CA2826255A1

CA2826255A1 - Chemotherapy treatment gown

Info

Publication number: CA2826255A1
Application number: CA2826255A
Authority: CA
Inventors: Joni Toenjes; Michele Niesen
Original assignee: Individual
Current assignee: CHEMOREADYSETGO LLC
Priority date: 2012-09-10
Filing date: 2013-09-04
Publication date: 2014-03-10
Also published as: US20140068835A1

Abstract

This disclosure describes a kimono garment for use by a chemotherapy patient to provide greater dignity and comfort during chemotherapy sessions and while traveling to and from sessions. The garment looks similar to a traditional kimono but with the addition of a hatch over the chest area where access to a chemotherapy patient's port is required. The hatch can be opened to enable access to a patient's port without compromising a patient's dignity and can then be closed during a session to provide greater comfort and dignity during a session. The garment also can include enlarged armholes thus easing its adornment and removal by patients suffering from enlarged arm diameters. The kimono garment also does not look like a medical gown, making a patient more inconspicuous when traveling to/and from chemotherapy sessions.

Description

CHEMOTHERAPY TREATMENT GOWN
CLAIM OF PRIORITY UNDER 35 U.S.C. 119 [0001] The present Application for Patent claims priority to Provisional Application No.
61/698,827 entitled "CHEMOTHERAPY TREATMENT GOWN" filed September 10, 2012, and assigned to the assignee hereof and hereby expressly incorporated by reference herein.
FIELD OF THE DISCLOSURE

[0002] The present disclosure relates generally to clothing. In particular, but not by way of limitation, the present disclosure relates to a garment used to assist chemotherapy patients.
BACKGROUND

[0003] Chemotherapy is the use of chemicals (medication) to treat disease; in this case it refers to the destruction of cancer cells. When health care professionals talk about chemotherapy, they are generally referring to cytotoxic medication, which prevents cancer cells from dividing and growing. There are more than 100 different types of chemotherapy drugs today, which are used to treat most cancers.

[0004] Chemotherapy drugs work by interfering with a cancer cell's ability to divide and reproduce. When the healthy cells in our body are damaged or die, our body produces new ones to replace them. This cell reproduction is done in an orderly, balanced way.
Cancer cells, however, reproduce more quickly, and their reproduction is out of control.
More and more are produced and they start to occupy more and more space, until eventually they push out space occupied by healthy, useful cells.

[0005] Chemotherapy drugs work by interfering with the cancer cell's reproduction.
Chemo drugs can be applied directly into the blood stream to attach to cancer cells throughout the body, or they can be delivered directly to specific cancer sites. In the majority of cases, patients need regular chemotherapy over a specific period.
Health care professionals create a protocol plan which specifies when treatment sessions occur and for how long.

[0006] A course of chemotherapy can last for weeks or months; it depends on the type and stage of the cancer (how advanced it is.) If the patient requires more than one course of treatment, there is a rest period after the treatment to allow her body to recover. For example, she may have a one-day treatment followed by a week's rest period, and this may be repeated many times.

[0007] Some chemotherapy drugs can be administered orally. Other chemo drugs are administered directly into the vein (intravenously). Intravenous administration of therapy medication allows for rapid entry into the body's circulation, where it is carried throughout the body in the blood stream.

[0008] A common method of intravenous administration is through the use of a surgically implanted port (also called a port-a-cath or a medi-port). FIG. 3 illustrates a side view of a port and catheter. A catheter 310 (a thin, soft, flexible plastic tube) is surgically implanted into the superior vena cava blood vessel 304 at the entrance of the right atrium of the heart. The catheter 310 has a port 308, or opening, placed just under the skin 302 of the chest, approximately 3 inches below the collarbone. The port 308 has a thin rubber disc which special needles (Huber needles) 306 can either pass medicines into, or take blood from. Many chemotherapy drugs require intravenous administration through a port 308 because of their toxicity to veins. Ports can have a useful life of three to five years. FIG. 1 illustrates another view of a port and catheter 100.
FIG. 2 illustrates a view of an implanted port 202 under the skin of a patient. Scar tissue 204 indicates an incision through which the port 202 was inserted.

[0009] A typical chemotherapy session consists of several steps. First, blood tests are run to assess the health of the patient and to determine if the patient can deal with the possible side-effects of that particular chemo treatment. At the beginning of each chemo session, the patient exposes her port and a health care professional draws a blood sample.

[0010] The nurse thoroughly cleans the skin over and around the port and may also apply an anesthetic numbing solution to the skin. She feels the port under the skin and finds the entrance by locating the edges of the port. The nurse then inserts a Huber needle into the soft middle section (the septum), attaches a vial to the needle and draws a blood sample.
A dressing is then placed over the needle to hold it in place until the end of the treatment.

[0011] The patient then waits while the blood sample is sent to the lab.
During this time the needle usually remains in the port. If the doctor determines the patient may be administered chemotherapy, the patient continues to the next step.

[0012] The actual chemotherapy treatment is often administered in a chemo ward or infusion unit in a hospital or cancer center. An average chemo ward consists of an open room with a number of large reclining chairs lined against a wall. The patient sits in the chair and the nurse administers a series of solutions (which can include heparin, saline, and a variety of chemotherapy medications) via the W.

[0013] At this point the patient is literally tethered to the IV stand, for two to twelve hours. Sometimes small tables, a small television, or a guest chair is provided.
Depending on the facility, the patient may be provided with a blanket, water or snacks upon request. She may get up from the chair if necessary to go to the restroom, pulling the IV stand along with her. Some chemo wards provide a curtain or sheet to separate patients from each other, but in most cases all chemo patients are in an open room so that nursing staff can see them easily. When all medications have been administered, a nurse removes the Huber needle and the patient is discharged from treatment.

[0014] Cancer patients have a lot on their minds. For most of them, "what to wear to chemo" is not on the short list. However, once the patient gets to their chemotherapy session they need to give the nurses access to their port, and are left with a rubber tube extending from their chest for a number of hours. With a traditional shirt, dignity is left at the door. If wearing a t-shirt, v-neck shirt, or polo shirt, the shirt must either be pulled over the head, thus exposing the patient to anyone in the room; at least one arm must be removed from a shirtsleeve, also depriving the patient of dignity; or the patient's neckline will become permanently stretched as medical staff pull the neckline to expose the port, such stretching being maintained for hours. If wearing a button-up shirt or blouse, the patient has to unbutton it past the breasts, again unnecessarily exposing the patient to anyone within eyesight. Once the patient is hooked up to the IV, either the shirt neckline is stretched out for several hours or the shirt is unbuttoned, exposing the chest.
[00151 FIG. 10 illustrates an example of a patient and two medical staff administering a chemotherapy session. The staff person on the right administers the drugs and blood removal while the staff person on the left puts tension on the patient's neckline in order to enable access to the port. Depending on the type of fabric and style of the neckline, this patient's shirt will likely be permanently stretched and deformed. As seen, chemotherapy patients are either left partially bare to medical staff, other patients, and visitors; they must deal with permanent deformation to their shirt necklines; or they have to wear skimpy, degrading clothing that provides access to their port.
SUMMARY OF THE DISCLOSURE
[0016] Exemplary embodiments of the present invention that are shown in the drawings are summarized below. These and other embodiments are more fully described in the Detailed Description section. It is to be understood, however, that there is no intention to limit the invention to the forms described in this Summary of the Invention or in the Detailed Description. One skilled in the art can recognize that there are numerous modifications, equivalents and alternative constructions that fall within the spirit and scope of the invention as expressed in the claims.
[0017] Some embodiments of the disclosure may be characterized as a kimono garment comprising right and left neckbands, a waistband, and a hatch. When the kimono garment is adorned, the right neckband can be arranged proximal to a right of the neck, can descend proximal to a right collarbone, and can descend down and across a patient's chest. The left neckband can, also when the kimono garment is adorned, be arranged proximal to a left of the neck, can descend proximal to a left collarbone, and can descend down and across the patient's chest. Either the left or right neckband can overlap the opposing neckband proximal to the patient's chest. A waistband can be coupled to the neckband that overlaps the opposing neckband. It can wrap around the torso and tie back on itself thereby holding the left and right neckbands in an overlapping fashion. A hatch can be centered to either the right of the right neckband or to the left of the left neckband, and below a shoulder of the kimono garment. The hatch can include an opening, a flap, and one or more coupling mechanisms. The opening in the kimono garment can enable access to the patient's port. The flap can be arranged concentrically to the opening and can have larger dimensions than the opening so as to cover the opening when the hatch is closed. The flap can be coupled to the kimono garment proximal to an edge of the opening. The one or more coupling mechanisms can be arranged proximal to one or more edges of the opening and selectively maintain the flap in a closed position over the opening.
[0018] Other embodiments of the disclosure may also be characterized as a medical garment comprising a right neckband, a left neckband, a waistband, a rectangular hatch, and two snaps. The right neckband, when the kimono garment is adorned, is arranged proximal to a right of a patient's neck, crosses proximal to a right collarbone, and descends down and across a chest of the patient. The left neckband, when the kimono garment is adorned, is arranged proximal to a left of a patient's neck, crosses proximal to a left collarbone, and descends down and across the chest of the patient.
Either the left or right neckband overlaps the opposing neckband. The waistband can be coupled to whichever neckband overlaps the opposing neckband. The waistband can wrap around the torso and tie back on itself thereby holding the left and right neckbands in an overlapping fashion. The rectangular hatch can be centered either to the right or left of the right or left neckband, respectively. The rectangular hatch can also be centered below a shoulder of the kimono garment. The rectangular hatch can include an opening in the kimono garment enabling access to a port of the patient. The rectangular hatch can also include a flap arranged over the opening and having larger dimensions than the opening so as to cover the opening when the rectangular hatch is closed. The flap can be coupled to the kimono garment proximal to an edge of the opening. The two snaps can be arranged proximal to one or more edges of the opening and a loop and button connector can be arranged between the two snaps. Both the snaps and the loop and button connector can selectively secure the rectangular hatch over the opening while enabling a tube from a needle in the port of the patient to extend through an opening between one of the snaps and the bottom edge of the opening.
[0019] Other embodiments of the disclosure can be characterized as a method of undergoing chemotherapy. The method can include adorning a kimono garment having a hatch arranged proximal to a patient's port. The method can further include securing the kimono garment to a patient via a waistband tied around the patient's torso.
The method can further include opening the hatch by either unsnapping one or more snaps of the hatch or by uncoupling a loop and button connector of the hatch. The method can yet further include receiving a needle into the port via the hatch and closing the hatch by either re-snapping the one or more snaps of the hatch or by coupling a loop to a button of the loop and button connector.
BRIEF DESCRIPTION OF THE DRAWINGS
[0020] Various objects and advantages and a more complete understanding of the present invention are apparent and more readily appreciated by referring to the following detailed description and to the appended claims when taken in conjunction with the accompanying drawings:

[0021] FIG. 1 illustrates an embodiment of a port;
[0022] FIG. 2 illustrates a port as implanted in a patient;
[0023] FIG. 3 illustrates a side view of a port along with a needle and catheter.
[0024] FIG. 4 illustrates a kimono garment as worn by a patient with a closed hatch;
[0025] FIG. 5 illustrates a kimono garment as worn by a patient with an open hatch;
[0026] FIG. 6 illustrates an embodiment of a kimono garment with a closed hatch;
[0027] FIG. 7 illustrates an embodiment of a kimono garment with an open hatch;
[0028] FIG. 8 illustrates a close-up view of a closed hatch of a kimono garment;
[0029] FIG. 9 illustrates a close-up view of an open hatch of a kimono garment; and [0030] FIG. 10 illustrates a patient wearing a traditional shirt during a chemotherapy session.
DETAILED DESCRIPTION
[0031] The word "exemplary" is used herein to mean "serving as an example, instance, or illustration." Any embodiment described herein as "exemplary" is not necessarily to be construed as preferred or advantageous over other embodiments.
[0032] Given the 'catch 22' between loss of dignity or loss of the usefulness of a shirt or other top garment, the inventor took the situation into her own hands and devised the CHEMONO garment. This garment allows access to a patient's port while maintaining her dignity via the use of a hatch in the garment. The hatch can be opened for port preparation (e.g., FIGs. 5, 7, 9) and then closed during chemo administration (e.g., FIGs.
4, 6, 8). The garment is also based on a traditional Japanese kimono and therefore provides a level of style that no other medical garment provides. Hence, chemotherapy patients can now maintain their dignity, wardrobe, and style both in the hospital and while traveling to and from the hospital.
[0033] The garment also is designed with a length to enable coverage of a patient's buttocks when seated, since top garments tend to slide up a person's rear when seated, causing discomfort. The garment's arms are also designed with sufficient looseness to enable a patient to easily move the arms in an upward fashion, since many chemotherapy patients have difficulty raising their arms, especially above shoulder level.
The armholes are also enlarged from a typical kimono in order to accommodate swelling of the arms (lymphedema), which often accompanies chemotherapy.
[0034] FIG. 4 illustrates a kimono garment as worn by a patient with a closed hatch. The kimono garment 402 can be adorned by a patient 400 and worn to and from chemotherapy sessions without looking as if they are wearing a medical gown.
Often a chemotherapy patient must choose between wearing a medical gown to and from chemotherapy sessions, and thereby 'advertising' her condition, or wearing typical street clothing, but having that clothing permanently disfigured at the neck. The kimono garment 402 enables the benefits and comfort of a medical gown including access to a port via hatch 404, but with the style of typical if not distinct street clothing.
[0035] FIG. 5 illustrates a kimono garment as worn by a patient with an open hatch.
Here the patient 500 can be seen wearing a kimono garment 502 having a flap 504 open to enable access to the patient's port 506 via opening 510. Via the opening 510, a nurse can clean the skin, insert a needle into the port 506, and apply a dressing over a top of the port 506 and needle. The hatch 404 can then be closed over the port 506 and an IV tube can be accessed via the hatch 404 as seen in FIG. 4. Since the flap 504 is larger than the opening 510, the port 506 area and the chest is completely covered once the patient 500 is hooked up to the medications.
[0036] FIG. 6 illustrates an embodiment of a kimono garment with a closed hatch. The kimono garment 600 includes a hatch 602 that is selectively maintained in a closed position via a coupling mechanism 604 such as a button and loop connector. A
button and loop connector includes a button and a loop of thread or other portion of the garment that loops around the button in a first position and wherein a second position is achieved by removing the loop from around the button. Other coupling mechanisms 604 can also be used such as snaps or a frog enclosure (or frog loop enclosure). These types of coupling mechanisms are advantageous as compared to zippers, traditional buttons, and VELCRO, since they can more easily and less painfully be opened and closed by patients, the elderly, and those suffering from lymphedema. Although the coupling mechanism 604 is illustrated as being centered across a top edge of the hatch 602, in other embodiments it can be off center.
[0037] The kimono garment 600 also can include a waistband, 606 that can be tied around a waist or torso of a patient and then tied to itself in order to secure the kimono garment 600 in a closed position thus maintaining the kimono garment 600 on the patient.
[0038] A continuous neckband wraps around the back of the neck and falls down a front of the kimono garment 600. For reference, the neckband can have a right neckband 610 and a left neckband 612. Each of the right and left neckbands 610, 612 wraps around the neck and passes proximal to a collarbone of the patient and then pass down and across a chest of the patient thus overlapping when the waistband 606 is tied.

[0039] The kimono garment 600 can also be seen to include enlarged armholes 614, 616 that make it easier for the garment 600 to be adorned by patients, especially those that cannot raise their arms above their head (e.g., because of mastectomies or other procedures) and those experiencing enlarged arm diameters. In other words, and as compared to a shirt where arms often have to be raised in order to put the garment on, the kimono garment 600 can be slipped on without the need to raise the arms into an uncomfortable or impossibly-high position. The enlarged armholes 614, 616 also make the garment 600 less constricting.
[0040] The kimono garment 600 also has an extended length such that a bottom edge 618 is arranged below the buttocks of a patient when standing. This prevents the kimono garment 600 from riding up a patient's rear sufficient to expose her from behind when seated.
[0041] FIG. 7 illustrates an embodiment of a kimono garment with an open hatch. The kimono garment 700 can be seen with an open hatch comprising a flap 702 providing access to the patient's port 704 via opening 710. Here, a button 706a or other component of a coupling mechanism can be seen above the opening 710, while a loop 706b or some other component of the coupling mechanism can be seen attached to a top of the open flap 702. The opening 710 has smaller dimensions than the flap 702 such that when closed, the flap 702 covers the opening 710 thus preventing any exposure of the port 704 or patient's 700 chest. The kimono garment 700 also includes a waistband 708 for tying the kimono garment 700 closed.
[0042] FIG. 8 illustrates a close-up view of a closed hatch of a kimono garment. This closer view of the kimono garment 805 shows the hatch 803 including coupling mechanisms such as snaps 818 and a button and loop connector 804. The loop can be seen to be arranged around and behind the button so as to maintain the hatch 803 in a closed position. The hatch 803 can be square or rectangular, as illustrated and in that case can have four or more edges. For instance, the illustrated hatch 803 has a top edge 801 and a side edge 802. A tube from the needle that is inserted into the patient's port can extend out through the top edge 801 or either side edge 802 since these edges 801, 802 include gaps. For instance, there is a gap between each snap 818 and the coupling mechanism 804. There is also a gap between the snaps 818 and a bottom edge of the hatch 803. As illustrated, the snaps 818 and the button and loop connector 804 are used in combination to affect the closed position of the hatch 803. In other embodiments, either one or more snaps or a coupling mechanism can be used alone.
[0043] The kimono garment 805 includes a neckband 806 that wraps behind the patient's 807 neck and down a side of the neck proximal to a collar bone and then across the chest where it overlaps or is overlapped by a neckband from the other side of the neck. The neckbands on either side form a single continuous band that wraps behind the neck, but for the purposes of description can be referred to as left and right neckbands.
[0044] FIG. 9 illustrates a close-up view of an open hatch of a kimono garment. The kimono garment 905 shows the hatch 901 in an open position where a flap 902 hangs down from a lower edge of the hatch 901 where it affixes to a bottom edge 903 of the opening 913. While this implies that the flap 902 bends along a bottom edge 903 of the opening 913, in other embodiments the flap 902 can be affixed to and bend along other edges of the opening 913. A coupling mechanism comprises a button 904a and a loop 904b. The hatch 901 also includes a first snap 910, 912 at an upper left corner of the hatch 901 and a second snap 909, 911 at an upper right corner of the hatch 901. The snaps each comprise an inner snap 910, 909 affixed to the kimono garment 905 near top edges of the opening 913 and an outer snap 912, 911 affixed to the kimono garment 905 near top edges of the flap 902. The opening 913 can be seen to have smaller dimensions than the flap 902 (an outline of the flap 902 in a closed position is illustrated via the dotted line) such that the flap 902 covers the opening 913 when the hatch 901 is in a closed position.
[0045] The hatch 901 is centered below a shoulder of the patient 907 and to the right of a neckband 906. Although not required, the hatch 901 can overlap the neckband 906 as illustrated and may include a snap 910, 912 that is arranged on the neckband 906. In other embodiments, the snap 910, 912 can be arranged to a right and/or below the neckband 906. A position of the snap 910, 912 may also depend on a designed position of the neckband 906 relative to the collarbone 908.
[0046] The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. For instance, although the kimono garment has been described relative to use for chemotherapy patients, it can also be used by patients receiving any of a variety of infusion therapy patients, such as those receiving treatment via a venous access port for Rheumatoid Arthritis. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

Claims

WHAT IS CLAIMED IS:
I. A kimono garment comprising:
a right neckband that, when the kimono garment is adorned, is arranged proximal to a right of the neck, descends proximal to a right collarbone, and descends down and across a patient's chest;
a left neckband that, when the kimono garment is adorned, is arranged proximal to a left of the neck, descends proximal to a left collarbone, and descends down and across a chest of the patient, the right and left neckbands forming a continuous band that wraps around a back of the neck, either the left or right neckband overlaps the opposing neckband proximal to the patient's chest;
a waistband coupled to whichever neckband overlaps the opposing neckband, and wrapping around the torso and tied back on itself thereby holding the left and right neckbands in an overlapping fashion; and a hatch being centered to either the right of the right neckband or to the left of the left neckband and below a shoulder of the kimono garment, the hatch comprising:
an opening in the kimono garment enabling access to a port of the patient;
a flap arranged concentrically to the opening and having larger dimensions than the opening so as to cover the opening when the hatch is closed, the flap being coupled to the kimono garment proximal to an edge of the opening;
and one or more coupling mechanisms arranged proximal to one or more edges of the opening and selectively maintaining the flap in a closed position over the opening.
2. The kimono garment of Claim 1, wherein the flap and opening are circular.
3. The kimono garment of Claim 1, wherein the flap and opening each have four or more edges.
4. The kimono garment of Claim 1, wherein the flap connection mechanism includes one or more snaps.
5. The kimono garment of Claim 4, wherein the flap connection mechanism includes snaps proximal to upper corners of the flap.
6. The kimono garment of Claim 1, wherein the flap connection mechanism includes one or more loop and button connectors.
7. The kimono garment of Claim 1, wherein the flap connection mechanism selectively affixes the flap over the opening while enabling a tube from a needle in a port of a patient to extend through an opening between the flap connection mechanism and the bottom edge of the flap.
8. The kimono garment of Claim 1, further comprising enlarged armhole openings in arms of the kimono garment to accommodate enlarged patient arms, accompanying bulk of the kimono garment being unnoticed since the kimono garment is meant to have a bulkier aesthetic.
9. The kimono garment of Claim 1, wherein the hatch is coupled to the kimono garment proximal to a bottom edge of the opening.
10. The kimono garment of Claim 1, wherein the hatch is coupled to the kimono garment proximal to a side edge of the opening.
11. A medical garment comprising:
a right neckband that, when the kimono garment is adorned, is arranged proximal to a right of a patient's neck, crosses proximal to a right collarbone, and descends down and across a chest of the patient;
a left neckband that, when the kimono garment is adorned, is arranged proximal to a left of the neck, crosses proximal to a left collarbone, and descends down and across a patient's chest, the right and left neckbands forming a continuous band that wraps around a back of the neck, either the left or right neckband overlaps the opposing neckband;
a waistband coupled to whichever neckband overlaps the opposing neckband, and wrapping around the torso and tied back on itself thereby holding the left and right neckbands in an overlapping fashion;
a rectangular hatch being centered to either the right of the right neckband or to the left of the left neckband and below a shoulder of the kimono garment, the rectangular hatch comprising:
an opening in the kimono enabling access to a port of the patient;
a flap arranged over the opening and having larger dimensions than the opening so as to cover the opening when the rectangular hatch is closed, the flap being coupled to the kimono garment proximal to an edge of the opening;
and two snaps arranged proximal to one or more corners of the opening; and a loop and button connector arranged between the two snaps, both the snaps and the loop and button connector selectively secure the rectangular hatch over the opening while enabling a tube from a needle in the port of the patient to extend through an opening between one of the snaps and the bottom edge of the opening.
12. The medical garment of Claim 11, wherein the flap and opening are circular.
13. The medical garment of Claim 11, wherein the flap and opening each have four or more edges.
14. The medical garment of Claim 11, wherein the snaps and the loop and button connector selectively affix the flap over the opening while enabling a tube from a needle in a port of a patient to extend through an opening between the snaps or between one of the snaps and a bottom edge of the opening.
15. The medical garment of Claim 11, further comprising enlarged armhole openings in arms of the kimono garment to accommodate enlarged patient arms, accompanying bulk of the kimono garment being unnoticed since the kimono garment is meant to have a bulkier aesthetic.
16. A method of undergoing chemotherapy comprising:
adorning a kimono garment having a hatch arranged proximal to a patient' s port;
securing the kimono garment to a patient via a waistband tied around the patient' s torso;
opening the hatch by either unsnapping one or more snaps of the hatch or by uncoupling a loop and button connector of the hatch;

receiving a needle into the port via the hatch; and closing the hatch by either re-snapping the one or more snaps of the hatch or by coupling a loop to a button of the loop and button connector.