WO2015035442A1 - Tube support - Google Patents
Tube support Download PDFInfo
- Publication number
- WO2015035442A1 WO2015035442A1 PCT/AU2014/000841 AU2014000841W WO2015035442A1 WO 2015035442 A1 WO2015035442 A1 WO 2015035442A1 AU 2014000841 W AU2014000841 W AU 2014000841W WO 2015035442 A1 WO2015035442 A1 WO 2015035442A1
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- elastic
- tube
- support
- patient
- torso
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61J—CONTAINERS SPECIALLY ADAPTED FOR MEDICAL OR PHARMACEUTICAL PURPOSES; DEVICES OR METHODS SPECIALLY ADAPTED FOR BRINGING PHARMACEUTICAL PRODUCTS INTO PARTICULAR PHYSICAL OR ADMINISTERING FORMS; DEVICES FOR ADMINISTERING FOOD OR MEDICINES ORALLY; BABY COMFORTERS; DEVICES FOR RECEIVING SPITTLE
- A61J15/00—Feeding-tubes for therapeutic purposes
- A61J15/0026—Parts, details or accessories for feeding-tubes
- A61J15/0053—Means for fixing the tube outside of the body, e.g. by a special shape, by fixing it to the skin
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M25/00—Catheters; Hollow probes
- A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
- A61M25/02—Holding devices, e.g. on the body
- A61M2025/0206—Holding devices, e.g. on the body where the catheter is secured by using devices worn by the patient, e.g. belts or harnesses
Definitions
- the invention relates to supporting a portion, external to a patient, of a tube partly embedded in the patient.
- PEG feeding tubes are surgically installed into the stomach through the abdomen wall just below the rib cage and are typically oriented so that the portion of the tube external the patient projects upwardly to overlie the patient's chest.
- the tube portion external to the patient is a free end.
- the free end of the tube is supported by adhesive tape attaching it to the skin of the chest of the recipient.
- the free end of the tube is removed from its location by removing the adhesive tape from the skin of the patient. Once the tube has been accessed, it is resecured using more adhesive tape.
- Post-surgery complications occur from time to time.
- the present inventors have recognised that some of these complications are associated with the conventional approach to supporting the external portion of the tube.
- adhesive tape is thought to cause tearing of the skin (which tearing can result in infection) and allergic reaction.
- Adhesive tape also pulls on the skin, causing discomfort to the recipient.
- cancer patients are at higher risk of such complications because some medication required to treat such patients can cause the skin to be sensitive and easily damaged.
- the present invention aims to provide improvements in and for supporting tubes, or at least to provide an alternative for those concerned with supporting tubes. It is not admitted that any of the information in this patent specification is common general knowledge, or that the person skilled in the art could be reasonably expected to ascertain or understand it, regard it as relevant or combine it in any way at the priority date.
- One aspect of the invention provides a support for supporting a portion, external to a patient, of a tube partly embedded in the patient; the support including a torso embracing portion, e.g. a strap, for embracing a torso of the patient; and one or more tube holding portions for holding the tube; the tube holding portion(s) being fixable to, or part of, the torso embracing portion.
- the support includes a releasable fastening mechanism by which two ends of the straps are releasably fastenable to close the strap.
- the releasable fastening mechanism is preferably positioned to overlie the patient's chest.
- the support preferably includes a mechanism by which a circumference of the torso embracing portion is adjustable to suit torsos of varying size.
- the torso embracing portion may include elastic material whereby the torso embracing portion is configured to elastically embrace the torso.
- the support preferably further includes a shoulder strap, which strap preferably connects to the torso embracing portion in the vicinity of the patient's spine.
- the support may include a connection arrangement by which the shoulder strap is attached or attachable to the torso embracing portion; and which is laterally relocatable across the patient's back.
- a releasable fastening mechanism may be positioned to releasably fasten the shoulder strap to the torso embracing portion whilst overlying the patient's chest.
- the support is preferably configured to embrace the tube at differing locations spaced across the patient's chest to accommodate variation in the location and the orientation at which the tube is at least partly embedded.
- the support may be so configured by the inclusion of two or more of the tube holding portions positioned to be spaced across the patient's chest.
- the torso embracing portion includes two layers of material mutually fastened at points of fastening; and the points of fastening are positioned to be spaced across the patient's chest such that each of the tube embracing portion(s) is defined between a respective adjacent two of the points of fastening.
- Another aspect of the invention provides the use of the support to support the tube, including arranging the torso embracing portion and the tube holding portion such that the torso embracing portion embraces the patient's torso; and the tube holding portion holds the tube.
- Preferred forms of the support are flexible enough to allow the tube to move with the body movement, relieving stress to the entry wound.
- Another aspect of the invention provides a support, for supporting a PEG feeding tube, formed from two 20mm plastic side release buckles; two 20mm plastic tri-slides; and 2.95m of 19mm soft elastic; and by to make a chest strap, cutting 1.7m of the elastic and sliding a female side of one of the buckles 250mm in from an end of the 1.7m of elastic to define a
- Another aspect of the invention provides a support, for supporting a PEG feeding tube, formed from two 20mm plastic side release buckles; three 20mm plastic tri-slides; and 2.31 m of 19mm soft elastic; and to make a chest strap, cutting 1.5m of the elastic and sliding the female side of one of the buckles, 250mm in from an end of the 1.5m of elastic to define a 250mm end portion of the elastic; folding the 250mm end portion back along the elastic and bar tacking the end of the 250mm end portion; bar tacking every 25mm back towards the buckle, to make pockets for the PEG, leaving the last bar tack; to make a shoulder strap, cutting 700mm of the elastic and sewing a 25mm loop in one end of the 700mm of the elastic; cutting 1 10mm of the elastic; threading the 1 10mm of the elastic through the female side of the other buckle to form a loop and bar tacking to form a 20mm loop; sliding the other end of the 1.5m of elastic through the 20mm loop, then one side of one of the tri-slides, then
- Figure 1 is a plan view of an embodiment of the invention laid flat
- Figure 2 is a plan view of a portion of the embodiment of Figure 1 ;
- Figure 3 is a plan view of the embodiment of Figure 1 partially disassembled;
- Figure 4 is a front view of a patient wearing the embodiment of Figure 1 ;
- Figure 5 is a rear view of a patient wearing the embodiment of Figure 1 ;
- Figure 6 is a plan view of a tri-slide
- Figure 7 is a plan view of a male portion of a buckle
- Figure 8 is a plan view of a female portion of a buckle
- Figure 9 is a cross-section view of an end portion of a torso embracing portion;
- Figure 10 is cross-section view of the relocatable connection mechanism;
- Figure 1 1 is another cross-section view of the relocatable connection mechanism.
- apparatus and methods that can be used to comfortably and detachably secure the free end of a tube (e.g., a feeding tube, catheter, etc) to the body of a patient without using adhesive tape.
- a tube e.g., a feeding tube, catheter, etc
- At least preferred forms of these apparatus and methods comfortably support the tube and reduce the risk of infection.
- the preferred form of the apparatus is a harness from which the free end of the tube is detachable when the harness is accidently snagged during normal activities, to reduce the risk of the tube being dislodged from its attachment in the patient's body.
- the disclosed support 100 takes the form of a harness consisting of a chest strap 10 and a shoulder strap 20.
- the chest strap 10 is an example of a torso embracing portion.
- the shoulder strap 20 is an example of a shoulder overlying portion.
- the chest strap 10 includes:
- a length of elastic which is preferably slighter longer than is required to encircle the torso of a large patient and is preferably about 1 " (25mm) wide; ⁇ a pair of tri-slides 30a, 30c; a buckle made up of a male portion 41 a and a female portion 40a; and • an extension 1 1 including the female buckle portion 40b.
- each of the tri-slides and buckle portions is a respective integral plastic molding (see Figures 6 to 8).
- the tri-slide 30a includes a trio of spaced parallel bars 130a, 230a, 330a, the ends of which are connected by a pair of parallel rails.
- the male buckle portion 41 a includes a pair of spaced parallel bars 141a, 241 a.
- a prong 341 a and a pair of resilient barbs 441 a extend perpendicularly away from the bars 141 a, 241 a.
- the prong 341 a sits centrally between the barbs 441 a.
- the female buckle portion 40a is a hollow body having an open end 140a to receive the prong 341 a and barbs 441 a.
- the body further includes a pair of side openings 240a and a bar 340a.
- the barbs 441 a are:
- the buckle 40a, 41a is thus one example of a releasable fastening mechanism.
- Other possible examples include hook and loop fastening (such as VelcroTM), press studs, hooks and eyes, etc.
- the elastic is wrapped around the bar 340a of the female buckle portion 40a and is stitched back on to itself to define a permanently closed loop capturing the female buckle portion 40a.
- the elastic is laced through the tri-slide 30a, around the bar 241 a then back through the tri-slide 30a, such that the second pass of the elastic through the tri-slide 30a sits between the bar 230a and the elastic of the first pass through the tri-slide.
- the buckle portion 41 a is thus captured at the end of the elastic.
- the layers of elastic through the tri-slide 30a frictionally engage each other sufficiently to resist inadvertent reversal.
- elastic can be fed through the tri-slide to adjust length of the strap 10.
- the length of the strap 10 corresponds to the circumference of the patient's torso.
- the arrangement of Figure 9 constitutes a mechanism for adjusting the circumference of the strap 10.
- the shoulder strap 20 includes a length of elastic, one end of which is looped back on, and stitched to, itself to define a loop 21.
- the other end of the elastic is fitted with a tri-slide 30b and a male buckle portion 41 b, whereby the shoulder strap is a length adjustable shoulder strap.
- the shoulder strap maintains the support at a consistent level around the torso. This substantially overcomes any vertical movement that may dislodge any tubes that have been secured to the support and prevent spillage and assists with wound management.
- the tri-slide 30c is the major component of a connection arrangement by which the shoulder strap 20 is connected to the back of the chest strap 10 (see Figures 10 and 11 ). To form this connection:
- Figures 10 and 1 1 describe one example of a relocatable connection arrangement by which an end of the shoulder strap can be relocated across the patient's back 61.
- the extension 1 1 including the female buckle portion 40b includes a short length of elastic.
- the short length of elastic encircles the bar of the buckle portion 40b and is stitched to the elastic of the strap 10 at a location adjacent the buckle portion 40a so that in use the buckle 40b opens upwardly to receive the buckle portion 41 b of the shoulder strap 20.
- the front run of the elastic of the strap 10 (i.e. the portion that sits on the patient's chest 60) is formed as a double layer of elastic. These layers are stitched to each other at stitching points 13 spaced at a pitch of about 50mm along the elastic.
- the stitching preferably takes the form of bar tacks such as short zig-zag stitching.
- Each pair of adjacent stitching points 13 defines a respective open ended pocket 13a though which a tube (e.g. a feeding tube or a catheter) may be passed. These pockets embrace the tube to hold it in place. Stitching is but one means of mutually fastening the two layers. Alternatively, by way example, buttons or press studs could be used. Plastic welding is also contemplated.
- a tube e.g. a feeding tube or a catheter
- the tube 50 is a "Y" tube having two branches 51. Each of the two branches 51 is respectively received in a respective one of the pockets 13a.
- the length of the strap 10 is preferably adjusted to gently compress the patient's torso.
- the tension in the strap gently compresses the tube by urging the pocket in which the tube is received to close in the fore-aft direction (i.e. normal to the patient's chest).
- the tube holding pockets are formed as part of the strap 10.
- the tube holding portion could take the form of a clip carried by the tube and attachable to the strap 10 at a preferred location along the strap.
- the support could be formed from a variety of materials. That said, it is preferably formed of soft elastic materials and plastic (e.g. nylon) fittings that are freely available and well known in the context of clothing and bags, etc. These materials are comfortable to the patient, suited to routine washing (thus making the support conveniently and economically reusable) and suited to routine medical procedures such as x-rays, Magnetic Resonance Imaging (MRI), radiation therapy and
- MRI Magnetic Resonance Imaging
- the strap 10 is placed around and as high as possible on the patient's chest.
- the elastic of the strap 10 and the tri-slide 30a are manipulated to adjust the length of the strap 10 so that it gently compresses the patient's chest to stay firmly in place.
- the shoulder strap 20 is passed over the patient's shoulder and the buckle portions 40b, 41 b are mutually engaged.
- the elastic of the shoulder strap and the tri-slide 30b are manipulated to adjust the length of the strap until the shoulder strap is firm.
- Positioning the tri-side 30c at the centre of the patient's back stably positions the support 100 on the patient's body. It also comfortably locates the tri-side (and connection arrangement generally) in the hollow of the patient's back.
- the strap 20 is passed over the patient's right shoulder. Alternatively, it may be passed over the left shoulder.
- Preferred forms of the support 100 do away with the need for adhesive tape to secure the free end of the tube, and with various of the problems associated with adhesive tape. These preferred forms are comfortable for patients. They also provide a degree of resilience, thus reducing the risk of the tube being pulled out when the tube is inadvertently snagged. They also allow the tube to separate from the support, thus reducing the risk of the tube being pulled out when the harness is inadvertently snagged.
- the tube embracing portions are configured to slidingly engage the tube so that the tube, if pulled, slides through tube embracing portion.
- the tube is allowed to move with the natural movement of the body. If the feeding (or other) tube is interfered with (e.g. accidentally pulled or snagged), the support flexes with the pressure, releasing the tube from the support thereby ensuring that the tube(s) does not become displaced or unattached from the inserted location on the patient.
- the force required to dislodge the tube from the patient is greater than the force required to dislodge the tube from the retention loops of the harness.
- One example of the disclosed support is a feeding tube support brace that is a cost effective and comfortable alternative to adhesive tape.
- This support brace is made using the following materials and in accordance with the following the instructions. Materials: • 2 x 20mm plastic side release buckles
- This item can be used as right hand or left hand
- Another example of the disclosed support is a feeding tube support brace that is a cost effective and comfortable alternative to adhesive tape.
- This support brace is made using the following materials and in accordance with the following the instructions.
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Pulmonology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Biophysics (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Orthopedics, Nursing, And Contraception (AREA)
Abstract
Description
Claims
Priority Applications (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA2996432A CA2996432A1 (en) | 2014-08-26 | 2014-08-26 | Tube support |
AU2014321128A AU2014321128C1 (en) | 2013-09-12 | 2014-08-26 | Tube support |
US15/507,052 US20170273873A1 (en) | 2013-09-12 | 2014-08-26 | Tube support |
JP2017529114A JP6598861B2 (en) | 2013-09-12 | 2014-08-26 | Tube support |
CN201480082574.6A CN106794320A (en) | 2013-09-12 | 2014-08-26 | Pipe support member |
EP14844750.1A EP3185936A4 (en) | 2013-09-12 | 2014-08-26 | Tube support |
Applications Claiming Priority (6)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
AU2013228021A AU2013228021A1 (en) | 2013-09-12 | 2013-09-12 | Feeding tube support brace |
AU2013228021 | 2013-09-12 | ||
AU2013263856 | 2013-11-29 | ||
AU2013263856A AU2013263856A1 (en) | 2013-09-12 | 2013-11-29 | adhesive tape free feeding tube retaining harness |
AU2014902168A AU2014902168A0 (en) | 2014-06-06 | Tube support | |
AU2014902168 | 2014-06-06 |
Publications (1)
Publication Number | Publication Date |
---|---|
WO2015035442A1 true WO2015035442A1 (en) | 2015-03-19 |
Family
ID=52464951
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/AU2014/000841 WO2015035442A1 (en) | 2013-09-12 | 2014-08-26 | Tube support |
Country Status (2)
Country | Link |
---|---|
FR (1) | FR3010320B1 (en) |
WO (1) | WO2015035442A1 (en) |
Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4582508A (en) * | 1984-09-27 | 1986-04-15 | Pavelka Wilma F | Garment for receiving catheters and the like |
US4891846A (en) | 1988-12-16 | 1990-01-09 | Sager Annette M | Medical absorption garment |
US5468229A (en) * | 1994-11-02 | 1995-11-21 | Chandler; Janice | Peritoneal dialysis catheter support belt |
US5669884A (en) * | 1995-09-11 | 1997-09-23 | Bennes; Solita M. | Tuck-away belt for peritoneal dialysis patients |
US20030065289A1 (en) * | 2001-09-28 | 2003-04-03 | Joan Clayton | Gastrostomy tube band |
US6681404B1 (en) | 2003-03-25 | 2004-01-27 | Terry K. Adlard | Garment with pouch for medical monitor |
US20090054844A1 (en) | 2007-08-24 | 2009-02-26 | Siya, Inc. | Medical garment wrap |
-
2014
- 2014-08-26 WO PCT/AU2014/000841 patent/WO2015035442A1/en active Application Filing
- 2014-09-09 FR FR1458428A patent/FR3010320B1/en not_active Expired - Fee Related
Patent Citations (7)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4582508A (en) * | 1984-09-27 | 1986-04-15 | Pavelka Wilma F | Garment for receiving catheters and the like |
US4891846A (en) | 1988-12-16 | 1990-01-09 | Sager Annette M | Medical absorption garment |
US5468229A (en) * | 1994-11-02 | 1995-11-21 | Chandler; Janice | Peritoneal dialysis catheter support belt |
US5669884A (en) * | 1995-09-11 | 1997-09-23 | Bennes; Solita M. | Tuck-away belt for peritoneal dialysis patients |
US20030065289A1 (en) * | 2001-09-28 | 2003-04-03 | Joan Clayton | Gastrostomy tube band |
US6681404B1 (en) | 2003-03-25 | 2004-01-27 | Terry K. Adlard | Garment with pouch for medical monitor |
US20090054844A1 (en) | 2007-08-24 | 2009-02-26 | Siya, Inc. | Medical garment wrap |
Non-Patent Citations (1)
Title |
---|
See also references of EP3185936A4 * |
Also Published As
Publication number | Publication date |
---|---|
FR3010320A1 (en) | 2015-03-13 |
NZ627151A (en) | 2014-11-28 |
FR3010320B1 (en) | 2019-06-28 |
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