Abstract:
An easily removable, non-irritating stretchable sleeve or chest wrap for protecting and securing a PICC line or chest catheter tubing and cap extending externally from the insertion point. The sleeve or chest wrap is easily attached to a patient&#39;s arm or body, securing the small length of the external PICC line or the central venous catheter, protecting the tubing and cap from external contaminants, and allowing easy access to the PICC line or the central venous catheter for administration of drugs or nutrients, and access for blood draws. This sleeve allows the patient freedom of movement and is comfortable enough to prevent skin irritation over long-term usage.

Description:
CROSS REFERENCE TO RELATED APPLICATION 
       [0001]    This application claims the benefit of U.S. Provisional Patent Application No. 61/506,148 filed on Jul. 10, 2011, the contents of which are incorporated herein by reference. 
     
    
     FIELD OF THE INVENTION 
       [0002]    This invention relates to easily removable, non-irritating stretchable sleeve or chest wrap for protecting and securing a PICC line or chest catheter tubing and cap extending externally from the insertion point. 
       BACKGROUND OF INVENTION 
       [0003]    Intravenous or IV therapy involves administration of liquids directly into a patient&#39;s veins through an inserted catheter. Long-term, continuous IV therapy (for administrating chemotherapy regimens, frequent drawing of blood samples, antibiotic regimens, or tube feeding [parenteral nutrition]) is usually accomplished with a peripherally inserted central catheter line (or PICC line), or through a more central location with a central venous catheter or a Broviac catheter. 
         [0004]    A PICC line is a soft, flexible tube, with one or more internal lumens. The PICC line is surgically inserted into a peripheral vein, often the arm, in a sterile procedure that must be undertaken by a trained medical professional. During insertion, the PICC line is drawn upward with an inserted guide wire until the tube is in, or proximate to, the superior vena cava of the heart. PICC lines are usually inserted 25 to 60 cm within a patient&#39;s peripheral vein. 
         [0005]    A central venous catheter is a soft, flexible tube, with one or more internal lumens that has a larger diameter than a PICC line. A Broviac catheter is a central venous catheter with a smaller lumen for use with small children. The central venous catheter is placed directly into a large vein in the neck, chest, or groin. 
         [0006]    PICC lines can remain in situ for extended periods of time, from days to a year. PICC lines and central venous catheters are more patient-friendly, because they necessitate only one tube insertion, rather than repeated ones. 
         [0007]    Once the PICC line or the central venous catheter is inserted, the guide wire is removed and a small length of the PICC line or the central venous catheter remains external to the patient, extending outwards from the point of insertion. The external end of the PICC line or the central venous catheter is capped to prevent bacteria, viruses or contaminants from entering. 
         [0008]    This small length of the PICC line or the central venous catheter often dangles, unsupported, near the point of insertion. There is a constant danger of pulling or otherwise interfering with the PICC line or the central venous catheter during normal daily activities or during sleep. Tape is generally used to secure the tubes while not in use. These tapes can lead to pain, inflammation, infections, and reduced drug efficacy. The problem in movement is especially pronounced in young children undergoing long-term therapy with a PICC line or a central venous catheter. 
         [0009]    Thus, this small length of the PICC line or the central venous catheter, and the end cap, must be attached to the patient to prevent movement or dislodgment of the internal tubing. This movement or dislodgment may prevent the administered liquids from reaching the desired veins, or cause significant inflammation to the insertion point, air embolisms, arterial punctures, internal bruising, and blood clots. 
         [0010]    The PICC line or the central venous catheter external attachment must also protect the tubing from being pierced or otherwise punctured due to movement. A pierced or punctured PICC line or central venous catheter, would not only prevent administered liquids from reaching the desired veins, it may also allow bacteria or contaminants to enter, causing internal infections in the patient. 
         [0011]    Previous solutions to prevent movement of the PICC line or the central venous catheter have included taping the external small length of the lines with various medical tapes. These tapes often leave adhesive residues that are irritating to the skin. These irritations can often lead patients to inadvertently scratch the insertion points, thereby moving the small length of the external PICC line or the central venous catheter. Some newer medical tapes reduce or virtually eliminate adhesive residue, but these tapes are not as strong and still irritate the skin surrounding the insertion point. Furthermore, this medical tape must often be partially removed to access the PICC line or the central venous catheter and then re-taped once the IV therapy is complete. This removal of the tape and re-taping to the skin can result in significant irritation. Moreover, when the end of the PICC line or the central venous catheter is taped visibly from the outside of the patient&#39;s clothing, it presents an unsightly and disturbing appearance that can produce mental distress. 
         [0012]    Accordingly, there is a need for a protective sleeve to protect the PICC line or the central venous catheter insertion points. This sleeve needs to be easily attached to a patient&#39;s arm or body, secure the small length of the external PICC line or the central venous catheter, protect the tubing and cap from external contaminants, and allow easy access to the PICC line or the central venous catheter for administration of drugs or nutrients, and access for blood draws. This sleeve must also allow the patient freedom of movement and be comfortable enough to prevent skin irritation over long-term usage. 
       SUMMARY OF THE INVENTION 
       [0013]    There are additional features of the invention that will be described hereinafter and which will form the subject matter of the claims appended hereto. In this respect, before explaining at least one embodiment of the invention in detail, it is to be understood that the invention is not limited in its application to the details of construction and to the arrangements of the components set forth in the following description or illustrated in the drawings. The invention is capable of other embodiments and of being practiced and carried out in various ways. Also, it is to be understood that the phraseology and terminology employed herein are for the purpose of the description and should not be regarded as limiting. 
         [0014]    The subject invention discloses a protective sleeve for an intravenous needle inserted into a vein in a patient&#39;s arm, wherein the short length of tube extends from the intravenous needle and comprises a cap on a distal end, the protective sleeve comprising: a stretchable tubular member having a first end with a first opening, a second end with a second opening, a substantially flat internal surface, a substantially flat external surface, a lumen substantially parallel with the longitudinal axis, wherein the patient&#39;s arm is slidably placed within the sleeve through the first opening through the lumen and then through the second opening such that a portion of the arm is contained within the sleeve and extends through both openings, further wherein the sleeve is positioned on the arm over the insertion point of the intravenous needle; the sleeve further comprising a slit opening between the internal and external surfaces that is positioned proximate to the intravenous needle insertion point, wherein the tube extending from the intravenous needle is placed through the slit opening; the sleeve comprising a substantially flat strap disposed on the external surface, distal from the slit opening, wherein the strap comprises a first end and a second end that are both attached to the external surface of the sleeve, further wherein a central portion of the strap is unattached to the external surface of the sleeve, further wherein the tube extending from the intravenous needle is placed through the strap; and the sleeve further comprising a substantially flat pocket disposed on external surface, distal from the strap, wherein the pocket comprises a pocket opening, further wherein the distal end of the tube extending from the intravenous needle is placed into the pocket through the pocket opening; wherein the slit opening, the strap and the pocket secure the tube extending from the intravenous needle to the sleeve and the patient&#39;s arm. 
         [0015]    The subject invention also discloses a protective sleeve for a short length capped IV catheter tube extending from an insertion point in a patient&#39;s arm, the protective sleeve comprising: a stretchable cylindrical housing having a proximal end, a distal end, a substantially flat internal surface, a substantially flat external surface, an internal cavity passing through the proximal end to define a proximal opening, and further passing through the distal end to define a distal opening, wherein the patient&#39;s arm is slidably placed within the sleeve through the distal opening through the cavity and then through the proximal opening such that a portion of the arm is contained within the sleeve and extends through both openings, further wherein the sleeve is positioned on the arm over the insertion point; the sleeve further comprising a narrow opening between the internal and external surfaces that is positioned proximate to the insertion point, wherein the IV catheter tube is placed through the narrow opening; the sleeve comprising a substantially flat strap disposed on the external surface, distal from the narrow opening, wherein the strap comprises a first end and a second end that are both attached to the external surface of the sleeve, further wherein a central portion of the strap is unattached to the external surface of the sleeve, further wherein the IV catheter tube is placed through the strap; and the sleeve further comprising a substantially flat pocket disposed on external surface, distal from the strap, wherein the pocket comprises a pocket opening, further wherein the distal end of the IV catheter tube is placed into the pocket through the pocket opening; wherein the narrow opening, the strap and the pocket prevent the IV catheter tube from contacting the patient&#39;s skin. 
         [0016]    The subject invention further discloses a protective sleeve for an external small length of an inserted PICC line, the protective sleeve comprising: a stretchable tubular member having a first end with a first opening, a second end with a second opening, a substantially flat internal surface, a substantially flat external surface, a lumen substantially parallel with the longitudinal axis, wherein the patient&#39;s arm is slidably placed within the sleeve through the first opening through the lumen and then through the second opening such that a portion of the arm is contained within the sleeve and extends through both openings, further wherein the sleeve is positioned on the arm over the insertion point of the PICC line; the sleeve further comprising a slit opening between the internal and external surfaces that is positioned proximate to the intravenous needle insertion point, wherein the external small length of the PICC line is placed through the slit opening; the sleeve comprising a substantially flat strap disposed on the external surface, distal from the slit opening, wherein the strap comprises a first end and a second end that are both attached to the external surface of the sleeve, further wherein a central portion of the strap is unattached to the external surface of the sleeve, wherein the external small length of the PICC line is placed through the strap; and the sleeve further comprising a substantially flat pocket disposed on external surface, distal from the strap, wherein the pocket comprises a pocket opening, further wherein the distal end of the external small length of the PICC line is placed into the pocket through the pocket opening; wherein the slit opening, the strap and the pocket secure the external small length of the PICC line to the sleeve and the patient&#39;s arm. 
         [0017]    The subject invention discloses a protective sleeve for an external small length of a PICC line extending from an insertion point in a patient&#39;s arm, the protective sleeve comprising: a stretchable tubular housing having a proximal end, a distal end, a substantially flat internal surface, a substantially flat external surface, an internal cavity passing through the proximal end to define a proximal opening, and further passing through the distal end to define a distal opening, wherein the patient&#39;s arm is slidably placed within the sleeve through the distal opening through the cavity and then through the proximal opening such that a portion of the arm is contained within the sleeve and extends through both openings, further wherein the sleeve is positioned on the arm over the insertion point; the sleeve further comprising a narrow opening between the internal and external surfaces that is positioned proximate to the insertion point, wherein the external small length of the PICC line is placed through the narrow opening; the sleeve comprising a substantially flat strap disposed on the external surface, distal from the narrow opening, wherein the strap comprises a first end and a second end that are both attached to the external surface of the sleeve, further wherein a central portion of the strap is unattached to the external surface of the sleeve, wherein the external small length of the PICC line is placed through the strap; and the sleeve further comprising a substantially flat pocket disposed on external surface, distal from the strap, wherein the pocket comprises a pocket opening, further wherein the distal end of the external small length of the PICC line is placed into the pocket through the pocket opening; wherein the narrow opening, the strap and the pocket prevent the external small length of the PICC line from contacting the patient&#39;s skin. 
         [0018]    The subject invention also discloses a protective sleeve for an external small length of an inserted PICC line, the protective sleeve comprising: a stretchable cylindrical housing having a first end with a first opening, a second end with a second opening, a substantially flat internal surface, a substantially flat external surface, a lumen substantially parallel with the longitudinal axis, wherein the patient&#39;s arm is slidably placed within the sleeve through the first opening through the lumen and then through the second opening such that a portion of the arm is contained within the sleeve and extends through both openings, further wherein the sleeve is positioned on the arm over the insertion point of the PICC line; the sleeve further comprising a slit opening between the internal and external surfaces that is positioned proximate to the intravenous needle insertion point, wherein the slit opening is configured to removably hold the external small length of the PICC line, further wherein the external small length of the PICC line is placed through the slit opening; the sleeve comprising a substantially flat strap disposed on the external surface, distal from the slit opening, wherein the strap comprises a first end and a second end that are both attached to the external surface of the sleeve, further wherein a central portion of the strap is unattached to the external surface of the sleeve, wherein the strap is configured to removably hold the external small length of the PICC line, further wherein the external small length of the PICC line is placed through the strap; and the sleeve further comprising a substantially flat pocket disposed on external surface, distal from the strap, wherein the pocket comprises a pocket opening, wherein the pocket is configured to removably hold the external small length of the PICC line, further wherein the distal end of the external small length of the PICC line is placed into the pocket through the pocket opening; wherein the slit opening, the strap and the pocket immobilize the external small length of the PICC line to the sleeve and the patient&#39;s arm. 
         [0019]    The subject invention discloses a method of protecting a short length IV catheter tube in a patient&#39;s arm, comprising the steps of: inserting the catheter into a patient&#39;s vein near an elbow, the catheter attached to the short length IV catheter tube; covering the insertion site with a bandage; sliding a sleeve over the patient&#39;s arm, wherein the sleeve comprises a stretchable tubular member having a proximal end, a distal end, a substantially flat internal surface, a substantially flat external surface, an internal cavity passing through the proximal end to define a proximal opening, and further passing through the distal end to define a distal opening, wherein the patient&#39;s arm is slidably placed within the sleeve through the distal opening through the cavity and then through the proximal opening such that a portion of the arm is contained within the sleeve and extends through both openings; positioning the sleeve on the patient&#39;s arm over the insertion point; placing the short length IV catheter tube through a narrow opening on the sleeve between the internal and external surfaces; placing the short length IV catheter tube through a substantially flat strap disposed on the external surface of the sleeve, distal from the narrow opening, wherein the strap comprises a first end and a second end that are both attached to the external surface of the sleeve, further wherein a central portion of the strap is unattached to the external surface of the sleeve; placing the distal end of the short length IV catheter tube into a substantially flat pocket disposed on external surface of the sleeve, distal from the strap, wherein the narrow opening, the strap and the pocket prevent the IV catheter tube from contacting the patient&#39;s skin; and removing the distal end of the short length IV catheter tube whenever necessary for administration of medication or nutrients into the tube. 
         [0020]    The subject invention further discloses a method of protecting an external small length of an inserted PICC line, comprising the steps of: inserting the PICC line into a patient&#39;s vein near an elbow; covering the insertion site with a bandage; sliding a sleeve over the patient&#39;s arm, wherein the sleeve comprises a stretchable cylindrical housing having a first end with a first opening, a second end with a second opening, a substantially flat internal surface, a substantially flat external surface, a lumen substantially parallel with the longitudinal axis, wherein the patient&#39;s arm is slidably placed within the sleeve through the first opening through the lumen and then through the second opening such that a portion of the arm is contained within the sleeve and extends through both openings; positioning the sleeve on the patient&#39;s arm over the insertion point; placing the PICC line through a slit opening on the sleeve between the internal and external surfaces; placing the PICC line through a substantially flat strap disposed on the external surface of the sleeve, distal from the slit opening, wherein the strap comprises a first end and a second end that are both attached to the external surface of the sleeve, further wherein a central portion of the strap is unattached to the external surface of the sleeve; placing the distal end of the PICC line into a substantially flat pocket disposed on external surface of the sleeve, distal from the strap, wherein the slit opening, the strap and the pocket secure the external small length of the PICC line to the sleeve and the patient&#39;s arm; and removing the distal end of the PICC line whenever necessary for administration of medication or nutrients. 
         [0021]    The subject invention also discloses a method of protecting an external small length of an inserted PICC line, comprising the steps of: inserting the PICC line into a patient&#39;s vein near an elbow; covering the insertion site with a bandage; sliding a sleeve over the patient&#39;s arm, wherein the sleeve comprises a stretchable tubular housing having a proximal end, a distal end, a substantially flat internal surface, a substantially flat external surface, an internal cavity passing through the proximal end to define a proximal opening, and further passing through the distal end to define a distal opening, wherein the patient&#39;s arm is slidably placed within the sleeve through the distal opening through the cavity and then through the proximal opening such that a portion of the arm is contained within the sleeve and extends through both openings; positioning the sleeve on the patient&#39;s arm over the insertion point; placing the PICC line through a narrow opening on the sleeve between the internal and external surfaces; placing the PICC line through a substantially flat strap disposed on the external surface of the sleeve, distal from the slit opening, wherein the strap comprises a first end and a second end that are both attached to the external surface of the sleeve, further wherein a central portion of the strap is unattached to the external surface of the sleeve; placing the distal end of the PICC line into a substantially flat pocket disposed on external surface of the sleeve, distal from the strap, wherein the narrow opening, the strap and the pocket prevent the external small length of the PICC line from contacting the patient&#39;s skin; and removing the distal end of the PICC line whenever necessary for administration of medication or nutrients. 
         [0022]    In embodiments of the subject invention, the protective sleeve may apply inward compression force that is substantially applied over the internal surface of the sleeve to the patient&#39;s arm without inhibiting circulation of the patient&#39;s arm. In further embodiments of the subject invention, the protective sleeve may apply inward compression force to the patient&#39;s arm such that the compression force maintains that sleeve on the patient&#39;s arm and secures either the short length of tube extends from the intravenous needle, the IV catheter tube, or external small length of the PICC line without any additional fasteners. In other embodiments of the subject invention, the protective sleeve does not contain a fastener selected from the group consisting of hook and loop fasteners, buttons, clamps, brackets, buckles, magnets, snaps, tie straps, tape layers, or adhesives. 
         [0023]    In further embodiments of the subject invention, the protective sleeve may apply inward compression force that is substantially applied over the internal surface of the sleeve to the patient&#39;s arm without inhibiting circulation of the patient&#39;s arm. In even further embodiments of the subject invention, the protective sleeve may apply inward compression force to the patient&#39;s arm such that the compression force maintains that sleeve on the patient&#39;s arm and secures either the short length of tube extends from the intravenous needle, the IV catheter tube, or external small length of the PICC line without any additional fasteners. In other embodiments of the subject invention, the protective sleeve does not contain a fastener selected from the group consisting of hook and loop fasteners, buttons, clamps, brackets, buckles, magnets, snaps, tie straps, tape layers, or adhesives. 
         [0024]    In additional embodiments of the subject invention, the slit opening, the strap and the external pocket all comprise a stretchability that applies sufficient compression force for holding and securing either the external small length of the PICC line and the distal end cap, the capped IV catheter tube, or the short length of tube extending from the intravenous needle, such that this compression force does not substantially affect circulation in the patient&#39;s arm, and keeps these tubes in place during treatment, during sleep, and during normal activities. 
         [0025]    In embodiments of the subject invention, the protective sleeve may be a continuous tubular member or cylindrical housing that must be slid or rolled onto the patient&#39;s arm. In further embodiments of the subject invention, the substantially flat member or the substantially flat member of the sleeve may comprise a unitary piece. 
         [0026]    In additional embodiments of the subject invention, the protective sleeve may have a substantially equal diameter from the first end to the second end. In further embodiments of the subject invention, the protective sleeve may have a substantially equal diameter from the proximal end to the distal end. 
         [0027]    In other embodiments of the subject invention, the protective sleeve may have a tapering diameter from the first end to the second end. In further embodiments of the subject invention, the protective sleeve may have a tapering diameter from the proximal end to the distal end. 
         [0028]    In additional embodiments of the subject invention, the cross-sectional shape of the sleeve may be selected from the group consisting of substantially circular or substantially elliptical. 
         [0029]    In embodiments of the subject invention, the sleeve may be worn on either arm. 
         [0030]    In further embodiments of the subject invention, the sleeve may further comprise a flexible substantially transparent or semi-transparent window that traverses the external and internal surfaces of the sleeve. In these embodiments, the sleeve should be positioned on the patient&#39;s arm such that the flexible substantially transparent or semi-transparent window is over the PICC line or intravenous needle insertion point. In another embodiment of the subject invention, this substantially transparent window may be a mesh material. 
         [0031]    In embodiments of the subject invention, the slit opening, the strap and the external pocket may all be substantially parallel with each other. 
         [0032]    In further embodiments of the subject invention, the protective sleeve, the strap and the external pocket may all be composed of a slightly flexible and lightweight fabric that stretches over a patient&#39;s arm and is non-irritating to the skin. In these embodiments of the subject invention, this fabric may be selected from the group consisting of natural fibers, such as cottons, wools, silks, twills, cloths and bamboo; man-made fibers such as polyesters, nylons, tencels, viscose; or any combination of natural or man-made fibers and weaves. 
         [0033]    The subject invention discloses a chest wrap for a central venous catheter inserted into a vein in a patient&#39;s chest, wherein the short length of tube extends from the central venous catheter and comprises a cap on a distal end, the chest wrap comprising: a stretchable substantially flat having a first end with a first fastener, a second end with a second fastener, a substantially flat internal surface, a substantially flat external surface, an internal lumen between the internal surface and the external surface, wherein the chest wrap is wrapped around a patient&#39;s chest and the first fastener is attached to the second fastener to form a loop such that a portion of the chest is contained within the looped chest wrap, further wherein the chest wrap is positioned on the chest over the insertion point of the central venous catheter; the chest wrap further comprising a first slit opening between the internal surface and the internal lumen that is positioned proximate to the central venous catheter insertion point, wherein the tube extending from the central venous catheter is placed through the first slit opening into the internal lumen, further wherein the tube extending from the central venous catheter is wrapped around the chest of the patient; the chest wrap further comprising a second slit opening between the internal lumen and the external surface, wherein the tube extending from the central venous catheter is placed through the second slit opening onto the external surface; the chest wrap further comprising a third slit opening between the external surface and the internal lumen, wherein the tube extending from the central venous catheter is placed through the third slit opening into the internal lumen; the chest wrap further comprising a substantially flat strap disposed on the external surface, wherein the strap comprises a first end and a second end that are both attached to the external surface of the chest wrap, further wherein a central portion of the strap is unattached to the external surface of the chest wrap, further wherein the tube extending from the central venous catheter is placed through the strap within the internal lumen; wherein the first, second and third slit openings, and the strap secure the tube extending from the central venous catheter to the chest wrap and the patient&#39;s chest. 
         [0034]    The subject invention also discloses a chest wrap for a Broviac catheter inserted into a vein in a patient&#39;s chest, wherein the short length of tube extends from the Broviac catheter and comprises a cap on a distal end, the chest wrap comprising: a stretchable substantially flat having a first end with a first fastener, a second end with a second fastener, a substantially flat internal surface, a substantially flat external surface, an internal lumen between the internal surface and the external surface, wherein the chest wrap is wrapped around a patient&#39;s chest and the first fastener is attached to the second fastener to form a loop such that a portion of the chest is contained within the looped chest wrap, further wherein the chest wrap is positioned on the chest over the insertion point of the Broviac catheter; the chest wrap further comprising a first slit opening between the internal surface and the internal lumen that is positioned proximate to the Broviac catheter insertion point, wherein the tube extending from the Broviac catheter is placed through the first slit opening into the internal lumen, further wherein the tube extending from the Broviac catheter is wrapped around the chest of the patient; the chest wrap further comprising a second slit opening between the internal lumen and the external surface, wherein the tube extending from the Broviac catheter is placed through the second slit opening onto the external surface; the chest wrap further comprising a third slit opening between the external surface and the internal lumen, wherein the tube extending from the Broviac catheter is placed through the third slit opening into the internal lumen; the chest wrap further comprising a substantially flat strap disposed on the external surface, wherein the strap comprises a first end and a second end that are both attached to the external surface of the chest wrap, further wherein a central portion of the strap is unattached to the external surface of the chest wrap, further wherein the tube extending from the Broviac catheter is placed through the strap within the internal lumen; wherein the first, second and third slit openings, and the strap secure the tube extending from the Broviac catheter to the chest wrap and the patient&#39;s chest. 
         [0035]    The subject invention further discloses a method of protecting a central venous catheter in a patient&#39;s chest, comprising the steps of: inserting the catheter into a patient&#39;s vein in the chest, the catheter attached to a short length tube; covering the insertion site with a bandage; wrapping a chest wrap over the patient&#39;s chest, wherein the chest wrap comprises a stretchable substantially flat member having a first end with a first fastener, a second end with a second fastener, a substantially flat internal surface, a substantially flat external surface, an internal lumen between the internal surface and the external surface, wherein the chest wrap is wrapped around a patient&#39;s chest and the first fastener is attached to the second fastener to form a loop such that a portion of the chest is contained within the looped chest wrap; positioning the chest wrap on the patient&#39;s chest over the insertion point; placing the tube extending from the central venous catheter through a first slit opening between the internal surface and the internal lumen; wrapping the tube extending from the central venous catheter around the chest of the patient; placing the tube extending from the central venous catheter through a second slit opening between the internal lumen and the external surface; placing the tube extending from the central venous catheter through a third slit opening between the external surface and the internal lumen; placing the distal end of the tube extending from the central venous catheter through a substantially flat strap disposed on the external surface, wherein the strap comprises a first end and a second end that are both attached to the external surface of the chest wrap, further wherein a central portion of the strap is unattached to the external surface of the chest wrap, further wherein the tube extending from the central venous catheter is placed through the strap within the internal lumen, wherein the first, second, third slit openings, and the strap secure the tube extending from the central venous catheter to the chest wrap and the patient&#39;s chest; and removing the distal end of the tube extending from the central venous catheter whenever necessary for administration of medication or nutrients into the tube. 
         [0036]    The subject invention further discloses a method of protecting a Broviac catheter in a patient&#39;s chest, comprising the steps of: inserting the catheter into a patient&#39;s vein in the chest, the catheter attached to a short length tube; covering the insertion site with a bandage; wrapping a chest wrap over the patient&#39;s chest, wherein the chest wrap comprises a stretchable substantially flat member having a first end with a first fastener, a second end with a second fastener, a substantially flat internal surface, a substantially flat external surface, an internal lumen between the internal surface and the external surface, wherein the chest wrap is wrapped around a patient&#39;s chest and the first fastener is attached to the second fastener to form a loop such that a portion of the chest is contained within the looped chest wrap; positioning the chest wrap on the patient&#39;s chest over the insertion point; placing the tube extending from the Broviac catheter through a first slit opening between the internal surface and the internal lumen; wrapping the tube extending from the Broviac catheter around the chest of the patient; placing the tube extending from the Broviac catheter through a second slit opening between the internal lumen and the external surface; placing the tube extending from the Broviac catheter through a third slit opening between the external surface and the internal lumen; placing the distal end of the tube extending from the Broviac catheter through a substantially flat strap disposed on the external surface, wherein the strap comprises a first end and a second end that are both attached to the external surface of the chest wrap, further wherein a central portion of the strap is unattached to the external surface of the chest wrap, further wherein the tube extending from the Broviac catheter is placed through the strap within the internal lumen, wherein the first, second, third slit openings, and the strap secure the tube extending from the Broviac catheter to the chest wrap and the patient&#39;s chest; and removing the distal end of the tube extending from the Broviac catheter whenever necessary for administration of medication or nutrients into the tube. 
         [0037]    In embodiments of the subject invention, the chest wrap may apply inward compression force that is substantially applied over the internal surface of the chest wrap to the patient&#39;s chest without inhibiting circulation of the patient&#39;s chest. In further embodiments of the subject invention, the chest wrap may apply inward compression force to the patient&#39;s chest such that the compression force maintains that chest wrap on the patient&#39;s chest and secures either the central venous catheter or the Broviac catheter without any additional fasteners. In other embodiments of the subject invention, the first and second fasteners may be selected from the group consisting of hook and loop fasteners, buttons, clamps, brackets, buckles, magnets, snaps, tie straps, tape layers, or adhesives. 
         [0038]    In further embodiments of the subject invention, the substantially flat member of the chest wrap may comprise a unitary piece. 
         [0039]    In additional embodiments of the subject invention, the chest wrap may have a substantially equal width from the first end to the second end. In other embodiments of the subject invention, the chest wrap may have a tapering width from the first end to the second end. 
         [0040]    In other embodiments of the subject invention, the chest wrap may further comprise a flexible substantially transparent or semi-transparent window that traverses the external and internal surfaces of the chest wrap. In these embodiments, the chest wrap should be positioned on the patient&#39;s chest such that the flexible substantially transparent or semi-transparent window is over the Broviac catheter or central venous catheter insertion point. In another embodiment of the subject invention, this substantially transparent window may be a mesh material. 
         [0041]    In even further embodiments of the subject invention, the chest wrap and the strap may all be composed of a slightly flexible and lightweight fabric that stretches over a patient&#39;s chest and is non-irritating to the skin. In these embodiments of the subject invention, this fabric may be selected from the group consisting of natural fibers, such as cottons, wools, silks, twills, cloths and bamboo; man-made fibers such as polyesters, nylons, tencels, viscose; or any combination of natural or man-made fibers and weaves. 
         [0042]    There has thus been outlined, rather broadly, the more important features of the invention in order that the detailed description thereof that follows may be better understood, and in order that the present contribution to the art may be better appreciated. There are additional features of the invention that will be described hereinafter and which will form the subject matter of the claims appended hereto. These together with other objects of the invention, along with the various features of novelty, which characterize the invention, are pointed out with particularity in the claims annexed to and forming a part of this disclosure. 
     
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         [0043]    Advantages of the present invention will be apparent from the following detailed description of embodiments thereof, which description should be considered in conjunction with the accompanying drawings, in which: 
           [0044]      FIG. 1  illustrates a perspective view of the stretchable sleeve placed over a patient&#39;s arm with a single tube lumen secured by the sleeve. 
           [0045]      FIG. 2  illustrates a perspective view of the stretchable sleeve placed over a patient&#39;s arm with a double tube lumen secured by the sleeve. 
           [0046]      FIG. 3  illustrates a top view of the unattached stretchable sleeve. 
           [0047]      FIG. 4  illustrates a bottom view of the unattached stretchable sleeve. 
           [0048]      FIG. 5  illustrates a top view of the internal surface of the chest wrap in the unrolled position. 
           [0049]      FIG. 6  illustrates a top view of the external surface of the chest wrap in the unrolled position. 
           [0050]      FIG. 7  illustrates a back perspective view of the chest wrap in the rolled position around the chest of a patient and securing a single tube lumen. 
           [0051]      FIG. 8  illustrates a front perspective view of the chest wrap in the rolled position around the chest of a patient and securing a single tube lumen. 
           [0052]      FIG. 9  illustrates a back perspective view of the chest wrap in the rolled position around the chest of a patient and securing a double tube lumen. 
           [0053]      FIG. 10  illustrates a front perspective view of the chest wrap in the rolled position around the chest of a patient and securing a double tube lumen. 
           [0054]      FIG. 11  illustrates a side perspective view of the chest wrap in the rolled position and securing a single tube lumen. 
       
    
    
     DETAILED DESCRIPTION OF THE EMBODIMENTS 
       [0055]    While several variations of the present invention have been illustrated by way of example in particular embodiments, it is apparent that further embodiments could be developed within the spirit and scope of the present invention, or the inventive concept thereof. However, it is to be expressly understood that such modifications and adaptations are within the spirit and scope of the present invention, and are inclusive, but not limited to the following appended claims as set forth. 
         [0056]      FIGS. 1-4  illustrate a stretchable arm sleeve  1  of the subject invention. The sleeve  1  is a continuous tubular, or cylindrical, structure with a longitudinal axis, a proximal end  2 , a distal end  3 , a substantially flat external surface  4  and a substantially flat internal surface  5 . The external  4  and internal surfaces  5  of the sleeve  1  are substantially smooth and clean, other than the additional components described herein. These substantially smooth surfaces reduce any protrusions that may catch, snag, pull, or push any portion of the external short length of the PICC line  6  and its end cap  7  that are to be secured by the sleeve  1 . 
         [0057]    The sleeve  1  contains a lumen  8 , or internal cavity that is substantially parallel with the longitudinal axis. The lumen  8  passes through the proximal end  2  to define a proximal opening  9  that is substantially perpendicular to the longitudinal axis, and further passes through the distal end  3  to define a distal opening  10  that is substantially perpendicular to the longitudinal axis. The proximal opening  9 , the distal opening  10 , and the lumen  8  are all configured for receiving and holding a patient&#39;s arm  11 . In use, a patient places his or her arm  11  through the proximal opening  9 , through the lumen  8  and out through the distal opening  10  to place the sleeve  1  over the PICC line insertion point  12  on the arm  11 . 
         [0058]    In one embodiment of the subject invention, the sleeve  1  may have a substantially equal diameter from the proximal end  2  to the distal end  3 . In another embodiment of the subject invention, the sleeve  1  may have slightly taped diameter from the proximal end  2  to the distal end  3 . This slightly tapered diameter embodiment may be used to accommodate an elbow or forearm that has a larger diameter than a wrist on the same arm. 
         [0059]    In embodiments of the subject invention, the cross-sectional shape of the sleeve  1  may be substantially circular or substantially elliptical. 
         [0060]    The sleeve  1  comprises is stretchable so as to allow the sleeve  1  to be easily slipped on and off a patient&#39;s arm  11 . This stretchability should apply sufficient inward compression force such that the sleeve  1  should substantially conform to the anatomy of a patient&#39;s arm  11 , such that compression force of the sleeve  1  does not substantially affect circulation in the limb, remains in place during treatment, remains in place while the patient sleeps, and remains in place if the patient moves or engages in normal activities. This compression force should be inward compression that is substantially equal over the internal surface  5  of the sleeve  1 . The sleeve  1  comprises a stretchability that allows it to remain in place on the patient&#39;s arm and secure the PICC line  6  in place without any additional fasteners, such as hook and loop fasteners, buttons, clamps, brackets, buckles, magnets, snaps, tie straps, tape layers, or adhesives. 
         [0061]    This sleeve  1  must also allow the patient freedom of movement in the covered arm  11 . The sleeve  1  is designed for use with all ages and sizes and can be worn on either arm  11 . 
         [0062]      FIGS. 1 and 2  show the insertion of a peripherally inserted central catheter (PICC line) into the arm of a patient at the site  12  of an internal vein. The PICC line  6  uses a plastic tube with one or more internal lumens as a means of administering liquid medications or nutrients to the patient. These PICC lines  6  allow intravenous therapies to continue for prolonged period of times. 
         [0063]    Once the PICC line is inserted, a small length of the PICC line  6  remains external to the patient, extending outwards from the point of insertion  12 . The external end of the PICC line  6  is capped  7  to prevent bacteria, viruses or contaminants from entering the PICC line. As shown in  FIG. 1 , the small length of PICC line  6  may be one tube  13  for a single internal lumen. As shown in  FIG. 2 , the small length of PICC line may include two tubes  14  for a double internal lumen. 
         [0064]    The end of the small length of the PICC line  6  contains a cap  7 . This cap  7  must be periodically replaced, typically weekly, to reduce the risk of contamination. Replacing the cap  7  must also be a sterile procedure that is conducted with washed hands, sterile gloves, sterile clothing, and alcohol swaps in a sterile environment. 
         [0065]    The insertion point  12  of the PICC line  6  may be covered with a traditional removable bandage  15 . In this embodiment, this removable bandage  15  should only cover a very small portion of the external small length of the PICC line  6  that is proximate to the insertion point  12 . 
         [0066]    In one embodiment of the subject invention, the sleeve  1  may comprise a flexible substantially transparent or semi-transparent window (not shown) that traverses the external  4  and internal surfaces  5  of the sleeve  1 . The sleeve  1  should be aligned over the patient&#39;s arm  11  such that the flexible substantially transparent or semi-transparent window is over the PICC line insertion point  12 . In another embodiment of the subject invention, this substantially transparent window may be composed of a mesh or mesh-like material. 
         [0067]    The sleeve  1  is designed to cover and protect both the arm  11  and external short length of the PICC line  6 . The sleeve covers the PICC line insertion area  12  and protects it from clothing, rubbing, and other external influences. 
         [0068]    The sleeve  1  comprises a slit opening  16  proximate to the PICC line insertion point  12 . This slit opening  16  passes through the internal surface  5  to define an internal opening  17  that may be substantially perpendicular to the longitudinal axis and further passes through the external surface  4  to define an external opening  18  that may be substantially perpendicular to the longitudinal axis. The slit opening  16 , the internal opening  17 , and the external opening  18  are all configured for receiving and removably holding the external small length of the PICC line  6 . In use, a patient moves the external small length of the PICC line  6  and the distal end cap  7  through the slit opening  16  onto the exterior surface  4  of the sleeve  1 . 
         [0069]    The sleeve  1  further comprises a substantially flat strap  19  on the external surface  4 , distal from the slit opening  16 . This strap  19  comprises a first end  20  and a second end  21  that are both attached to the external surface  4  of the sleeve  1 . The strap  19  may be substantially rectangular or square in shape. The central portion of the strap  19  is unattached to the sleeve  1  to form a strap opening  22  that is configured for receiving and removably holding the external small length of the PICC line  6 . This strap opening  22  may be substantially perpendicular to the longitudinal axis. In use, a patient moves the external small length of the PICC line  6  and the distal end cap  7 , already passed through the slit opening  16 , through the strap opening  22  underneath strap  19 . 
         [0070]    The sleeve  1  further comprises a substantially flat pocket  23 , disposed on external surface  4  of the sleeve  1 , distal from the strap  19 . This pocket  23  comprises a pocket opening  24  that is substantially perpendicular to the longitudinal axis and is configured for receiving and removably holding the external small length of the PICC line  6  and the distal end cap  7 . The cap  7  and the external small length of the PICC line  6  are contained in a readily accessible position within the pocket  23  for use during IV treatments. The pocket  23  secures the PICC line cap  7  and protects it from dirt, fingers and other infection risks. 
         [0071]    The pocket  23  permits easy accessibility to the PICC line  6  for medical professionals when administering infusion therapies without the need to remove the external small length of the PICC line  6  from the securing strap  19  or slit opening  16 . 
         [0072]    The slit opening  16 , the strap  19  and the external pocket  23  are all substantially parallel with each other. The slit opening  16 , the strap  19  and the external pocket  23  are all stretchable such that they apply sufficient compression force for holding the external small length of the PICC line  6  and the distal end cap  7  on the patient&#39;s arm  11  such that this force does not substantially affect circulation in the limb, and keeps the external small length of the PICC line  6  in place during treatment, sleep, and normal activities. 
         [0073]    The slit opening  16 , the strap  19  and the external pocket  23  prevent the external small length of the PICC line  6  and the distal end cap  7  from contacting the patient&#39;s skin, eliminating the need for additional medical tape to secure the PICC line  6  or the cap  7 . This reduction of medical tape in the dressing reduces skin irritation for the patient. 
         [0074]    In embodiments of the subject invention, the sleeve  1 , the strap  19  and the external pocket  23  may all be composed of a slightly flexible and lightweight fabric that stretches over a patient&#39;s arm  11  and is non-irritating to the skin. In embodiments of the subject invention, this fabric may be natural fibers, such as cottons, wools, silks, twills, cloths and bamboo; man-made fibers such as polyesters, nylons, tencels, viscose; or any combination of natural or man-made fibers and weaves. 
         [0075]      FIGS. 5-11  illustrate a stretchable chest wrap  25  of the subject invention for securing and protecting a central venous catheter  26  and/or Broviac line from dislodgement by the patient. 
         [0076]    The chest wrap  25  is a substantially flat wrap with a first end  27 , a second end  28 , an internal surface  29 , shown in  FIG. 5 , and an external surface  30 , shown in  FIG. 6 . There is a lumen  47  between the internal surface  29  and the external surface  30 . The external  30  and internal surfaces  29  of the chest wrap  25  are substantially smooth and clean, other than the additional components described herein. These substantially smooth surfaces reduce any protrusions that may catch, snag, pull, or push any portion of the external short length of the central venous catheter  31  and its end cap  32  that are to be secured to the chest wrap  25 . 
         [0077]    As illustrated in  FIG. 5 , the internal surface  29  of the chest wrap  25  may comprise a fastener  33  on the first end  27 . As illustrated in  FIG. 6 , the external surface  30  of the chest wrap  25  may contain a second fastener  34  on the second end  28 . As illustrated in  FIG. 11 , the chest wrap may be wrapped into a tubular, cylindrical-shaped, loop  35  with the first end  27  overlapping the second end  28  such that the fastener  33  attaches to fastener  34 . In embodiments of the subject invention, fasteners  33  and  34  may include any device which removably attaches first end  27  to the second end  28  to form loop  35 . Such fastening means can include, but is not limited to, hook and loop fasteners; hook and eye fasteners; adhesives, including reusable adhesives; adhesive tape; zippers; buttons; snaps; pins; stitching; clamps; and the like. 
         [0078]    The looped  35  chest wrap  25  forms a second lumen  36 , or internal cavity that is substantially parallel with the longitudinal axis. The lumen  36  defines a top opening  37  that is substantially perpendicular to the longitudinal axis, and further defines a bottom opening  38  that is substantially perpendicular to the longitudinal axis. The top opening  37 , the bottom opening  38 , and the lumen  36  are all configured for receiving and holding a patient&#39;s chest  39 . In use, as illustrated in  FIGS. 7-10 , a patient wraps the chest wrap  25  around the chest  39  over the Central venous catheter insertion point  40  with the first end  27  overlapping the second end  28  such that the fastener  33  attaches to fastener  34 . 
         [0079]    In one embodiment of the subject invention, the looped  35  chest wrap  25  may have a substantially equal diameter from the top opening  37  to the bottom opening  38 . 
         [0080]    In another embodiment of the subject invention, the chest wrap  25  may have slightly taped diameter from the top opening  37  to the bottom opening  38 . This slightly tapered diameter embodiment may be used to accommodate a larger chest  39 . 
         [0081]    In embodiments of the subject invention, the cross-sectional shape of the looped  35  chest wrap  25  may be substantially circular or substantially elliptical. 
         [0082]    The chest wrap  25  is stretchable so as to allow the chest wrap  25  to be easily slipped on and off a patient&#39;s chest  39 . This fabric should apply sufficient inward compression force such that the chest wrap  25  should substantially conform to the anatomy of a patient&#39;s chest  39 , such that compression force of the chest wrap  25  does not substantially affect circulation in the limb, remains in place during treatment, remains in place while the patient sleeps, and remains in place if the patient moves or engages in normal activities. This compression force should be inward compression that is substantially equal over the internal surface  29  of the chest wrap  25 . The chest wrap  25  fabric allows it to remain in place on the patient&#39;s chest and secure the central venous catheter  31  in place. 
         [0083]      FIGS. 8 and 10  show the insertion of a Central venous catheter into the chest  39  of a patient at the site  40  of an internal vein. Once the Central venous catheter is inserted, a small length of the Central venous catheter  31  remains external to the patient, extending outwards from the point of insertion  40 . The external end of the Central venous catheter  31  is capped  32  to prevent bacteria, viruses or contaminants from entering the Central venous catheter  31 . As shown in  FIGS. 7 and 8 , the small length of Central venous catheter  31  may be one tube  41  for a single internal lumen. As shown in  FIGS. 9 and 10 , the small length of Central venous catheter  31  may include two tubes  42  for a double internal lumen. 
         [0084]    The end of the small length of the Central venous catheter  31  contains a cap  32 . This cap  32  must be periodically replaced, typically weekly, to reduce the risk of contamination. Replacing the cap  32  must also be a sterile procedure that is conducted with washed hands, sterile gloves, sterile clothing, and alcohol swaps in a sterile environment. 
         [0085]    The insertion point  40  of the Central venous catheter  31  may be covered with a traditional removable bandage  43 . In this embodiment, this removable bandage  43  should only cover a very small portion of the external small length of the Central venous catheter  31  that is proximate to the insertion point  40 . 
         [0086]    In one embodiment of the subject invention, the chest wrap  25  may comprise a flexible substantially transparent or semi-transparent window (not shown) that traverses the external  30  and internal surfaces  29  of the looped  35  chest wrap  25 . The chest wrap  25  should be aligned over the patient&#39;s chest  39  such that the flexible substantially transparent or semi-transparent window is over the Central venous catheter insertion point  40 . In another embodiment of the subject invention, this substantially transparent window may be composed of a mesh or mesh-like material. 
         [0087]    The chest wrap  25  is designed to cover and protect both the chest  39  and external short length of the Central venous catheter  31 . The sleeve covers the Central venous catheter insertion area  40  and protects it from clothing, rubbing, and other external influences. 
         [0088]    The chest wrap  25  comprises a first slit opening  44  proximate to the Central venous catheter insertion point  40 . This slit opening  44  passes through the internal surface  29  to define an internal opening  45  that may be substantially parallel to the longitudinal axis of the looped  35  chest wrap  25 . The slit opening  44  further passes into the internal lumen  47 , beneath the external surface  30  to define an external opening  46  that may be substantially parallel to the longitudinal axis. The slit opening  44 , the internal opening  45 , the external opening  46 , and the internal lumen  47  are all configured for receiving and removably holding the external small length of the Central venous catheter  31 . In use, a patient moves the external small length of the Central venous catheter  31  and the distal end cap  32  through the slit opening  44  into the internal lumen  47  of the chest wrap  25 . 
         [0089]    Once the external small length of the Central venous catheter  31  is passed through slit opening  44 , the Central venous catheter  31  is wrapped around the chest  39  of the patient through internal lumen  47 . 
         [0090]    The chest wrap  25  comprises a second slit opening  48 . This slit opening  48  passes through the internal lumen  47  to define an internal opening  49  that may be substantially parallel to the longitudinal axis of the looped  35  chest wrap  25 . The slit opening  48  further passes onto the external surface  30  to define an external opening  50  that may be substantially parallel to the longitudinal axis. The slit opening  48 , the internal opening  49 , and the external opening  50 , are all configured for receiving and removably holding the external small length of the Central venous catheter  31 . In use, a patient moves the external small length of the Central venous catheter  31  and the distal end cap  32  through the slit opening  48  onto the external surface  30  of the chest wrap  25 . 
         [0091]    The chest wrap  25  comprises a third slit opening  56 . This slit opening  44  passes through the external surface  30  to define an internal opening  57  that may be substantially parallel to the longitudinal axis of the looped  35  chest wrap  25 . The slit opening  56  further passes into a second lumen  59 , beneath the external surface  30  to define an external opening  58  that may be substantially parallel to the longitudinal axis. The second lumen  59  is between the internal surface  29  and the external surface  30 . The slit opening  56 , the internal opening  57 , the external opening  58 , and the second internal lumen  59  are all configured for receiving and removably holding the external small length of the Central venous catheter  31 . In use, a patient moves the external small length of the Central venous catheter  31  and the distal end cap  32  through the slit opening  56  into the internal lumen  47  of the chest wrap  25 . 
         [0092]    The chest wrap  25  further comprises a substantially flat strap  51  on the external surface  30 . This strap  51  comprises a first end  52  and a second end  53  that are both attached to the external surface  30  of the chest wrap  25 . The strap  51  may be substantially rectangular or square in shape. The central portion of the strap  54  is unattached to the chest wrap  25  to form a strap opening  55  that is configured for receiving and removably holding the external small length of the Central venous catheter  31  underneath the second lumen  59 . This strap opening  55  may be substantially parallel to the longitudinal axis. In use, a patient moves the external small length of the Central venous catheter  31  and the distal end cap  32 , already passed through the slit opening  48  into the second lumen  59 , through the strap opening  55  underneath strap  51 . 
         [0093]    The strap  51  permits easy accessibility to the Central venous catheter  31  for medical professionals when administering infusion therapies without the need to remove the external small length of the Central venous catheter  31  from the slit opening  48  and the second lumen  59 . 
         [0094]    The slit opening  44 , the slit opening  48 , the slit opening  56 , and the strap  51  are all substantially parallel with each other. The slit opening  44 , the slit opening  48 , the slit opening  56 , and the strap  51  all comprise a fabric that applies sufficient compression force for holding the external small length of the Central venous catheter  31  and the distal end cap  32  on the patient&#39;s chest  39  such that this force does not substantially affect circulation, and keeps the external small length of the Central venous catheter  31  in place during treatment, sleep, and normal activities. 
         [0095]    The slit opening  44 , the slit opening  48 , the slit opening  56 , and the strap  51  prevent the external small length of the Central venous catheter  31  and the distal end cap  32  from contacting the patient&#39;s skin, eliminating the need for additional medical tape to secure the Central venous catheter  31  or the cap  32 . This reduction of medical tape in the dressing reduces skin irritation for the patient. 
         [0096]    In embodiments of the subject invention, the chest wrap  25 , and the strap  51  may all be composed of a slightly flexible and lightweight fabric that stretches over a patient&#39;s chest  39  and is non-irritating to the skin. In embodiments of the subject invention, this fabric may be natural fibers, such as cottons, wools, silks, twills, cloths and bamboo; man-made fibers such as polyesters, nylons, tencels, viscose; or any combination of natural or man-made fibers and weaves.