WO2024054134A1 - New style patient gowns - Google Patents

New style patient gowns Download PDF

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Publication number
WO2024054134A1
WO2024054134A1 PCT/SA2023/050009 SA2023050009W WO2024054134A1 WO 2024054134 A1 WO2024054134 A1 WO 2024054134A1 SA 2023050009 W SA2023050009 W SA 2023050009W WO 2024054134 A1 WO2024054134 A1 WO 2024054134A1
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WO
WIPO (PCT)
Prior art keywords
gown
patient
new style
stitched
access
Prior art date
Application number
PCT/SA2023/050009
Other languages
French (fr)
Inventor
Yusra NADWI
Original Assignee
AHMED, Muneera
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by AHMED, Muneera filed Critical AHMED, Muneera
Publication of WO2024054134A1 publication Critical patent/WO2024054134A1/en

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Classifications

    • AHUMAN NECESSITIES
    • A41WEARING APPAREL
    • A41DOUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D13/00Professional, industrial or sporting protective garments, e.g. surgeons' gowns or garments protecting against blows or punches
    • A41D13/12Surgeons' or patients' gowns or dresses
    • A41D13/1236Patients' garments
    • A41D13/1245Patients' garments for the upper part of the body
    • AHUMAN NECESSITIES
    • A41WEARING APPAREL
    • A41DOUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
    • A41D13/00Professional, industrial or sporting protective garments, e.g. surgeons' gowns or garments protecting against blows or punches
    • A41D13/12Surgeons' or patients' gowns or dresses
    • A41D13/129Donning facilities, e.g. characterized by the opening

Definitions

  • ECG monitoring lead lines need to take out through neckline space which again causes discomfort for patients.
  • Findings of the study showed recurring words from interviews and surveys of patients and health care providers were dignity, difficulty, human, affected, walking, honor, auscultation, vulnerable, respect, procedures, care, patient rights, recognition, difficult.
  • Health care providers pointed out that gowns with front overlapped hold with Velcro or sticky patches are not practical in hospital settings. They opined that with multiple wash under specific heat degree they can be damaged which can be an additional cost for the hospital.
  • the inventor (2) proposed a patient gown jacket for thoracic cavity drainage that was designed with multiple buttons front and on both lateral sides.
  • inventor (3) made jackets which help medical staff easy access with deep vein catheterization. He made the gown sleeves with multiple access and connected each part with Velcro, while inventor (4) made jacket and pants for patient indwelling central venous catheter. He designed multiple Velcro and zippers to solve technical problems during the procedure.
  • my new style patient gown invention tried to avoid Velcro and zippers as those considered cost effective, unsafe, and impractical by money hospital management policy. Therefore, I tried in my gown to use stitching techniques to solve all technical problems and only one button on each shoulder hooked with elastic ribbon and used a total of three belts to secure front and back overlap.
  • New style gowns can be an asset to an institution where there is encouragement to both rehabilitation and better the patient outcome.
  • the new style patient gown has been designed by considering five major themes coded from study questionnaires (Table C). To promote patient dignity, privacy, safety and avoid technical problems.
  • Table C The new gowns will be provided in different sizes, S, M, L, XXL.
  • FIG. 2 page 2,3&4 Back Overlap provides full back coverage and an easy back access during procedure or examinations.
  • FIG. 1 Figure (3) page 5: Upper Chest accesses, allows access for central lines and upper chest procedures or physical examinations.
  • Figure (4) page 6 Left lateral side of chest accesses, facilitate quick and convenient accesses to maximum privacy during medical interventions.
  • Front overlap (Figure 1) is designed as a V neck from front. Both sides are tied to an opposite side, it allows improved fit, ease of wearing, and an enhanced level of modesty when compared to conventional rear-access hospital gown with button attached at shoulder and hooked with elastic ribbon. Right side is stitched with a medium size pocket and the left side has open access designed as a pocket. Sleeves designed wide which can easily pulled up and expose hands.
  • Back Overlap (Figure 2), back overlap is designed as double cloth overlapped on the back which is not completely closed to allow an easy back access during procedure or examinations. Both sides of the shoulder joint are stitched away from the sleeve joint about 9.5cm and extend below middle back shoulder about 6cm (figure 2A) while (figure 2B) shows not completely closed at back. One tie is fixed on the inner left -side joint to maximize back coverage (figure2C).
  • SUBSTITUTE SHEET (RULE 26) Upper Chest Open for Easy Access for Central Lines Procedures (Figure 3), at both underneath shoulder joints a 2 cm cut is made extended down about 6 cm. One button on the shoulder joint is fixed to hook with elastic ribbon from the other side of the gown. This feature minimizes exposing patients when small procedures are required and provides easy access for central line insertion or central wound dressing. It also avoids disconnecting any high alert medication infusions lines from patients as especially when received from surgery theater. Slope cloth is stitched above pocket cut design 8cm length to cover exposing skin and can manipulate in or out as per need.
  • Left lateral side of chest accesses ( Figure 4), a cut made on the left lateral front overlapped side.
  • This feature will facilitate quick and convenient accesses to maximum privacy during medical interventions.
  • Eg echocardiography. Exposure only to the left lateral side of the chest while maximizing privacy to remaining body parts. This feature will make it easy to apply electrodes on the left side for cardiac monitoring and ECG, easy to do echocardiography, and procedures like chest or pleural tube insertion.
  • the new style patient gowns are made by bringing new features that provide patients dignity, privacy safety and to solve technical problems. It is more relevant to patients of all ages and in different hospital settings.
  • the research project of the new style will be implemented in all medical wards, surgical wards, and intensive care units for evaluation. Data will be collected via survey questionnaire which will include participants from patients, nurses, physician, physiotherapist, and other health faculties.

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  • Health & Medical Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Physical Education & Sports Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Textile Engineering (AREA)
  • Professional, Industrial, Or Sporting Protective Garments (AREA)

Abstract

The new style gown innovation is made to be applicable for all hospital settings by wearing front side for stable patients and backwards for bedridden and critical patients. Front overlap is designed as a V neck and both sides are tied to an opposite side to improve fit, ease of wearing, and an enhanced level of modesty. Also, fast provides approach during emergency procedures and other interventions. Back is overlapped, covered with extra cloth overlapped to maximize privacy, body parts coverage, and enhance patient dignity. Upper chest access designed. The button stitched on both shoulder joints and hooked with elastic ribbon to hold the other part. Left lateral side accesses made for some procedures like echo, chest drain insertion and others. An invention will assist the healthcare professionals in giving care in a dignified way and help the patient to maintain their dignity, privacy, to improve patient satisfaction of hospital resources and reduce cost effect burden of hospital.

Description

Title of the invention: New style patient gown
A. The Prior art:
I have published a qualitative study related to enhancing patient dignity by considering new innovation in patient hospital gown. This study reviewed literature on how the hospital gowns have changed in the last 20 years.
It explored the perceptions of Bahrain’s Hospitals’ nurses towards the role and benefits of giving dignity to patients as well as using the new technology in gown design to enhance patient care. It identified the emerging and recurring themes on perceived roles and benefits of using evidence-based practice in patient care where dignity has to be upheld. It also provides hospitals with recommendations to improve the current system and recommend changes that may be needed with patient gowns.
The major issues conducted from the traditional gowns being used at present in the hospital included the following: design, fabric, non-accessibility during procedures and interventions and modesty was not kept intact during procedures.
Additionally, the theme of rehabilitation was taken from the inappropriateness of the gowns when the patient was receiving physiotherapy.
This made patients reluctant to take part in rehabilitation which affects patient outcomes. The study data collected using questionnaire, interview and clinical observations showed current available gowns such as with tie over neck with complete back open, sleeves with side Velcro, overlapped designed gown holding cloth with velcro or sticky material and complete back closed are not providing patient dignity, privacy, and safety.
As compared to attached granted patents inventions below in table (1) agreed with my study that modifying traditional patient gowns will be more convenient for hospital management, provide comprehensive treatments, ease medical care and nursing care, enhance early postoperative rehabilitation and physiotherapy institute, enhance patient dignity and their privacy.
1
SUBSTITUTE SHEET (RULE 26) In addition, those inventors have found similar technical problem with waring traditional gowns backward as my study resulted such as:
1) Wearing gown backward makes necklines too high causing patients uncomfortable, difficult to access to medications lines and indwelling catheters, high risk to block if patient with tracheostomy.
2) ECG monitoring lead lines need to take out through neckline space which again causes discomfort for patients.
3) Wearing backwards has high risk to damage electrodes wires and frequently changing electrodes patch will damage patient skin as leads take out through neckline space only.
4) Not Convinced for medical staff to replace tubes, infusion lines and change dressing. Indeed, medical staff are required to expose patients to carry out procedures like chest drain insertion, deep vein catheterization, PICC and CVP lines insertion and measuring blood pressure with Non-invasive cuff.
5) During physical examination and auscultation, the patient's back is completely open which decreases patient dignity and fails hospital management or medical staff to maintain patients' privacy.
2
SUBSTITUTE SHEET (RULE 26) B. Statement of the problems in the prior art:
Findings of the study showed recurring words from interviews and surveys of patients and health care providers were dignity, difficulty, human, affected, walking, honor, auscultation, vulnerable, respect, procedures, care, patient rights, recognition, difficult.
During discussion this concludes that current available gowns provide low dignified care for patients by exposing their private body parts during examination and physiotherapy sessions as well as during rehabilitation during and after surgical events. In addition, patients and specifically females hesitate to walk after surgery when they are not fully covered by hospital gowns which can expose their body parts. Religious beliefs may influence individual views about modesty. Furthermore, hospital gowns are normally open at the back generally with ties over the neck which adds to patients’ lack of tying them as they are out of reach.
Health care providers pointed out that gowns with front overlapped hold with Velcro or sticky patches are not practical in hospital settings. They opined that with multiple wash under specific heat degree they can be damaged which can be an additional cost for the hospital.
As per latest hospital marketing statistic report reusable gowns are increasing in demands and cost effects. Some literature showed patient advocacy is a priority of care health care providers as this change can play a bigger role in providing standard care. The study of Jankovska and Park (2018), found that the majority of their participants and especially women had the lowest satisfaction and experienced discomfort with the neckline and back opening than men. Besides, the discomfort was strongly associated while sitting activity, and the back opening was with the reaching up activity.
Likewise, Williams Cross and Darbyshire (2017) stated that females hesitate to walk after surgery when they are not fully covered by hospital gowns which can expose their body parts to the opposite sex. Hence, providing low privacy has high effects on patient advocacy, dignity, and resistance in providing proper care.
3
SUBSTITUTE SHEET (RULE 26) In addition, using evidence-based practice has shown that patient’s gowns have fallen outside the scope of scholarly research. The current gowns being used within the current organization renders the patient as being vulnerable, losing dignity, while their sense of identity is affected. The limitation size of the hospital gowns is also a subject for discussion. Moreover, the design of patient wear is often not considered when it comes to improving healthcare services and patient satisfaction with these services.
Many inventors have designed new gowns to solve specific technical problems in specific hospital settings. In Table (A) inventor (1) made a gown which was convenient for patients to turn over and beneficial for privacy protection in an ICU setting. He designed it with multiple buttons on sleeves, multiple belts to obtain some technical problems.
The inventor (2) proposed a patient gown jacket for thoracic cavity drainage that was designed with multiple buttons front and on both lateral sides. As compared to inventor (3) made jackets which help medical staff easy access with deep vein catheterization. He made the gown sleeves with multiple access and connected each part with Velcro, while inventor (4) made jacket and pants for patient indwelling central venous catheter. He designed multiple Velcro and zippers to solve technical problems during the procedure. In contrast, my new style patient gown invention tried to avoid Velcro and zippers as those considered cost effective, unsafe, and impractical by money hospital management policy. Therefore, I tried in my gown to use stitching techniques to solve all technical problems and only one button on each shoulder hooked with elastic ribbon and used a total of three belts to secure front and back overlap.
As per clinical evidence-based practice those connecting gowns with Velcro or zipper can easily damage with multiple wash and no money saving because reusable gowns washed under specific heat degree and other precautions. Many concerns raised by patients and medical staff gowns with Velcro are damaged, falling from shoulders, not covering properly and chest is exposed and patients wearing double gowns to cover themselves. On the other hand, the new style patient gown is more practical in the hospital settings. All patients can have an emergency regardless of whether they are stable or sick and medical staff always require an easy and fast approach to attach monitor devices for the patient. Therefore, having trousers and jacket as per inventors (2-3-4) will complicate and can delay providing first aid and medical intervention which eventually affects patient health outcomes.
4
SUBSTITUTE SHEET (RULE 26) In my new style gown, I have designed one single gown with standard length and new features that provides a fast and easy approach at any emergency and can solve many technical problems.
Finally, my study is aimed at looking at changing to a hospital gown by bringing new features that will assist the healthcare professionals in giving care in a dignified way and help the patient to maintain their dignity, privacy, safety, to improve patient satisfaction of hospital resources and overcome hospital associated technical problems.
Table (A): Patent Documents:
Figure imgf000007_0001
5
SUBSTITUTE SHEET (RULE 26) Table (B): Literatures Documents
My Study Project:
Figure imgf000008_0001
Similar literatures:
Figure imgf000008_0002
6
SUBSTITUTE SHEET (RULE 26) C. New in the invention:
Invention in patient gowns is required because currently available gowns and especially open back gowns with ties over the neck are globally used and have been the choice of many hospitals.
New style gowns can be an asset to an institution where there is encouragement to both rehabilitation and better the patient outcome.
The new style patient gown has been designed by considering five major themes coded from study questionnaires (Table C). To promote patient dignity, privacy, safety and avoid technical problems. The new gowns will be provided in different sizes, S, M, L, XXL.
Table (C): Five Major Theme
Figure imgf000009_0001
7
SUBSTITUTE SHEET (RULE 26) D. General description of drawing attached document:
Figure (1) page 7: Front Overlap to wrap around panel and ties allows improved fit, ease of wearing, and an enhanced level of modesty.
Figure (2) page 2,3&4: Back Overlap provides full back coverage and an easy back access during procedure or examinations.
Figure (2A) page 2: Describe connected detail of figure (2)
Figure (2B) page 3: Describe connected detail of figure (2)
Figure (2C) page 4: Describe connected detail of figure (2)
Figure (3) page 5: Upper Chest accesses, allows access for central lines and upper chest procedures or physical examinations.
Figure (4) page 6: Left lateral side of chest accesses, facilitate quick and convenient accesses to maximum privacy during medical interventions.
8
SUBSTITUTE SHEET (RULE 26) E. General description of the invention:
The five major themes that emerged from the data collection as listed above table (1) helped to assist in the decision-making process to bring change in the current hospital patient gowns.
Front overlap (Figure 1) is designed as a V neck from front. Both sides are tied to an opposite side, it allows improved fit, ease of wearing, and an enhanced level of modesty when compared to conventional rear-access hospital gown with button attached at shoulder and hooked with elastic ribbon. Right side is stitched with a medium size pocket and the left side has open access designed as a pocket. Sleeves designed wide which can easily pulled up and expose hands.
Back Overlap (Figure 2), back overlap is designed as double cloth overlapped on the back which is not completely closed to allow an easy back access during procedure or examinations. Both sides of the shoulder joint are stitched away from the sleeve joint about 9.5cm and extend below middle back shoulder about 6cm (figure 2A) while (figure 2B) shows not completely closed at back. One tie is fixed on the inner left -side joint to maximize back coverage (figure2C).
9
SUBSTITUTE SHEET (RULE 26) Upper Chest Open for Easy Access for Central Lines Procedures (Figure 3), at both underneath shoulder joints a 2 cm cut is made extended down about 6 cm. One button on the shoulder joint is fixed to hook with elastic ribbon from the other side of the gown. This feature minimizes exposing patients when small procedures are required and provides easy access for central line insertion or central wound dressing. It also avoids disconnecting any high alert medication infusions lines from patients as especially when received from surgery theater. Slope cloth is stitched above pocket cut design 8cm length to cover exposing skin and can manipulate in or out as per need.
Left lateral side of chest accesses (Figure 4), a cut made on the left lateral front overlapped side. An extra big cloth in tringle shape stitched on the side joint to cover the open hole and it is hooked with three buttons with elastic ribbon. This feature will facilitate quick and convenient accesses to maximum privacy during medical interventions. Eg, echocardiography. Exposure only to the left lateral side of the chest while maximizing privacy to remaining body parts. This feature will make it easy to apply electrodes on the left side for cardiac monitoring and ECG, easy to do echocardiography, and procedures like chest or pleural tube insertion.
10
SUBSTITUTE SHEET (RULE 26) F) Method of application:
Throughout findings ftom the study conducted and discussed above in relation to prior problems. The study was aimed to recommend and inform policymakers for innovation in patient gowns, while looking for healthcare professionals and patient’s opinions that may arise from the results of the study.
The new style patient gowns are made by bringing new features that provide patients dignity, privacy safety and to solve technical problems. It is more relevant to patients of all ages and in different hospital settings. After PCT approval, the research project of the new style will be implemented in all medical wards, surgical wards, and intensive care units for evaluation. Data will be collected via survey questionnaire which will include participants from patients, nurses, physician, physiotherapist, and other health faculties.
Prior to patent application, a small trial experiment was conducted on limited numbers of patients and health care providers from nurses, physicians, and physiotherapists with new style patient gown. Refer to the attached survey report document.
The outcome of the survey showed 99% participant satisfaction to implement the new style patient gown. It proved that new features implemented have provided patient dignity, privacy, safety and solved many technical problems. The result showcased better outcomes on patient rehabilitation classes as they were more comfortable and confident to walk outside rooms and especially female gender. As per some physician and echo technician it was easy to conduct the procedure and patients were satisfied as privacy was completely maintained.
11
SUBSTITUTE SHEET (RULE 26)

Claims

3. Claims:
The new style patient gowns are made of cotton fabric and consist of one material stitched from top shoulders, overlapped from front and backside with double cloth. The new style gown provides open access from both front and backside.
1) Claim back side overlap by stitched both side half clothe away from shoulder joint about 9.5cm allows back access.
A. According to claim (1) overlap cloth from right and left shoulders are s stitched away from sleeve joint about 9.5cm and extend below middle back shoulder about 6cm.
B. According to claim (1) the left side overlap cloth is open (no belt) to allow easy mobilization and access for the back.
C. According to claim (1) belts are fixed to pull in both sides and maximize back cover.
2) Claim upper chest design, one cut is made about 2 cm below shoulder joint on both sides that extend down about 6 cm.
A. According to claim (2) on both underneath shoulder joints is made extended down about 6 cm.
B. According to claim (2) a button on both shoulders joint stitched and hooked with elastic ribbon from the other side of the gown.
C. According to claim (2) Slope cloth is stitched above pocket cut design 8cm length to cover exposing skin and can manipulate in or out as per need.
12
SUBSTITUTE SHEET (RULE 26) ) Claim left lateral side open, covered with an extra cloth stitch underneath (figure ).
A. According to the claim (3) an extra cloth partially stitched over the open part.
B. According to claim (3) a button hooked with elastic ribbon on the left lateral joint to pull inward.
C. According to claim (3) helps to apply electrodes on the left side for cardiac monitoring and ECG, easy to do echocardiography, procedure like chest or pleural insertion drain tubes which protect patient privacy and enhance their dignity. ) Claim wearing a new style gown backward.
A. According to claims (1-2), a new style gown with new features designs can be worn backward for bedridden and critical care patients in following departments (intensive care unit, Coronary care units, Cath lab and operation theater).
B. According to claim (1), a new style gown with new features of back overlapping will help to access the complete front body for procedures or examinations if the gown is worn backwards, because the design back overlapped is open.
C. According to claim (2) a new style gown with a new feature of upper chest open will help to access the upper chest. We can unhook the button on both shoulders and thus will avoid having any technical problem accessing upper chest lines or tracheostomy.
13
SUBSTITUTE SHEET (RULE 26) ) Claim Front overlap, designed as V neck and belts area attached on alternate sides to be more approachable and easier to tie the gown.
A. According to claim (5) the new style gown will ease open access for any cardiac arrest or cardiac emergency which requires exposing upper or lower body extremities for examinations or interventions such as bedside redo-sternotomy or graft and chest drain suction.
6) Claim a medium size pocket fixed front side at approachable length.
The above description is for the detailed description of the preferred possible embodiments of the present Invention, but the embodiments are not intended to limit the scope of the present invention, and all equivalent changes or modifications accomplished under the technical spirit suggested by the present invention should fall within the scope of the present invention.
14
SUBSTITUTE SHEET (RULE 26)
PCT/SA2023/050009 2023-04-27 2023-09-14 New style patient gowns WO2024054134A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
BH20230142 2023-04-27
BH14223 2023-04-27

Publications (1)

Publication Number Publication Date
WO2024054134A1 true WO2024054134A1 (en) 2024-03-14

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0880319A (en) * 1994-09-14 1996-03-26 Kaitoo Hiruzu:Kk Clothing for attendance
US20110219511A1 (en) * 2010-03-09 2011-09-15 Aegis Post Op., Inc Garment with surgical drainage support
US20210106083A1 (en) * 2019-05-23 2021-04-15 Holly Spiegle Front-opening hospital gown with radiolucent snaps
WO2021222502A1 (en) * 2020-04-30 2021-11-04 Lucas Christy Marie Hospital gown
US20220330631A1 (en) * 2021-04-16 2022-10-20 Martha Christine Heppard Patient gown

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPH0880319A (en) * 1994-09-14 1996-03-26 Kaitoo Hiruzu:Kk Clothing for attendance
US20110219511A1 (en) * 2010-03-09 2011-09-15 Aegis Post Op., Inc Garment with surgical drainage support
US20210106083A1 (en) * 2019-05-23 2021-04-15 Holly Spiegle Front-opening hospital gown with radiolucent snaps
WO2021222502A1 (en) * 2020-04-30 2021-11-04 Lucas Christy Marie Hospital gown
US20220330631A1 (en) * 2021-04-16 2022-10-20 Martha Christine Heppard Patient gown

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