JPH03501818A - General purpose medical supplies - Google Patents

Abstract

(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

[Detailed description of the invention] General purpose medical supplies Background of the invention The present invention relates to clamping means for holding members, particularly tubes attached to a patient's body. or relates to a medical clamping means for holding an IV needle.

Securely fastens an external mesenteric tube or line to a medical patient's body. It is often necessary to Types of tubes used in the medical field are feeding tubes, nasogastric tubes, transthoracic tubes, and condom catheters. or Foley catheter tubing, dialysis tubing, transtracheal tubing, pressure Monitoring devices, vascular catheters and tubes for Herabarin locksets, etc. In addition, fluids may be introduced intravenously into the body or oxygen may be introduced into the patient's mouth or nose. Includes chips, lines, etc. used for

Importantly, the tube mooring means or clamping means It is to firmly hold the. Any movement of these tubes or lines may damage the patient. It can be a thick blade that makes you uncomfortable. Remove the tube and replace it with another one. It is often necessary to adjust the position of the tube or line.

Therefore, the entire structure of the clamping means can be freely released by making the clamping means unmoorable. Allows for unmooring and re-mooring of tubes or lines without removal or replacement This is desirable.

US Pat. A clamping means is disclosed that includes a retracted adhesive pad.

U.S. Pat. No. 4,1[i5,748] describes Discloses a tube clamp means that wraps around a tube and clamps the tube. It has a central part that adheres to and anchors itself.

U.S. Pat. No. 4,333,468 has two raised portions between the raised portions. A clamping means is disclosed that includes a base member having a transverse groove formed therein. Chu The tube can be placed in this groove, and a flap member fixed to one end of the base member It is adapted to be expanded beyond the tube. The pressure sensitive adhesive is attached to the flap member. Together with the lower surface, it covers both raised portions and grooves of the base member. Raise the flap member on both sides By pressing onto the section and onto the tube, the tube is glued and moored within the groove. will be done.

Each of these conventional clamping means has the effect that slight rotation of the tube will cause the acid to move, resulting in its adhesive bonding. The disadvantage is that it destroys the relationship. In this way, the tube is still fixedly held. It has not been.

U.S. Pat. No. 3,834,380 discloses a slitted tube containing a rondo-like member. Discloses a clamping means comprising a tube, the tube having one end The closed condition is maintained by a flap attached to the tube and secured to the tube at the other end. It will be done. The tube may be a flexible, resilient member. However, this The lamp means device may be excessively bulky and cause discomfort to the patient. Furthermore, this The device should not be clamped away from the patient, resulting in more discomfort to the patient. There is a tendency to lift the tape. This device is also active and flexible. Its flexibility is not sufficient for use in areas of the body where flexibility is desired. such a department The parts include the head and joints.

This insufficient flexibility can result in holding the tube in an incorrect position. It could happen. Furthermore, Hoko's device relies on friction to hold the tube. ie a frictional bond depending on the surface properties of the member or tube being held.

If the surface of the member to be held is slippery against the slit tube, If so, the retention effect will be poor. The final drawback of this device is that the slight Only tubes within the size range can be maintained to fit a given slit tube size. It is something that cannot be held.

Haerr's U.S. Pat. No. 4,122,857 is soft, strong, Discloses a generally rectangular pad made of a flexible foam member that is suitable for use with catheter tubes. In order to fix members such as cables or lines on this pad, there is a fixing device on this pad. A flap is provided, and the pad itself is attached to the patient's skin using an adhesive. It is now possible to do so.

Emame two-dan 1 The present invention is a first clamping means for holding a certain member to an object, and the first clamp means holds a certain member to an object. a base means for adhering the clamp means; a flap; and a base means for clamping the member. a fixing means for securing the flap to the base means in a state in which the flap is in contact with the member; and a resilient pad means having an adhesive surface forming the first clamping means. 1 of the present invention, which greatly reduces the drawbacks seen in conventional devices. In one feature, the securing means includes a first retainer that retains the first portion of the flap. and second retention means for retaining the second portion of the flap. This first The second holding means is arranged between the first holding means and the first holding means, and the holding means is provided with enough space to place the member between the holding means. along said flap. This elastic pad means is self-deformable. When the pad and the member are slightly rotating or moving, Rather than breaking the adhesive bond, the pad will deform. Also, the above pair the tube connected to the object in position relative to said first clamping means; , second clamping means are provided to securely hold it.

Another feature of the present invention is that the base means is formed with a base window. The clamping means is placed at a predetermined location on the patient through which the IV puncture is observed. It is now possible to position it in

It is an object of the invention to provide a clamping means for holding any member.

Another object of the present invention is to provide contact by rotational or movable movement of the held member. a resilient adhesive pad that contacts the member so that the adhesive bond is not broken; Another object of the present invention is to provide clamping means.

A further object of the invention is that the clamping means can be clamped without removing the clamping means from the patient's body. Holds the tube or line in a removable manner and allows for removal of the tube or line and Providing a medical clamping means that allows repositioning of the tube or line. That is.

A further object of the invention is to have the above-mentioned advantages and to resist lateral and rotational movements. It is an object of the present invention to provide a medical clamping means for effectively holding a tube.

A further object of the invention is to provide a simple and economical construction for medical applications having the above-mentioned advantages. Another object of the present invention is to provide clamping means.

A further object of the invention is to moor tubes of various sizes having the above-mentioned advantages. It is an object of the present invention to provide a medical clamping means capable of

Brief description of the drawing Figure 1 is a plan view of a clamping means according to a preferred embodiment of the present invention; FIG. 2 is a sectional view taken along the line II-II of the clamping means shown in FIG. Figure 3 is a cross section taken along line III-III of the clamping means shown in Figure 1. FIG. 4 shows a flat view of a clamping means according to another preferred embodiment of the invention, similar to FIG. side view, 5 is a sectional view taken along the line V-V of the clamping means shown in FIG. 4, and FIG. 6 is a sectional view of the clamping means shown in FIG. A plan view of a clamping means according to an embodiment, FIG. 7 is a plan view of a clamping means according to a further embodiment of the invention; FIG. 8 is a plan view of a clamping means according to a further embodiment of the invention; FIG. 9 is a plan view of a clamping means according to a further embodiment of the invention.

′ Quotient, detailed explanation of examples As mentioned below, the inner surfaces of the various components in each of the preferred embodiments of the invention is the surface facing the object to which the clamping means is glued. Similarly, each preferred In the examples, the outer surfaces of the various components refer to surfaces facing away from such objects. It's a big deal. What kind of objects are these?

medical clamping means, but in most cases the patient's skin Examples include skin, patient clothing, bandages, casts, etc.

1 to 5, medical clamping means according to a preferred embodiment of the invention are shown with reference numerals. Indicated by 10. Clamping means 10 in this preferred embodiment is applied to the skin of a medical patient. It is particularly convenient for holding the IV tube 22. Clamping means 1o The base means for adhering to the patient is the registered trademark "MACROLIDE". YTE) J as Conmed Corp. Adhesive and stretchable polymeric material sold by Oration), registered Trademark r Microfoam (MICROFOAM) J as 3M Company (3M Company) with adhesive properties, elasticity, and low allergenicity. Foam material or registered trademark “Transpore J” 3M-IS27L sold by 3M Company The base 12 is preferably constructed of medical tape such as, for example. base 1 The inner surface 24 of 2 is coated with a medical grade adhesive, preferably a hypoallergenic synthetic acrylic. A pressure adhesive is applied. This inner surface 24 and membrane 15 are provided with a protective liner 2. 5 extends and is provided to protect the same until the clamping means is used. There is. The base 12 has a window frame portion 13 defining a window opening 17. Nothing @15, which has bactericidal properties, breathability, transparency, and water resistance, is expanded to the window opening 17, and the As shown in the figure, they are bonded to the inner surface 24 of the window frame 13 in an overlapping manner. this membrane 15 is the registered trademark “TEGADERM J”. The original bandage sold by 3M Company, or Johnson as registered trademark “BIOCLtlSIVE” J End Johnson & Johnson Inc. A suitable transparent bandage is available. By using this membrane 15, the puncture hole a puncture 90 on the skin by a needle 91 extended through the membrane 15 by a needle 18; It is sealed and protected. The curved portion 13 of the clamping means 10 widens near the flap 20. and has a structure that reduces the tendency of the curved portion 13 to be pulled away from the skin. There is.

As shown in Figure 1, the flap 20 extends outside the needle 91 and the tube 22 to secure it. The base 12 and the various annular or looped portions of the tube 22 are separated by It is firmly fixed to the side. In this first preferred embodiment, the fixing means are described below. It includes hook and loop fastening members 32 and 30 (see FIG. 2). flash The loop 20 includes a hook base 34 incorporating hooks 32 of the fastening means.

Loop pad 14 includes loop fabric 30 incorporated into a base fabric (not shown).

Pad 14 is adhered to base 12 with medical adhesive. loop pad 14 is attached to a hook pad in order to securely moor the flap 20 to the base 12. (Figure 2).

Tube 22 extends along elastic adhesive pads 18 and 19, see FIG. ), through the adhesive pad 19° 16B, 178 and between the flap 20 and the base 12. It is formed into a loop between the two.

As a hook/loop member, 3M Company's "Sco" Scotchmate® (registered trademark) can be used. elastic contact The adhesive pad 18, 68°78 (see Figure 2) is made of hot melt adhesive in a loop weave. Apply the adhesive to the object 30 so that the unapplied adhesive reaches slightly above the upper end of the loop. formed by '4 sex bad 19, 69.79 (see figure 2) ) is to apply a hot melt adhesive to the hook fabric 32 and then apply the applied adhesive to the hook fabric 32. It is formed by reaching slightly above the hook. That relief When the melt adhesive cools and hardens, it becomes an elastic pad with an adhesive exterior surface. . As will be described later with reference to FIG. 4, the inner surface 24 of the base 12 has an elastic material. An adhesive band 88 is provided. Liner 119 (see Figure 5).

169, 179, 189 are provided to protect each elastic pad before use.

A suitable medical hot-melt adhesive for this purpose is H Flair. -Adhesive Company (H, Fuller Adhesive Company) Number DD5800. DD5900. Examples include DD5914. preferred In particular, when the applied hot melt adhesive hardens or hardens, It should extend approximately 1/16 inch above the surface of the loop or hook member.

This medical clamping means 10 further includes a second tube fixing clamping means 40. I can do it. This clamping means is provided with an adhesive layer or adhesive on the inner surface (not shown). It is composed of a separate member that is adhered to the window frame 13 with a layer of adhesive.

This second clamping means includes a hook portion 44, a loop portion 4S and a hook portion 44. and a loop portion 46 . Part 44 and the part The lower inner surface of the half 42 adjacent to 44 is not provided with an adhesive layer. So As a result, the hook portion 44 and one half of the central portion 42 are easily attached to the other half of the central portion 42. The hook portion 44 and the loop portion 46 are folded over each other to match the hook portion 44 and the loop portion 46. I will do it.

Holding tube 22 across the length of central portion 42 when not in use It works like that. What is required of the hook portion 44 that folds over the tube 22? This only means that the hook 44 contacts the loop base fabric 46 (see FIG. 4).

The tube will therefore be held flexibly within the central portion 42 and the first clamp As a result of the joint retention of the clamping means 20 and the second clamping means 40, the tube Stress, attraction, or sudden pulling force exerted on the needle 91 will not move the needle 91. , during removal, adjustment or insertion of the IV needle, this second clamping means 40 will ensure the avoidance of accidents. (As mentioned above. One end of this foam layer is It has an adhesive layer located below the loop portion 46 to adhere to the window frame 13. the above A hook and loop pad is attached to the foam by an adhesive layer.

The central portion 42 member is provided in an elongated manner along the central portion 42 on one side of the fold line 49. A hot melt adhesive strip 48 may also be provided. tube 22 is placed across the central portion 42, the tube 22 contacting the adhesive strip 48 to be flexibly secured to the lamp means 40; It becomes.

In this preferred embodiment, the loop member 1 is typically softer than the hook member. , to avoid discomfort to the patient even if the patient's skin rubs against it. The loop member was provided facing outward.

Using an elastic adhesive pad for contact with the IV needle structure Rotating or moving 2 or other structures! ! ] Provide a means of holding against movement. It has been found that the This is due to slight rotation or slight movement of the tube. When the elastic member is energized, the elastic member used is deformed through its thickness. This is because the tube tends to twist and move with the tube. This elastic member shape, so less stress is applied to the tube-to-glue joint. , and it is less likely to be destroyed. Adhesive bonding of elastic pad and tube until the elastic member resists further deformation due to such strong forces that the bond is destroyed. During this period, the elastic member is allowed to undergo large deformation. Therefore, the adhesive bond may be destroyed. In advance, the tube is able to make significant and large movements.

Conversely, in conventional clamping means that are not provided with any elastic adhesive pads, , any rotational movement of the tube relative to the adhesive surface of the clamping means will also check the Sa motion. This occurs through impact on the tube, which is caused by the contact holding the tube. This tends to lead to destruction of the adhesive bond. Constructed of open-cell foam covered with an adhesive layer The adhesive surface of the clamping means that has been There is a tendency for the cable to become separated from the clamping means.

An alternative use of the clamping means 10 is shown in FIGS. 4 and 5. Fourth 5 and 5, the clamping means 10 is shown clamping the IV 170 between the base and the patient's skin. It is folded into. The needle 191 of the IV 170 is inserted through the needle 191 to puncture the skin at the puncture 90. It extends below the membrane 15. This IV needle 91 is a self-sealing IV UNIL 170 is inserted into. The tube 22 is connected to the adhesive pad 168°178 of the base. held by the same pads 69 and 79 of the pumping means 20 (the fifth ), the tube 22 is further arranged such that the loop portion 46 and the hook portion 44 are in contact with each other. It is secured by the second clamping means 40, shown in a folded position. It is. The adhesive stripes 4 are located along one side of the fold line 49. It is held by 8. IV170 has a protective liner 189 (Figure 2) is retained by a resilient adhesive pad 88 (see Figure 2). ), the tube 22 is secured within the second clamping means 40 as well as some elastic adhesives. It is formed into a loop shape as shown in Figure 1 so that it can be deployed on top of the sex pad or at its lock. to provide additional elastic retention of the tube to prevent indiscreet movement of the tube 22. This is intended to reduce the possibility that the IV 170 will operate over a period of time. tube 22 , the pads 68, 78, 69, 79 of the first clamping means 20 and the second clamping hand. Adhesion of base 12 by additional retention by pads 48 of step 40 If the adhesive surface 24 is spread out so that it is in contact with the IV1 foam, the adhesive band 88 is removed. You can get away with it. elastic adhesive pad 18 and when not in use; Liners 118 and 119 are shown protecting 19 (FIG. 5).

Another embodiment of the invention is shown in FIG. 6, in particular a tongue bar for a catheter needle. Ideal for using lepburn type locks It is. These locks occur when the transvenous needle is placed in the correct location for an extended period of time. used for. Also, these locks are suitable for lines that are under pressure, such as arterial lines. Also used for These locks can supply various other types of needles and/or medicines, unnutrients, etc. The coupling operates to provide a coupling for removably attaching a tube to the tube. These etc. The lock may be provided with a locking mechanism for operating the device between the open and closed positions. Both/or these locks are such that they self-seal when the needle is removed. It's okay.

The clamping means 110 comprises a base 1 with an adhesive underside protected by a liner. 12, the liner is configured such that the clamping means 110 holds the base 112. It can be removed when attached to the patient via. The basis of this base The plate member has a hook member 232 built into it. base 112 The flap 120 connected to the edge 113 has a loop member 23 incorporated therein. has 0. A transparent @ 115 having the same structure as the membrane 15 described above is formed in the base 112. expanded across the window opening 117 made and the puncture 273 by the IV needle 270. There is. Resilient adhesive pads 268 and 278 are made of hot melt adhesive. It is adjacent to the window opening 117. Same as the clamping means 40 explained in FIG. One configuration of second clamping means 130 is positioned on the flap of said clamping means 130. The hook portion 134 to be placed is folded over this to be secured to the loop portion 136. This fixes the tube 122. Thus tube 12 2 on the pads 268, 278 and on the adhesive pad of the second clamping means 130; Additionally, by being located on adhesive pad 218 (shown in dashed lines), Tube 122 is provided with increased support and insulation and IV 270 is activities will be protected as much as possible.

Slot 260 can be used to accommodate actuators for IV270 Hebbburn type locks, if desired. Eta is allowed to approach. (also made of hot melt adhesive) A sexual adhesive pad 218 is also present to hold the IV 270 in place. Loop part O No. 230 engages hook member 232 to hold the clamping means closed. It is.

Thus, the resilient adhesive pad 218 allows for twisting of the pad itself through its thickness. The mechanism is designed to allow some movement to the clamping means of the IV270 through motion. It is functioning. As a result, people with 55 colors will not feel uncomfortable.

FIG. 7 shows a further embodiment of the clamping means 210 of the invention. This example Lamp means 210 is adapted to hold IV tube 222 against the patient's skin. be. The structure and members of the clamping means 210 are the same, except for the second clamping means 230. is the same as that of the clamping means 10 shown in FIG.

The second clamping means 230 includes a loop fabric assembled onto a base fabric having an adhesive inner layer (not shown). It is composed of a base 236 that is embedded. The flap 234 is attached to the tube 22 2 to the base 212, a hook capable of mating with the loop pad-like base 236 is provided. It has a block part. This second clamping means 230 therefore A fixing means is provided to hold the tube 222 in place against easy pulling or the like. providing. It is equipped with a separate flap 234 rather than a folding flap. What happens is that when the flap 234 is separated from the loop pad-like base, the base This reduces movement, pulling, etc. of the base 212. In addition, hot melt type An adhesive layer 238 may be provided on the loop pad-like base 236 as described above. Both are possible.

The clamping means shown in FIG. 8 is similar to that shown in FIG. This is the same as the embodiment shown in FIGS. Particularly illustrated clamping means 1 o, the tube 22 has elastic adhesive pads 168, 169 and 178,179. It is looped around to be placed between them.

FIG. 9 shows a further embodiment of the invention, except that there is no clamping means 130. is the same as the configuration of Figure 6. However, tube 122 78 and is arranged differently than in FIG.

As described above, in each embodiment of the present invention, the medical tape, hook and loop members are based on provided to secure the flap to the base. However, the present invention is not limited to this. , it is possible to use other fixing means. For example, the hook member may be made of foam or woven fabric. A combination of sex members can be used. If it is somewhat more between the flap and the base This technique is often advantageous when a light holding force is required. . Additionally, woven and foam members are more breathable and stretchable than plastic base members. It has good elasticity, and during use, more air is applied to the patient's skin through the clamping means. It becomes possible to vent.

Furthermore, although the clamping means in the above-mentioned embodiment is, for example, hospital equipment, As mentioned above, these clamping means can be used for equipment in medical, medical related and non-medical fields. It can be used for the purpose of holding a member on an object.

What is novel and desired by the U.S. patent follows.

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Claims (47)

[Claims] 1. In a clamping means for holding an IV device to an object, base means having a window opening for adhering the clamping means to the object; a membrane extending over all of the window opening and securing the IV device to the base means; a fixing device, clamping means comprising: 2. The base means is an adhesive for adhering the clamping means to the skin of a medical patient, etc. 2. A clamping means as claimed in claim 1, comprising a flexible inner surface. 3. The membrane means has an outer surface that partially overlaps an adhesive inner surface of the base means. 3. Clamping means according to claim 2, comprising: 4. Claim 1 wherein said base means is comprised of a stretchable polymer. Clamping means described in. 5. The base means comprises an adhesive, stretchable, hypoallergenic foam. The clamping means according to claim 1. 6. The base means further comprises a curved portion adjacent the window opening. Clamping means according to claim 1. 7. The curved portion makes it less likely that the base means will be pulled away from the skin. the flap means being wider towards said flap means so as to 7. Clamping means according to claim 6. 8. The membrane means is comprised of a sterile, breathable, transparent, water-resistant material. The clamping means according to claim 1. 9. In order to protect said clamping means when not in use, an inner part of said base means is provided. further comprising a protective liner extending across the surface and the inner surface of the membrane means. Clamping means according to claim 1. 10. Said claim further comprising a flap covering a tube for said IV device. The clamping means according to scope 1. 11. The securing means comprises a hook member and a loop fastening member. The clamping means according to claim 10. 12. The hook and loop are arranged so that they reach slightly above the upper end of the fixing means. further comprising adhesive pad means provided on each of the bonding members. Clamping means according to claim 11. 13. The adhesive pad means extends 1/1 from the upper end of each of the hook and loop members. 13. The clamping hand of claim 12, wherein the clamping hand extends upwardly by 6 inches. Step. 14. The adhesive pad means prevents rotational and translational movement of the IV device. The adhesive pad means is preferably elastic, and the adhesive pad means is suitable for the IV device and the adhesive pad. so as to cause a large deformation in said clamping means before the joint of the means is broken; , deforming and twisting through its thickness. clamping means. 15. The adhesive pad means is covered and protected by a liner when not in use. 15. Clamping means as claimed in claim 14, comprising: 16. Each of the base means and flap means is arranged such that the IV tube is connected to the clamp. The IV tube is wrapped around the pumping means to form a loop, and stress is applied to the IV tube. said self-sealing needle means and said IV device to reduce movement of said IV device when Three elastic contacts that fit together to elastically hold a portion of the V-tube together. 16. Clamping means according to claim 15, comprising an adhesive pad. 17. The flap means may cover all of the outer surface of the base means. 11. Clamping means according to claim 10, comprising: 18. Preventing the IV device from moving when stress is applied to the IV tube. Further tube clamp means for holding the IV tube is attached to the base means. 2. Clamping means according to claim 1, characterized in that the clamping means is attached. 19. said tube clamping means at said base means at a point above said window opening; 19. The clamp according to claim 18, wherein the clamp is attached to a curved portion of the pump means. 20. The tube clamp means includes: tube mooring base means adhered to the curved portion; tube mooring flap means covering the IV tube; a chip for fixing the tube mooring flap means to the tube mooring base means; a tube mooring fixing means, adhered to said tube mooring base means and said IV elastic butt means for tube mooring having an adhesive surface in contact with the tube; 20. The clamping means of claim 19 further comprising: 21. The tube mooring flap means is integral with the tube mooring base means. a first end formed with a a second end removably secured to the mooring base means. Clamping means according to claim 20. 22. The tube mooring fixing means is connected to the tube mooring base means. including a hook and loop member formed in mutually coincident surfaces with the mooring flap means; 21. Clamping means according to claim 20, comprising: 23. Each end of said tube mooring flap means is connected to said tube mooring base hand. The clip according to claim 20, wherein the clip is removably fixed to each step. lamp means. 24. The clamping means is self-contained and is located between the flap means and the base means. further comprising a self-sealing needle means, the IV needle being at one end of the self-sealing needle means. the other end of the self-sealing needle means passes through the membrane to the medical patient. Clamping means according to claim 1, which comprises being inserted into the skin of a person. 25. In a clamp means for holding an IV device, the clamp means is attached to an object. a base means that is adhered and has an adhesive inner surface and a window opening; as a sterile, breathable, transparent, water-resistant covering for the window opening; membrane means extending over all of the openings; attached to said base means and extending over said IV device for rotating or moving elastic pad means for contacting and holding the IV device against movement of the IV device; clamping means consisting of. 26. a curved portion defining a window opening in a clamping means for holding an IV device; and membrane means covering said window opening, said base means having a needle of said IV device. a rupture that allows the membrane means to puncture the patient's skin at a point located below the membrane means. a membrane means having a cutout, and a membrane means located below the base means to allow the IV device to be mounted on the base means. fixing means for fixing to the base means; Clamping means comprising: 27. a curvature defining a window opening in the clamping means for holding the IV device; a base means having a portion; membrane means covering the window opening, the needle of the IV device being positioned below the membrane means; membrane means having a slit to permit puncture of the patient's skin at a point where the skin of the patient is punctured; a flap means for covering the tube of the IV device; and a flap means for covering the tube of the IV device; a fixing means fixed to the means; clamping means comprising: 28. The base means is adapted to bring the clamping means into close contact with the skin of a medical patient. 28. Clamping means according to claim 27, comprising an adhesive inner surface of. 29. The membrane means has an outer surface that partially overlaps and mates with the adhesive inner surface of the base means. 29. Clamping means according to claim 28, comprising a surface. 30. Claim 27, wherein said base means is comprised of a stretchable polymer. Clamping means as described. 31. The base means is an adhesive and stretchable hypoallergenic foam member. 28. The clamping means according to claim 27, comprising: 32. The base means further comprises a curved portion abutting the window opening. Clamping means according to claim 27. 33. The curved portion prevents the base means from being pulled away from the skin or the like. said claim comprising widening towards said flap means in order to The clamping means according to range 32. 34. The membrane means is composed of a sterile, breathable, transparent, water-resistant material. 28. Clamping means according to claim 27. 35. said base means and membrane handle to protect said clamping means when not in use; Claim 27 further comprising a protective liner extending over the inner surface of the step. clamping means. 36. The securing means comprises a hook member and a loop tying member. Clamping means according to claim 27. 37. said hook and loop tie extending slightly above said securing means; 37. The method of claim 36, further comprising adhesive pad means provided on the material. clamping means. 38. The adhesive pad means is located 1/16 inch above the hook and loop member. 38. Clamping means according to claim 37, comprising an elongated clamping means. 39. The adhesive pad means prevents rotational and migratory movement of the IV tube. The elastic member is generally elastic such that the tube and the adhesive pad are connected to each other. A large deformation must occur in said clamping means before the joint between the clamping means is broken. said claim consisting in having a tendency to deform and crumple through its thickness without Clamping means according to range 38. 40. The adhesive pad means is covered and protected by a liner when not in use. 40. Clamping means according to claim 39, comprising: 41. The IV needle is inserted between the flap means and the base means. and the other end is inserted through said membrane into the skin of a medical patient. 28. The clamping hand of claim 27, further comprising self-sealing needle means. Step. 42. Each of said base means and said flap means includes a self-sealing needle means and said flap means. Three elastic contacts that mate with each other in elastic retention with a portion of the IV tubing. Having an adhesive pad allows the IV tubing to be wrapped around the clamping means. is formed into a loop shape, and when stress is applied to the IV tube, the IV device 28. Clamping means according to claim 27, characterized in that positioning movements are reduced. 43. The flap means is capable of covering the entire outer surface of the base means. 28. Clamping means according to claim 27, comprising: 44. A clamping means for holding an IV device having an adhesive inner surface and a window opening. a base means defining a sterile and breathable transparent water resistant material extending into said window opening for said window opening; membrane means forming a covering; flap means removably fixed to the base means; fixing means for detachably holding the flap means on the base means; resilient pad means attached to said base means and flap means, said A flap means covers the tube of the IV device and connects the tube and the needle of the IV device. is varied through its thickness so as to hold it against rotational or translational motion. said elastic pad means having a tendency to shape and twist; Clamping means comprising: 45. A clamping means for holding a member to an object, the clamping means having a window opening. base means for adhering the lamp means to the object; a membrane covering the window opening; flap and fixing means for fixing the flap to the base means such that the member is sandwiched therebetween; , A needle attached to a tube forming the member passes through the membrane to the object. a member attached to said flap and disposed so as to be inserted into an object; a clamping means comprising: a resilient pad means having an adhesive surface for contacting; . 46. In a clamping means for holding a member to an object, the clamping means is a window opening for adhering to an object and a slot providing access to said member; a base means having a portion; a membrane covering the window opening; the member below the base means and between the slot portion and the window opening portion; and a clamping device for positioning the clamping device. 47. The clamping means holds the transvenous needle and Hepburn lock in place. The retention feature allows the catheter needle to connect to the Hepburn lock. 47. Clamping means according to claim 46, comprising: