PRIVACY MEDICAL GARMENT FOR ACCESS TO A BUTTOCKS REGION
A medical garment pant that provides limited but easy access to a patient's buttocks in a manner that offers both coverage and protection includes a garment pant having a crotch seam or backside panel; at least one selectively closable, elongated passageway that spans a longitudinal distance along the crotch seam or backside panel and is adapted for central alignment with a gluteal cleft and anal orifice; and a closure mechanism for selectively closing and opening the elongated passageway. The closure mechanism may include a first joinder and a second joinder that removably join sides of the elongated passageway by coming together at a central location between ends of the elongated passageway.
This application claims priority to and the benefit of U.S. Provisional Patent Application Ser. No. 62/178,713 filed Apr. 13, 2015, which is incorporated herein by reference in its entirety.
BACKGROUNDCoverage and protection of the patient are not always key aspects of clinical procedures and this often causes concern for both the patient and the medical community. Patients often feel significant embarrassment and a personal loss of dignity, especially female patients, as private areas are exposed to allow for a medical procedure. For example, during medical and endoscopic examination of the lower gastrointestinal tract and anorectal area, the patient's buttocks and genitalia are often exposed. Amongst personnel of the medical community, a concern also arises as to how to provide assurances to the patient that the private area has been covered after a medical procedure has been performed.
Although disposable and/or absorbent underwear or pant-like garments are available for fecal and urinary incontinence, they are not designed or intended for providing limited access to the buttock region for procedures such as colonoscopy and anoscopy. It can be an awkward, time-consuming process to put on and remove regular pants with zippers. Medical examination pants and briefs have been created with a large central hole or opening over the buttocks, but they do not provide desired coverage of the genital region and surrounding buttocks, where no access is required.
BRIEF SUMMARYTo address privacy concerns over patients' private areas, a medical garment pant as described herein may be used. A medical garment pant that provides limited but easy access to a patient's buttocks in a manner that offers both coverage and protection includes a garment pant having a crotch seam or backside panel; at least one selectively closable, elongated passageway that spans a longitudinal (e.g., generally vertical) distance along the crotch seam or backside panel and is adapted for central alignment with a gluteal cleft and anal orifice; and a closure mechanism (e.g., one or more zippers, or Velcro (hook and loop)) for closing the elongated passageway. In an embodiment, the closure mechanism may include two joinders (e.g., a two-way zipper, including two zipper tabs that zip towards one another) that removably join sides of the elongated passageway by coming together at a location between ends of the elongated passageway.
As the passageway is typically aligned to provide access to the anal orifice, which may be at or near a bottom of the generally U-shaped lower torso, between the legs, the term “longitudinal” in such context may include the under-curvature at the very bottom of the lower torso, as one traverses from the posterior side to the anterior side.
A method for performing a rectal procedure on a patient while preserving patient privacy and protection may comprise the steps of providing a medical garment pant with a selectively closable, elongated passageway that spans a longitudinal distance along a crotch seam or back panel and that is in central alignment with a gluteal cleft and anal orifice; putting the medical garment pant on the patient with the elongated passageway aligned to the gluteal cleft and anal orifice of the patient's lower body; moving a closure mechanism (e.g., a zipper tab) in a first direction along the elongated passageway such that sides of the elongated passageway are separated to expose the gluteal cleft and anal orifice of the patient's lower body; performing a rectal procedure on the patient; and closing the elongated passageway such that the sides of the elongated passageway are joined together and the gluteal cleft and anal orifice are concealed.
To address privacy concerns over coverage of private areas in a buttocks region during medical procedures, an embodiment for a medical garment pant is presented. A medical garment pant that provides limited but easy access to a patient's buttocks in a manner that offers both coverage and protection includes a garment pant having a crotch seam or backside panel; at least one selectively closable, elongated passageway that spans a longitudinal distance along the crotch seam or backside panel and is adapted for central alignment with a gluteal cleft and anal orifice; and a closure mechanism that removably joins sides of the elongated passageway so as to selectively open and close the elongated passageway. In an embodiment, the closure mechanism may include first and second joinders (e.g., zipper tabs, etc.) that are movably disposed along the passageway, so as to come together and define an opening in the elongated passageway therebetween. Such a configuration allows the medical practitioner to zip or otherwise move the joinders (e.g., zipper tabs) to the desired locations, defining the access opening (e.g., for performing a colonoscopy or other procedure) therebetween.
According to another aspect, a method for performing a rectal procedure on a patient while preserving patient privacy and protection is provided. Such a method may comprise the steps of: providing a medical garment pant with a selectively closable, elongated passageway that spans a longitudinal distance along a crotch seam or back panel and that is in central alignment with a gluteal cleft and anal orifice when worn; putting the medical garment pant on the patient with the elongated passageway aligned with the gluteal cleft and anal orifice of the patient's lower body; moving a closure mechanism (e.g., a zipper tab) in a first direction along the elongated passageway such that sides of the elongated passageway are separated to expose the gluteal cleft and anal orifice of the patient's lower body; performing a rectal procedure on the patient; and closing the elongated passageway such that the sides of the elongated passageway are joined together and the gluteal cleft and anal orifice are concealed.
A medical garment pant 100 is shown in
The crotch seam 102 may curve underneath the buttocks region and around to a crotch region and upwards along an anterior pelvic region. The elongated passageway 104 follows at least a portion of the path of such a crotch seam 102, and at least spans a longitudinal distance along the crotch seam 102 such that it provides limited but easy access to an anal orifice of the buttocks. Access may further extend to genitalia and/or the anterior pelvic region. In another embodiment, the elongated passageway 104 does not extend to genitalia or the anterior pelvic region, but extends only along the rear portion of the garment pant. In an embodiment, the elongated passageway extends longitudinally (e.g., generally vertically), but stops short of the top of the garment pant. In other words, the passageway may not touch the top perimeter edge of the garment top, but is wholly disposed within the central portion of the garment pant. The center point between endpoints of the elongated passageway 104 may correspond with a location directly over the anal orifice, or other location to be accessed.
Turning to
Internal bony structures referenced may include, for example, an iliac crest 116, sacrum 118, or coccyx 120. Other internal bony structures, not shown, but which will be familiar to those of skill in the art may include iliac crest, posterior superior iliac spine, ischial tuberosity, greater sciatic notch, ischial spine, and lesser sciatic notch.
Various internal bony structures and exterior surface landmarks may be used for reference (e.g., for location of the passageway 104), including those that extend downward from the buttocks and around to a frontal region. They include, for example, inguinal ligament, pubic crest, pubic tubercle, anal triangle, clitoris, urethral opening, labia, vaginal opening, penis, and testicles. The urogenital triangle may be used as well, including bony landmarks of pubic symphosis, lateral border of ischiopubic rami and sacrotuberous ligament, and inferior border tip of the coccyx. Exterior surface borders of the urogenital triangle include an anterior border being a mons pubis, lateral border being a medial surface of a thigh, and inferior border being an intergluteal cleft. Those of skill in the art will appreciated that while described principally in the context of an elongated passageway aligned so as to provide medical practitioner access to the anus for a colonoscopy, various other configurations may be provided for other procedures, so as to provide needed limited access to the practitioner, while providing clothing coverage to other locations to which access is not needed for a given procedure.
Referring back to
Instead of a slit whereby the two sides 106a and 106b meet and form a line at seam 102, the two sides may slightly extend over each other, such that an overlapping configuration is assumed, with one half side at least partially on top of the other half side. Alternatively, a first side may remain with the same dimensions as for the slit configuration, and a second side may be widened such that it reaches or extends over the first side. Various other configurations as employed in garment manufacture, providing a seam and/or back panel are possible, and will be appreciated by those of skill in the art.
Different mechanisms may be used to connect or attach the two sides of the elongated passageway 104, allowing selective closing and opening of passageway 104.
The clip buttons 208 may be evenly spaced apart, longitudinally, along the full length of elongated passageway 204. In another embodiment, clip buttons 208 may be centrally located over the location to be accessed, such as the anal orifice. There may be as few as one clip button, or a plurality of such buttons. For example, one clip button may be centered between endpoints of the elongated passageway 204 and may or may not be located over the location to be accessed. Also, there may be more than one clip button, e.g., equally or unequally spaced apart along a length of the passageway 204.
Instead of clip buttons, removable clips may be used such that when not being used to join the two sides in a joined or closed position, the removable clips may be used to hold passageway 204 open. For example, such removable clips may attach the two sides 206a and 206b adjacent passageway 204 to outer sides of the garment pant 201, away from passageway 204. In this manner, the removable clips may serve a dual purpose, both to close, or join, the two sides of the elongated passageway and to hold open, or hold separate the two sides 206a and 206b while a medical procedure is performed. After the medical procedure is completed, the removable clips may then be used to reattach the two sides together and at least partially close the elongated passageway 204.
Turning to
After a procedure, the first and second joinders 310a and 310b may be moved to together such that facing surfaces of the first and second joinders 310a and 310b are touching, or nearly touching each other. The two joinders may be locked or secured together, preventing further access. The point of location for joining together may be directly over or near the accessed location. The two-way zipper 308 allows for a minimal amount of exposure during a medical procedure, such as an examination or endoscopy insertion.
The medical garment pant does not merely include a normal pant zipper. A normal pant zipper is used to increase or decrease the circumference of the pelvic region and/or waist area of a pair of pants. Such a pant zipper extends to the perimeter edge (e.g., the top perimeter edge) of the pants, to provide for such waistline expansion. For example, when a pant zipper is pushed vertically upward on the anterior side of the pants, the waist opening is decreased. When the pant zipper is pushed vertically downward on the anterior side of the pants, the waist opening is increased. The two-way zipper 308, however, provides no such functionality. When first joinder 310a moves vertically upward relative to the pelvic and buttock region, it is not closing the elongated passageway 304, and not closing the pants, but rather, opening the elongated passageway 304. When the first joinder 310a moves generally downward, it is not opening the pants, but is rather closing the elongated pathway 304. In this manner, the first joinder 310a of two-way zipper 308 has the opposite effect as a regular pant zipper. Furthermore, operation of the zipper 308 does not serve to adjust the waistline opening of the pants, which remains constant no matter the position of zipper 308, as zipper 308 does not reach to the top perimeter of pants 301.
The two-way zipper 308 may extend to a location that is just below the waistband of the pants, typically on the posterior side of the garment pant 301, so as to provide for anal access. In some embodiments, the zipper may extend to the anterior side of the garment pant 301, depending on the location to be accessed. In any case, by way of example, the two-way zipper 308 may terminate oat a location that is 1 inch, 2 inches, 3 inches, 4 inches, 5 inches, 6 inches, 7 inches, or a range defined between any such values, below a waistband of the garment pant 301. The garment pant 301 may have an elastic waistband to aid in placement of the garment pant 301 over the patient, and in keeping the garment pant 301 in place. In another embodiment, the garment pant may include a typical pant zipper for waistline expansion, in addition to the zippered or other closured elongated passageway for medical procedure access.
Prior to a medical procedure, the elongated passageway may be closed as described herein, such as by clip buttons or two-way zippers. In addition, or alternatively, the elongated passageway may be at least partially, or completely, covered by a drape.
After completion of a medical procedure, an adhesive seal may be used to cover the elongated passageway, or another mechanism may be provided for preventing further access to the private parts of the patient. As shown in
Another approach for a sealing means after a medical procedure is to provide a means for mechanically securing together the zipper tabs or joinders. In
Male component 614 may be positioned within, directly above, or over female component 612, depending on the particular receptacle configuration. For example, the receptacle may have an internal cavity located on a side facing the first direction of movement (i.e., closure) of the second joinder 610b. The cavity or insert or other type of receptacle in one joinder may be aligned with the male component 614 of the other joinder. Other types of receptacles will be appreciated by those of skill in the art.
Male component 614 may protrude in the first direction of movement (i.e., closure), aligned with a corresponding female component 612. The male component 614 may protrude downward, be angled, or have downward curvature corresponding to the female component 612, being on top of the other joinder (e.g., second joinder 610b). The female component 612 and the male component 614 may be mechanically joined via application of an external, downwardly-directed force. For receptacles along sides of the second joinder 610b, the female component 612 and male component 614 may be joined by external forces applied on sides of the female component 612 and the male component 614.
Once the first and second joinders 610a and 610b have been snapped, or joined, together, disconnecting the pair of joinders 610a and 610b may be such that it requires a significant mechanical force, such that tools beyond average human hands would be required. For example, the illustrated configuration shows an enlarged head on male component 614 that may deform as it passes through the entry neck of receptacle 612, and then snaps back to its undeformed shape, filling the distal enlarged region at the end of receptacle 612. Such a configuration will be difficult to separate once the two joinders are locked together. Such a joinder may be used to offer the patient physical evidence that the elongated passageway has not been accessed since the conclusion of the medical procedure.
Another approach for closure that may be used to provide evidence to the patient includes joinders that include an adhesive on joinder sides facing each other such that upon removal of non-adhesive coverings on the adhesive, the joinder sides facing each other may be pressed together for securement of the joinders. As shown in
As shown, first and second joinders 710a and 710b may be in the form of tabs (e.g., zipper tabs) that may be articulated to stand vertically upward relative to chain or teeth elements 712. Each tab 710a and 710b may include a respective underside 716a and 716b, meaning a side of tab 710a that faces a side of 710b when both are standing in a vertical direction. Each underside 716a and 716b may have an adhesive surface 714a and 714b, or adhesive tape, that may be initially covered with a respective non-adhesive covering 718a and 718b, such as a non-adhesive (e.g., waxy) covering paper. At the conclusion of a medical procedure, the first and second tabs, or joinders, 710a and 710b, may be brought together, thus completely closing, or nearly closing, the elongated passageway 704 used during the medical procedure. The non-adhesive coverings 718a and 718b may be peeled off of each tab's adhesive underside 716a and 716b, thus exposing the adhesive surfaces 714a and 714b. The undersides 716a and 716b are then pressed together, thus securely sealing the two zipper tabs together.
In order to ensure that the adhesive underside of the zipper tabs may contact each other completely and in a parallel manner, it may be helpful to uniformly increase the thickness of the undersides of the zipper tabs.
The thickness of the inert padding 820a and 820b between undersides 816a and 816b and corresponding adhesive tape 814a and 814b may be a distance between any typical protruding features of the zipper tabs 810a and 810b and outer surfaces of respective undersides 816a and 816b of the zipper tabs 810a and 810b. For example, the male component 614 as described for
In another alternative configuration that provides the previously disclosed functionality of ensuring the closure of the dual zipper design, two-way zipper tabs are joined by wrapping adhesive tape around the two-way zipper tabs. This can be accomplished by two adhesive tape “dog ears.” Dog ears include members that are attached to, and/or hang from, tabs like dog ears.
In another alternative configuration that provides the previously disclosed functionality of ensuring the closure of the dual zipper design, zip ties may be used. In
The zip tie 22 may be of a common configuration, having a single strand length of flexible plastic and periodic cone-shaped or other shaped protruding bumps along the strand length. Other types of zip ties may be used. Additionally, at or near the end of the strand, a restrictive aperture 24 may be located, the restrictive aperture 24 being large enough so as to allow the cone-shaped bumps of the strand to pass through the restrictive aperture with minimal elastic deformation of both entities (e.g., in an orientation where the pointed end of the cones leads), but to not allow for passage for the cone-shaped bumps in a reverse direction, as the base of the cones then lead, and catch on the edges of the aperture 24.
The first and second tabs 11a and 11b may each have a hole 23a and 23b, respectively, at or near free ends. After completion of a medical procedure, the first and second tabs 11a and 11b may be pulled to the same endpoint 26 or other desired location as shown in
The zipper tabs 11a and 11b may thus be secured by the zip tie 22 in a vertical, angled, horizontal, or nearly horizontal configuration. A nearly horizontal configuration is shown in
Alternatively, although the zip tie 22 may be initially attached at an end to a location along the length of the elongated passageway 14, the zip tie 22 may be removable such that it can be moved to a desired location for tying the first and second tabs.
In addition to the garment pant examples described herein, an underlying brief to be worn underneath the garment pant may also be included. The underlying brief provides an additional layer of protection underneath the garment pant. The underlying brief may include a posterior portion that provides an opening configured to be over a buttocks region, and particularly an anal orifice, while maintaining coverage of a genital region. This may be useful, for example, if the elongated passageway extends over the genital region such that the genital region could otherwise be accessed or made visible without the presence of the underlying brief.
A method for performing a rectal procedure on a patient while preserving patient privacy and protection may comprise the steps of providing a medical garment pant with a selectively closable, elongated passageway that spans a longitudinal distance along a crotch seam or back panel and that is in central alignment with a gluteal cleft and anal orifice; putting the medical garment pant on the patient with the elongated passageway aligned over the gluteal cleft and anal orifice of the patient's lower body; moving a closure mechanism in a first direction along the elongated passageway such that sides of the elongated passageway are separated to expose the anal orifice of the patient's lower body; performing a rectal procedure on the patient; and closing the elongated passageway such that the sides of the elongated passageway are joined together and the gluteal cleft and anal orifice are concealed.
The medical garment pant employed in the method may incorporate any of the features described herein. For example, the method may further comprise the step of providing an underlying brief to be worn underneath the garment pant, the underlying brief having a posterior portion that provides an opening configured at a buttock region and coverage provided over a genital region. Similarly, any of the above described methods for sealing the elongated passageway after completion of the medical procedure may be included in such overall methods.
The medical garment pant and/or brief may be made of disposable plastic, such a non-woven cellulosic material. Alternatively, the material may be washable and reusable. The medical garment pant and/or brief may come in a variety of sizes, have gender specific constructions, or be made to fit a standard person. A standard person may be a mathematical model of a person based on any suitable data that simulates a person's size, body proportions, and the like. The model can be based upon data, for example, used in the clothing industry to define sizes for apparel and the like. The standard person used and the data set used to derive the standard person may be chosen with the user of the medical Garment pant in mind and can be based upon average values of body proportions from any sample of the population from, for example, total population, gender, age, body size or weight, nationality, ethnicity, or the like. The standard person may also be based upon any particular individual, or group of individuals. Thus, the standard person for a medical garment pant may be designed for marketing to the public in general, or be customized to fit a particular group of people, or to fit an individual. The medical garment pant may be provided in various sizes (e.g., small, medium, large, x-large, etc.).
Applicant's companion application, entitled PRIVACY MEDICAL GARMENT FOR ACCESS TO PATIENT'S TORSO, filed the same day as the present application is herein incorporated by reference in its entirety. Any of the configurations disclosed therein with respect to closure mechanisms, and other features in the context of the medical garment top may be applied herein to the described medical garment pant.
The present disclosure may be embodied in other specific forms without departing from its spirit or characteristics. The described embodiments are to be considered as illustrative and not restrictive. The scope of the disclosure is, therefore, indicated by the appended claims rather than by the foregoing description. Changes that come within the meaning and range of equivalency of the claims are to be embraced within their scope.
Claims
1. A medical garment pant that provides limited but easy access to a patient's buttocks in a manner that provides coverage and protection, the medical garment pant comprising:
- a garment pant having a crotch seam or backside panel;
- at least one selectively closable, elongated passageway that spans a longitudinal distance along the crotch seam or backside panel and is adapted for central alignment with an anal orifice; and
- a closure mechanism that removably joins sides of the elongated passageway to provide selective opening and closing of the elongated passageway.
2. The medical garment pant in claim 1, wherein the elongated passageway is a slit formed in a material of the garment pant, the slit having two sides that are removably joined by the closure mechanism in a location that is between ends of the slit.
3. The medical garment pant in claim 1, wherein the longitudinal distance of the elongated passageway is configured so as not to extend beyond iliac crests of a hip region on either a front side or a back side of the garment pant.
4. The medical garment pant in claim 1, wherein the longitudinal distance of the elongate passageway does not extend to a perimeter top of the garment pant.
5. The medical garment pant in claim 1, wherein the closure mechanism is a two-way zipper including first and second joinders that run along a length of the elongated passageway to form an opening that is both operator-variable in length and position such that the opening may allow minimal amount of body exposure, while providing access to the desired location.
6. The medical garment pant in claim 5, wherein the two-way zipper includes chain or teeth elements engaged by two joinder tabs such that at least a portion of the two sides are joined together when first and second joinder tabs move in closing directions along the elongated passageway and at least a portion of the two sides are unjoined from one another when the first and second tabs move in opening directions that are opposite the closing directions.
7. The medical garment pant in claim 6, wherein each tab includes either a male or female component, the male component having a protruding element that is positioned over a receiving receptacle on the female component, so that an external, downwardly directed force mechanically joins the male and female components such that the tabs are locked together.
8. The medical garment pant in claim 6, wherein the tabs include adhesive on tab sides facing each other such the tab sides may be pressed together to secure the tabs to one another.
9. The medical garment pant in claim 8, wherein each tab includes an inert padding material between an underside of the tab and the adhesive.
10. The medical garment pant in claim 6, wherein at least one tab includes a dog ear including an adhesive, which dog ear extends laterally from an upper portion of the tab, wherein the two tabs may be brought together with vertical surfaces of the two tabs in contact such that the adhesive dog ears may wrap around the two tabs to secure the two tabs together.
11. The medical garment pant in claim 6, further comprising:
- a zip tie having a length of a flexible plastic strand;
- a plurality of periodic cone-shaped bumps located along a strand length of the flexible plastic strand;
- a restrictive aperture at an end of the flexible plastic strand, wherein the aperture has an internal diameter so as to allow the cone-shaped bumps to pass through in one direction, but to not permit passage of the cone-shaped bumps in an opposing direction; and
- a hole located in each of the two tabs, wherein when the two tabs are brought together, an end of the zip tie may pass through the holes, be looped around the two tabs, passed through the restrictive aperture, and pulled until the two tabs are tightly bound.
12. The medical garment pant in claim 1, wherein the closure mechanism includes one or more clip buttons that removably join the two sides of the elongate passageway.
13. The medical garment pant in claim 1, further comprising a drape that is attached to at least one side of the elongate passageway, so as to be drapable over the elongate passageway.
14. The medical garment pant in claim 13, wherein the drape is removably attached by an adhesive, clips, buttons, Velcro, or zippers.
15. The medical garment pant in claim 1, further comprising one or more adhesive seals that may be placed over the elongate passageway to prevent further access to the elongate passageway.
16. The medical garment pant in claim 1, wherein the garment pant is made of one or more of plastic or fabric.
17. A method for performing a rectal procedure on a patient while preserving patient privacy and protection, the method comprising the steps of:
- providing a medical garment pant with a selectively closable, elongated passageway that spans a longitudinal distance along a crotch seam or back panel and that is in central alignment with an anal orifice;
- putting the medical garment pant on the patient with the elongated passageway aligned over the anal orifice of the patient's lower body;
- moving a closure mechanism of the medical garment pant in a first direction along the elongated passageway such that sides of the elongated passageway are separated to expose the anal orifice of the patient's lower body;
- performing a rectal procedure on the patient; and
- closing the elongated passageway such that the sides of the elongated passageway are joined together and a gluteal cleft and the anal orifice are concealed.
18. The method in claim 17, wherein the closure mechanism comprises a two-way zipper including first and second zipper joinder tabs that run along a length of the elongated passageway.
19. The method in claim 17, further comprising sealing the elongated passageway with sealing means of the medical garment pant following the rectal procedure to prevent further access to the anal orifice.
20. The method in claim 19, wherein the sealing means comprises:
- placing adhesive seals over the elongated passageway following the rectal procedure;
- locking a male component of one zipper joinder tab into a female component of another zipper joinder tab;
- securing two zipper joinder tabs of the closure mechanism together with adhesive; or
- securing two zipper joinder tabs of the closure mechanism together with a zip tie.
Type: Application
Filed: Jul 7, 2015
Publication Date: Oct 20, 2016
Inventor: Ruonan Wu (Madison, MS)
Application Number: 14/792,984