EP1287797A2 - Medical set - Google Patents

Abstract

A hospital medical set (2) secures and provides hygiene protection for skin perforations with a gastro-probe or catheter. The medical set comprises a compress (12), a probe- canule- or catheter exit-plaster with an aperture (24) for the probe; canule or catheter with egress fixing agent (18), plus an information tag (22) with two detachable sections. <??>The tag (22) has an information bearing surface, a non-separable information layer, two detachable layers and a self-adhesive layer. The set is supplied in a container (4) with a closure (2).

Description

The invention relates to a medical kit for the Use for the supply of probe or Catheter exit sites in patients.

Probe or catheter exit sites in patients require regular care, including the Cleaning, disinfecting and applying a largely sterile wound dressing at the exit site, causing the probe or the catheter also against unintentional Pulling out or slipping should be secured. moreover belongs to such a supply one the respective Regulations corresponding documentation of the made Nursing measures, especially in hospitals and Nursing homes as well as in outpatient care special Meaning.

For example, one differentiates between percutaneous endoscopic Gastrostomy probes (PEG probes) and suprapubic catheters (SBK) catheter. Furthermore, one differentiates in the supply or care of probe or catheter exit sites two Wound healing phases, namely the so-called "Secretion phase" and the so-called "probe maintenance phase". The secretion phase describes those temporal Section after the creation of the probe or the catheter, meanwhile an increased production of Wound fluid occurs. But it can also be during a Infection at the probe or catheter exit site increased production of wound fluid, ie of Wound secretions, come. The probe maintenance phase follows the about 7 to 10 days lasting secretion phase and describes the time during which only a slight or no secretion occurs at the exit site.

For the care or care of probe or Catheter emergencies becomes medical Supply, dressings, disinfectants and the like needed.

The present invention is based on the object to provide medical kit which the Supply and care of probe or Simplified catheter exit sites and for the Nursing staff designed effectively.

• wenigstens eine Kompresse,
• ein(e) Sonden-, Kanülen- oder
  Katheteraustrittspflaster oder -kompresse mit einem Durchtrittsbereich für die Sonde, die Kanüle oder den Katheter,
• ein Fixiermittel zum Festlegen der Sonde oder des Katheters im Bereich der Austrittsstelle, und
• einen Informationsträger mit einer Trägerschicht und wenigstens zwei von der Trägerschicht ablösbaren, Informationen tragenden Abschnitten, wobei ein erster Abschnitt optisch oder visuell identifizierbare erste Informationen vermittelt und ein zweiter Abschnitt optisch oder visuell identifizierbare zweite Informationen aufweist und die Abschnitte eine Kleberbeschichtung tragen, vermittels derer sie auf eine Unterlage aufklebbar sind.

This object is achieved by a medical kit of the generic type, which comprises:

• at least one compress,
• a probe, cannula or
  Catheter exit patch or dressing having a passage area for the probe, cannula or catheter,
• a fixing means for fixing the probe or the catheter in the region of the exit point, and
• an information carrier having a carrier layer and at least two detachable from the carrier layer, information carrying sections, wherein a first portion optically or visually identifiable first information and a second portion optically or visually identifiable second information and the sections carry an adhesive coating, by means of which they on a pad are glued on.

With the above set set contents can be perform a supply effectively. By means of at least a compress becomes the probe or Catheter exit site after exposure and removal of the dressing material from the previous care cleaned and preferably also disinfected. It will be then at the immediate exit area a so-called probe, Cannula or catheter exit plaster or a - exit sac with a probe or catheter retainer or passage area on the body surface intended. This may be a slotted or with a passage opening or receiving recess for the probe or catheter provided compress or around an adhesive patch. As a result, but still no requirements Fixing or fixing the probe or catheter reached with respect to the body surface.

Finally, by attaching the fixative Ensure that the probe or catheter is in the area the exit point not unintentionally relocated, ie in particular can be pulled out. In the simplest case this fixative could be formed by pressure-sensitive adhesive strips his. However, it is preferable to use so-called Fixing patch uses the exit site and the there arranged probe, cannula or Catheter paving or compress completely cover. Preferably, with pressure-sensitive adhesive coated, breathable dressing materials used, the large-area coverage and thus fixation ensure that the skin irritation and reduce the again light and painless from the skin surface of the Let the patient detach.

Furthermore, it proves to be advantageous that the Documentation of the care or care measures by the information carrier associated with the medical kit can be performed by carrying the information Sections detached from the carrier layer and to Documentation purposes, for example, in a patient record can be glued. In the optical or visual identifiable first information of the first For example, this section may be information concerning the origin, eg a lot number, and the durability of the set is that of tracing can serve the care material use and therefore too Be used for documentation purposes. At the second visually or visually identifiable information this is information about the nature of the actual Nursing measures taken (eg dressing change at PEG probe or SBK catheter), preferably to Documentation purposes in on the respective patient related documents, such as the patient record, can be glued. In this way, the with Time associated with the documentation Supply is incurred, kept to a minimum, and it is It also ensures that the documentation is easy to read and having the required content.

In a further development of the invention, it proves to be advantageous if the medical set is an outer packaging in Shape of a bowl-shaped container with detachable Lid has, so that the container on a safe Underlay, for example, a bandage table or a Side table, can be stored. After replacing the Lids then becomes a relatively large Access opening to the set contents ensures that Contaminationsfreies largely germ-free removal of the Set content by the caregiver allows. The cup-shaped container can in itself any way and using any materials of their own be prepared. However, it proves to be advantageous if the container is a deep-drawn part, in particular Plastic film material is that process reliable and can be produced in a cost effective manner. By appropriate dimensioning of the film thickness and the Type of material and the geometry of the container, which is preferably adapted to the set contents, can a corresponding, the requirements Torsional rigidity of the container can be achieved. The lid can be glued to the container, for example or be sealed, taking care that he by overcoming a relatively small Resistance opens, so that in turn the danger of Contamination of the contents of the kit due to unwanted interference with the set is kept as low as possible. In Further development of the invention is proposed that the Set contents corresponding to the access side of the set their order of care are arranged. This means that first from the access side of the Compress, then the probe or catheter paving or the -kompresse and then the fixative and the Information carriers are arranged so that the user, without having to resort to the set contents multiple times, each one required overhead can remove. It It is understood that this also applies to the following further set contents apply.

If above from a carrier layer in the Information carrier is spoken, it may be this way around the adhesive coating of the removable areas overlapping layer, so the so-called predominantly "Release function", act. It can be this but also around a section or area of the outer packaging the set content, in particular of the preferably cupped container or lid act on that said sections are removably applied. The Information carrying sections of the information carrier So could on an outside or inside of the Outer packaging, in particular the lid or the Container be provided detachable or they could be on an overpack (secondary packaging) for a plurality be provided by medical kits. Of the Information carrier could also loose in the respective Umverpackung be introduced as a set content.

In a further development of this inventive concept, the Information carrier also have two carrier layers, the outside facing away from the two sections lying support layer an inner support layer and again only has release function. After detachment this outer carrier layer can the Information carrier with the previously inside Carrier layer and an adhesive coating on a Any surface be glued. After that you can leave the two information-bearing sections by detachment detach from this previously internal support layer and in the manner described above Use for documentation purposes. The advantage of a such information carrier with two carrier layers consists in the possibility of separate or from the Production of the set separate manufacturability of the Information carrier. It can then in the production or Packaging of the medical kit will be decided if the information carrier is loosely attached in this form, or whether the outer carrier layer removed and the Information carrier then as described above on the Inside or outside of the outer packaging of the set is glued on.

In a further embodiment of the invention, the Information carrier also three detachable sections exhibit. So it is possible that the third detachable section third visually or visually has identifiable information, which in turn on the nature of the actually supplied probe or the supplied catheter and the associated specific Obtain care measures. It is conceivable that medical Sets are provided equally for the Supply of various probes or catheters used are that but according to the actually done Nursing measures the documentation differs. It is therefore particularly advantageous if the Information carrier in the form of the second and third detachable section of these various documentations contains and the nursing staff then the appropriate Section selects and to documentation actions used.

To make the section to be selected easier and easier Making everything more secure, it can turn out to be advantageous to prove that two of the three removable Sections visually identifiable distinguishing features in the form of markings in different colors exhibit. This opens up the possibility of being in one Product line of a particular manufacturer information, in a certain way or type a probe or a catheter, always with the same color marking, ie in particular on a background held in that color or Background of the relevant section are printed. It can effectively reduce the risk of Misdocumentations are reduced; in any case again with appropriate training and habituation of the Caregiver required time in selecting the documentation section concerned to a minimum reduced.

It may prove to be advantageous if the medical kit furthermore a fastener for Fixing a mostly loop-shaped probe or Catheter section on the body surface of the Patient has. Usually, the probe or the Catheter outside of the above-mentioned fixative once more in a loop form and at the Body surface or against the body away Fixed outside of the fixative. Will unintentionally Train exerted on the catheter or the probe, so lies in this loop, so to speak, one more Extension reserve, the catheter or the probe with respect to its exit point before pulling out possibly backs up. Another essential purpose this loop shape is a kinking of the probe, the Catheter or cannula leading to blockage would, for sure, prevent what was mentioned by that additional fasteners for the probe or the Catheter can be achieved. This can happen for example, a hook and loop fastener, which with the body facing away from the outside Fixing agent can cooperate, or a so-called "Drainage pavement".

Furthermore, it proves to be advantageous if the set Gloves to protect the user from contamination the supply of the exit point offers, but also the Protects patients from contamination and infection.

It may also prove advantageous if the set also a disinfectant for disinfecting the probe or Catheter outlet point is added, and / or a means for applying the disinfectant, in the form of a additional swabs or other compresses, and optionally handling agents, such as. As a pair of tweezers.

Of particular importance is the disposal and the Handling used materials too, and indeed especially if the care or nursing measure not in a dressing room, but in the hospital room itself takes place. Here it turns out to be advantageous if the set is a receptacle, for. B. a mug, a bag or a bowl for used Materials includes. As very particularly advantageous proves it turns out if the outer packaging of the set itself as Receiving or disposal container can be used. For example, the detached lid as a clipboard serve for the used materials, and after completion the care measure can the used material in the Outer packaging as a receiving or disposal container be entered.

However, the present invention also relates to a Information carrier for a previously described Medical kit with the features of claim 15 Preferred embodiments are defined in claims 16 and 17 described.

Further features, details and advantages of the invention emerge from the appended claims and from the graphic representation and subsequent Description of a medical kit according to the invention and the care measures to be carried out using it.

Figur 1

eine schematische Darstellung eines erfindungsgemäßen medizinischen Sets;

Figuren 2 a-e

verschiedene Formen von Sonden-, Kanülen- oder Katheteraustrittspflastern oder -kompressen;

Figuren 3 a-i

schematische Darstellungen von Pflegemaßnahmen bei der Versorgung von Sonden- oder Katheteraustrittsstellen;

Figur 4

eine Draufsicht auf einen erfindungsgemäßen Informationsträger;

Figur 5

eine Schnittansicht des Informationsträgers nach Figur 4 und

Figur 6

eine weitere Ausführungsform des Informationsträgers.

In the drawing shows:

FIG. 1

a schematic representation of a medical kit according to the invention;

Figures 2 ae

various forms of probe, cannula or catheter exit patches or compresses;

FIGS. 3 ai

schematic representations of care measures in the supply of probe or catheter exit sites;

FIG. 4

a plan view of an information carrier according to the invention;

FIG. 5

a sectional view of the information carrier of Figure 4 and

FIG. 6

a further embodiment of the information carrier.

Figure 1 shows a schematic representation of a total designated by the reference numeral 2 medical kit. The Set 2 includes a single wrapper 4 consisting of a cup-shaped container 6, which is a made of plastic film material deep-drawn part and one against an outward-facing one brim-shaped edge portion 8 sealed lid 10 Paper. The outer package 4 encloses set contents that are in the order of their use from the lid side, So from top to bottom, are arranged. They are in Case shown two compresses 12, which are for cleaning a probe or catheter exit site in patients be used. Below the compresses 12 is a Slot compress 14 as a probe, cannula or Catheter exit pad arranged. Located below a fixative 18 in the form of a film plaster, with the supplied catheter or probe exit site covered and the arrangement with respect to the body surface of the patient is fixed. At the bottom of the container is an information carrier 22 to be described in more detail intended.

Other set contents are conceivable, such. B. gloves, in Bottles or tubes filled disinfectant, medium for applying the disinfectant, such as swabs, Handling means, such as tweezers and cups or Bag for receiving used bandages. Therefor but also the outer packaging 4, in particular their Container 6, find use.

FIGS. 2 a-e show various forms of probe, Canula or catheter exit patches or compresses 16, with receiving or passage areas 24 in the form of Recesses, slots or openings.

On the basis of Figures 3 a-i is a supply of a percutaneous endoscopic gastrostomy tube (so-called "PEG" probe); appropriate Nursing measures can also be found in the supply of Catheter exit sites instead.

First, a caregiver washes and disinfects her Hands and puts on a mask if necessary (Figure 3a). Thereafter, the caregiver will contact you well-known with Figure 1 described medical kit parked on a preferably flat surface and open. It will then during the care measures the required items according to their needs taken, preferably without the other objects too touch. The probe is shown in Figure 3b with a holding plate 30, and it is implied that a caregiver with a pair of tweezers 32 carefully the retaining plate to some Centimeters from the body surface, but the actual probe with respect to the probe exit point not is moved.

After carefully pulling the retaining plate 30 aside was, is the probe exit point with Disinfectant sprayed (Figure 3c). After a prescribed exposure time is by means of a compress the probe exit point around the probe carefully cleaned (Figure 3d). It will then be a probe or Catheter pavement or a compress 14 so around the Probe wrapped around that through the Receiving area 24 of the compress extends therethrough (FIG 3e). Then, the holding plate 30 with respect to the probe in Direction pushed to the probe exit point and on the compress 14 arranged (Figure 3f). As shown in Figure 3g can be seen an additional compress 12 on the Holding plate 30 laid and the arrangement is by a Fixing agent 18 in the form of a Fixiervlieses with Adhesive application against the body surface of the patient fixed.

To prevent a kinking of the probe, with the under the fixing means 18 protruding portion of Probe formed a loop 34 and this loop by means a further fastening means 36 in the form of a for example, having Velcro fasteners Plaster 38 against the textile top of the fixative 18 attached (Figure 3h).

As the supply final measure becomes the one Nursing Documenting the following in more detail descriptive section of an information carrier belonging to the medical kit was attached, removed and in Patient documents glued. It will be that way performed care measure documented (Figure 3i).

Figures 4 and 5 show a plan view and a Sectional view of the indicated in Figure 1 Information carrier 22. The information carrier 22 comprises a laminate of an upper, the visible side forming and visually or visually identifiable information having layer 40, one provided underneath Pressure-sensitive adhesive layer 42, which from a first carrier layer 44th is covered. Furthermore, the first carrier layer 44 on its side facing away from the layer 40 a side further pressure-sensitive adhesive layer 46, which from a second Carrier layer 48 is covered. The layered laminate is as indicated in Figure 4 as an endless strip material produced. The second carrier layer 48 is is a siliconized support material, which Release function is due. The carrier layer 48 is in Transverse direction 49 of the endless track slightly above the first Carrier layer 44, which is a detachment of the second Carrier layer of the remaining layer composite (40, 44). The layer composite (40, 44) is so together with the second adhesive layer 46 of the carrier layer 48 replaced and can as such by means of the second Pressure-sensitive adhesive layer 46 are glued to a surface.

The layer 40 of a respective information carrier 22 is divided into three sections 50, 52, 54, respectively different from each other visually (barcode) or visually have identifiable information. The first and the third section 50, 54 also carry color Markings, preferably in the form of different colored background colors, which one Include font imprint as additional information. It is possible, for example, by these different Color markings between two different, through the Carer carried out care measures or applications to distinguish. For example, the documentation of the Supplying a PEG probe of the first color Mark carrying first section 50 to Documentation purposes replaced and in patient records glued, and to supply a SBK catheter is the the second color marking having third section 54th detached and glued on.

The middle section 52, in contrast, can be home and Durability information includes, which also in the Patient records or otherwise documented. All three sections 50, 52, 54 are together with their Pressure-sensitive adhesive coating 42 from the first carrier layer 44, which also has release function, removable and in the described manner for documentation purposes stick on.

The information carrier 22 are each as a longitudinal section the mentioned and shown in Figure 4 endless track receive. By the reference numeral 56 is a separating or Predetermined breaking line, approximately in the form of a perforation, intended.

FIG. 6 shows a plan view of another one Embodiment of an information carrier 22, which differs from the above described merely by differentiates that each information carrier only two detachable portions 50, 52 are provided.

Both illustrated information carrier 22 but can after a further embodiment only with a first Carrier layer 44 is formed and by means of a Pressure-sensitive adhesive layer on an outer packaging of the medical Sets glued inside or outside. It is also possible that only the sections 50, 52 and 54 comprising Layer 44 directly on a preferably siliconized Section of the outer packaging and applied by this is removable. In such case, the outer packaging takes over the Function of the first carrier layer.

Claims (17)

A medical kit (2) for use in treating patient or catheter exit sites in patients, comprising at least one compress (12), a probe, cannula or catheter exit patch or dressing (16) having a passage area (24) for the probe, cannula or catheter, a fixing means (18) for fixing the probe or the catheter in the region of the exit point, an information carrier (22) having a carrier layer (44) and at least two information-carrying sections (50, 52, 54) removable from the carrier layer (44), wherein a first section (50) conveys optically or visually identifiable first information and a second section Section (52) optically or visually identifiable second information and the sections (50, 52, 54) wear an adhesive coating (42) by means of which they are glued to a substrate. A medical kit according to claim 1, characterized by an outer packaging (4) in the form of a bowl-shaped container (6) with detachable lid (10). Medical kit according to claim 2, characterized in that the container (6) is a deep-drawn part, in particular made of plastic film material. A medical kit according to claim 2 or 3, characterized in that the lid (10) is sealed to the container (6). Medical kit according to one or more of the preceding claims, characterized in that the set contents are arranged from the access side of the set according to their order in the supply. Medical kit according to one or more of the preceding claims, characterized in that the carrier layer (44, 48) of the information carrier (22) is formed by an outer packaging (4) of the set or set contents. Medical kit according to one or more of the preceding claims, characterized in that the information carrier is loosely inserted into an outer packaging (4) of the set and has two carrier layers (44, 48), of which the two sections (50, 52, 54 ) remote outer carrier layer (48) covers an adhesive coating (46) of the inner carrier layer (44). Medical kit according to one or more of the preceding claims, characterized in that three detachable sections (50, 52, 54) are provided. A medical kit according to claim 8, characterized in that two (54, 50) of the three detachable sections (50, 52, 54) have visually identifiable distinguishing features in the form of markings of different colors. Medical kit according to one or more of the preceding claims, further comprising: a Fixing means (36) for fixing a probe or Catheter section on the body surface of the Patients. Medical kit according to one or more of the preceding claims, further comprising: Gloves to protect the user from contamination at the supply Medical kit according to one or more of the preceding claims, further comprising: a Disinfectants for disinfecting the probe or Exit site Medical kit according to one or more of the preceding claims, further comprising: means for applying the disinfectant and optionally handling agent therefor. Medical kit according to one or more of the preceding claims, further comprising: a Receptacle (eg cup, bag, cup) for used materials. Information carrier (22) for a set after one or several of the preceding claims, with two Carrier layers (44, 46) and at least two of the a carrier layer (44) detachable, information carrying sections (50, 52, 54), wherein a first Section (50) visually or visually identifiable first information and a second section (52) optically or visually identifiable second Information and the sections (50, 52, 54) an adhesive coating (42) wear by means of those they are glued on a pad, with the detachable sections (50, 52, 54) opposite second carrier layer (48) has an adhesive coating (46) the inner first carrier layer (44) covers and as a release layer is removable and then the remaining carrier layer (44) with the removable Sections (50, 52, 54) by means of Adhesive coating (46) on an outer packaging (4) of the Sets or another pad is glued on. Information carrier according to claim 15, characterized in that the information carrier has on a visible side three detachable sections. Information carrier according to claim 15 or 16, characterized in that at least two of the detachable sections have visually identifiable distinguishing features in the form of markings in different colors.

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