in the descriptions that follow , like parts are marked throughout the specification and drawings with the same numerals , respectively . the drawing figures are not necessarily drawn to scale and certain figures may be shown in exaggerated or generalized form in the interest of clarity and conciseness . referring to fig1 and 2 , device 100 is comprised of a two - sided , layered , flexible body 102 having exterior surface 104 and interior surface 106 . body 102 is generally rectangular and symmetrical around longitudinal axis 148 . exterior surface 104 is comprised of primarily durable cotton blend material resistant to abrasion , although cotton and synthetic blends will suffice . interior surface 106 includes a gusset comprised of a breathable , absorbent material . the interior surface may also comprise an antimicrobial material , agent or surface . in a preferred embodiment , the internal gusset is treated with silpur silver antimicrobial treatment , available from thompson research associates of toronto , ontario , canada ( http :// www . ultra - fresh . com / silpure ). approximately centrally located in body 102 is window 118 . in a preferred embodiment , window 118 is a transparent , flexible material such as polyethylene terephthalate ( commonly abbreviated pet or pete ). window 118 is fixed between exterior surface 104 and interior surface 106 . the window is fixed in place by sewing . in more rigorous environments , hermetically sealed closures such as adhesive , inductive welding will be used . on exterior surface 104 and adjacent window 118 on two opposing sides of window 118 are lumen retaining flaps 110 and 112 . lumen retaining flap 110 is attached to exterior surface 104 along edge 140 . lumen retaining flap 112 is attached to exterior surface 104 along edge 142 . in the preferred embodiment , the lumen retaining flaps are sewn to the body along one edge . however , other methods of attachment such as inductive welding will suffice . end 155 of lumen retaining flap 112 includes fastener 154 to releasably attach end 155 to exterior surface 104 . end 157 of lumen retaining flap 110 includes fastener 156 to releasably attach end 157 to exterior surface 104 . adjacent window 118 , on opposing sides , are indentions 120 and 122 . in a preferred embodiment , the indentions are also generally rectangular having sides angled at about 45 °. the depth of the indentions may be larger or smaller to accommodate different diameters of tubing . the longitudinal axes of the indentions are generally parallel with longitudinal axis 148 . locking closure 114 is attached to exterior surface 104 along edge 144 . locking closure 116 is attached to exterior surface 104 along edge 146 . end 151 of locking closure 114 includes fastener 150 to releasably attach end 151 to exterior surface 104 . end 153 of locking closure 116 includes fastener 152 to releasably attach end 153 to exterior surface 104 . in the preferred embodiment , locking closures 114 and 116 are made of a nylon rope weave for strength and for a low coefficient of friction . locking closures 114 and 116 , when closed , bridge and cover indentions 120 and 122 , respectively . the locking closures are positioned to follow the edges of the body and completely cover the indentions . body 102 is provided with a flexible closure . the closure allows for adjustment of the circumference of the device to fit different sized patients . at end 160 of body 102 and proximate lumen retaining flap 112 is fastener section 124 . fastener section 124 mates with fastener section 128 on interior surface 106 located at end 162 of body 102 . fastener section 124 is larger than fastener section 128 . in the preferred embodiment , fastener sections 124 and 128 and fasteners 150 , 152 , 154 , and 156 are velcro ® type fastening means , but other fasteners such as snaps , buttons , or releasable adhesives will suffice . adjacent end 162 of body 102 and proximate lumen retaining flap 110 is resilient gauze section 126 . gauze section 126 is comprised of a low - density cotton , spandex weave material which provides ventilation and flexibility to permit patient movement . adjacent window 118 are segments of silicon “ gripper tape .” the gripper tape provides a non - slip surface against the skin of the patient to hold device 100 in place . segment 130 extends from gauze section 126 towards indention 122 and window 118 . segment 132 extends from gauze section 126 towards indention 120 and window 118 . segment 134 extends from end 160 towards indention 122 and window 118 . segment 136 extends from end 160 towards indention 120 and window 118 . segments 130 , 132 , 134 , and 136 are generally parallel with longitudinal axis 148 . fastener section 128 on end 162 is one half of a typical hook and loop fastener such as velcro ® which mates with fastener section 124 on end 160 from exterior surface 104 . referring to fig3 , lumen retaining flaps 110 and 112 and locking closures 114 and 116 are shown unfastened . fastener 156 is comprised of fastener section 166 affixed to exterior surface 104 and fastener section 168 affixed to lumen retaining flap 110 . fastener 154 is comprised of fastener section 170 affixed to exterior surface 104 and fastener section 172 affixed to lumen retaining flap 112 . fastener 150 is comprised of fastener section 174 attached to exterior surface 104 and fastener section 176 attached to locking closure 114 . fastener 152 is comprised of fastener section 178 attached to exterior surface 104 and fastener section 180 attached to locking closure 116 . referring to fig4 , device 100 is shown in use . preferably , device 100 is affixed around the abdomen or chest , in proximity to a percutaneous site the device can be adapted to uses on appendages , the neck , or head . device 100 is removably situated so that window 118 is directly above percutaneous site 402 . body 102 is wrapped around patient 400 such that fastener section 128 engages fastener section 124 . fastener section 124 allows for size adjustability of different diameters . the resiliency of gauze section 126 provides additional size adjustability and flexibility . segments 130 , 132 , 134 , and 136 are positioned adjacent the skin of the patient and secure the device in position relative to the percutaneous site . locking closure 114 is detached from exterior surface 104 at end 151 . lumen retaining flap 112 is detached from exterior surface 104 at end 155 . tube 404 extends from percutaneous site 402 adjacent interior surface 106 and is directed in a superior direction generally perpendicular to longitudinal axis 148 towards indention 120 . the direction of the tube towards the indention is important . the normal twisting movement of the torso generally causes unwanted damage to the implanted tube if the tube is taped horizontally to the patient . therefore , directing the tubes to be secured vertically reduces the effect that a twisting movement has on the site . tube 404 is nested within indention 120 and redirected in an inferior direction towards lumen retaining flap 112 . in a preferred embodiment , the tube is positioned centrally within the indention to achieve a maximum of torso rotatability for the patient . end 151 is attached to body 102 via fastener 150 . the nylon construction of the locking closure provides low friction for the tube , allowing it limited movement within the confines of the indention and the locking closure , thereby further reducing the deleterious effect of a twisting torso . tube section 406 redirected around indention 120 is completely covered by locking closure 114 , thereby preventing any likelihood of tube section 406 being hooked or grasped . lumens 410 , 412 , and 414 attached to the end of tube 404 are placed under lumen retaining flap 112 . end 155 of lumen retaining flap 112 is attached to body 102 via fastener 154 . lumens 410 , 412 , and 414 are stored within and protected by lumen retaining flap 112 to prevent tampering , infection , or dislodgement . it is understood that any combination of locking closures 114 and 116 , indentions 120 and 122 , and lumen retaining flaps 110 and 112 could be used alternatively or in conjunction with additional tubes or hubs with equal success . the availability of directly opposing indentions and lumen retaining flaps provides for greater adaptability and ease of use . the open sides of the lumen retaining flaps allow for routing of the tube in the manner most convenient to the caregiver . transparent window 118 allows visual inspection of the percutaneous site thereby reducing the need to remove a dressing . lumens are secured in the lumen retaining flaps on either side of the window to prevent accidental breakage and patient tampering . the lumen retaining flaps allow easy access while the device is place . the symmetrical construction of the invention allows it to be reversible about an axis generally perpendicular to the longitudinal axis , and the plane of the window , thereby reducing wear and increasing its useful life . the flexibility and “ breathability ” of the device promotes patient physical activity while keeping the lumens safely retained to prevent infection and dislodgement . further , securing the lumens reduces skin irritation and potential allergic reactions of the patient . the device may be removed from the patient without disconnecting the lumens from an infusion pump . referring to fig5 and 6 , an alternate embodiment , device 500 is shown . device 500 is primarily manufactured of a cotton material or cotton synthetic blend . device 500 is comprised of a two layered body 501 having an exterior surface 502 and an interior surface 504 . device 500 is generally applied to smaller , narrower appendages such as arms or legs for use with a picc line . exterior surface 502 includes pocket 510 located proximate end 524 of body 501 . pocket 510 is affixed to exterior surface 502 on three edges . edge 530 is not affixed to exterior surface 502 and is open . window 506 is a flexible , transparent layer fixed between exterior surface 502 and interior surface 504 . window 506 is proximate end 520 of body 501 . opening 508 is generally centrally positioned on body 501 adjacent window 506 and pocket 510 . opening 508 passes through body 501 and is visible from both exterior surface 502 and interior surface 504 . proximate end 522 of body 501 and affixed to interior surface 504 are fastener sections 512 and 516 . proximate end 526 of body 501 and affixed to exterior surface 502 are fastener sections 514 and 518 . in the preferred alternate embodiment , fastener sections 512 , 514 , 516 , and 518 are hook and loop type fasteners , but alternate fasteners such as snaps , buttons , or adhesive are acceptable . in use , device 500 is worn on appendage 540 of the patient where ends 522 and 526 are generally parallel with the longitudinal axis 542 of appendage 540 . device 500 is wrapped around appendage 540 such that fastener section 512 engages fastener section 514 and fastener section 516 engages fastener section 518 . the intravenous site is covered by window 506 to allow observation of the dressing . a tube exits the intravenous site and passes through opening 508 . when lumens attached to the tube are not in use , they are tucked into pocket 510 . it will be appreciated by those skilled in the art that changes could be made to the embodiments described above without departing from the broad inventive concept . it is understood , therefore , that this disclosure is not limited to the particular embodiments herein , but it is intended to cover modifications within the spirit and scope of the present disclosure as defined by the appended claims .
a device for controlling visibility and access to central venous access devices is comprised of a two - sided body fitted around the torso of a patient . the device has an interior surface and an exterior surface . the interior surface is fitted with a layer of absorbent , wicking material and further includes strips of anti - slip material to fix the device in place . a flexible window is positioned between two lumen retaining flaps and fixed between the interior and exterior surfaces . a pair of indentions is positioned above and below the window . a pair of locking closures is attached to the body over the indentions . the body includes a flexible closure including a resilient gauze section to provide flexibility and size adjustability . the window allows visual access to the intravenous site and prevents patient tampering . the intravenous lines are protected from breakage and tampering by the locking closures , indentions , and lumen retaining flaps .