The present invention relates generally to medical garments and methods for carrying an infant to provide skin-to-skin contact between the user and the infant.
Infants often require hospitalization and some may require the care of a neonatal intensive care unit (NICU). Skin-to-skin contact, or kangaroo care, between the infant and a patient (e.g., the mother) has been known as a valuable therapy for infants. However, many neonatal intensive care units may have barriers to practicing skin-to-skin contact. Lack of devices, methods, techniques, wire or tubing management, and patient modesty are some examples of barriers to such contact.
Skin-to-skin contact is important because oxytocin and milk production may be increased with a mother holding her infant. Many infants in the NICU have an endotracheal tube or CPAP tube attached to their body, making breastfeeding impossible. In addition, most premature babies do not know how to breastfeed yet, so they need a feeding tube instead. Therefore, giving mothers the opportunity to capture their milk via a pump while performing skin-to-skin contact is important, particularly in the NICU. Since mother's milk provides numerous benefits to the infant's health, the mother having the option to pump while holding her infant in skin-to-skin contact can be extremely valuable for the long-term health of the infant.
Infants often have various important tubing attached to them when they are in the care of the NICU. In many ways, these tubing arrangements can hinder skin-to-skin practices or disturb a mother and her infant. For example, condensation in CPAP tubing can build up over time due to suboptimal positioning of the tubing. As a result, a NICU nurse may have to empty the tubing often, disturbing the patient and their infant. Other checks on the infant may occur hourly, adding more disturbance to the patient and their infant.
As such, a need exists for devices and methods that can allow a patient to practice skin-to-skin contact with their infant while managing the medical equipment or tubing attached to the infant. There also exists a need for devices and methods that allow a nurse to check on the infant without disturbing skin-to-skin contact between the infant and the patient or disturbing the modesty of the patient.
One variation of a garment for assisting a user holding an infant may include a first portion and a second portion configured to overlap the first portion when the garment is worn by the user. The first portion may define an elongated opening. The elongated opening may be positioned to provide access through the opening and to the infant from the outside of the garment while the first portion remains covered by the second portion. The garment may also include a first sleeve and a second sleeve. The first sleeve and the second sleeve may each extend from the first portion and the second portion respectively. The garment may also include at least one fastener attached to the garment. The at least one fastener may be positioned relative to the opening to secure at least part of a tubing or wire extending from the infant.
The at least one fastener may comprise a locking mechanism. The locking mechanism may be configured to pull away from the user when the locking mechanism transitions from a locked configuration to an unlocked configuration. The garment may have a plurality of fasteners. The plurality of fasteners may each comprise a plurality of loops each configured to hold at least part of the medical tubing extending from the infant. The plurality of loops on one fastener may extend at different angles with respect to the plurality of loops on another fastener. The plurality of fasteners may each comprise a locking mechanism configured to pull away from the user when the locking mechanism transitions from a locked configuration to an unlocked configuration.
The elongated opening may extend vertically along the front portion. The elongated opening may extend horizontally along the front portion. The at least one fastener may comprise a plurality of loops configured to hold at least part of the tubing extending from the infant. The plurality of loops may each be placed at different angles with respect to the at least one fastener. The at least one fastener may be configured to be detached from the garment. The at least one fastener may be configured to be repositioned on the garment. The garment may include a second elongated opening on the second portion. The second elongated opening may be positioned to provide access through the opening and to the infant from outside of the garment. The at least one fastener may be attached to the garment at the first portion and the first sleeve. The garment may further comprise sensing fabrics configured to monitor physiological characteristics of the user and the infant. The at least one fastener may be L-shaped. The at least one fastener may be T-shaped. The at least one fastener may have a substantially straight shape. The at least one fastener may be located on the first sleeve. The at least one fastener may be located on the second sleeve.
The garment may include a cover. The cover may be secured to at least a portion of a support for supporting the user. The cover may have a back portion, a front portion, a side portion, and at least one cover fastener attached to the cover. The at least one cover fastener may be positioned relative to the opening to secure at least part of the tubing or wire extending from the infant.
One variation of a method of assisting a user holding an infant may include placing a garment around the user and the infant. The garment may have a first portion, a second portion, a first sleeve extending from the first portion, and a second sleeve extending from the second portion. The method may also include overlapping the first portion with the second portion when the garment is worn by the user while holding the infant. The first portion may define an elongated opening which is positioned to provide access through the opening and to the infant from outside of the garment while the first portion remains covered by the second portion. The method may also include securing at least part of a tubing or wire extending from the infant with at least one fastener positioned relative to the opening.
The method may also comprise locking the at least one fastener with a locking mechanism. The locking mechanism may be configured to pull away from the user when the locking mechanism transitions from a locked configuration to an unlocked configuration. The garment may comprise a plurality of fasteners. The at least one fastener may comprise a plurality of loops each configured to hold at least part of the tubing extending from the infant. The plurality of loops may each be placed at different angles with respect to the at least one fastener. The method may also comprise detaching the at least one fastener from the garment. The at least one fastener may be configured to be repositioned on the garment.
Another variation of the garment for assisting a user holding an infant may include a first portion, a second portion, a back portion, a first sleeve, and a second sleeve. The first sleeve may extend from the first portion. The second sleeve may extend from the second portion. The first portion may define an elongated opening positioned to provide access through the opening and to the infant from outside of the garment while the first portion remains covered by the second portion. The opening may be at least partially closed with at least one tab.
The garment may include a first fastener attached to the garment at the first portion. The first fastener may have an L-shape. The first fastener may comprise a locking mechanism. The first fastener may comprise a plurality of loops each configured to hold at least part of the medical tubing extending from the infant.
The garment may include a second fastener attached to the garment at the second portion. The second fastener may have an L-shape. The second fastener may comprise a locking mechanism. The second fastener may comprise a plurality of loops each configured to hold at least part of the medical tubing extending from the infant.
The garment may include a third fastener attached to the garment at the first portion and the back portion. The third fastener may have a T-shape. The third fastener may comprise a locking mechanism. The third fastener may comprise a plurality of loops each configured to hold at least part of the medical tubing extending from the infant.
The garment may include a fourth fastener attached to the garment at the second portion and the back portion. The fourth fastener may have a T-shape. The fourth fastener may comprise a locking mechanism. The fourth fastener may comprise a plurality of loops each configured to hold at least part of the medical tubing extending from the infant.
The fasteners may have various shapes, including a straight shape. The fasteners may also have various modes of use with the different components of the garment.
Various exemplary medical garments and methods are provided for holding an infant in a manner that provides skin-to-skin contact between the user and the infant while managing tubing attached to the infant. In general, the methods and devices allow an infant to be securely held against the user's chest to provide the benefits of skin-to-skin contact, while managing different size tubing or wires around the body of the user.
As shown in
The opening 20 may be positioned on the garment in a location where an outside user or practitioner (e.g., a nurse, doctor, etc.) may have access to the infant. For example, an infant may be in skin-to-skin contact with the user such as a patient, mother, or care-provider while the nurse may check the infant through opening 20 without interrupting contact between the infant and the user. The user may remain covered while a nurse accesses the infant through opening 20. Some examples of checks on the infant may be for documenting wounds, lines, epidurals, and adjusting pulse oximeter and/or other devices as needed. The opening 20 may also allow a nurse to perform heel sticks and other procedures on the infant while the infant is comforted during such procedures.
The opening 20 may be useful for additional purposes beyond evaluating the infant. One such purpose may be to allow for a mother to capture milk using breast pump flanges during skin-to-skin contact. Because oxytocin and milk production are increased during skin-to-skin contact, it may be desirable to allow for breast pump flanges to easily pass through the opening 20. Further, premature infants may need to feed through a feeding tube. Other infants in the NICU may have an endotracheal tube or another tube attached to them, making breastfeeding almost impossible. Therefore, offering the user the option to pump while holding the infant may be valuable for the infant's long-term health.
The opening 20 may have a number of tabs 24 that may open and close portions of the opening 20. The tabs 24 may be positioned over the opening 20 to facilitate access to check on infant or to introduce breast pump flanges without disturbing the infant or the patient. The tabs 24 do not require that the nurse or other user to push on the tabs to close them. Instead, tabs 24 may incorporate a lift-up snap closure feature designed to pull away from the infant so that closing the tabs 24 does not push on the fragile skin of the infant. The tabs 24 may also provide a closure mechanism so that the infant may be prevented from falling out of the opening 20 when being held by the user.
The garment may be intended for use in the NICU but may also be used in an adult or pediatric ICU with various patient populations. The configurations of the opening 20, the fasteners 22, the tabs 24, and the loops 26 of the garment 10 may vary based on where tubes are being managed and prevented from being pulled. For example, for adult patients (i.e., patients not carrying an infant), a horizontal opening on the garment may be used. Other garments may have special pockets for equipment (e.g., telemetry) and may also use biomedical sensor fabric within.
To hold medical tubing attached to the infant, the fasteners 22 may comprise fastener loops 34. The fastener loops 34 may be strategically placed on a surface of the fastener (see fastener 22b, for example) such that tubing 28 may be passed through the fastener loop 34 without added manipulation of the fastener 22 itself. Alternatively, fastener loops 34 may be placed within the fastener surface (see fastener 22c, for example) such that tubing 28 may be passed through the fastener 22 itself. This may allow for more security and stability of the tubing 28 when held within the fastener 22. Tubing 28 may also be attached to the back or shoulder portion of the garment 10 to increase security. Increased security may decrease the risk of tubing being pulled out from their proper position or being moved and pulled on the infant's face or body.
Garment 10 may also include pockets 32 positioned on the first garment portion 12, the second garment portion 14, or both portions. The pockets 32 may be placed towards the lower part of the garment 10 so as to not interfere with tubing or wiring when the pocket 32 is being accessed by a user or a nurse. The placement and specific size of the pocket 32 on the garment may be designed to house various biomedical sensors and/or a telemetry box. Biomedical sensors may be used for gathering pathological and/or physiological information of the infant or the patient. In addition, biomedical sensor fabrics may be used on the garment 10 which may directly monitor vital signs or sounds such as bowel sounds of the infant. These sensors may be added to the garment 10 in such a way to make skin-to-skin time more comfortable and safe for both the infant and the patient. However, it should be appreciated that any fabric may be used for the garment. Additionally, in order to maintain the garment 10 in a closed configuration upon the user, one or more color-coded fasteners or ties 27 may be provided on the garment to hold the first and second portions in a closed configuration when in use upon the user.
The first portion 12 and the second portion 14 may also be connected or secured together by a tie 30. The tie 30 may be colored or color-coded to allow for easier manipulation of the tie 30 when the garment 10 is holding and managing multiple tubes. Tying the front portion 12 and the second portion 14 together may also allow for increased modesty coverage for the patient. Methods of tying may be accomplished by strings attached the front portion 12 and the second portion 14 or any modifications or variations of tying thereof.
Fasteners 22 are made using components shown in
Fasteners 22 may be attached onto garment 10 in any method. For example, the fasteners 22 may be sewn onto garment 10 at desired locations on the garment. As noted above, fasteners 22 may also be clipped onto the garment 10 for ease in repositioning the fastener. Other attachment means may be used as necessary.
The fasteners 22, tabs 24, and loops 26 of the garment 10 may also be configured as a pillow cover, for example, over a lap pillow. A pillow cover may allow the user's hands and arms to rest in a more natural position making it more comfortable ergonomically for the user while holding the infant in skin-to-skin contact for long periods of time. The pillow cover may be secured to the user around their waist using a belt buckle system or another suitable attachment means. Alternatively, the features of garment 10 may be used as an apron-like garment that is configured as a waist tied apron garment that may have additional fasteners 22, tabs 24, and loops 26 attached for more tubing security and management options.
While illustrative examples are described above, it will be apparent to one skilled in the art that various changes and modifications may be made therein. Moreover, various apparatus or procedures described above are also intended to be utilized in combination with one another, as practicable. The appended claims are intended to cover all such changes and modifications that fall within the true spirit and scope of the invention.
This application claims priority to U.S. Patent Application No. 63/146,122 filed Feb. 5, 2021, the content of which is incorporated herein by reference in its entirety.
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Number | Date | Country | |
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63146122 | Feb 2021 | US |