Patent Publication Number: US-7222448-B2

Title: Thermal wristband/cinch with inboard label assembly business form and method

Description:
CROSS REFERENCE TO RELATED APPLICATIONS 
     This application is a continuation-in-part to Ser. No. 10/627,135, filed Jul. 25, 2003, now U.S. Pat. No. 7,017,294, which is a continuation-in-part to Ser. No. 10/283,777, filed Oct. 30, 2002, now U.S. Pat. No. 7,017,293, which is a continuation-in-part of Ser. No. 10/256,758, filed Sep. 27, 2002, now U.S. Pat. No. 7,047,682, the disclosures of which are incorporated herein by reference. 
    
    
     BACKGROUND AND SUMMARY OF THE INVENTION 
     There are many situations where it would be convenient to have available a way to separately identify a person, such as a health care patient, with his/her possessions or other related items with which the person needs to be associated. As this is written, the recent events of the tragedy of Sep. 11, 2001 have provided a glaring example of one such situation. In that situation, it became evident that there was no convenient way to associate people desperately in need of health care with their belongings. Even more horrifying was the need to identify body parts, tag them, and assemble some kind of data base that could be used to sort through the confusion and chaos created on that terrible day. Under those circumstances, and many other similar emergency circumstances, the health care workers and the emergency workers are under tremendous time pressure, with protective clothing such as gloves being used to avoid personal danger to themselves, to sort through what is presented to them in the way of victims needing medical attention, their possessions including valuables, and a need to communicate with their family. The environment is usually hostile, with what may be fire, flying debris, collapsing buildings, un-breathable air, etc. which makes it quite different from a usual hospital or other controlled environment and makes handling any “standard” form imminently more difficult. 
     Another aspect to the situation that must be considered is that it is not uncommon for different care takers to handle a single victim. Generally, when a victim is first attended, he is categorized for the nature and extent of his injuries. Then, in those situations where there is a mis-match between the number of victims and the number of medical personnel, the most severely injured are attended to first and the remainder are treated as time becomes available. This is routine, and an attempt to minimize loss of life in what can be a desperate situation. Thus, it is commonly required to “triage” the victims, and then identify them in some way that makes it immediately apparent to medical workers just what their medical situation is. This sounds easy, but in the chaos of these situations, even with medical personnel who are well trained, there can be lost time in this process and if a good strategy is not used for this classifying, victims can be mis-identified or their status not readily ascertainable after classification, so that the precious time of these “angels of mercy” can be needlessly wasted as they move from one victim to another. 
     This type of emergency situation creates needs that are unique, beyond the needs of a form intended for use in a clean environment available in an emergency room. As mentioned, medical personnel are usually wearing gloves and in a hurry. Thus, any form that would be used must be adapted to be easily handled with clumsy fingers. There is no time for instruction, so the form must be virtually intuitive for use. There are commonly fluids present, unfortunately most often blood and other body fluids, so the form must be protected. There needs to be a simple, fast, fool-proof way to apply the form to the victim, and his possessions, with a reliable way to link them together. There is a further need to be able to quickly collect the identifying information from the form as it is attached to a victim so he may be processed quickly and the information accurately collected. The identifying information commonly needs to be thought out in advance, and might even be pre-coded to mesh with the triage operation so that merely knowing the identifying information conveys some information about victim medical status. And, there is desirably some flexibility available in the use of the form to accommodate different victim conditions. 
     Still another need exemplified by this tragedy is that of providing information to families and other loved ones. After the 9/11 event, it was well publicized that family members and others resorted to walking the streets, following any rumor, visiting geographically separated emergency medical care sites, asking for information if not finding their loved one. This itself caused much anxiety and pain amongst the survivors. While not as critical as getting information about survivors to their families, this inability to assemble information created other problems including the inability to gauge the magnitude of the tragedy. A complete list of the survivors was impossible to assemble for days, even though information was individually available by then. There just was not a convenient way to assemble this information in a common data base. Some attempts were made to use the internet, but inaccuracies abounded and the information posted there was soon being ignored, at least partly due to the lack of confidence in that information. 
     To solve these and other needs in the prior art, the inventor herein has previously developed a business form as disclosed and claimed in the parent in several embodiments and a method incorporating the use of that form that have particular application to these kind of medical emergency situations. Briefly, a first embodiment of the form comprises a carrier sheet of paper stock, with a wristband/label assembly die cut thereinto for separation from the carrier sheet. The paper stock is preferably pre-printed with identifying indicia, color coded and covered top and bottom with a layer of protective coating which may preferably be a poly plastic. The wristband/label assembly may be dry-adhered to a bottom layer of a carrier film so that it may be readily separated from the carrier without retaining any adhesive. The wristband portion of the assembly may have a tab on one end and a long strap portion which, to be assembled, is wrapped around an object such as a victim&#39;s wrist, looped back through a “cinch” comprising a slot in the tab and then adhered to itself by an adhesive portion at the end of the strap portion. The tab preferably has a plurality of individually separable labels die cut thereinto, with each of the labels and the wristband having an identifying indicia which may preferably be a bar code. In the embodiment disclosed in one of the parent applications, the slot is inboard of the labels while in the embodiment first disclosed herein the slot is outboard of the label-carrying portion of the tab. Furthermore, the embodiment first disclosed herein is narrower, more streamlined, and eliminates the medical indicia making the wristband/label form more universally applicable as a simple identifier. 
     In use, the wristband/label assembly of the parent is separated from the carrier, carrying the tab filled with labels, and the strap portion. The cinch slot is die cut and formed as the assembly is separated with its filler piece adhered to remain behind with the bottom film carrier sheet. The strap portion has its end covered with a laminated bottom patch so that as it separates it carries with it a peel away covering over its end having the adhesive. After being separated from the carrier, the wristband/label assembly has a protective layer over both its top and bottom for resisting fluid contamination and the tab has a label section which may be perforated for separation from the wristband. Each of the labels are individually separable and carry the identifying indicia. The wristband may preferably be color coded, and the forms may be made in sets with multiple ones of each of a number of different colors. Alternately, color coded, perforated tabs may be provided at the end of the tab portion, such that the medical technician need only separate one or more tabs, leaving as the outside tab the correct one to visually indicate the condition of the victim. A blank tab is preferably provided at the very edge of the tab portion so that no one would mistakenly interpret the failure to separate a tab as a conscious attempt at indicating medical condition. In still another embodiment, the medical indicia may be eliminated and the strap portion streamlined to allow for a more generic use of the form for merely indicating identity of the patient or other individual for other purposes than medical. The wristband may be readily applied by wrapping the strap portion about the person&#39;s appendage, slipping it through the “cinch” comprising the slot to tighten it about the appendage, pulling it tight, and then folding the strap portion back onto itself for attachment with the adhesive after removing the peel away covering. 
     In a second embodiment as shown and described in the parent, the wristband/label assembly is pre-printed and formed in its final configuration, with a tab/label portion and a strap portion made from preferably four layers. A top, clear film layer overlies and protects a face stock layer upon which the pre-printed information including bar codes and color “condition” codes are applied. A layer of adhesive then joins the face stock to a base film material, again to protect the face stock in use. In either embodiment, more than one slot, or “cinch” point, may be provided to allow for a snug fit to different sized body parts. Also, more or fewer bar coded labels, of smaller or larger size, may be selected for use to suit a designer&#39;s preferences or user&#39;s needs. And, as explained above, the slot may be outboard of the label portion, thereby making the wristband easier to attach to a person, and without sacrificing integrity as the underlying web provides more than adequate strength for maintaining the wristband in its intended use. 
     In the method of the parent invention, once a form has been applied to a victim, and the victim thus associated with an identifying indicia, and his possessions properly tagged, software pre-loaded into a computer may then receive as much information about the victim as is available. Items of information might include his associated color code (which would preferably be indicative of his medical condition), his name and other demographic information, his statistics such as height, weight, race, etc., more detailed information as to the nature of his injuries or condition, the location where this victim is processed, and other appropriate information. The computer may then go on-line, or be on-line, and the data set up-linked to a web site. A plurality of treatment centers could each be simultaneously processing victims, and transmitting data to the web site for ready access and display to anyone interested in learning about a victim&#39;s condition. As a victim&#39;s condition changes, updated information could be provided to the web site, although it is considered by the inventor that the method of the parent is most effective in providing early information as fast as possible to the most people. Updated information could be available more directly as a victim&#39;s family locates and goes to where treatment is being given. Security in the web site and data links would prevent any mischief from occurring which might compromise the integrity of the data such that families could rely on the information posted. 
     As can be appreciated by those of ordinary skill in the art, there is unfortunately a need for the parent invention given the heightened risk of terrorism that the world now faces, and along with that arises an increased need to facilitate not only the quick processing of victims but also the task of collecting and disseminating information about these victims. The parent invention addresses these needs, which in actuality are long felt needs exacerbated by our changing times. Accordingly, the foregoing provides a brief description of some of the advantages and features of the parent invention. A fuller understanding may be attained by referring to the drawings and description of the preferred embodiment of the parent which follow for the reader&#39;s understanding. 
     The inventor has taken several of the features of the parent invention and used it to build onto his prior work in the wristband art as exemplified by the following patents issued to the inventor herein, the disclosures of which are incorporated herein by reference: U.S. Pat. Nos. 6,438,881; 6,067,739; 6,000,160; and others still pending. In his invention as disclosed and claimed in the more recently filed second patent application referenced above, he has incorporated the “cinch” of the parent into a self-laminating wristband form in a unique and non-obvious way to provide many advantages and features not hereto available. Although the second parent&#39;s invention is exemplified in several embodiments as explained in greater detail below, each of which has its own unique advantages and features, it represents a departure from the construction found in the inventor&#39;s prior patents. Some of the differences include the use of a single, preferably narrow, strap portion extending generally from one side of the face stock region, with the cinch comprising a slot located on either side of the face stock and either adjacent the top or bottom portion of the laminating portion that overlies the face stock. With this construction, it is thought that several advantages are obtained over the wristband construction of his prior inventions. First, in this invention the inventor uses less face stock resulting in a smaller area of the form needing to be over-laminated. In other words, in the inventor&#39;s prior patented wristbands, virtually the entire length of the wristband comprised face stock, all of which was over-laminated. In the more recent parent invention, preferably only a “patch” of face stock is used which does reduce the amount of space for printing but which at the same time reduces the size of the over-lamination “patch” needed. This smaller over-lamination “patch” is much easier for a nurse or other medical professional to fold over and complete the assembly, and thus apply the wristband to the patient. A related advantage is that by eliminating the face stock from the “strap portion” that surrounds the patient&#39;s wrist, this strap portion may be narrower and formed from a single layer of the lamination (with no adhesive applied). This is more comfortable to the patient for several reasons. The strap is narrower, thereby being less likely to bind or press into the patient&#39;s skin as he moves his wrist in doing daily living activities. The strap is also thinner as it is formed from only a single layer and may thus be more flexible. In this construction, a thinner laminate may be used than in prior designs which increases the patient&#39;s comfort. Patient comfort is an important consideration as patients in hospitals are generally uncomfortable to begin with, being out of their ordinary environment, and those in need of hospital care are generally infirm, older or younger such as prenatal, and their skin may be more sensitive than normal. So, this is an important design criteria. 
     Still another advantage comes through incorporation of the cinch in this design. The cinch preferably comprises a slot which may be located in one of several places in the wristband, but it offers several unique advantages. First, if need be, the cinch may be used to more easily apply the wristband to a patient as it gives the nurse a ready attachment fixture with which he/she is quite familiar, it being much like an ordinary belt worn by almost everyone, male and female. For those patients who may be uncooperative or thrashing about or otherwise resistive, applying the wristband amounts to getting the strap through the slot and after that is achieved the rest needed to be done is relatively simple. For those patients who need to be tightly banded, the cinch provides a ready means to tighten down the strap and keep it tight while the cinch and strap are adhered in place. This allows for a simpler built-in adjustment in strap length than with the prior designs. The cinch may be located in one of several places in the band, and each location offers its own unique advantages. If located intermediate to the face stock and the strap, the face stock is converted into a “hang tag” which hangs freely from the patient&#39;s wrist after it is applied. This aids the nurse in finding and reading the information printed on the face stock, and also makes it easier for her to read imprinted indicia on the face stock with a hand held bar code reader, for example, as the surface is flat. Also, with this arrangement, a smaller strap is readily provided for smaller wrists such as with new-born babies. If the slot is located outboard from the face stock, the face stock hugs the patient&#39;s wrist much more like a conventional wristband, and an extra area of fold over laminate may be used to adhere the strap in place, making for a more secure attachment. Either arrangement would be desirable depending on the particular application, and is left to the user&#39;s choice. 
     As alluded to above, the strap portion is adhered in one of several ways, depending on the embodiment chosen. If the cinch is intermediate to the face stock and strap, the end of the strap has a patch of adhesive which is used to adhere it back onto itself after being threaded through the slot. With the cinch outboard of the face stock, an “extension” of laminate is used which may carry adhesive along with a fold line through the slot so that after the strap is threaded through the slot the extension may be folded about the fold line and “clamp” the strap in place with adhesive. This provides a second means for adhering the strap in place. 
     The face stock layer has a printable region or ply defined therein with a die cut while the lamination layer has three elements die cut in to it. The lamination layer has a strap portion, a laminating portion, and a cinch portion all die cut therein, with adhesive being applied to preferably the extreme end of the strap portion for securing the strap to itself after the wristband has been applied, adhesive applied to the lamination portion to substantially, and preferably entirely, surround and enclose the face stock printable region, and adhesive applied to a cinch portion (if located outboard of the face stock) for adhering to the strap portion after it is passed through the cinch. Adhesive may preferably be omitted from the portion of lamination that overlies the face stock to improve it&#39;s readability, both visually and for bar coding. In variations to this embodiment, the cinch, which is preferably a slot aligned generally perpendicular to the face stock, may be located in one of several places, either outboard of the face stock region or intermediate the face stock and the strap portion. When positioned outboard of the face stock, the cinch may also be located in one of two places either in an extension of the lamination adjacent a top portion or in the bottom portion of the lamination portion. When positioned intermediate to the face stock and strap portion, the cinch may be formed from a pair of slots located in both the top and bottom portion of the lamination portion. In this arrangement, adhesive is applied to join the top and bottom lamination portions, but it does not aid in holding the strap in position unless the nurse takes the time and is able to obtain the cooperation of the patient to thread the strap through only one of the slots before folding the lamination halves together to enclose the face stock. However, this is thought to be a less desirable attachment arrangement than first enclosing the face stock and then threading the strap through the slot. 
     As an added feature, the inventor has previously developed an extender which is also formed in the same two plies of material, with the extender comprising a length of laminate having a fold-over or “clamshell” portion with adhesive at one end, and a patch of adhesive at its opposite end. The extender is sized preferably to be of the same width as the strap portion and is applied to the strap portion by use of the clamshell which clamps onto the strap portion and along its length, with the extender patch of adhesive serving the function of joining the strap. With the extender, the wristband may be used with larger patients, conveniently, without being limited to the overall length of the form or carrier in which the wristband is formed. 
     In variations of these embodiments, the novel wristband of the more recent parent invention may be formed in a sheet with a plurality of self adhering, peel-off labels, all of which may be printed with identifying indicia or information relating to the patient. Several wristbands of different size, or the same size, may also be formed on a single sheet, with or without labels. The extender may also be provided in any one or more of the variations, which are only limited by the perceived needs of users, and design choice. 
     As a further enhancement to his work with the two general categories of wristband/label forms with cinch, the inventor has modified the forms to provide even greater choice and advantage depending on the particular situation for which the wristband is needed. With respect to the first embodiments mentioned herein, as explained above, the inventor has conceived of arranging the form so that the cinch slot is outboard of the label portion, on a tab, and has eliminated the medical indicia thereby making the form more streamlined and suitable for use in a wider range of applications. Several arrangements for the label portion are shown and provide a variety of choices to suit different applications depending on the number of labels needed, and all without sacrificing the integrity of the form. As in other embodiments, bar coding or other means of identifying or numbering or segregating the forms may be used, limited only by the imagination of the form designer or user. Furthermore, the wristband form may have an imprint area available, such as for example imprinting a company name. 
     With respect to the second general category of wristband forms, the inventor has provided a tab at an end adjacent to the face stock area, with the tab having a second slot surrounded by adhesive and through which the tail or free end portion is inserted for joining the wristband about the person wearing it. After the free end is inserted, the slot is preferably folded over about a fold line, and the free end is captured and adhered in place. The remaining free end may then be inserted through the second slot and hidden beneath the face stock out of the way and less likely to be caught on something. This arrangement allows for the extra free end to be kept intact so that the wristband may later be re-adjusted in length by merely lifting the folded over tab and withdrawing the free end for re-positioning. As an added feature, the face stock is preferably extended to the edge of the outboard slot to thereby cover over the adhesive closest to where the free end slides through, thereby making it less likely to “hang up” on adhesive as the wristband is applied. Furthermore, as the adhesive is applied to the area surrounding the second slot, it need not be applied as a patch on the tip of the free end as in other embodiments disclosed in the parent applications. Thus, as the free end is inserted through the slot, there is no patch of adhesive to inadvertently grab a patient&#39;s skin or body hair again making this embodiment less likely to “hang up” on the patient as it is applied. Instead, the adhesive is placed on a surface facing away from the patient. 
     In still other embodiments, slots are provided on each side of the face stock and through both of which the free end may be inserted. In this arrangement the face stock area overlies the free end, and the face stock area becomes less “rounded” than in other embodiments where only a single slot is used. This aids in reading the information placed on the face stock, and can be important in aiding this information should it be bar coded information. Also, with the two slot embodiment, the same form may be applied in different ways which enhances its versatility. This may be especially important for those applications where a single form may be intended to be used on different body parts of a patient. One such example is the Neo-natal, Intensive Care Unit (NICU) where wristbands are desirably applied not only to the leg but also the arm. In this application, the same wristband will be applied to different parts of the body, the leg and arm, and depending on size either one slot or both slots may be used to allow for patient comfort and ready accessibility to the imprinted information. However, even with the need to accommodate differently sized arms and legs, the same form may be used thereby minimizing inventory requirements and eliminating the waste or extra cost of using more than one sheet of wristbands. 
     In still another improvement on his earlier inventions, the inventor has adapted it for use with thermal imaging type face stock and, in connection with that adaptation has sought to accommodate typical thermal imaging printers with a different design for the wristband that allows it to be fit onto a narrower roll by re-orienting the fold over lamination. More particularly, the lamination portion of the wristband includes a “fold-over” flap which, as is described herein is used to laminate the printable face stock portion. In this embodiment, the flap is moved from being below or above the face stock portion to being attached at the end of the face stock portion. This orientation reduces the height of the wristband and allows a continuous stream of wristbands to be conveniently formed on a roll for processing especially through a thermal printer but also other similarly arranged printers. This orientation also accommodates the formation of a fan-fold arrangement for multiple wristbands for continuous printing through a thermal printer, or for that matter other printers set up for fan-fold forms. 
     In yet another improvement the inventor has “sculpted” the shoulders on one side of the imaging area of the wristband which adds a little more room for imaging, makes greater use of the space available on the form from which the wristband is “harvested”, and provides greater patient comfort by “softening” the transition from the wider imaging area to the narrower band or strap portion. This sculpted shoulder feature is preferably provided on just one side of the imaging area due to space considerations but can be provided on both sides as well. With this feature both of the face stock as well as the lamination portion are sculpted into the same profile, with the lamination being oversized to continue to completely encapsulate the face stock and protect it as with the previous designs. Alternately, the lamination need not be sculpted as it will, if sized appropriately, still cover the face stock and protect it. 
     The wristbands of either of these new embodiments may be provided in “sheetlet” format or mixed and matched in various combinations, with or without self adhering labels, to suit individual needs and applications. More than one wristband of any design may also be provided on the same sheet, and multiple wristbands of the same or different design may be provided in different lengths. In fact, these new embodiments may even be combined with wristbands of previous designs to meet special needs or desires. 
    
    
     
       While the principal advantages and features of the present invention have been explained above, a fuller understanding of the invention in all of its various embodiments may be attained by referring to the drawings and description of the preferred embodiments below. 
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1  depicts a top view of the first embodiment of the business form of the parent invention prior to the wristband/label assembly being separated from the carrier; 
         FIG. 2  is a side view of the first embodiment as shown in  FIG. 1 ; 
         FIG. 3  is a top view of the wristband/label assembly after separation from the carrier of the first embodiment; 
         FIG. 4  is a view of the wristband/label assembly applied to a victim&#39;s appendage; 
         FIG. 5  is a diagram of the computer system used to implement the method of collecting and displaying over the internet the victim data; 
         FIG. 6  is a top view of the second embodiment of the business form of the parent invention; 
         FIG. 7  is a bottom view of the second embodiment; 
         FIG. 8  is an expanded view of the second embodiment, detailing the four layers comprising the second embodiment; 
         FIG. 9  is a top view of the first embodiment of the self laminating wristband with an inset depicting an alternate location for the cinch, and an extender formed in an approximately envelope size sheetlet; 
         FIG. 10  is a top view of the first embodiment of the self laminating wristband and extender formed in a page sized sheet with a plurality of self adhering labels; 
         FIG. 11  is a top view of a page sized sheet having a plurality of self laminating wristbands of varying lengths, and depicting an alternate construction for the wristband, coupled with a pair of ID cards; 
         FIG. 12  is a top view of a page sized sheet having a pair of wristbands and a plurality of self adhering labels; 
         FIG. 13  is a top view of a page sized sheet having a pair of wristbands of alternate construction and a plurality of self adhering labels; 
         FIG. 14  is a top view of a wristband/label form with the cinch slot outboard of two, full width labels contained in the tab; 
         FIG. 15  is a top view of a variation of the embodiment of  FIG. 14  except that more full width labels are contained in the tab; 
         FIG. 16  is a top view of still another variation of the embodiment of  FIG. 14  except that in addition to a full width label, several pairs of labels are arranged in perpendicular fashion in the tab; 
         FIG. 17  is a top view of yet another variation of the embodiment of  FIG. 14  except that a pair of perpendicularly arranged labels are contained in the tab 
         FIG. 18  is a top view of a page sized sheet having a wristband with outboard cinch slots, an extender and a matrix of labels; 
         FIG. 19  is a top view of a page sized sheet having a pair of wristbands with one wristband having a pair of outboard cinch slots, another wristband having a cinch slot on either side of the face stock, an extender for use with either, and a matrix of labels; 
         FIG. 20  is a top view of a page sized sheet having a pair of wristbands each having a cinch slot on either side of the face stock; 
         FIG. 21  is a top view of a wristband suited for thermal paper construction with an extender and self-adhering label with the arrangement suited for repetition in a roll format for feeding through a thermal printer; 
         FIG. 22  is a partial cut away view of the thermal wristband illustrated in  FIG. 21  which further details the release coding and adhesive layers for the wristband and extender; 
         FIG. 23  is a top view of a wristband construction particularly suited for thermal paper construction with the fold over laminate portion extending longitudinally from the imaging area to accommodate multiple wristbands being formed in a continuous roll of narrower stock; 
         FIG. 24  is a partial cut away of the wristband construction depicted in  FIG. 23  and detailing the release coding and adhesive layers therein; 
         FIG. 25  is a top view of a sheetlet containing a wristband having a face stock imaging portion and lamination layer with a sculpted shoulder at both ends of one side thereof; 
         FIG. 26  is a top view of a sheetlet having a wristband of the construction shown in  FIG. 25  along with a pair of self-adhesive labels; 
         FIG. 27  is a sheetlet having a wristband of construction similar to that shown in  FIGS. 25 and 26  along with an extender and a self-adhesive label; 
         FIG. 28  is a sheetlet having a wristband with sculpted shoulder construction, an extender, four self-adhering labels, and prepunched with holes to aid in printing; 
         FIG. 29  is a page sized form with a wristband having sculpted shoulder construction, an extender, and a matrix of self-adhering labels with the form being prepunched for printer processing; and 
         FIG. 30  is a page sized form having a first wristband of sculpted shoulder construction, an extender, a second wristband having a somewhat smaller imaging area and conventional fold over laminating construction, and a matrix of self-adhering labels with the sheet being prepunched for printer processing. 
     
    
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT 
     As shown in  FIGS. 1–3 , the first embodiment of the business form  20  of the parent invention generally includes a wristband/label assembly  22  die cut into a carrier  24  making an overall size of preferably approximately three and a half inches by seventeen inches, (3½″×17″). Generally, the business form  20  is assembled with a three web construction, with a poly laminated paper center web  26  sandwiched between a pair  28 ,  30  of thin film poly, transparent webs, and this is then dry adhered to a carrier web  31 . The poly coated paper web  26  is dry adhered to the carrier web  31  so that it may be separated therefrom along its die cut to remove the wristband/label assembly  22  from the carrier  24 . At an end of the form  20 , an adhesive  32  is applied to the single end  34  of the wristband portion  36  of the wristband/label assembly  22 . A separate patch  40 , preferably made of paper with a release coating, covers the adhesive  32 , with the webs die cut so that a portion of the patch  40  covering the adhesive  32  separates with the single wristband end  34  as it is separated from the carrier  24 . A “cinch” comprising a slot  42  is formed when the wristband/label assembly  22  is separated from the carrier  24  as a filler  44  remains adhered to the bottom web  30 . 
     The wristband/label assembly  22  of the first embodiment of the parent includes a wristband portion  36  and a tab portion  46 . The tab portion  46  preferably includes a label portion  56  having a plurality of individual labels  48 , each of which along with the body of the tab portion  46  are identified with an identifying indicia  50 , preferably a bar code. While five labels  48  are shown, it is apparent to those of skill in the art that a greater or lesser number of labels could be provided in keeping with the scope of the invention. A release layer  51  preferably underlies the labels  48  and facilitates their removal from the tab portion  46  with a layer of adhesive being carried with each label for adhering the label to any other medium, such as a chart, a tag attached to a bag of belongings such as clothes, a medicine container, etc. Preferably, the wristband portion  36  also is color coded, such as with a coloring  52  along strap portion  54  of the wristband. While any convenient color scheme as known in the art may be utilized, one such convenient scheme is to use black for deceased, red for alive and needing immediate attention for survival, yellow for alive and needing attention for recovery, and green for alive and needing attention for non-life threatening injury. Other color schemes would be apparent to those of ordinary skill, and those color schemes are within the scope of the present invention. The tab portion  46  is separated from the label portion  56  by a die cut, thereby allowing for separation of the labels from the wristband portion, should that be desired, but being retained unless intentionally detached. Each of the labels  48  is defined by a die cut, and has a layer of adhesive and an underlying release layer for easy separation of each label  48  individually from the tab portion  46 . Surrounding border members  58  may be peeled away from around the labels  48  to make it easier for them to be removed, such as when medical personnel have gloved hands or in the presence of fluids. 
     As shown in  FIG. 4 , the wristband/label assembly may be readily applied to a victim, such as around his wrist, by separating it from the carrier, looping the strap portion around the wrist and through the cinch or slot, pulling the strap portion tight as desired, removing the covering over the adhesive applied at the single end of the strap portion, and then affixing the single end to the strap portion to complete the circle or wristband. In this manner, a victim has been color coded as to medical condition, identified with an identifying indicia such as a bar code, and a set of labels have been made immediately available to mark any other items desired to be associated with the victim such as his possessions, his medical charts, medicines being administered, or any other item as desired. 
     The second embodiment of parent is shown in  FIGS. 6–8 , and is very similar to the first embodiment except that it is not supplied as part of a sheet type construction from which it must be separated prior to use, is pre-printed, has a different arrangement for indicating medical condition, etc. As shown therein, the second embodiment is completely formed and ready for use without first being separated from a carrier, as with the first embodiment. However, it also has a strap portion  72  and a tab portion  74 . While the strap portion may also be color coded, it is preferred that a plurality of separable tabs  76  be provided, along with a dummy tab  80 , for separation from the tab portion  74  so that an observer of the applied form may be assured that a conscious effort has been made to indicate medical condition. Otherwise, the dummy tab  80  is present indicating that this feature has not be used, at least as of yet. In addition to color coding, a bar code is also preferably indicated on the individual tabs  76  with each tab  76  having a matching bar code so that the victim&#39;s condition may be also scanned into the computer or data base at the same time as the patient&#39;s ID bar code. Further information may also be provided on the tabs  76 , such as definitional information to instruct a medical technician as to the specific meaning to the various categories to help ensure consistency in marking victims despite the use of multiple and even untrained personnel. This information helps to make the present form almost self teaching as one never knows the quality or training of personnel who will be available when a medical emergency occurs. As shown in  FIG. 7 , the back of the tab portion  74  may also have additional instructing information, or a place for recordal of vital signs or other medical information such as allergies to medicine or the like. Of further note, as shown in this second embodiment is not one but two cinches  78 , comprising slots. This allows the strap portion  72  to be sized more closely to varying dimensions and thus used with a wider variety of appendages. Other similar features are also included such as the bar code labels  81 , shown arranged in two columns between the cinch slots  78 . 
       FIG. 8  depicts the four layers used to form the second embodiment, as preferred. The top layer is a web  80  of a clear protective film extending across the entirety of the form, and perforated as noted to allow for the tearing off of tabs  76 ,  80 , and with holes  82  forming the cinch  78 . The second layer is comprised of a face stock  84 , preferably pre-printed with information as desired with the majority of information contained in the form. The next layer is an adhesive layer  86 , preferably a patterned layer and release coating as known in the art as shown, which allows for the removal of tabs  86  with a layer of self adhesive for applying the bar code on ancillary items, as explained in greater detail below. The bottom layer is a web  88  of a base film material which acts to protect the bottom of the face stock web  80 . As is noted in the Figures, a patch  89  similar to patch  40  of the first embodiment is shown and which is used to attach the end of strap portion  72  and complete the wristband about the victim&#39;s appendage. More particularly, two sections of silicone  90  are shown in a side view inset in  FIG. 8 , with those sections of silicone lining up with the patch  89  and the bar code labels  81  so that upon separation they carry with them the layer of adhesive making them self adhering. 
     As shown in  FIG. 5 , as the victims are processed, the parent invention also contemplates that this information may be input to a computer  100 , the bar code being read in with a bar code swiper  102  or the like for preferably both of patient ID and medical condition, and then this information may be transmitted over the internet to a server  104  for collating and display at a web site. Multiple computers  102  could be readily connected to the same server  104 , as is known in the art, and handle the input from a number of medical facilities at the same time. This permits this information to be made available almost immediately as victims are processed, through the web and at remote locations, eliminating the anxiety of family members who physically search for their relatives or loved ones. 
     While the principal advantages and features of the parent invention have been illustrated through an explanation of its preferred embodiment, there are other aspects and variations of the parent invention as would be apparent to those of skill in the art. For example, rather than bar coding, other identifying indicia could be used on the form. The form could be used in other applications other than in emergency situations in the field. Rather than color coding, other coding or indicators could be used to sort victims, or they could be sorted into other categories according to differing medical categories, or coding could be dropped from the form, as desired. Other construction could be used for the form, including especially the wristband portion, such as self laminating construction and the wristband would still be protected from damage during its single use. Other means could be used to attach the wristband rather than looping a single end around and through a slot. Another form of a cinch could be used, or a different arrangement of the cinch. Still other variations would be apparent to those of skill in the art, and the parent invention is intended to be limited solely by the scope of the claims appended hereto, and their legal equivalents. 
     The invention  100  of the second parent invention is shown in  FIG. 9  and is depicted therein as formed in a two layer, sheetlet sized construction of about 3 inches by 11 inches. The top layer  102  is preferably a face stock, such as bond or the like as would readily accept a printed image from a laser printer or other computer controlled printer, and a bottom laminate layer  104  which underlies the face stock layer  102  and is joined by a patterned adhesive layer including portions which are release coated, as will become apparent upon further reading. The invention  100  generally comprises a self laminating wristband  106  having a printable region  108  of face stock defined by a die cut  110  therein, and an integrally formed strap portion  112 , laminating portion  114 , and cinch  116  similarly formed by a die cut  118  in the laminate layer  104 . A patch of face stock  120  is also die cut into the face stock layer  102 , and covers a patch of adhesive with which the strap portion is adhered as the wristband  106  is applied to a patient, as will be explained. The length of strap portion  112  is covered by a release coating so that after it is removed from the sheetlet  100  it does not carry any adhesive with it. The laminating portion  114  has a layer of adhesive between a top portion thereof  122  and the face stock region  108  to adhere it thereto. However, a bottom portion  124  of the laminating portion  114  has a window  126  of area where no adhesive is applied so that as the laminating portion is folded over there is no layer of adhesive covering the printable region  108 . A fold or perf line  128  if formed between the laminating portion halves  122 ,  124  as an aid in forming the wristband  106  after it is separated from the sheetlet  100 . The cinch  116  generally comprises a slot  130  formed in an extension  131  and aligned generally perpendicularly to the face stock region  108  and strap portion  112  for easy insertion of the strap portion  112  therethrough. There is also provided a fold or perf line  132  along the central axis of the slot  130  through the width of the extension  131 , and adhesive covers the extension  131  so that the extension  131  may be folded over onto the strap portion  112  after it has been threaded through the slot  130  to its desired length. The extension  131  and cinch  116  are shown to be adjacent the bottom half  124  of laminating portion  114 , which results in the adhesive layer of the extension  131  facing towards the patient&#39;s wrist as the wristband is applied. Alternatively, the extension  131  and cinch  116  may be formed adjacent the top half  122  of the laminating portion  114  as shown in the inset of  FIG. 9  and with this construction the extension adhesive faces away from the patient as the wristband is applied. With this alternative arrangement, the wristband may lie flatter against the patient, as the other arrangement creates a small tab which may or may not lie flat depending on how tight the wristband is drawn. However, this is not considered significant. 
     In use, this wristband embodiment is first separated from the carrier sheetlet by pushing down on the end of the strap and/or the die cut face stock area  108 , and peeling it away, thereby separating a matrix comprising the wristband assembly. The laminating portion  114  is then folded together to enclose the printed face stock region. The wristband is next applied to the patient&#39;s wrist by wrapping the strap about the wrist, inserting it through the cinch, folding over the extension to adhere it to the strap, and then exposing the adhesive on the end of the strap and adhering it back onto itself to secure the excess strap. The caregiver can choose the tightness of the wristband by threading more or less of the strap through the slot in the cinch before adhering the strap to the extension. 
     Also shown on the sheetlet  100  is an extender  140  generally comprising a clamshell joinder portion  142  at one end of a length of laminate layer  104  and a patch of face stock  144  covering a patch of adhesive at the other end. The extender  140  may be used to extend the effective length of strap portion  112  and is applied by adhering the clamshell portion  142  anywhere along the length of strap portion  112  and using the patch of adhesive on the extender  140  to join the strap portion  112  to itself as just described. The length of extender  140  is adhesive free, as the strap portion  112 , so that no adhesive is exposed to the patient&#39;s skin. 
     As shown in  FIG. 10 , the wristband  106  and extender  140  may be included as part of a page sized sheet along with a plurality of self adhered labels  146 . As with previous inventions shown in the inventor&#39;s prior patents, it has been found to be desirable to print identifying information relating to a patient not only on a wristband but also on labels which may then be separately peeled off as needed to label items dedicated for use by the patient or to identify other medical items such as blood samples, tissue samples, etc. Thus there has found to be a need for the present invention configured as shown in  FIG. 10 . 
     As shown in  FIG. 11 , a page sized form may also be provided with a mix of wristbands  106  as well as a different embodiment of wristband  160 , which is preferably somewhat smaller in length than wristband  106 , and which has a slightly different arrangement for the cinch. As shown therein, there are two wristbands  160 , each of which has a printable face stock region  162  die cut from the face stock layer as with wristband  106 . And, a strap portion  164 , laminating portion  166  and cinch portion  168  are also die cut into the laminate layer, as with wristband  106 . However, cinch portion  168  comprises a pair of slots  170  die cut adjacent both of the top half  172  and bottom half  174  of laminating portion  166 , so that as the two halves  172 ,  174  are folded over to laminate faces stock region  162 , the slots  170  are aligned to overlie each other and create a single opening intermediate the face stock region  162  and strap portion  164 . With the cinch located in this position, several differences are noticeable. First, the wristband  160  may conveniently circumscribe a smaller circumference so that it may readily fit onto a smaller wrist, such as a baby&#39;s, as it takes the face stock region  162  and laminating portion  166  out of the loop forming the wristband. Instead, the face stock region  162  and laminating portion  166  form into a “hang tag” which essentially hangs from the strap portion  164  after the wristband  160  is applied to a patient. Note that the strap portion  164  extends from the bottom half  174  in this embodiment instead of from the top half  172  as in the first embodiment, thereby allowing the strap portion  164  to wrap around and through the cinch portion  168  and then back onto itself without passing over or obscuring the face stock region  162 . Although this wristband  160  construction is shown as being adapted for smaller wrists, it may also be used with a longer strap portion  164 , or with an extender  140 , and may be viewed as a matter of design choice. Also shown on the sheet are a pair of ID cards  176 , that are themselves self laminating, with a slot  178  for convenient attachment directly to either of the wristbands  106 ,  160 , or separately to a clip or for being carried in a user&#39;s wallet. This assemblage of wristbands and ID cards has been found to be especially useful for pediatric situations with a wristband for each parent, an ID card for each parent, and two smaller wristbands for one or two babies or children. 
       FIG. 12  depicts a sheet sized form containing two wristbands  106  along with a plurality of self adhering labels  146  which is a slightly different configuration than that shown in  FIG. 10 , but with the same inventive wristbands being used.  FIG. 13  depicts a sheet sized form similar to that shown in  FIG. 12  except that an alternative wristband  160  is used. While the inventor has found that these particular groupings of products have met with acceptance and commercial success for particular applications, other combinations of wristbands, of different construction, with or without labels or ID cards, may be found desirable as a matter of design choice. 
       FIG. 14  depicts the present invention which represents the continuing inventive efforts of the inventor herein. As shown therein, a wristband  200  has a strap portion  202  and a tab  204  which contains a cinch slot  206  and a pair of full width labels  208 . Each of the labels  208  and the adjacent area of the strap portion  202  are encoded with identifying indicia  210 , shown as preferably bar coding. An imprint area  212  is included on the strap portion  202  which may be imprinted with any desired identifier such as the company or hospital name, or other message or the like. The construction of this invention may be similar to that described above, with a multi-web arrangement as described for the embodiment of  FIG. 1 . The labels may be removed and applied to any other associated materials, depending on the use made of the wristband. In a medical setting, the labels may be used for medical charts, medicines, eating utensils, clothing bags, or any other commonly known need. In other applications, other uses may be made, such as for personal items, tickets, receipts, charge identifiers such as for a credit card charge, etc., as limited only by the imagination of the user. 
     The embodiment shown in  FIG. 14  has a generally slender strap portion  202  which may be more comfortable for a person to wear about his wrist, and the cinch slot  206  may be slightly wider than the width of the strap portion  202  to facilitate its insertion as the wristband  200  is secured. A protective patch  214  of may conveniently cover a patch  216  of adhesive at the tip of the strap portion  202  until it is desired to apply the wristband  200  to a person. After insertion through the cinch slot  206 , the patch  214  may be removed and the strap portion  202  folded over and adhered onto itself to complete the application process. The strap portion  202  may be tightened about the person by pulling on it after it has been inserted so as to achieve a tight banding of the wristband about the person&#39;s appendage. Alternately, the strap portion  202  need not be tightened, and the wristband  200  left “loose” to provide a secure but perhaps more comfortable fit. 
     Label variations of the basic arrangement shown in  FIG. 14  are depicted in  FIGS. 15–17 . These include a plurality (5) of labels  208  all arranged in the same full width orientation as shown in  FIG. 15 , a single full width label and two pairs of perpendicularly arranged labels as shown in  FIG. 16 , and a single pair of perpendicularly arranged labels as shown in  FIG. 17 . While these label arrangements are shown as anticipated to most desirably meet the needs of intended users, it would be apparent to those of skill in the art that other label arrangements could be used without departing from the scope of the invention. 
     Depicted in  FIG. 18  is an approximately page sized sheet containing a self laminating wristband  220 , an extender  222  and a plurality of self adhering labels  224 . The various webs used in constructing this sheet have been explained above. The self laminating wristband  220  includes a face ply portion  226  preferably formed in the face stock layer, a lamination layer portion  228  preferably formed in the lamination layer, a strap portion  230  also preferably formed in the lamination layer, and an attachment portion  232  preferably formed in the lamination layer. As shown in  FIG. 18 , one slot  234  is formed in an extension part  236  of the attachment portion  232 . A fold line  238  bisects the slot  234  as an aid in folding the slot  234  over to adhere the strap portion  230  as will be explained. As shown, the fold line  238  may comprise an incomplete cut at either side, through the central axis of the slot  234  and through the lamination layer. A layer of adhesive substantially surrounds slot  234  so that as it is folded over it adheres to the strap portion inserted therethrough. A second slot  240  may be formed in both of the face ply or stock portion  226  and in the underlying lamination layer. The face stock portion  226  has a tab  242  extending from the edge of the generally rectangularly shaped print or image area and up to the edge of the slot  234 . 
     In use, the sheet may be first processed through a laser printer or the like to apply information to the labels  224  and the wristband  220 , such as a patient&#39;s name, hospital admission number, or other information. The wristband may then be separated from the sheet and applied to a patient&#39;s wrist much as described above in connection with the other embodiments of the parent invention except that the strap end is inserted through slot  234  and then the tab is folded over to adhere the strap end in place. Adhesive need not be applied to the end of the strap as in other embodiments and instead the adhesive applied to the area substantially surrounding the tab slot secures the strap in place. It is noted that the face stock tab  242  shields the strap end from contacting a surface with adhesive and that unlike other embodiments there is no adhesive on the strap end which moves past the patient&#39;s wrist as the wristband is applied. This helps to ensure that the wristband doesn&#39;t become “fouled” as it is applied, making the wristband even more likely to be applied successfully to difficult or uncooperative patients. The extender  222  may be used as described with other embodiments to extend the effective length of the wristband  220 , and the extender similarly need not have adhesive applied to its end. 
       FIG. 19  depicts another arrangement of wristbands and labels similar to that of  FIG. 18  except that two wristbands are provided, of generally shorter length, and with a different slot arrangement for one of the wristbands. The wristband  260  shown near the top of the sheet is designed the same as the wristband  220  as shown in  FIG. 18 . As explained above, this wristband  260  is conveniently applied about a patient&#39;s wrist. The second wristband  262  has a cinch slot  264 ,  266  on either side of the face stock portion  268 , and the strap end  270  has a patch of adhesive  272 . In use the second wristband may be applied in several different orientations. One such orientation is for the strap end to be inserted through both slots  264 ,  266 , passing underneath the face stock portion  268 . In this orientation the face stock portion has a tendency to stay flatter after the wristband is applied and, with infants or small wrists or other tightly drawn wristbands, this flatter orientation aids in reading any bar coded information on the face stock. Another orientation is for the strap end to be inserted through the inboard cinch slot  264  so that the face stock portion  268  hangs freely from the wristband  260 . Still another orientation is for the strap end to be inserted through the outboard cinch slot  266  which is very similar to that as described above for other embodiments. In this orientation, the wristband is at maximum length with the face stock portion  268  forming part of the wristband circle, and the strap end folded back onto itself for attachment. These two wristbands form a unique combination for application to pediatric cases as the different wristband constructions allow for wristbands to be applied to both arms and legs of infants, in different orientations, all with only one sheet being consumed. 
     The sheet depicted in  FIG. 20  provides two wristbands  280  along with a plurality of self adhering labels  282 . In this embodiment the two wristbands  280  are of the same design as the wristband  262  as shown in  FIG. 19 . This arrangement is particularly adapted for use with neo-natal intensive care unit infants, as the two wristbands may both be arranged in either of two orientations, as explained above, which allows for maximum flexibility in applying two wristbands to either arms or legs of infants undergoing intensive care. In this situation, many different kinds of conditions are encountered and this flexibility allows for their successful use with consumption of a single wristband form and label set. 
     As shown in  FIG. 21 , a wristband  300  along with an extender  302  and self-adhering label  304  are formed in a two-ply panel  306 . The panel  306  may be repeated and linked end to end at either end  308 ,  310  to form a continuous roll of wristbands for printing by a typical thermal printer. The two plies of panel  306  are formed from a face stock  312  and a lamination layer  314  (see  FIG. 22 ). The wristband  300  construction is very similar to that as explained in other embodiments described above. As an overview, and referring to  FIGS. 21 and 22 , the face stock layer  312  includes an imaging area  316 , a fold over lamination portion  318 , a tail portion  320  having an adhesive patch  322  protected by a removable patch of face stock  324 , and a pair of cinch slots  326  at either end of the imaging area  316  formed in both the face stock layer  312  and lamination layer  314 . Preferably, a pattern adhesive is used to join the face stock  312  with the lamination layer  314  so that no adhesive is applied to an overlapping lamination portion  328  and the tail portion  320 . 
     In an alternate embodiment, another thermal imaging wristband construction  330  is depicted with the face stock layer  332  shown in  FIG. 23  and the lamination layer  334  shown in  FIG. 24 . Notably, the fold over lamination portion  336  is located longitudinally of the imaging area  338  instead of being laterally positioned as shown for example in the embodiment of  FIGS. 21 ,  22 . With this arrangement, a narrower profile is provided such that the panel  340  comprising face stock  332  and lamination layer  334  is much narrower than that shown in  FIGS. 21 ,  22 . Again, as with the embodiment shown in  FIGS. 21 ,  22 , the panel  340  may be arranged end to end in continuous fashion and forming a roll of blank wristbands which may then be conveniently processed through a thermal printer, as is known in the art. 
     Still another embodiment for a wristband  350  is shown as a sheetlet  352  in  FIG. 25 . Noteworthy in this wristband construction  350  is that the face stock imaging area  354  has a sculpted shoulder  356  at either end  358 ,  360  and that the lamination layer  362  also has a sculpted shoulder  364  in its two halves  366 ,  368  so that as the wristband  350  is separated from the sheetlet  352  and assembled by folding over lamination half  368  onto imaging area  354  and lamination half  366 , the profile for the wristband is maintained. 
     The sculpted shoulder  356  is shown as a curvilinear transition from a first width at each end  358 ,  360  to a portion of the imaging area  354  having a greater width. The particular curvilinear shape is a matter of design preference except to the extent that the imaging area  354  is somewhat wider in dimension than at its ends  358 ,  360 . The curvilinear shape may be chosen to be either more or less radical to suit individual users&#39; preferences and to provide the greatest amount of ease in manufacture and comfort for the wearer. It is further noted that the sculpted shoulder  356  is formed on only one side of the imaging area. This arrangement does simplify the silhouette for the die cut of the lamination layer as a deeper “V”  370  would need to be formed therein to accommodate a sculpted shoulder  356  at both sides of imaging area  354 . Thus, the arrangement shown provides an increased imaging area without increasing to any significant extent the accuracy required to form the die cut in the lamination area or to render it more difficult to separate from the sheetlet  352 . Nevertheless, it is within the scope of the present invention that a sculpted shoulder  356  may also be formed on both sides of imaging area  354 . Furthermore, while the lamination area has a corresponding sculpted shoulder to match the profile, it is within the scope of the invention to not sculpt the lamination area as a matter of preference. 
     As shown in  FIG. 26 , the wristband  350  as depicted in  FIG. 25  may also be included in sheetlet format  372  along with a pair  374  of self-adhering labels. As is mentioned above, the inventor&#39;s various embodiments for wristbands, extender construction, and self-adhering labels may all be mixed and matched interchangeably in various formats to suit various user needs, printer requirements, and as a matter of form design or preference. As shown in  FIG. 27 , wristband  350  may be provided in a sheetlet  376  along with an extender  378  and a self-adhering label  380 . As shown in  FIG. 28 , still another sheetlet  382  is depicted including a wristband  350  along with four self-adhering labels  384  and a plurality of prepunched holes  386  for track feeding or alignment of the sheetlet  382  through a printer.  FIG. 29  depicts a page sized form  388  having an upper portion  390  with a wristband  350  and extender  392  separated with a line of perforation  394  or the like from a matrix  396  of self-adhering labels. Preferably, a plurality of prepunched holes  398  are also provided for printer alignment and feeding of the forms through a printer. 
     The page sized form  400  as shown in  FIG. 30  includes a wristband  350  of a first construction and a wristband  402  of a different construction and somewhat smaller than the wristband  350 . An extender  404  is designed so that it may be used with either wristband  350 ,  402 . Wristband  402  is somewhat smaller as a matter of preference although it does allow a matrix of sixteen self-adhering labels  406  to be formed in a lower portion of the form along with a plurality of prepunched holes  408 . There are some applications where wristbands having different sizes are particularly useful, such as in a maternity ward where a baby and a parent may each be desired to be provided with wristbands for identification/security, etc. purposes. 
     The inventions have been disclosed herein in several embodiments with several alternatives to the construction of the wristband, as well as other inventive features and accessories including an extender. It will be appreciated by those of ordinary skill in the art that various alternatives not specifically mentioned are well within the scope of the these inventions. Some of these alternatives include the choice of specific materials for each layer of face stock or laminate, the particular adhesive used, and other details of construction for the page sized sheet in which the wristband is formed. The particular length or shape of the strap may be varied to adapt to the particular application, the location of the patch of adhesive at the end of the strap may be changed or eliminated, the point at which the strap extends from the laminating portion, and other arrangement details may also be considered as part of the invention. While it is considered as desirable by the inventor to not laminate the strap portion, there is no reason why it need not be laminated. Face stock shape or size may be changed, and the tab extending to the outboard slot in several of the embodiments may be separated from the face stock, or pattern adhesive used to eliminate the adhesive adjacent that edge of the slot, and yet achieve a similar effect. The preferred embodiments disclosed herein are intended to be exemplary and not limiting as to the subject matter of the invention. Other similar, or different, changes will be contemplated and those changes are to be considered as part of this invention which should be limited only by the scope of the claims as appended hereto, and their legal equivalents.