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WO2018194841A1 - Kit médical et systèmes et procédés associés pour prévenir une infection de la circulation sanguine associée à une voie centrale - Google Patents

Kit médical et systèmes et procédés associés pour prévenir une infection de la circulation sanguine associée à une voie centrale Download PDF

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Publication number
WO2018194841A1
WO2018194841A1 PCT/US2018/026279 US2018026279W WO2018194841A1 WO 2018194841 A1 WO2018194841 A1 WO 2018194841A1 US 2018026279 W US2018026279 W US 2018026279W WO 2018194841 A1 WO2018194841 A1 WO 2018194841A1
Authority
WO
WIPO (PCT)
Prior art keywords
medical
pockets
drape
pocket
fold line
Prior art date
Application number
PCT/US2018/026279
Other languages
English (en)
Inventor
Michael Turturro
Mike Stankeiwicz
Barbara Connell
Mika Hulliberger
Original Assignee
Medline Industries, Inc.
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
Priority claimed from US15/492,864 external-priority patent/US10639120B2/en
Application filed by Medline Industries, Inc. filed Critical Medline Industries, Inc.
Publication of WO2018194841A1 publication Critical patent/WO2018194841A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/31—Carrying cases or bags, e.g. doctors' bags
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B42/00—Surgical gloves; Finger-stalls specially adapted for surgery; Devices for handling or treatment thereof
    • A61B42/10—Surgical gloves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B46/23—Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65D—CONTAINERS FOR STORAGE OR TRANSPORT OF ARTICLES OR MATERIALS, e.g. BAGS, BARRELS, BOTTLES, BOXES, CANS, CARTONS, CRATES, DRUMS, JARS, TANKS, HOPPERS, FORWARDING CONTAINERS; ACCESSORIES, CLOSURES, OR FITTINGS THEREFOR; PACKAGING ELEMENTS; PACKAGES
    • B65D33/00—Details of, or accessories for, sacks or bags
    • B65D33/16—End- or aperture-closing arrangements or devices
    • B65D33/1691—End- or aperture-closing arrangements or devices using adhesive applied to attached closure elements
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65D—CONTAINERS FOR STORAGE OR TRANSPORT OF ARTICLES OR MATERIALS, e.g. BAGS, BARRELS, BOTTLES, BOXES, CANS, CARTONS, CRATES, DRUMS, JARS, TANKS, HOPPERS, FORWARDING CONTAINERS; ACCESSORIES, CLOSURES, OR FITTINGS THEREFOR; PACKAGING ELEMENTS; PACKAGES
    • B65D55/00—Accessories for container closures not otherwise provided for
    • B65D55/02—Locking devices; Means for discouraging or indicating unauthorised opening or removal of closure
    • B65D55/06—Deformable or tearable wires, strings or strips; Use of seals
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65D—CONTAINERS FOR STORAGE OR TRANSPORT OF ARTICLES OR MATERIALS, e.g. BAGS, BARRELS, BOTTLES, BOXES, CANS, CARTONS, CRATES, DRUMS, JARS, TANKS, HOPPERS, FORWARDING CONTAINERS; ACCESSORIES, CLOSURES, OR FITTINGS THEREFOR; PACKAGING ELEMENTS; PACKAGES
    • B65D65/00—Wrappers or flexible covers; Packaging materials of special type or form
    • B65D65/02—Wrappers or flexible covers
    • B65D65/10—Wrappers or flexible covers rectangular
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65D—CONTAINERS FOR STORAGE OR TRANSPORT OF ARTICLES OR MATERIALS, e.g. BAGS, BARRELS, BOTTLES, BOXES, CANS, CARTONS, CRATES, DRUMS, JARS, TANKS, HOPPERS, FORWARDING CONTAINERS; ACCESSORIES, CLOSURES, OR FITTINGS THEREFOR; PACKAGING ELEMENTS; PACKAGES
    • B65D75/00—Packages comprising articles or materials partially or wholly enclosed in strips, sheets, blanks, tubes or webs of flexible sheet material, e.g. in folded wrappers
    • B65D75/52—Details
    • B65D75/58—Opening or contents-removing devices added or incorporated during package manufacture
    • B65D75/5827—Tear-lines provided in a wall portion
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B2046/201—Surgical drapes specially adapted for patients for extremities, e.g. having collection pouch
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B46/23—Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • A61B2046/234—Surgical drapes specially adapted for patients with means to retain or hold surgical implements with means for retaining a catheter
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B46/23—Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • A61B2046/236—Surgical drapes specially adapted for patients with means to retain or hold surgical implements with means for collecting drain fluid, e.g. drain tubes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/314—Flexible bags or pouches
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06—Measuring instruments not otherwise provided for
    • A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length

Definitions

  • This invention relates generally to medical kits, and more particularly to medical kits configured to facilitate prevention of infection and other complications during medical procedures.
  • CLABSI Central Line Associated Blood Stream Infection
  • FIG. 1 illustrates one explanatory medical kit configured in accordance with one or more embodiments of the disclosure.
  • FIG. 2 illustrates one explanatory packaging label for a medical kit in accordance with one more embodiments of the disclosure.
  • FIG. 3 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 4 illustrates one explanatory patient care card of a medical kit in accordance with one more embodiments of the disclosure.
  • FIG. 5 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 6 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 7 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 8 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 9 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 10 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 11 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 12 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 13 illustrates explanatory contents of a medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 14 illustrates explanatory instructional materials, which can be affixed to and instruct the use of, an explanatory medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 15 illustrates explanatory instructional materials, which can be affixed to and instruct the use of, an explanatory medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 16 illustrates explanatory instructional materials, which can be affixed to and instruct the use of, an explanatory medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 17 illustrates explanatory instructional materials, which can be affixed to and instruct the use of, an explanatory medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 18 illustrates explanatory instructional materials, which can be affixed to and instruct the use of, an explanatory medical kit in accordance with one or more embodiments of the disclosure.
  • FIG. 19 illustrates a first side of an alternate unfolded drape in accordance with one or more embodiments of the disclosure.
  • FIG. 20 illustrates a second side of an alternate unfolded drape in accordance with one or more embodiments of the disclosure.
  • FIG. 21 illustrates a first side of yet another unfolded drape in accordance with one or more
  • FIG. 22 illustrates a second side of yet another unfolded drape in accordance with one or more embodiments of the disclosure.
  • FIG. 23 illustrates a first side of yet another unfolded drape in accordance with one or more
  • FIG. 24 illustrates a second side of yet another unfolded drape in accordance with one or more embodiments of the disclosure.
  • FIGS. 25-28 illustrate folding steps for one explanatory drape configured in accordance with one or more embodiments of the disclosure.
  • Relational terms such as first and second, top and bottom, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions.
  • reference designators shown herein in parenthesis indicate components shown in a figure other than the one in discussion. For example, talking about a device (10) while discussing figure A would refer to an element, 10, shown in figure other than figure A.
  • a central catheter is a catheter that is placed into a large vein through which medical professionals may deliver fluids, dyes, or medications to a patient. For example, during angiogram procedures, medical professionals will insert a central catheter into an artery or vein. The catheter is then directed to the proper area within the patient. A special dye is then injected into the vessel so that the circulatory system will be visible to a radiographic camera.
  • Central catheters can also be used to withdraw fluids, such as blood, for testing. Central catheters can also be placed into a patient to allow prolonged intravenous access, such as for extended antibiotic treatment, chemotherapy, and so forth. In the former case, insertion is temporary. In the latter, central catheters can be left in place in the patient's arm for periods ranging from six weeks to one year.
  • Central catheters can be inserted into various parts of the patient. Frequently, they are inserted into the chest of a patient. Placement into vessels in the chest can be advantageous in some procedures in that the path through which the catheter must be guided is shorter from the chest to the heart than from another portion of the patient's body. Central catheters can be placed in other locations as well, however. For example, during angiograms catheters can be inserted into a blood vessel near the groin, such as the femoral artery or vein. They can also be placed into vessels in the arm. Central catheters inserted into arms are generally known as "peripherally" inserted central catheters.
  • Catheter insertion procedures are generally performed bedside or in a diagnostic lab room by a medical professional who specializes in catheter insertion. The medical professional is frequently a specially trained nurse. One exception to bedside insertion occurs during radiology procedures, such as angiograms, where the catheter is guided and inserted by a doctor.
  • a catheter insertion or maintenance specialist may have to don hair covering, a mask, gloves, foot coverings, and a full -body sterile surgical gown, just as if they were entering an operating room.
  • Such procedures also require the patient to be covered by a conventional medical drape.
  • Such procedures attempt to ensure that a maximum barrier environment is established prior to the insertion of, and during the maintenance, use, or cleaning of, central catheter lines.
  • Embodiments of the present invention work to solve both problems by providing an intuitive medical kit that assists medical personnel in executing method steps to clean central catheter insertion sites, replace dressings, and otherwise maintain a central catheter installation while adhering to proper aseptic techniques that minimize the likelihood of infection.
  • a medical kit includes a drape with a series of pockets that are arranged side-by-side along an edge of the drape to provide maximum workspace along the drape itself.
  • the pockets are arranged, in one embodiment, to contain medical devices in order of use during a central catheter dressing change operation. This allows the pockets to serve as a mnemonic device that alerts medical personnel to a step-by-step method for changing a central catheter dressing.
  • each pocket included medical indicia affixed thereto
  • the medical indicia can feature animations and/or instructions that teach medical personnel how, when, and in what order to use each medical implement.
  • the pockets are additionally placed in the order of use, each containing a medical device on a one-to-one basis, and are specifically dimensioned so as to best secure the contents stowed therein. This secondarily functions in the prevention of using the medical devices in an improper order.
  • the drape is folded, in one embodiment, with a predefined folding construct that allows the user, upon unfolding the drape, to ensure that a sterile field for the medical implements is not compromised.
  • a predefined folding construct that allows the user, upon unfolding the drape, to ensure that a sterile field for the medical implements is not compromised.
  • rubber gloves and liquid hand sanitizer are disposed in different folds from other medical implements, thereby ensuring that the gloves and hand sanitizer will be used before the other medical implements and in the proper order for a central catheter dressing replacement procedure.
  • the rubber gloves and liquid hand sanitizer can be disposed in outer folds, for example, while the other implements are disposed in interior folds to ensure that the gloves and hand sanitizer are accessible before fully unwrapping the drape.
  • the medical kit can include other visual mnemonic devices, such as stop signs, to ensure that personnel pause during predefined portions of the procedure to complete all necessary operations of one step of the procedure prior to proceeding to a subsequent step.
  • the folded drape is secured in its folded form with a breakaway strip to ensure that interiorly folded portions of the drape remain sterile.
  • embodiments of the disclosure overcome problems associated with prior art central catheter dressing replacement kits.
  • Prior art central line dressing replacement kits are not arranged in a logical fashion so as to reduce the chance of CLABSI.
  • they fail to include the educational prompts and other indicia advantageously offered by embodiments of the present disclosure.
  • they are non-intuitive to use and require specialized training that few medical personnel possess.
  • kits configured in accordance with one or more embodiments of the disclosure help to ensure medical personnel conformance with proper aseptic techniques. They also help in dressing replacement without compromising the integrity of the catheter that has been inserted into the patient.
  • the medical kit 100 is sealed within a wrap 101 to keep the internal components sterile.
  • the wrap 101 can be any of a number of types of material.
  • the wrap 101 comprises a thermally sealed bag.
  • the thermally sealed bag can optionally include a preformed opening.
  • the opening can include one or more tabs that a health care services provider is instructed to pull to open the bag.
  • Sealing the contents of the medical kit 100 within the wrap not only keeps the contents within sterile, but also allows the attachment of a printed label 102 having a peelable flap 103.
  • the printed label 102 is configured as a booklet having one or more pages, with the peelable flap 103 being formed by at least one page that is peelable from at least another page.
  • the printed label 102 is configured as a booklet with at least one page that is configured to be peeled away from at least another page to reveal pictorial and/or textual step-by-step instructions for using the medical kit 100.
  • the outer page of the printed label 102 includes a color photograph 104 of the contents disposed within the medical kit 100.
  • the color photograph 104 which can also be a drawing, black and white photograph, illustration, or other rendering, is disposed in this embodiment alongside a description 105 of the medical kit 100 and an inventory 106 of at least some of the contents of the medical kit 100.
  • the background panel 107 is a different color from the colors set forth in the color photograph 104 to emphasize the contents shown in the color photograph 104.
  • the inventory 106 of the medical kit 100 comprises a textual listing of the implements disposed within the medical kit 100.
  • the illustrative medical kit 100 of FIG. 1 is suitable for use in central catheter insertion site dressing changes. While this type of procedure is used in the discussion below as an illustrative application, it will be clear to those of ordinary skill in the art having the benefit of this disclosure that the invention is not so limited. Minor modification to the medical kit, such as replacement of some medical implements for others, will permit the medical kit to be readily used for a wide variety of medical procedures.
  • the printed label 102 is configured as a booklet comprising at least one peelable flap 103
  • opening the peelable flap 103 reveals instructional material 200.
  • the instructional material 200 can instruct medical personnel regarding how to use the medical kit 100.
  • the instructional material 200 includes instructions for using the medical kit 100 and the corresponding implements disposed within the medical kit 100.
  • Embodiments of the disclosure contemplate that placement of the printed label 102 on the outer surface 202 of the wrap 101 can be superior to placing the instructions within the wrap 101 for a variety of reasons. One illustrative reason is that patients may be less comfortable when medical personnel read the instructional material 201 corresponding to the use of the medical kit 100 in front of a patient.
  • the contents of the medical kit 100 are sterile when sealed within the wrap 101.
  • the wrap 101 For procedures such as dressing replacement at central catheter insertion sites, the wrap 101 must be opened at the procedure site to avoid contamination of the medical devices disposed within the medical kit 100.
  • a medical services provider when the instructional material 201 is disposed inside the wrap 101, a medical services provider must read the instructions in front of a patient. Adhesively affixing the printed label 102 and its instructional material 201 to the outside of the wrap lOlallows a medical services provider to refresh her memory as to the instructions without making a patient uncomfortable.
  • FIG. 2 provides illustrative instructional material 201 suitable for use in central catheter insertion site dressing changes.
  • the instructional material 201 can include text only. However, in many embodiments one or more pictorial images 203,204,205,206 can be included with the text to make the instructional material 201 more easily understandable. As they say, a pictorial image 203,204,205,206 can be worth a thousand words. Accordingly, including one or more pictorial images 203,204,205,206 can reduce the amount of text needed to convey the same message.
  • the instructional material 201 is arranged in three columnar sections 207,208,209, each including a heading and a body.
  • the first columnar section 207 describes the steps of a preparation method to be performed before changing a central catheter insertion site dressing.
  • the body of the first columnar section 207 may include a first step instructing medical personnel to perform hand hygiene upon entering a patient's room.
  • the body of the first columnar section 207 may include a second step instructing medical personnel to explain the procedure to a patient.
  • the body of the first columnar section 207 may include a third step instructing medical personnel to prepare the work surface. This third step may include instructions such as cleaning a bedside table or other work surface with a disinfecting wipe.
  • Other steps for preparing a work surface will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • the body of the first columnar section 207 may include a fourth step instructing medical personnel to perform hand hygiene again.
  • the first step included a similar instruction in one embodiment above.
  • the first hand hygiene process can be different from the second in one or more embodiments.
  • the first hand hygiene operation may be washing hands with soap and water, while the second hand hygiene operation may include the application of liquid hand sanitizer.
  • Other hand hygiene operations will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • the body of the first columnar section 207 may conclude by instructing medical personnel to don non-sterile gloves.
  • the second columnar section 208 describes the steps of removing a central catheter insertion site dressing.
  • the body of the second columnar section 208 may include a first step instructing medical personnel to remove an exterior dressing, change an impregnated disk disposed about the central catheter insertion site, and may further include instructions to properly discard both the exterior dressing and the impregnated disk.
  • the body of the second columnar section 208 may include a second step instructing medical personnel to examine the exposed central catheter insertion site to determine whether additional medical care is required.
  • these instructions include an instruction to look for signs of infection, including redness, irritation, increased soreness, or drainage.
  • This second step may optionally instruct medical personnel NOT to touch the exposed central catheter insertion site with their bare fingers to help reduce CLABSl.
  • the second step may further instruct medical personnel to document any signs of infection, including but not limited to the aforementioned redness, irritation, increased soreness, or drainage.
  • the third columnar section 209 describes the steps of applying a new central catheter insertion site dressing.
  • the body of the third columnar section 209 may include a first step instructing medical personnel to open the dressing kit by unfolding it to only its first layer.
  • the body of the third columnar section 209 may then include a second step instructing medical personnel to don a surgical mask that is included within a first exterior fold of the dressing kit.
  • the body of the third columnar section 209 may then include a third step instructing medical personnel to offer the patient a mask.
  • the third step may further instruct medical personnel to instruct the patient, if a mask is refused, to turn away from the central catheter insertion site.
  • the body of the third columnar section 209 may include a fourth step instructing medical personnel to perform hand hygiene using liquid hand sanitizer disposed within the first exterior fold of the dressing kit.
  • a surgical mask, liquid hand sanitizer, and sterile disposable gloves are strategically placed within a first exterior fold of the dressing kit while other implements used in the central catheter insertion site dressing change are disposed within second, third, or fourth interior folds of the dressing kit.
  • the fourth step of the body of the third columnar section may correspond directly to a physical location within the dressing kit where specific medical implements are disposed.
  • the body of the third columnar section 209 may then include a fifth step instructing medical personnel to don sterile gloves disposed within the first exterior fold of the dressing kit. In one embodiment, the body of the third columnar section 209 may then include a sixth step instructing medical personnel to completely open kit using a breakaway strip by initiating a tear following the arrows.
  • the body of the third columnar section 209 may then include a
  • This seventh step instructing medical personnel to cleanse the area around a central catheter insertion site using an implement disposed within a first pocket of the dressing kit.
  • This seventh step may include substeps such as "Use a back and forth motion using friction to cleans an area under the catheter and an area 3-4 centimeters for a minimum of 30 seconds, and "Let air dry. DO NOT blot, fan or blow on the around the catheter exit site to help it dry faster.”
  • Other central catheter insertion site cleansing steps will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • the body of the third columnar section 209 may then include a
  • the body of the third columnar section 209 may then include a eighth step instructing medical personnel to use an implement disposed within a third pocket of the dressing kit to apply an impregnated disk around insertion site printed side up.
  • the eighth step may also include an instruction to apply a securement device to make sure the catheter is locked in place.
  • the body of the third columnar section 209 may then include a ninth step instructing medical personnel to use an implement disposed within a fourth pocket of the dressing kit to measure a distance between the central catheter insertion site and a reference point to ensure that the central catheter has not been disturbed or its placement altered during the dressing replacement procedure.
  • the body of the third columnar section 209 may then include a tenth step instructing medical personnel to use an implement disposed within a fifth pocket of the dressing kit to place a dressing so that it covers the insertion site and securement device. It should be noted that these instructions are illustrative only, as others will be readily obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • the instructional material 201 disposed within the booklet defined by the printed label 102 is defined as medical personnel instructions, as it is directed to medical personnel who are performing the dressing change operation.
  • embodiments of the disclosure contemplate that it can be advantageous to include other types of instructions as well.
  • the inclusion of instructional material specifically targeted at a patient, rather than medical personnel can further reduce the chance of CLABSI.
  • patient instructional material 301 have been removed from the wrap 101.
  • the patient instructional material 301 can include helpful suggestions or instructions for the patient into whom the central catheter is inserted.
  • the patient instructional material 301 is separate and distinct from the instructional material (201) directed toward medical personnel.
  • the patient instructional material 301 can be given to the patient to keep.
  • the patient instructional material 301 is configured as a booklet.
  • the patient instructional material 301 is configured with a greeting card appearance. While some embodiments can provide patient instructional material 301 that is very straightforward, informational, and clinical in nature, in the embodiment of FIG. 3 the patient instructional material 301 is configured as a greeting card.
  • Embodiments of the disclosure contemplate that when patient instructional material is configured as plain text on a plain white background it is less likely to be delivered to the patient. Medical personnel may mistake it for the instructional material (201) directed to the procedure rather than the patient. However, by configuring the patient instructional material 301 as a greeting card, such as with a pleasant picture 302 of flowers or similar objects on the front and stylized text providing the information therein, it is more likely to be given to the patient. Thus, configuring the patient instructional material 301 as a greeting card helps to reduce CLABSI.
  • the exterior of the patient instructional material can include an inspirational phrase and/or one or more aesthetically pleasing images.
  • an inspirational phrase is a vase of flowers. Others will be obvious to those of ordinary skill in the art having the benefit of this disclosure. For example, other aesthetically pleasing images could include puppies, sunsets, mountain streams, and so forth.
  • the patient instructional materials may include a textual identifier informing the patient of the purpose of the patient instructional materials.
  • the patient instructional materials 301 can include helpful suggestions or instructions for the patient.
  • the patient instructional material 301 can be configured with a greeting card appearance to make the information more pleasantly received by a patient. Examples of suggestions or instructions that may be included in the patient portion include information on what a central catheter is, what the patient should understand about the central catheter, how to reduce the chance of getting an infection, information about infections commonly associated with central catheters, and symptoms of infections commonly associated with central catheters.
  • FIG. 4 one example of a set of helpful suggestions suitable for use with one or more embodiments of the disclosure.
  • the interior can provide helpful suggestions 401 suitable for describing patient actions that help reduce the chances of CLABSI in conjunction with central catheter insertion site dressing changes.
  • the helpful suggestions 401 can include text only. However, as was the case with the instructional material (201) for medical personnel, in many embodiments one or more pictorial images can be included with the textual information to make the helpful suggestions 401 more easily understandable.
  • the helpful suggestions 401 are arranged in two columnar sections 302,302, arranged on opposite sides of a fold 304 within a colorful banner 305.
  • the two columnar sections 302,303 provide suggestions or instructions regarding what a central catheter is, what the patient should understand about the central catheter, how to reduce the chance of getting an infection, information about infections commonly associated with central catheters, and symptoms of infections commonly associated with central catheters.
  • the two columnar sections 302,303 include only text.
  • the first columnar section 302 includes the following illustrative text: "Here is some simple information about your central line catheter.
  • a central venous catheter is a small flexible tube that has been inserted into a large vein.
  • a PICC line peripheral inserted cardiac catheter
  • a PICC line is a similar small tube that is inserted into your arm and threaded up towards your heart.
  • the second columnar section 303 includes the following illustrative text: "Remember to keep your dressing dry and intact. Alert your nurse or care provider if the dressing becomes wet, or there is moisture or blood underneath. This dressing should be changed every 7 days or if the dressing is loose, damp, or soiled. Avoid touching or handling of the dressing, lumens, or securement device. Your care provider should perform hand hygiene before administering care at or around the site. If the insertion site appears red, or you experience sudden fever or chills, tell your care provider right away.”
  • the above information on the patient instructional materials 301 and/or the instructional materials 201 can be printed in multiple languages, such as in Spanish or in English. Further, alternatives and variations of the information can be substituted for the example set forth above. It should be noted that these instructions are illustrative only, as others will be readily obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • the dressing kit 300 comprises a folded drape 501 that is sealed with a breakaway strip 502.
  • the breakaway strip 502 is adhesively affixed to the folded drape 501 to keep a first upper exterior portion 503 folded atop a second upper exterior portion 504.
  • some medical implements are disposed within more exterior folds while other medical implements are disposed within more interior folds.
  • the breakaway strip 502 ensures that those items stowed within the more exterior folds are securely retained within the folded drape 501 until needed.
  • the folded drape 501 is opaque.
  • the folded drape 501 can be color- coded to indicate that it is designed for a particular procedure as well. For example, a particular color such as blue may indicate that the dressing kit 300 is to be used for a central catheter inserted into a patient's chest, while a green drape may indicate that the dressing kit it to be used with a peripherally inserted central catheter. Other color codings will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • the folded drape 501 can be manufactured from any type of flat cloth, including those manufactured from any of woven materials, nonwoven materials, or combinations thereof. Examples of nonwoven materials include spunbound materials, meltblown materials, or combinations thereof. Such materials are well known in the art. Additionally, the material weight of the folded drape 501 can vary as well. For example, in one illustrative embodiment the folded drape is manufactured from a non-woven material having a weight of between ten and one hundred grams per square meter. [074] In another embodiment, the folded drape 501 can be manufactured from 60-gram, plus or minus two grams, spunbond-meltblown-spunbond material.
  • Other materials can be used for the folded drape 501, including, for example, various woven, non-woven, hydroentangled materials, and/or combinations thereof, absorbent Airlaid, spunlace, blends of polyester, polypropylene, polyethylene, urethane, and/or combinations thereof, using various methods, including a spunbond meltblown spundbond (SMS) method, a spunbond meltblown metlblown spundbond method (SMMS), and a spunbond metlblown metlblown meltblownspundbond method
  • SMS spunbond meltblown spundbond
  • SMMS spunbond meltblown metlblown spundbond method
  • SMMS spunbond metlblown metlblown meltblownspundbond method
  • one or more antimicrobial layers can be added to the folded drape 501 to further enhance antimicrobial protection.
  • the material can optionally include and water resistant lining that prevents the passage of fluids through the material of the folded drape 501.
  • the folded drape 501 when unfolded, has a length of between sixteen and twenty centimeters, such as about seventeen and a half centimeters plus or minus an inch.
  • the patient drape has a width of between nineteen and twenty three centimeters, such as about twenty-one and a half centimeters, plus or minus one inch.
  • the breakaway strip 502 includes both instructional indicia
  • the instructional indicia 505 comprises a pictorial representation of how a finger can be used to separate the breakaway strip 502 by tearing along the sever targets 506.
  • the sever targets 506 comprise three solid arrows that follow a severing wedge circumscribing the words "tear here.” While this is one embodiment of sever targets in accordance with
  • a user opens the initial fold of the folded drape 501 by placing their finger at the severing wedge and tearing the breakaway strip along a line defined by the three solid arrows.
  • the first upper exterior portion 503 of the folded drape can be unfolded from atop a second upper exterior portion 504 to transform the folded drape (501) into a first partially folded drape 601.
  • the folded drape (501) transforms to a first partially folded drape 601, a second partially folded drape, a third partially folded drape, and so forth, until finally transforming into a fully unfolded drape as shown in FIG. 13, or alternatively in FIGS. 19-20.
  • the unfolding steps described in these transformations represent process descriptions and/or flow charts of one or more methods for transforming the folded drape (501) into an unfolded drape for use.
  • the initial unfolding step from the configuration of the folded drape (501) reveals first medical indicia 602.
  • elements of the medical kit (100) can include medical indicia 602 affixed thereto comprising one or more educational prompts 603,604,605 that instruct medical personnel regarding how to use a particular element or device of the medical kit (100).
  • the educational prompts 603,604,605 features animations and/or instructions that teach medical personnel how, when, and in what order to use a particular medical implement.
  • the first educational prompt 603 instructs medical
  • the first educational prompt 603 of this embodiment illustrates a medical services provider 606 holding a surgical mask 607 with their hands 608 right before placing the surgical mask 607 over their mouth and nose.
  • an animated instruction as the first educational prompt 603 ensures that the instructions embodied therein transcend language barriers. Regardless of the language spoken, medical personnel will readily understand that the animation of a medical services provider 606 holding a surgical mask 607 with their hands 608 right before placing the surgical mask 607 over their mouth and nose is an instruction to don a surgical mask.
  • the second educational prompt 604 provides an animation of the application of liquid hand sanitizer 609 to the hands 608 of the medical service provider 606.
  • the third educational prompt 605 illustrates the medical service provider 606 donning gloves 610 over their hands 608.
  • the location of the medical indicia 602 can be important in many applications.
  • the only logical unfolding operation that can be performed is to unfold the first upper exterior portion 403 of the folded drape (501) from atop a second upper exterior portion 404 to transform the folded drape (501) into a first partially folded drape 601.
  • the medical indicia is disposed under the first upper exterior portion 403 so that it is revealed and becomes immediately visible when the first upper exterior portion 403 of the folded drape (501) is unfolded from atop a second upper exterior portion 404.
  • This location does three things: First, it alerts medical personnel to the fact that medical devices are likely to be revealed in the next unfolding step. Second, it prevents the first partially folded drape 601 from being opened "upside down” by the user in that the medical indicia can only be read when the first partially folded drape 601 is in one orientation. Third, it instructs medical personnel regarding both what medical implements will be revealed in subsequent unfolding steps and in what order they should be used to preserve the sterile field required for central catheter dressing replacement. This latter function also works to prevent the use of medical devices in an improper order, which may contribute to the sterile field being compromised.
  • the second upper exterior portion 404 is unfolded from atop a central exterior portion 704 to transform the first partially folded drape (601) into a second partially folded drape 701.
  • this second unfolding step from the configuration of the first partially folded drape (601) reveals a medical device cluster 702.
  • a surgical mask 607. Disposed atop the medical device cluster 702 is a surgical mask 607. This is consistent with instruction provided by the first educational prompt 603, which indicates that the first step medical personnel should take is donning the surgical mask 607. Accordingly, by unfolding the second upper exterior portion 404 from atop a central exterior portion 704 to transform the first partially folded drape (601) into a second partially folded drape 701, medical personnel has instant access to the surgical mask 607 so that it can be donned.
  • the surgical mask (607) has been removed from the medical device cluster 702 and donned in accordance with the instruction provided by the first educational prompt 603.
  • this reveals liquid hand sanitizer 609, which was disposed beneath the surgical mask (607).
  • removal of the surgical mask reveals the liquid hand sanitizer, which is consistent with the instruction provided by the second educational prompt 604 to apply hand sanitizer after donning the surgical mask (607) and before donning gloves 610.
  • This step of revealing the package 901 of sterile rubber gloves 610 is consistent with the instruction provided by the third educational prompt 605 to don rubber gloves 610 after applying the liquid hand sanitizer (609) to the hands (608).
  • the package 901 in which the rubber gloves 610 are disposed comprises a folded package rather than a sealed package.
  • the package 901 comprises a folded package with a central book fold 902 on one side of the package 901. Medical personnel may lift 903 the top portion 904 of the package 901 to unfold the central book fold 902.
  • FIG. 10 illustrated therein is the package 901 once fully opened.
  • the central book fold 902 is disposed between a first outer book fold 1001 and a second outer book fold 1002, respectively.
  • each of the first outer book fold 1001 and the second outer book fold 1002 has been opened to reveal two rubber gloves
  • each of the rubber gloves 1003,1004 is partially turned inside out to make donning the same simpler. Accordingly, by unfolding the central book fold 902, the first outer book fold 1001, and the second outer book fold 1002, the rubber gloves 1003, 1004 are revealed so that they can be donned in accordance with the instruction provided by the third educational prompt 605.
  • the central book fold 1005 of the second partially folded drape 701 is disposed along the right side of the second partially folded drape 701. Medical personnel may lift 1006 the top portion 1007 of the second partially folded drape 701 to unfold the central book fold 1005.
  • the result, which is a third partially folded drape 1101, is shown in FIG. 11.
  • the central book fold 1005 of the second partially folded drape (701) of is disposed between a first outer book fold 1102 and a second outer book fold 1103 of the third partially folded drape 1101, respectively.
  • medical personnel may lift 1104 the top portion 1105 of the third partially folded drape 1101 to unfold the first outer book fold 1102.
  • the result, which is a fourth partially folded drape 1201, is shown in FIG. 12.
  • additional use instructions or medical supplies can be disposed within these folds as was the case with the package (901) of rubber gloves (1003,1004) or the medical indicia (602) described above.
  • first outer book fold 1102 is disposed between the second outer book fold 1103 and a third outer book fold 1202. Additionally, the first outer book fold 1102 is disposed between the third outer book fold 1202 and the central book fold 1005.
  • This type of folding ensures that a first indicia panel 1203 is defined between the first outer book fold 1102 and the third outer book fold 1202 onto the reverse side of which the medical indicia (602) may be attached.
  • Medical personnel may lift 1204, 1205 the top remaining portions 1206,1207 of the fourth partially folded drape 1201 to unfold the third outer book fold 1202 and the second outer book fold 1103, respectively.
  • the result which is an unfolded drape 1301, is shown in FIG. 13.
  • An alternate unfolded drape will be discussed below with reference to FIGS. 19-20.
  • the unfolded drape 1301 includes the drape 1323 itself.
  • a series of pockets 1302, 1303, 1304,1305,1306,1307 disposed along the drape 1323 in a linear, side-by-side arrangement 1308 along a bottom edge 1309 of the unfolded drape 1301.
  • additional material 1324 could extend beyond the sides of the series of pockets 1302, 1303, 1304, 1305, 1306 to ensure that the contents in the series of pockets
  • each of the pockets 1302, 1303, 1304,1305,1306,1307 along the base of the unfolded drape 1301 advantageously leaves a maximized, sterile work surface 1322 upon which medical personnel may work when changing a central catheter insertion site dressing.
  • the series of pockets 1302,1303, 1304, 1305, 1306, 1307 comprises six pockets.
  • the number of pockets may be greater than six pockets, or fewer, depending upon application.
  • the medical implement 1313 i.e., the ruler
  • the medical indicia 1319 disposed on the fourth pocket 1305 instead includes instructions on how to use the gradients on the catheter to measure distances
  • this pocket may be modified or eliminated.
  • Other reconfigurations to the number or purpose of the series of pockets 1302, 1303, 1304, 1305, 1306,1307 will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • Each pocket holds a medical implement 1310, 1311, 1312, 1313, 1314, 1315 on a one-to- one basis, with those medical implements 1310,1311, 1312, 1313,1314,1315 arranged in accordance with a predefined order of use in a central catheter dressing change procedure.
  • each pocket may hold multiple medical implements. Accordingly, medical personnel can start from the left, drawing a first medical implement 1310 from the first pocket 1302, and complete a first step of the central catheter dressing change procedure. Medical personnel can then move to the second pocket 1303, draw a second medical implement 1311, and so forth, to successfully complete the central catheter dressing change procedure.
  • the series of pockets 1302,1303,1304,1305,1306,1307 are formed and defined by thermally bonding a clear plastic film to the unfolded drape 1301.
  • the series of pockets 1302,1303,1304,1305,1306,1307 are glued to the unfolded drape 1301.
  • the series of pockets 1302, 1303, 1304, 1305,1306,1307 are stitched to the unfolded drape 1301. Still other techniques for bonding the series of pockets 1302,1303,1304,1305,1306, 1307 to the unfolded drape 1301 will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • each pocket 1302,1303,1304,1305,1306,1307 has medical indicia
  • the medical indicia 1316,1317,1318,1319,1320, 1321 each comprise one or more educational prompts (described below with reference to FIGS. 14-18) that instruct medical personnel regarding how to use a particular medical implement disposed in a pocket to which the medical indicia is attached.
  • medical indicia 1316, which is attached to pocket 1302 comprises an educational prompt that instructs medical personnel regarding how to use medical implement 1310, which is stowed in pocket 1302.
  • medical indicia 1317, which is attached to pocket 1303 comprises one or more educational prompts instructing medical personnel how to use medical implement 1311, and so forth.
  • each medical implement 1310, 1311, 1312, 1313, 1314,1315 is stowed in each pocket 1302,1303,1304,1305,1306, 1307 on a one-to-one basis in this embodiment, with those medical implements 1310,1311, 1312, 1313, 1314, 1315 arranged in accordance with a predefined order of use in a central catheter dressing change procedure, the medical indicia
  • 1316,1317,1318,1319,1320, 1321 set forth - from left to right - the steps of a method of changing a central catheter insertion site dressing in accordance with a predefined procedure.
  • medical implement 1310 comprises a Chloraprep.sup.TM one-step antiseptic tool that delivers a combination of chlorhexidine gluconate and isopropyl alcohol.
  • Medical implement 1311 comprises swabs.
  • Medical implement 1312 comprises an impregnated disk and securement device.
  • Medical implement 1313 comprises a ruler.
  • Medical implement 1314 comprises a central catheter insertion site bandage covering.
  • Medical implement 1314 comprises gauze padding.
  • first medical indicia 1316 for using the first medical implement 1310 disposed within the first pocket (1302) of the unfolded drape (1301).
  • the first medical indicia 1316 comprise a sticker or label adhesively attached to the exterior of the first pocket (1302).
  • the first medical indicia 1316 comprise a card disposed within the first pocket (1302) that is visible from the exterior side of the first pocket (1302).
  • Other techniques for making the first medical indicia 1316 visible from the exterior of the first pocket (1302) will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • the first medical implement 1310 is an antiseptic cleansing tool comprising a plastic body and a sponge head that receives antiseptic 1407 from the body to be applied to the patient through the sponge head.
  • the first medical indicia 1316 comprises an animation
  • the animation 1401 that instructs medical personnel to apply the first medical implement 1310 to the central catheter insertion site 1402 and to make lateral motions 1403 within an area 1404 about the central catheter insertion site 1402 to disperse the antiseptic 1407.
  • the animation 1401 further instructs medical personnel to apply the antiseptic 1407 for at least thirty seconds, as indicated by a first duration indication 1405.
  • the animation 1401 then instructs medical personnel to allow the antiseptic 1047 to dry for at least thirty seconds, as indicated by second duration indication 1406. Note that while this animation 1401 is for a central catheter 1408 inserted into a patient's chest, it could readily be converted for peripherally inserted central catheters by showing the patient's arm rather than the patient's chest.
  • second medical indicia 1317 for using the second medical implement (1311) disposed within the second pocket (1303) of the unfolded drape (1301).
  • the second medical implement (1311) disposed within the second pocket (1303) of the unfolded drape (1301) comprises one or more swabs.
  • the one or more swabs are prewetted with an antibiotic 1502.
  • the second medical indicia 1317 comprise an animation 1501 that instructs medical personnel to apply the antibiotic 1502 from the swab 1504 to the central catheter insertion site
  • third medical indicia 1318 for using the third medical implement (1312) disposed within the third pocket (1304) of the unfolded drape (1301).
  • the third medical implement (1312) disposed within the third pocket (1304) of the unfolded drape (1301) comprises two different implements: an antimicrobial impregnated disk 1602 and a central catheter line securement device 1603.
  • the third medical indicia 1318 comprise an animation 1601 that instructs medical personnel to place the antimicrobial impregnated disk 1602 about the central catheter insertion site 1402.
  • the animation 1601 instructs medical personnel to place the antimicrobial impregnated disk 1602 about the central catheter insertion site 1402 with the printed side of the antimicrobial impregnated disk 1602 facing outward to ensure that the antimicrobial impregnated disk 1602 stays affixed about the central catheter insertion site 1402.
  • the animation 1601 further instructs medical personnel to secure the central catheter 1408 to the patient's chest with the central catheter line securement device 1603.
  • fourth medical indicia 1319 for using the fourth medical implement (1313) disposed within the fourth pocket (1305) of the unfolded drape (1301).
  • the fourth medical implement (1313) comprises a ruler 1702.
  • the fourth medical indicia 1319 comprise an animation 1701 that instructs medical personnel to measure the distance between the central catheter insertion site 1402 and the central portion of the central catheter line securement device 1603 to ensure that the central catheter has not been pushed into, or pulled out of, the patient's chest.
  • fifth medical indicia 1320 for using the fifth medical implement (1314) disposed within the fifth pocket (1306) of the unfolded drape (1301).
  • the fifth medical implement (1314) comprises a central catheter insertion site bandage covering 1802.
  • the fifth medical indicia 1320 comprise an animation 1801 that instructs medical personnel to place the central catheter insertion site bandage covering 1802 over the central catheter insertion site 1402 to complete the central catheter dressing replacement process.
  • FIGS. 14-18 are illustrative only. Others could be substituted where the medical kit (100) is configured for a different type of procedure. Still others will be readily apparent to those of ordinary skill in the art having the benefit of this disclosure. It will be clear that these animations and instructions described above with reference to FIGS. 14-18, and the information printed thereon, can be varied in any number of ways without departing from the spirit and scope of the disclosure as described herein and recited in the following claims. For example, the number of animations and instructions described above with reference to FIGS. 14-18 can be varied.
  • the information printed thereon can be condensed, expanded, or altered without departing from the spirit and scope of the disclosure. Also, the exemplary information may be moved from the panels shown to other panels, as a particular application may warrant.
  • FIGS. 19-20 illustrated therein is another unfolded drape 1900 in accordance with one or more embodiments of the disclosure.
  • FIG. 19 illustrates a first side 1901 of the unfolded drape 1900
  • FIG. 20 illustrates a second side 2001 of the unfolded drape 1900.
  • the unfolded drape 1900 includes a layer of drape material 1902.
  • the unfolded drape 1900 can be folded along three fold lines
  • the series of pockets 1903, 1904, 1905, 1906, 1907 is arranged in a linear, side-by-side arrangement 1918 along a bottom edge 1919 of the unfolded drape 1900.
  • additional material 1924,1925 extends beyond the sides of the series of pockets 1903,1904,1905,1906,1907 to ensure that the contents in the series of pockets 1903,1904,1905,1906,1907 remain sterile when the unfolded drape 1900 is folded.
  • the additional material 1924, 1925 comprises about three centimeters of material extending beyond the first pocket 1903 and the fifth pocket 1907 as shown.
  • the unfolded drape includes two pockets 2002,2003 on the rear side of the unfolded drape 1900 as well.
  • rear pocket 2003 can be disposed at the exact same location as pocket 1906, but on the second side 2001 of the unfolded drape 1900. This allows a single heat sealing operation to attach both pocket 1906 and pocket 2003.
  • These rear side pockets 2002,2003 can be used to hold the implements described above with reference to FIGS. 7-9.
  • implements included with the medical device cluster (702) such as the surgical mask (607), the liquid hand sanitizer (609), or the package (901) of sterile rubber gloves (610) can be placed within the pockets 2002,2003 on the second side 2001 of the unfolded drape 1900 so that they remain in place when the folded medical drape is unfolded.
  • the surgical mask (607) and the liquid hand sanitizer (609) could be placed in the upper pocket 2002, while the package (901) of rubber gloves (610) is placed in the lower pocket 2003.
  • first medical indicia are coupled to one or more of the pockets 2002,2003 so as to be revealed when the first upper exterior portion of a folded drape is unfolded from atop the second upper exterior portion as previously described.
  • each of the pockets 2002,2003 has a width 2004 of about 20
  • the pockets 2002,2003 have a height 2005 of about nine centimeters.
  • the upper pocket 2002 has its base 2006 disposed a distance 2007 of about twenty- four centimeters from the upper side of the unfolded drape 1900.
  • each pocket 2002,2003 is disposed a distance 2008 of about thirteen centimeters from the left side of the unfolded drape 1900.
  • the unfolded drape has a width of about sixty centimeters and a height of about forty-five centimeters.
  • each of the series of pockets 1903, 1904, 1905, 1906, 1907 can be configured to receive one or more medical implements as previously described.
  • medical implement i.e., the ruler
  • the number of pockets 1903, 1904, 1905,1906,1907 has been reduced from six to five.
  • Each pocket 1903, 1904, 1905,1906,1907 is configured to hold a medical implement
  • each pocket (1310, 1311, 1312,1314,1315) on a one-to-one basis.
  • those medical implements (1310, 1311, 1312, 1314, 1315) are arranged in accordance with a predefined order of use in a central catheter dressing change procedure.
  • each pocket is arranged in accordance with a predefined order of use in a central catheter dressing change procedure.
  • 1903,1904,1905,1906,1907 may hold multiple medical implements. Accordingly, medical personnel can start from the left, drawing a first medical implement (1310) from the first pocket 1903, and complete a first step of the central catheter dressing change procedure. Medical personnel can then move to the second pocket 1904, draw a second medical implement (1311), and so forth, to successfully complete the central catheter dressing change procedure.
  • the series of pockets 1903,1904,1905, 1906, 1907 are formed and defined by thermally bonding a clear plastic film to the unfolded drape 1900.
  • other techniques for bonding the series of pockets 1903, 1904,1905,1906,1907 to the unfolded drape 1900 will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • the first pocket 1903 is six centimeters wide, while the second pocket 1904 is eight centimeters wide.
  • the third pocket 1905 is ten centimeters wide, as is the fifth pocket 1906.
  • the fourth pocket 1906 is twenty centimeters wide.
  • Each pocket 1903,1904,1905,1906,1907 is nine centimeters deep.
  • Other widths and extents of the series of pockets 1903, 1904, 1905, 1906,1907 will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • each pocket 1903,1904, 1905, 1906, 1907 has medical indicia
  • the medical indicia (1316,1317,1318, 1320, 1321) can each comprise one or more educational prompts (described above with reference to FIGS. 14- 18) that instruct medical personnel regarding how to use a particular medical implement disposed in a pocket to which the medical indicia is attached.
  • medical indicia (1316) which can be attached to pocket 1903, can comprise an educational prompt that instructs medical personnel regarding how to use medical implement (1310), which can be stowed in pocket 1903.
  • medical indicia (1317), which can be attached to pocket 1904 can comprise one or more educational prompts instructing medical personnel how to use medical implement (1311), and so forth.
  • FIGS. 21-22 illustrated therein is yet another unfolded drape 2100 in accordance with one or more embodiments of the disclosure.
  • FIG. 21 illustrates a first side 2101 of the unfolded drape 2100
  • FIG. 22 illustrates a second side 2201 of the unfolded drape 2100.
  • the unfolded drape 2200 of FIGS. 21 and 22 is similar to that of FIGS. 19-20. However, rather than having pockets 2103,2104,2105,2106,2107 disposed along a lower edge 2119, there is a separation area 2126 between the pockets 2103,2104,2105,2106,2107 and the lower edge 2119 of about three centimeters.
  • the unfolded drape 2100 includes a layer of drape material 2102.
  • a series of pockets 2103,2104,2105,2106,2107 disposed along the layer of drape material 2102.
  • the unfolded drape 2100 can be folded along three fold lines
  • the series of pockets 2103,2104,2105,2106,2107 is arranged in a linear, side-by-side arrangement 2118, separated from a bottom edge 2119 of the unfolded drape 2100 by a distance 2127 of about three centimeters.
  • additional material 2124,2125 also extends beyond the sides of the series of pockets
  • the additional material 2124,2125 comprises about three centimeters of material extending beyond the first pocket 2103 and the fifth pocket 2107 as shown.
  • disposing each of the pockets 2103,2104,2105,2106,2107 along the base of the unfolded drape 1900 advantageously leaves a maximized, sterile work surface upon which medical personnel may work when changing a central catheter insertion site dressing.
  • the unfolded drape includes two pockets 2202,2203 on the rear side of the unfolded drape 2100 as well.
  • rear pocket 2203 can be disposed at the exact same location as pocket 2106, but on the second side 2201 of the unfolded drape 2100. This allows a single heat-sealing operation to attach both pocket 2106 and pocket 2203. [01 19] These rear side pockets 2202,2203 can be used to hold the implements described above with reference to FIGS. 7-9.
  • implements included with the medical device cluster (702), such as the surgical mask (607), the liquid hand sanitizer (609), or the package (901) of sterile rubber gloves (610) can be placed within the pockets 2202,2203 on the second side 2201 of the unfolded drape 2100 so that they remain in place when the folded medical drape is unfolded.
  • the surgical mask (607) and the liquid hand sanitizer (609) could be placed in the upper pocket 2202, while the package (901) of rubber gloves (610) is placed in the lower pocket 2203.
  • one or more educational prompts can be placed on the pockets 2202,2203 disposed pm the second side 2201 of the unfolded drape 2100 as well.
  • first medical indicia are coupled to one or more of the pockets 2202,2203 so as to be revealed when the first upper exterior portion of a folded drape is unfolded from atop the second upper exterior portion as previously described.
  • each of the pockets 2202,2203 has a width 2204 of about twenty centimeters so as to retain components of the medical device cluster (702).
  • the pockets 2202,2203 have a height 2205 of about nine centimeters.
  • the upper pocket 2202 has its base 2206 disposed a distance 2207 of about twenty- four centimeters from the upper side of the unfolded drape 2100.
  • each pocket 2202,2203 is disposed a distance 2208 of about thirteen centimeters from the left side of the unfolded drape 2100.
  • the unfolded drape has a width of about sixty -two centimeters and a height of about forty-five centimeters.
  • each of the series of pockets 2103,2104,2105,2106,2107 can be configured to receive one or more medical implements as previously described.
  • medical implement 1313), i.e., the ruler, is not required. Accordingly, the number of pockets 2103,2104,2105,2106,2107 has been reduced from six to five.
  • Each pocket 2103,2104,2105,2106,2107 is configured to hold a medical implement
  • each pocket (1310, 1311, 1312, 1314,1315) on a one-to-one basis.
  • those medical implements (1310, 1311, 1312, 1314, 1315) are arranged in accordance with a predefined order of use in a central catheter dressing change procedure.
  • each pocket is arranged in accordance with a predefined order of use in a central catheter dressing change procedure.
  • 2103,2104,2105,2106,2107 may hold multiple medical implements. Accordingly, medical personnel can start from the left, drawing a first medical implement (1310) from the first pocket 2103, and complete a first step of the central catheter dressing change procedure. Medical personnel can then move to the second pocket 2104, draw a second medical implement (1311), and so forth, to successfully complete the central catheter dressing change procedure.
  • the series of pockets 2103,2104,2105,2106,2107 are formed and defined by thermally bonding a clear plastic film to the unfolded drape 2100.
  • a clear plastic film to the unfolded drape 2100.
  • the first pocket 2103 is six centimeters wide, while the second pocket 12104 is ten centimeters wide.
  • the third pocket 2105 is ten centimeters wide, as is the fifth pocket 2106.
  • the fourth pocket 2106 is twenty centimeters wide.
  • Each pocket 2103,2104,2105,2106,2107 is nine centimeters deep. Other widths and extents of the series of pockets 2103,2104,2105,2106,2107 will be obvious to those of ordinary skill in the art having the benefit of this disclosure.
  • each pocket 2103,2104,2105,2106,2107 has medical indicia
  • the medical indicia (1316,1317,1318,1320, 1321) can each comprise one or more educational prompts (described above with reference to FIGS. 14- 18) that instruct medical personnel regarding how to use a particular medical implement disposed in a pocket to which the medical indicia is attached.
  • medical indicia (1316) which can be attached to pocket 2103, can comprise an educational prompt that instructs medical personnel regarding how to use medical implement (1310), which can be stowed in pocket 1903.
  • medical indicia (1317) which can be attached to pocket 2104, can comprise one or more educational prompts instructing medical personnel how to use medical implement (1311), and so forth.
  • FIGS. 23-24 illustrated therein is yet another unfolded drape 2300 in accordance with one or more embodiments of the disclosure.
  • FIG. 23 illustrates a first side 2301 of the unfolded drape 2300
  • FIG. 24 illustrates a second side 2401 of the unfolded drape 2400.
  • the unfolded drape 2400 of FIGS. 23 and 24 is somewhat similar to that of FIGS. 21-22. However, rather than having five pockets (2103,2104,2105,2106,2107), the unfolded drape 2300 of FIGS. 23-24 includes four pockets 2303,2304,2305,2306. As with the embodiment of FIGS.
  • the four pockets 2303,2304,2305,2306 are disposed a predefined distance 2326 from a bottom edge 2319 of the unfolded drape 2300.
  • the predefined distance 2326 is about five centimeters, plus or minus 0.5 centimeters.
  • the unfolded drape 2300 includes a layer of drape material 2302.
  • the layer of drape material 2302 is about sixty-four centimeters wide and about forty -two centimeters tall.
  • the four pockets 2303,2304,2305,2306 are thermally bonded with a heat seal to, and along, the layer of drape material 2302.
  • the unfolded drape 2300 includes four fold lines: a first fold line 2308, a second fold line 2309, a third fold line 2310, and a fourth fold line 2311.
  • the first fold line 2308 and the second fold line 2309 are parallel to each other, and are substantially orthogonal or perpendicular to the third fold line 2310 and the fourth fold line 2311, respectively.
  • the third fold line 2311 and the fourth fold line 2311 are parallel to each other, and are substantially orthogonal or perpendicular to the first fold line 2308 and the second fold line 2309.
  • the four pockets 2303,2304,2305,2306 are arranged in a linear, side- by-side arrangement 2318, separated from a bottom edge 2319 of the unfolded drape 2300 by a predefined distance 2326 of about five centimeters.
  • the four pockets 2303,2304,2305,2306 are arranged such that each pocket abuts at least one adjacent pocket at a common border. Illustrating by example, pocket 2303 abuts pocket 2304 at common border 2330, while pocket 2304 abuts pocket 2305 at common border 2331, and so forth.
  • the third fold line 2310 and the fourth fold line 2311 are substantially parallel with the common borders 2330,2331 between adjacent pockets, while the first fold line 2308 and the second fold lien 2309 are substantially perpendicular with the common borders 2330,2331.
  • the third fold line 2310 is collinear with common border 2330, while the fourth fold line 2311 is collinear with common border 2332.
  • some of the four pockets 2303,2304,2305,2306 are wider than others.
  • pocket 2303 and pocket 2305 are wider than are pocket 2304 and pocket 2306.
  • pocket 2303 and pocket 2305 are about nineteen centimeters wide, while pocket 2304 is about seven centimeters wide and pocket 2306 is about nine centimeters wide.
  • two pockets 2303,2305 of the four pockets 2303,2304,2305,2306 are wider than two other pockets 2304,2306 of the four pockets 2303,2304,2305,2306.
  • each of the four pockets are wider than two other pockets 2304,2306 of the four pockets 2303,2304,2305,2306.
  • the four pockets 2303,2304,2305,2306 are manufactured from a clear plastic film that is thermally bonded to the unfolded drape 2300.
  • the unfolded drape 2300 extends, in all directions, beyond a perimeter 2333 of the four pockets 2303,2304,2305,2306.
  • additional material 2324,2325 extends beyond the sides of the four pockets 2303,2304,2305,2306 to ensure that the contents in the four pockets 2303,2304,2305,2306 remain sterile when the unfolded drape 2300 is folded.
  • additional material 2135 extends beyond the bottom of the four pockets 2303,2304,2305,2306, while additional material 2135 extends beyond the top of the four pockets 2303,2304,2305,2306.
  • the additional material 2124,2125 comprises about five centimeters of material extending beyond pocket 2303 and the pocket 2306 as shown.
  • the unfolded drape 2300 includes one pocket
  • the pocket 2402 on the rear side has a width 2404 of about nineteen centimeters and a depth 2405 of about nine centimeters.
  • the pocket 2402 disposed on the rear side of the unfolded drape 2300 is rotated 180 degrees relative to the four pockets
  • each of the four pockets 2303,2304,2305,2306 opens up.
  • the pocket 2402 disposed on the rear side of the unfolded drape 2300 opens down.
  • the pocket 2402 disposed on the rear side of the unfolded drape 2300 can be used to hold one or more of the implements described above with reference to FIGS. 7-9.
  • implements included with the medical device cluster (702) such as the surgical mask (607), the liquid hand sanitizer (609), or the package (901) of sterile rubber gloves (610) can be placed within the pocket 2402 on the second side 2301 of the unfolded drape 2300 so that they remain in place when the folded medical drape is unfolded.
  • the surgical mask (607) and the liquid hand sanitizer (609) could be placed in the pocket 2402.
  • the package (901) of rubber gloves (610) can placed in the pocket 2402.
  • one or more educational prompts can be placed on the pocket 2402 disposed on the second side 2401 of the unfolded drape 2300 as well.
  • first medical indicia are coupled to the pocket 2402 so as to be revealed when the drape is unfolded.
  • the pocket 2402 has its base 2406 disposed a distance
  • the pocket 2402 is disposed a distance 2408 of about 17.5 centimeters from the left side of the unfolded drape 2300.
  • 2303,2304,2305,2306 can be configured to receive one or more medical implements as previously described.
  • each pocket of the four pockets 2303,2304,2305,2306 is configured to hold a medical implement (1310, 1311, 1312, 1314) on a one-to-one basis. In other embodiments, each pocket of the four pockets 2303,2304,2305,2306 is configured to hold more than one medical implement (1310, 1311, 1312, 1314). In one embodiment, those medical implements (1310, 1311, 1312, 1314) are arranged in accordance with a predefined order of use in a central catheter dressing change procedure. In another embodiment, those medical implements (1310, 1311, 1312, 1314) are arranged in accordance with a predefined order of use in a peripheral intravenous catheter insertion site dressing change procedure.
  • each pocket of the four pockets 2303,2304,2305,2306 may hold multiple medical implements. Accordingly, medical personnel can start from the left, drawing a first medical implement (1310) from the first pocket 2303, and complete a first step of the central catheter dressing change procedure, the intravenous catheter insertion site dressing change procedure, or other procedure. Medical personnel can then move to the second pocket 2304, draw a second medical implement (1311), and so forth, to successfully complete the central catheter dressing change procedure, the intravenous catheter insertion site dressing change procedure, or other procedure.
  • the four pockets 2303,2304,2305,2306 are formed and defined by thermally bonding a clear plastic film to the unfolded drape 2300.
  • a clear plastic film to the unfolded drape 2300.
  • other techniques for bonding the four pockets 2303,2304,2305,2306 and the other pocket 2402 to the unfolded drape 2300 will be obvious to those of ordinary skill in the art having the benefit of this disclosure. It should be noted that the sizes and widths of the four pockets
  • each pocket of the four pockets 2303,2304,2305,2306 has medical indicia (1316, 1317, 1318, 1320) attached thereto.
  • the medical indicia (1316,1317,1318, 1320) can each comprise one or more educational prompts (described above with reference to FIGS. 14- 18) that instruct medical personnel regarding how to use a particular medical implement disposed in a pocket to which the medical indicia is attached.
  • medical indicia (1316) which can be attached to pocket 2303, can comprise an educational prompt that instructs medical personnel regarding how to use medical implement (1310), which can be stowed in pocket 2303.
  • medical indicia (1317), which can be attached to pocket 2304 can comprise one or more educational prompts instructing medical personnel how to use medical implement (1311), and so forth.
  • FIGS. 25-28 illustrated therein are one or more method steps for folding the unfolded drape (2300) to form a folded drape 2800.
  • a first portion 2501 of the unfolded drape 2300 is folded with a book fold 2502 about the fourth fold line 2311 to form a partially folded drape 2500.
  • a second portion 2601 of the unfolded drape (2300) is folded with a second book fold 2602 about the third fold line 2310, toward the first portion 2501 of the partially folded drape (2500) to form another partially folded drape 2600.
  • FIG. 25 illustrated therein are one or more method steps for folding the unfolded drape (2300) to form a folded drape 2800.
  • a first portion 2501 of the unfolded drape 2300 is folded with a book fold 2502 about the fourth fold line 2311 to form a partially folded drape 2500.
  • a second portion 2601 of the unfolded drape (2300) is folded with a second book fold 2602 about the third fold line 2310, toward the first portion 2501 of the partially folded
  • a third portion 2701 of the unfolded drape 2300 is folded with third book fold 2702 along the first fold line 2309 toward the top of the partially folded drape (2600). When this occurs, it inverts the four pockets (2303,2304,2305,2306). Additionally, it inverts the pocket 2402 disposed on the second side of the drape, making it accessible.
  • a fourth portion 2801 of the unfolded drape (2300) is folded with a fourth book fold 2802 about the second fold line 2308 to cause the fourth portion 2801 of the unfolded drape (2300) to cover the inverted four pockets (2303,2304,2305,2306). This results in a folded drape 2800.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Mechanical Engineering (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Materials For Medical Uses (AREA)

Abstract

La présente invention concerne un kit médical 100 qui comprend un champ 1323. Une pluralité de poches (1302, 1303, 1304, 1305, 1306, 1307) sont disposées le long d'un bord inférieur du champ 1323 dans un agencement côte à côte, linéaire. Une pluralité de dispositifs médicaux (1310, 1311, 1312, 1313, 1314, 1315) sont agencés dans la pluralité de poches de façon individuelle. Des marquages médicaux (1316, 1317, 1318, 1319, 1320, 1321) sont disposés le long de chaque poche. Les marquages médicaux peuvent comprendre une ou plusieurs invites éducatives qui indiquent au personnel médical comment utiliser un dispositif médical particulier disposé dans une poche pour compléter un changement de pansement de cathéter central.
PCT/US2018/026279 2017-04-20 2018-04-05 Kit médical et systèmes et procédés associés pour prévenir une infection de la circulation sanguine associée à une voie centrale WO2018194841A1 (fr)

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Application Number Priority Date Filing Date Title
US15/492,864 US10639120B2 (en) 2016-04-18 2017-04-20 Medical kit and associated systems and methods for preventing central line associated blood stream infection
US15/492,864 2017-04-20

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Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2020107054A1 (fr) * 2018-11-26 2020-06-04 Multigate Medical Products Pty Ltd Fermeture adhésive
WO2020247559A1 (fr) * 2019-06-06 2020-12-10 O&M Halyard Inc. Système de pochette et champ opératoire pour former des champs stériles
WO2020247563A1 (fr) * 2019-06-06 2020-12-10 O&M Halyard Inc. Système à poches et champ pour la fourniture de champs stériles
WO2020247560A1 (fr) * 2019-06-06 2020-12-10 O&M Halyard Inc. Système de poche et de drapé pour fournir des champs stériles
WO2020247562A1 (fr) * 2019-06-06 2020-12-10 O&M Halyard Inc. Système de poche et de drapé pour fournir des champs stériles
US11517388B2 (en) 2017-08-01 2022-12-06 O&M Halyard, Inc. Pocket and drape system for providing sterile fields

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US4457026A (en) * 1983-09-30 1984-07-03 Surgikos, Inc. Surgical head drape
US6579271B1 (en) * 2000-02-11 2003-06-17 Careguide Systems, Inc. Patient discharge system and method for self-care of a post-surgery drain
US20120145589A1 (en) * 2009-06-30 2012-06-14 Macinnes Susan E Catheter tray, packaging system, instruction insert, and associated methods
US8371448B1 (en) * 2009-10-01 2013-02-12 Brian K. Reaux Storage system for medical waste materials
US20150101616A1 (en) * 2013-10-11 2015-04-16 C. R. Bard, Inc. Securable Procedure Kit

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4457026A (en) * 1983-09-30 1984-07-03 Surgikos, Inc. Surgical head drape
US6579271B1 (en) * 2000-02-11 2003-06-17 Careguide Systems, Inc. Patient discharge system and method for self-care of a post-surgery drain
US20120145589A1 (en) * 2009-06-30 2012-06-14 Macinnes Susan E Catheter tray, packaging system, instruction insert, and associated methods
US8371448B1 (en) * 2009-10-01 2013-02-12 Brian K. Reaux Storage system for medical waste materials
US20150101616A1 (en) * 2013-10-11 2015-04-16 C. R. Bard, Inc. Securable Procedure Kit

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US11517388B2 (en) 2017-08-01 2022-12-06 O&M Halyard, Inc. Pocket and drape system for providing sterile fields
WO2020107054A1 (fr) * 2018-11-26 2020-06-04 Multigate Medical Products Pty Ltd Fermeture adhésive
EP3886752A4 (fr) * 2018-11-26 2022-08-17 Multigate Medical Products Pty Ltd Fermeture adhésive
WO2020247559A1 (fr) * 2019-06-06 2020-12-10 O&M Halyard Inc. Système de pochette et champ opératoire pour former des champs stériles
WO2020247563A1 (fr) * 2019-06-06 2020-12-10 O&M Halyard Inc. Système à poches et champ pour la fourniture de champs stériles
WO2020247560A1 (fr) * 2019-06-06 2020-12-10 O&M Halyard Inc. Système de poche et de drapé pour fournir des champs stériles
WO2020247562A1 (fr) * 2019-06-06 2020-12-10 O&M Halyard Inc. Système de poche et de drapé pour fournir des champs stériles
US11291517B2 (en) 2019-06-06 2022-04-05 O&M Halyard, Inc. Pocket and drape system for providing sterile fields
US11633250B2 (en) 2019-06-06 2023-04-25 O&M Halyard, Inc. Pocket and drape system for providing sterile fields

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