Medical tubing is used in many different applications in the healthcare field. In general terms, it is used to convey either liquids or gases between a container and a patient. Medical tubing is made from medical grade plastics, for example, polyvinyl chloride, polyethylene, polypropylene, nylon, or other similar materials, consistent with Federal Drug Administration (FDA) standards. It does not react with the liquids or gases flowing through it. Existing medical tubing is configured as a continuous length with attachment means at either end. In most cases, the tubing interacts with the patient via a hollow needle (when inserted into a patient's vein, this is known as an intravenous application), or via a catheter, or via a cannula. It interacts with the container via a specialized connector, which may be configured to allow the movement of fluids or gases in a single direction only. Examples of liquids conveyed by medical tubing include blood products and medications, delivered intravenously, and urine, removed from a patient through catheterization. Oxygen delivered through a nasal cannula is an example of a gas conveyed through medical tubing.
While medical tubing provides great benefits in the delivery of healthcare services, it can also present dangers to certain patients. Because of the startling high incidence of suicides by hospitalized patients, in 2016 the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) issued a Sentinel Event Alert requiring hospitals to have a suicide risk detection and treatment strategy for all patients in all hospital settings. Because the method of suicide is often by hanging, in 2017 the Center for Medicare and Medicaid Services (CMS) enhanced the JCAHO standard, requiring hospitals to minimize ligature risks in areas specifically designed to treat behavioral health patients. To date, hospitals have been able to modify fixtures such as hinges, door edges, and exposed piping to eliminate attachment points for rope, cords, belts, or other devices that could be made into a noose. However, no one has adequately addressed the primary device used as a noose (due to ubiquity in healthcare settings): medical tubing.
In many settings, behavioral health patients deemed to be at risk who require the use of medical tubing are placed on one-to-one watch. While direct observation does reduce the risk of a patient using medical tubing to self-strangulate, it is not fool-proof. In addition, patients may not be properly identified as being at risk, and so one-to-one observation may not be in place. And even when one-to-one observation is used, it is an expensive and inefficient means for preventing suicide attempts.
In addition to self-harm, patients may also be accidentally harmed by medical tubing, by becoming inadvertently entangled. Because accidental entanglement is not limited to behavioral health patients, one-to-one observation is not a solution.
It thus is shown that there is a need for an improved medical tubing system that can be used to minimize, if not completely eliminate, the risk of harm to a patient from strangulation, whether intentional or accidental.
The present invention is an improved medical tubing system engineered to break apart into relatively short lengths upon being subjected to minimal pulling or stretching forces. The resulting lengths are not long enough to form a noose, nor to present an accidental entanglement risk.
The medical tubing of the present invention in made of the same materials as conventional medical tubing. It uses the same attachment means to interact with the patient and the container. As with conventional medical tubing, it is leak-proof under gravity feed, and can withstand internal pressures of gases used in medical applications.
The medical tubing of the present invention exhibits its breakaway characteristic in one of two ways: by modifying a continuous length of tubing, or by using specialized connectors to create a longer length of tubing from multiple shorter lengths. In the first configuration, the modifications provide break points formed into the tubing, whereby the tubing may more easily separate at each such point. In the second configuration, the specialized connectors, which permit fluids or gases to pass therethrough, are configured to release from the tubing, or to themselves come apart.
Other features and advantages of the invention are described below.
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In one embodiment of the present invention, the medical tube 10 is manufactured in a continuous length, with periodic alterations in the manufacturing process resulting in a thinner tubing wall 12 at designated locations along the tubing 10 relative to the remaining tubing 10. See
In another embodiment, the medical tubing 10 is manufactured in a continuous length, as is the case with conventional medical tubing. However, the tubing 10 is then further processed to introduce break points 14 along its length. See
When releasable connectors are used, the medical tubing 10 of the present invention is first manufactured in the traditional manner, and then cut into desired lengths. These lengths typically may be between one inch and fifteen inches long. The lengths of tubing 10 are then joined together by using connectors, which are friction fit to the lengths of tubing 10 or joined thereto by an adhesive having weak attachment properties. The connectors are configured to separate from the lengths of tubing 10 when subjected to pre-defined forces, said forces being less than the force needed to rupture the tubing 10.
In one embodiment, the connector is a male-male connector 50, whereby each end of the connector 50 is inserted into the open end of a length of tubing 10. See
When separable connectors are used, the medical tubing 10 of the present invention is first manufactured in the traditional manner, and then cut into desired lengths, as described above. The separable connectors are then friction fit to the lengths of tubing 10 or joined thereto by an adhesive having strong attachment properties. The separable connectors are configured to remain attached to the lengths of tubing 10 but to themselves come apart when subjected to pre-defined separation forces, said forces being less than the force needed to rupture the tubing 10. Each separable connector component is friction fit or snap-fit to its adjoining connector component, or joined to its adjoining connector component by an adhesive having weak attachment properties. The friction fit or adhesive attaching the separable connectors to the lengths of tubing 10 are sufficient to withstand the separation forces, while the friction fit, snap-fit, or adhesive attaching the connector components to each other are insufficient to withstand the separation forces.
In one embodiment of the separable connector configuration, the separable connector is a male-female-male connector 100, whereby one end of each male connector component 110 is inserted into the open end of a length of tubing 10, and the other ends of the male connector components 110 are inserted into the female connector component 120 interposed between the male connector components. See
In another variant of this embodiment, the connector is a female-male-female connector 300, whereby one end of each female connector component 320 is placed over the open end of a length of tubing 10, and the ends of the male connector component 110, which is interposed between the female connector components, are inserted into the other ends of the female connector components 320, joining them together. See
In yet another variant of this embodiment, the connector is a female-male connector 402, whereby the first end 322 of the female connector component 320 is placed over the open end of one length of tubing 10, the first end 212 of the male connector component 210 is inserted into the open end of a second length of tubing 10, and the second end 214 of the male connector component 210 is inserted into the second end 324 of the female connector component 320, joining them together. See
In yet another variant of this embodiment, the connector is a double female-male connector 500, whereby each connector component has a female end and a male end. The female end 524 of the first connector component 520 is placed over the open end of one length of tubing 10; the male end 512 of the second connector component 510 is inserted into the open end of a second length of tubing 10; and the male end 522 of the first connector component 520 is inserted into the female end 514 of the second connector component 510, joining them together. See
What has been described and illustrated herein are preferred embodiments of the medical tubing system of the present invention along with some it its variations. The terms, descriptions and figures used herein are set forth by way of illustration only and are not meant as limitations. Those skilled in the art will recognize that many variations are possible within the spirit and scope of the invention in which all terms are meant in their broadest, reasonable sense unless otherwise indicated. Other embodiments not specifically set forth herein are also contemplated.