US20140310850A1

US20140310850A1 - Medical Garment and Method

Info

Publication number: US20140310850A1
Application number: US14/254,547
Authority: US
Inventors: Maria Hudak; Bruce Brown
Original assignee: Individual
Current assignee: Individual
Priority date: 2013-04-19
Filing date: 2014-04-16
Publication date: 2014-10-23

Abstract

A medical garment is provided for use with children patients during and following intravenous medical therapies and method for using the same. The garment includes fabric fitted for the upper torso of a patient with an easily detachable flap exposing an access opening located over the chest area to allow care providers with easy access to medical ports implanted in the patient's chest where most such ports are located for pediatric patients. An storage pocket is positioned inside and adjacent to the opening for easy, safe and discreet storage of tubing and small medical devices. The exterior surfaces of the flap and/or interior surfaces of the pocket may include ornamentation and/or design elements appropriate for children's clothing. The garment is designed to look like a regular piece of children's clothing which is comfortable for children to wear and which helps restore a feeling of normalcy to a child patient.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of provisional patent application Ser. No. 61/813,837 filed 2013 Apr. 19.

FIELD OF INVENTION

The present invention relates to medical garments, and more particularly to medical garments designed to meet the needs of children receiving medical therapies via implanted medical devices.

BACKGROUND

Current methods for providing medical treatment to children having cancer (and other serious medical conditions) regularly involve placement of intravenous access ports (and/or tubes) at the central chest area of the child patient. Chemotherapy, for example, is commonly administered through a central line, implantable port or PICC line inserted into the chest area below the collar bone. These ports (or tubes) may stay in place for some months or, in some cases, years and must be accessed regularly for administration of therapy and for cleaning. They can be used for a variety of medical purposes such as taking blood and administering medicines. While they are generally beneficial in allowing access to the body without having to insert a needle into the patient each time, they entail some difficulty and discomfort to the caregiver and patient.
Garments worn by children patients during intravenous treatment must allow easy access to the ports so caregivers may administer treatment, take blood and keep the ports clean. As treatment can be time consuming, physically uncomfortable and emotionally difficult, especially for children, special attention needs to be paid to make sure the child is as comfortable as possible without impeding access and/or disturbing the ports or the tubing attached thereto. The garments must provide warmth without being too tight or otherwise require constant removal or repositioning on the patient. Normal children's clothing is generally unsuitable for treatment because it doesn't provide adequate access to the chest area, would disturb the ports, or would otherwise need to be removed during therapy and put back on following therapy. Thus, children patients are generally given standard prior art loose fitting medical garments (such as gowns with openings at the back) to wear during treatment.
Unfortunately, standard prior art medical garments (such as gowns) are woefully inadequate for children patients receiving intravenous treatments (such as chemotherapy) because they do not meet the physical or psychological needs of the child during and post treatment. Prior art gowns, for example, are opened at the back and must be folded over or otherwise partially removed to expose the chest area during treatment. Being exposed to a chilly hospital environment is discomforting to a sick child. The prior art garments fail to adequately accommodate loose tubing and other connective apparatus which is often left dangling from the ports or otherwise tied to the child thus severely limiting the child's ability to reposition or move without affecting the port connections. This can be uncomfortable and distressing to the child. And, it could be life threatening if a tube is dislodged. Importantly, prior art medical garments do nothing to comfort the child's anxiety or help the child feel a sense of normalcy during or post treatment. Instead, prior art medical garments serve to remind the child (and signal to others) that he/she is receiving medical treatment for a serious and often life threatening medical condition. Post treatment, children having intravenous ports are limited as to what they wear because normal clothing is too tight and disturbs the ports and/or fails to adequately conceal them. Child patients often feel stigmatized by their condition and try to hide their condition for fear they may be judged or excluded by others. They want to wear comfortable clothing that helps them look and feel like a normal child both during and following treatment.
There is therefore a need for a garment which allows for easy access to the chest area by care providers, provides inconspicuous storage locations for tubing and other small medical apparatus, prevents trauma or dislodgment of the tubing and ports, and which quickly converts to a garment that looks like a normal piece of children's clothing.

SUMMARY OF INVENTION

In accordance with the invention, the problem of providing appropriate access to the patient's chest area, inconspicuous storage for ports, tubes and small medical apparatus, and providing a child patient with a sense of normalcy is solved by a garment designed to look like a normal piece of children's clothing having an opening at the chest area adequate to provide easy access to implanted ports, tubing and small medical apparatus by care providers, an easily detachable flap with design and ornamentation consistent with normal everyday children's clothing covering the opening, and an inconspicuous interior storage pocket for storage of tubes and other small medical apparatus.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a front side perspective view of a medical garment embodying the principles of the present invention being worn by a child patient with flap closed.

FIG. 2 is a front side perspective view of a medical garment embodying the principles of the present invention being worn by a child patient with flap partially detached and folded downward exposing implanted ports and providing access to an inner storage pocket.

FIG. 3 is a perspective view of a medical garment embodying the principles of the present invention showing the interior surface of the garment with storage pocket attached.

FIGS. 4A-4D are schematic diagrams of a piece of fabric which may be used to form the flap and storage pocket of a medical garment embodying the principles of the present invention and method for fashioning the flap and storage pocket using the same.

FIG. 5 is a schematic diagram of a cross section of the medical garment embodying the principles of the present invention with flap attached and covering the opening at exterior surface and a storage pocket attached at the interior surface.

DETAILED DESCRIPTION

The drawings are for the purpose of illustrating a preferred embodiment of a medical garment embodying the principles of the present invention only and are not for purposes of limiting the same.
The preferred embodiment of the medical garment is shown in the shape of a t-shirt. It should be understood, however, that alternative embodiments of the present invention may be in the form of any torso-covering garment having a front, a back, and two sides with arm holes. For example, alternative embodiments of the garment may be in the shape of a shirt, a dress, a sweatshirt, a jacket or any other garment which covers the torso of the patient.
FIGS. 1 and 2 are front side perspective views of a preferred embodiment of the medical garment 10 being worn by a child patient 12. The garment 10 is made of a flexible material, preferably of woven cloth or fiber, but may alternatively be made of sheet plastic, vinyl or other flexible material used for clothing. The garment 10 covers the torso of the patient 12 and has a front, a back, two sides with sleeves having arm holes, and defining interior and exterior surfaces. For example, the front side interior surface of the garment is that side of the garment which would be worn immediately adjacent to the patient. The front side exterior surface would be that side of the garment which faces outward.
FIG. 1 shows an access opening 14 (in dotted lines) preferably in the shape of a rectangle located over the central chest area of the patient 12. This embodiment of the access opening has top 16, bottom 18, right 20 and left 22 edges. Alternative embodiments may have one or more access openings which are a different shape (such as a circular, oval, triangular or trapezoidal) with two or more adjacent sides. Regardless of the shape or number, the one or more access openings must be large enough to provide adequate exposure of the ports and other implanted tubing are likely to be located at the patient's chest area. The preferred embodiment of the access opening 14 shown in FIG. 1 is a single opening with a seam surrounding all sides. The seam is for purposes of maintaining the integrity of the access opening, but may be omitted in alternative embodiments when the material used does not require a seam for this purpose.
The access opening 14 shown in FIG. 1, is covered by a flap 24 having front and back sides. The front side of the flap 24 is that side which faces outward and away from the patient when the flap is closed. The back side of the flap 24 is that side facing inward toward the patient when the flap is closed. The embodiment of the flap shown is substantially rectangular in shape having top 26, bottom 28, right 30 and left 32 edges. Alternative embodiments of the garment may have one or more flaps 24 covering one or more access openings 14. The flap 24 is preferably made of the same flexible material as that used to cover the torso. However, alternative embodiments may have one or more flaps 24 made of other types of flexible materials normally used for making children's clothing such as canvas, sheet plastic, vinyl, wool, polyester fabric and the like.
The preferred embodiment of the flap 24 shown in FIG. 1 has a design on the front side which is consistent with those normally found on children's clothing. In this embodiment, the design is the likeness of a cartoon dog face. Other designs or indicia consistent with that which is normally used for children's clothing may otherwise be affixed to the front or back sides of the flap. The designs or indicia may be sewn onto the flap, painted on, glued on, woven into the fabric itself, or otherwise affixed thereon, using techniques known in the industry.
The edges of the flap 24 shown in FIG. 1 are lined with seams to prevent them from tearing, being rough, or otherwise unraveling. The flap 24 is sized to overlap the access opening 14 allowing enough room to accommodate the positioning of temporary attachment means 25 around the perimeter portions of the flap 24 at one or more sides or corners to allow the flap to be remain closed over the access opening 14 when desired. The temporary attachment means 25 utilized for the preferred embodiment shown are snaps positioned around the perimeter of the back side of the flap 24 and in corresponding positions around the perimeter of the opening 14. Alternative embodiments may include buttons, zippers, hook and loop fasteners, or other temporary attachment fasteners known in the industry. The embodiment shown in FIGS. 1 and 2 utilizes a flap 24 having a bottom edge 28 which is fixedly attached to the bottom edge 18 of the access opening by a sewn seam. The remaining edges of the flap are temporarily attached to the garment around the edges of the access opening using temporary attachment means (in this case snaps). In alternative embodiments, another of the edges may be alternatively fixedly attached (such as in the case where the flap is sewn at the right edge of the opening and the flap is folded open from left to right). In alternative embodiments, all sides of the flap may be removeably attached using the temporary attachment means described above.
FIG. 2 shows a front side perspective view of the preferred embodiment with the flap 24 open exposing the access opening 14 and the patient's 12 central chest region containing ports and tubes. It shows the bottom edge 28 of the flap 24 fixedly attached by a sewn seam at the bottom edge 18 of the access opening 14. The remaining sides of the flap 24 have been unsnapped to allow the flap to fold downward exposing the back side of the flap. The back side of the flap has design indicia consistent with that found on children's clothing. This is to maintain the overall child themed character of the garment when the flap is open. This back side design indicia may be attached in the same manner as that design indicia located at the front side of the flap as described.
One will note that alternative embodiments of the garment may have one or more access openings 14 of a different shape than the corresponding flaps 24 intended to cover them. For example the access opening 14 may be round whereas the flap 24 covering it may be rectangular or vice versa. A variety of configurations of access openings 14 and flaps 24 located over the central chest region of the torso are possible as long as the flaps are of size and position to adequately cover the openings and to allow easy access by care providers to the ports and tubes emanating from the central chest area of the patient 12.
FIG. 2 also depicts a preferred embodiment of a storage pocket 34 located at the interior surface of the garment 10 adjacent and below the bottom edge 18 of the access opening 14 so as to be adjacent to the ports or tubing emanating from the patient's chest and immediately accessible to care providers accessing the ports and tubing through the access opening 14. The storage pocket is shown in FIG. 2 partially using dotted lines to show that this embodiment of the storage pocket sits below the access opening. The storage pocket 34 is made of a flexible material, preferably a woven material, but otherwise may be made of plastic, vinyl or other material used for children's clothing. Using the same materials as the rest of the garment is useful for purposes of providing continuity and comfort to the child patient who wants to feel normal and comfortable in a sometimes difficult environment. It is also easier and less expensive to make if the materials used for the storage pocket are the same as those materials used for the rest of the garment. But, since the storage pocket 34 is preferably located on the interior surface of the garment (i.e. between the garment and the patient), is effectively hidden when the flap 24 is closed, and is utilized to store tubing and small medical devises often containing fluids (such as blood or medicines) which might inadvertently drip into the storage pocket during and post treatment, alternative embodiments of the garment may comprise storage pockets 34 made of a flexible waterproof material and/or a material that shields the patient from heat or cold (for example, a flexible rubberized canvas material, neoprene, silicone and the like) otherwise known and used in the medical setting.
FIG. 3 is a view of the preferred embodiment of the garment shown in FIGS. 1 and 2 looking at the interior surface of the front side of the garment with storage pocket 34 attached. As shown in FIG. 3, the storage pocket 34 is of horseshoe shape with tapered opening at the top and rounded sides and bottom. This shape is preferably to easily accommodate excess tubing which may be wound and inserted into the pocket. But, other shapes may be utilized in alternative embodiments. Further, alternative embodiments of the garment may utilize more than one storage pocket 34.
The storage pocket 34 shown in FIG. 3 is centered and positioned immediately adjacent and below the bottom 18 edge of the access opening 14. The storage pocket 34 shown in FIG. 3 comprises two panels attached at the bottom and sides to form a pocket opening at the top. As shown, the storage pocket 34 has front 36 and back 38 exterior sides, front 40 and back 42 interior sides, and a pocket opening 44 having front 46 and back 48 opening edges. Alternative embodiments of the storage pocket may effectively eliminate the need for a separate piece of material defining the front exterior 36 and interior 42 sides by simply utilizing the material comprising the body of the garment for that purpose. In other words, the storage pocket may be made by simply attaching a piece of material along three sides to the interior surface of the garment leaving an opening (such as the way pockets are sewn on the back of a pair of blue jeans or other pocket configurations known in the industry. The advantage of having using a separate panel to define the front 36 exterior and front interior 40 sides of the storage pocket 34 is that it allows the opportunity to use waterproof or other material otherwise not used for the rest of the garment and because it can be easier to make (as described below) by using a single blank to form both sides of the flap and storage pocket.
The storage pocket 34 shown in FIG. 3 is fashioned by folding a piece of material with corresponding front and back panels so that the bottom is a fold and sewing the curved sides to define the pocket opening 44 at the top. The pocket opening 44 is closeable utilizing a temporary pocket closure 50 means such one or more snaps, zippers, hook and loop fasteners, buttons or other temporary fastening means known in the industry. Alternative embodiments may have more than one storage pocket 34 or storage pockets of different shapes (i.e. square, rectangular) with openings on different sides closeable using such temporary fastening manes as described above. Further, alternative embodiments may have the storage pockets positioned in other places adjacent to the one or more access openings. However, it should be noted that the purpose of the storage pocket 34 is to accommodate and discretely store excess tubing and small medical devices that are needed as part of the patient's treatment and which must be easily accessible through the access opening. To accommodate these requirements as well as make the pocket as comfortable and discrete as possible, the preferred embodiment shown has rounded edges and is positioned such that the opening is at or near the bottom edge of the access opening so that it can conformably hang below the access opening at the patient's midriff and out of the way of the chest, arms or other areas on the garment which would normally fit tighter to the patient's body.
The preferred embodiment of the garment shown in FIGS. 1-3 utilize a storage pocket 34 located between the patient and the interior surface of the garment to remain discreet when the flap 24 is closed. In alternative embodiments, one or more storage pockets 34 may be located on the exterior surface surface of the garment.
FIG. 3 depicts the storage pocket having the design of a cartoon dog head on the front interior side 40 of the pocket. The purpose of having the design in this location is that it is easily viewable by a patient looking down into the pocket where the tubing and medical devices may be stored by care providers. The interior back side 42 of the storage pocket may also contain designs and other indicia normally used on children's clothing. The general purpose of such designs and indicia is to provide comfort to the child patient. Any design, ornamentation or decorative element consistent with children's clothing may be used. Typical examples of such ornamentation or decorative elements might include ornamental stitching, stitched patterns, painted, stick-on or iron-on patches, cartoon character likenesses, buttons and the like by themselves or in combination.
FIGS. 4A-4D depict a preferred embodiment of a blank which may be used to make the flap 14 and storage pocket 34. Use of this blank is preferred for purposes of fashioning the flap and storage pocket with ease and economic efficiency. FIG. 4A shows the blank spread out as single piece of material with printing on the upward facing side and cut in a shape as form four adjacent panels separated by folds. Specifically, panel A is a rectangular panel having the large picture of the dog's head which will form the front side of the flap, panel B is the immediately adjacent panel (separated by fold line) having multiple small characters printed thereon and forming the back side of the flap, panel C is the smaller panel rounded at the top with the smaller dog's head printed thereon which will form the front panel of the storage pocket, and panel D is the adjacent panel (separated by a fold line) which will form the back side of the storage pocket. Note that what serves as the hem for the back side of the storage pocket is created by folding the end of panel D (at the end fold line) and sewing it to the opposite side. In FIG. 4B, panel A is folded over onto panel B at fold line 1 and sewn at the sides and bottom ends to form the flap 24. In FIG. 4C, panel D is folded over onto panel C and sewn at the curved sides to form the storage pocket 34 with top opening. In FIG. 4D, the blank has been flipped over to show the front panel of the flap with storage pocket below. Fasteners (in this case snaps) used for temporary attachment of the flap over the access opening are shown on that surface which will become the back side of the flap.
FIG. 5 is a schematic diagram showing a cross section of the folded and sewn blank described in FIGS. 4A-4D sewn into the front of the garment so that the flap 24 covers the access opening 14 and the top opening of the storage pocket 34 is positioned at the interior surface of the garment just below the access opening. The front side of the storage pocket 36 and back side of the storage pocket 38 is shown. The folded and sewn blank is attached with the front side of the garment such that the flap is positioned over the access opening at the exterior surface of the garment and the storage pocket is positioned under the access opening at the interior surface of the garment. The blank is attached to the body of the garment along the seam located at the bottom edge of the access opening. This is merely a preferred embodiment. Alternative embodiments of the invention may have a flap 24 and storage pocket 34 which are separate and attached separately to the garment in the alternative positions described above.
A method for using the garment includes wearing the garment such that the flap is located on or immediately adjacent to tubing, ports or other locations requiring access for administration of medical care. When access is desired, the flap is open and folded away from the opening. Excess tubing may be stored in the storage pocket. When access is not needed, the flap is closed using the temporary closure mechanisms.
The invention has been described with reference to a preferred embodiment in the shape and form of a t-shirt and having a rectangular flap and rounded interior storage pocket. However, alternative embodiments may include any form of clothing designed to cover a person's torso and chest area including but not limited to a dress, sweatshirt, long-sleeve shirt, or poncho. The invention has also been described specifically for use by children and utilizing ornamentation that is typical of children's clothing. However, the invention may be used effectively with adult patients and utilize ornamentation and other design elements typical to adult clothing. Modifications and alterations will occur to others upon reading and understanding this specification. It is intended by the application to include all such modifications and alterations insofar as they are within the claims or the equivalents thereof.

Claims

1. A medical garment preferably for use with children and for providing easy access to implanted ports, catheters and/or tubing used for administration of fluids and/or medication, the garment comprising:

a garment body configured for covering the torso, the body having front, back and sides with openings for arms and defining exterior and interior surfaces;

one more openings at the front side configured for providing easy access to ports, catheters, and/or tubing implanted at the chest region of the patient;

one or more flaps for covering the one or more openings, each flap having and exterior and interior surface and two or more adjacent sides attachable with the exterior surface of the front side of the garment body;

one or more storage pockets for storing excess tubing and other small medical apparatus at a location easily accessible to care providers by accessing through the one or more openings;

wherein each of the one or more storage pockets has an opening, front and back exterior surfaces and front and back interior surfaces; and

wherein at least one of the one or more storage pockets is located immediately adjacent to the one or more openings at the interior surface of the garment body;

2. The medical garment of claim 1 wherein at least one of the one or more adjacent sides of the one or more flaps is fixedly attached to the garment body and the remaining flap sides are removably attachable to the garment body such that the one or more openings are covered when the removably attachable flap sides are attached.

3. The medical garment of claim 1 wherein the one or more adjacent sides of the one or more flaps is removably attachable to the garment body along the corresponding edges of the one or more openings.

4. The medical garment of claim 1 wherein one or more flaps is comprised of a piece of material folded over and fixedly attached to one another to form a front side and a back side.

5. The medical garment of claim 1 wherein the front side of the one or more flaps has design ornamentation consistent with that of children's clothing.

6. The medical garment of claim 1 wherein the back side of the one or more flaps has design ornamentation consistent with that of children's clothing.

7. The medical garment of claim 4 wherein the back side of the one or more flaps is removably attachable to the exterior surface of the garment body along two or more sides of the one or more openings.

8. The medical garment of claim 1 wherein the one or more storage pockets are comprised of a piece of material folded over and fixedly attached at opposite sides to define a pocket with top pocket opening, closed sides and bottom and having front and back exterior surfaces and front and back interior surfaces.

9. The medical garment of claim 8 wherein the edge along the front side of the one or more storage pocket openings is fixedly attached to the interior surface of the garment body below the one or more openings.

10. The medical garment of claim 1 wherein the one or more storage pockets is fixedly attached to the interior surface at the front side of the garment body along the bottom most edge of the one or more openings.

11. The medical garment of claim 1 wherein the one or more storage pockets is removably attached to the interior surface at the front side of the garment body.

12. The medical garment of claim 1 wherein one or more interior surfaces of the one or more storage pockets has design ornamentation consistent with that of children's clothing.

13. A method for using the garment of claim 1 comprising the steps of

positioning a garment having one or more access openings, one or more flaps and one or more storage pockets on a patient such that the one or more access openings are located at the patient's chest region having implanted port, catheter and/or tubing;

storing excess tubing and/or medical apparatus needed for treatment in one or more storage pockets located immediately adjacent to the one or more access opening as needed; and

covering the one or more access openings by attaching one or more flaps over one or more access openings.