The invention generally relates to compression stockings, and more specifically to devices that facilitate the application of a compression stocking.
When worn on a daily basis, compression stockings can provide support and therapeutic treatment for patients who have insufficient venous (blood) and/or lymphatic return flow in one or both of their lower legs. The stockings are typically graduated so as to move fluid only toward the heart, thereby compensating for poorly functioning veins and/or a poorly functioning lymphatic system. Depending on the needs of the patient, compression stockings can provide decreased superficial venous pressure, improved venous return, decreased edema, reduced transcapillary leakage of solutes and fluids, and improved comfort. To accommodate differences in patient anatomy, differences in medical condition, and differences in degree of severity, compression stockings typically come in various sizes, various compression ratings, and various styles. For example, some compression stockings are closed at the toe, and others are open at the toe.
To be effective, a compression stocking must fit tightly against the leg of a patient. Because of this tight fit, it can be difficult for a patient to pull a compression stocking over the foot and onto the lower leg, especially if the patient is elderly, physically challenged, and/or has leg sensitivities due to recent surgery or other causes that can lead to discomfort caused by rubbing of the stocking material over the skin of the leg. This can lead to inconvenience, muscle and joint strain, injury, and failure to use the compression stockings properly.
In addition, because compression stockings are often prescribed after a medical procedure, such as surgery to treat circulatory problems in the leg, and because post surgery patients are typically not allowed to leave the medical environment (hospital, nursing home, rehab facility, or such like) until they are able to independently apply the compression stockings, difficulty in applying compression stockings can lead to extended hospital stays and significant added costs.
A common method for applying a compression stocking is to invert most of the stocking, except for the last few inches near the toe end. These last few inches are then pulled over the foot, after which the inverted remainder of the stocking is rolled over the ankle and up the leg. While simple in principle, this approach requires sophisticated manipulation of the stocking, which can be difficult for any patient and nearly impossible for an elderly and/or physically challenged patient, such as a patient with arthritis in his or her fingers. This approach also requires that the lower end of the stocking be pulled over the foot, which can be difficult to accomplish and can be irritating to the skin of the foot.
It is sometimes suggested that a conventional plastic bag be placed over the foot before applying an open-toed compression stocking. The compression stocking is inverted as usual, but the plastic bag helps the last few inches of the stocking to slide over the foot more easily before the remainder of the stocking is unrolled onto the leg. Once the compression stocking has been applied, the plastic bag is then pulled out from under the stocking through the open toe of the compression stocking.
This approach can help to lower the friction of the stocking as it is pulled over the foot, thereby reducing the force required to install the stocking and avoiding irritation to the skin of the foot. However, this approach does not avoid the sophisticated manipulation required to invert most of the stocking and then unroll it onto the leg. Also, the necessity to compress a bulky, rectangular plastic bag around the foot can cause folding and bunching of the excess plastic of the bag. This can increase friction and cause displacement of the bag during stocking installation, and can irritate and even injure the skin of the foot during removal of the bag, when the folded and bunched plastic is dragged across the foot while being simultaneously pressed against the skin of the foot by the compression stocking. Finally, this approach does not address the problem of how to apply a closed-toe compression stocking.
Another approach is to use a “slipper” device to facilitate application of an open-toed compression stocking. The slipper conforms to the foot more precisely than a plastic bag, thereby reducing stocking friction and avoiding discomfort and injury to the foot during removal of the slipper. However, slipper devices are somewhat costly, and are therefore not disposable. Also, a slipper device does not eliminate the necessity for sophisticated manipulation of the stocking before application.
An approach that is sometimes used to apply either an open-toe or a closed-toe compression stocking is to use a liner sleeve that is open at both ends to pre-line the compression stocking before application. The liner sleeve is inserted into the compression stocking to the level of the heel, with the liner sleeve extending beyond the top of the compression stocking. The lined stocking is then pulled over the foot and leg until the toes reach the heel. Straps are typically provided at the top of the liner sleeve to facilitate pulling on the liner and thereby pull on the stocking. The foot is then worked beyond the lining and into the foot of the compression stocking by rubbing the foot against the ground, or possibly against a special friction pad supplied with the liner stocking and placed on the ground. Finally, the lining is pulled out from under the compression stocking from the top, and is removed by sliding it over the compression stocking and over the lower leg and foot.
While this approach avoids the need to invert the stocking, it nevertheless requires sophisticated manipulation of the sleeve and stocking in placing the sleeve inside of the stocking before application. Also, this solution is somewhat expensive, since a durable, re-usable lining sleeve must be supplied, typically with straps that facilitate pulling on the sleeve (since the method of use makes it very difficult to pull on the stocking). Finally, for closed-toed compression stockings, additional effort is required in rubbing the foot against the ground so as to work the foot beyond the lining and into the foot of the compression stocking.
A device and method of use are claimed for facilitating the application of a compression stocking. The device is an inexpensive sleeve that is shaped to approximately fit the foot and leg of a patient. In preferred embodiments, the sleeve is plastic and disposable. The sleeve is placed over the foot and leg before application of a compression stocking, which is then pulled over the sleeve and onto the leg. After application of the stocking, the sleeve is removed by sliding it out from under the stocking, either through the toe of an open-toe stocking or from the top end of the stocking.
The sleeve of the present invention protects the foot and leg from frictional injury, and facilitates application of the stocking by reducing friction while eliminating the need for partial inversion of the stocking or for any other sophisticated manipulation of the sleeve or the stocking. This allows the device to be easily used by patients who are elderly and/or physically challenged. Because the sleeve is inexpensive to produce and preferably disposable, the cost is reduced and the need to clean or launder the device is reduced or eliminated. Because the method of use includes pulling the stocking over the sleeve, rather than pulling the sleeve and stocking on as a unit, sleeve handles are not required, further reducing the cost.
The sleeve is made from a material with low friction, which in preferred embodiments is plastic, silk, tyvec, or nylon. In preferred embodiments, the invention can be supplied as a plurality of disposable sleeves, and can be supplied in a variety of shapes and sizes so as to account for different patient anatomies. The size and shape of the sleeve can then be selected so as to allow it to be easily drawn over the foot and up the leg, while minimizing any tendency for the sleeve to fold and/or bunch up when pressed against the leg and foot by the compression stocking. This makes removal of the sleeve easy, and avoids discomfort and/or injury to the leg or foot.
One general aspect of the present invention is a device for facilitating the application of a compression stocking to a patient's foot and leg. The device includes a sleeve that has a shape and size approximating the shape and size of a portion of the foot and leg, while being sufficiently large to allow the sleeve to be easily slid over the foot and up the leg so as to surround and cover the foot and leg portion. The sleeve is constructed using a material that minimizes friction between the sleeve and the stocking when the stocking is pulled over the sleeve.
In preferred embodiments, the sleeve is either open at both ends or closed at one end. In some embodiments where the sleeve is open at both ends, the sleeve includes a perforation extending between both ends of the sleeve so as to facilitate tearing of the sleeve along its length.
In certain embodiments the sleeve is disposable, and some of these embodiments include a plurality of disposable sleeves. Still other embodiments include a plurality of sleeves with a variety of shapes and sizes.
In some embodiments the sleeve is sufficiently large to allow the sleeve to be easily slid over the compression stocking for removal when the compression stocking is in place on the foot and leg.
In various embodiments, the construction of the sleeve includes at least one of plastic, silk, tyvec, and nylon. And in certain embodiments the sleeve is constructed so as not to tear and not to become significantly distorted when a pulling force of up to 4 pounds is applied to the sleeve.
In preferred embodiments the sleeve is at least one of the following:
hypoallergenic;
non-porous;
seamless; and/or
harmless to the environment.
Another general aspect of the present invention is a method for facilitating application of a compression stocking with an open toe to a patient's foot and leg. The method includes providing a sleeve having a shape and size that approximate the shape and size of a portion of the foot and leg, while allowing the sleeve to be easily slid over the foot and up the leg so as to surround and cover the foot and leg portion, the sleeve being constructed using a material that minimizes friction between the sleeve and the stocking when the stocking is pulled over the sleeve.
The method further includes sliding the sleeve over the foot and up the leg so as to cover the foot and leg portion, sliding the compression stocking over the sleeve so as to cover a desired region of the foot and leg, and sliding the sleeve through the open toe of the compression stocking, thereby removing the sleeve while leaving the compression stocking applied to the foot and leg.
In preferred embodiments, the sleeve is either open at both ends or closed at one end. In some embodiments the sleeve is disposable, and some of these embodiments include a plurality of disposable sleeves.
Yet another general aspect of the invention is a method for facilitating the application of a compression stocking to a patient's foot and leg. The method includes providing a disposable sleeve having a shape and size that approximate the shape and size of a portion of the foot and leg, while allowing the sleeve to be easily slid over the foot and up the leg so as to surround and cover the foot and leg portion, the sleeve being open at both ends and constructed using a material that minimizes friction between the sleeve and the stocking when the stocking is pulled over the sleeve.
The method further includes sliding the sleeve over the foot and up the leg so as to cover the foot and leg portion, sliding the compression stocking over the sleeve so as to cover a desired region of the foot and leg, sliding the sleeve through an open top of the compression stocking, thereby removing the sleeve while leaving the compression stocking applied to the foot and leg, and removing the sleeve from the leg by at least one of sliding the sleeve over the compression stocking and foot, tearing the sleeve along its length, and cutting the sleeve along its length.
In preferred embodiments the sleeve is either open at both ends or closed at one end. In some embodiments where the sleeve is open at both ends, the sleeve includes a perforation extending between both ends of the sleeve so as to facilitate tearing of the sleeve along its length.
In certain preferred embodiments, the sleeve is sufficiently large to allow the sleeve to be easily slid over the compression stocking for removal when the compression stocking is in place on the foot and leg.
In some preferred embodiments, the sleeve is disposable, and in some of these embodiments the device comprises a plurality of disposable sleeves.
The invention will be more fully understood by reference to the detailed description, in conjunction with the following figures, wherein:
With reference to
The sleeve 100 of the present invention includes a lower end 102 and an upper end 104. In the embodiment of
Other modifications and implementations will occur to those skilled in the art without departing from the spirit and the scope of the invention as claimed. Accordingly, the above description is not intended to limit the invention except as indicated in the following claims.