~es as used for ¦ clo~hing. For this reason may different sorts of jackets have ¦ to be produced so as to keep up with the different possible I statures of patients.

¦~ Furthermore the known jacket, designed running right ~1 across the full breadth of the patient's chest, has bag pockets ¦ in the chest part itself, such bags then stickin~ out forwards I and hardly increasing the comfort of the patient who, more specially in the case of female patient, will be stopped from moving freely. A further point is that this known jacket makes l for a bad weight distribution, something caused not only be-¦! cause o the different height of the parts to be fixed to thejacket (the pump and the container) but furthermore by the way ! in ~hich they placed in relation to the middle line of the Il body.

I¦ General outline of the invention ~ 23 For this reason one purpose of the present invention is ¦ that of designing a jacket of the sort noted which may be ¦ used by patients with a large number of different clothing ~izes.

A still further purpose of the invention is that of deslgning such a jacket whlch gives a balanced weight dis-tribution on the patient's body.

In the present invention one further purpose or object l is that of designing a jacket on these lines such that, when 1 the patient has put it on, he is still in a position, as far as possible, of freely moving.

For effecting these and further purposes the front part of the jacket takes the form of an abdominal belt having pockets, placed side by side, for the pump and the container, and which is designed for adjustment as to girth or waist size.

In the f~rst place one useful effect of the jacket of the present invention, as seen in the light of the prior art jacket, is that the front part is in the form of belt running across the abdomen o the patient, the belt starting at a point under the patient's chest and running round his abdomen to the back part, the back part being of known design or, to give a further useful effect, as well being in the form of a belt of the same order of si~e as the front part.

I To make certain that the jacket is kept in place~the ~ abdomlnal belt has two shoulder straps, which may be adjusted in length, running over the patient's shoulders to be joined up with the back part. Because the strap length may be changed, the jacket may be fitted exactly to different lengths of the upper part of the body.

!
~1 .. r A more specially useful effect has been produced in testing the jacket of the invention if the abdominal belt ¦ may be changed in the girth size by adjustment at the side ~1 edges, that is to say the points between the front and back ij parts where they are joined to~ether so that a single jacket ~¦ may have a ran~e of adjustment coverin~ 2~ to 3~ in women's ¦I si~es and up to 42 in men's sizes, ~his wide range is made ¦ possible by havin~ on at least one side, or more specially Il on the two sides, of the jacket a hook and loop fastener ¦I making possible stepless adjustment to different girth sizes.

Furthermore the pockets for the pump and the bag or other form of container for the nutrient solution are placed ! side by side on the belt in such a way that there is a ~ene-1¦ rally even weight distribution with respect to the middle 15 1l axis of the patient's body and furthermore the weight of the pump and the bag are at the level of the abdomen, this giving the patient a feeling of greater comfort than when such weights ',, are supported at the chest level.

, I.ist of figures and detailed account of working exa~ples li of the invention ., .
i Further useful effects, developments and details of the invention will be seen from the claims and the account now to be given of working examples using the figures.

Figure 1 is a perspective view of the jacket of the present 25 " invention.

~ Figure 2 is a view of the undone and folded-open condition ', of the jacket on the body side thereof.

' Figure 3 is a view of the opened-up jacket to make clear the i 5 ~ 8~3 parts thexeof which are still to be^s^een after the patient has put on the jacket.

¦l As may be seen from the perspective view of figure 1, Il the jacket 10 of the invention is made up, as one of its more S ,, important parts, of a belt part 12 which has a front part 14 ! and a back part 16. At the top edge 18 of the belt part shoulder straps 20 and 22 are fixed in position, the straps I running together like a letter V on the back part 16 and ,I bein~ fixed on the front part 14 with a certain distance ,I therebetween. The two shoulder straps 20 and 22 are best made in two parts joined together by steplessly adjusting buckles 24 and 26 so that the straps' length may be changed as de-sired to get quite the right fit in view of different lengths 'I of the top part of the patient's body. On the other hand such ,i an exact fit may be produced even if the straps are not made in two pieces each.

i For keeping up with the motion of the patient's body !' shoulder straps 20 and 22 have a piece of elastic 28 and 30 ,' (that is to say elastic band) so that the shoulder strap is i, kept elastically resting against the patient's body.

,~ The front outer face of front part 14, which is to be il seen in figures 1 and 3, has a pocket 32 to take up a bag 34 for the desired nutrient solution and which may be taken ' out by undoin~ zippers 36 and 38 at two of the side edges ,, of the pocket for readily taking out or putting in bag 34, Bag 34 will normally be designed for about 1 liter, althou~h if it is folded it may then be put in a smaller pocket for ' example on a jacket designed for a child, the bag then taking up less nutrient solution.
G

62~

¦I Pocket 32 has an opening 42 at the lower end of zipper ~¦ 38 with a pipe 44 which is joined up with bag 34. Pipe 44 is Il at its other end joined up with a pump 46 which will normally 11 be a peristaltic pump and is placed in a pocket 48, which S ¦¦ is bes-t made with an outer covering for cutting down noise ¦¦ from the pump and is a safeguard against damage to the pump.
¦¦ Pocket 4~ furthermore has narrow openings 50 and 52 at the ¦ sides thereo or running in parts of pipe 44 to the pump.

¦ To make certain of keepin~ the pump 46 in the desired ¦ position pocket 48 may be done up by way of a fold 54 of material with a hole 58 by way of which it may be fi~ed on a pin 56 or the like i Back part 16 has pieces of elastic which are horizontal 1¦ and make possible an elastic change in shape on motion of the 15 l¦ patient's body. Furthermore the outside of the back part ¦¦ 16, which may be seen in the undone condition of the jacket, has ¦, hoop and loop fastener parts 62 and 64 in the form of strips, ¦I which may be seen when the jacket is taken off, such strips !! running in the length direction of the patient's body.

'¦ The matching hook and loop fastener parts 66 and 68 ~¦ are placed on the inner side of the front part 14 and are ge-¦ nerally horizontal. They as well are in the form of strips l~ and are responsible for a strong join with the hook and loop il fastener parts 62 and 64. When done up,the fastener parts are 1l generally at a right angle to each other so as to give the best possible gripping or joining effect. It is naturally possible for the girth and the positions of the front and back parts in relation to each other to be changed any way ~,Jhich may be desired withi~ the size r~nge covered by the ¦¦ jacket so that one is, ~enerally speaking, not limited to ¦¦ clothing sizes.
~l In place of the hook and loop fasteners it is further-¦¦ more possible to have any other normal sort of fastener as ¦I for example zippers, hooks et~.
In one form of the invention rings 70 and 72 are placed I along the side edges of the back part so that a connection band may be threaded through them if a Eurther connection ¦I bet~een the front and back parts is desired. In this respect ¦¦ this band may be done up on the back part, that is to say ¦¦ fi~ed thereto.
ll ~s part of a further development of the invention the 1i back part 16 is made so large as to come as far as the shoul- !
Il ders, the shoulder straps 20 and 22 naturally then ending j~ at shoulder level no longer stretching over the shoulders ¦i onto the back.
¦l It is to be noted that the division-up of the hook and ¦¦ loop fasteners 62 to 68 into pieces or strips gives a useful 1l efect inasfar as the fasteners are less stiff and there ¦ will be more comfort on handling the jacket 10.
j The material for the jacket may be one resistant to I boiling and designed to let air through freely, more special-¦ ly cotton fabric which~ havin~ such properties, gives a Il high degree of user comfort. Normally the belt part 12 i~ will have a breadth of 15 to 30 cm or more specially 20 to ~ 23 cm for srown-ups so that it may be comfortably placed bet-¦! ween the lower ribs and the hips so as to make free and na-! tural motion of the body possible. Furthermore the arms I! are kept uncovered so that the arms may be moved freely. By 1,l 6~7 6~3 the use of the different pieces of elastic on~ may be cer-tain that the jacket has a sood fit on the body.
~¦ Because of this the patient may underta]ce difrerent 1~ forms of work while seated or while standing. Furthermore I because the jacket will be put on under the patient's outer-¦l wear, others will not be able to see that he or she has it on, thls help~n~ along the patient's mental rehabilitation.
I

lll ~i,

Claims (13)

The embodiments of the invention in which an exclusive property or privilege is claimed are defined as follows:
1 A jacket for continuous nutrition of a patient by way of a tube running into the body of the patient, having a front part, a back part and two shoulder parts, the front and back parts being joined together by way of said two shoulder parts and by way of edges of said front and back part, at least one of said front and back parts being able to be undone for taking off the jacket, and furthermore pockets on the front part for taking up a pump and at least one con-tainer for nutrient solution, said front part being in the form of an abdominal belt having said pockets side by side and being adjustable for changing the girth size of the jacket.
2 The jacket as claimed in claim 1 having at least one hook and loop fastener for joining up the front and back parts together.
3 The jacket as claimed in claim 2 wherein said hook and loop fastener is in the form of separate strips in two groups, the strips of one group being at right angles to the strips from the other group.
4 The jacket as claimed in anyone of claims 1 to 3 having at least one piece of elastic band on the back part and de-signed for elastically stretching in the horizontal direction.
The jacket as claimed in anyone of claims 1 to 3 wherein said shoulder straps are fixed to said back part like a letter V and have elastic parts thereof to make it possible for said straps to be stretched.
6 The jacket as claimed in anyone of claims 1 to 3 wherein said shoulder straps are fixed to said back part like a letter V and have elastic parts thereof to make it possible for said straps to be stretched, said jacket furthermore having stepless strap buckles for adjustment of the length of the shoulder straps.
7 The jacket as claimed in anyone of claims 1 to 3 wherein said pocket has side edges with zippers for opening said pocket.
8 The jacket as claimed in anyone of claims 1 to 3 wherein said pocket has an opening and a pipe running through said opening, said pipe being designed for the supply of liquid to said tube running into the body of said patient.
9 The jacket as claimed in anyone of claims 1 to 3 wherein said pocket for said pump has a fold and a pin to be placed through a hole in said fold for doing up said pocket with said pump therein.
The jacket as claimed in anyone of claims 1 to 3 wherein said pump pocket has narrow openings at the sides thereof for joining up the pump therein with lengths of pipe for the supply of liquid to said tube running into the body of said patient.
11 The jacket as claimed in anyone of claims 1 to 3 wherein said front and back parts have generally the same form and have hook and loop fasteners for joining together side edges thereof.
12 The jacket as claimed in anyone of claims 1 to 3 wherein the jacket is made of a material which is resistant to boiling and readily lets through air.
13 The jacket as claimed in anyone of claims 1 to 3 made of cotton material which readily lets through air and is resistant to boiling.
CA000412392A 1981-09-28 1982-09-28 Jacket for continuous nutrition using a feed tube Expired CA1180623A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
DEP3138568.0 1981-09-28
DE19813138568 DE3138568A1 (en) 1981-09-28 1981-09-28 VEST FOR CONTINUOUS SPECIAL NUTRITION

Publications (1)

Publication Number Publication Date
CA1180623A true CA1180623A (en) 1985-01-08

Family

ID=6142827

Family Applications (1)

Application Number Title Priority Date Filing Date
CA000412392A Expired CA1180623A (en) 1981-09-28 1982-09-28 Jacket for continuous nutrition using a feed tube

Country Status (11)

Country Link
EP (1) EP0075753B1 (en)
JP (1) JPS58130043A (en)
AT (1) ATE11004T1 (en)
AU (1) AU8832482A (en)
CA (1) CA1180623A (en)
DE (2) DE3138568A1 (en)
DK (1) DK427782A (en)
ES (1) ES274784Y (en)
FI (1) FI72880C (en)
NO (1) NO151878C (en)
ZA (1) ZA827056B (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8763562B2 (en) 2007-10-09 2014-07-01 British Columbia Institute Of Technology Wearable medical tubing and cabling containment harness

Families Citing this family (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE3316615C2 (en) * 1983-05-06 1985-05-30 Fresenius AG, 6380 Bad Homburg Enteral feeding device
FR2554713B1 (en) * 1983-11-16 1986-05-02 Montauban Centre Hospitalier A SPECIFIC CLOTHING FOR RECENT ABDOMEN OPERATIONS TO CONCEAL AND TRANSPORT PROBES, DRAINS, ETC. WITH THEIR RESPECTIVE COLLECTORS
US4582508A (en) * 1984-09-27 1986-04-15 Pavelka Wilma F Garment for receiving catheters and the like
WO2001097882A1 (en) * 2000-06-19 2001-12-27 Angelo Giovanni D Intravenous infusion drip bag kit
WO2004082560A1 (en) * 2003-03-18 2004-09-30 Sherwood Services Ag Portable enteral feeding apparatus
NZ713562A (en) * 2013-09-12 2017-01-27 The Gratify Group Pty Ltd Tube support
FR3045279B1 (en) * 2015-12-16 2020-10-23 Oxsitis BELT FOR CARRYING AND HOLDING A MEDICAL DEVICE AND CORRESPONDING KIT
US10813845B1 (en) * 2018-09-28 2020-10-27 Megan Diane Juras Enteral feeding vestpack for children
USD929577S1 (en) 2018-09-28 2021-08-31 Megan Diane Juras Enteral feeding pack
USD877516S1 (en) 2018-09-28 2020-03-10 Megan Diane Juras Vest strap

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
USRE27348E (en) * 1970-08-28 1972-05-09 Disposable office gown
US3726280A (en) * 1971-05-28 1973-04-10 A Lacount Catheter support
US3895629A (en) * 1974-10-15 1975-07-22 Elizabeth M Snyder Medical instrument retainer
US4150672A (en) * 1976-11-12 1979-04-24 Martin John K Injection device and method
US4215689A (en) * 1977-07-27 1980-08-05 Koken Co., Ltd. Injecting apparatus for medical liquid

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8763562B2 (en) 2007-10-09 2014-07-01 British Columbia Institute Of Technology Wearable medical tubing and cabling containment harness

Also Published As

Publication number Publication date
ZA827056B (en) 1983-08-31
ES274784U (en) 1984-03-01
EP0075753A1 (en) 1983-04-06
FI823301L (en) 1983-03-29
ATE11004T1 (en) 1985-01-15
DK427782A (en) 1983-03-29
NO151878B (en) 1985-03-18
FI72880C (en) 1987-08-10
NO823258L (en) 1983-03-29
DE3138568A1 (en) 1983-04-21
NO151878C (en) 1985-06-26
FI72880B (en) 1987-04-30
EP0075753B1 (en) 1985-01-02
FI823301A0 (en) 1982-09-27
ES274784Y (en) 1984-10-01
AU8832482A (en) 1983-04-14
JPS58130043A (en) 1983-08-03
DE3261770D1 (en) 1985-02-14

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