ES2359825T3 - SHEET FOR UROLOGY. - Google Patents

Abstract

A sheet for urology (10), comprising: a flexible sheet (12) to place on a patient, between the patient's legs, when the patient is supine, the sheet having a first end (14) and a second end (16); a hole (18) in the sheet (12) in a first intermediate place, between the first and second ends; the flexible sheet (12) having a second intermediate place, between the first end (14) and the second end (16), and a first part extending between the first end and the second intermediate place, and a second part which is extends between the second intermediate place and the second end, said hole (18) being formed in said first part; a flexible hood (22) superimposed on said second part of the sheet and extending between the second end of the sheet and the second intermediate place; the hood (22) being connected to the sheet around the periphery of the hood except for an edge (23) of the hood facing the hole (18); the hood (22) having a first and second peripheral side edges that are connected to the sheet by a method that provides a waterproof joint; the second part of the sheet (12) and the hood (22) forming a flexible reservoir (24) between them to capture and retain body fluids; characterized in that the sheet also includes a closure (28, 17) intended to close the tank (24) in said second intermediate place in order to provide a substantially leak-proof deposit; therefore, after using the sheet, the sheet (10) can be folded or folded by placing the first part together with said hole (18) in the tank (24) and closing the tank, with the first part and the hole (18 ) in it, by means of the closure (28, 17) in order to form a disposable package containing the fluid, to allow hygienically discarding the sheet and the fluid after the use of the sheet.

Description

Field of the Invention

The present invention relates to sheets for urology for use with a patient when a urinary catheter is changed, a manual bladder wash is performed or a flexible cystoscopy is performed.

Background of the invention

Changing a urinary catheter, performing a manual bladder wash and flexible cystoscopy are usually performed with the patient, in a hospital bed, occasionally on a stretcher and, rarely, on an operating table. The male patients are placed supine and the female patients supine but with the legs bent and separated with the ankles together (the so-called "frog leg position").

The sheets that currently exist for urology are small and offer partial protection against body fluids such as urine and blood. When using the current methods of coverage, most patients who have undergone a urinary catheter change, a manual bladder wash or a flexible cystoscopy, end up lying on sheets, bedding and their clothes wet with urine and, often, with blood coming from urine (hematuria) or due to traumatic catheterization. Frequently, the patient's skin also comes into contact with blood and urine.

The doctor or nurse carrying out the procedure and the patient are exposed to infectious materials because they are not well contained by current coverage methods. Likewise, whoever treats the patient and / or needs to move the patient and change their clothes and / or the clothes of their bed (nurses, patient services or clinical assistants, doctor) is additionally exposed to infectious material. In addition, the floor around the bed

or to the patient's bed is often covered with urine and blood, requiring the presence of cleaning personnel to clean the infectious material and it is not uncommon for footwear or staff garments to get dirty in the process.

This exposes healthcare personnel to bloodborne pathogens.

Currently, changing a urinary catheter, performing a manual bladder wash or performing a flexible cystoscopy often requires unnecessary exposure to hazardous materials, causing wasted staff time and valuable hospital resources (clothing of bed, patient gowns and clothes that require cleaning) and, therefore, entails the following disadvantages:

1) Occupational health and safety (OHS)

Overall, the healthcare profession is actively aimed at reducing OHS-related risks, saving lives, increasing staff productivity / utilization by reducing diseases / infections, reducing insurance costs and minimizing the potential risk of litigation. . Current coverage methods / products for catheterization and related procedures make health workers exposed to substantial risks related to infectious materials in the workplace.

2) Safety / risk of infection of patients

By exposing patients to infectious materials, the risk of infection of patients is increased.

3) Decrease in hospital resources / increased costs

Current coverage methods reduce valuable hospital resources and ultimately increase the cost of health care. In particular:

-the costs associated with the current OHS risks (previously highlighted)

-the time spent by hospital staff to attend to the cleaning of patients / beds

- Dirty / contaminated bedding that has to be washed

-bags / garments of soiled / contaminated patients that have to be washed.

US 1,597,556 discloses an example of a known receiver for discharges of liquids and solids. A sheet for urology is also described in US 4,570,628, on which the shape is based on two parts.

Summary of the invention

The object of the invention is to provide a sheet for use in a treatment method that addresses the aforementioned problems.

The invention provides a sheet for urology according to independent claim 1.

Thus, according to the invention, blood and urine can flow down the sheet and, if the sheet is partially absorbent, they can be absorbed into the sheet, any overflow occurring after full absorption by the blade Thus, blood and urine do not contaminate, in general, the patient, or the patient's clothes or bedding, or the floor around the patient. Thus, cleaning the patient is much easier and safer and takes less time than in the past. This, therefore, improves the occupational safety and health of health workers by reducing the risk of exposure to infectious materials, reduces the risk of infection of patients by exposure to infectious materials, saves hospital costs and resources by reducing the time spent by healthcare workers to change dirty beds, patients 'bedding and clean dirty floors, reduce the costs of laundry of bedding and patients' robes / clothes, has the ability to reduce safety claims and occupational health, and the potential reduction of insurance premiums, as well as the reduction of absences of sick workers and the use of additional catheter packages, nor is it necessary to open sheets of material during a difficult catheterization, since There is the possibility of moving from one catheter to another catheter without having to prepare or re-dress the patient.

Preferably, the first end of the sheet is wider than the second end, so that the sheet narrows from the first end to the second end.

In one embodiment, a barrier may be provided between the opening and the hood in order to prevent the backflow of the flow of the captured fluid in the reservoir towards the second end of the sheet.

Preferably, the sheet includes ties to tie a used sheet in order to form a package for disposal.

In one embodiment of the invention, the sheet and the hood are formed of impermeable plastic material. However, in some embodiments, the sheet could include a layer of absorbent material to absorb liquids.

The hood can be connected to the sheet by adhesive, heat welding, sewing or by any other suitable waterproof connection from the hood to the sheet.

In one embodiment of the invention, the sheet has a wall that extends around the periphery of the sheet, between the first end and the hood.

Preferably, the wall is one piece and forms a continuation of the hood, a work area being defined between the hood and the wall.

Preferably, the hole is arranged in the work area.

The hole may be surrounded by an absorbent pad.

In one embodiment, a perforation extends from the hole to the periphery of the sheet to facilitate tearing of the sheet in order to remove the sheet from a patient.

In one embodiment of the invention, the hood adopts a generally inverted V-shaped configuration.

Preferably, the hood includes a fold line to form the inverted V-shaped configuration.

However, in other embodiments, the shape may be defined by a reinforcement in the fold line or inside the hood.

In one embodiment, the disposable items used in the course of the procedure can also be placed in the tank and discarded with the sheet.

Such items may include gauze, gloves used by the healthcare worker, and the like.

Preferably, the sheet is configured in the manner described above.

Brief description of the drawings

A preferred embodiment of the invention will be described, by way of example, with reference to the accompanying drawings, in which:

Figure 1 is a plan view of a sheet for urology according to an embodiment of the invention;

Figure 2 is a cross-sectional view of the sheet of Figure 1, along line II-II of Figure 1;

Figure 3 is a perspective view of the sheet of Figure 1;

Figure 4 is a diagram showing the sheet in use;

Figure 5 is a plan view of another embodiment of the invention;

Figure 6 is a cross-sectional view along line VI-VI of Figure 5;

Figure 7 is a plan view of another additional embodiment of the invention;

Figure 8 is a cross-sectional view along line VIII-VIII of Figure 7; Y

Figures 9 and 10 are views showing a sheet used in folded or folded condition for disposal.

Detailed description of the preferred embodiment

With reference to Figures 1 and 2, there is shown a sheet 10 for urology comprising a flexible sheet 12 having a first end 14 and a second end 16. The first end 14 is wider than the second end 16 so that the sheet 12 narrows from the first end 14 towards the second end 16. The sheet 12 is provided with a hole 18 in a first intermediate place located between the ends 14 and 16, to expose the genital region of a patient when The sheet 10 has been put on it.

The sheet 10 has a flexible hood 22 that overlaps the sheet 12 and is attached to the periphery of the sheet 12, from a point A to point B, point C and point D. Points A and D meet approximately halfway along the sheet 12, between the upper part 14 and the lower part 16, the hood 22 is open at its inner end 23, located in a second intermediate position between the end 16 and the hole 18, so that between the hood 22 and the sheet 12 a reservoir 24 is defined. The inner end 23 forms an edge of the hood that faces the hole 18. The sheet 12 has a sheet part 25 between the hole 18 and the end 23 forming a drain for the fluid coming from the hole 18 towards the reservoir 24.

The sheet 12 and the hood 22 may be formed from a single piece of material and the hood may be formed by folding the single piece of material between points C and B. In such an embodiment, the hood 22 only has to be secured to the sheet 12 between points A and B and points C and D. Preferably, the hood 22 is secured to the sheet 12 by adhesive, heat welding or by any other suitable method that allows to obtain a waterproof joint.

The sheet 10 is provided with tie straps 28 arranged approximately at the midpoint of the sheet 12 and on the hood 22, and extending outwardly from the sheet 12 and the hood 22. In the embodiment shown in the drawings, ties 28 take the form of strips of material. However, in other embodiments, the closure of the invention may take the form of a tension cord 17. The pull cord 17 may be arranged in the form of loops (not shown) or in a sleeve (not shown) surrounding the sheet so that when the pull cord 17 is pulled, the upper part of the reservoir 24 is squeezed adjacent to the end 23. Preferably, the nature of the tie straps 28 or the pull cord 17 is such that, when the reservoir 24 is closed, it is substantially leak-proof, so that, even if the package is inverted, it does not leak any liquid from the collected package formed by the sheet 10 and the contents of the reservoir 24.

The sheet 12 may be provided with adhesive layers on its back surface, such as a large layer 13a or two minor layers 13b that are covered by a removable backing (not shown). The adhesive layers 13a

or 13b serve to attach the sheet to a patient in order to keep the sheet on the patient.

A barrier 30 may be arranged in the sheet 12, between the intermediate end 23 of the hood 22 and the hole

18. Preferably, the sheet 12 and the hood 22 are formed of liquid-proof material, such as plastic material. However, the sheet 12 may be provided with an absorbent layer to absorb the body fluids discharged during a urology procedure. Thus, the body fluids can be absorbed, initially by the sheet and, once the sheet has absorbed as much liquid as possible, any additional liquid that is discharged can flow along the sheet 10 to the reservoir 24 and be collected in the reservoir 24. The barrier 30 allows the liquid to flow over the barrier 30 but will prevent the liquid from receding from the reservoir 24 to the opening 18 and the end 14 of the sheet 10.

With reference to figure 4, a patient P is placed in a bed, for the performance of a urology procedure. Under the patient is placed a towel that can be a cloth towel or a disposable towel. The bed on which the patient stands is inclined at an angle of about 5 °, in cases where this is not harmful to the patient, so that the liquids will tend to flow down the sheet 10 from the hole 18 to the tank 24 exceeding the barrier 30. The sheet 10 can be provided in a sterile package, if necessary, with containers for the preparation of the skin and for washing solution, together with gauze, plastic forceps and, also, possibly gloves and additional towels The skin of the patient's genitals and the surrounding region is prepared in the usual way. The sheet 12 for urology is then placed on the patient with the narrow end extending downward, generally between the patient's legs. A non-toxic adhesive can also be provided in the sterile package that can be used to keep the sheet 10 in place on the patient during the procedure. The urology procedure is then carried out, which may consist of the introduction or replacement of a catheter, a wash, a cystoscopy procedure or any other procedure related to the genitals and requiring a sterile field. In the case of having to insert or replace a catheter, it is inserted while it is directed towards the reservoir 24. Therefore, when the urine flows it will be possible to collect it in the reservoir 24 or let it flow down the sheet 12 to the reservoir 24, exceeding the barrier 30.

If a wash is required, the wash is carried out and the liquid, when returned, is easily poured into the reservoir 24.

Then, a drainage bag for the urinary catheter can be connected to the urinary catheter and, if necessary, a faucet or washing equipment can be connected.

Any items that have become dirty, such as gauze, cotton, plastic forceps, gloves or the like, can be placed in the tank 24 after the procedure is finished, since this section is far from the field of operation and does not necessarily have to be sterile. .

When the procedure is finished, the sheet 10 of the patient is removed and the upper part of the sheet 12, comprised between the hood 22 and the end 14, is folded on itself and inserted into the reservoir 24, to put the sheet in folded or folded condition (figures 9 and 10). The tie straps 28 can then be used to tie the tank 24 closed or the tank 24 can be closed by pulling the pull cord 17 to tighten it in order to close the tank 24 with all contaminated waste, including urine, blood and used items. . The attached sheet can then be placed in a unit to dispose of infectious waste.

In the preferred embodiment of the invention, sheet 12 is a single sheet of material. However, in other embodiments, the reservoir 24 could be formed as a bag with a surface thereof connected to a sheet so that the surface of the bag and the sheet form the entire sheet and the other surface of the bag forms the Hood.

In one embodiment, the sheet 10 has a width at the end 14 of about 90 cm, a length of about 110 cm and the hole 18 has a circumference of about 10 cm. The barrier 30 extends across the entire width of the approximate midpoint of the sheet 10, which can have a width of about 75 cm, and can have a height of up to 5 cm.

Figures 5 and 6 show another embodiment of the invention, in which similar reference numbers indicate parts similar to those previously described.

In this embodiment, the sheet 12 above the hood 22 is provided with a wall 50 which is a continuation of the hood 22 around the periphery of the sheet 12 above the hood 22. Thus, the hood 22 and the wall 50 effectively define a barrier around the sheet region above the hood 22 to capture any liquid that is poured onto the sheet and that does not immediately flow down to the reservoir 24.

The inner periphery 51 of the wall 50 and the upper part 53 of the hood 22 (around which the barrier 30, not shown) is arranged define a work area 60 that is surrounded by the hood 22 and the wall 50 for capture any liquid that is discharged from the patient.

The sheet 10 may also have a perforation 56 that extends from the hole 18 to the periphery of the sheet 12 to allow a patient's sheet to be easily torn apart so that a catheter (not shown) is not disturbed when Remove the sheet. The reservoir 24 can also have a hole 57 at its bottom to allow fluid drainage with ease, or a key or the like can be connected to the sheet at the bottom of the reservoir 24.

A compress of absorbent material 58 may also surround the opening 18 to absorb fluids immediately around the opening 18.

Figures 7 and 8 show another additional embodiment that may have all the features described with reference to Figures 5 and 6. In this embodiment, the hood 22 is provided with a rigid folding line 61 of ma

5 requires that the hood 22 adopt an inverted V-shape, as best shown in Figure 8. This facilitates the opening of the reservoir 24 for fluid collection. The fold 61 or the hood 22 may also include reinforcement material to hold the hood 22 in the configuration shown in Figure 8.

The sheet 10 can be V-shaped, as shown in Figure 1, square or triangular, terminate

10 of the hood 22 in a pointed vertex instead of a flat base. The working region can be generally square or rectangular, as shown in Figure 1, or partially circular, as shown in Figure

5.

The sheet 10 for urology can be used in procedures other than urological, if necessary, if

15 by properly pulling the sheet over a person's body part to expose, through hole 18, the area of the body in which the procedure will be performed.

In the following claims and in the preceding description of the invention, except when the context dictates otherwise due to the language of expression or a necessary implication, the term "comprises" or variations of the

The same as "comprises" or "comprising" is used in an inclusive sense, that is, to specify the presence of the established characteristics but without excluding the presence or the addition of other characteristics in various embodiments of the invention.

Claims (14)

1. A sheet for urology (10), comprising: a flexible sheet (12) for placing it on a patient, between the patient's legs, when the patient is supine, the sheet having a first end (14) and a second end (16); a hole (18) in the sheet (12) in a first intermediate place, between the first and second ends; the flexible sheet (12) having a second intermediate place, between the first end (14) and the second end (16), and a first part extending between the first end and the second intermediate place, and a second part which is extends between the second intermediate place and the second end, said hole (18) being formed in said first part; a flexible hood (22) superimposed on said second part of the sheet and extending between the second end of the sheet and the second intermediate place; the hood (22) being connected to the sheet around the periphery of the hood except for by an edge (23) of the hole-oriented hood (18); the hood (22) having a first and second peripheral side edges that are connected to the sheet by a method that provides a waterproof joint; the second part of the sheet (12) and the hood (22) forming a flexible reservoir (24) between them to capture and retain body fluids; characterized in that the sheet also includes a closure (28, 17) intended to close the tank (24) in said second intermediate place in order to provide a substantially leak-proof deposit; therefore, after using the sheet, the sheet (10) can be folded or folded by placing the first part together with said hole (18) in the tank (24) and closing the tank, with the first part and the hole (18 ) in it, by means of the closure (28, 17) in order to form a disposable package containing the fluid, to allow hygienically discarding the sheet and the fluid after the use of the sheet. 2. The sheet of claim 1, wherein the sheet (12) has a sheet portion between the hole (18) and the edge (23) of the hood (22), which forms a drain for the fluid from the hole (18) to the reservoir (24).

3.

 The sheet of claim 1, wherein the hood (22) is connected to the sheet (12) at the second end by a folding line so that the sheet (12) and the hood (22) are formed from of a single piece of flexible sheet material.

Four.

 The sheet of claim 1, wherein the hood (22) is connected to the sheet (12) by adhesive or by heat welding.

5.

 The sheet of claim 1, wherein the closure comprises a plurality of tie tapes (28).

6.

 The sheet of claim 1, wherein the closure comprises a pull cord (17).

7.

 The sheet according to any one of the preceding claims, wherein the first end (14) of the sheet (12) is wider than the second end (16), so that the sheet (10) narrows from the first end (14) towards the second end (16).

8.

 The sheet according to any one of the preceding claims, wherein a barrier (30) is arranged between the hole (18) and the hood (22) in order to prevent the backward flow of fluid flow captured in the reservoir ( 24) towards the first end (14) of the sheet (12).

9.

 The sheet according to any one of the preceding claims, whose sheet (10) has a wall

(50) extending around the periphery of the sheet (12), between the first end (14) and the hood (22).

10.

 The sheet of claim 9, wherein the wall (50) is one piece and forms a continuation of the hood (22), and a work area is defined between the hood (22) and the wall (50) (60).

eleven.

 The sheet of claim 10, wherein the hole (18) is provided in the work area (60).

12.

 The sheet of claim 11, wherein the hole (18) is surrounded by an absorbent pad (58).

13.

 The sheet according to any one of the preceding claims, wherein a perforation (56) extends from the hole (18) to the periphery of the sheet (10) to facilitate tearing of the sheet (10) in order of removing a patient's sheet.

The sheet according to any one of the preceding claims, wherein the hood (22) has a generally inverted V-shaped configuration. 15. The sheet of claim 14, wherein the hood (22) includes a fold line (61) to form the V-shaped configuration inverted. 10