ES2250557T3 - SANITARY TEAM. - Google Patents

Abstract

A hospital medical set (2) secures and provides hygiene protection for skin perforations with a gastro-probe or catheter. The medical set comprises a compress (12), a probe- canule- or catheter exit-plaster with an aperture (24) for the probe; canule or catheter with egress fixing agent (18), plus an information tag (22) with two detachable sections. <??>The tag (22) has an information bearing surface, a non-separable information layer, two detachable layers and a self-adhesive layer. The set is supplied in a container (4) with a closure (2).

Description

Sanitary equipment

The invention relates to a sanitary equipment for use in catheter or catheter exit point care in patients, according to the preamble of claim 1. A team Sanitary of this type is described in the document US-A-4,170,300.

The output points of probes or catheters in patients require regular attention to which the cleaning, disinfection and application of a highly bandaged bandage sterile at the point of exit, so the probe or catheter they should also be insured against involuntary withdrawal by traction or displacement In addition, such attention also belongs a documentation corresponding to the respective rules of the care measures taken that, in particular, in hospitals and nursing homes as well as in street care, wear special importance.

For example, it differs between probes Endoscopic gastrostomy percutaneous (PEG probes) and catheters suprapubic (SBK catheters). In addition, in the attention or in the care of exit points of probes or catheters distinguish two healing stages, namely the so-called "stage of secretion "and the so-called" probe care stage. " secretion stage describes that period of time after the new placement of the catheter or probe, during which it is presented increased production of wound secretion. But also there may be an increased production of secretion in the wound during an infection at the exit point of the catheter or catheter. The stage of probe care follows the stage of secretion, which lasts approximately 7 to 10 days, and describes the time during which no secretion occurs or only one secretion Slight at the point of departure.

For the attention or care of exit points from probes or catheters, health care material is needed, material for bandages, disinfectant agents and the like.

The present invention is based on the objective of provide a healthcare team that simplifies care and care of exit points of probes or catheters and configure Efficient way for healthcare staff.

This goal is achieved through a team with the characteristics of claim 1.

With the content previously reproduced from Equipment can be carried out effectively. Through at least one compress, the exit point of the probe is cleaned or catheter, after discovering and removing the bandage material  from previous care and preferably, also It disinfects it. In the immediate area of the exit, on the surface body, a so-called patch, or a compress, of probe, cannula or catheter outlet, with a reception area of catheter or catheter or a catheter or catheter passage area. Here you can be a grooved compress or that is provided with a passage hole or a receiving recess for the probe or catheter, or a patch that has an adhesive area. But with this still does not achieve a fixation or immobilization of the probe or catheter on the body surface, which complies with the requirements.

Finally, by the provision of a means of fixation ensures that the probe or catheter in the area of the point exit cannot be moved involuntarily, it is in particular, they cannot be removed by traction. At simpler case, this fixing means could be formed by adhesive strips However, so-called calls are preferably used. fixing patches, which completely cover the exit point and the patch or compress of probe, cannula or catheter, arranged there. Preferably, air permeable bandage materials are used, coated with adhesive, which provide a wide coverage surface and with it, a fixation, which reduce irritations of the skin and can detach easily and painlessly from the surface of the patient's skin.

In addition, it proves convenient that the documentation of care or care measures can be made through the bearer of information belonging to the sanitary equipment, being able to get rid of the carrier layer segments that carry information and, being able to adhere them, by example, within a patient file, for the purpose of documentation. In the case of the first information identifiable optically or visually from the first segment, by For example, it may be information about the source, for example, a starting number and the duration of the team, which they can be used for traceability of the use of care material and that are therefore used for documentation purposes. In the case of the second identifiable information in an optical or visual way, these may be indications about the type of measures of care taken effectively (for example, changing the bandage on the PEG probe or the SBK catheter), which preferably can Adhering to the information referred to the respective patient, is say, for example, in the patient's file, for the purpose of documentation. In this way, the input of time related to Documentation measures during care is reduced to a minimum and it is also ensured that the documentation is well readable and present the required content.

In a variant of the invention, it proves to be advantageous that the sanitary equipment has a wrap in the form of a container in the form of a bucket with a removable lid, of so that the container can be safely deposited on a base, for example, a bandage table or an attached table. After of removing the lid, then an inlet opening is provided relatively large to access the contents of the team, what which enables the person who is in the care of the patient can remove the contents of the equipment free of pollution, highly poor in germs. The shaped container of the bucket itself can be manufactured in any way and in itself, from any materials. Also proves to be advantageous that the container is a piece formed by drawing deep, in particular, from a sheet material of plastic, which can be manufactured by a safe procedure and economically By corresponding dimensions of the thickness of the sheet and the type of material, as well as the geometry of the container, which is preferably suited to the contents of the equipment, a corresponding torsional stiffness of the container, which meets the requirements. For example, the lid can be attached or glued by sealing to the container, being take care that it can be opened by saving relatively resistance low, so that again it can be kept as low as possible the danger of contamination of the equipment content by a involuntary intervention in the team. In a variant of the invention is proposed that the contents of the equipment from the side of access to the equipment are arranged correspondingly to the Order of use in attention. This means, that from the side of access first the compress is arranged, then the patch or the outlet compressor of the catheter or catheter, and then the fixing means and the information carrier, so that the user can remove the agent respectively necessary that is in the upper position, without having to repeatedly grab the team contents. It is understood that this also applies to other contents of the team to be discussed more ahead.

When previously talked about a layer carrier in the case of the information carrier, it could be a layer that covers the adhesive coating of the areas removable, which predominantly acquires a function of "detachment". But here it can also be a segment or area of the envelope of the content of the team, in particular, of the container, preferably in the form of a bucket, or of  the cover, on which the removable ones are applied mentioned segments. That is, the carrier segments of information that carry the information, could be provided removable on an external or internal side of the wrap, in particular, of the lid or container, or could be provided in a package (secondary packaging) for a plurality of sanitary equipment. But the bearer of information could also be included loosely in the respective wrap, as team content.

In a variant of this idea of the invention, the information carrier can also present two layers carriers, of which the outer carrier layer, in position opposite the two segments, covers a carrier layer in position internal and in turn only has a detachment function. After detaching this carrier layer in an external position, the information carrier can adhere to any surface with the carrier layer that was previously in an internal position and a adhesive coating In this way, the two segments information carriers can get rid of this layer carrier that was previously in an internal position and used in the manner described above for documentation purposes. The advantage of such information carrier with two carrier layers, consists of the possibility of being able to manufacture the carrier of information separately, that is, separate from manufacturing of the team. Then, during the manufacture or packing of the health team can decide if the information carrier of This way is included loosely or if the layer is separated carrier that is in external position and then adheres the bearer of information on the internal side or the external side of the envelope of the equipment, as described before.

In another configuration of the invention, the information carrier can also present three segments removable Thus, in this case it is possible that the third segment removable present a third identifiable information in a way optical or visual, which in turn refers to the type of the probe or the catheter effectively cared for and to care measures specific related to these. It is imaginable that provide sanitary equipment that can be used to serve different probes or catheters, but that the documentation is differentiate correspondingly to care measures effectively taken. Therefore, it is especially advantageous that the bearer of information, as second and third segment removable, contain these different documentation and the healthcare staff then choose the corresponding segment and what use for documentation measures.

To identify more easily and above all, more surely, the segment to be selected specifically, it can be shown as advantageous that two of the three segments removable have distinctive features visually identifiable, in the form of different markings color. This creates the possibility that in a product line of a certain manufacturer, the information that refers to a certain type of catheter or catheter, always marked same color, that is, in particular, be printed on a background or a base of the reference color of the corresponding segment. This can effectively reduce the danger of documentation wrong in each case, the input is reduced to a minimum of time in the selection of the respective documentation segment for the person who is caring for the patient, when he has a corresponding training and accustoming.

In addition, it may prove advantageous that the sanitary equipment also present a fixing means to fix the patient's body surface a section of the probe or the catheter, which is most often placed in the form of A loop. Usually outside the mentioned fixing means previously, the catheter or catheter is placed back in a loop shape and are fixed to the body surface or against the side external fixation means, opposite the body. Yes involuntarily a traction is exerted on the catheter or the probe, in this loop there is still an extension reserve that possibly insure the catheter or catheter against removal by traction at its starting point. Another essential purpose of this form in loop is to safely prevent a bend by folding the probe, catheter or cannula, which would lead to blockage, which can be achieved by the additional fixing means mentioned for the catheter or catheter Here, for example, it may be a fastener fixing means, which can act in conjunction with the external side of the fixation means, as opposed to the body, or of a called "drain patch".

In addition, it proves to be advantageous that the equipment offer gloves to protect the user against contamination by attend the exit point, but also to protect the patient against impurification and infection.

It can also prove to be advantageous that in the equipment there is also a disinfectant agent for disinfection of the exit point of the probe or catheter and / or an agent for apply the disinfectant, in the form of an additional buffer or other pads and, if necessary, handling agents such as example, a clamp.

Disposing and handling used materials a particular importance, in particular, when the measure of care or care does not take place in a healing facility, but in the same room of the patient. Here proves to be advantageous that the equipment contains a receiving container, for for example, a glass, a bag or a bucket for used materials. It proves to be very especially advantageous that the same can be used equipment wrap as a reception or waste container. By For example, the detached lid can be used for a tank intermediate of the materials used, and after finishing the Careful measure, the material used in the wrap, as a reception or waste container.

Other features, details and advantages of the invention result from the appended claims and from the representation by drawings and the subsequent explanation of a sanitary equipment according to the invention and the measures of careful to be taken using such equipment.

In the drawings:

Figure 1 shows a representation schematic of a sanitary equipment according to the invention;

Figures 2 a-e show different forms of patches or compressor outlet pads, cannulas or catheters;

Figures 3 a-i show schematic representations of care measures in care of exit points of probes or catheters;

Figure 4 shows a plan view of a bearer of information;

Figure 5 shows a sectional view of the bearer of information according to figure 4 and

Figure 6 shows another embodiment of the carrier of information.

Figure 1, in schematic representation shows a sanitary equipment, named in total by the number of reference 2. The equipment 2 comprises an individual envelope 4, which it consists of a container in the form of a bucket 6, which is a piece formed by deep drawing, manufactured from a plastic sheet material, a paper lid 10, sealed against an edge section folded out in the form of flange 8. The envelope 4 encloses contents of the equipment, which are arranged in the order of use from the side of the lid, that is, from top to bottom. In the case represented, there are two pads 12, which are used for cleaning an outlet point of a catheter or catheter in patients. Below the pads 12, a slotted compress 14 is arranged, as a compress of probe, cannula or catheter outlet. Below this is a fixing means 18, in the form of a laminar patch, with which Covers the exit point of the catheter or catheter treated and fix the device with respect to the patient's body surface. An information carrier is provided at the bottom of the container 22, to be described in more detail.

Other team contents are conceivable such as, for example, gloves, a disinfectant packaged in bottles or knobs, agents for applying the disinfectant, such as tampons, handling agents, such as a clamp, as well as glasses or bags for receiving used bandage materials. But for this can also be used wrap 4 in particular its container 6.

Figures 2 a-e show different forms of patches or packs 16, for cannula outlet or catheter, with reception or passage areas 24, in the form of recesses, grooves or openings.

Using Figures 3 a-i, describes a percutaneous gastrostomy tube care endoscopic (called PEG probe); but in the attention of points of catheter outlet care measures also take place equivalent.

First, a person in charge of patient care washes and disinfects their hands and also apply a chinstrap (figure 3a). Then the person in charge of patient care places a team in a very accessible place sanitary described in relation to figure 1, on a base preferably flat, and open it. Then, during the measurements of Carefully required items are removed accordingly to your need, preferably, without touching the other objects. The probe in figure 3b is provided with a support plate 30 and is points out that a person who is caring for the patient rises cautiously the support plate for a few centimeters of the body surface using a clip 32, not moving, without However, the probe itself with respect to the exit point of the probe

After carefully moving towards the side of the support plate 30, the exit point of the probe with disinfectant agent (figure 3c). After a while of prescribed action, using a compress, carefully clean the  exit point of the probe, around the probe (3d figure). Then the probe is surrounded by a patch or an exit compress probe or catheter 14, such that the probe is extended crossing the reception area 24 of the compress (figure 3e). The support plate 30 is then moved relative to the probe in direction to the exit point of the probe and is arranged on the compress 14 (figure 3f). As can be seen in Figure 3g, it place an additional compress 12 on the support plate 30 and fix the device against the patient's body surface, by means of a fixing agent 18, in the form of a non-material fixing fabric with adhesive application.

To prevent a bending bend of the probe, with the section of the probe emerging below the middle of fixation 18, a loop 34 is formed, and this loop is fixed by other fixing means 36, in the form of, for example, a patch 38, which has a means of fixing the bog, against the side textile upper of the fixing means 18 (figure 3h).

As a final measure of attention, a segment that documents the care measure of a carrier of information to be described below in detail, and that was included in the sanitary equipment, and it adheres to the patient's file. In this way, the care measure taken (figure 3i).

Figures 4 and 5 show a plan view and a sectional view of the information bearer 22, indicated in the Figure 1. The information carrier 22 comprises a laminate of an upper layer 40 forming the visible side and presenting identifiable information in an optical or visual way, a layer of adhesive 42, arranged below, which is covered by a first carrier layer 44. In addition, the first carrier layer 44 on its side which is in opposition to layer 40, presents another layer of adhesive 46, which is covered by a second carrier layer 48. Lamination of layers is made in the form of tape material continue, as indicated in figure 4. The second layer carrier 48 is a siliconized carrier material, whose function is to detachment The carrier layer 48 is placed in the direction transverse 49 with respect to the continuous path, protruding somewhat with respect to the first carrier layer 44, which facilitates the detachment of the second carrier layer from the layer laminate remnant (40, 44). That is, the laminate of layers (40, 44) is detaches together with the second adhesive layer 46 of the layer carrier 48 and can be adhered by the second adhesive layer 46 on a surface.

Layer 40 of a respective carrier of information 22 is divided into three segments 50, 52, 54 that respectively they present different information to each other, identifiable optically (barcode) or visually. The first and third segments 50, 54 also carry marks of colors, preferably, in the form of different background colors, that comprise a printed script as additional information. For example, it is possible to differentiate between two measures or applications different care performed by the person in care of the patient, through these markings with different colors. By For example, for the documentation of the care of a PEG probe, detaches the first segment 50, which bears the first dial colored, for documentation purposes and adheres to the file of the patient, and for the attention of an SBK catheter, the third segment 54, which bears the second colored marking, and is adheres

The central segment 52, however, can understand information about the origin and duration, which are also documented in the patient's file or in another place. The three segments 50, 52 and 54, with their coating of adhesive 42, can be detached from the first carrier layer 44, which also has a detachment function, and can adhere to the manner described for documentation purposes.

The bearers of information 22 respectively they are obtained as a longitudinal segment of the mentioned continuous path and represented in figure 4. With reference number 56 is provided a separation or theoretical break line, for example, in the form of a perforation.

Figure 6 shows a plan view of another realization of an information carrier 22, which differs from described above just because for each information carrier only two removable segments 50, 52 are provided.

But both carriers of information 22 represented, according to another embodiment, may also be configured only with a first carrier layer 44 and be adhered by a layer of adhesive on a computer envelope sanitary inside or out. It is also possible, that only layer 44, which comprises segments 50, 52 and 54, is applied on a preferably siliconized segment of the envelope and I can get rid of it. In such a case, the envelope adopts the function of the first carrier layer.

Claims (14)

1. Sanitary equipment (2) for use in care of exit points of probes or catheters in patients, which understands

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to the minus one compress (12),

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a patch or compress for the exit of probes, cannulas or catheters (16),

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a fixing means (18) to immobilize the probe or catheter in the exit point area,

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a bearer of information (22),

characterized in that the patch or the compressor outlet of the probe, cannula or catheter (16) is configured with a passage zone (24) for the probe, the cannula or the catheter and because the information carrier (22) has at least one carrier layer (44) and at least two segments carrying information (50, 52, 54), removable from the carrier layer (44), transmitting a first segment (50) first identifiable information optically or visually and presenting a second segment (52) second identifiable information in an optical or visual manner, and the segments (50, 52, 54) carry an adhesive coating (42), by which they can adhere to a base. 2. Sanitary equipment according to claim 1, characterized by an envelope (4) in the form of a container in the form of a cuvette (6) with removable lid (10). 3. Sanitary equipment according to claim 2, characterized in that the container (6) is a part formed by deep drawing, in particular, from a plastic sheet material. 4. Sanitary equipment according to claim 2 or 3, characterized in that the lid (10) is adhered by sealing to the container (6). 5. Sanitary equipment according to one or more of the preceding claims, characterized in that the contents of the equipment are arranged from the access side of the equipment, in the order in which they will be used in care. 6. Sanitary equipment according to one or more of the preceding claims, characterized in that the carrier layer (44, 48) of the information carrier (22) is formed by an envelope (4) of the equipment or contents of the equipment. 7. Sanitary equipment according to one or more of the preceding claims, characterized in that the information carrier is loosely included in an envelope (4) of the equipment and has two carrier layers (44, 48), of which the external carrier layer (48), which is opposite the two segments (50, 52, 54), covers a coating with adhesive (46) of the inner carrier layer
(44). 8. Sanitary equipment according to one or more of the preceding claims, characterized in that three removable segments are provided (50, 52, 54). 9. Sanitary equipment according to claim 8, characterized in that two (54, 50) of the three removable segments (50, 52, 54), have distinctive characteristics visually identifiable, in the form of markings in different colors. 10. Sanitary equipment according to one or more of the preceding claims further comprising: a means of fixation (36) to fix a probe or catheter section to the patient's body surface. 11. Sanitary equipment according to one or more of the preceding claims further comprising: gloves for user protection against contamination during Attention. 12. Sanitary equipment according to one or more of the preceding claims further comprising: an agent disinfectant to disinfect the probe exit point or catheter. 13. Sanitary equipment according to one or more of the preceding claims further comprising: means for apply the disinfectant agent and, where appropriate, a means of manipulation for this. 14. Sanitary equipment according to one or more of the preceding claims further comprising: a container of Reception (for example, glass, bag, bucket) for materials used.