MEDICAL COMPRESSION GARMENT AND DONNING METHOD

20170360619 · 2017-12-21

    Inventors

    Cpc classification

    International classification

    Abstract

    A medical compression garment is provided including a midline opening cut in a medial segment of the elastic garment, dividing its front fabric portion into first and second sections. Fasteners, such as hook-and-loop fasteners, are attached to the first and second sections which connect together to close the opening. Pulls may be included. To don the garment, a wearer places their legs into the garment and pulls the garment along the legs until its top is aligned with the groin. The wearer then inverts and pulls the first and second sections of the garment together and fastens them to close the opening. Afterwards, the wearer pulls up the garment until it reaches the waist. When the wearer subsequently wants to take off the garment, the wearer unfastens the first and second sections and pull the garment down from the waist. The garment thus facilitates the donning and removal process.

    Claims

    1. A medical compression garment comprising: an elastic compressive fabric adapted to be worn around a body portion of a wearer, the elastic compressive fabric including a front fabric portion and a rear fabric portion, the front fabric portion including a first section and a second section separated by an opening extending at least partially through a medial segment of the front fabric portion; and a first fastening attached to an inner surface of the first section and a second fastening attached to an outer surface of the second section, whereby the first section and second section of the front fabric portion are fastened together to close the opening by connection of the first fastening to the second fastening.

    2. The medical compression garment of claim 1, wherein the front fabric portion and the rear fabric portion together form a unitary elastic compressive fabric.

    3. The medical compression garment of claim 1, wherein the elastic compressive fabric includes a waste removal opening, and wherein the opening separating the first section and the second section of the front fabric portion extends through the medial segment of the front fabric portion into the waste removal opening.

    4. The medical compression garment of claim 1, further comprising a side opening extending partially through the elastic compressive fabric and separating the front fabric portion from the rear fabric portion, a plurality of side fasteners attached to one of the front fabric portion and the rear fabric portion, and a plurality of complementary side fasteners attached to the other of the front fabric portion and the rear fabric portion, whereby the front fabric portion and rear fabric portion are fastened together to narrow the side opening by connection of the plurality of side fasteners to the plurality of complementary side fasteners.

    5. The medical compression garment of claim 1, wherein the first fastening and second fastening together comprise a hook and loop fastener including a hook portion attached to the inner surface of the first section and a loop portion attached to the outer surface of the second section, whereby the first section and second section of the front fabric portion are fastened together by connection of the hook portion to the loop portion.

    6. The medical compression garment of claim 5, further comprising a strip of fabric attached to the second section of the front fabric portion over at least a portion of the opening, and a second loop portion attached to an outer surface of the strip of fabric, whereby the first section and second section of the front fabric portion are fastened together by connection of the hook portion to at least one of the loop portion and the second loop portion.

    7. The medical compression garment of claim 6, further comprising a second hook portion attached to the first section of the front fabric portion adjacent to the hook portion, whereby the first section and second section of the front fabric portion are fastened together by connection of the second hook portion to at least one of the loop portion and the second loop portion.

    8. The medical compression garment of claim 6, wherein the hook portion is divided into hook portion segments spaced apart by gaps, and the first section and second section of the front fabric portion are fastened together by connection of the hook portion segments to at least one of the loop portion and the second loop portion.

    9. The medical compression garment of claim 8, further comprising an additional fastening attached to an outer surface of at least one of the hook portion segments and a complementary fastening attached to the outer surface of the second section of the front fabric portion, whereby the first section and second section of the front fabric portion are fastened together by connection of the hook portion segments to the loop portion and by connection of the additional fastening to the complementary fastening.

    10. The medical compression garment of claim 5, further comprising a first pull attached to the first section of the front fabric portion and a second pull attached to the second section of the front fabric portion, whereby the first section and second section of the front fabric portion are fastened together by pulling of the first pull and the second pull toward each other to connect the hook portion to the loop portion.

    11. A medical compression garment comprising: an elastic compressive fabric adapted to be worn around a body portion of a wearer, the elastic compressive fabric including a front fabric portion and a rear fabric portion separated by a side opening extending partially through the elastic compressive fabric, and the front fabric portion including a first section and a second section separated by a midline opening extending at least partially through a medial segment of the front fabric portion; a plurality of side fasteners attached to one of the front fabric portion and the rear fabric portion and a plurality of complementary side fasteners attached to the other of the front fabric portion and the rear fabric portion, whereby the front fabric portion and rear fabric portion are fastened together to narrow the side opening by connection of the plurality of side fasteners to the plurality of complementary side fasteners; a strip of fabric attached to the second section of the front fabric portion extending over at least a portion of the midline opening; and a first fastening attached to an inner surface of the first section of the front fabric portion, a second fastening attached to an outer surface of the second section of the front fabric portion, a third fastening attached to the inner surface of the first section adjacent to the first fastening, and a fourth fastening attached to an outer surface of the strip of fabric, whereby the first section and second section of the front fabric portion are fastened together to close the midline opening by connection of at least one of the first and third fastening with at least one of the second and fourth fastening.

    12. The medical compression garment of claim 11, wherein the elastic compressive fabric includes a waste removal opening, and wherein the midline opening separating the first section and the second section of the front fabric portion extends through the medial segment of the front fabric portion into the waste removal opening.

    13. The medical compression garment of claim 11, wherein the plurality of side fasteners are a plurality of hooks and the plurality of complementary side fasteners are a plurality of eyes, whereby the front fabric portion and rear fabric portion are fastened together to narrow the side opening by connection of the plurality of hooks to the plurality of eyes.

    14. The medical compression garment of claim 11, wherein the first fastening, second fastening, third fastening, and fourth fastening together comprise a plurality of hook and loop fasteners including a first hook portion attached to the inner surface of the first section of the front fabric portion, a first loop portion attached to the outer surface of the second section of the front fabric portion, a second hook portion attached to the inner surface of the first section of the front fabric portion adjacent to the first hook portion, and a second loop portion attached to the outer surface of the strip of fabric, whereby the first section and second section of the front fabric portion are fastened together by connection of at least one of the first and second hook portions to at least one of the first and second loop portions.

    15. The medical compression garment of claim 14, wherein the first hook portion is divided into hook portion segments spaced apart by gaps, and the first section and second section of the front fabric portion are fastened together by connection of the hook portion segments to at least one of the first and second loop portions.

    16. The medical compression garment of claim 15, further comprising a fifth fastening attached to an outer surface of at least one of the hook portion segments and a sixth fastening attached to the outer surface of the second section of the front fabric portion, whereby the first section and second section of the front fabric portion are fastened together by connection of the hook portion segments to the first loop portion and by connection of the fifth fastening to the sixth fastening.

    17. The medical compression garment of claim 14, further comprising a first pull attached to the first section of the front fabric portion and a second pull attached to the second section of the front fabric portion, whereby the first section and second section of the front fabric portion are fastened together by pulling of the first pull and the second pull toward each other to connect at least one of the first and second hook portions to at least one of the first and second loop portions.

    18. A method of donning a medical compression garment around a body portion of a wearer, the method comprising: inserting limbs of the wearer into an elastic compressive fabric, the elastic compressive fabric including a front fabric portion and a rear fabric portion, the front fabric portion including a first section and a second section separated by an opening extending at least partially through a medial segment of the front fabric portion; pulling the elastic compressive fabric along the limbs until a top of the elastic compressive fabric aligns with the groin of the wearer; fastening the first section with the second section to close the opening in the front fabric portion by connecting a first fastening attached to an inner surface of the first section with a second fastening attached to an outer surface of the second section; and pulling the elastic compressive fabric above the groin after the first section and second section are fastened together until the top of the elastic compressive fabric reaches the waist of the wearer.

    19. The method of claim 18, further comprising inverting the first section and second section of the elastic compressive fabric prior to performing the fastening step, and after fastening the first section with the second section, flipping up the first section and second section of the elastic compressive fabric before pulling the elastic compressive fabric above the groin towards the waist.

    20. The method of claim 18, wherein the fastening step is performed after pulling the elastic compressive fabric along the limbs until the top of the elastic compressive fabric reaches the waist.

    21. The method of claim 18, further comprising connecting a plurality of side fasteners attached to one of the front fabric portion and the rear fabric portion to a plurality of complementary side fasteners attached to the other of the front fabric portion and the rear fabric portion to narrow a side opening extending partially through the elastic compressive fabric and separating the front fabric portion and rear fabric portion after the elastic compressive fabric reaches the waist.

    22. The method of claim 18, wherein the first fastening and second fastening together comprise a hook and loop fastener including a hook portion and a loop portion, and wherein the fastening step comprises connecting the hook portion attached to the inner surface of the first section to the loop portion attached to the outer surface of the second section.

    23. The method of claim 22, wherein a strip of fabric is attached to the second section of the front fabric portion over at least a portion of the opening, and the fastening step comprises connecting the hook portion to a second loop portion attached to an outer surface of the strip of fabric.

    24. The method of claim 23, wherein a second hook portion is attached to the first section of the front fabric portion adjacent to the hook portion, and the fastening step comprises connecting the second hook portion to at least one of the loop portion and the second loop portion.

    25. The method of claim 24, wherein the hook portion is divided into hook portion segments spaced apart by gaps, and the fastening step comprises connecting the hook portion segments to at least one of the loop portion and the second loop portion.

    26. The method of claim 25, wherein the fastening step further comprises connecting an additional fastening attached to an outer surface of at least one of the hook portion segments with a complementary fastening attached to the outer surface of the second section of the front fabric portion.

    27. The method of claim 22, wherein a first pull is attached to the first section of the front fabric portion, a second pull is attached to the second section of the front fabric portion, and the fastening step comprises connecting the hook portion to the loop portion after pulling the first pull and the second pull toward each other.

    Description

    BRIEF DESCRIPTION OF THE DRAWINGS

    [0023] FIG. 1 is a perspective view of a medical compression garment as it is worn according to a preferred embodiment of the present invention.

    [0024] FIG. 2 is a front elevational view of the medical compression garment of FIG. 1.

    [0025] FIG. 3 is a front elevational, close up view of the medical compression garment of FIG. 1, illustrating a hook and loop fastener applied to a first and second section of a front fabric portion of the garment for closing an opening in a medial segment of the garment.

    [0026] FIG. 4 is a front elevational view of the medical compression garment depicted in FIG. 3, further including a strip of fabric disposed over the opening in the medial segment of the garment, and a second hook and loop fastener to assist in closing the opening that is applied to the strip of fabric and to the first section of the front fabric portion of the garment.

    [0027] FIG. 5 is a front elevational view of the medical compression garment depicted in FIG. 4, where a hook portion of the hook and loop fastener is divided into hook portion segments and further including pulls, buttons, and loops attached to the first and second section of the front fabric portion of the garment to assist in closing the opening in the medial segment of the garment.

    [0028] FIG. 6 is a schematic diagram illustrating a method of donning the medical compression garment of FIG. 1 according to a preferred embodiment of the present invention.

    [0029] FIG. 7 is a front elevational view of the medical compression garment as it is being donned according to the method of FIG. 6, where the garment has been pulled along the legs to be aligned with the groin and the first and second sections of the front fabric portion are separated, unfastened, and hanging.

    [0030] FIG. 8 is a front elevational view of the medical compression garment as it is being donned according to the method of FIG. 6, where the first and second section of the front fabric portion have been inverted and are in the process of being pulled toward each other.

    [0031] FIG. 9 is a front elevational view of the medical compression garment as it is being donned according to the method of FIG. 6, where the first and second section of the front fabric portion have successfully been fastened together and flipped up, and where the garment is in the process of being pulled up to the waist.

    [0032] FIG. 10 is a front elevational view of the medical compression garment as it is being donned according to the method of FIG. 6, where the garment has successfully been pulled up to the waist, and where side openings in the garment are in the process of being narrowed from fastening of hook-and-eye closures connecting the front and rear fabric portions of the garment.

    [0033] FIG. 11 is a front elevational view of the medical compression garment as it is being donned according to a variation of the method of FIG. 6, where the first and second section of the front fabric portion have already been flipped up from their inverted state at the groin and are in the process of being pulled toward each other for fastening.

    [0034] FIG. 12 is a front elevational view of the medical compression garment as it is being donned according to an alternate variation of the method of FIG. 6, where the garment has been pulled along the legs past the groin all the way up to the waist, the first and second section of the front fabric portion have been inverted, and the first and second section are in the process of being pulled toward each other for fastening.

    DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

    [0035] Referring now to the drawings, FIGS. 1 and 2 illustrate a medical compression garment 20 according to a preferred embodiment of the present invention that is adapted to be worn around a body portion 22 of a wearer, depicted here as the wearer's lower body portion. The garment 20 may be compression pantyhose as depicted in the Figures, compression leggings, or any other garment extending to the wearer's waist 23. The garment 20 also generally includes a waste removal opening 21 for removal of solid and liquid waste.

    [0036] The medical compression garment 20 includes an elastic compressive fabric 24 having a front fabric portion 26 and a rear fabric portion 28 made from materials conventionally used in compression garments. In the embodiment shown in the Figures, the front fabric portion 26 and rear fabric portion 28 are partially separated by side openings 30 extending from the waist in part through the fabric. These side openings 30 provide relief over the hips to assist the wearer in donning the garment 20, and are typically provided in post-surgical compression garments. Side fasteners 31, such as hook-and-eye closures, are complementarily attached to the front and rear portions of the fabric 24 near the side openings 30 for the wearer to fasten and tighten the garment around the hips when worn. For example, as denoted in FIG. 3, a plurality of hooks 32 may be attached to the front fabric portion 26 that interconnect with a plurality of eyes 33 attached to the rear fabric portion 28, or vice-versa. Alternatively, the garment may not include side openings 30 or complementary side fasteners 31, but instead comprise a unitary elastic compressive fabric formed by the front and rear fabric portions, as is generally the case in compression pantyhose.

    [0037] A cut or opening 34 (denoted in FIG. 8) is made through a medial segment 36 of the front fabric portion 26, preferably through the midline of the garment and extending from the waist to the waste removal opening 21 near the groin, that separates and divides the front fabric portion 26 into a first section 38 and a second section 40. The intersection of the midline opening 34 with the waste removal opening 21 has the effect of transforming the waste removal opening 21 into linear form, thereby loosening the compression of the fabric 24 enough to allow the wearer extra leg mobility or maneuverability while seated in the restroom. Fasteners (not shown) are attached to the first section 38 and second section 40 for use in fastening the first and second sections together to close the opening 34 in the garment. While the elastic compressive fabric 24 may be stretched to fasten the first and second sections together, this may be difficult in situations where the wearer's edema is severe. As a result, material 41 is preferably attached to first section 38 so that the first section 38 extends over the opening 34 and thus can easily be fastened to second section 40. While the Figures illustrate first section 38 and second section 40 being on the right and left-hand sides of the wearer, respectively, their positions can be reversed.

    [0038] FIGS. 3-5 illustrate various fastening configurations of garment 20 used for closing the opening 34. In the embodiment of FIG. 3, a first fastening 42 is attached to the first section 38 of the front fabric portion 26, and a second fastening 44 is attached to the second section 40 of the front fabric portion 26. For example, fastening 42 can be attached to the inner surface 46 of the first section 38 extended by material 41, and fastening 44 can be attached to the outer surface 48 of the second section 40. Fastenings 42 and 44 are configured to connect with each other to fasten the first and second sections and close the opening 34. For example, fastenings 42 and 44 may respectively take the form of a hook portion 50 and a loop portion 52, or vice-versa, which function together as a hook and loop fastener, such as that marketed under the trademark Velcro®. In such case, a single hook portion and loop portion having lengths of approximately two inches are sufficient to close the opening 34, although other lengths may be contemplated. Alternatively, other known fastening mechanisms to those of ordinary skill in the art can be used.

    [0039] Turning now to FIG. 4, an additional fastening configuration for garment 20 may be provided to assist the wearer in closing the opening 34. In this variation, a third fastening 54 is attached to the first section 38 of the front fabric portion 26, for example, on the inner surface 46 of the first section 38 adjacent to fastening 42. Complementary to fastening 54, a strip of fabric 56 is attached to the second section 40 of the front fabric portion 26 over at least a portion of the opening 34, and a fourth fastening 58 is attached to the strip of fabric 56. Fastenings 54 and 58 are configured to connect with each other to fasten the first and second sections together and close the opening 34 along with, or in lieu of, fastenings 42 and 44. For instance, fastenings 54 and 58 may respectively take the form of a second hook portion 60 and second loop portion 62, or vice-versa, which function together as a hook and loop fastener, such as that marketed under the trademark Velcro®, although other known fastening mechanisms can be used. The addition of fastenings 54 and 58 enable the medical compression garment 20 to be easily fastened over a body portion 22 with greater swelling than fastenings 42 and 44 by themselves would allow.

    [0040] FIG. 5 illustrates a further fastening configuration for the medical compression garment 20. In this embodiment, hook portion 50 is divided into hook portion segments 64, spaced apart by gaps 66, that can individually be fastened to loop portions 52 or 62. This structure is particularly useful in facilitating closure of the opening 34 for those with severe edema, since it is easier for such wearers to fasten individual hook portion segments 64 as opposed to fastening the entire hook portion 50 all at once. Additionally, while three hook portion segments are preferred, any number of hook portion segments (such as the six shown in FIG. 5) can be used.

    [0041] Moreover, to more easily facilitate closure of the opening 34, fifth fastenings 68 are attached to one or more of the hook portion segments 64, for example, on an outer surface 69 of the hook portion segments 64. These additional fastenings 68 mate with sixth fastenings 70 attached to the outer surface 48 of the second section 40 of the front fabric portion 26. For example, additional fastenings 68 and complementary fastenings 70 may be buttonholes (e.g. elastic loops) and buttons, respectively, as shown in FIG. 5, although other fasteners known to those of ordinary skill in the art can be used. Fastenings 68 and 70 may serve as backup fasteners maintaining closure of the opening 34 if, for example, hook portion segments 64 and loop portion 52 inadvertently come apart, or hook portion 60 and loop portion 62 inadvertently come apart. Additionally, pulls 72 may be optionally attached to both the first section 38 and second section 40 of the front fabric portion 26. These pulls 72 assist in closure of the opening 34 by allowing the wearer to more easily pull the first and second sections 38, 40 toward each other to enable the hook portions 50, 60 to be connected to the loop portions 52, 62. The pulls are preferably grosgrain but may be cloth or another type of non-stretch fabric.

    [0042] Turning now to FIG. 6, a method 100 is provided for donning the medical compression garment 20 according to a preferred embodiment of the present invention. Various steps of the donning process are illustrated for clarity in FIGS. 7-10. Exemplary variations of these steps are illustrated for clarity in FIGS. 11 and 12.

    [0043] First, the wearer places their limbs 74 into the elastic compressive fabric 24 (110) and pulls the fabric along the limbs until a top 76 of the elastic compressive fabric 24 aligns with the wearer's groin 78 (120). The position of the garment after these steps are illustrated in FIG. 7, with the first section 38 and second section 40 of the front fabric portion 26 separated, unfastened, and hanging. While FIG. 7 illustrates that the top 76 of the fabric has been pulled up to the approximate point where the wearer's legs have come together, “alignment with the groin” as used herein is not limited to that point, but can include anywhere within the groin region bounded by the abdomen and the thighs.

    [0044] Next, the wearer inverts the first section 38 and second section 40 (130) such that the garment appears as illustrated in FIG. 8. At this stage, the opening 34 in the medial segment 36 separating the first and second sections is apparent. If the elastic compressive fabric 24 includes side openings 30 with hook-and-eye closures or other side fasteners 31, these also preferably remain unfastened to relieve compression applied by garment 20 on the wearer's hips and ease the donning process.

    [0045] Once the first and second sections of the front fabric portion have been inverted, the wearer pulls the first section 38 and the second section 40 towards each other (140), fastens them together to close the opening 34 in the medial segment 36 of the front fabric portion 26 (150), and flips up the fastened first and second sections (160). FIG. 9 illustrates a result of these steps. The benefit of having previously aligned the top 76 of the garment 20 with the groin is evident at this stage, since the pulling and fastening steps are easier to perform around the wearer's limbs than around the wearer's hips or waist which tend to be more swollen from the wearer's edema.

    [0046] The first and second sections may be fastened together using any of the fastening structures and configurations described above with respect to FIGS. 3, 4, and 5. For instance, the wearer may connect fastening 42 (e.g. hook portion 50 or hook portion segments 64) and/or fastening 54 (e.g. second hook portion 60) to either fastening 44 (e.g. loop portion 52) or fastening 58 (e.g. second loop portion 62). Additionally, the wearer may connect one or more fastenings 70 (e.g. buttons) to fastenings 68 (e.g. buttonholes). Pulls 72 can also be present as illustrated in FIG. 5 to assist in pulling the first and second sections towards each other in accordance with step (140).

    [0047] After the first and second sections have been fastened together, the wearer pulls up the fastened garment 20 above the groin until the top 76 of the garment reaches the wearer's waist (170), as illustrated in FIG. 10. If the medical compression garment 20 includes side openings 30 with corresponding side fasteners 31, as is the case typically with post-surgical compression garments, the wearer subsequently fastens them together as previously described. For example, where fasteners 31 are hook-and-eye closures, the wearer fastens a plurality of hooks 32 attached to one of the first and second sections to a plurality of eyes 33 attached to the other of the first and second sections, thereby narrowing the separation between the front fabric portion 26 and rear fabric portion 28 and increasing the compression applied to the thighs (180). At this point, the garment 20 is fully worn.

    [0048] While one embodiment of the donning method 100 has been described above, there are multiple ways a wearer can don the garment 20. For example, after pulling up the elastic compressive fabric 24 along the legs until the top 76 of the fabric aligns with the groin 78 as depicted in FIG. 7, the wearer may first flip up the first and second sections 38, 40 such as that illustrated in FIG. 11 before pulling the first section 38 and the second section 40 towards each other and fastening them together to arrive at the depiction referenced in FIG. 9. In an alternative example, the wearer may have sufficiently light edema to enable them to pull up the elastic compressive fabric 24 along the legs all the way to the waist, as illustrated in FIG. 12, before pulling together to fasten and flipping up (in whichever order) the first and second sections 38, 40. No further pulling of the garment along the limbs would be required in this case since the top 76 of the fabric will have already reached the wearer's waist. Any side openings 30 would then be subsequently fastened using side fasteners 31. These donning variations may be used by wearers with less severe edema in the legs and hips, for instance.

    [0049] In some situations, the wearer may also desire to raise the compression garment 20 over the abdomen, for example, to treat edema resulting from a procedure of abdominal liposuction. In such case, the presence of a side opening 30 over each hip would be required for the garment, since if these side openings were non-existent or closed, the compression applied by the fabric 24 could render it difficult, if not impossible, for the wearer to pull the first and second sections 38, 40 together to close the opening 34 over the abdomen. This is another reason why the side fasteners 31 should be fastened only after the first and second sections 38, 40 have been pulled together, in accordance with the donning method 100.

    [0050] When the wearer later wants to remove the garment, such as when using the restroom, the wearer simply needs to unfasten the first and second sections, such as by detaching the hook portions 50, 60 (or segments 64) from the loop portions 52, 62. Side openings 30 in the garment, if existing, may be widened by unfastening hook-and-eye closures 31 as well. Once the garment is completely unfastened, the compression applied by the garment will loosen considerably, thus enabling the wearer to easily pull the garment down along the limbs below the groin.

    [0051] Consequently, by incorporating an opening 34 in the medial segment 36 of the medical compression garment 20 with the above-identified exemplary fastening configurations, the preferred embodiment of the present invention greatly facilitates donning and removal of the garment. As described above, traditional compression garments require the wearer to pull up the garment from the limbs all the way to the waist with fully applied compression forces, a feat that can be difficult to manage for persons with severe edema or limited strength or mobility. In contrast, the temporarily loosened compression provided by the preferred embodiment's initially unfastened configuration allows the wearer to more easily pull up the garment 20 before the wearer fastens and tightens the garment, thereby easing the garment donning process while ultimately maintaining the medical benefits provided by the garment's compressive forces. In addition, the wearer can simply take off the garment to use the restroom by unfastening the front fabric portion 26 and pulling down the garment below the groin. As a result, sole usage of a fixed opening near the groin for solid and liquid waste removal, as generally used in conventional lower body compression garments, is no longer required. Additionally, cleaning access to a wearer while seated in the restroom is not as limited as conventional compression garments due to the temporarily loosened compression from the garment's unfastened configuration.

    [0052] While certain embodiments have been illustrated and described herein, those embodiments are not necessarily to be construed as advantageous over other embodiments for implementing the present subject matter. Other variations and equivalents are possible and should be considered within the scope of the present subject matter.