CN105530978A

CN105530978A - Medical article securement systems

Info

Publication number: CN105530978A
Application number: CN201480048406.5A
Authority: CN
Inventors: G·H·豪厄尔; M·W·鲍恩; J·A·皮尔斯; A·S·埃兰戈文
Original assignee: CR Bard Inc
Current assignee: CR Bard Inc
Priority date: 2013-09-06
Filing date: 2014-09-05
Publication date: 2016-04-27
Anticipated expiration: 2034-09-05
Also published as: CN110639115B; EP3041552A1; WO2015035238A1; CN110639115A; EP3041552A4; CN105530978B

Abstract

A medical article, such as a catheter, is secured with respect to a patient with a securement device. The securement device may include a retainer and anchor pad. Certain devices may further include, for example, straps, flaps, dressings, slots, and recesses for securing the medical article to the patient. The retainer may include a recess and/or a channel. At least one surface of the retainer may be coated with an adhesive. A support member may be coupled to the retainer. The support member may include a channel configured to receive a proximally extending portion of the medical article.

Description

Medical article fixed system

the cross reference of related application

The application is the cip application that name that JIUYUE in 2013 is submitted on the 6th is called the international application No.PCT/US2013/058606 of " medical article fixed system (MEDICALARTICLESECUREMENTSYSTEMS) ", according to 35U.S.C. § 119 (e), this international application No.PCT/US2013/058606 requires that the name of JIUYUE in 2012 submission on the 7th is called the U.S. Provisional Application No.61/698 of " medical article fixed system (MEDICALARTICLESECUREMENTSYSTEMS) ", the name submitted on August 22nd, 251 and 2013 is called the U.S. Provisional Application No.61/868 of " medical article fixed system (MEDICALARTICLESECUREMENTSYSTEMS) ", the priority of 778, each of aforementioned application is incorporated to the application with its overall content by reference at this.

Technical field

The present invention relates generally to technology, system and device for conduit, conduit extension external member and/or other medical articles being fixed to patient.

Background technology

Medical patient often needs to carry out the repeat administration of fluid or medicine or the repetition drain of fluid.In medical industry, medical tube is utilized to provide various liquid or solution very common to patient.Such as, usually use the medical tubes such as such as conduit fluid and medicine to be introduced directly in patient body or in patient body and extract fluid out.In many cases, conduit remains on appropriate location Da Duo.In some cases, conduit can be attached to patient and reach the even longer time, and may need minimal movement to work rightly.

The movement of restricted conduit is normally favourable.The conduit of movement may cause patient uncomfortable, and the administration of limit fluid or medicine or the drain of fluid, cause and infect or removed in patient body unintentionally.In order to make conduit or other medical tubes keep being properly positioned within the persistent period for the treatment of, conduit or medical tube be stabilized in it patient by various ways.The most commonly, medical supplier can attempt by using adhesive tape that a part (such as adapter accessory) for the far-end of conduit or the medical treatment device that is connected to conduit is fixed to the movement that patient carrys out restricted conduit.Medical supplier usually and the rectangular adhesive tape (often adopting cruciform pattern) of the cross-shaped placement of far-end of conduit so that distal end of catheter is fixed to patient.This connection be fixedly intended between prevention 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

Device of the present invention, system and method have some features, and the arbitrary single feature in these features is not all solely responsible for attribute desired by the present invention.When not limiting the scope of the present invention expressed by claims which follow, the feature that it is relatively given prominence to by brief discussion now.After considering this discussion, particularly after reading title is the chapters and sections of " detailed description of the invention ", how understanding feature of the present invention is provided the some advantages being better than other fixed systems by people.

One aspect of the present invention is fixed system, and this system comprises: the medical article with elongate body, and the stabilising arrangement with keeper and grappling pad.Keeper can have nearside, distally and upside.Keeper can have and is arranged on depressed part in keeper and passage.Passage can extend to the nearside of keeper from depressed part.Elongate body can be arranged in depressed part at least partially.Can extend across passage at least partially and exceed the nearside of keeper of elongate body.Keeper can comprise at least one adhesive surface.Adhesive surface can be arranged on going up at least partially of the supine surface of keeper.Passage can have the lateral width of the lateral width being less than depressed part.Passage can have the lateral width of the lateral width being less than depressed part.Keeper can comprise at least one adjacency section (abutment), and this at least one adjacency section is configured to contact the surface facing nearside of elongate body, moves at least proximal direction to prevent elongate body.This at least one adjacency section can be arranged between depressed part and passage.This adjacency section can be configured to contact the surface facing distally of elongate body, moves at least distal direction to prevent elongate body.

Be configured for the keeper of the medical article fixedly with elongate body on the other hand.This keeper can comprise nearside, distally, bottom side and top side.In the top side of this keeper, can depressed part be set.This depressed part can be configured to the Part I receiving elongate body.Passage can extend through the nearside of this keeper from this depressed part.This passage can be configured to the Part II receiving elongate body.Grappling pad can be fixed to the bottom side of this keeper and be configured to grappling pad to be fixed to the skin of patient.This passage can have the lateral width of the lateral width being less than depressed part.

Be fixed system on the other hand, this system comprises: the medical article with elongate body, and stabilising arrangement.This device comprises keeper and grappling pad.Keeper comprises depressed part and flap (flap), and wherein flap is moveable from open position to make position.This main body to be arranged at least partially in depressed part and below flap, with at least flap in the close position middle time this main body is fixed to keeper.

Be fixed system on the other hand, this system comprises: the medical article with elongate body, and stabilising arrangement.This device comprises keeper and grappling pad.Keeper comprises depressed part and dressing, and wherein dressing is moveable from open position to make position.This main body to be arranged at least partially in depressed part and below dressing, with at least dressing in the close position middle time this main body is fixed to keeper.

Be fixed system on the other hand, this system comprises: the medical article with elongate body, and stabilising arrangement.This device comprises keeper and grappling pad.Keeper comprises the depressed part at least partially for receiving medical article.The Part I of grappling pad is moveable from open position to make position, when Part I in the close position middle time, Part I is attached to the Part II of grappling pad.

Be fixed system on the other hand, this system comprises: the medical article with elongate body, and stabilising arrangement.This device comprises keeper and grappling pad.Keeper by grappling pad supports and be configured to receive medical article.This system also comprises being connected to grappling pad and being configured to cover inserts the dressing at position.This dressing has lower surface and groove, wherein, lower surface is covered the skin for contact patient by binding agent at least in part, passing through at least partially and between dressing at grappling pad between the skin stage that groove is configured to allow medical article to be applied to patient in dressing.

Be fixed system on the other hand, this system comprises: the medical article with elongate body, and stabilising arrangement.Stabilising arrangement can have keeper and grappling pad.Keeper can have nearside, distally and upside.Keeper can comprise at least one adhesive surface.In some respects, the upside of keeper comprises at least one adhesive surface.Keeper can have and is formed at depressed part in keeper and passage.Passage can extend to the nearside of keeper from depressed part.Elongate body can be arranged in depressed part and passage at least partially.At least one adhesive surface that can contact keeper at least partially of elongate body.

Be the fixed system also with dressing on the other hand, this dressing has bed course and transparent film layer.This pad can have first window, when making above dressing is placed on stabilising arrangement, can see the main body of medical article through first window.This pad can comprise Second Window, when making above dressing is placed on stabilising arrangement, can see the insertion position of medical article through Second Window.In some respects, depressed part comprises at least one adjacency section, and this at least one adjacency section is configured to contact the surface facing nearside of elongate body, moves at least proximal direction to prevent elongate body.

Be the fixture being configured to the medical article with elongate body to be fixed to patient on the other hand, this device can comprise grappling pad and the keeper by grappling pad supports.Keeper can comprise the depressed part being at least partially configured to receive elongate body.Dressing can be attached to grappling pad.Dressing can be configured to from open position to make position be moveable, with elongate body is fixed to keeper and at least dressing in the close position middle time cover insert position.

Be configured for the fixture medical article with elongate body being fixed to patient on the other hand, this device can comprise grappling pad and the keeper by grappling pad supports.Keeper can comprise the depressed part being at least partially configured to receive elongate body.Flap can be attached to grappling pad.Flap can be configured to from open position to make position be moveable.Flap can comprise at least one adhesive surface, this at least one adhesive surface be formed at flap in the close position middle time flap is fixed at least elongate body.

Be configured for the fixture medical article with elongate body being fixed to patient on the other hand, this device can comprise the grappling pad with Part I and Part II.The Part I of grappling pad can be configured to from open position to make position be moveable and can be formed at the Part I of grappling pad in the close position middle time be attached to the Part II of grappling pad.Keeper can be supported by the Part II of grappling pad.Keeper can comprise the depressed part being at least partially configured to receive medical article.

Be configured for the fixture medical article with elongate body being fixed to patient on the other hand, this device can comprise grappling pad and the keeper by grappling pad supports.Keeper can be configured to receive medical article at least partially.Dressing can be connected to grappling pad.Dressing can be configured to cover and insert position.Dressing can have lower surface, and this lower surface is covered for skin dressing being attached to patient by binding agent at least in part.Dressing can have groove, passing through at least partially and between dressing at grappling pad between the skin stage that this groove is configured to allow medical article to be applied to patient in dressing and grappling pad.

Be configured for the fixture medical article with elongate body being fixed to patient on the other hand, this device can comprise grappling pad and the keeper by grappling pad supports.Keeper can be configured to receive medical article at least partially.Supporting member can be incorporated into grappling pad, and this supporting member is configured to be bearing in the part to the medical article of depressed part distal extension in keeper.Supporting member can comprise the path (passage) for removably supporting member being locked onto medical article.Supporting member can be shaped to prism (prism) shape.Supporting member can be attached to keeper along fold line (foldline).Fold line can be perforated so that being separated of supporting member and keeper.

Accompanying drawing explanation

Hereinafter with reference be intended to illustrate and the accompanying drawing of unrestricted particular implementation of the present invention to describe these and other feature, aspect and the advantage of invention disclosed herein.In addition, among each figure, use identical reference numerals to indicate the same components of illustrated embodiment.Be below to each concise and to the point description in these accompanying drawings.

Fig. 1-2 is the perspective view of the fixture according to an embodiment of the invention.

Fig. 3-4 is perspective views of the fixture of Fig. 1, and wherein backing member is removed.

Fig. 5 is the exploded view of the fixture of Fig. 2.

Fig. 6 is the plane graph of the fixture of Fig. 1, and wherein backing member is removed.

Fig. 7 is the perspective view of the fixture of Fig. 3, and wherein backing member is removed and medical article is placed in keeper.

Fig. 8-9 is the perspective views of the dressing that can use with the fixing device combination of Fig. 1.

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

Figure 11 is the plane graph of the dressing of Fig. 8.

Figure 12 A and Figure 13-14 is perspective views of the method for the fixture using Fig. 1.As shown in the figure, the method is by removing the backing member that is arranged on above keeper and starting.

Figure 12 B-D is the perspective view of the backing member of surface for being arranged on keeper or grappling pad.

Figure 15-17 is perspective views of the method for the fixture using Fig. 1.As shown in the figure, the method continues by removing the first backing member of the top of the part being arranged on keeper lower surface.Keeper can be placed on it patient, and medical article can be placed in keeper.

Figure 18-19 is perspective views of the method for the fixture using Fig. 1.As shown in the figure, the method continues by removing the second backing member of the top of the part being arranged on keeper lower surface.Before or after being placed in keeper by medical article, keeper can be fixed to patient.

Figure 20-22 is perspective views of the method for the dressing using Fig. 8.As shown in the figure, the method remove the first backing member by the part of the patient's side surface from dressing and.

Figure 23-24 is perspective views of the method for the dressing using Fig. 8.As shown in the figure, the method remove the second backing member by the part of the patient's side surface from dressing and.

Figure 25-26 is perspective views of the method for the dressing using Fig. 8.As shown in the figure, the method continues by dressing being placed on the top at least partially at insertion position and medical article.

Figure 27-28 is perspective views of the fixture according to another embodiment of the present invention.

Figure 29 is another perspective view of the fixture of Fig. 1, and the flap shown at keeper is placed on the medical article in keeper before folding across medical article.

Figure 30 is the exploded view of the fixture of Figure 27.

Figure 31 is the plane graph of the fixture of Figure 27.

Figure 32 is the top view of the method for the fixture using Figure 27.As shown in the figure, the method is by removing the backing member that is arranged on above keeper and starting.

Figure 33 is the top view of the method for the fixture using Figure 27.As shown in the figure, the method continues by being placed in keeper by medical article.

Figure 34-36 is top views of the method for the fixture using Figure 27.As shown in the figure, the method continues by removing the backing member of the lower surface covering grappling pad.

Figure 37-38 is top views of the method for the fixture using Figure 27.As shown in the figure, the method continues by the backing member removed on the adhesive surface of flap.

Figure 39-40 is top views of the method for the fixture using Figure 27.As shown in the figure, the method continues by the upper surface folding wing across medical article.

Figure 41 is the top view of the fixture of Figure 27, wherein flap in the close position in.

Figure 42-43 is top views of the method for the fixture using Figure 27.As shown in the figure, the method continues by dressing being placed on the top at least partially at insertion position and medical article.

Figure 44-45 is display perspective views according to the fixed system of another embodiment of the present invention.

Figure 46 is another perspective view of the fixture of Figure 44, and shows the medical article be placed in keeper.

Figure 47 is the exploded view of the fixture of Figure 44.

Figure 48 is the perspective view of the method for the fixture using Figure 44.As shown in the figure, the method is by removing the backing member that is arranged on above keeper and starting.

Figure 49 is the perspective view of the method for the fixture using Figure 44.As shown in the figure, the method continues by the backing member removed on the lower surface of grappling pad.

Figure 50 is the top view of the method for the fixture using Figure 44.As shown in the figure, the method continues by being placed in keeper by medical article.

Figure 51-53 is top views of the method for the fixture using Figure 44.As shown in the figure, the method continues by removing backing member from dressing and then being folded into above medical article by dressing.Medical article is through the groove in dressing.

Figure 54-55 is perspective views of the fixture according to another embodiment of the present invention.

Figure 56 is another perspective view of the fixture of Figure 54, and shows the medical article be placed on before a part for grappling pad or flap folds into above medical article in keeper.

Figure 57 is the exploded view of the fixture of Figure 54.

Figure 58 is the top view of the fixture of Figure 54, and this device comprises the stripping backing member on device lower surface.

Figure 59 is the top view of the method for the fixture using Figure 54.As shown in the figure, the method starts by removing the backing member of the lower surface covering grappling pad.

Figure 60 is the top view of the method for the fixture using Figure 54.As shown in the figure, the method guides medical article to continue through the groove in fixture by making fixture slide between the skin and medical article of patient simultaneously.

Figure 61 is the top view of the method for the fixture using Figure 54.As shown in the figure, the method continues by the second backing member removed on grappling pad lower surface.

Figure 62 is the perspective view of the fixture of the Figure 54 being fixed to patient.

Figure 63-65 is top views of the method for the fixture using Figure 54.As shown in the figure, the method continues by removing backing member from flap.

Figure 66-67 is top views of the method for the fixture using Figure 54.As shown in the figure, the method continues by being folded into above medical article by flap.

Figure 68 is the rear view of the fixture of Figure 54, the figure illustrates the medical article be fixed in fixture.

Figure 69-70 is perspective views of the fixture according to another embodiment of the present invention.

Figure 71 is another perspective view of the fixture of Figure 69, and shows the medical article be placed on keeper, and wherein the dressing of one covers and inserts position.

Figure 72 is the exploded view of the fixture of Figure 69.

Figure 73 is the top view of the fixture of Figure 69, and this device comprises the multiple backing members in fixture lower surface.

Figure 74 is the top view of the method for the fixture using Figure 69.As shown in the figure, the method is by removing the backing member that is arranged on above keeper and making grappling pad folding and start along groove.

Figure 75 is the top view of the method for the fixture using Figure 69.As shown in the figure, the method guides medical article to continue through groove by removing backing member and making fixture slide between patient skin and medical article simultaneously.

Figure 76 is the top view of the method for the fixture using Figure 69.As shown in the figure, the method is by removing backing member from the lower surface of dressing and grappling pad and dressing and grappling pad being attached to patient and continuing.

Figure 77-78 is top views of the method for the fixture using Figure 69.As shown in the figure, the method continues by removing extra backing member from the lower surface of dressing.

Figure 79 is the top view of the fixture of Figure 69, and wherein dressing to be fixed on above medical article and fixture is attached to patient.

Figure 80 and 83 is perspective views of supporting member.

Figure 81-82 is perspective views of the fixture of the supporting member with Figure 80.

Figure 84-85 is perspective views of the fixture of the supporting member with Figure 83.

Detailed description of the invention

The preferred implementation that fixture of the present invention disclosed in the environment used together with exemplary catheter is shown with example is below described.More particularly, these embodiments relate to the stabilising arrangement and the correlation technique that make medical article be stabilized in patient appropriate location with it.In the embodiment of shown fixture, conduit is used as the part of (" I.V. ") pipeline in peripheral vein.

The following description and drawings describe and show preferred implementation, in order to show some possible configurations that fixture and/or fixed system can be taked, to comprise various disclosed aspect of the present invention and feature.Illustrated embodiment is shown as using together with the conduit with swivel nut.Illustrating of fixture is not in the environment intended to disclosed aspect and feature are limited to specified embodiment or be limited to only use together with shown conduit.Such as, disclosed embodiment can use together with adapter accessory.Adapter accessory can comprise swivel nut or other outward extending features.Those skilled in the art will recognize that, disclosed aspect and feature are not limited to any detailed description of the invention of fixed system, and comprise creative aspect as herein described and can be designed to use together with multiple medical article with one or more the fixed system in feature.

Consider content of the present invention, it will be appreciated by those skilled in the art that, described fixture can use together with the medical article of other types, these medical articles include but not limited to conduit and sheathed catheter joint (catheterhub) (have or do not have adapter or extend external member) of various design, such as central venous catheter, periphery plug-in type centre pipe, hemodialysis catheter, Fu Li (Foley) conduit, and the sheathed catheter of other designs saves and conduit adaptor.Other medical articles can comprise surgical drainage tube, feeding tube, ductus thoracicus, nasogastric tube, rectum drainage tube, EVD pipe, breast pipe; The fluid supply channel of any other kind or medical tubing, adapter accessory and observation mirror (scopes), and the electric wire or the cable that are connected to electronic installation that is outside or that implant or sensor.Described medical article can be the combination of single medical article or some medical articles.

Fixture as herein described is particularly suited at least transverse shifting stoping conduit.Medical article is held against patient and the region of protection insertion near sites by fixture.Fixture realizes this target when the insertion of not intentional destruction (that is, blocking in fact) through the fluid stream of the tube chamber of medical article or infringement medical article.In some embodiments, the maintaining body in order to realize this target comprises the keeper with depressed part, flap, bandage, grappling pad and/or dressing.Such as, depressed part, flap, bandage, grappling pad and/or dressing can be coated with binding agent.Flap or bandage can be in aggregates with fixture, and are folded in the top of the medical article be placed in keeper and fix this medical article.In other embodiments, fixture can comprise a part for integrated dressing or grappling pad, and a part for integrated dressing or grappling pad is configured to cover insertion position.Integration dressing/grappling pad is collapsible into the top of another part of grappling pad/keeper, and medical article is arranged between the two.

In general, fixture can be attached to patient, and medical article can be placed in fixture at least in part.Fixture can comprise depressed part.This depressed part can be formed by one or more upwards wall extension.Upwards wall extension can be shaped to comprise one or more abutment surface.Abutment surface can stop and/or prevent the medical article movement at least one direction that is placed in fixture.One or more surfaces of these upwards wall extensions can comprise binding agent.In some embodiments, what form the top surface of the upwards wall extension of depressed part is coated with binding agent at least partially.Dressing can be configured to cover and insert position, fixture and medical article at least partially.Medical article can be arranged between fixture and dressing.In some embodiments, dressing can be in aggregates with fixture.

For assisting these assemblies describing fixed system, use following coordinate terms (see such as Fig. 7, Figure 25, Figure 27, Figure 46, Figure 56 and Figure 71)." longitudinal axis " is roughly parallel to the sheathed catheter joint or the parts of other medical articles that are kept by fixed system, and is parallel to the axis of depressed part of the keeper that medical article extends through." lateral axes " and longitudinal axis orthogonal." axis of pitch " extends along the direction vertical with lateral axes with longitudinal axis.

In addition, as used herein, " longitudinal direction " refers to the direction being arranged essentially parallel to longitudinal axis; " lateral " refers to the direction being arranged essentially parallel to lateral axes; And " horizontal direction " refers to the direction being arranged essentially parallel to axis of pitch." axis " refers to the axis of passage, depressed part or cover joint as the term is employed herein, therefore with " longitudinal direction " synonym substantially as the term is employed herein.In addition, for the use of the term " nearside " and " distally " that describe fixed system of the present invention and the description of exemplary application (that is, using the illustrative example applied) consistent.Therefore, nearside and distally be with the center of patient body for reference to and use.

Also term " top ", " bottom ", " top ", " bottom ", " downside ", " upside " etc. for describing fixed system of the present invention use to be oriented to shown in embodiment with reference to.Such as, term " upside " is located across the part above the lateral axes of the axis of the depressed part in keeper for describing keeper.Term " downside " is located across the part below the lateral axes of the axis of the depressed part in keeper for describing keeper.Some briefly introduce in the described embodiment common characteristic of present description fixed system.

Referring now to for illustrate and the concrete form selected or embodiment to describe various aspects.Should be understood that, the spirit and scope of fixed system disclosed herein are not limited to selected form.In addition, it should be noted, accompanying drawing provided herein not by any special ratios or scale, and can make many modification to illustrated embodiment.Some briefly introduce in the described embodiment common characteristic of present description fixed system.

Preferred implementation advantageously provides the medical tubing fixed system for medical article being fixed to patient.Medical article can have elongate body.Elongate body cooperates with keeper, to stop medical article when being placed in keeper in longitudinal direction, side direction and movement in a lateral direction.Keeper can comprise depressed part.Depressed part can be set size and be shaped to the part for receiving medical article, such as, and swivel nut.Depressed part can provide the abutment surface of one or more movement be limited on longitudinal and/or lateral.In some embodiments, the lower surface of depressed part comprises binding agent.Binding agent can limit longitudinal, side direction and the transverse shifting of the medical article be placed in the depressed part of keeper.Keeper can by one or more grappling pad supports.These grappling pads can comprise binding agent, grappling pad to be attached to the skin of patient.Flap/the bandage being connected to grappling pad and/or keeper is collapsible into above keeper, the medical article of further fixed placement in keeper.

Medical article can comprise intubate.Intubate can be inserted in patient body.This insertion position also can be covered by dressing.Dressing also can limit the movement of medical article.Dressing can protect insertion position to avoid being stained with moisture and/or being infected in addition.In some embodiments, dressing is integrated or is attached to keeper and/or grappling pad.In some embodiments, fixed system disclosed herein can be attached to patient after medical tubing (such as, periphery I.V. pipeline) being incorporated into patient.

For ease of the complete understanding to embodiment, the remainder of detailed description of the invention describes fixed system with reference to accompanying drawing, and wherein in the following description, the same numbering of the similar elements in the middle of embodiment is mentioned.

With reference now to Fig. 1-2, the embodiment of fixture 100 comprises grappling pad 104 and keeper 101.Grappling pad 104 can have lower surface 106 and upper strata 105, and wherein, lower surface 106 can be attached to the skin of patient.The upper strata 105 of grappling pad 104 is configured to support at least keeper 101.In a joint manner, lower surface 106, upper strata 105 and possible one or more intermediate layers can form laminate structures.Comprise the commercially available acquisition of the laminate with the foam of adhesive layer or the suitable of weaving material.Grappling pad 104 can be constructed to flexible structure, and this flexible structure is configured to the surface of the skin of laminating patient.In some embodiments, grappling pad 104 lower surface 106 comprise binding agent at least partially.

The upper strata 105 of grappling pad 104 can comprise foam (such as, closed-cell polyethylene foam) layer or weaving material (such as, warp-knitted fabric) layer or non-woven material.The surface of froth bed or woven layer forms the upper strata of grappling pad 104.In replacement scheme, upper strata 105 can comprise top ply of paper or other nonwoven layers, and internal foam layer can be placed between upper strata and lower adhesive surface.In some embodiments, grappling pad comprises microbicidal additives.Grappling pad and keeper can protect the skin of patient from the stimulation caused by medical treatment device chafing against skin.

Grappling pad 104 is configured to the skin being fixed to patient.Binding agent on the lower surface 106 of grappling pad 104 can be medical grade adhesive and can select the binding agent of diaphoresis or not diaphoresis according to application-specific.Lower adhesive surface can have the adhesive of medical of the additional type be laminated on it, such as silicone adhesive agent.In some embodiments, lower adhesive layer comprises anti-biotic material or antimicrobial material.Such as, lower adhesive layer can comprise slaine or the metal-oxide of one or more oligodynamic, or the combination of salt and oxide.In some embodiments, lower adhesive layer comprises ag material, such as silver salt, silver colloid or silver composite.Adhesive surface can be solid layer, maybe can be constructed to such as in point or the interval layer of bar pattern.Lower adhesive surface can be applied on grappling pad 104 during manufacture, and available backing member as mentioned below covers lower adhesive surface.Or, double-faced adhesive tape can be applied to upper strata before application.

In embodiment in FIG, grappling pad 104 comprises two removable backing members 135 and 136 on the lower surface 106 of grappling pad 104.Before the use, removable backing member 135 and 136 can cover lower adhesive surface.These two backing members can be resisted and tear, and can be divided into multi-disc, to contribute to the skin removing backing member and grappling pad 104 is easily attached to patient.Backing member 135 and 136 can be divided into two adjacent sheet.Backing member 135 and 136 can be made up of paper, plastics, polyester or similar material.Such as, backing member 135 and 136 can comprise the material be made up of the silication paper of polymer-coated, or another suitable material, the paper of such as high density polyethylene (HDPE), polypropylene, polyolefin or silicon coating.

As shown in Figure 1-2, peel off backing member 135 and 136 and comprise convex tongue 130, it extends beyond the edge of grappling pad 104, grips like a cork and peels off backing member 135 and 136, and removed from grappling pad 104 by stripping backing member to allow medical supplier.Convex tongue 130 can be positioned at any edge of grappling pad 104 and can be any suitable size or shape.As shown in Figure 1-2, peeling off boundary 133 place between backing member 135 and 136, the part peeling off backing member 136 can extend above the part peeling off backing member 135.

Continue Fig. 1-2, backing member 120 can cover the adhesive surface of keeper 101.This 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 whole top surface of keeper 101, or only can cover the adhesive portion of keeper 101.As shown in Figure 1, the size of backing member 120 is set to the neighboring covering whole keeper 101 and extend beyond keeper 101.In this way, a part for backing member 120 can form pull tab 125.Pull tab 125 can allow health care provider easily to grip backing member 120 and remove backing member 120 from keeper 101.Backing member 120 can be prepared to and the capped surface of keeper 101 is maintained in aseptic condition by backing member 120.In some embodiments, backing member 120 has the size longer than keeper 101, and this guarantees that backing member 120 overhangs all the time and exceedes the top of keeper 101, to form gripping surface, is used for removing backing member 120 for user.

Forward Fig. 3-4 to, keeper 101 is configured to receive and fixes medical article at least partially.In the illustrated embodiment of Fig. 3-4, the depressed part 108 at least partially that keeper 101 comprises top surface 102 and is formed for receiving medical article.Depressed part 108 also comprises the passage 114 of the nearside extending through keeper 101.Passage 114 can be formed for receiving medical article at least partially.As shown in the figure, passage can have the lateral width of the lateral width being less than depressed part.Keeper 101 also can comprise the nearside adjacency section 110 extended on the direction towards passage 114 at least in part.Nearside adjacency section 110 can be formed for contact medical article at least partially and prevent from being placed on the movement at least proximal direction of medical article in depressed part and/or passage.In some embodiments, nearside adjacency section is arranged between depressed part 108 and passage 114.

Depressed part also can comprise adjacency section, distally 111.One or more wall that adjacency section, distally 111 upwards can be extended by the top surface from grappling pad 104 is formed.Adjacency section, distally 111 can be formed for contact medical article at least partially and prevent from being placed on the movement at least distal direction of medical article in depressed part 108 and/or passage.

Depressed part 108, passage 114, nearside adjacency section 110 and/or adjacency section, distally 111 can be set size and be formed for any suitable medical article of matching or its part.In some embodiments, depressed part 108, passage 114, nearside adjacency section 110 and/or adjacency section, distally 111 are set size and are formed for the part of more than type and/or a more than size of receiving medical article.In this way, fixed system disclosed herein can use together with multiple medical article.Diversified swivel nut uses in medical industry, and can have difference according to application, geographical position and/or supplier.The size of this type of swivel nut, shape and/or size have difference.Therefore, fixed system disclosed herein can advantageously provide the keeper being configured to a fixing more than swivel nut embodiment.Such as, depressed part 108, passage 114, nearside adjacency section 110 and/or adjacency section, distally 111 can be set size and be formed, make when the first swivel nut inserts in depressed part 108, the surface facing nearside of the first swivel nut is placed with the surface contact facing distally with nearside adjacency section, and the surface facing distally of the first swivel nut does not contact the surface facing nearside of adjacency section, distally.When the second swivel nut of different size and/or shape inserts in same depression portion 108, the surface facing nearside of the second swivel nut is placed with the surface contact facing distally with nearside adjacency section, and the surface facing distally of the second swivel nut is also placed with the surface contact facing nearside with adjacency section, distally.In this way, one or more surfaces of swivel nut can near one or more abutment surfaces of keeper 101, and this depends on size and/or the shape of the swivel nut be just fixed.Therefore, according to the length of (such as) passage and the length of swivel nut, when this swivel nut is inserted in keeper 101, gap or space can be there is before swivel nut or below.In some embodiments, depressed part 108 and passage 114 are set size and are shaped as the size and shape being approximately equal to specific swivel nut, and this swivel nut is closely fitted within depressed part 108 and passage 114.

In some embodiments, depressed part 108 and/or passage 114 inner surface comprise binding agent at least partially.Such as, what binding agent can be arranged on the lower surface of depressed part 108 and/or passage 114 goes up and/or is formed going up at least partially of the interior wall of depressed part 108 and/or passage 114 at least partially.Other surfaces of keeper 101 also can comprise binding agent.Such as, in some embodiments, what form the top surface 102 of the upwards wall extension of depressed part 108 comprises binding agent at least partially.This binding agent can be similar in conjunction with the binding agent described in grappling pad 104.This binding agent can be attached to one or more surfaces of the medical article be placed in keeper 101, to limit the movement of medical article further.Keeper 101 can comprise various material, such as, and one or more elastomers.In some embodiments, keeper 101 comprises the material being configured to allow easily to remove closed binder and/or binder.

Fig. 5 is the exploded view of the fixture of Fig. 1.Backing member 120 can be arranged on the upper surface 102 of keeper 101.The upper surface 102 of keeper 101 can comprise binding agent.This binding agent can be configured to stop the movement being placed to the medical article contacted with the upper surface 102 of keeper 101.In some embodiments, the upper surface 102 of keeper 101 comprises binding agent, makes medical treatment device Absorbable organic halogens on keeper 101, thus allows user to decontrol medical treatment device, completes installation with hands.Keeper 101 and backing member 120 can be arranged on grappling pad 104.The lower surface 106 of grappling pad 104 can comprise binding agent at least partially.Removable backing member 135 and 136 can be arranged in the lower surface 106 of grappling pad 104, to cover adhesive surface.Backing member 135 and 136 is removable, and grappling pad 104 can be fixed to the skin of patient.

Forward Fig. 6 to, the plane graph of its display keeper 101 and grappling pad 104.Keeper 101 comprises depressed part 108, passage 114, nearside adjacency section 110 and adjacency section, distally 111.Depressed part 108 can be any suitable size and shape.As shown in the figure, depressed part 108 has the width of the width being greater than the passage 114 extended in a proximal direction from depressed part 108.Stand out between them can form adjacency section 110.In other words, adjacency section 110 may extend in the portions of proximal of depressed part 108, to form the width passage 114 narrower than depressed part 108.In this way, keeper 101 can by medical article be received at least partially passage 114 at least partially in and/or depressed part 108 at least partially in.In addition, medical article face the surface of nearside at least partially can near the surface facing distally of adjacency section 110.In this way, adjacency section 110 can prevent the medical article movement at least be in a proximal direction placed in keeper 101, and simultaneously adjacency section, distally 111 can prevent its movement at least in a distal direction.In some embodiments, the width of depressed part 108 is about 7mm, and the width of passage 114 is about 4mm.

As shown in Figure 7, medical article 200 can be placed in keeper 101.This medical article can comprise conduit 210 and be connected to the sheathed catheter joint 230 extending external member 220.Those skilled in the art roughly know that sheathed catheter saves.Sheathed catheter joint 230 shown in Fig. 7 has proximal body 232 and distal body 212.But different sheathed catheter joint can comprise the main part with various difformity and size more or less, all these all can use together with other embodiment of keeper or keeper as herein described.Prolongation external member 220 shown in Fig. 7 comprises the swivel nut 244 being connected to adapter 225, and wherein adapter 225 is attached to medical tube 222.In some embodiments, sheathed catheter joint 230 comprises the check valve of one.In some embodiments, keeper 101 is configured to medical article 200 to be suspended at above the skin of patient, with allow conduit relative to patient skin at an angle (such as, with the angle of 7 degree) be inserted in the skin of patient.Such as, as shown in Figure 7, keeper 101 can be set size and be formed, and the rear portion of medical article is supported by the distal part of keeper 101.In some embodiments, adjacency section, distally 111 both can relative to the distal part of the portions of proximal suspension medical article of medical article, again by the surface facing distally near medical article to prevent the movement of medical article at least distal direction.

In the embodiment shown in figure, depressed part 108 is formed the part for receiving swivel nut 244, and passage 114 is formed for a part of receiving sheathed catheter to save the distal body 212 of 230.In this way, the proximal face of swivel nut 244 can near the distal surface of adjacency section 110.In other words, the proximal face of swivel nut 244 can near the distal surface of keeper 101, to prevent conduit 200 towards the movement in the proximal direction of patient.

Depressed part 108 and/or passage 114 can be formed the different piece for receiving medical article 200.Such as, in some embodiments, passage 114 and depressed part 108 are formed for receiving adapter 225.In this embodiment, the distal surface of adjacency section 110 is accessibly connected the surface facing nearside of device 225, to prevent conduit 200 movement in a proximal direction.In this way, swivel nut 244 be can't help keeper 101 and is fixed, and therefore, swivel nut 244 can sheathed catheter save 230 remain fixed to patient while rotated to extend external members 220 from sheathed catheter joint 230 release.

Forward Fig. 8-9 to, the dressing 400 that its display can use together with fixture mentioned above.Dressing 400 comprises closed layer 418, the lower surface covered by binding agent at least in part and the lower surface that covers dressing 400 two and peels off backing members 435 and 436.Binding agent is configured to be attached to the skin of patient and/or the part of the part of grappling pad, the part of keeper and/or medical article.Dressing 400 comprises insertion window 426 and keeper window 425.The opening 455 that this dressing also comprises passage 450 and is formed for receiving medical tube 222.As shown in the figure, backing member 435 and 436 is peeled off from the lower surface of dressing outwardly and form pull tab 437 and 439.

Stripping backing member 435 and 436 can cover the binding agent on the lower surface being arranged on dressing 400.Peel off backing member 435 and 436 can cover the whole lower surface of dressing or only can cover adhesive surface.Peel off backing member 435 and 436 and can comprise antimicrobial or antibacterial material or coating, and/or there is the Argent grain of dispersed throughout.Dressing 400 and stripping backing member 435 and 436 can be prepared to and the capped surface of closed layer is maintained in aseptic condition by stripping backing member 435 and 436.In some embodiments, only use one and peel off backing member.

In some embodiments, in the lower surface of dressing 400, at least around inserting the periphery of window 426 and comprising binding agent around the periphery of keeper window 425.In some embodiments, the whole lower surface of adhesive coverage dressing 400, but except the region formed by insertion window 426 and keeper window 425.In some embodiments, the binding agent in the lower surface of dressing 400 is configured such that dressing 400 will not adhere at insertion point place.In this way, can reduce and to worsen or position or the skin inserted around position are inserted in galling and/or near insertion point or introduce the probability of pollutant and/or liquid in insertion point.In addition, the binding agent in the lower surface of dressing 400 can be configured such that adhesive layer is by non-cohesive or adhere to conduit and/or sheathed catheter joint.In this way, the adhesive residue on conduit and sheathed catheter joint and viscosity accumulation can be reduced or avoid.In other embodiments, the whole lower surface of adhesive coverage dressing 400, comprises and inserts window 426 and keeper window 425.

As mentioned above, dressing 400 comprises passage 450 and opening 455.Passage 450 and opening 455 allow dressing to be applied on medical article.Dressing 400 can be formed at when conduit and/or sheathed catheter joint top are applied to the skin of patient and provide waterproof sealing around insertion position.In some embodiments, although define waterproof sealing, dressing 400 is still breathable.In some embodiments, dressing 400 constructs in the mode being similar to grappling pad 104.

In some embodiments, dressing 400 comprises bleeding-stopping dressing.In this type of embodiment, dressing 400 is fixed on and inserts on position or other wounds to go out from insertion section bit stream by anti-Hemostatic Oral Liquid.Such as, dressing 400 can comprise or be coated with hemorrhage or hemorrhage agent, such as chitosan or other polysaccharide, collagen protein (as microfibril hemorrhage), anhydrous slufuric acid aluminum, potassium alum, titanium dioxide, gelatin or thrombin solution.In some embodiments, the little Bao pad with hemostasis and anti-microbial properties is also provided.This type of pad can be configured to around conduit and/or cover insertion position.In some embodiments, antimicrobial/tampon and keeper 101 or grappling pad 104 in aggregates, to improve the easness placing this pad.In some embodiments, this pad is by being called material make.In some embodiments, dressing comprises microbicidal additives.

Figure 10 is the exploded view of dressing 400.As shown in the figure, closed layer 418 can be arranged on the top surface 408 of dressing 400.The lower surface 406 of dressing 400 can be covered by binding agent at least in part.Peel off backing member 435 and 436 can be arranged in the lower surface 406 of dressing 400.As shown in the figure, the closed layer 418 of dressing 400, top surface 408 and peel off backing member 435 and comprise passage and opening.In some embodiments, the lower surface 419 of closed layer 418 is covered by binding agent at least in part.In addition, peel off backing member 435 and can comprise the folded part 439 that a part 437 for backing member 436 is peeled off in contact.In this way, pull tab 439 is stripped backing member 436 completely and covers.Therefore, health care provider is encouraged first to grip the part 437 peeling off backing member 436, to encourage appropriate placement technique.After the front portion of dressing 400 or top are attached to skin, health care provider then can grip folded part 439 and remove stripping backing member 435.

That closed layer 418 can be configured to waterproof or otherwise by penetration by liquid, and can not also limit the flowing of air in some embodiments.In other embodiments, closed layer 418 can be configured to breathable, thus allow the air of insertion near sites and/or moisture to arrive opposite side through closed layer 418 and away from insertion position, make the outside moisture on the opposite side of at least closed layer 418 be kept away from simultaneously and insert position.In some embodiments, the impermeable virus of closed layer 418 and antibacterial, and can comprise or be coated with anti-biotic material or antimicrobial material.In some embodiments, closed layer 418 comprises or is coated with wax material.In some embodiments, closed layer 418 comprises film, and this film can be transparent, also can be opaque.

Select hyaline membrane or semi-transparent film to be used as closed layer 418, medical supplier can be allowed to be seen by the insertion window in dressing and insert position.In this way, potential infection or inflammation is seen by hyaline membrane.Use hyaline membrane or semi-transparent film as closed layer 418, medical supplier also can be allowed to see any used conduit, to guarantee that maintaining fluid connects.

In some embodiments, closed layer 418 is absorbefacient (absorbent).In some embodiments, closed layer 418 comprises absorbing acrylic resin, alginate, foam, aqueous colloidal and/or hydrogel material, and/or can comprise ag material, such as silver salt, silver colloid or silver composite.In one embodiment, in closed layer 418 or on it, use slaine or the metal-oxide of one or more oligodynamic, or the combination of salt and oxide is as antimicrobial.In some embodiments, closed layer 418 is configured to the upper strata being similar to grappling pad 104.

The plane graph of dressing 400 is shown in Figure 11.As shown in the figure, passage 450, from the remote extension of dressing, ends at opening 455 place.In some embodiments, opening 455 is circular shape, and has the diameter of the width being greater than passage 450.In this way, medical tube can be slid through passage 450 and is shelved in opening 455.Therefore, dressing can more easily be placed on above medical article.Dressing 400 also has recess or impression 458 in the side of its proximate distal ends.These recesses 458 can positional punch 428.Perforation 428 can allow the distal part of dressing easily to remove from the remainder of dressing.

In operation, the method for fixture mentioned above and dressing and the process for medical article being connected to patient is used to start, as shown in Figure 12 A and 13-14 by removing the backing member 120 of covering keeper 101.Backing member 120 can cover one or more adhesive surfaces of keeper 101.In some embodiments, the whole upper surface 102 of keeper 101 is coated with binding agent.As shown in the figure, the backing member 135 and 136 being attached to the surface of grappling pad 104 can comprise convex tongue 130, and convex tongue 130 has the one or more arrows pointing to and insert position, makes medical supplier can make fixture orientation rightly.

As shown in Figure 12 A-D, the convex tongue 130 of backing member can comprise numbering, to indicate the order should followed when fixture removes backing member, and comprises information, such as, " removes ", should remove backing member to indicate before use fixture.Figure 12 A shows an embodiment, and the pull tab 112 of backing member 120 comprises " 1 " in arrow inside, and the pull tab 130 of backing member 135 and 136 comprises " 2 " to be different from pull tab 112 in arrow inside.As discussed above, arrow can be located so that they indicate the suitable orientation of fixture to medical supplier.Figure 12 B shows an embodiment of backing member 121, is included in the pull tab 113 pure color band (such as black) with numeral " 1 ", is repeated the visible surface throughout backing member by the information 115 " removing (Remove) " of corral.The text formed in the lines in corral region and information 115 can be same color, and it can match with the pure color band of pull tab 113 in one embodiment.Figure 12 C shows an embodiment of the backing member 137 of a part for the lower surface covering grappling pad, and Figure 12 D shows an embodiment of the backing member 138 of the another part of the lower surface covering grappling pad.Backing member 137 and 138 all can have the identical pure color band (such as green) of pull tab 139, and comprise repetition throughout backing member visible surface by the information 115 " removing " of corral.In one embodiment, backing member 137 and 138 has identical scheme of colour (such as, the pure color band of pull tab, lines and text) each other, and in another embodiment, scheme of colour is not identical.In one embodiment, backing member 137 with 138 scheme of colour (no matter different or identical) be different from the scheme of colour of backing member 121, thus further backing member to be distinguished from each other out.

This process by removing the backing member of the lower adhesive surface covering grappling pad 104 and medical article being placed in keeper 101 and continuing, as shown in figures 15-19.As shown in figure 16, the backing member covering lower adhesive surface can comprise two backing members 135 and 136, and they cover the about half of lower adhesive surface.These two backing members can fold back from the boundary 133 of two backing members, and extend out from lower adhesive surface, to form pull tab 130.In this way, medical supplier unlikely catches tactile lower adhesive surface and jeopardize the aseptic of lower adhesive surface.In some embodiments, medical supplier grips a convex tongue with every hands and partly removes backing member.Medical supplier then pulls convex tongue fully to remove backing member by making grappling pad move towards the skin of patient simultaneously, is placed on by grappling pad with it patient.

In the illustrated embodiment of Figure 17, fixture is in medical article 200 slid underneath, and a backing member 135 is removed.This medical article comprises swivel nut 244.Swivel nut 244 be at least partially disposed in keeper 101 formed depressed part 108 and passage in.In some embodiments, the distal surface of the proximal face contact keeper 101 of swivel nut 244.Downward pressure can be applied to swivel nut 244, make the lower surface of swivel nut 244 be pressed into the lower surface of contact depressed part.Binding agent on the upper surface 102 being arranged on keeper 101 and/or in depressed part, can be fixed to keeper 101 by medical article further and prevent medical article relative to keeper movement in any direction.

This process continues by removing the second backing member 136 of the lower adhesive surface 106 covering grappling pad 104, as depicted in figs. 18-19.In this way, grappling pad 104 is fixed to the skin of patient.Can complete and remove backing member and medical article is inserted in keeper by any order.In some embodiments, two backing members remove substantially simultaneously.In addition, before or after medical article is inserted in patient body, medical article can be placed in keeper.Before or after being inserted at least in part by medical treatment device in patient body, fixture can be attached to patient.

In some embodiments, process medical article being fixed to patient continues by following operation: obtain bonding dressing, remove the backing member of dressing, and dressing is placed on fixture and inserts above position, as shown in Figure 20-26.Figure 20 shows the top perspective of dressing 400, and Figure 21 shows the bottom perspective view of dressing 400.The part 437 that medical supplier can catch backing member 436 to extend above the folded part 439 of backing member 435.In some embodiments, medical supplier can catch the part 437 of backing member 436 and the folded part 439 of backing member 435 simultaneously.But, as shown in figure 22, can first remove backing member 436, to expose the insertion window 426 of transparent or partially transparent, the keeper window 425 of transparent or partially transparent and adhesive surface 406.In some embodiments, a part 438 for backing member 436 covers keeper window 425 at least partially.So, when removing backing member 436 between resting period, practitioner can pass through checking medical treatment device at least partially and auxiliary appropriately placing dressing of transparent holder window 425.Then removable stripping backing member 435, as shown in figs. 23-24.

By backing member from after dressing 400 removes at least in part, dressing can be placed on and insert above position and by the suitable adhesive surface 406 on the downside of dressing 400, dressing to be attached to patient, as shown by figures 25-26.In some embodiments, dressing be configured to waterproof or otherwise can not by penetration by liquid, and in some embodiments, dressing also limits the flowing of air.In other embodiments, dressing can be configured to breathable, thus allow the air of insertion near sites and/or moisture to arrive opposite side through dressing and away from insertion position, make the outside moisture on the opposite side of at least dressing be kept away from simultaneously and insert position.In some embodiments, the impermeable virus of dressing and antibacterial, and can comprise or be coated with anti-biotic material or antimicrobial material.In some embodiments, dressing comprises or is coated with wax material.The covering dressing of medical treatment device and the combination of the grappling pad be positioned at below medical treatment device and keeper can be formulated 360 degree of medical treatment device fixing.

As shown in figure 26, insertion position and medical article is seen at least partially by window 425 and 426.In addition, medical tubing 222 can pass the passage 450 in dressing distally, to be shelved in opening 455.Therefore, a part for dressing can close around medical tubing 222 at the far-end of dressing.In this way, anti-fluid, food and/or other pollutant enter and insert position.

For removing distal part dressing and discharging medical tube 222, medical supplier can tear along the perforation 428 of being located by recess 458 and remove the distal part of dressing.In some embodiments, fixture, dressing and/or adhesive tape are included in external member.This external member also can comprise the explanation for using dial bundle LMS.

With reference now to Figure 27-28, the embodiment of fixture 500 comprises grappling pad 104, keeper 102 and flap 510.Grappling pad 104 is configured to the skin being fixed to patient.In some embodiments, grappling pad 104 lower surface 106 comprise binding agent at least partially.Keeper 102 is configured to receive and fixes medical article at least partially.In the illustrated embodiment of Figure 27-28, keeper 102 comprises the depressed part 108 be at least partially formed for receiving medical article.In some embodiments, keeper 108 upper surface comprise binding agent at least partially.Flap 510 is configured to fold into above keeper 102.

With reference now to flap 510, can find out in figure 27, flap 510 is attached to fixture 500 and/or integrated with fixture 500.Flap 510 is configured to fold downwards, bend or rotate to above keeper 102.The single-piece that flap 510 and grappling pad 104 and/or keeper 102 can form as one.Or flap 510 and grappling pad 104 can be formed independently, are attached together afterwards.In this case, folding, bending or any device of rotating to above keeper 102 or mechanism are attached downwards by allowing flap 510 for flap 510 and grappling pad 104.Attachment arrangement comprises glue or binding agent, material welding, heat seal, machanical fastener (such as staple or eyelet) or other this type of attachment arrangements.

Backing member 513 can cover the adhesive surface of flap 510.This adhesive surface is configured to the part of the upper surface being attached to medical article, the part of keeper 102, the part of medical article and/or being attached to grappling pad 104.Backing member 513 can cover the whole surface of flap 510 or only can cover the adhesive portion of flap 510.Flap 510 and backing member 513 can be prepared to and the capped surface of flap 510 is maintained in aseptic condition by backing member 513.As shown in figure 28, backing member 513 comprises convex tongue 512.Convex tongue 512 can allow health care provider easily grip a part for backing member 513 and backing member 513 be pulled away from the upper surface of flap 510, removes backing member 513 thus, adhesive surface is exposed.Convex tongue 512 can be in aggregates with backing member 513, and in some embodiments, comprise the folded part of backing member 513.

With reference now to keeper 102, Figure 27-28 display, comprise the keeper of depressed part 108.Depressed part 108 can be any suitable size and shape.As shown in the figure, depressed part 108 is roughly configured as elongated trapezoidal.In this way, longitudinal tapered wall of depressed part 108 can serve as the abutment surface of a part for the medical article be placed in keeper 102.Forward Figure 29 to momently, the proximal wall of depressed part 108 also can serve as abutment surface.In other words, the proximal face of swivel nut 244 can near the distal surface of keeper 102, to prevent conduit 200 movement in a proximal direction.In some embodiments, keeper 102 is configured to swivel nut 244 to be suspended at above the skin of patient, with allow conduit 200 relative to patient skin at an angle (such as, 7 degree) be inserted in the skin of patient.

Turn back to Figure 27-28, the lower surface of depressed part 108 can comprise binding agent at least partially.Other surfaces of keeper 102 also can comprise binding agent.Such as, in some embodiments, the one or more walls forming depressed part 108 comprise binding agent.The upper space of keeper 102 also can comprise binding agent.This binding agent can be attached to one or more surfaces of the medical article 200 be placed in keeper 102, to limit the movement of medical article 200 further.

Figure 30 is the exploded view of the fixture 500 of Figure 29.As shown in the figure, keeper 102 can be arranged in a part for flap 510.But in some embodiments, keeper 102 is arranged on grappling pad 104.Backing member 514 can be arranged on above keeper 102.As shown in the figure, backing member 514 covers the upper surface of the upwards wall extension forming depressed part 108.In this embodiment, the upper space 515 of keeper 102 comprises the adhesive surface that can be covered by removable backing member 514.

Flap 510 can comprise the adhesive surface 516 that can be covered by removable backing member 513.Flap 510 is configured to fold downwards, bend or rotate to above keeper 102.In this way, when closing, the downside of flap in the close position can be attached to the one or more surfaces on grappling pad and/or keeper and/or medical article.Flap 510 can be shelved in a part for grappling pad 104.In some embodiments, flap 510 be attached to grappling pad 104 at least partially and/or keeper 102 at least partially.In some embodiments, the upper surface on that side that grappling pad is relative with flap 510 comprise adhesive surface at least partially.In this way, when being folded into above keeper 102 by flap, the binding agent on the upper surface that grappling pad is relative with flap 510 can retainer flap 510 further.

Grappling pad 104 can comprise lower adhesive layer 106, makes the grappling pad 104 when backing member 520 and 521 is removed can be fixed to the skin of patient.Backing member 514,520 can be similar or identical with backing member mentioned above with 521.As shown in figure 30, backing member 520 and 521 can comprise two hinged parts.Backing member 520 and 521 can be set size at least partially, to extend out from the periphery of grappling pad, formed pull tab 525 and 526.

Figure 31 shows the plane graph of fixture 500.As shown in the figure, the depressed part 108 in keeper 102 is roughly trapezoidal shape, and its width in proximal end is than narrow at the width of far-end.In this way, various medical treatment device and/or swivel nut can insert in keeper 102 at least in part, as mentioned above.In some embodiments, the sidewall that keeper is roughly stretched over near-end from the far-end of device can be used as abutment surface.Therefore, when articles of media is placed in depressed part 108, these sidewalls can near the side facing nearside of articles of media or its part, to prevent the movement of goods at least proximal direction.

In operation, the method for fixture 500 mentioned above and the process for medical article being connected to patient is used to start by removing the backing member 514 of the upper space covering keeper 102, as shown in figure 32.This process by medical article 200 is placed on keeper 102 depressed part 108 in and continue.As shown in the figure, medical article 200 comprises swivel nut 202.The keeper 102 of fixture can be positioned such that swivel nut 244 at least partially above keeper 102.As shown in figure 33, downward pressure can be applied to swivel nut 244, swivel nut 244 can be moved in the depressed part 108 of keeper 102 at least in part and contact at least one adhesive surface of keeper 102.

This process continues, as shown in Figure 34-36 by removing the backing member 520 and 521 of the lower adhesive surface 106 covering grappling pad 104.In this way, grappling pad 104 is fixed to the skin of patient.As shown in figure 34, by catch pull tab 525 and lower surface backing member 520 being pulled away from grappling pad 104 to remove backing member 520.Therefore, as shown in figure 35, the right-hand side of grappling pad is fixed to the skin of patient.Similarly, as shown in figure 36, by catch pull tab 526 and lower surface backing member 521 being pulled away from the left-hand side of grappling pad 104 to remove backing member 521.As shown in figure 36, user may wish to hold flap 510, makes it away from grappling pad 104, to touch pull tab 526 better.When backing member 520 and 521 removes from the lower adhesive surface 106 of grappling pad 104, grappling pad 104 is fixed to the skin of patient.

Forward Figure 37-38 to, by catch pull tab 512 and top surface backing member 513 being pulled away from flap 510 to the backing member 513 on the top surface removing flap 510.In this way, the adhesive surface 516 on the top side of flap 510 is exposed.As shown in figs. 39-40, flap 510 can be folded into above keeper 102, make a part for the adhesive surface 516 of flap 510 cover swivel nut 244 and keeper 102.Flap 510 also can contact with a part for grappling pad 104.In this way, medical article is fixed to patient by flap 510 further.Figure 41 shows the top view of fixture 500, wherein flap 510 in the close position in.

In some embodiments, process medical article being fixed to patient continues by obtaining dressing 400, as shown in figure 42.Backing member can remove from the lower surface of dressing 400, thus exposes the adhesive surface on the downside of dressing 400.Then dressing 400 can be placed on and insert above position and to be attached to patient, as shown in Figure 42-43 by the suitable adhesive surface on the downside of dressing.This dressing can comprise above-mentioned closed layer 418.As shown in figure 43, in some embodiments, the neighboring 499 of dressing can be removed from closed layer 418.In some embodiments, external member comprises fixture, dressing and/or adhesive tape.This external member also can comprise the explanation for using dial bundle LMS.

Forward Figure 44-53 to now, another embodiment of fixture 600 comprises the dressing 618 of one, keeper 102 and grappling pad 104.Dressing 618 is in aggregates and/or be attached to grappling pad 104 with grappling pad 104, and dressing 618 is configured to fold into and inserts above position, as further illustrated hereinafter.As shown in the figure, keeper 102 is covered by the backing member 617 with pull tab 616.Backing member 625b above the adhesive surface that the side facing top of dressing 618 is arranged on dressing 618 covers.Backing member 625b comprises the folded part forming pull tab 625a.When backing member 625b is removed, can the medical article 200 that can comprise swivel nut 244 be placed in keeper 102, as shown in figure 46.Keeper 102 can comprise one or more adhesive surface.

As shown in the figure, keeper 102 can comprise depressed part 108.Keeper 102 can be arranged on above adhesive phase 612, makes the lower surface of the depressed part 108 in keeper 102 comprise adhesive surface.Adhesive phase 612 also can be used to keeper to be fixed to grappling pad 104.Adhesive phase 612 can be arranged on grappling pad 104.The upper space that adhesive phase 614 can be arranged on keeper 102 can be covered by removable backing member 617.

Forward dressing 618 to, as shown in figure 47, dressing 618 can comprise adhesive phase 622, pad 623 and closed layer 418.As shown in figure 47, adhesive phase 622 can be arranged on the top side of pad 623, and closed layer 418 can be arranged on the downside of pad 623.Adhesive phase 622 can cover all or part of of the top side of pad 623.

Dressing 618 can comprise opening 626, and this opening is constructed such that medical article can pass opening 626 when dressing 618 is folded into and covers and insert position and medical article.Dressing 618 also can comprise groove 636.Groove 636 can be set size and be formed, and makes a part for medical article to pass groove 636.Pad 623 can comprise window 632.Window 632 can allow to observe when not removing dressing 618 to insert position.Adhesive phase 620 can be covered by the backing member 625b with pull tab 625a.As shown in the figure, backing member 625b has the size and shape roughly the same with pad 623, but does not comprise opening or groove.

In operation, the method for fixture 600 and the process for medical article being connected to patient is used to start by operating as follows: to rotate dressing 618, make it away from grappling pad 104, with unfolded fixing device 600, as shown in Figure 44-45.User can then be caught pull tab 616 and remove backing member 617 (as shown in figure 47) from keeper, therefore exposed adhesive layer 614, as shown in Figure 48.

This process continues by operating as follows: the backing member 608 removing the lower adhesive surface covering grappling pad 104, as shown in figure 49, and therefore exposed adhesive layer.This process continues by operating as follows: be placed in the depressed part 108 of keeper 102 by the medical article 200 with swivel nut 244, as shown in figure 50, and is placed on the skin of the patient by the adhesive phase of grappling pad.Therefore, medical article 200 can be placed at least one adhesive surface of contact keeper 102, and fixture is fixed to patient.Forward Figure 51 to, this process continues by operating as follows: catch the pull tab 625a in dressing, and removes backing member 625b by pull tab 625a being pulled away from dressing 618.In this way, the adhesive phase 622 of dressing 618 is exposed, as in figure 52.As shown in Figure 53, then dressing 618 can be folded into the top at grappling pad 104, keeper 102, medical article and insertion position.In this way, dressing 618 is fixed to the skin of patient.

Move on to Figure 54-68, another embodiment of fixture 700 comprises flap 708, keeper 102 and grappling pad 104.In some embodiments, flap 708 is a part for grappling pad 104.Grappling pad can comprise fold line 789.In this type of embodiment, the grappling pad part folded into above keeper 102 is flap 708.The folded part of grappling pad is attached to another part of grappling pad.In this way, the Part I of grappling pad is attached to the Part II of grappling pad.

Keeper 102 comprises depressed part 108 and one or more adhesive surface.Keeper 102 is supported by grappling pad 104.Grappling pad 104 is rectangular shape and comprises the circular opening 710 with groove 712.Groove 712 is configured to allow a part for medical article through groove 712 and the opening 710 entering into grappling pad 104, as will be discussed below.The lower surface 106 of grappling pad 104 can comprise binding agent at least partially.

A part for flap 708 or grappling pad 104 is configured to the top of the another part moving, rotate and/or fold into grappling pad 104.Flap 708 comprises window 714.The size and shape of window 714 is roughly the same with the opening 710 in grappling pad 104.Window 714 in flap 708 can be covered by hyaline membrane or semi-transparent film.As shown in Figure 54-55, the top side of flap 708 can comprise adhesive surface 744.The adhesive surface of the adhesive surface of keeper 102, the adhesive surface of grappling pad 104 and/or flap 708 can be covered by one or more backing member further.Such as, as shown in Figure 57, backing member 799 can cover the adhesive surface 716 of keeper 102.As shown by the circuit diagram of figure 56, the medical article 200 with swivel nut 244 can be placed in the depressed part 108 in keeper 102.Opening 710 in grappling pad 104 is roughly around catheter insertion site.Flap 708 can be folded into above grappling pad 104, keeper 102, grappling pad 104 and/or medical article 200 are contacted by flap 708.

Figure 57 is the exploded view of fixture 700.Adhesive phase 716 can be arranged on the top surface of keeper 102.Keeper 102 can be arranged on grappling pad 104.Adhesive phase on the downside of grappling pad can be covered by removable backing member 726b and 727b, and described backing member has the folding forming pull tab 726a and 727a and covers part (folderoversections).Flap 708 comprises the film 718 be arranged on above window 714.Adhesive phase 744 can be arranged on the top side of flap 708, and make when flap 708 folds into above medical article, adhesive phase 744 can be attached to medical article, is fixed in make position by flap 708.Adhesive phase 744 can be covered by removable backing member 721b and 722b, and this backing member has the folding forming pull tab 721a and 722a and covers part.

In operation, use the method for fixture 700 and for the process that medical article is attached to patient by remove from the downside of grappling pad 104 backing member 726a and 727b with pull tab 726a and 727a and, as shown in Figure 58-61.In general, each backing member covers the only about half of of the downside of grappling pad 104.In any amount of configuration, backing member more or less can be used.As shown in Figure 59, remove left-hand side backing member 727b and pull tab 727a (that is, covering the backing member of the downside of the groove side of grappling pad 104), thus expose the adhesive phase on the downside of grappling pad 104.

This process continues by operating as follows: device for positioning and securing 700, medical article is passed opening 710 that groove 712 enters into grappling pad 104, as shown in Figure 60.The keeper 102 of fixture 700 can be positioned such that the swivel nut 244 of medical article is positioned at above keeper 102, and contacts at least one adhesive surface of keeper 102.Then the second backing member 726b and pull tab 726a can be removed from the downside of grappling pad 104, as shown in Figure 61.Therefore, fixture 700 is fixed to the skin of patient.As shown in Figure 62, in some embodiments, keeper 102 be configured to by swivel nut 244 relative to patient skin at an angle (such as, 7 degree) be suspended at above the skin of patient.

This process continues to expose adhesive surface 744 by removing backing member 721b and 722b and pull tab 721a and 722a from flap 708 in Figure 62-65.Then flap 708 is folded into the top of grappling pad 104, keeper 102 and medical article 200, as shown in Figure 66-68.In this way, medical article is fixed to the skin of patient.

Forward Figure 69-79 to, another embodiment of fixture 700 comprises keeper 102 and grappling pad 104.The illustrated embodiment of keeper 102 does not comprise depressed part as above, but the top surface of keeper 102 comprise binding agent 808 at least partially.Keeper 102 is configured to fix medical article at an angle.As shown in the figure, the angled θ of top surface.Can use multiple different angle θ, this angle is from 0 degree to 45 degree or from the scope of 5 degree to 25 degree.Such as, fixing for intravenous catheter, expects that the angle of incidence of the skin making conduit and patient is between about 7 degree to about 15 degree.Fixing for intra-arterial catheters, expects to make the angle of incidence of the skin of conduit and patient be about 12.5 degree.By making the top surface of keeper 102 become desired angle, this angle will depend on specific stationary applications (such as, fixing intra-arterial catheters, intravenous catheter etc.), can make the angle of incidence that conduit remains appropriate.

As shown in Figure 69-71, grappling pad 104 is shaped as and comprises two alar parts 816 and a loop section 850, wherein, two alar parts 816 are configured to a bearing retainer 102, loop section 850 be configured to roughly around medical article insertion position and form the framework of film 812.The downside of grappling pad 104 can comprise adhesive phase 106.

As shown in Figure 71, the medical article 200 with swivel nut 244 can be placed on the top surface of keeper 102.The loop section 850 of grappling pad 104 is roughly around insertion position.The loop section 850 of grappling pad 104 forms the framework of film 812.Grappling pad 104 also can comprise groove 814.Groove 814 can be set size and be formed, and makes medical article to pass groove 814.

Figure 72 is the exploded view of fixture 800.Two-sided tape 808 can be arranged on the top surface of keeper 102.Keeper 102 can be arranged on grappling pad 104, is positioned at the approximate center of the alar part 816 of grappling pad 104.The downside of grappling pad 104 can bonded oxidant layer 106 cover.A part for the downside of adhesive phase 106 can cover by tunicle 810.In some embodiments, at least outermost portion of adhesive phase 106 or outer periphery not tunicle 810 cover.In some embodiments, the downside 811 of film 810 comprises adhesive phase.Removable backing member 809 can cover the adhesive surface 808 of keeper 102.Removable backing member 806,807 and 822 can be arranged on the downside of grappling pad 104 and film 810.Removable backing member 806,807,809 and/or 822 can comprise the folded part forming pull tab, as mentioned above.

In operation, the method of fixture 800 and the process for medical article being attached to patient is used to start by operating as follows: to be folded the groove side of the loop section 850 of grappling pad 104 away from grappling pad 104, and remove the stripping backing member 808 of the top adhesive surface covering keeper 102, as shown in Figure 74.

This process continues by operating as follows, positions fixture 800, makes keeper 102 be positioned at the below of a part for medical article 200, as shown in Figure 75.As shown in Figure 76, this process continues by removing the stripping backing member 822 of the adhesive surface on the downside of the alar part 816 covering grappling pad 104.Then, the stripping backing member 807 of the also about half of the lower surface of the loop section 850 of removable covering grappling pad 104.Therefore, the groove side of the loop section 850 of grappling pad 104 is attached to the skin of patient, as shown in Figure 77.Remove the remainder of adhesive phase on covering grappling pad 104 lower surface and/or the second backing member 806 of coverlay 810, as shown in Figure 78.Then medical article is fixed to patient, as shown in Figure 79.

Fixture described herein can comprise supporting member, in order to support the part of the distal extension of the depressed part (such as depressed part 108) of medical article in the distally and/or keeper of keeper (such as keeper 101).Such as, some conduit can have longer length or be attached to the extension tube advantageously supported by supporting member.Supporting member can be made up of any suitable material (such as, foamed materials or plastics), and is formed by the material identical with keeper (such as keeper 101) in one embodiment.Supporting member can be independent of fixture assembly or can be integral with fixture, such as, as the extension of keeper.Supporting member can comprise the part being configured to conduit portion or the extension tube part be such as attached to the distal extension of keeper by frictional fit (such as snap-on (snapping) is in conduit portion).Supporting member can be connected to fixture (such as at the far-end of keeper) along fold line or perforation line, so that supporting member can be connected to or depart from keeper.In one embodiment, supporting member can be connected to dressing.

Figure 80 illustrates an embodiment of supporting member 900.The passage 908 that supporting member 900 has front surface 902, rear surface 904 and extends from top surface 906.Supporting member 900 has thickness 910.An example of the supporting member 900 during Figure 81 illustrates and uses together with fixture, wherein fixture comprises keeper 101.Conduit 290 is supported by fixture and comprises the part be in path 10 8.Conduit portion 292 and 294 extends beyond path 10 8, and conduit portion 294 is supported by supporting member 900.In Figure 81, but conduit portion 294 is shown and is shelved in passage 908 is not in completely in passage 908, and supporting member 900 is positioned at the rear section of the distal abutment keeper 101 of keeper 101.Supporting member 900 can be independent assembly, the rear surface not being attached to keeper 101 or the rear surface (such as, passing through binding agent) being attached to keeper 101 in some manner or can as the extension of keeper 101 and keeper 101 integral.Figure 82 illustrates an example of the supporting member 900 extended from the top surface of keeper 101.Again, supporting member 900 can be independent assembly, the rear surface not being attached to keeper 101 or the rear surface (such as, passing through binding agent) being attached to keeper 101 in some manner or can be integral with keeper 101.In one embodiment, the supporting member 900 in Figure 81 can carry out folding along the top surface of fold line away from keeper and remain connected to the top surface of keeper simultaneously.In the embodiment of Figure 81, conduit portion 294 is shown and is in passage 908 completely, such as, in the mode of friction fit arrangement, makes conduit 290 removably lock onto 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 and is formed as specific prism shape, but it is also conceivable to other geometry, such as rectangular prism, triangular prism, hexagonal prism, cylinder etc.Figure 84-85 illustrates the different views of the supporting member 910 relevant to the keeper 101 of fixture.Conduit portion 292 display is shelved on the edge between supporting member 910 surface.Supporting member 910 can be independent assembly, the rear surface not being attached to keeper 101 or the rear surface (such as, passing through binding agent) being attached to keeper 101 in some manner or can as the extension of keeper 101 and keeper 101 integral.In Figure 84-85, display supporting member 910 is attached to keeper 101 along fold line 920, this allows supporting member 910 to fold into use location from non-use position (not shown), and in the position of use, supporting member has a certain degree relative to keeper 101.In one embodiment, fold line 920 is perforated so that supporting member 910 is separated with keeper.Although show supporting member 900 and 910 in Figure 81-82 and 84-85 to be attached to keeper, it is also contemplated that supporting member can be attached to the other side of fixture, such as such as grappling pad or dressing.

It should be noted that provided accompanying drawing herein not by any special ratios or scale, and many modification can be made to illustrated embodiment.Those skilled in the art will recognize that, aspect disclosed in this invention shown in this article and feature are not limited to any particular implementation of stabilisation systems, and one or more the stabilisation systems comprised in feature described herein can be designed to use together with multiple medical article.

Therefore device medical article being fixed to patient is provided above according to the various embodiments of fixture of the present invention and system.Available dressing covers the insertion position of the conduit being attached to adapter accessory or extending external member.

Certainly, should be understood that, according to any particular implementation of the present invention, all targets or advantage may not be realized.Therefore, such as, those skilled in the art will recognize that, can implement in the following manner or perform the present invention: realize or optimize an advantage as taught herein or one group of advantage, and not necessarily have to realize other targets that may instruct or imply or advantage herein.

In addition, the interchangeability of various features that will recognize from different embodiment of technical staff.Such as, the feature of keeper disclosed in various embodiments can be exchanged between embodiment.Except modification as herein described, those of ordinary skill in the art also can mix and mate other known equivalents forms of each feature, with principles of construction stabilisation systems according to the present invention and technology.

Although disclose the present invention in the background of some embodiment and embodiment, but it will be appreciated by those skilled in the art that, the present invention exceeds concrete disclosed embodiment and expands to other alternate embodiments of the present invention and/or purposes, and various apparent amendment of the present invention and equivalents.Therefore, expection makes scope of the present invention disclosed herein should not be subject to the restriction of specific open embodiment mentioned above.

Claims

1., for a fixed system for medical article, comprising:

Stabilising arrangement, this stabilising arrangement comprises:

Grappling pad; With

Keeper, this keeper has nearside, distally and upside, and this keeper comprises:

Depressed part and the passage be configured in this keeper, this passage extends to the nearside of this keeper from this depressed part, and described passage and depressed part are configured to a part for this medical article to be received in wherein; With

Supporting member, this supporting member is attached to the distally of this keeper, and this supporting member is configured to support the part of this medical article to the distal extension of depressed part.

2. fixed system according to claim 1, wherein, described supporting member is independent of described keeper.

3. fixed system according to claim 2, wherein, described supporting member is attached to the described distally of described keeper by binding agent.

4. fixed system according to claim 1, wherein, described supporting member and described keeper are integrally.

5. fixed system according to claim 4, wherein, described supporting member extends from the described upside of described keeper.

6. fixed system according to claim 1, wherein, described supporting member can be separated with described keeper by perforation.

7. fixed system according to claim 1, wherein, described supporting member comprises passage, and this passage is configured to the described part of the distal extension receiving described medical article to described depressed part.

8. fixed system according to claim 7, wherein, the described passage of described supporting member is configured to removably described supporting member be locked onto described medical article.

9. fixed system according to claim 1, wherein, described supporting member is attached to described keeper along fold line, and described supporting member is configured to fold into use location from non-use position.

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

11. fixed systems according to claim 1, wherein, described keeper comprises at least one adhesive surface.

12. fixed systems according to claim 11, wherein, described adhesive surface contacts described medical article at least partially.

13. fixed systems according to claim 1, wherein, described passage has the lateral width of the lateral width being less than described depressed part.

14. fixed systems according to claim 1, wherein, described keeper comprises at least one adjacency section, and this adjacency section is configured to the surface facing nearside contacting described medical article.

15. fixed systems according to claim 14, wherein, at least one adjacency section described is configured between described depressed part and described passage.

16. fixed systems according to claim 1, wherein, described keeper comprises further and is oriented to distally in the adjacency section of described passage, and this adjacency section is configured to the surface facing distally contacting described medical article.

17. fixed systems according to claim 1, comprise dressing further, and this dressing comprises bed course and transparent film layer, and this spacer has first window, when making above described dressing is placed on described stabilising arrangement, can see described medical article through described first window.

18. fixed systems according to claim 17, wherein, described pad comprises Second Window, when making above described dressing is placed on described stabilising arrangement, can see the insertion position of described medical article through described Second Window.