MEDICAL SETTING

BACKGROUND

[0001] The present application is a Patent Cooperation Treaty filing claiming priority to United States Provisional Application Serial Number 62/743,344 filed October 9, 2018, the specification of which is incorporated herein in its entirety.

[0002] This disclosure relates to wearing apparel and more specifically to clothing for infants and small children suitable for use in hospital or other medical settings.

[0003] The medical needs of small children and infants in hospital setting such as pediatric and neonatal intensive care units as well has hospital nurseries often require treatments that include connection to external medical instruments such as heart monitors, temperature monitors, IV lines, respirators, catheters and feeding tubes. In certain situations, the medical treatment may include the use of splints, braces or orthotic devices.

[0004] Various medical treatment protocols require that the young patient undergo regular checks to ascertain health conditions and to assess the health status of the young patient. These assessments include checking on external attachments and devices used in the external devices and instruments to assure proper function and to make sure that the sites are not leaking, infected or swollen. Such activities proceed in addition to routine childcare such as diaper changes.

Because of the need for access to the young patient, most of the young patients in medical settings are clothed in diapers alone.

[0005] Remaining unclothed is not an optimal care situation for medically fragile infants and small children. Many of these young patients have a difficult time regulating body temperature. It is also difficult for these fragile patients to expend energy maintaining body temperature.

Warm clothing such as full body clothing helps prevent cold stress and assists in conserving calories. Finally, the ability to cloth infants and small children while in a medical setting such as a hospital provides some generally unquantifiable benefits to the parents and the infant or small child. The young patient receives the tactile stimulation from clothing and the parents and those who care for the child receive the normalcy of their child wearing clothing. [0006] Thus, it would be desirable to provide a garment that would be suitable for use in a hospital setting. It would also be desirable to provide a garment that would facilitate access for various wires lead, tubes, etc that would be necessary in the medical treatment of a young patient. It would be desirable that the garment facilitate the use of braces, immobilizers and the like as necessary. It would also be desirable that garment be configured to aid in stabilizing the one or more tubes, leads, wires and the like during wear.

SUMMARY

[0007] Disclosed herein are implementations of the garment for infants and children suitable for use in hospitals and medical setting that includes a back panel, the back panel having a central region, and two leg panel members projecting from the central region of the back panel, the two back leg panel member regions symmetrically disposed to one another and projecting contiguously outward from the central region, the back panel further having two arm panel members connected to the central region and projecting outward therefrom on opposite sides of the central panel region at a location distal to the two back leg panel members, wherein the central region, the two leg panel members and the two arm panel members are oriented so as to be coplanar when laid on a flat support surface, wherein the two back leg panel members define and inner edge extending from a crotch region to an proximate to a lower region of the central region of the back panel to an outer edge of the two back leg panel regions. The garment also includes two front panel members, the front panel members connected to the opposed sides of the central region of the back panel member at a location between the arm panel member regions and the leg panel member regions, the two front panel members configured symmetrically to each other, each front panel member defining a portion of an upper neck opening and portion of a lower crotch opening each front panel member having a releasable closure member located proximate to an outer edge of the respective front panel member opposed to the opposed sides of the central region of the back penal member and two front leg panel members, each respective front leg panel member connected to a lower region of a respective front panel member and projecting outward therefrom, each respective front leg panel member having an outer region, the outer region of each respective front leg panel connected to an associated back leg panel member, and an opposed edge.

[0008] Each of the opposed edges of the front leg panel members has at least one releasable closure member configured to provide releasable connection with a releasable closure member located on the back leg panel members and arm panel member has an upper selvage and an opposed lower selvage wherein the upper selvage of each arm panel member is connected to a respective one of the two front panel members proximate to an upper end of the back panel and each arm panel member defines a lower arm opening and a reclosable arm seam, the reclosable arm seam extending from the neck opening to the respective lower arm opening, wherein the opposed lower selvage defines a wrist opening when the reclosable arm seam is in the closed position.

[0009] At least one front panel member has an access opening defined therein, the access opening including a central slit and a closure flap releasably positioned over the central slit the access opening configured to accommodate at least one medical device projecting inward there through. The releasable closure defined in at least one of the members or arm members includes at least one extension element.

[0010] The present disclosure provides a garment that is suitable for use in a hospital bed, nursery bed, or neonatal intensive care bed as well as other medical settings. The garment provides suitable openings that provide for access of various wires lead, tubes, or connectors that interface through the garment to form a secure connection with a young patient so that the young patient can be treated post-birth and regulate the young patients body temperature. The garment provides openings that interface with braces, immobilizers, and casts so that the young patient is supported post-physical injury and can regulate the body temperature of the young patient. The garment provides openings that are configured to aid in stabilizing the one or more tubes, leads, wires, or the like during wear, sleep, or treatment so that the young patient can be provided treatment while regulating the body temperature of the young patient.

BRIEF DESCRIPTION OF THE DRAWINGS

[0011] The disclosure is best understood from the following detailed description when read in conjunction with the accompanying drawings. It is emphasized that, according to common practice, the various features of the drawings are not to-scale. On the contrary, the dimensions of the various features are arbitrarily expanded or reduced for clarity.

[0012] FIG. 1 is a front view of an embodiment of a hospital garment as disclosed herein;

[0013] FIG. 2 is a back view of the embodiment of the hospital garment of Fig. 1; [0014] FIG. 3 is a detail view of a portion of an embodiment of a closure member associated with a leg member of the garment as disclosed herein;

[0015] FIG. 4A is an expanded cross-sectional view of a first embodiment of a leg closure mechanism as disclosed herein;

[0016] FIG. 4B is an expanded cross-sectional view of a second embodiment of a leg closure mechanism as disclosed herein;

[0017] FIG. 4C is an expanded cross-sectional view of an embodiment of a center closure member for releasably joining front panel members of the garment of Fig. 1;

[0018] FIG. 4D is an expanded cross-sectional view of an embodiment of a shoulder region closure mechanism as disclosed herein;

[0019] FIG. 5A is a plan view of a first embodiment of an arm member of a hospital garment as disclosed herein such as that depicted in Fig. 1;

[0020] FIG. 5B is a plan view of a second embodiment of an arm member of a garment as disclosed herein;

[0021] FIG. 6 is a detail view of a first embodiment of a foot member of the hospital garment of Fig. 1;

[0022] FIG. 7A is a detail view of an embodiment of an access region as disclosed herein defined a front panel of the hospital garment of Fig. 1;

[0023] FIG. 7B is a detail view of the access region of Fig. 7Ain an open position;

[0024] FIG. 8 is a detail depiction of the access region of Figs. 7A and 7B with medical leads in position;

[0025] FIG. 9A is top view of a first embodiment of an extension member as disclosed herein;

[0026] FIG. 9B is a side view of the extension member of Fig. 9A;

[0027] FIG. 9C is a second embodiment of an extension member as disclosed herein;

[0028] FIG. 9D is a side view of the extension member of Fig. 9C;

[0029] FIG. 10A is top view of an embodiment of the arm region of the garment of Fig. 1 shown in a use position with an embodiment of extension member of Fig. 9A in position taken at the elbow region of a user with an IV device in position;

[0030] FIG. 10B is a side view of an embodiment of the arm region of the garment of Fig. 1 shown in a use position with an embodiment of an extension member of Fig. 9A in a position taken at the elbow region of a user with an IV device in position;

[0031] FIG. 11 is a side view of an embodiment of the foot member of a garment as disclosed herein having a toe flap in the open position;

[0032] FIG. 12 is a side view of the foot member of Fig. 11 with the toe flap in the closed position;

[0033] FIG. 13 is a top view of the foot member of Fig. 12 in the open orientation; and

[0034] FIG. 14 is a detail view of an embodiment of the lower leg region of the garment as disclosed herein as viewed from the inseam; with an embodiment of the extension member of Fig. 9 in a use position; and

[0035] FIG. 15 is an alternate embodiment of the foot region of the garment as disclosed herein; and

[0036] FIG. 16 is a detail view of an embodiment of the leg region of a garment as disclosed herein with an immobilizing brace in position on the leg of the user.

DETAILED DESCRIPTION

[0037] A garment for use with infants and small children is disclosed herein. The garment 10 includes a back face 12 as depicted in Fig. 2 and a front face 14 as depicted in 1. The garment 10 has disclosed herein can be constructed of any suitable woven or non-woven fabric. In certain embodiments, the fabric can be a suitable washable or launderable material. Non-limiting examples include any suitable various cotton and cotton blends such as interlock, jersey, knit terry, velour, fleece and the like. The fabric can have nay suitable unidirectional or bidirectional stretch as desired or required. The garment 10 can be of a size suitable to fit the desired infant of child. It is contemplated that the garment 10 can be made available in a variety of sizes to fit various young patients from neonates to young preschoolers. Non-limiting examples of suitable size ranges to accommodate neonates from 4 lbs. or less and sizes to accommodate children to five years or so.

[0038] The garment 10 can be configured to include a suitable torso-covering body region 8, leg members 6, 6’, and where desired or required, arm members 7, 7’. In the embodiment depicted in 1 and 2, the leg members 6, 6’ are configured to cover the entirety of the legs of an associated patient and the arm members 7, 7’ can be configured to cover the arms of the associated young patient. It is also contemplated that the leg members 6, 6’ can be configured to cover less than the entire length of the legs of the young patient for example as knee length or the like. The arm members 7, 7’ can be configured as three-quarter length, elbow length or the like. In certain embodiments, the arm members 7, 7’ can be omitted, exposing the arms of the young patient where desired or required.

[0039] The back face 12 of the garment 10 can be constructed from a back panel 16. Where desired or requires, the back panel 16 can be laid out on the bias to enhance stretch

characteristics of the garment component. In the embodiment depicted in Fig. 2, the back panel 16 includes a central region 18. The central region 18 will have suitable dimensions to span the back region of the of the young patent wearing the garment 10. The central region 18 can be generally rectangular in some embodiments in the embodiment as depicted Fig. 2, the back panel 16 also includes a shoulder yolk region 20 connected to the central region 18 at a location above the central region 18 when the associated garment 10 is in the use position. In the embodiment as depicted, the shoulder yolk region 20 is contiguous to the central region 18.

[0040] The shoulder yolk region 20 includes opposed arm junctions 22 and a neck opening edge 24 opposed to the central region 18. The back panel 12 also includes two back leg panel member regions 26 that project outward from the central region 18 and extend symmetrically outward therefrom. The leg panel member regions 26 are elongated members that have suitable dimensions to cover the leg of the young patent. In the embodiment depicted in Fig. 2 the two back leg panels member regions 26 are project contiguously from the central region but can be connected to the central region in any suitable manner. As depicted in the drawing figures, the back-leg panel region member regions 26 are generally coplanar with the central region 18. The back-leg panel member regions 26 define a crotch region 30 therebetween.

[0041] The back-leg panel member regions 26 each have an opposed ankle region 28 distal to the central region 18. In certain embodiments, the ankle region 28 can define respective lower openings (not shown). In the embodiment, as illustrated, the respective ankle regions 28 can be connected to a foot member 32. Where desired or required, the ankle region can include a suitable elastic region 34 interposed between the respective foot member 32 and the ankle regions 26. In other embodiments, it is contemplated that the ankle region 28 of each respective leg panel member region 18 can terminate in a suitable ankle opening and can be configured with a suitable hem (not shown). The hem can be configured as a straight seam, a gathered member, an elasticized member, a cinchable member or the like. [0042] The garment 10 also includes two front panel members 36, 38 that collectively make up the front face 14. The respective front panel members 36, 38 are connected to the opposed outer edges 40, 42 of the back panel 16. Connection can be a suitable seam if desired or required. It is also contemplated that the respective front panel members 36, 38 can be form a continuous seamless segment with the back panel 16. In the embodiment depicted in the various drawing figures, the two respective front panel members 36, 38 can be connected back panel 16 proximate to the central region 18 at a location between arm connection regions 44, 46 and back leg panel member regions 26.

[0043] In the embodiment as depicted in Fig. 1, the two front panel members 36, 38 are configured symmetrical to one another such that the respective upper region 48, 50 of each front panel member 36, 38 is an upper edge that defines a front portion of the upper neck opening 52 of the garment 10. The two respective front panel members 36, 38 each have a respective lower edge 54, 56 that defines at least a portion of a lower crotch 58 of the garment 10.

[0044] Each of the two front panel members 36, 38 has a center outer edge 60 with a mating portion 62, 64 of a releasable closure member 66 located at or proximate thereto. In the embodiment depicted in Fig. 1, the releasable closure member 66 extends for at least a portion of the distance between the neck opening 52 and the lower crotch 58 of the garment 10. In the embodiment depicted in Fig. 1, the releasable closure member 66 extend the entire distance between the neck opening 52 and the lower crotch 58.

[0045] The garment 10 also includes two front leg panel members 68, 70. Each respective front leg panel 68, 70 is connected to the lower region of an associated front panel member 36,

38 generally proximate to the associated lower edge 54, 56. In the embodiment depicted in Fig.

1, the front leg penal members are connected to an associated front panel member 36, 38 in a suitable manner such as by a seam or the respective panel member can be fashioned from a suitable continuous piece of fabric.

[0046] It is also contemplated that that the front leg panel members 68, 70 can be joined to respective back leg panel member regions 26. Where desired or required, the respective front and back leg panel members 68, 70 and rear leg panel region 26 can be joined at respective outer edges that are generally opposed to the crotch 30, 58 and in seam outer edge. The respective front and back leg panel members 68, 70 and rear leg panel region 26 can be joined via a seam or other bonding mechanism as desired or required. In certain embodiments, each front leg panel member 68, 70 can be joined to a respective back leg panel region 26 as a single continuous piece of cloth spanning the respective outer side regions 72 of garment 10. In certain embodiments, it is also contemplated that the front panel members 36, 38 can be contiguously joined to the back-panel member 16 along at least a portion of respective outer side regions 72. Where desired or required, front panel members 36, 38 can be contiguously joined to the back- panel member 16 along the respective outer side regions 72 from a point at or proximate to arm junctions 74 to a location proximate to at least ankle region 28. The contiguous joining can be accomplished in whole or in part by a suitable seam, bonding mechanism or combination of the two.

[0047] In various embodiments such as that depicted in Figs 1 and 2, the front panel members 36, 38 and the rear member 26 can be configured from a flat panel of stretchable material. The stretchable material can be a woven or non- woven fabric that can exhibit elastic stretchability along at least one of the longitudinal and/or latitudinal axis. Where desired or required, the fabric chosen can also exhibit biasing stretchability. It is also considered with in the purview of that the front leg panel members 68, 70 of front panel members 36, 38 and/or the respective rear leg panel region 26 can be configured with a suitable expandable region 76 that will be described in greater detail subsequently. In the embodiment depicted in Fig. 1, the front leg panel members 68, 70 extend from a respective lower edge 54, 56 and terminate at respective ankle region 28.

[0048] The front leg panel members 68, 70 each include an inner selvage region 78 that that is opposed to the outer edge region 72 previously discussed. The inner selvage regions 78 of the respective front leg panel members 68, 70 can be configured with at least one releasable closure member 80. The at least one closure member 80 associated with an outer selvage region 78 of the respective front leg panel member 68 or 70 is positioned between the crotch region 58 and at the respective ankle region 28. The at least one releasable closure member 80 is configured to releasably engage a matingly configured releasable closure member (not shown) positioned on the respective rear leg panel member 26. When engaged, the outer selvage region 78 configured with the at least one releasable closure member 80, together with the associated front panel leg panel member 68 or 70 and associated rear panel member, define a tubular leg garment portion into which a leg of the young patient can be positioned by permitting the outer selvage region 78 of each respective front leg panel member 68, 70 to be connected to the outer edge of the associated rear leg panel member 28.

[0049] In certain embodiments, it is contemplated the at least one releasable closure member 80 and its mating element located on the associated rear panel member 28 will be configured to extend for at least a portion of the length of the associated inner selvage region(s) such as inner region 78. The at least one closure member 80 can be configured to be positioned intermittently or continuously along at least a portion of the inner selvage 78. In certain embodiments, the closure member 80 is a continuous element that extends from crotch region 58 to a region proximate to the ankle region 28. It is also contemplated that the closure member 80 can extend continuously through the crotch region 58 as desired or required.

[0050] In the embodiment depicted in Figs. 3 and 4, the closure member 80 can be connected to a corresponding closure member 82 that is also connected to the rear leg member 28 at a positioned distanced from the closure member 80. In the embodiment depicted, at least one of the closure member 80 and/or the closure member 82 includes at least one elongated binding member such as binding member 84, 86 that is oriented generally parallel to the associated selvage such as outer selvage 78 and is proximate thereto. In the embodiment depicted in the Fig. 4, the at least one elongated binding member 84, 86 can optionally include a suitable woven or non-woven fabric material member 88 that extends for at least a portion of the elongated distance relative to the respective outer selvage region 78. The woven or non-woven material fabric material can be one that is capable of imparting a suitable structural stiffness and body to the leg and/or crotch region 58 of the garment 10.

[0051] In the embodiment depicted in Fig. 3, the closure member 80 and the corresponding member 82 each include mating members that can releasably engage one another. In the embodiment as depicted in the drawing figure, the mating members can be configured as snaps 90, 92 if desired or required. The closure members 80, 82 can have at least one associated snap 90, 92. In certain embodiments, the respective closure members 80, 82 can include a plurality snaps 90, 92 in spaced relationship to one another. The snaps 90, 92 can be evenly spaced or can be spaced in an uneven orientation as desired or required. In certain embodiments, it is contemplated that one snap 90, 92 can be located proximate to crotch region 30, 58, at least one snap 90, 92 can be positioned proximate to the respective ankle region 28 with between one and six snaps interposed therebetween.

[0052] In the embodiment depicted in Fig 4 A, at least one of closure members 80, 82 can include at least one elongated stiffening member 88 interposed between two layers folded fabric that forms the respective leg members the stiffening member can be formed from a suitable woven or non-woven material such as interfacing. The respective layers of the closure members 80, 82 can be anchored to one another by any suitable manner. One non-limiting example of such anchoring can be by stitching such as by a seam 94 extending along part or all of the associated closure member 80, 82.

[0053] In the embodiment depicted in Fig. 4B, the closure members 80, 82 can include a suitable elongated binding tape 96 that extends and contains the respective selvage edge of the leg member. Where desired or required, the closure member as depicted in Fig. 4B can include a suitable elongated stiffening element such as element 88 if desired or required. The respective layers of the closure members 80, 82 can be anchored to one another by any suitable manner.

One non-limiting example of such anchoring can be by stitching such as by a seam 94 extending along part or all of the associated closure member 80, 82.

[0054] In certain embodiments, it is contemplated that one or the other closure member 80,

82 will be configured with the respective elongated binding member 84, 86. In certain embodiments, it is contemplated that the elongated binding member 86 will be present in closure member 82 and will be configured to provide structural support to the region in the unconnected state and well as combining with the closure member 80 to provide structural support to the crotch region 58 of the garment 10 with the respective closure members 80, 82 are in an engaged relationship. It is also contemplated that the relative stiffness of the respective elongated binding member 84, 86 can vary between the respective members and/or can vary depending upon location relative to the crotch region 58.

[0055] It is contemplated that the respective elongated binding members 84, 86 can be connected to the associated inner selvage region 78 in a suitable manner. Non-limiting examples of suitable connection includes threaded continuous seams, tacked seams, mechanical tacking and the like. It is also contemplated that the woven or non-woven material employed in one or more of the respective binding members 84, 86 can include or be imparted with suitable adhesive such as at least one heat activated adhesive that will provide temporary or permanent adhesion to the at least one mating surface of the garment material present in the outer selvage region 78.

[0056] Where desired or required, the front panel members 36, 38 can be releasably connected to one another by suitable mating closure members such as front closure members 104, 106, a non-limiting example of a suitable closure member configuration for front panel members 36, 38. In the embodiment depicted in Fig. 4C, at least one of closure members 104, 106 may include at least one elongated stiffening member 108 that is interposed between two layers folded fabric that form the respective front panel members 36, 38. The optional stiffening member can be formed from a suitable woven or non-woven material such as interfacing. The respective layers of the closure members 104, 106 can be anchored to one another by any suitable manner. One non-limiting example of such anchoring can be by stitching such as by a seam 110 extending along part or all of the associated closure member 104 106.

[0057] In the embodiment depicted in Fig. 1 and 4C, the corresponding closure members 104, 106 each include mating members that can releasably engage one another. In the embodiment as depicted, the mating members can be configured as snaps 112, 114 if desired or required. The closure members 104, 106 can have at least one associated snap 112, 114. In certain embodiments, the respective closure members 104, 106 can include a plurality snaps 112, 114 in spaced relationship to one another. The snaps 112, 114 can be evenly spaced or can be spaced in an uneven orientation as desired or required. In certain embodiments, it is contemplated that one snap 112, 114 can be located proximate to crotch region 30, 58, at least one snap 112, 114 can be positioned proximate to the respective neck region 52 with between one and six snaps interposed therebetween in certain embodiments.

[0058] The garment 10 can also include arm members 100, 102 that are connected to the garment. In the embodiment, depicted in Figs 1 and 2, the arm members 100, 102 can each be composed of an arm panel member 116. A non-limiting embodiment of arm member 116 is depicted in Fig. 5. As depicted, arm panel member 116 has a central body H7defined by an outer cuff region 118, an inner seam region 120 opposed to the outer cuff region 118 and side regions 122, 124 interposed between the cuff region 118 and the inner seam region 120. The respective arm panel members 116 can be made of the same fabric employed in the back panel 12 and front panel 14 if desired or required.

[0059] In the embodiment depicted in Figs. 5A and 5B, the cuff regions 118 can be configured as a hem member 126. Hem member 126 can be configured from folded selvage material if desired or required and can be held in place by any suitable means. Non-limiting examples of such means include hemming, tacking, fusion binding and the like. In the embodiment depicted in Fig. 5, the hem member 126 is configured as flat region. It is also within the purview of this disclosure to configure hem member as an expandable elastic or gathered member.

[0060] The inner seam region 120 of the arm member 116 can be configured to be attached to the garment 10 by any suitable manner such as a suitable seam or seams. In the embodiment as depicted in Figs. 1 and 2, junction between the main body of the garment 10 and the associated arm panel member can be configured to occur at the shoulder junction of the wearer as depicted in Fig. 5A. It is also contemplated that the junction between the main body of the garment 10 and the associated arm panel can be a set-in seam if desired or required. It is also within the purview of this disclosure that other junction configurations can be employed.

[0061] In such embodiments, a suitable portion of the respective inner seam region 120 of each of the associated arm members 116 is joined to the central region 18 of the back panel 12 at a location disposed from the location of the back-leg panel members 26. Similarly, the remaining portion of the respective inner seam region 120 of each of the associated arm members 116 is joined to either the upper region 48 or the upper region 50 of the associated front panel member 36 or 38 as at associated arm junction 74.

[0062] The arm member 116 also includes side regions 122, 124 that are interposed between the respective hem region 118 and the inner seam region 120. The side regions can be configured with suitable releasable closure members 128, 130 which are configured to matingly and releasably contact one another. The closure members 128, 130 can extend for at least a portion of the respective side regions 122, 124. In certain embodiments the respective closure members 128, 130 can be configured to be positioned intermittently or continuously along and proximate to the respective side regions 122, 124. In certain embodiments, one or both closure members can be configured as a continuous element that extends from the cuff region 118 to the inner seam region 120.

[0063] In the embodiment as depicted, the closure members 128, 130 can be configured in a manner similar to the closure mechanisms described in conjunction with the leg members 28 and the front panel members 36, 38. In the embodiment depicted in Figs. 5A and 5B, at least one of the closure member 128 and/or closure member 130 includes at least one elongated binding member such as binding member 132, 134 that is oriented generally parallel to the associated side region 122, 124 and is proximate thereto. Where desired or required, at least one or both elongated binding members 132, 134 can optionally include suitable woven or non-woven fabric material that extends for at least a portion of the elongated distance at an orientation relative to the respective outer edge of the associated side region 122, 124. Where desired or required, the woven or non-woven fabric can be one that is capable of imparting a suitable structural stiffness to the associated arm region and/or to assist in maintaining structural integrity of the closure members 128, 130 in the closed or open orientations.

[0064] As depicted in Figs 5A and 5B, the closure members 128, 130 can each include mating members that can releasably engage one another. In the embodiment as depicted in the drawing figure, the mating members can be configured as snaps 128, 130 if desired or required. The closure members 128, 130 can have at least one associated snap 136, 138. In certain embodiments, the respective closure members 128, 130 can include a plurality snaps 136, 138 in spaced relationship to one another. The snaps 136, 138 can be spaced evenly or can be spaced in an uneven orientation as desired or required. In certain embodiments, it is contemplated that one snap 136, 138 can be located proximate to hem member 126. At least one set of closure members least one snap 136, 138 can be positioned proximate to the neck region.

[0065] In the embodiment depicted in Fig 5A, closure members 136, 138 are mounted on the central body of the arm member 116 and a portion of the inner seam region 120 of the respective arm member 116 is connected to the upper portion of the back panel member 16 at an associated arm junction 22 as by a suitable seam sewn or otherwise. The remaining portion of the inner seam region 120 of the associated arm member 116 can be attached to associated arm junction 74 of either front panel member 36, 38 by sewing or the like. The front panel members 36, 38 has a shoulder edge 51, that can also each be attached to mating shoulder edge 53 located on the back- panel member 16. As illustrated in Figs. 1, 2 and 4D, the respective shoulder edges 51, 53 are configured with releasable closure members 140, 142.

[0066] The arm member 116 can be connected garment 10 such that the side edges 122, 124 and associated closure members 128, 130 are positioned to extend linear to the shoulder junction formed by releasable closure members 140, 142. The closure members 140, 142 can include at least one set of suitable mating releasable snap members 144, 146. In certain embodiments, it is contemplated that the releasable closure members 140, 142 and releasable closure members 128, 130 will form a continuous closure member that extends from hem region 118 to neck opening 52.

[0067] It is also considered to be with in the purview of the present disclosure to configure the arm members with set-in sleeves as depicted in Fig. 5B in such situations, the closure members 128, 130 are configured to be oriented along a line that generally approximates the shoulder seam region of the garment 10.

[0068] The garment 10 can also include foot members 32 that are connected to ankle regions 28. The foot member 32 is configured to contain the wearer’s foot when the garment is worn. A non-limiting embodiment of a suitable foot member 32 is depicted in Fig. 6. Foot member 32 includes an upper panel 148 that is connected to the ankle region 28 of the respective front panel member 36, 38 in a manner that permits it to project outward therefrom. Where desired or required, the upper panel 148 of foot member 32 can terminate in and include a portion of the releasable closure members 80, 82 located on the terminal potion of the inner selvage region 78. The foot member 32 also includes a lower sole member 150 that is connected to the upper panel 148 and the lower most portion of the leg region of the back-panel member 26 to define a cavity into which the wearer’s foot can be positioned. In certain embodiments, the

[0069] At least one front panel 36, 38 of the garment 10 as disclosed herein is configured with at least one medical access opening region 152. The access opening region can be located at any position on the associated front panel region 36, 38. In certain embodiments, one or more access regions will be positioned in the respective front panel at locations that will generally overlie a suitable medical access region, typically on the chest or abdomen of the young patient. “Medical access region” as that term is defined herein includes locations such as those to which were monitoring leads would be affixed. Non-limiting examples of such monitoring leads are those that are employed to assess and monitor cardiac function, respiration or other bodily functions. It is also contemplated that the access opening region 152 can be positioned so as to provide access to medical access regions on the chest or abdomen of the young patient that overlie devices as gastric tubes and the like. In the embodiment depicted in Fig. 1, the garment 10 includes a pair of medical access opening regions 152 with one member of the pair located on each front panel region 36, 38.

[0070] The access opening region 152 of the garment 10 as disclosed herein includes a reinforced aperture 154 that is defined in the front panel region 36. The reinforced aperture can have a suitable configuration. The reinforced aperture 154 can have a suitable configuration capable of receiving at least one suitable lead or tube therethrough. In the embodiment as depicted in Figs. 7 A and 7B the reinforced aperture 154 can have an elongated configuration such as an ellipsoidal configuration. It is contemplated that the reinforced aperture 152 will have dimensions suitable to accommodate at least one lead or tube passing therethrough. In the embodiment as shown the reinforced aperture 154 as minor axis that is equal to or slightly greater than the outer diameter of typical leads or tubes such that the associated lead(s) and/or tubed can pass from the garment interior to exterior with minimum deflection or distortion of the fabric of the front panel member 36, 38 with minimal distortion of the fabric proximate to the reinforced aperture 154. The reinforced aperture 154 can include suitable reinforcing

mechanisms 156 that can maintain the structural integrity of the region 152 and the aperture 154. In the embodiment as depicted in Fig. 7B, the reinforcing mechanism can be stich binding.

[0071] The reinforced aperture 154 can be positioned in any suitable orientation relative to the longitudinal axis defined through the front panel member 36, 38. In the embodiment depicted the elongated reinforced aperture is positioned such that its longest dimension is perpendicular to the longitudinal axis of the associated front panel member 36, 38.

[0072] The access opening region 152 also includes a movable cover flap 158 connected to the front panel region 36, 38 proximate to the reinforced aperture 154 movable between a first position as depicted in Fig 7 A in which the cover flap 158 covers the reinforced aperture 154 and second position in which reinforced aperture 154 is exposed as in Fig. 7B. The cover flap 158 can be maintained in the closed position by at least one suitable closure mechanism 160. Non limiting examples of suitable closure mechanisms include snaps, hook and loop fastener systems and the like. Where desired or required, the flap can be configured to maintain any leads and/or medical tubes that project from the chest or abdomen region of the young patient outward through the reinforced aperture 154 in stable relationship relative to the garment 10 and the young patient wearing it. In the embodiment illustrated in Fig. 7B, the cover flap 158 has an outwardly oriented face 162 and an opposed inward oriented face 164. In certain embodiments, closure mechanism 160 can be positioned proximate to an outer edge 166 of the cover flap 158 opposed to the region of the cover flap 158 connected to the front panel region 36, 38.

[0073] When in use, the lead and/or medical tube 168 can be threaded through the reinforced aperture 154 from the interior of the garment 10 to the garment exterior. The portion of the lead 168a or medical tube 168b that projects outward can be allowed to extend outward with the associated cover flap 158 remaining in the unfastened or open state as required. It is also with the purview of this disclosure to fasten the cover flap 158 after threading the desired lead of medical tube through the reinforced aperture 154. When closed, the cover flap can maintain the lead l68a or medical tube l68b in stable orientation parallel to the garment 10 and the torso of the young patient. One non-limiting example of such configuration is depicted in Fig. 8.

[0074] Without being bound to any theory, it is believed that orientation of the lead l68a and/or medical tube l68b and the cover flap 158, when in the closed position, can help stabilize the leads/ medical tube(s) 168 in a manner that can eliminate or at least reduce the use of tape and anchoring devices on the skin of the young patient. This can increase the comfort of the young patient and can reduce the risk of skin irritation of delicate skin.

[0075] The garment 10 is also configured with at least one extension member 170. The at least one extension member 170 can be employed to allow arm member(s) 7, 7’ or leg member(s) 6, 6’ configured to be interposed between associated closure members to accommodate bulky medical treatment apparatus such as leg braces, Foley boards, IV immobilizers and the like associated with one or both legs, arms of the young patient. The extension member 170 can configured as an elongated elastic member. The extension member 170 is configured to be connectively interposed between suitable closure members pairs such as between closure member 80 and closure member 82 or between closure member 140 and 142 in a manner that increases the diameter of the respective arm member 7, 7’, leg member 6, 6’ from a first value to a second larger value that can accommodate the bulky medical treatment apparatus.

[0076] In an embodiment as disclosed herein, the extension member 170 can have an elongated planar body 172 that can be composed in part or in whole of a suitable elastic material. In the first embodiment depicted in Figs. 9A and 9B, the planar body 172 is configured as a rectangle. Other geometric configurations can be employed as desired or required. The planar body 172 of the extension member 170 has a first planar face 174 and a second planar face 176 that is opposed to the first planar face 174. The planar body 172 also includes a first end 178 and an opposed second end 180 as well as a first elongated edge 182 and a second elongated edge 184 that is opposed to the first elongated edge 182.

[0077] The extension member 170 is configured with a plurality of snap members such as snap members 186, 188 that are configured to releasably engage snaps associated with various closure members such as closure members 51, 53, 80, 82. In the embodiment depicted in Figs. 9A and 9B, at least one male snap member 186 is positioned on the first planar face 174 proximate to the first end 178 of the planar body 172 of the extension member 170 and, as depicted, projects outward therefrom, generally perpendicular to the first planar face 174. The male snap member 186 is configured to matingly and releasably connect to a suitable female snap 51, 80 that projected inwardly from associated closure member 84, 144. The extension member 170 also includes at least one female snap member 186 connected to the second planar face 176 and projected outward therefrom generally perpendicular to the second planar face 176. The at least one female snap member 186 is configured to matingly and releasably connect to an associated male snap member 53, 82 located in closure member 86, 146.

[0078] The extension member 170 can also include at least one female snap member 190 that is positioned on the second planar face 176 of the planar body 172 proximate to the first end 176 and projecting outward therefrom. In certain embodiments, the female snap member 190 can be positioned at a location on the second planar face 176 of the planar body 172 proximate to the male snap member 186 projecting from the first planar face 174 of the planar body 172 of the extension member 170.

[0079] The extension member 170 can also include at least one male snap member 192 that is positioned on the first planar face 174 of the planar body 172 proximate to the second end 178 and projecting outward therefrom. In certain embodiments, the male snap member 192 can be positioned at a location on the first planar face 176 of the planar body 172 proximate to the female snap member 188 projecting from the second planar face 176 of the planar body 172 of the extension member 170.

[0080] A second embodiment of the extension member 192 is depicted in Figs. 9C and 9D. The extension member 192 can include a planar body 194 that is composed of a suitable elastic material. The planar body 194 can have any suitable geometric configuration. In the embodiment as depicted in Figs 9C and 9D, planar body 194 has a generally rectangular configuration. The planar body 194 of the extension member 192 has a first planar face 196 and a second planar face 198 that is opposed to the first planar face 196. The planar body 194 also includes a first end 200 and an opposed second end 203 as well as a first elongated edge 204 and a second elongated edge 206 that is opposed to the first elongated edge 204.

[0081] A first central detent 202 is defined in the planar body 194 proximate to the first end 200 and projects inward therefrom defining two arm member regions 208, 210. In the

embodiment as depicted in Figs 9C and 9D, the two arm member regions 208, 210 are disposed such that their respective outer edges 212, 214 are contiguous with the respective associated first elongated edge 204 or second elongated edge 206. A second central detent 204 is defined in the planar body 194 proximate to the first end 203 and projects inward therefrom defining two arm member regions 216, 218. In the embodiment as depicted in Figs. 9C and 9D, the two arm regions 216, 218 are disposed such that their respective outer edges 220, 222 are contiguous with the respective associated first elongated edge 204 or second elongated edge 206.

[0082] The extension member 192 is configured with a plurality of snap members such as snap members 224, 226 that are configured to releasably engage snap member s associated with various closure members such as closure members 51, 53, 80, 82. In the embodiment depicted in Figs. 9C and 9D, at least one male snap member 224 is positioned on each arm member region 212, 214 on the first planar face 196 proximate to the first end 200 of the planar body 194 of the extension member 192 and, as depicted, projects outward therefrom generally perpendicular to the first planar face 196. At least one female snap member 226 is positioned on each arm member region 216, 218 on the second planar face 198 proximate to the second end 203 of the planar body 194 of the extension member 192 and, as depicted, projects outward therefrom generally perpendicular to the second planar face 198.

[0083] When in use, at least one male snap member 224 releasably connects to an associated female snap member 51, 90 located in closure member 86, 146. In certain applications, the respective male snap member 224, 224’ connected to the respective arm member regions 212, 214 can each engage separate female snap members 51, 90 located in closure member 84, 146. The separate female snap members 86, 146 engaged can be contiguous or spaced apart from one another in the associated closure member. When in use, at least one female snap member 226 releasably connects to an associated male snap member 92, 146 located in closure member 86, 142. In certain applications, the respective male snap member 224 connected to the respective arm member regions 212, 214 can each engage separate female snap members 51, 90 located in closure member 84, 146. The separate female snap members 86, 146 engaged can be contiguous or spaced apart from one another in the associated closure member.

[0084] When the diameter and inner volume of a given arm member 7, 7’ or leg member 6,

6’ must accommodate a bulky medical treatment apparatus, the extension member 170, 194 can be releasably connected to the associated closure member.

[0085] A non-limiting example of an arm member 7 that has at least one extension member 170 releasably connected between closure members 140, 142 in order to accommodate an immobilizing device such as board 228 shown in phantom in Figs 10A and 10B. It is contemplated that in various use orientations, the user arm can be interposed between the immobilizing device such as board 228 and the opening O. In the embodiment as depicted in Figs. 10A and 10B, the user arm has been omitted for simplicity. In the embodiment depicted in Figs. 10A and 110B an IV tube 230 is in position in the arm (not shown) of a young patient and can be held in place by a suitable bandage 232 as desired or required. Where desired or required, the arm of the young patient can be oriented such that the elbow contacts or is proximate to the board and the interior region opposed to the elbow (cubital fossa) is oriented toward the opening O.

[0086] In order to achieve configurations such as those depicted in Figs. 10A and 10B, in certain embodiments, the arm region of the young patient can be inserted in the arm 7 of the garment 10. The closure member 140 present on the associated arm 7 can be disengaged from contact with closure member 142 can be opened - either partially or completely to facilitate insertion and positioning with the immobilizing device such as board 228 at a location interposed between the young patient’s arm and the central region 117 of arm panel member 116. Detachment of closure member 140 from closure member 142 can produce opening O. Opening O can facilitate the positioning of board 228 and can define an access opening for suitable medical device(s) or probes. Thus, the young patient’s arm can be oriented in a manner that presents an IV access site present on the arm of the young patient at a location proximate to an opening O defined between closure member 140 and closure member 142 in order to position a suitable medical device such as IV device 230.

[0087] Spanning opening O defined in arm 7 is at least one extension member such as extension member 170. In the embodiment as depicted in Figs. 10 A and 10B, two extension members 170 are employed, for example. In the embodiment depicted, the closure member 140 is configured with a plurality of female snap members 144 in spaced relationship to one another along the elongated closure member 140 and closure member 142 is configured with a plurality of male snap members 146 in spaced relationship to one another along the elongated closure member 142. A male snap member such as male snap member 186 defined on the first face 174 of the extension member 170 and projecting outward therefrom can be releasably connected to a selected female snap member 144 in the closure member 140.

[0088] The extension member 170 can be oriented to extend into the opening O in a manner that permits the extension member 170 to span the opening O and facilitate releasable engagement between a selected male snap member 146 in the closure member 142 and a female snap member 188 projecting from the second face 176 of the planar member 172 of extension member 170. The extension member 170 can have a length that is suitable to span the gap between elongated closure member 140 and elongated closure member 142 at the gap defined the related opening. It is contemplated that the stretchable nature of the elastic material that composes the extension member 170 in combination with the stretchable nature of the fabric employed in the associated region of garment 10 will accommodate the added bulk presented in by the immobilizing device. In certain situations, it is also contemplated that the stretchable nature of fabric employed in garment 10 together with the elastic nature of the associated extension member(s) can assist in maintaining the immobilizing device such as board 228 in fixed position relative to the arm of the young patient, typically with the young patient’s elbow region positioned centrally relative to the board 228. Where desired or required, the board 228 can include suitable bands or the like (not shown) to assist in immobilizing the arm of the young patient.

[0089] The garment 10, in combination with at least one extension member, such as extension member 170, can accommodate the arm of the young patient in combination with an immobilization device such as board 228. In the embodiment that is depicted in Figs. 10A and 10B is depicted employing two extension members 170 in spaced relation to one another along the length of arm 7. It is contemplated that multiple extension members 170 can be employed as desired or required locations suitable to accommodate devices such as board 228.

[0090] The garment 10 in combination with an extension member such as extension member 170, 194 can be employed to accommodate various protective devices such as protective shell 234 as illustrated in Fig. 10B. As illustrated, the protective shell 234 is releasably affixed to the arm of the young patient proximate to the IV site to overly and protect the IV site from undue jostling or trauma. It is contemplated that the elongated closure members 140, 142 in

combination with one or more extension members 170, 194 can be configured to accommodate devices such as shell 234.

[0091] One or more extension members such as extension members 170, 194 can also be employed in either one or both leg members 6, 6’ to accommodate medical devices such as various braces and the like. A non-limiting example of such an embodiment configuration is depicted in Figs. 14 and 15. In order to accommodate bulky items such as leg braces and/or casts, the garment 10 can be configured such that an opening O defined between elongated extension member 80 and extension member 82 and is stabilized by at least one suitable extension member. Such as extension member 170, 194. The extension member 170, 194 can be suitably positioned relative to the opening O. Non-limiting examples of suitable extension members that can be employed include extension members 170 or 194. In the embodiment illustrated in Fig 14, extension member 170 is employed.

[0092] In the embodiment depicted in Fig.14 a brace 236 is in position relative to the leg of a young patient and is held in place by any suitable mechanism. In the configuration presented in Fig. 14, the leg region of the young patient is inserted in the leg 6 of the garment 10 with the brace 236 such as the device schematically depicted in Fig. 14 and can be interposed is interposed between the young patient’s leg and the opening O. It is also contemplated that brace 236 can be positioned on the outside face of the young patients’ leg in which case the brace would be interposed between the leg and the central region of the associated leg panel member 26. Depiction of the young patient’s leg has been omitted for simplicity.

[0093] As illustrates in Fig. 14, spanning opening O defined in leg 6 is at least one extension member such as extension member 170, 194. In the embodiment as depicted in Fig. 14, multiple extension members are employed, for example. In the embodiment depicted, the closure member 84 is configured with a plurality of snap members 90 in spaced relationship to one another along the elongated closure member 84 and closure member 86 is configured with a plurality of male snap members 92 in spaced relationship to one another along the elongated closure member 86. A male snap member such as male snap member 224 defined on the first face 196 on arm 212 of the extension member 194 projects outward therefrom and can be releasably connected to a selected first female snap member 90 in the closure member 84. A second male snap member 224’ defined on the first face 196 on arm 214 of the extension member 194 and projects outward therefrom. Second male snap member 224’ can be releasably connected to a selected second female snap member 90 in the closure member 84.

[0094] The extension member can be oriented to extend into the opening O in a manner that permits the extension member 192 to span the opening O and facilitate releasable engagement between a selected male snap member 92 in the closure member 86 and a first female snap member 225, 225’ projecting from the second face 198 of the planar member 194 of extension member 192. The extension member 192 can have a length that is suitable to span the gap between elongated closure member 80 and elongated closure member 82 at the gap defined by the related opening O. It is contemplated that the stretchable nature of the elastic material that composes the extension member 192 in combination with the nature of the fabric employed in the associated region of garment 10 together with the elastic nature of the associated extension member(s) can assist in maintaining the immobilizing device such as board 228 in fixed position relative to the arm of the young patient, typically with the young patient’s elbow region positioned centrally relative to the board 228. Where desired or required, the board 228 can include suitable bands or the like (not shown) to assist in immobilizing the arm of the young patient.

[0095] Where desired or required, one or more snaps in the elongated fatteners 80,84 immediately proximate to foot section 32 can be connected to one another as illustrated in Fig.

15 while one or of the snaps proximate to crotch region 58 have extension member 170, 194 interposed therebetween. It is also considered within the purview of this disclosure that one of both arm members 7,7’ can be configured such that the one or more snaps proximate to the cuff region C connect to one another while, snaps more proximate to the body section have one ore more extension members 170, 194 interposed there between.

[0096] It is contemplated that the garment 10 as disclosed herein can be used by young patients that are being treated by a variety of medical conditions. The various medical conditions under treatment can require a large variety and combination of leads, tubes, braces, immobilizing devices and the like. It is contemplated that the orientation of the various closure members as well as the integration of suitable extension members as required provides a garment that can be employed during hospital stays and treatment regimens. The present disclosure contemplates a garment kit that can be employed in a variety of medical situations. It is contemplated that the garment kit, prior to medical use will comprise a central body region adapted to cover the stomach and torso of a young patent, leg members projecting from the central body region configured to cover at least a portion of the legs of the young patient and arm regions configured to cover at least a portion of the arms of the young patent. The central body region, leg members and arm members each including elongated releasable closure members that are configured with individual snap members configured to engaged and disengage with one another and at least one extension member reliably connected to at least one elongated closure member and removably integrated therewith.

[0097] In the embodiment depicted at least one extension member 170 can be present in looped orientation and releasably attached to a snap such as one of snaps 90 as at extension member snap 186. The looped orientation of extension member 170 can be maintained by releasable engagement of one snap member 188 to snap member 190 both of which are located on the body 172 of the extension member 170 and project outwardly therefrom.

[0098] In the looped orientation, when the extension member 170 is in looped orientation extension member snap 192 it presented to be releasably engaged with snap 92 present in elongated member 86. At least portion of the remaining snaps 90, 92 can be releasably engaged with one another with the looped engagement member 170 interposed therebetween. When the garment 10 is to be employed, the associated releasable closure members can be disengaged from one another and the at least one lopped extension member such as extension member 170 can be removed and redeployed as desired or required. While this engagement has been describes in connection with extension member 170 and elongated closure members 84, 86, it is considered with in the purview of this disclosure that extension members such as extension members 170, 194 can be positioned at other locations such as located on arm members or the central body member as desired or required.

[0099] The foot region 200 of the garment 10 as disclosed herein can be configured with an upper toe flap 210 that covers at least a portion of the top surface 212 of the foot region 200. In the embodiment depicted in Figs. 11, 12 and 13, the toe flap extends from one side seam 214 defined on the sole 216 to the opposed side seam defined on sole 216. The flap 210 can be configured with a suitable closure device such as mating loop and fastener member 214a, 214b. when access to the young patient’s foot is required as for blood draw, monitoring or the like, the flap can be disengaged and the young patient’s foot exposed. The foot can be placed back in the foot region of the garment upon completion of the desired procedure and the closure device can be reengaged to cover the foot.

[0100] Where desired or required, the garment 10 can be configured with extensions such as extensions 170, 194 or the like in a pre-use orientation . Extensions 310 are elastic members that are configured to be removably attachable to the respective inner selvage defined on the leg member and project there between. In this manner, the inner volume of central leg region can be increased while maintaining the foot region in overlying contact with the foot of the young patient. In this way, various braces, casts ant the like can be accommodated in the garment 10. While the drawing figures depict extensions employed on only one leg member, it is considered with in the purview of this disclosure that extensions be employed with both legs, if desired or required. It is also considered to be with in the purview of the present disclosure that the in seam of the garment be opened at the crotch region as needed and held in place by suitably positioned extensions such as extensions.

[0101] If needed, the extension 310 can be employed with a suitable arm member in order to accommodate immobilizing devices, IV’ s and the like. One non-limiting embodiment is depicted in . It is also considered to be with in the purview of the present disclosure to employ one or more extensions such as extensions 310 to provide extension in the garment overlying the chest region of the young patent where desired or required to permit the garment to be employed with patients having chest incisions and the like

[0102] While the disclosure has been described in connection with certain embodiments, it is to be understood that the disclosure is not to be limited to the disclosed embodiments but, on the contrary, is intended to cover various modifications and equivalent arrangements included within the scope of the appended claims, which scope is to be accorded the broadest interpretation so as to encompass all such modifications and equivalent structures as is permitted under the law.