JP2021534892A - Fistula cleaning kit - Google Patents

Abstract

The present invention provides a kit for cleaning a fistula, the kit comprising a container, a plurality of fistula cleaning accessories, and a first external access surface. The container has a plurality of outer surfaces and houses a plurality of partitions for defining individual compartments within the container. Multiple exteriors define openings that allow access to the individual compartments of the kit user. Each of the individual compartments is configured to accommodate at least one of a plurality of fistula cleaning accessories. The first external access surface can be used with at least one of the plurality of external surfaces so as to selectively allow access to the individual compartments. At least one of the outer surface or the first external access surface includes instructions and indications indicating the order in which each of the plurality of fistula cleaning accessories is used for fistula cleaning. Therefore, each of the plurality of fistula cleaning accessories is sequentially used to clean the fistula. [Selection diagram] FIG. 4

Description

(Technical field)
The present invention relates to a fistula cleaning kit used in connection with an enteral feeding device. More specifically, the present invention relates to a reusable cleaning kit dispenser for cleaning a fistula.

There are various situations that require the intubation of a catheter through an artificial fistula inside the human body to achieve the desired medical purpose. Relatively common situations are when the retention fluid is drained and when the nutrient solution or drug is administered directly to the stomach or intestines. In these situations, a fistula is percutaneously formed and the intubation device is intubated through the formed fistula. As an example, surgery to form a surgical opening (fistula) extending between the stomach or intestinal wall and the outer surface of the skin and / or a fistula is generally a gastrostomy / gastrostomy, jejunostomy. It is called / jejunostomy, ileal fistula / ileal fistula construction, and / or colon fistula / colon fistula construction. A medical device equipped with a catheter, eg, a feeding tube, placed through the fistula allows the nutrient solution to be infused through the catheter (feeding tube) to supply nutrients directly to the stomach or intestine. (Known as enteral nutrition). Various medical devices for enteral nutrition have been developed for many years, such as those placed on the patient's skin, not just those with a conventional or non-thin structure. Examples include those having a "thin" structure in the portion. Such percutaneous delivery devices are often referred to as "gastrostomy tubes," "percutaneous gastrostomy tubes," "PEG tubes," or "enteral feeding tubes." These transdermal delivery devices, also called feeding tubes, are supported by an external bolster that abuts and supports the surface of the patient's skin and abuts against the stomach wall to hold the percutaneous delivery device in place at the fistula site. Includes internal bolsters or balloons.

One of the problems with the use of fistulas and associated feeding tubes is proper care and cleaning. In many cases, daily cleaning of the fistula is important to promote fistula health, prevent infections, prevent skin redness, and prevent pain throughout the fistula. In addition, patients and caregivers are generally required to assemble fistula cleaning supplies supplied from independent sources. In addition, caregivers may find it difficult to understand how to properly clean a fistula using a fistula cleaning product supplied from such an independent source.

Therefore, any device and related method for cleaning a fistula that facilitates thorough cleaning and reduces the complexity of the cleaning procedure would be welcomed in the art.

Aspects and advantages of the invention are described in part in the description below, or are apparent from the description below, or can be learned by practicing the invention.

In certain embodiments, the present invention relates to a kit for cleaning a fistula. The kit of the present invention includes a container, a plurality of fistula cleaning accessories, and a first external access surface. The container has a plurality of outer surfaces and houses a plurality of partitions for defining individual compartments within the container. Multiple exteriors define openings that allow access to the individual compartments of the kit user. In addition, each of the individual compartments is configured to accommodate at least one of a plurality of fistula cleaning accessories. The first external access surface can be used with at least one of the plurality of external surfaces so as to selectively allow access to the individual compartments. In addition, at least one of the outer surface or the first external access surface includes instructions and indications indicating the order in which each of the plurality of fistula cleaning accessories is used for fistula cleaning. Therefore, each of the plurality of fistula cleaning accessories is sequentially used to clean the fistula.

In one embodiment, the first external access surface comprises a first hinged lid. In certain embodiments, the first hinged lid has a pouch provided on its outer surface. The pouch defines a cavity configured to accommodate at least one of a plurality of fistula cleaning accessories. For example, the pouch cavity is configured to accommodate at least one drape. In another embodiment, the first hinged lid has a plurality of lid dividers coupled to its inner surfaces. In such an embodiment, the plurality of lid dividers define at least one lid compartment configured to accommodate at least one of the plurality of fistula cleaning accessories.

In a further embodiment, the kit of the invention has a second external access that can be used with at least one of the outer surface or the first external access surface so as to selectively allow access to the individual compartments. Further prepare the surface. For example, in one embodiment, the second external access surface includes a second hinged lid. The second hinged lid can be used with at least one of the outer surfaces or the first external access surface to selectively allow access to the individual compartments.

In another embodiment, each of the outer surface and the first external access surface is light opaque to make the contents of the container invisible to the outside. In one particular embodiment, the second external access surface is also light opaque. In another embodiment, each of the outer surface and the first external access surface has a fashionable design so that the purpose of the kit is obscured. In a further embodiment, each of the individual compartments is sequentially marked in order to clean the fistula using the fistula cleaning accessory corresponding to each of the individual compartments. In such an embodiment, at least one of the sequentially marked individual compartments has a mark containing at least one of an alphanumerical symbol or a color code symbol. In another embodiment, at least one of the exterior or first external access surfaces is compliant to allow the user to mark the successful use of at least one of the plurality of fistula cleaning accessories. Includes checking means. For example, the user marks the successful use of each of the multiple fistula cleaning accessories. In this case, the compliance checking means includes at least one of a plurality of seals or perforation punches for the user to mark the successful use of at least one of the plurality of fistula cleaning accessories.

In a further embodiment of the kit of the invention, each of the plurality of fistula cleaning accessories comprises a defined supply of each fistula cleaning accessory, eg, a supply for at least 30 days. In one embodiment, at least one of the plurality of fistula cleaning accessories is a wipe, swab, fistula pad, or travel pack that can be used with one or more gloves, drapes, cleansers, and one or more cleansers. include. In certain embodiments, the drape includes instructions and indications indicating the order in which each of the plurality of fistula cleaning accessories is used for fistula cleaning. It should be appreciated that the kits of the invention may further comprise any additional features described herein or any combination thereof.

In another embodiment, the invention relates to a method of cleaning a fistula using a kit defining a plurality of individual compartments, each configured to accommodate a fistula cleaning accessory. The present invention includes the step of removing the glove from the first compartment and putting the glove on the user's hand. The present invention further comprises the step of removing the drape from the second compartment and arranging the drape as a working surface. The present invention further comprises the step of removing the cleansed fluid from the third compartment and applying the cleansed liquid to the fistula and / or the patient's skin area around the fistula. The present invention further comprises the step of removing the wipe from the fourth compartment and using the wipe and cleaning fluid to clean and / or dry the patient's skin area around the fistula and / or the fistula. The present invention further comprises the step of removing the swab from the fifth compartment and using the swab to clean and / or dry the patient's skin area around the fistula and / or the fistula. The present invention further comprises the step of removing the fistula pad from the sixth compartment and applying the fistula pad to a medical device that can be used with the fistula.

In one embodiment, the invention further comprises marking the compliance checking means that at least one of the steps of the invention has been completed. It should be understood that the method may further include any additional features described herein.

The above and other features, embodiments and advantages of the present invention may be better understood by reference to the following description and the appended claims. The accompanying drawings are incorporated herein to constitute a portion thereof, illustrate embodiments of the invention, and serve together with the specification to illustrate the principles of the invention.

A complete and feasible disclosure (including Best Mode) of the invention to those of skill in the art is set forth herein with reference to the accompanying drawings.

FIG. 1 is a schematic perspective view of a feeding tube that can be used with the fistula cleaning kit of the present invention. FIG. 2 shows an embodiment of a fistula cleaning kit according to one aspect of the present disclosure, particularly showing a container of the kit and a first external access surface. FIG. 3 shows another embodiment when the kit is in the closed position, in particular showing the kit with the first external access surface and the second external access surface closed to close the opening of the kit. .. FIG. 4 shows another embodiment of the kit in which the container contains a plurality of fistula cleaning accessories, in particular such that a separate compartment accommodates at least one of the plurality of fistula cleaning accessories. The configured kit is shown. FIG. 5 shows an embodiment of a method of cleaning a fistula according to an aspect of the present disclosure, in particular using a kit defining a plurality of individual compartments each configured to accommodate a fistula cleaning accessory. Here's how to do it.

Reference numerals used repeatedly herein and in the drawings are intended to represent the same or similar features or elements of the invention.

Hereinafter, various embodiments of the present invention and one or more embodiments thereof will be described in detail. Each embodiment is presented to illustrate the invention and is not intended to limit the invention. In fact, it will be apparent to those skilled in the art that various modifications and variations of the invention are possible in the present invention without departing from the scope and gist of the invention. For example, the features exemplified or described as part of one embodiment can be used in conjunction with another embodiment to create yet another embodiment. Accordingly, the present invention is intended to include such modifications and variations as long as they fall within the scope of the appended claims and their equivalents.

Generally speaking, the present invention relates to a kit for cleaning a fistula and a method of cleaning the fistula using the kit. The kit of the present invention includes separate compartments for fistula cleaning accessories and instructions for sequential use of fistula cleaning accessories for more thorough and consistent fistula cleaning. Enables. For example, a separately purchased fistula cleaning accessory may not include instructions that adequately explain how to use the accessory, or may not be intended for fistula cleaning in the first place. The individual compartments are marked in sequence in the intended order of use (eg, by sign) of the fistula cleaning accessory, which allows the fistula to be cleaned in a particular order and flow. Therefore, the kits of the present invention help ensure that fistula cleaning is performed in a proper procedure. In addition, the kits of the invention also help users and / or patients purchase suitable medical supplies for use in fistula cleaning. The kit of the present invention also provides a private place for storing fistula cleaning accessories. In certain embodiments of the kits of the invention, a compliance check-off functionality structure allows the user and / or the patient to ensure that daily fistula cleaning is performed, and as such. A record of fistula cleaning can be provided.

Next, with reference to FIG. 1, a schematic perspective view of the feeding tube 50 that can be used with the fistula and / or the fistula cleaning kit of the present invention is shown. It should be noted that other feeding tubes with other configurations may also be used with the fistula cleaning kits of the present disclosure. Furthermore, in another embodiment, the fistula cleaning kit of the present invention can be used with other medical devices and fistulas that can be used with such devices.

The feeding tube 50 includes an outer end 52, an inner end 54, and a tube 56 extending between the outer end 52 and the inner end 54. The tube 56 has a lumen 68 for delivering food, the drug, or both to the patient via one or more ports 72. The external end 52 comprises an external bolster 58 placed adjacent to the surface of the patient's skin. The internal end 54, on the other hand, comprises a retention balloon 70 placed adjacent to the patient's stomach wall. The external bolster 58 and the holding balloon 70 hold the feeding tube 50 in place within the conduit formed at the fistula site. The external bolster 58 includes a base 74 having an upper surface 76 and a lower surface 78. The sleeve 62 is positioned relative to the top surface 76 to receive the tube 56. The base 74 has a bore or opening 66 through which the tube 56 can pass. The tube 56, which has passed through the bore or opening 66, penetrates the abdominal and stomach walls and is introduced into the patient's stomach. The base 74 also has an air hole 64 extending from its top surface 76 to its bottom surface 78. The air holes 64 facilitate the flow of air around the fistula site. Although not required, the external bolster 58 has a plurality of legs 60 extending from the lower surface 78 of the base 74. The leg 60 prevents the base 74 from contacting the fistula site, minimizing the amount of contact between the patient's skin surface and the external bolster 58, which improves ventilation at the fistula site. .. In certain situations, fluid may leak from the fistula site, which generally can lead to skin infections and poor fistula health. Therefore, the fistula cleaning kit of the present invention can be used not only for the feeding tube 50 itself but also for cleaning the leakage of body fluid from the fistula site, if desired.

Next, with reference to FIG. 2, an embodiment of the kit 80 for cleaning a fistula according to one aspect of the present disclosure is shown. In particular, FIG. 2 shows the container 82 of the kit 80 and the first external access surface 84. The kit 80 includes a container 82, a plurality of fistula cleaning accessories 86 (see, eg, FIG. 4), and a first external access surface 84. The container 82 has a plurality of outer surfaces 88. The plurality of outer surfaces 88 form a box. For example, the plurality of outer surfaces 88 define a bottom 90 and one or more side portions 92. In certain embodiments, the box can be rectangular or square. In a further embodiment, the container 82 may have any shape defined by a plurality of outer surfaces 88. For example, the container 82 may have a triangular, circular, or other shape, eg, a combination of one or more straight, curved, arcuate, linear or non-linear outer surfaces 88. Further, the container 82 may have a smaller number or a larger number of outer surfaces 88, such as three or less or five or more outer surfaces 88.

The plurality of outer surfaces 88 define an opening 94 so that the user of the kit 80 can access the inside of the container 82, for example, the individual compartment 100. For example, the top 96 of the container 82 does not include a fixed outer surface 88. In the illustrated embodiment, the opening 94 is provided at the top 96 of the container 82 to allow access from the top 96. It should be appreciated that in a further embodiment, the opening 94 may be provided at any position on the container 82, eg, one or more side portions 92 and / or bottom 90.

The container 82 houses a plurality of partitions 98 that define individual compartments 100 within the container 82. For example, one or more linear dividers 98 extend between one outer surface 88 of the container 82 and the opposite outer surface 88. In one embodiment, a single partition 98 extends over the entire length L of the container 82. In another embodiment, a plurality of partitions 98 connect their ends to each other and extend over the entire length L of the container 82. In yet another embodiment, at least one partition 98 extends partially along the overall length L of the container 82. In certain embodiments, the one or more dividers 98 include a notch so that another divider 98 can be placed approximately orthogonally to the divider 98 over the overall length L of the container 82. For example, the partition 98 extends at least partially along the full width W of the container 82. In one embodiment, one or more dividers 98 extend along the full width W of the container 82. Each of the dividers 98 may be coupled to at least another divider 98 or outer surface 88. In certain embodiments, the partition 98 extends along the overall length L of the container 82 or partially along the overall length L, and extends along the overall width W or partially along the overall width W of the container 82. The partition 98 defines a grid of individual compartments 100.

The partition 98 is coupled to the other partition 98 and / or the outer surface 88 using any suitable means such as adhesives, tapes, welds, and / or mechanical fasteners (eg, bolts, screws, rivets). Please understand that you can. In one particular embodiment, the divider 98 may be coupled using a tab notched interface that can be used with at least one other divider 98 or outer surface 88. In addition, the outer surfaces 88 may be coupled to each other using any suitable means. It should be understood that one or more outer surfaces 88 or dividers 98 may be integrally formed with each other. For example, a single component (eg, a first outer surface 88, a second outer surface 88, a first partition) formed from a single material by bending the outer surface 88 and / or the partition 98 at the joint portion 102. 98, separate parts of the second partition 98) may be defined. In certain embodiments, the plurality of partitions 98 may be combined with each other to form one or more individual compartments 100. In such an embodiment, the individual compartment 100 may then be coupled to at least one outer surface 88, such as the bottom 90 and / or one or more side portions 92. For example, the individual compartments 100 formed by the divider 98 may be adhered to at least one outer surface 88.

In certain embodiments, one or more dividers 98 define a non-linear shape. For example, one or more dividers 98 are curved or arcuate, or are defined by any polynomial of any degree. In certain embodiments, one or more dividers 98 can define a joint portion 102 between two or more faces of a compartment 100. It should be appreciated that the plurality of dividers 98 are combined to form any desired shape. For example, the plurality of dividers 98 are arranged to form a compartment 100 having a shape corresponding to the associated fistula cleaning accessory 86 (see, eg, FIG. 4). In addition, the kit 80 can define more or less individual compartments 100 to accommodate the fistula cleaning accessory 86 as needed or desired.

It should be appreciated that the outer surface 88, the first external access surface 84, and / or the partition 98 can be formed from any suitable material or combination of materials. Further, one portion of the outer surface 88, the first external access surface 84, and / or the partition 98 is formed from a certain material, and another portion of the outer surface 88, the first external access surface 84, and / or the partition 98. May be formed from another material. Such materials include, but are not limited to, cardboard, wood, plastics, polymers, composites, metals, or any combination thereof.

In addition, each of the individual compartments 100 is configured to accommodate at least one of a plurality of fistula cleaning accessories 86, as described in more detail below with reference to FIG. Thus, each of the plurality of fistula cleaning accessories 86 is sequentially used to clean the fistula, as will be described later with reference to FIGS. 4 and 5. More specifically, the kit 80 includes instructions 140 and a marker 144 (eg, alphanumerical symbol, color code symbol) indicating the order and flow of using each fistula cleaning accessory 86 to clean the fistula and / or medical device. ) And.

The first external access surface 84 can be used with at least one outer surface 88 such that the first external access surface 84 selectively allows access to the individual compartments 100. For example, the first external access surface 84 can selectively open and close the opening 94 of the container 82 in order to provide access to the inside of the container 82. In one embodiment, the first external access surface 84 may be a separable lid configured to be attached to one or more outer surfaces 88. For example, the separable lid (first external access surface 84) is attached to one or more outer surfaces 88 using a tab notch interface. In another embodiment, the first external access surface 84 is attached to one or more outer surfaces 88 using any other suitable means. For example, the separable lid (first external access surface 84) is attached to one or more outer surfaces 88 using a tab notch interface, a male-female interface, a tie, a hook-and-loop fastener, or other means. In one embodiment, the weight of the first external access surface 84 maintains fixation of the first external access surface 84 to at least one outer surface 88, resulting in the container 82 being closed.

In one embodiment, the first external access surface 84 includes a first hinged lid 104. For example, the first hinged lid 104 is attached to one or more outer surfaces 88 and / or dividers 98 with pivots 106. For example, the pivot portion 106 extends along the total length L or the total width W of the container 82. As shown, the pivot 106 is provided at the bottom 90 of the container 82. Therefore, the first hinged lid 104 also defines at least one of the side portions 92 of the container 82. In another embodiment, the first hinged lid 104 is attached to the top 96 of the container 82. Further, the first hinged lid 104 may include one or more wing portions 108 used to secure the first hinged lid 104. Therefore, the wing portion 108 can be used with one or more outer surfaces 88 that define the side portion 92. For example, the wing portion 108 has a first hinge along the axis of the pivot portion 106 when the first hinged lid 104 is in the closed position along the full width W, as in the illustrated embodiment. The displacement of the attached lid 104 can be reduced.

In one embodiment, the first hinged lid 104 comprises a plurality of lid dividers 110 coupled to the inner surface 112 of the first hinged lid 104. In such an embodiment, the plurality of lid dividers 110 are configured to accommodate at least one of the plurality of fistula cleaning accessories 86, as described in more detail below with reference to FIG. At least one lid compartment 114 is defined. In such an embodiment, the container 82 defines a pocket 117 configured to accommodate the lid compartment 114. For example, the pocket 117 that defines the space in which the lid compartment 114 is located when the first hinged lid 104 is in the closed position is formed by a plurality of dividers 98. Thus, the pocket 117 allows the lid compartment 114, the separate compartment 100, and / or the fistula cleaning accessory 86 to close the container 82 without interfering with each other.

In certain embodiments, the first hinged lid 104 has a pouch 116 on its outer surface 118. The pouch 116 is coupled to the outer surface 118 of the first hinged lid 104. Alternatively, in another embodiment, the pouch 116 is formed integrally with the outer surface 118 of the first hinged lid 104. The pouch 116 defines a cavity configured to accommodate at least one fistula cleaning accessory 86. It should be noted that in another embodiment, the pouch 116 may be coupled to the inner surface 112 of the first hinged lid 104.

In a further embodiment, the kit 80 further comprises a second external access surface 120 that can be used with at least one of the outer surface 88 or the first external access surface 84, the second external access surface 120 being an individual. Allows access to compartment 100 selectively. For example, the second external access surface 120 allows access to the interior of the individual compartments 100, at least in part, selectively through the opening 94. In one embodiment, the second external access surface 120 includes a second hinged lid 122. As shown, the second hinged lid 122 is attached to one or more outer surfaces 88 and / or dividers 98 at the pivot 106. As shown, the pivot 106 is provided on the top 96 of the container 82. It should be appreciated that in another embodiment, the second hinged lid 122 may be configured substantially like the first hinged lid 104. For example, the second hinged lid 122 has a lid divider 110 coupled to the bottom 90 of the container 82 and defining the lid compartment 114, with a pouch 116 disposed on the inner side surface 112 and / or the outer side surface 118. And / or has one or more wing portions 108.

The second hinged lid 122 can be used with at least one of the outer surface 88 or the first external access surface 84 to selectively allow access to the individual compartments 100. For example, the second hinged lid 122 can be used with at least the first hinged lid 104 to allow access to the individual compartments 100. In the illustrated embodiment, the second hinged lid 122 is closed before the first hinged lid 104. Therefore, the first hinged lid 104 at least partially secures the second hinged lid 122. In another embodiment, in the kit 80, the first hinged lid 104 is closed prior to the second hinged lid 122, and the second hinged lid 122 at least partially parts the first hinged lid 104. It may be configured to be fixed. In yet another embodiment, the first hinged lid 104 and the second hinged lid 122 each close a portion of the container 82 and meet at a predetermined position along the overall length L and / or overall width W of the container 82. .. For example, the first hinged lid 104 and the second hinged lid 122 meet at approximately the center of the overall length L of the container 82. In such an embodiment, one of the first hinged lid 104 and the second hinged lid 122 may overlap the other of the first hinged lid 104 and the second hinged lid 122. For example, in the illustrated embodiment, the first hinged lid 104 overlaps the second hinged lid 122 when the kit 80 is in the closed position. In another embodiment, the first hinged lid 104 and the second hinged lid 122 do not overlap each other and intersect at their edges 124. In this case, when the first hinged lid 104 and the second hinged lid 122 are arranged so that their ends are butted against each other (for example, when the container 82 is in the closed position), the container 82 Has substantially the same length as the total length L. Further, one or both of the first hinged lid 104 and the second hinged lid 122 together with the other of the first hinged lid 104 and the second hinged lid 122 to ensure that the container 82 is closed. It may have a closure mechanism 126 that can be used (eg, latches, locks, ties, adhesives, hook-and-loop fasteners).

In certain embodiments, the kit 80 has a mirror 123 permanently or selectively coupled to at least one of an outer surface 88, a first external access surface 84, or a second external access surface 120. .. In this case, the mirror 123 can assist the user of the kit 80 to perform a cleaning procedure using the fistula cleaning accessory 86 (see, eg, FIGS. 4 and 5). More specifically, the mirror 123 allows the patient to see the cleaning procedure, especially when it is difficult for the patient to see the fistula site.

Next, with reference to FIG. 3, an embodiment when the kit 80 is in the closed position is shown. More specifically, in the kit 80 shown in FIG. 3, the first external access surface 84 and the second external access surface 120 are closed to close the opening 94. For example, the first hinged lid 104 and the second hinged lid 122 are closed to prevent access to the interior of the container 82. Further, by closing the second hinged lid 122 on top of the first hinged lid 104, the pouch 116 can be protected from external access, or the fistula cleaning accessory 86 housed in the pouch 116 can be protected. It should be understood that can be prevented from falling off the pouch 116. In another embodiment, the second hinged lid 122 only partially protects the pouch 116. For example, the pouch 116 extends partially beyond the edge 124 of the second hinged lid 122. In addition, the pouch 116 may be placed so that it is completely visible in the closed position of the kit 80. For example, the pouch 116 is positioned beyond the edge 124 of the second hinged lid 122 so that it is not covered or blocked by the second hinged lid 122. In another embodiment, the pouch 116 is fixed to the inner side surface 112 of the second hinged lid 122, whereby when the first hinged lid 104 and the second hinged lid 122 are closed. You can protect the pouch.

In one embodiment of the kit 80, each of the outer surface 88 and / or the first external access surface 84 is light opaque so that the contents (containers) of the container 82 cannot be seen from the outside. .. In one particular embodiment, the second external access surface 120 is light opaque. It should be understood that users and / or patients of Kit 80 may not want others to see the contents of Kit 80. Therefore, the opaque fistula cleaning kit 80 helps protect the privacy of the user and / or patient during storage and / or transportation of the fistula cleaning accessory 86. In another embodiment, each of the outer surface 88, the first external access surface 84, and / or the second external access surface 120 has a fashionable design so that the purpose of the kit is obscured. For example, the outer surface of the kit 80 does not contain a brand and / or logo that indicates the purpose of the kit 80. In addition, the kit 80 may be configured to obscure the purpose of the contents when closed and to assist in maintaining the user's personal discretion using design and color.

Next, referring to FIG. 4, an embodiment of the kit 80 in which the container 82 contains a plurality of fistula cleaning accessories 86 is shown. The kit 80 of FIG. 4 is substantially the same as or configured as the kit 80 of FIG. For example, the kit 80 has one or more compartments 100, a lid compartment 114, and a pouch 116. Although omitted for clarity, the kit 80 of FIG. 4 may also have a mirror 123. More specifically, in the kit 80 shown in FIG. 4, each of the individual compartments 100 is configured to accommodate at least one of a plurality of fistula cleaning accessories 86. Further, the lid compartment 114 and the pouch 116 are each configured to accommodate at least one of a plurality of fistula cleaning accessories 86. In one embodiment, at least one of the plurality of fistula cleaning accessories 86 is a wipe, swab, fistula pad, or travel pack that can be used with one or more gloves, drapes, cleansers, and one or more cleansers. Can include. In another embodiment, a larger number or a smaller number of fistula cleaning accessories 86 may be used with the kit 80. Further, the kit 80 does not include a part of the exemplary fistula cleaning accessory 86, but may include other fistula cleaning accessories 86. In one particular embodiment, the plurality of fistula cleaning accessories 86 may each include a wipe, swab, fistula pad, or travel pack that can be used with one or more gloves, drapes, cleansers, and one or more cleansers. Further, the cavity of the pouch 116 may be configured to accommodate at least one drape.

Each of the plurality of fistula cleaning accessories 86 is used for individual purposes and is intended to be used in a particular order to clean the fistula. For example, gloves 126 help prevent the user from inadvertently exposing the fistula to bacteria, filth, debris, infections, etc. during the cleaning procedure. Similarly, the drape 128 provides a relatively clean and dry surface for placing other fistula cleaning accessories 86 during the cleaning procedure. This allows the disposable drape 128 to reduce the risk of infection of the fistula. In addition, the drape 128 can provide a convenient receptacle for placing the used fistula cleaning accessory 86 during the cleaning procedure. For example, the drape 128 can define an internal cavity for accommodating a used fistula cleaning accessory 86, which allows disposable fistula cleaning after completion of a cleaning procedure such as the cleaning procedure shown in FIG. All of the accessories 86 can be easily disposed of.

The cleaning liquid 130 can disinfect and remove filth, debris, body fluids / biological substances, and / or foreign substances from the fistula. The cleaning liquid 130 may contain water and one or more cleaning agents and / or disinfectants. The wipe 132 can be used with the cleaning fluid 130 to assist in cleaning / disinfecting the fistula. The wipe 132 may contain known medical wipes, gauze, or similar substances suitable for cleaning fistulas. The swab 134 can also be used with the cleaning fluid 130 to assist in cleaning / disinfecting the fistula. For example, the swab 134 can be used to clean small areas that are inaccessible or difficult to clean properly with the wipe 132. It should be understood that the cleaning fluid 130, wipe 132, and / or swab 134 can also be used to clean medical devices that can be used with fistulas. For example, the fistula cleaning accessory 86 can be used to clean the feeding tube 50 of FIG. As an example, the swab 134 can be used to clean the area of contact with the skin or fistula of a medical device. Further, in another embodiment, the medical device may be cleaned using another fistula cleaning accessory 86 and / or an additional fistula cleaning accessory 86. It is understood that such an additional fistula cleaning accessory 86 may be housed in the kit 80 and / or may be housed separately from the fistula cleaning accessory 86 for cleaning the fistula itself. I want to be done.

In addition, the fistula pad 136 may be applied to medical devices such as feeding tubes 50 (eg, see FIG. 1) to help keep the fistula clean and dry. For example, the fistula pad 136 has a cavity configured to receive the external bolster 58 of the feeding tube 50. Further, the fistula pad 136, when the feeding tube 50 is inserted into the fistula, is at least partially below the lower surface 78 of the base 74 of the outer bolster 58 of the feeding tube 50 between the feeding tube 50 and the patient's skin. It has a wicking layer arranged on the side. This wicking layer can wick and remove water from the fistula and / or the patient's skin around the fistula. By removing water from the fistula, infection, redness, and pain at the fistula site can be reduced or avoided. The fistula pad 136 also has an absorbent layer that is located above the upper surface 76 of the base 74 of the outer bolster 58 of the feeding tube 50 when the feeding tube 50 is inserted into the fistula. This absorbing layer can retain the water removed from the fistula site by the wicking layer. It should be appreciated that in another embodiment the kit 80 may have a fistula pad 136 that can be used with other medical devices or other components of the feeding tube 50. For example, the fistula pad 136 has more or less components and does not have a wicking layer, an absorption layer, and / or a cavity configured to receive the external bolster 58. May be good.

The travel pack 138 may include a single-use supply of gloves 126, wipe 132 (dry type or type used with cleaning fluid 130), separate cleaning fluid 130, swab 134, and / or fistula pad 136. Such a travel pack 138 may be provided for convenient travel by the user and / or patient when large kits are difficult, inconvenient, and / or impossible to transport.

In a further embodiment of the kit 80, each of the plurality of fistula cleaning accessories 86 may include a defined supply of each fistula cleaning accessory 86, eg, a supply for at least 30 days. For example, the user purchases a subscription to receive a 30-day supply of each fistula cleaning accessory 86 at predetermined intervals, such as monthly. In another embodiment, the kit 80 is a fistula cleaning accessory 86 for a period of any desired length, eg, a period of more than 30 days, eg, 2 months, 3 months, or longer. May include supply of. In another embodiment, the kit 80 may include the supply of each fistula cleaning accessory 86 for a period of less than 30 days. It should be appreciated that the container 82, the separate compartment 100, the lid compartment 114, and / or the pouch 116 may be sized to accommodate approximately the desired supply of the fistula cleaning accessory 86 over different periods of time. .. For example, the individual kit 80 may be configured to supply a fistula cleaning accessory 86. In this case, the kit 80 may specify individual sizes (small, medium, large, etc.). Further, it should be understood that the kit 80 may have a smaller number of travel packs 138 than the other fistula cleaning accessories 86. For example, a plurality of travel packs 138 may constitute a travel pack 138 that includes a supply for 30 days.

Continuing with reference to FIG. 4, at least one of the outer surface 88, the first external access surface 84, and the second external access surface 120 uses each of the plurality of fistula cleaning accessories 86 to clean the fistula. It may include an instruction 140 and an indication indicating the order in which it is to be performed. For example, in the illustrated embodiment, the instruction 140 may be included on the inner surface 142 of the second external access surface 120. This allows each of the plurality of fistula cleaning accessories 86 to be used in sequence to clean the fistula. It should be understood that the instruction 140 may include a text display and / or a graphic display 142 indicating the usage and order of use of the fistula cleaning accessory 86. It should also be appreciated that the instruction 140, including the graphic display 142, allows users speaking various languages to use the kit 80 without the need for translation of the instruction 140. In one particular embodiment, the drape 128 may further include instructions 140 and an indication indicating the order in which each of the plurality of fistula cleaning accessories 86 is used for fistula cleaning.

In yet another embodiment, each of the individual compartments 100, the lid compartment 114, and / or the pouch 116 sequentially marks the fistula cleaning accessory 86 corresponding to each of them in order of use for fistula cleaning. Will be done. For example, one or more of the individual compartments 100, the lid compartment 114, and the pouch 116 is one or more dividers 98, an outer surface 88, a lid divider adjacent to each of the compartments 100, the lid compartment 114, and / or the pouch 116. It may include a sign 144 marked on 110, a first external access surface 84, and / or a second external access surface 120. For example, the compartment 100, the lid compartment 114, and / or the pouch 116 are sequentially marked with an alphanumerical symbol (eg, "1, 2, 3" or "A, B, C") as a marker 144. .. In another embodiment, the marking 144 marked on compartment 100, lid compartment 114, and / or pouch 116 is color coded. In yet another embodiment, the label 144 may include any symbol used to indicate the order in which each fistula cleaning accessory 86 is used. Instruction 140, in conjunction with the label 144, can help determine the order and flow of use of the fistula cleaning accessory 86. Thus, the instruction 140 may include a label 144 for each step of the instruction 140 corresponding to the label 144 associated with each of the fistula cleaning accessories 86. For example, the indicator 144 of the instruction 140 can indicate the order of use of the fistula cleaning accessory 86 using the color corresponding to each indicator 144 of the compartment 100, the lid compartment 114, and / or the pouch 116. It should be appreciated that the particular compartment 100, the lid compartment 114, and the associated fistula cleaning accessory 86 can share one alphanumerical symbol and / or color code symbol. For example, fistula cleaning accessories 86 configured to be used together can share a single label 144 designation for use in a predetermined cleaning procedure (eg, cleaning fluid 130). , Wipe 132, and / or swab 134 may include a single alphanumerical symbol and / or color code symbol).

In another embodiment, at least one of the outer surface 88, the first external access surface 84, or the second external access surface 120 can be used by the user at least one of a plurality of fistula cleaning accessories 86. Includes compliance check means 146 to be able to mark success. For example, the user marks the successful use of each of the plurality of fistula cleaning accessories 86. In certain embodiments, the user can mark the locations 148 corresponding to the use of each fistula cleaning accessory 86 daily (eg, with a pen or pencil). In certain embodiments, the user can mark points 148 corresponding to the completion of all daily cleaning procedures. In another embodiment, the compliance check means 146 has a plurality of seals or perforation punches to mark a corresponding location 148 after successful use of at least one of the plurality of fistula cleaning accessories 86. Including at least one of them. In certain other embodiments, the compliance checking means 146 includes a dry-erase portion, or a similar portion. This allows the user to erase the mark indicating successful use of the kit 80 and the associated fistula cleaning accessory 86, for example at the end of the 30-day supply of the fistula cleaning accessory 86. ..

In at least one embodiment, the compliance check means 146 is replaceable. For example, a new compliance checking instrument 146 is provided for every 30 days of supply of the fistula cleaning accessory 86, for example, for each shipment of a subscription delivering the fistula cleaning accessory 86 for 30 days. It should be understood that the period included in the compliance check means 146 may be any other appropriate period. For example, the compliance check means 146 may include a markable location 148 corresponding to 1 week, 2 weeks, 6 weeks, 2 months, 60 days, 3 months, 90 days, or any other suitable period.

Next, with reference to FIG. 5, an embodiment of the method (200) for cleaning a fistula according to one aspect of the present disclosure is shown. Specifically, FIG. 5 shows a method of using a kit defining a plurality of individual compartments, each configured to accommodate a fistula cleaning accessory. For example, the method (200) can be used with the kit 80 described with reference to FIGS. 2-5 and / or for cleaning medical devices such as the feeding tube 50 of FIG. It should be appreciated that in another embodiment, the method (200) can be used with any component of the kit 80 and / or with another component of another medical device or feeding tube 50. In addition, the method (200) may include more or less steps. The method (200) also reflects the order and flow of the instructions 140 and the associated markers 144 included in the instructions 140 and used to designate the compartment 100, the lid compartment 114, and the pouch 116. Please understand that there is.

The method (200) includes removing the glove from the first compartment and putting the glove on the user's hand (202). The method (200) also includes a step (204) of removing the drape from the second compartment and arranging the drape as a working surface. The method (200) also includes the step (206) of removing the cleansing fluid from the third compartment and applying the cleansing fluid to the fistula and / or the patient's skin area around the fistula. The method (200) also removes the wipe from the fourth compartment and uses the wipe and cleaning fluid to clean and / or dry the patient's skin area around the fistula and / or the fistula (208). include. The method (200) also comprises the step (210) of removing the swab from the fifth compartment and using the swab to clean and / or dry the patient's skin area around the fistula and / or the fistula. The method (200) also comprises the step (212) of removing the fistula pad from the sixth compartment and applying the fistula pad to a medical device that can be used with the fistula. Although steps 206 to 210 above have generally described cleaning of the fistula itself, each step of the method (200) is nourishing in much the same manner as when cleaning the fistula using the fistula cleaning accessory 86. It should be understood that it can be used to clean medical devices such as tubes 50.

In one embodiment, the method (200) further comprises a step (214) marking the compliance checking means that at least one of each of the above steps has been completed. For example, the user can mark the completion of each step of the method. Further, it should be understood that the method (200) may further include any additional features described herein.

The present specification discloses the contents of the present invention including the best embodiment (best mode) by using Examples, and a person skilled in the art implements the present invention (manufacturing and use of any device or system, and). It is possible to do so (including the implementation of any built-in method). The patented technical scope of the present invention is defined by the claims of the claims and may include other embodiments conceivable to those skilled in the art. Such another embodiment, if it contains components that do not differ substantially from the wording of each claim, or if it contains equal components that do not substantially differ from the wording of each claim, the scope of the claims. It shall be included in.

Claims (20)

A kit for cleaning fistulas
A container having a plurality of outer surfaces, wherein a plurality of partitions for defining individual compartments are housed in the container, and the plurality of outer surfaces allow the user of the kit to access the individual compartments. With the container defining the opening to be
Multiple fistula cleaning accessories and
A first external access surface that can be used with at least one of the plurality of outer surfaces is provided so as to selectively allow access to the individual compartments.
Each of the individual compartments is configured to accommodate at least one of the plurality of fistula cleaning accessories.
At least one of the outer surface or the first external access surface includes instructions and indications indicating the order in which each of the plurality of fistula cleaning accessories is used for cleaning the fistula.
Each of the plurality of fistula cleaning accessories is a kit characterized in that they are sequentially used to clean the fistula. The kit according to claim 1.
The kit, wherein the first external access surface includes a first hinged lid. The kit according to claim 2.
The first hinged lid has a pouch provided on its outer surface.
The pouch is a kit comprising defining a cavity configured to accommodate at least one of the plurality of fistula cleaning accessories. The kit according to claim 3.
A kit characterized in that the cavity of the pouch is configured to accommodate at least one drape. The kit according to any one of claims 2 to 4.
The first hinged lid has a plurality of lid dividers coupled to its inner surfaces.
The kit comprising the plurality of lid dividers defining at least one lid compartment configured to accommodate at least one of the plurality of fistula cleaning accessories. The kit according to any one of claims 1 to 5.
It is characterized by further comprising a second external access surface that can be used with at least one of the outer surface or the first external access surface so as to selectively allow access to the individual compartment. Kit to do. The kit according to claim 6.
The second external access surface includes a second hinged lid.
The second hinged lid is characterized in that it can be used with at least one of the outer surface or the first external access surface to selectively allow access to the individual compartment. Kit to be. The kit according to any one of claims 1 to 7.
A kit characterized in that each of the outer surface and the first external access surface has a light impermeable property so that the contents of the container cannot be seen from the outside. The kit according to any one of claims 1 to 8.
A kit characterized in that each of the outer surface and the first external access surface has a fashionable design so that the purpose of the kit is obscured. The kit according to any one of claims 1 to 9.
Each of the individual compartments is sequentially marked in order of cleaning the fistula using the fistula cleaning accessory corresponding to each of the individual compartments. The kit according to claim 10.
A kit characterized in that at least one of the individually marked compartments has a mark comprising at least one of an alphanumerical symbol or a color code symbol. The kit according to any one of claims 1 to 11.
At least one of the outer surface or the first external access surface provides a compliance check measure to allow the user to mark the successful use of at least one of the plurality of fistula cleaning accessories. A kit characterized by including. The kit according to claim 12.
The compliance checking means comprises at least one of a plurality of seals or perforation punches for the user to mark the successful use of at least one of the plurality of fistula cleaning accessories. kit. The kit according to any one of claims 1 to 13.
At least one of the plurality of fistula cleaning accessories includes one or more gloves, a drape, a cleaning solution, a wipe, a swab, a fistula pad, or a travel pack that can be used with the one or more cleaning solutions. A featured kit. The kit according to claim 4 or 14.
The drape is a kit comprising an instruction and an indication indicating the order in which each of the plurality of fistula cleaning accessories is used for cleaning the fistula. A kit for cleaning fistulas
A container having a plurality of outer surfaces, wherein a plurality of partitions for defining individual compartments are housed in the container, and the plurality of outer surfaces are opened so that a user of the kit can access the individual compartments. The container that defines the part and
Multiple fistula cleaning accessories and
A first hinged lid that can be used with at least one of the plurality of outer surfaces to selectively allow access to the individual compartments.
A second hinged lid that can be used with at least one of the outer surface or the first hinged lid is provided to selectively allow access to the individual compartment.
Each of the individual compartments is configured to accommodate at least one of the plurality of fistula cleaning accessories.
The first hinged lid has a pouch provided on its outer surface, the pouch defining a cavity configured to accommodate at least one of the plurality of fistula cleaning accessories. ,
The first hinged lid has a plurality of lid dividers coupled to its inner surface, the plurality of lid dividers configured to accommodate at least one of the plurality of fistula cleaning accessories. Demarcate at least one lid compartment
Each of the plurality of fistula cleaning accessories is a kit characterized in that they are sequentially used to clean the fistula. The kit according to claim 16.
Description and indication that at least one of the outer surface, the first hinged lid, or the second hinged lid indicates the order in which each of the plurality of fistula cleaning accessories is used for cleaning the fistula. A kit characterized by containing. The kit according to claim 16 or 17.
At least one of the outer surface, the first hinged lid, or the second hinged lid can be marked by the user as successful use of at least one of the plurality of fistula cleaning accessories. A kit characterized by including compliance check measures to ensure that. A method of cleaning a fistula using a kit that defines multiple separate compartments, each configured to house a fistula cleaning accessory.
The step of taking out the glove from the first section and putting the glove on the user's hand,
A step of removing the drape from the second section and arranging the drape as a work surface,
A step of removing the cleaning fluid from the third compartment and applying the cleaning fluid to the fistula and / or the patient's skin area around the fistula.
A step of removing the wipe from the fourth compartment and using the wipe and the cleaning fluid to clean and / or dry the patient's skin area around the fistula and / or the fistula.
A step of removing the swab from the fifth compartment and using the swab to clean and / or dry the patient's skin area around the fistula and / or the fistula.
A method comprising removing a fistula pad from a sixth compartment and applying the fistula pad to a medical device that can be used with the fistula. The method according to claim 19.
A method comprising further marking a compliance checking means that at least one of the steps has been completed.

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