CN105530978B - Medical article fixed system - Google Patents

Abstract

Medical article such as conduit is fixed relative to patient using fixed device.The fixed device may include retainer and anchoring pad.Certain devices can further comprise such as bandage, flap, dressing, slot and recessed portion, for medical article to be fixed to patient.Retainer may include recessed portion and/or channel.At least one surface of retainer can be coated with adhesive.Supporting member can be coupled to retainer.Supporting member may include channel, which is configured to the part for receiving medical article to extend proximally.

Description

Medical article fixed system

Cross reference to related applications

The application is entitled " medical article fixed system (the MEDICAL ARTICLE submitted on September 6th, 2013 SECUREMENT SYSTEMS) " international application No.PCT/US2013/058606 cip application, the international application No.PCT/US2013/058606 requires on September 7th, the 2012 entitled " medical articles submitted according to 35U.S.C. § 119 (e) The U.S. Provisional Application No.61/698,251 of fixed system (MEDICAL ARTICLE SECUREMENT SYSTEMS) " and Entitled " medical article fixed system (the MEDICAL ARTICLE SECUREMENT submitted on August 22nd, 2013 SYSTEMS U.S. Provisional Application No.61/868) ", 778 priority, each of aforementioned application pass through reference herein with it Entire content is incorporated herein.

Technical field

Present invention relates generally to the skills for conduit, conduit extension external member and/or other medical articles to be fixed to patient Art, system and device.

Background technique

Medical patient is frequently necessary to carry out the repetition drainage of the repeat administration of fluid or drug or fluid.In medical industry It is interior, various liquid are provided to patient using medical tube or solution is extremely common.For example, coming usually using medical tubes such as conduits Fluid and drug are introduced directly into patient's body or extract fluid out from patient's body.In many cases, conduit is maintained at suitable As position Da Duo.In some cases, conduit could attach to patient up to the even longer time, and may be in order to properly It works and needs minimal movement.

The movement of restricted conduit is usually advantageous.Mobile conduit may cause patient's discomfort, limit fluid or drug Administration or fluid drainage, cause infection or by unintentionally from patient's body remove.In order to make conduit or other medical tubes It keeps being properly positioned within the duration for the treatment of, can in several ways stablize conduit or medical tube in patient's body On.Most commonly, medical supplier can attempt the distal end of conduit or the medical device for being connected to conduit by using adhesive tape A part of (such as connector accessory) is fixed to the movement that patient carrys out restricted conduit.Medical supplier is usually in the distal end of conduit Cross-like places the adhesive tape (through frequently with cruciform pattern) of strip so that distal end of catheter is fixed to patient.This fixation is intended to hinder Only the connection between conduit and patient or between conduit and another medical article (such as drainage tube) disconnects, and prevents catheter clip On other objects (such as bedrail).

Summary of the invention

The device of the invention, system and method have several features, and any single feature in these features is not to this Desired attribute is invented to be solely responsible for.It is existing in the case where not limiting the scope of the present invention expressed by claim as follows By brief discussion, it compares more prominent features.After considering this discussion, especially entitled " specific embodiment party is being read After the chapters and sections of formula ", it is understood that how feature of the invention provides several advantages better than other fixed systems.

One aspect of the present invention is fixed system, which includes: the medical article with elongate body, and is had The stabilising arrangement of retainer and anchoring pad.Retainer can have proximal and distal and upside.Retainer, which can have, to be arranged in retainer Interior recessed portion and channel.Channel can extend to the nearside of retainer from recessed portion.At least part of elongate body is settable In recessed portion.At least part of elongate body can extend across channel and exceed the nearside of retainer.Retainer can wrap Include at least one adhesive surface.Adhesive surface may be provided in at least part on face-up surface of retainer.It channel can Lateral width with the lateral width for being less than recessed portion.Channel can have the lateral width of the lateral width less than recessed portion. Retainer may include at least one adjacency section (abutment), which is configured to the face of contact elongate body Surface proximally, to prevent elongate body from moving at least proximal direction.At least one adjacency section may be provided at recess Between portion and channel.The adjacency section can be configured to the surface for facing distal side of contact elongate body, to prevent elongate body from existing At least moved in distal direction.

On the other hand it is configured for the retainer of the fixed medical article with elongate body.The retainer may include close Side, distal side, bottom side and top side.The settable recessed portion in the top side of the retainer.The recessed portion can be configured to receive elongated The first part of main body.Channel can extend through the nearside of the retainer from the recessed portion.The channel can be configured to receive thin The second part of long main body.Anchoring pad can be fixed to the bottom side of the retainer and be configured to be anchored pad fixed to patient's Skin.The channel can have the lateral width of the lateral width less than recessed portion.

It on the other hand is fixed system, which includes: medical article and stabilising arrangement with elongate body.It should Device includes retainer and anchoring pad.Retainer includes recessed portion and flap (flap), and wherein flap is from open position to closure Position is moveable.At least part of the main body is arranged in recessed portion and below flap, at least at flap The main body is fixed to retainer when in closed position.

It on the other hand is fixed system, which includes: medical article and stabilising arrangement with elongate body.It should Device includes retainer and anchoring pad.Retainer includes recessed portion and dressing, and wherein dressing is from open position to closed position Movably.At least part of the main body is arranged in recessed portion and below dressing, to be at least in closure in dressing The main body is fixed to retainer when in position.

It on the other hand is fixed system, which includes: medical article and stabilising arrangement with elongate body.It should Device includes retainer and anchoring pad.Retainer includes at least part of the depression for receiving medical article.Anchoring pad First part be moveable from open position to closed position, when first part is in the close position middle, first part It is attached to the second part of anchoring pad.

It on the other hand is fixed system, which includes: medical article and stabilising arrangement with elongate body.It should Device includes retainer and anchoring pad.Retainer is by anchoring pad supports and is configured to receive medical article.The system is also wrapped It includes and is connected to the dressing that anchoring pads and is configured to covering insertion site.The dressing has lower surface and slot, wherein following table Face is at least partly covered by adhesive with the skin for contacting patient, and slot is configured to allow for medical article to apply in dressing To patient skin during anchoring pad at least part and dressing between pass through.

It on the other hand is fixed system, which includes: medical article and stabilising arrangement with elongate body.Surely Retainer and anchoring pad can be had by determining device.Retainer can have proximal and distal and upside.Retainer may include that at least one is viscous Close surface.In some respects, the upside of retainer includes at least one adhesive surface.Retainer, which can have, to be formed in retainer Recessed portion and channel.Channel can extend to the nearside of retainer from recessed portion.At least part of elongate body may be provided at In recessed portion and channel.At least part of elongate body can contact at least one adhesive surface of retainer.

It on the other hand is fixed system also with dressing, which has bed course and transparent film layer.The pad can have One window, so that when dressing is placed on above stabilising arrangement, through first window it can be seen that the main body of medical article.The pad can Including the second window, so that the insertion of medical article can be seen through the second window when dressing is placed on above stabilising arrangement Position.In some respects, recessed portion includes at least one adjacency section, which is configured to contact elongate body The surface for facing nearside, to prevent elongate body from moving at least proximal direction.

It on the other hand is the fixation device for being configured to have the medical article of elongate body to be fixed to patient, the device It may include anchoring pad and the retainer by anchoring pad supports.Retainer may include at least one for being configured to receive elongate body The recessed portion divided.Dressing can be coupled to anchoring pad.Dressing can be configured to be moveable from open position to closed position, with Elongate body is fixed to retainer and at least covers insertion site when dressing is in the close position middle.

On the other hand the fixation device that there will be the medical article of elongate body to be fixed to patient, the device are configured for It may include anchoring pad and the retainer by anchoring pad supports.Retainer may include at least one for being configured to receive elongate body The recessed portion divided.Flap can be coupled to anchoring pad.Flap can be configured to be moveable from open position to closed position.Folding The wing may include at least one adhesive surface, which is configured to will folding when flap is in the close position middle The wing is fixed at least elongate body.

On the other hand the fixation device that there will be the medical article of elongate body to be fixed to patient, the device are configured for It may include the anchoring pad with first part and second part.The first part of anchoring pad can be configured to from open position to closing Coincidence, which is set, to be moveable and can be configured to be attached to anchoring pad when the first part of anchoring pad is in the close position middle Second part.Retainer can be supported by the second part of anchoring pad.Retainer may include being configured to receive medical article At least part of the depression.

On the other hand the fixation device that there will be the medical article of elongate body to be fixed to patient, the device are configured for It may include anchoring pad and the retainer by anchoring pad supports.Retainer can be configured to receive at least part of medical article. Dressing may be connected to anchoring pad.Dressing can be configured to covering insertion site.Dressing can have lower surface, the lower surface at least portion It is covered by adhesive with the skin for dressing to be attached to patient with dividing.Dressing can have slot, which is configured to allow for curing Product is treated to pass through between at least part and dressing of anchoring pad during the skin that dressing and anchoring pad are applied to patient.

On the other hand the fixation device that there will be the medical article of elongate body to be fixed to patient, the device are configured for It may include anchoring pad and the retainer by anchoring pad supports.Retainer can be configured to receive at least part of medical article. Supporting member can be incorporated into anchoring pad, which is configured to be supported on the doctor extended in retainer to recessed portion distal side Treat a part of product.Supporting member may include the access for supporting member to be removably locked to medical article (passage).Supporting member can be shaped to prism (prism) shape.Supporting member can be combined along fold line (fold line) To retainer.Fold line can be perforated so as to the separation in supporting member and retainer.

Detailed description of the invention

It is disclosed herein to describe below with reference to the attached drawing for the particular implementation being not intended to limit the present invention is intended to show that The these and other features, aspects and advantages of invention.In addition, among each figure, using identical reference numerals to indicate Show the same components of embodiment.The following are briefly describe in each of these attached drawings.

Fig. 1-2 is the perspective view of fixation device according to embodiment of the present invention.

Fig. 3-4 is the perspective view of the fixation device of Fig. 1, and wherein backing member is removed.

Fig. 5 is the exploded view of the fixation device of Fig. 2.

Fig. 6 is the plan view of the fixation device of Fig. 1, and wherein backing member is removed.

Fig. 7 is the perspective view of the fixation device of Fig. 3, and wherein backing member is removed and medical article is placed on retainer In.

Fig. 8-9 is the perspective view for the dressing that can be used with the fixing device combination of Fig. 1.

Figure 10 is the exploded view of the dressing of Fig. 8.

Figure 11 is the plan view of the dressing of Fig. 8.

Figure 12 A and Figure 13-14 is the perspective view using the method for the fixation device of Fig. 1.As shown, this method can pass through Removal is arranged in the backing member above retainer and starts.

Figure 12 B-D is the perspective view for the backing member that the surface of retainer or anchoring pad is arranged in.

Figure 15-17 is the perspective view using the method for the fixation device of Fig. 1.As shown, this method can be set by removing It sets the first backing member in the top of a part of retainer bottom surface and continues.Retainer can be placed in patient, and Medical article can be placed in retainer.

Figure 18-19 is the perspective view using the method for the fixation device of Fig. 1.As shown, this method can be set by removing It sets the second backing member in the top of a part of retainer bottom surface and continues.Medical article can be placed on retainer Retainer is fixed to patient before or after interior.

Figure 20-22 is the perspective view using the method for the dressing of Fig. 8.As shown, this method can pass through the trouble from dressing A part of person side surface removes the first backing member and starts.

Figure 23-24 is the perspective view using the method for the dressing of Fig. 8.As shown, this method can pass through the trouble from dressing A part of person side surface removes the second backing member and starts.

Figure 25-26 is the perspective view using the method for the dressing of Fig. 8.As shown, this method can be by placing dressing Continue in at least part of top of insertion site and medical article.

Figure 27-28 is the perspective view of the fixation device of another embodiment according to the present invention.

Figure 29 is another perspective view of the fixation device of Fig. 1, and shows in the flap of retainer across medical article The medical article being placed on before folding in retainer.

Figure 30 is the exploded view of the fixation device of Figure 27.

Figure 31 is the plan view of the fixation device of Figure 27.

Figure 32 is the top view using the method for the fixation device of Figure 27.As shown, this method can be arranged by removing Backing member above retainer and start.

Figure 33 is the top view using the method for the fixation device of Figure 27.As shown, this method can be by making medical treatment Product are placed in retainer and continue.

Figure 34-36 is the top view using the method for the fixation device of Figure 27.As shown, this method can be covered by removing Lid is anchored the backing member of the lower surface of pad and continues.

Figure 37-38 is the top view using the method for the fixation device of Figure 27.As shown, this method can be rolled over by removing Backing member on the adhesive surface of the wing and continue.

Figure 39-40 is the top view using the method for the fixation device of Figure 27.As shown, this method can be by across doctor It treats the upper surface folding wing of product and continues.

Figure 41 is the top view of the fixation device of Figure 27, wherein flap it is in the close position in.

Figure 42-43 is the top view using the method for the fixation device of Figure 27.As shown, this method can be by by dressing It is placed on at least part of top of insertion site and medical article and continues.

Figure 44-45 is the perspective view for showing the fixed system of another embodiment according to the present invention.

Figure 46 is another perspective view of the fixation device of Figure 44, and shows the medical article being placed in retainer.

Figure 47 is the exploded view of the fixation device of Figure 44.

Figure 48 is the perspective view using the method for the fixation device of Figure 44.As shown, this method can be arranged by removing Backing member above retainer and start.

Figure 49 is the perspective view using the method for the fixation device of Figure 44.As shown, this method can be anchored by removing Backing member on the lower surface of pad and continue.

Figure 50 is the top view using the method for the fixation device of Figure 44.As shown, this method can be by making medical treatment Product are placed in retainer and continue.

Figure 51-53 is the top view using the method for the fixation device of Figure 44.As shown, this method can be by from dressing It removes backing member and then dressing is folded into above medical article and is continued.Medical article passes through the slot in dressing.

Figure 54-55 is the perspective view of the fixation device of another embodiment according to the present invention.

Figure 56 is another perspective view of the fixation device of Figure 54, and shows and fold in a part of anchoring pad or flap The medical article being placed on before above to medical article in retainer.

Figure 57 is the exploded view of the fixation device of Figure 54.

Figure 58 is the top view of the fixation device of Figure 54, which includes the removing backing member on device lower surface.

Figure 59 is the top view using the method for the fixation device of Figure 54.As shown, this method can be covered by removing It is anchored the backing member of the lower surface of pad and starts.

Figure 60 is the top view using the method for the fixation device of Figure 54.As shown, this method can be by making fixed dress Set to slide between the skin and medical article of patient guides medical article to pass through the slot in fixed device and continue simultaneously.

Figure 61 is the top view using the method for the fixation device of Figure 54.As shown, this method can be anchored by removing It pads the second backing member on lower surface and continues.

Figure 62 is secured to the perspective view of the fixation device of Figure 54 of patient.

Figure 63-65 is the top view using the method for the fixation device of Figure 54.As shown, this method can be by from flap It removes backing member and continues.

Figure 66-67 is the top view using the method for the fixation device of Figure 54.As shown, this method can be by by flap It folds into above medical article and continues.

Figure 68 is the rear perspective view of the fixation device of Figure 54, and the figure illustrates the medical articles being fixed in fixed device.

Figure 69-70 is the perspective view of the fixation device of another embodiment according to the present invention.

Figure 71 is another perspective view of the fixation device of Figure 69, and shows the medical article being placed on retainer, Wherein integrated dressing covers insertion site.

Figure 72 is the exploded view of the fixation device of Figure 69.

Figure 73 is the top view of the fixation device of Figure 69, which includes multiple backing members on fixed bottom of device surface.

Figure 74 is the top view using the method for the fixation device of Figure 69.As shown, this method can be arranged by removing Backing member above retainer and anchoring pad is made to fold and start along slot.

Figure 75 is the top view using the method for the fixation device of Figure 69.As shown, this method can be by removing backing member And slide fixed device between patient skin and medical article guides medical article to pass through slot and continue simultaneously.

Figure 76 is the top view using the method for the fixation device of Figure 69.As shown, this method can by from dressing and The bottom surface of anchoring pad removes backing member and dressing and anchoring pad is attached to patient and continued.

Figure 77-78 is the top view using the method for the fixation device of Figure 69.As shown, this method can be by from dressing Bottom surface remove additional backing member and continue.

Figure 79 is the top view of the fixation device of Figure 69, and wherein dressing is fixed on above medical article and fixed device is attached It is connected to patient.

Figure 80 and 83 is the perspective view of supporting member.

Figure 81-82 is the perspective view of the fixation device of the supporting member with Figure 80.

Figure 84-85 is the perspective view of the fixation device of the supporting member with Figure 83.

Specific embodiment

It is described below and shows with example in the fixed dress of the present invention disclosed in the environment being used together with exemplary catheter The preferred embodiment set.More particularly, these embodiments are related to the appropriate position for stablizing medical article with patient The stabilising arrangement and the relevant technologies set.In the embodiment of shown fixed device, conduit is used as in peripheral vein (" I.V. ") A part of pipeline.

The following description and drawings describe and show preferred embodiment, to show fixed device, and/or fixed system Several possible configurations that can be taken, to include various disclosed aspect and feature of the invention.Illustrated embodiment is shown as It is used together with the conduit with rotating nuts.The illustration of fixation device in the environment is not intended to will be disclosed Aspect and feature are limited to specified embodiment or are limited to only to be used together with shown conduit.For example, disclosed embodiment party Formula can be used together with connector accessory.Connector accessory may include rotating nuts or other outwardly extending features.Ability Field technique personnel it will be recognized that disclosed aspect and feature are not limited to any specific embodiment of fixed system, and Fixed system including one or more of creative aspect and feature as described herein be designed to it is a variety of Medical article is used together.

In view of the contents of the present invention, it will be understood by those skilled in the art that the fixed device can be with other kinds of doctor It treats product to be used together, these medical articles include but is not limited to the conduit and sheathed catheter section (catheter hub) of various designs (with or without connector or extend external member), such as central venous catheter, be the peripherally inserted formula centre pipe, haemodialysis is led The sheathed catheter section and conduit adapter of pipe, Fu Li (Foley) conduit and other designs.Other medical articles may include surgery Drainage tube, feeding tube, ductus thoracicus, nose catheter, rectum drainage tube, extraventricular drainage pipe, ductus thoracicus；The fluid supply tube of any other type Road or medical tubing, connector accessory and surveillance mirror (scopes), and it is connected to external or implantation electronic device or biography The electric wire or cable of sensor.The medical article can be the combination of single medical article or several medical articles.

Fixed device as described herein is particularly suitable for at least transverse shifting for preventing conduit.Fixed device protects medical article It holds against patient and protects region near insertion site.Fixed device is passed through at not intentional destruction (that is, substantially obstruction) This target is realized in the case where the insertion of the fluid stream or damage medical article of the lumen of medical article.In some embodiments In, to realize that the holding mechanism of this target includes the retainer with recessed portion, flap, bandage, anchoring pad, and/or dressing. For example, recessed portion, flap, bandage, anchoring pad and/or dressing can be coated with adhesive.Flap or bandage can with fixed device at One is whole, and is folded in the top for the medical article being placed in retainer and fixes the medical article.In other implementations In mode, a part that device may include integrated dressing or anchoring pad, and one that integrated dressing or anchoring are padded are fixed Divide and is configured to covering insertion site.Integrated dressing/anchoring pad is collapsible into the upper of anchoring pad/retainer another part Side, so that medical article setting is between the two.

In general, fixed device could attach to patient, and medical article can be at least partially disposed in fixed device. Fixed device may include recessed portion.The recessed portion can upwardly extend wall by one or more and be formed.Upwardly extending wall can be shaped To include one or more abutment surfaces.Abutment surface can prevent, and/or prevent the medical article being placed in fixed device from from existing Movement at least one direction.It may include adhesive that these, which are upwardly extended on one or more surfaces of wall,.In some implementations In mode, at least part for forming the top surface for upwardly extending wall of recessed portion is coated with adhesive.Dressing can be constructed At at least part for covering insertion site, fixed device and medical article.Medical article may be provided at fixed device and dressing Between.In some embodiments, dressing can be integral with fixed device.

For assist description fixed system these components, using following coordinate terms (see, for example, Fig. 7, Figure 25, Figure 27, Figure 46, Figure 56 and Figure 71)." longitudinal axis " is roughly parallel to the sheathed catheter section or other medical articles kept by fixed system A part, and it is parallel to the axis of the recessed portion for the retainer that medical article extends through." lateral axes " and longitudinal axis Vertically." transverse axis " extends along the direction vertical with both longitudinal axis and lateral axes.

In addition, as used herein, " longitudinal direction " refers to the direction for being arranged essentially parallel to longitudinal axis；" lateral " is Refer to the direction for being arranged essentially parallel to lateral axes；And " transverse direction " refers to the direction for being arranged essentially parallel to transverse axis.Such as The term as used herein " axial direction " refer to channel, recessed portion or set section axis, therefore with term as used herein " longitudinal direction " It is substantially synonymous.In addition, the use and exemplary application of term " nearside " and " distal side " for describing fixed system of the present invention The description of (that is, using the illustrative example of application) is consistent.Therefore, nearside and distal side be with the center of patient body for referring to and It uses.

Be also used for describing the term " top " of fixed system of the present invention, " lower part ", " top ", " bottom ", " downside ", " on Side " etc. is used with being oriented to shown in embodiment referring to.For example, term " upside " for describe retainer be located at wear Cross the lateral axes part above of the axis of the recessed portion in retainer.Term " downside " is located across for describing retainer Part below the lateral axes of the axis of recessed portion in retainer.The embodiment that fixed system will now be described is shared Some brief introductions in feature.

Various aspects are described referring now to the concrete form or embodiment that select to illustrate.It should be understood that , the spirit and scope of fixed system disclosed herein are not limited to selected form.It is moreover observed that this Attached drawing provided in text does not press any special ratios or scale is drawn, and many modifications can be made to illustrated embodiment. Some brief introductions in the embodiment common characteristic of fixed system will now be described.

Preferred embodiment is advantageously provided for for medical article being fixed to the medical tubing fixed system of patient.Medical treatment Product can have elongate body.Elongate body cooperates with retainer, to prevent medical article when being placed in retainer vertical Movement in, lateral and transverse direction.Retainer may include recessed portion.Recessed portion can be sized and be shaped to be used for A part for receiving medical article, for example, rotating nuts.Recessed portion, which can provide one or more, can be limited in longitudinal direction, and/or side The abutment surface of movement on direction.In some embodiments, the bottom surface of recessed portion includes adhesive.Adhesive can Limit be placed in the recessed portion of retainer medical article longitudinally, laterally and transverse shifting.Retainer can be by one or more A anchoring pad supports.These anchoring pads may include adhesive, will be anchored the skin that pad is attached to patient.It is connected to anchoring pad And/or flap/bandage of retainer is collapsible into above retainer, further fixes the medical article being placed in retainer.

Medical article may include intubation.Intubation can be plugged into patient's body.This insertion site can also be covered by dressing.It applies Material can also limit the movement of medical article.In addition dressing can protect insertion site to avoid being stained with moisture and/or be infected.One In a little embodiments, dressing is integrated or is integrated to retainer and/or anchoring pad.In some embodiments, institute is public herein The fixed system opened can be attached to patient after medical tubing (for example, periphery I.V. pipeline) is introduced into patient.

For convenient for the complete understanding to embodiment, fixed system is described in reference to the drawings in the rest part of specific embodiment System, wherein in the following description, the similar elements in embodiment are referred to like numbering.

Referring now to Fig. 1-2, the embodiment of fixed device 100 includes anchoring pad 104 and retainer 101.It is anchored pad 104 Can have lower surface 106 and upper layer 105, wherein lower surface 106 may be affixed to the skin of patient.It is anchored the upper layer 105 of pad 104 It is configured to bearing at least retainer 101.In a joint manner, lower surface 106, upper layer 105 and possible one or more are intermediate Layer may make up laminate structures.Suitable laminate comprising foam or weaving material with adhesive layer is commercially available.Anchor Determining pad 104 may be structured to flexible structure, which is configured to the surface of the skin of fitting patient.In some embodiment party In formula, at least part for being anchored the lower surface 106 of pad 104 includes adhesive.

The upper layer 105 of anchoring pad 104 may include foam (for example, closed-cell polyethylene foam) layer or weaving material (for example, through Tricot) layer or non-woven material.The surface of froth bed or woven layer constitutes the upper layer of anchoring pad 104.In alternative In case, upper layer 105 may include top paper layer or other nonwoven layers, and internal foam layer can be placed in upper layer and lower part and glue It closes between surface.In some embodiments, anchoring pad includes microbicidal additives.Anchoring pad and retainer can protect patient Skin from as caused by medical device chafing against skin stimulate.

Anchoring pad 104 is configured to secure to the skin of patient.The adhesive being anchored on the lower surface 106 of pad 104 can be with It is medical grade adhesive and the adhesive that sweating or not sweating can be selected according to specific application.Lower adhesive surface can have layer It is pressed onto the adhesive of medical of additional type thereon, such as silicone adhesive agent.In some embodiments, lower adhesive layer includes Anti-biotic material or antimicrobial material.For example, lower adhesive layer may include the metal salt or metal of one or more oligodynamics The combination of oxide or salt and oxide.In some embodiments, lower adhesive layer includes ag material, such as silver salt, elargol Body or silver composite.Adhesive surface can be solid layer, or may be structured to the interval layer for example in point or pattern.In the manufacture phase Between lower adhesive surface can be applied on anchoring pad 104, and backing member as described below covering lower adhesive table also can be used Face.Alternatively, double-faced adhesive tape can be applied to upper layer before application.

In embodiment shown in Fig. 1, anchoring pad 104 includes two removable on the lower surface 106 of anchoring pad 104 Except backing member 135 and 136.Before the use, backing member 135 and 136 can be removed can cover lower adhesive surface.The two backing members can support Tear-proof, and may be logically divided into multi-disc, to facilitate the skin for removing backing member and anchoring pad 104 being easily attached to patient. Backing member 135 and 136 may be logically divided into two adjacent sheets.Backing member 135 and 136 can be made of paper, plastics, polyester or similar material. For example, backing member 135 and 136 may include the material made of the silication paper of polymer-coated or another suitable material, such as High density polyethylene (HDPE), polypropylene, polyolefin or the paper of silicon coating.

As shown in Figs. 1-2, removing backing member 135 and 136 includes convex tongue 130, extends beyond the edge of anchoring pad 104, with Allow medical supplier easily to hold removing backing member 135 and 136, and removing backing member is removed from anchoring pad 104.Convex tongue 130 can be located at any edge of anchoring pad 104 and can be any suitable size or shape.As shown in Figs. 1-2, it is removing At boundary 133 between backing member 135 and 136, a part for removing backing member 136 can be in the top of a part of removing backing member 135 Extend.

Continue Fig. 1-2, backing member 120 can cover the adhesive surface of retainer 101.The adhesive surface can be configured to be attached to The part of dressing and/or the part of medical article.Backing member can cover the entire top surface of retainer 101, or can only cover guarantor The adhesive portion of holder 101.As shown in Figure 1, the size of backing member 120 is set to cover entire retainer 101 and also extend More than the outer periphery of retainer 101.In this way, a part of backing member 120 can form pull tab 125.Pull tab 125 allows Health care provider easily holds backing member 120 and removes backing member 120 from retainer 101.Backing member 120 can be prepared to so that Backing member 120 maintains the coating cap surface of retainer 101 in germ-free condition.In some embodiments, backing member 120 have than The long size of retainer 101, this ensures that backing member 120 is overhang always more than the top edge of retainer 101, to form gripping table Face, for user for removing backing member 120.

Fig. 3-4 is gone to, retainer 101 is configured to receive and fix at least part of medical article.Fig. 3's -4 In illustrated embodiment, retainer 101 includes top surface 102 and is shaped for receiving at least part of of medical article Recessed portion 108.Recessed portion 108 further includes the channel 114 for extending through the nearside of retainer 101.Channel 114 can be used for by shaping Receive at least part of medical article.As shown, channel can have the lateral width of the lateral width less than recessed portion.It protects Holder 101 may also include the nearside adjacency section 110 at least partly upwardly extended in the side towards channel 114.Nearside adjacency section 110 by least part for shaping for contacting medical article and can prevent the medical treatment being placed in recessed portion and/or channel Movement of the product at least proximal direction.In some embodiments, nearside adjacency section is arranged in recessed portion 108 and channel Between 114.

Recessed portion may also include distal side adjacency section 111.Distal side adjacency section 111 can from from anchoring pad 104 top surface to One or more walls of upper extension are formed.Distal side adjacency section 111 can be shaped at least part for contacting medical article simultaneously And prevent movement of the medical article being placed in recessed portion 108 and/or channel at least distal direction.

Recessed portion 108, channel 114, nearside adjacency section 110, and/or distal side adjacency section 111 can be sized and by Shape is for being fitted any medical article appropriate or part of it.In some embodiments, recessed portion 108, channel 114, close Side adjacency section 110 and/or distal side adjacency section 111 are sized and are shaped more than one type for receiving medical article The part of more than one size and/or.In this way, fixed system disclosed herein can be together with a variety of medical articles It uses.Diversified rotating nuts use in medical industry, and can be with according to application, geographical location and/or supplier There is difference.Size, shape and/or the size of such rotating nuts have difference.Therefore, fixed system disclosed herein can be advantageous Ground provides the retainer for being configured to fixed more than one rotating nuts embodiment.For example, recessed portion 108, channel 114, close Side adjacency section 110 and/or distal side adjacency section 111 can be sized and be shaped, and be recessed so that being inserted into the first rotating nuts When in portion 108, the surface for facing nearside of the first rotating nuts is placed with to be connect with the surface for facing distal side of nearside adjacency section Touching, and the surface for facing distal side of the first rotating nuts does not contact the surface for facing nearside of distal side adjacency section.Work as different size And/or when in the second rotating nuts insertion same depression portion 108 of shape, the surface for facing nearside of the second rotating nuts is put It is set to and is contacted with the surface for facing distal side of nearside adjacency section, and the surface for facing distal side of the second rotating nuts is also placed with It is contacted with the surface for facing nearside of distal side adjacency section.In this way, one or more surfaces of rotating nuts can abut One or more abutment surfaces of retainer 101, this depends on the size and/or shape of just fixed rotating nuts.Therefore, According to the length of the (for example) length and rotating nuts in channel, when the rotating nuts are inserted into retainer 101, in rotation spiral shell Gap or space may be present in female above or below.In some embodiments, recessed portion 108 and channel 114 are sized And it is shaped as the size and shape for being approximately equal to specific rotating nuts, so that the rotating nuts closely fit within recessed portion 108 and channel 114 in.

In some embodiments, at least part of recessed portion 108 and/or the inner surface in channel 114 includes adhesive. For example, adhesive may be provided at least part of the lower surface in recessed portion 108 and/or channel 114, and/or formed recess In at least part of the interior wall in portion 108 and/or channel 114.The other surfaces of retainer 101 may also comprise adhesive.Example Such as, in some embodiments, it includes viscous for forming at least part of the top surface 102 for upwardly extending wall of recessed portion 108 Mixture.The adhesive can be similar to the adhesive in conjunction with described in anchoring pad 104.The adhesive, which may be affixed to, is placed on retainer One or more surfaces of medical article in 101, further to limit the movement of medical article.Retainer 101 may include each Kind material, for example, one or more elastomers.In some embodiments, retainer 101 includes being configured to allow for easily moving Except closing binder and/or the material of bandage.

Fig. 5 is the exploded view of the fixation device of Fig. 1.Backing member 120 may be provided on the upper surface 102 of retainer 101.It keeps The upper surface 102 of device 101 may include adhesive.The adhesive can be configured to prevent to be positioned to the upper surface with retainer 101 The movement of the medical article of 102 contacts.In some embodiments, the upper surface 102 of retainer 101 includes adhesive, so that Medical device can be stablized on retainer 101, so that user be allowed to decontrol medical device, complete to install with hand.Retainer 101 It may be provided on anchoring pad 104 with backing member 120.At least part for being anchored the bottom surface 106 of pad 104 may include adhesive. Backing member 135 and 136, which can be removed, may be provided in the bottom surface 106 of anchoring pad 104, to cover adhesive surface.135 He of backing member 136 can be removed, and be anchored the skin that pad 104 can be fixed to patient.

Go to Fig. 6, display retainer 101 and the plan view for being anchored pad 104.Retainer 101 includes recessed portion 108, leads to Road 114, nearside adjacency section 110 and distal side adjacency section 111.Recessed portion 108 can be any suitable size and shape.As schemed Show, recessed portion 108 has the width being greater than from the width in the channel that recessed portion 108 extends in a proximal direction 114.Between them Width difference can form adjacency section 110.In other words, adjacency section 110 may extend into the portions of proximal of recessed portion 108, with shape At the width channel 114 narrower than recessed portion 108.In this way, retainer 101 can connect at least part of medical article It is contained in at least part in channel 114 and/or at least part of recessed portion 108.In addition, medical article faces nearside Surface at least part can abut adjacency section 110 the surface for facing distal side.In this way, adjacency section 110 can prevent The movement of medical article at least in a proximal direction being only placed in retainer 101, while distal side adjacency section 111 can prevent it Movement at least in a distal direction.In some embodiments, the width of recessed portion 108 is about 7mm, and the width in channel 114 Degree is about 4mm.

As shown in fig. 7, medical article 200 can be placed in retainer 101.The medical article may include conduit 210 and connect It is connected to the sheathed catheter section 230 for extending external member 220.Those skilled in the art substantially both know about sheathed catheter section.Conduit shown in fig. 7 Set section 230 has proximal body 232 and distal body 212.However, different sheathed catheter sections can more or less include having respectively The main part of kind of different shape and size, it is all these can be with other embodiment party of retainer or retainer as described herein Formula is used together.The external member 220 shown in Fig. 7 that extends includes being connected to the rotating nuts 244 of connector 225, wherein connector 225 It is integrated to medical tube 222.In some embodiments, sheathed catheter section 230 includes the check valve of one.In some embodiments In, retainer 101 is configured to above the skin that medical article 200 is suspended to patient, to allow conduit relative to patient's Skin is inserted into the skin of patient at an angle (for example, with 7 degree of angle).For example, as shown in fig. 7, retainer 101 can It is sized and is shaped, so that the rear portion of medical article is supported by the distal part of retainer 101.In some embodiments In, distal side adjacency section 111 can not only suspend the distal part of medical article relative to the portions of proximal of medical article, but also can be by tight Movement of the medical article at least distal direction is prevented by the surface for facing distal side of medical article.

In the embodiment shown in figure, recessed portion 108 is shaped a part for receiving rotating nuts 244, and Channel 114 is shaped a part for receiving the distal body 212 of sheathed catheter section 230.In this way, rotating nuts 244 proximal face can abut the distal surface of adjacency section 110.In other words, the proximal face of rotating nuts 244 can be against guarantor The distal surface of holder 101, to prevent movement of the conduit 200 in the proximal direction towards patient.

Recessed portion 108 and/or channel 114 can be shaped different piece for receiving medical article 200.For example, one In a little embodiments, channel 114 and recessed portion 108 are shaped for receiving connector 225.In this embodiment, adjacency section 110 distal surface is accessibly connected the surface for facing nearside of device 225, to prevent the movement of conduit 200 in a proximal direction. In this way, rotating nuts 244 are not fixed by retainer 101, and therefore, and rotating nuts 244 can be in sheathed catheter section 230 It is rotated to discharge from sheathed catheter section 230 while remaining fixed to patient and extends external member 220.

Fig. 8-9 is gone to, shows the dressing 400 that can be used together with fixation device described above.Dressing 400 includes closing Close two removing backing members of layer 418, the lower surface being at least partly covered by adhesive and the lower surface for covering dressing 400 435 and 436.Adhesive is configured to be attached to the part of the skin of patient, and/or anchoring pad, the part of retainer and/or doctor Treat the part of product.Dressing 400 includes insertion window 426 and retainer window 425.The dressing further include channel 450 and by Shape is used to receive the opening 455 of medical tube 222.As shown, removing backing member 435 and 436 is protruded outward from the lower surface of dressing And form pull tab 437 and 439.

Removing backing member 435 and 436 can cover the adhesive being arranged on the lower surface of dressing 400.Remove 435 He of backing member 436 can cover the entire lower surface of dressing or can only cover adhesive surface.Removing backing member 435 and 436 may include it is antimicrobial or The material or coating of antibacterial, and/or the Argent grain with dispersed throughout.Dressing 400 and removing backing member 435 and 436 can be made It is standby to maintain the coating cap surface of closed layer in germ-free condition to remove backing member 435 and 436.In some embodiments In, a removing backing member is used only.

In some embodiments, in the bottom surface of dressing 400, at least about insertion window 426 periphery and Periphery around retainer window 425 includes adhesive.In some embodiments, the entire bottom of adhesive coverage dressing 400 Portion surface, but except the region formed by insertion window 426 and retainer window 425.In some embodiments, dressing Adhesive in 400 bottom surface is configured such that dressing 400 will not adhere at insertion point.In this way, may be used It reduces and deteriorates or fray the skin around insertion site or insertion site, and/or introduced near insertion point or into insertion point A possibility that pollutant and/or liquid.In addition, the adhesive in the bottom surface of dressing 400 can be disposed so that adhesive layer It will be non-cohesive or adhere to conduit and/or sheathed catheter section.In this way, it can be reduced or avoided on conduit and sheathed catheter section Adhesive residue and sticky accumulation.In other embodiments, the entire bottom surface of adhesive coverage dressing 400, including It is inserted into window 426 and retainer window 425.

As described above, dressing 400 includes channel 450 and opening 455.Channel 450 and opening 455 allow for dressing to be applied to On medical article.Around insertion when dressing 400 can be configured to be applied to the skin of patient above conduit and/or sheathed catheter section Position provides waterproof sealing.In some embodiments, although foring waterproof sealing, dressing 400 is still breathable.In In some embodiments, dressing 400 is constructed in a manner of being similar to anchoring pad 104.

In some embodiments, dressing 400 includes bleeding-stopping dressing.In such embodiment, dressing 400 is fixed on In insertion site or other wounds can anti-Hemostatic Oral Liquid from insertion site flow out.For example, dressing 400 may include or coated with hemostat Or antihaemorrhagics agent, such as chitosan or other polysaccharide, collagen (such as microfibril hemostat), anhydrous slufuric acid aluminium, potassium Alum, titanium dioxide, gelatin or thrombin solution.In some embodiments, also providing has hemostasis and anti-microbial properties Little Bao pad.Such pad can be configured to around conduit and/or cover insertion site.In some embodiments, antimicrobial/ Tampon and retainer 101 or anchoring pad 104 are integral, to improve the easness for placing the pad.In some embodiments, The pad is by being known asMaterial be made.In some embodiments, dressing includes microbicidal additives.

Figure 10 is the exploded view of dressing 400.As shown, closed layer 418 may be provided at the top surface 408 of dressing 400 On.The bottom surface 406 of dressing 400 can be at least partly covered by adhesive.Removing backing member 435 and 436 may be provided at dressing In 400 bottom surface 406.As shown, the closed layer 418 of dressing 400, top surface 408 and removing backing member 435 include logical Road and opening.In some embodiments, the bottom surface 419 of closed layer 418 is at least partly covered by adhesive.In addition, Removing backing member 435 may include the folded portion 439 of a part 437 of contact removing backing member 436.In this way, pull tab 439 It is stripped the covering of backing member 436 completely.Therefore, health care provider is encouraged to hold the part 437 of removing backing member 436 first, with Encourage appropriate placement technique.After the front of dressing 400 or top are attached to skin, health care provider can then be held Folded portion 439 is held to remove removing backing member 435.

Closed layer 418 can be configured to waterproof or otherwise cannot be by penetration by liquid, and in some embodiment party The flowing of air is also limited in formula.In other embodiments, closed layer 418 can be configured to breathable, to allow to insert The air and/or moisture for entering near sites pass through closed layer 418 and reach the other side and separate insertion site, while making at least Outside moisture on the other side of closed layer 418 is kept away from insertion site.In some embodiments, closed layer 418 can not Infiltration virus and bacterium, and may include or be coated with anti-biotic material or antimicrobial material.In some embodiments, it is closed Layer 418 is comprising or coated with wax material.In some embodiments, closed layer 418 include film, the film can be it is transparent, It is also possible to opaque.

It selects hyaline membrane or semi-transparent film to be used as closed layer 418, medical supplier is allowed to pass through the insertion window in dressing Mouth sees insertion site.In this way, potential infection or inflammation can be seen by hyaline membrane.Use hyaline membrane or semi-transparent Bright film may also allow for medical supplier to see any applied conduit as closed layer 418, to ensure to maintain to fluidly connect.

In some embodiments, closed layer 418 is absorbability (absorbent).In some embodiments, it is closed Layer 418 includes absorbing acrylic resin, alginate, foam, aqueous colloidal and/or hydrogel material, and/or may include silver Material, such as silver salt, silver colloid or silver composite.In one embodiment, in closed layer 418 or thereon using a kind of or The combination of the metal salt or metal oxide or salt and oxide of lot of trace power is as antimicrobial.In some implementations In mode, closed layer 418 is configured to be similar to the upper layer of anchoring pad 104.

The plan view of dressing 400 is shown in Figure 11.As shown, channel 450 extends from the distal end of dressing, opening is terminated at At 455.In some embodiments, opening 455 is circular shape, and has the diameter of the width greater than channel 450. In this way, medical tube can be slid through channel 450 and be shelved in opening 455.Therefore, dressing can more easily be put It sets above medical article.Dressing 400 also has recess or impression 458 in the side of its proximate distal ends.These recesses 458 can be determined Position perforation 428.Perforate 428 permissible dressing distal part easily from the rest part of dressing remove.

In operation, using the method for fixation device and dressing described above and for medical article to be connected to trouble The process of person can be started by removing the backing member 120 of covering retainer 101, as shown in Figure 12 A and 13-14.Backing member 120 can cover One or more adhesive surfaces of lid retainer 101.In some embodiments, the entire upper surface 102 of retainer 101 applies It is covered with adhesive.As shown, the backing member 135 and 136 for being attached to the surface of anchoring pad 104 may include convex tongue 130, convex tongue 130 With the one or more arrows for being directed toward insertion site, so that medical supplier can properly make fixed device orientation.

As shown in Figure 12 A-D, backing member convex tongue 130 may include number, should follow when removing backing member from fixed device with instruction Order backing member should removed before using fixed device with instruction and including information, such as " removal ".Figure 12 A is shown One embodiment, the pull tab 112 of backing member 120 includes " 1 " inside arrow, and the pull tab 130 of backing member 135 and 136 is in arrow Internal head includes " 2 " to be different from pull tab 112.As discussed above, arrow can be positioned to them and refer to medical supplier Show being suitably oriented for fixed device.Figure 12 B shows an embodiment of backing member 121, is included in pure color band (such as black) The upper pull tab 113 with digital " 1 " is repeated the visible surface for spreading backing member by the information 115 " removing (Remove) " of corral.Shape It can be same color at the text in the lines and information 115 in corral region, it in one embodiment can be with pull tab 113 pure color band matches.One embodiment of the backing member 137 of a part of the lower surface of Figure 12 C display covering anchoring pad, and And Figure 12 D shows an embodiment of the backing member 138 of another part of the lower surface of covering anchoring pad.Backing member 137 and 138 Can have the identical pure color band (such as green) of pull tab 139, and including repeating being enclosed for the visible surface throughout backing member The information 115 " removal " enclosed.In one embodiment, backing member 137 and 138 each other scheme of colour having the same (for example, drawing Pure color band, lines and the text of tongue), and in another embodiment, scheme of colour is not identical.In an embodiment In, the scheme of colour (no matter different or identical) of backing member 137 and 138 is different from the scheme of colour of backing member 121, thus further Backing member is distinguished from each other out.

The process can be covered the backing member of the lower adhesive surface of anchoring pad 104 by removal and be placed on medical article Continue in retainer 101, as shown in figures 15-19.As shown in figure 16, the backing member for covering lower adhesive surface may include two linings Part 135 and 136, they cover about half of lower adhesive surface.The two backing members can be folded back upon from the boundary of two backing members 133 It is folded, and extend out from lower adhesive surface, to form pull tab 130.In this way, medical supplier is less likely to use Hand contact lower adhesive surface and the aseptic for jeopardizing lower adhesive surface.In some embodiments, medical supplier uses Every hand holds a convex tongue and partly removes backing member.Medical supplier, which then passes through, makes skin of the anchoring pad towards patient Skin is mobile while pulling convex tongue fully to remove backing member, and anchoring pad is placed on patient.

In the illustrated embodiment of Figure 17, fixed device slides below medical article 200, and a backing member 135 It is removed.The medical article includes rotating nuts 244.Rotating nuts 244, which are at least partially disposed on, to be formed in retainer 101 In recessed portion 108 and channel.In some embodiments, the distal side table of the proximal face contact retainer 101 of rotating nuts 244 Face.Downward pressure can be applied to rotating nuts 244, so that the bottom surface of rotating nuts 244 is pressed into contact recessed portion Bottom surface.Adhesive on the upper surface 102 of retainer 101 and/or in recessed portion is set, it can be further by medical article Fixed to retainer 101 and prevent the movement of medical article in any direction relative to retainer.

The process can cover the second backing member 136 continuation of the lower adhesive surface 106 of anchoring pad 104 by removing, such as Shown in Figure 18-19.In this way, anchoring pad 104 is fixed to the skin of patient.It can complete to remove backing member in any order It is inserted into retainer with by medical article.In some embodiments, two backing members substantially simultaneously remove.In addition, can incite somebody to action Medical article is placed in retainer by medical article before or after being inserted into patient's body.It can be by medical device at least portion Fixed device is attached to patient before or after being inserted into patient's body with dividing.

In some embodiments, the process that medical article is fixed to patient can be continued by following operation: is obtained Bonding dressing removes the backing member of dressing, and dressing is placed on above fixed device and insertion site, as shown in Figure 20-26.Figure The top perspective of 20 display dressing 400, and Figure 21 shows the bottom perspective view of dressing 400.Medical supplier can catch lining A part 437 that part 436 extends above the folded portion 439 of backing member 435.In some embodiments, medical supplier can The part 437 of backing member 436 and the folded portion 439 of backing member 435 are caught simultaneously.However, as shown in figure 22, backing member can be removed first 436, with the transparent or partially transparent insertion window 426 of exposure, transparent or partially transparent retainer window 425 and bonding table Face 406.In some embodiments, a part 438 of backing member 436 covers at least part of retainer window 425.In this way, When removing backing member 436 during placement, at least part that practitioner can pass through transparent holder window 425 checks medical treatment Device and the appropriate placement dressing of auxiliary.Then removing backing member 435 can be removed, as shown in figs. 23-24.

After backing member is at least partly removed from dressing 400, dressing can be placed on above insertion site and by Dressing is attached to patient by the suitable adhesive surface 406 on 400 downside of dressing, as shown by figures 25-26.In some embodiments In, dressing be configured to waterproof or otherwise cannot be by penetration by liquid, and in some embodiments, dressing also limits The flowing of air processed.In other embodiments, dressing can be configured to breathable, to allow the sky near insertion site Gas and/or moisture pass through dressing and reach the other side and separate insertion site, while making outer on the other side of at least dressing Portion's water tariff collection is far from insertion site.In some embodiments, the impermeable virus of dressing and bacterium, and may include or apply It is covered with anti-biotic material or antimicrobial material.In some embodiments, dressing is comprising or coated with wax material.Covering medical treatment The dressing of device and the combination of anchoring pad and retainer below medical device can formulate and consolidate to 360 degree of medical device It is fixed.

As shown in figure 26, at least part of insertion site and medical article can be seen by window 425 and 426.In addition, Medical tubing 222 may pass through the channel 450 in dressing distal side, to be shelved in opening 455.Therefore, a part of dressing can apply The far-end of material is closed around medical tubing 222.In this way, it prevents from fluid, food and/or other pollutants from entering to insert Enter position.

To remove distal part dressing and discharging medical tube 222, medical supplier can wear along what is positioned by recess 458 Hole 428 tears and removes the distal part of dressing.In some embodiments, fixed device, dressing and/or adhesive tape are included in In external member.The external member may also include the explanation for using dial bundle LMS.

Referring now to Figure 27-28, the embodiment of fixed device 500 includes anchoring pad 104, retainer 102 and flap 510.Anchoring pad 104 is configured to secure to the skin of patient.In some embodiments, it is anchored the lower surface 106 of pad 104 At least part includes adhesive.Retainer 102 is configured to receive and fix at least part of medical article.Scheming In the illustrated embodiment of 27-28, retainer 102 includes being shaped at least part of the depression for receiving medical article 108.In some embodiments, at least part of the upper surface of retainer 108 includes adhesive.Flap 510 is configured to Fold into 102 top of retainer.

It referring now to flap 510, can be seen that in Figure 27, flap 510 is attached to fixed device 500 and/or fills with fixed Set 500 integrations.Flap 510 is configured to be folded down, be bent or rotate to 102 top of retainer.Flap 510 and anchoring pad 104 and/or retainer 102 be formed as integrated single-piece.Alternatively, flap 510 and anchoring pad 104 can be separately formed, later It is attached together.In this case, flap 510 and anchoring pad 104 can be by allowing flap 510 to be folded down, be bent or rotation Any device or the mechanism of 102 top of retainer are gone to be attached.Attachment device includes that glue or adhesive, material weld, are hot close Envelope, machanical fastener (such as staple or eyelet) or other such attachment devices.

Backing member 513 can cover the adhesive surface of flap 510.The adhesive surface is configured to be attached to medical article, keep The part of device 102, the part of medical article, and/or be attached to anchoring pad 104 upper surface part.Backing member 513 can cover folding The whole surface of the wing 510 or the adhesive portion that can only cover flap 510.Flap 510 and backing member 513 can be prepared to so that serving as a contrast Part 513 maintains the coating cap surface of flap 510 in germ-free condition.As shown in figure 28, backing member 513 includes convex tongue 512.Convex tongue 512 permissible health care providers easily hold a part of backing member 513 and backing member 513 are pulled away from the upper of flap 510 Thus surface removes backing member 513, make adhesive surface exposure.Convex tongue 512 can be integral with backing member 513, and in some implementations In mode, the folded portion including backing member 513.

Referring now to retainer 102, Figure 27-28 display includes the retainer of recessed portion 108.Recessed portion 108 can be any Suitable size and shape.As shown, recessed portion 108 be generally shaped as it is elongated trapezoidal.In this way, recessed portion 108 Longitudinally tapered wall may act as the medical article being placed in retainer 102 a part abutment surface.It is turning briefly to figure 29, the proximal wall of recessed portion 108 also acts as abutment surface.In other words, the proximal face of rotating nuts 244 can be against holding The distal surface of device 102, to prevent the movement of conduit 200 in a proximal direction.In some embodiments, 102 quilt of retainer It is configured to above the skin that rotating nuts 244 are suspended to patient, to allow conduit 200 relative to the skin of patient with a certain angle Degree (for example, 7 degree) is inserted into the skin of patient.

Back to Figure 27-28, at least part of the lower surface of recessed portion 108 may include adhesive.Retainer 102 its He may also comprise adhesive in surface.For example, in some embodiments, it includes viscous for forming one or more walls of recessed portion 108 Mixture.It may also comprise adhesive on the upper space of retainer 102.The adhesive, which may be affixed to, to be placed in retainer 102 One or more surfaces of medical article 200, further to limit the movement of medical article 200.

Figure 30 is the exploded view of the fixation device 500 of Figure 29.As shown, retainer 102 may be provided at the one of flap 510 On part.However, in some embodiments, the setting of retainer 102 is on anchoring pad 104.Backing member 514 may be provided at retainer 102 tops.As shown, backing member 514 covers the upper surface for upwardly extending wall for forming recessed portion 108.In this embodiment, The upper space 515 of retainer 102 includes the adhesive surface that backing member 514 can be can be removed cover.

Flap 510 may include the adhesive surface 516 that backing member 513 can be can be removed cover.Flap 510 is configured to roll over downwards Fold, be bent or rotate to 102 top of retainer.In this way, when closing, the downside of flap in the close position can It is attached to one or more surfaces on anchoring pad and/or retainer and/or medical article.Flap 510 can be shelved on anchoring pad In 104 a part.In some embodiments, flap 510 is integrated at least part and/or retainer of anchoring pad 104 102 at least part.In some embodiments, anchoring pads the upper surface on that side opposite with flap 510 at least A part includes adhesive surface.In this way, when flap is folded into 102 top of retainer, anchoring pad and flap 510 Adhesive on opposite upper surface can further fix flap 510.

Being anchored pad 104 may include lower adhesive layer 106, so that being anchored pad 104 when backing member 520 and 521 is removed can consolidate Surely the skin of patient is arrived.Backing member 514,520 and 521 can be similar or identical with backing member described above.As shown in figure 30, backing member 520 and 521 may include two hinged parts.At least part of backing member 520 and 521 can be sized, to pad from anchoring Periphery extend out, formed pull tab 525 and 526.

Figure 31 shows the plan view of fixed device 500.As shown, the recessed portion 108 in retainer 102 is generally trapezoidal Shape, the width in proximal end are narrower than the width in far-end.In this way, various medical devices and/or rotation spiral shell Mother is at least partially inserted into retainer 102, as described above.In some embodiments, the distal end of retainer from device is big The side wall for being stretched over proximal end is caused to can be used as abutment surface.Therefore, when articles of media is placed in recessed portion 108, these side walls Articles of media or the part thereof of side for facing nearside can be abutted, to prevent movement of the product at least proximal direction.

In operation, using the method for fixation device 500 described above and for medical article to be connected to patient Process can by remove covering retainer 102 upper space backing member 514 start, as shown in figure 32.The process can lead to It crosses and medical article 200 is placed in the recessed portion 108 of retainer 102 and is continued.As shown, medical article 200 includes rotation Turn nut 202.The retainer 102 of fixed device can be oriented so that at least part of rotating nuts 244 in retainer 102 Top.As shown in figure 33, downward pressure can be applied to rotating nuts 244, so that rotating nuts 244 can be at least partly moved to In the recessed portion 108 of retainer 102 and contact at least one adhesive surface of retainer 102.

The process can cover the continuation of backing member 520 and 521 of the lower adhesive surface 106 of anchoring pad 104 by removing, such as Shown in Figure 34-36.In this way, anchoring pad 104 is fixed to the skin of patient.As shown in figure 34, it can be drawn by catching Tongue 525 and the lower surface that backing member 520 is pulled away from anchoring pad 104 is removed into backing member 520.Therefore, as shown in figure 35, it is anchored pad Right-hand side is fixed to the skin of patient.Similarly, as shown in figure 36, by catching pull tab 526 and backing member 521 can be pulled away from anchor The lower surface of the left-hand side of pad 104 is determined to remove backing member 521.As shown in figure 36, user may want to hold flap 510, make It is far from anchoring pad 104, preferably to touch pull tab 526.Backing member 520 and 521 from anchoring pad 104 lower adhesive surface In the case that 106 remove, skin of the pad 104 fixed to patient will be anchored.

Figure 37-38 is gone to, can be removed by catching pull tab 512 and backing member 513 being pulled away from the top surface of flap 510 Backing member 513 on the top surface of flap 510.In this way, the adhesive surface 516 on the top side of exposure flap 510.Such as Shown in Figure 39-40, flap 510 can be folded into 102 top of retainer, so that a part of the adhesive surface 516 of flap 510 is covered Lid rotating nuts 244 and retainer 102.Flap 510 can also be contacted with a part of anchoring pad 104.In this way, flap Medical article is further fixed to patient by 510.Figure 41 shows the top view of fixed device 500, and wherein flap 510 is in closure In position.

In some embodiments, the process that medical article is fixed to patient can be continued by obtaining dressing 400, such as Shown in Figure 42.Backing member can be removed from the lower surface of dressing 400, thus the adhesive surface on the downside of exposure dressing 400.Then Dressing 400 can be placed on above insertion site and attach it to trouble by the suitable adhesive surface on the downside of dressing Person, as shown in Figure 42-43.The dressing may include above-mentioned closed layer 418.It as shown in figure 43, in some embodiments, can be from closing Close the outer periphery 499 that layer 418 removes dressing.In some embodiments, external member includes fixed device, dressing and/or adhesive tape.It should External member may also include the explanation for using dial bundle LMS.

Turning now to Figure 44-53, another embodiment of fixed device 600 includes integrated dressing 618, retainer 102 With anchoring pad 104.Dressing 618 and anchoring pad 104 are integral and/or be integrated to anchoring pad 104, and dressing 618 is constructed At folding into above insertion site, such as will be explained further below.As shown, retainer 102 is by with pull tab 616 Backing member 617 covers.The backing member 625b that the side for facing top of dressing 618 is arranged on above the adhesive surface of dressing 618 covers Lid.Backing member 625b includes the folded portion to form pull tab 625a.It can will may include rotating nuts when backing member 625b is removed 244 medical article 200 is placed in retainer 102, as shown in figure 46.Retainer 102 may include one or more bonding tables Face.

As shown, retainer 102 may include recessed portion 108.Retainer 102 may be provided at 612 top of adhesive phase, make The bottom surface for obtaining the recessed portion 108 in retainer 102 includes adhesive surface.Adhesive phase 612 may further be used to consolidate retainer It is fixed to arrive anchoring pad 104.Adhesive phase 612 may be provided on anchoring pad 104.Adhesive phase 614 may be provided at retainer 102 most It can be covered on upper surface and by removable backing member 617.

Dressing 618 is gone to, as shown in figure 47, dressing 618 may include adhesive phase 622, pad 623 and closed layer 418.Such as figure Shown in 47, adhesive phase 622 be may be provided on the top side of pad 623, and closed layer 418 may be provided on the downside of pad 623.It is viscous Mixture layer 622 can cover all or part of of the top side of pad 623.

Dressing 618 may include opening 626, which is constructed such that medical article can be folded into dressing 618 and covers Opening 626 is passed through when lid insertion site and medical article.Dressing 618 may also include slot 636.Slot 636 can be sized and quilt Forming, so that a part of medical article may pass through slot 636.Pad 623 may include window 632.Window 632 allows do not removing Insertion site is observed in the case where dressing 618.Adhesive phase 620 can be covered by the backing member 625b with pull tab 625a.As schemed Show, backing member 625b has the size and shape roughly the same with pad 623, but does not include opening or slot.

In operation, can be led to using the method for fixed device 600 and the process for medical article to be connected to patient Cross following operation and start: rotation dressing 618 makes it away from anchoring pad 104, with unfolded fixing device 600, such as Figure 44-45 institute Show.User can then catch pull tab 616 and remove backing member 617 (as shown in figure 47) from retainer, therefore exposure adhesive Layer 614, as shown in Figure 48.

The process can be continued and operating as follows: the backing member 608 of the lower adhesive surface of covering anchoring pad 104 is removed, As shown in figure 49, therefore adhesive phase is exposed.The process can be continued and operating as follows: by the doctor with rotating nuts 244 It treats product 200 to be placed into the recessed portion 108 of retainer 102, as shown in figure 50, and the adhesive phase of anchoring pad is placed on On the skin of patient.Therefore, medical article 200 can be placed in contact at least one adhesive surface of retainer 102, and will Fixed device is fixed to patient.Figure 51 is gone to, which can continue and operating as follows: catching the pull tab 625a in dressing, And backing member 625b is removed by the way that pull tab 625a is pulled away from dressing 618.In this way, the adhesive of exposure dressing 618 Layer 622, as shown in figure 52.As shown in figure 53, dressing 618 can then be folded into anchoring pad 104, retainer 102, medical article With the top of insertion site.In this way, dressing 618 is fixed to the skin of patient.

Figure 54-68 is moved on to, another embodiment of fixed device 700 includes flap 708, retainer 102 and anchoring pad 104.In some embodiments, flap 708 is a part for being anchored pad 104.Anchoring pad may include fold line 789.Such In embodiment, the part that anchoring pad folds into 102 top of retainer is flap 708.The part that is folded of anchoring pad is attached to It is anchored another part of pad.In this way, the first part for being anchored pad is attached to the second part of anchoring pad.

Retainer 102 includes recessed portion 108 and one or more adhesive surfaces.Retainer 102 is supported by anchoring pad 104. Pad 104 is anchored for rectangular shape and including the roughly circular opening 710 with slot 712.Slot 712 is configured to allow for curing The a part for treating product passes through slot 712 and enters in the opening 710 of anchoring pad 104, as will be discussed below.Anchoring At least part of the lower surface 106 of pad 104 may include adhesive.

Flap 708 or a part for being anchored pad 104 are configured to movement, rotate and/or fold into the another of anchoring pad 104 Partial top.Flap 708 includes window 714.The size and shape of window 714 and the substantially phase of opening 710 in anchoring pad 104 Together.Window 714 in flap 708 can be covered by hyaline membrane or semi-transparent film.As shown in Figure 54-55, the top side Ke Bao of flap 708 Include adhesive surface 744.The adhesive surface of the adhesive surface of retainer 102, the adhesive surface for being anchored pad 104 and/or flap 708 can Further covered by one or more backing members.For example, as shown in figure 57, backing member 799 can cover the adhesive surface of retainer 102 716.As shown in figure 56, the recessed portion 108 that the medical article 200 with rotating nuts 244 can be placed in retainer 102 In.The opening 710 in pad 104 is anchored generally about catheter insertion site.Flap 708 can be folded into 104 top of anchoring pad, made Retainer 102, anchoring pad 104 and/or medical article 200 is obtained to be contacted by flap 708.

Figure 57 is the exploded view of fixed device 700.Adhesive phase 716 may be provided on the top surface of retainer 102.It protects Holder 102 may be provided on anchoring pad 104.The adhesive phase being anchored on the downside of pad can be covered by removable backing member 726b and 727b There is the folding for forming pull tab 726a and 727a to cover part (folder over sections) for lid, the backing member.Flap 708 includes The film 718 of 714 top of window is set.Adhesive phase 744 may be provided on the top side of flap 708, so that when flap 708 folds When above to medical article, adhesive phase 744 may be affixed to medical article, and flap 708 is fixed in closed position.Adhesive Layer 744 can be covered by removable backing member 721b and 722b, which there is the folding for forming pull tab 721a and 722a to cover part.

In operation, can be led to using the method for fixed device 700 and the process for medical article to be integrated to patient Cross since anchoring pad 104 downside remove with pull tab 726a and 727a backing member 726a and 727b and, such as Figure 58-61 institute Show.In general, the downside of each backing member covering anchoring pad 104 is approximately half of.In any amount of configuration, can be used or More or few backing members.As shown in figure 59, left-hand side backing member 727b and pull tab 727a are removed (that is, covering is anchored the slot side of pad 104 The backing member of downside), thus the adhesive phase on the downside of exposure anchoring pad 104.

The process can be continued and operating as follows: device for positioning and securing 700, so that medical article enters across slot 712 Into the opening 710 of anchoring pad 104, as shown in figure 60.The retainer 102 of fixed device 700 can be oriented so that medical system The rotating nuts 244 of product are positioned within 102 top of device, and contact at least one adhesive surface of retainer 102.Then may be used The second backing member 726b and pull tab 726a is removed from the downside of anchoring pad 104, as shown in Figure 61.Therefore, fixed device 700 is fixed To the skin of patient.As shown in Figure 62, in some embodiments, retainer 102 be configured to by rotating nuts 244 relative to The skin of patient is suspended above the skin of patient at an angle (for example, 7 degree).

The process in Figure 62-65 by from flap 708 remove backing member 721b and 722b and pull tab 721a and 722a with It exposes adhesive surface 744 and continues.Then flap 708 is folded into the upper of anchoring pad 104, retainer 102 and medical article 200 Side, as shown in Figure 66-68.In this way, medical article is fixed to the skin of patient.

Figure 69-79 is gone to, another embodiment of fixed device 700 includes retainer 102 and anchoring pad 104.Retainer 102 illustrated embodiment does not include recessed portion as described above, but at least part packet of the top surface of retainer 102 Include adhesive 808.Retainer 102 is configured to fix medical article at an angle.As shown, top surface is at an angle of θ. It can be used a variety of different angle, θs, the angle is in the range of from 0 degree to 45 degree or from 5 degree to 25 degree.For example, for vein The fixation of inner catheter, it is expected that making the incidence angle of conduit and the skin of patient between about 7 degree Dao about 15 degree.Intra-arterial is led The fixation of pipe, it is expected that making about 12.5 degree of the incidence angle of conduit and the skin of patient.By make the top surface of retainer 102 at Desired angle, the angle will depend on specific stationary applications (for example, fixed intra-arterial catheters, intravenous catheter etc.), can Conduit is set to maintain appropriate incidence angle.

As shown in Figure 69-71, anchoring pad 104 is shaped as including two alar parts 816 and a loop section 850, wherein Two alar parts 816 are configured to branch bearing retainer 102, and loop section 850 is configured to the insertion section generally about medical article Position and the frame for constituting film 812.The downside for being anchored pad 104 may include adhesive phase 106.

As shown in Figure 71, the medical article 200 with rotating nuts 244 can be placed on to the top surface of retainer 102 On.The loop section 850 of pad 104 is anchored generally about insertion site.The loop section 850 for being anchored pad 104 constitutes the frame of film 812. Anchoring pad 104 may also include slot 814.Slot 814 can be sized and be shaped, so that medical article may pass through slot 814.

Figure 72 is the exploded view of fixed device 800.Double faced adhesive tape 808 may be provided on the top surface of retainer 102.It protects Holder 102 may be provided on anchoring pad 104, positioned at the approximate center of the alar part 816 of anchoring pad 104.It is anchored under pad 104 Side can be covered by adhesive phase 106.A part of the downside of adhesive phase 106 can the covering of envelope 810.In some embodiments In, envelope 810 does not cover at least outermost portion or outer periphery of adhesive phase 106.In some embodiments, film 810 Downside 811 includes adhesive phase.Backing member 809, which can be removed, can cover the adhesive surface 808 of retainer 102.Removable backing member 806, 807 and 822 may be provided on the downside of anchoring pad 104 and film 810.Backing member 806,807,809 and/or 822, which can be removed, may include The folded portion of pull tab is formed, as described above.

In operation, can be led to using the method for fixed device 800 and the process for medical article to be integrated to patient It crosses following operation and starts: the loop section 850 for being anchored pad 104 being folded far from the slot side of anchoring pad 104, and removes covering and protects The removing backing member 808 of the top adhesive surface of holder 102, as shown in Figure 74.

The process can be continued and operating as follows, be positioned to fixed device 800, so that retainer 102 is located in The lower section of a part of medical article 200, as shown in Figure 75.As shown in Figure 76, the process is by removing covering anchoring pad 104 The removing backing member 822 of the adhesive surface of the downside of alar part 816 and continue.Then, the loop section of covering anchoring pad 104 also can be removed The removing backing member 807 of about half of 850 lower surface.Therefore, the slot side for being anchored the loop section 850 of pad 104 is attached to patient Skin, as shown in Figure 77.Remove the rest part and/or cover film 810 of the adhesive phase on 104 lower surfaces of covering anchoring pad The second backing member 806, as shown in Figure 78.Then medical article is fixed to patient, as shown in Figure 79.

Fixed device described herein may include supporting member, (such as keep to support medical article to retainer Device 101) distal side and/or the recessed portion (such as recessed portion 108) in retainer distal side extend part.For example, certain lead Pipe can have longer length or be attached to the extension tube advantageously supported by supporting member.Supporting member can be by any appropriate Material (for example, foamed material or plastics) be made, and in one embodiment by with retainer (such as retainer 101) Identical material is formed.Supporting member can be the component independently of fixed device or can be it is integral with fixation device, Such as the extension as retainer.Supporting member may include being configured to such as through frictional fit (such as snap-on (snapping) in conduit portion) and be attached to the conduit portion extended to the distal side of retainer or extend the part of tube portion. Supporting member can be connected to fixed device (such as far-end in retainer) along fold line or perforation line, to support structure Part may be connected to or be detached from retainer.In one embodiment, supporting member can be connected to dressing.

Figure 80 illustrates an embodiment of supporting member 900.Supporting member 900 has front surface 902, rear surface 904 and from the channel that top surface 906 extends 908.Supporting member 900 has thickness 910.Figure 81 is illustrated and fixed device one An example of the supporting member 900 in use is played, wherein fixed device includes retainer 101.Conduit 290 is by fixed device branch It holds and including the part in channel 108.Conduit portion 292 and 294 extends beyond channel 108, and conduit portion 294 It is supported by supporting member 900.In Figure 81, conduit portion 294 is shown to be shelved in channel 908 but is not completely in channel In 908, and supporting member 900 is positioned within the rear part of the distal abutment retainer 101 of device 101.Supporting member 900 can To be individual component, be not attached to the rear surface of retainer 101 or be in some manner attached to the rear surface of retainer 101 (for example, passing through adhesive) or the extension that can be used as retainer 101 and retainer 101 are integrally.Figure 82 illustrate from One example of the supporting member 900 that the top surface of retainer 101 extends.Again, supporting member 900 can be individual group Part, the rear surface for being not attached to retainer 101 or the rear surface for being attached to retainer 101 in some manner are (for example, pass through bonding Agent) or can be integral with retainer 101.In one embodiment, the supporting member 900 in Figure 81 can be along folding Superimposing thread fold and remain connected to far from the top surface of retainer the top surface of retainer simultaneously.In the embodiment of Figure 81 In, conduit portion 294 is shown to be completely in channel 908, such as in a manner of friction fit arrangement, so that conduit 290 can Releasably it is locked to supporting member 900.

Figure 83 illustrates an embodiment of supporting member 910.Supporting member 910 has front surface 912, rear surface 914 and side surface 916.Supporting member 910 is shown to be formed as specific prism shape, it is also contemplated that other geometric forms Shape, such as rectangular prism, triangular prism, hexagonal prism, cylinder etc..Figure 84-85 illustrates the retainer with fixed device The different views of 101 relevant supporting members 910.Conduit portion 292 shows the edge being shelved between 910 surface of supporting member On.Supporting member 910 can be individual component, is not attached to the rear surface of retainer 101 or be attached to guarantor in some manner The rear surface (for example, passing through adhesive) of holder 101 or the extension that can be used as retainer 101 and retainer 101 are at one Body.In Figure 84-85, show that supporting member 910 is attached to retainer 101 along fold line 920, this allows supporting member 910 It folds into from non-use position (not shown) using position, in the position of use, supporting member is relative to retainer 101 at certain Angle.In one embodiment, fold line 920 is perforated so as to separate in supporting member 910 with retainer.Although figure It shows that supporting member 900 and 910 is integrated to retainer in 81-82 and 84-85, but is also contemplated that supporting member is combinable To the other aspects of fixed device, such as anchoring pad or dressing.

It should be noted that attached drawing presented herein does not press any special ratios or scale is drawn, and can be to institute Show that embodiment makes many modifications.It would be recognized by those skilled in the art that aspect disclosed in this invention shown in this article and spy Sign is not limited to any particular implementation of systems stabilisation, and the stabilization including one or more of feature described herein System is designed to be used together with a variety of medical articles.

Various embodiments therefore offer above according to fixed device and system of the present invention consolidate medical article Surely the device of patient is arrived.The insertion site for being attached to the conduit of connector accessory or extension external member can be covered with dressing.

However, it is to be understood that any particular implementation according to the present invention, may not can be achieved all target or Advantage.Thus, for example, it would be recognized by those skilled in the art that the present invention can be practiced or carried out as follows: realize or The advantage or one group of advantage of optimization as taught herein, and have to not necessarily realize other that may be instructed or imply herein Target or advantage.

In addition, the interchangeability of the various features from different embodiments will be recognized in technical staff.For example, can be in reality Apply the feature that retainer disclosed in various embodiments is exchanged between mode.In addition to modification as described herein, ability Domain those of ordinary skill can also mix and match other known equivalents forms of each feature, with principle structure according to the present invention Make systems stabilisation and technology.

Although disclosing the present invention in the background of certain embodiments and embodiment, those skilled in the art can be with Understanding, the present invention expands to other alternate embodiments and/or purposes of the invention beyond specifically disclosed embodiment, with And various obvious modifications and equivalents of the invention.Therefore, it is contemplated that make scope of the invention herein disclosed not It should be limited by specifically disclosed embodiment described above.

Claims (19)

1. a kind of fixed system for being designed to elongate medical product, comprising:

The elongate medical product；With

Stabilising arrangement, the stabilising arrangement include:

Anchoring pad,

Retainer, the retainer have proximal and distal, top surface and bottom surface, and the top surface restriction level is put down Smooth surface,

Recessed portion, the recessed portion are formed in the retainer, and the recessed portion extends to the bottom from the top surface Portion surface,

Channel, the channel have the distal end being connected to the recessed portion and the proximal end being connected to the nearside of the retainer, institute It states channel and the recessed portion is configured to receive a part of the elongate medical product wherein, and

Supporting member, the supporting member are integrated to the top surface of the distal side of the retainer and from the top tables Face extends, which is configured to support the part that the medical article extends to the distal side of recessed portion.

2. fixed system according to claim 1, wherein the supporting member is independently of the retainer.

3. fixed system according to claim 2, wherein the supporting member is integrated to the holding by adhesive The distal side of device.

4. fixed system according to claim 1, wherein the supporting member and the retainer are integral.

5. fixed system according to claim 1, wherein the supporting member includes channel, which is configured to connect The part that the medical article of receiving extends to the distal side of the recessed portion.

6. fixed system according to claim 5, wherein the channel of the supporting member is configured to removably The supporting member is locked to the medical article.

7. fixed system according to claim 1, wherein the supporting member is the form of prism shape.

8. fixed system described in claim 1, wherein the retainer includes at least one adhesive surface.

9. fixed system according to any one of claims 8, wherein the adhesive surface contacts at least part of the medical article.

10. fixed system described in claim 1, wherein the channel has the side of the lateral width less than the recessed portion To width.

11. fixed system described in claim 1, wherein the retainer includes at least one adjacency section, and the adjacency section is by structure Cause to contact the surface for facing nearside of the medical article.

12. fixed system described in claim 11, wherein at least one described adjacency section is configured in the recessed portion and institute It states between channel.

13. fixed system described in claim 1, wherein the retainer further comprises being oriented distal side in described logical The adjacency section in road, the adjacency section are configured to contact the surface for facing distal side of the medical article.

14. fixed system described in claim 1 further comprises dressing, which includes bed course and transparent film layer, the bed course With first window, so that institute can be seen through the first window when the dressing is placed on above the stabilising arrangement State medical article.

15. fixed system described in claim 14, wherein the bed course includes the second window, so that placing in the dressing When above the stabilising arrangement, the insertion site of the medical article can be seen through second window.

16. fixed system described in claim 1, wherein the retainer is formed by elastomer.

17. a kind of fixed system for being designed to elongate medical product, comprising:

The elongate medical product；With

Stabilising arrangement, the stabilising arrangement include:

Anchoring pad,

Retainer, the retainer have proximal and distal, top surface and bottom surface, and the top surface restriction level is put down Smooth surface,

Recessed portion, the recessed portion are formed in the retainer, and the recessed portion extends to the bottom from the top surface Portion surface,

Channel, the channel have the distal end being connected to the recessed portion and the proximal end being connected to the nearside of the retainer, institute It states channel and the recessed portion is configured to receive a part of the elongate medical product wherein, and

Supporting member, the supporting member are integrated to the distal edge of the retainer, which is configured to support the medical treatment system The part that product extend to the distal side of recessed portion.

18. fixed system according to claim 17, wherein the supporting member can be with the retainer by perforation Separation.

19. fixed system according to claim 17, wherein the supporting member is integrated to the guarantor along fold line Holder, the supporting member are configured to fold into from non-use position using position.