Foundational sketch ideas of the LVAD clothing line
Each garment sketch consists of a basic style outline, and includes position of battery pockets and a power pack pocket (noted as 'P' on the drawing). The base layer is designed to decrease areas of 'double fabric' to reduce heat and bunching. The 'x' and dotted line in the center of the abdominal area indicates an access point to reach the patient driveline. Because the drive line can exit the abdominal cavity in multiple locations the access area has to be both large enough to open and reach the driveline, but small enough to not cause disruption or discomfort while wearing the garment. The idea of having the base layer attached to the fashion layer is to provide the support of the base layer in holding/managing the equipment, while having the fashion layer designed and fabricated to lay over the equipment without puckering or stretching out of shape. Most existing LVAD garments on the market are strictly a base layer concept, which then introduces the difficult task of finding an outer garment that fits over the equipment appropriately while simultaneously maintaining the needs of the wearer. The idea of having the two layers built together is intended to remove this challenge.
Using feedback directly from LVAD patient's and caregivers, the most important aspects of the fabric choice were durability, heat-resistance, and comfort against skin. The base layer and the fashion layer would have to be assessed separately as they will serve different purposes, but will also have to work together within the same garment as far as washing, drying, and basic garment care. In choosing what fabrics to test with garment construction, both material composition and manufacturer ratings were assessed against the needs to be met for the clothing line.
Fabric swatches displayed during the material choice process (personal image)
Cutting out the base layer (personal image)
The initial plan was to construct one female piece and one male piece. Using the initial sketches to guide construction, the base layer was developed for each individual garment, and the fashion layer was fabricated making modifications to pre-existing clothing patterns to fit the needs of the garment. This initial set of garments will be utilized for in-person focus groups to gather feedback in order to make the necessary changes to fit the needs of the LVAD population. This will inform creation of the final pieces of the LVAD clothing line.
A wrap shirt was chosen because of it's light flowy layers, and the ability to easily conceal the LVAD equipment underneath.
With both panels on the top layer pulled back the base layer is easily accessible for equipment management.
A button down shirt is ideal because the fashion portion of the shirt allows to access to the under layer and the ability to add extra room for equipment.
Similar to the women's shirt, the two sides pull back to allow for access to the base layer and manage the LVAD equipment.
HeartMate III Image: Abbott. (2020). System controller [digital image]. cardiovascular.abbott. https://www.cardiovascular.abbott/content/dam/bss/divisionalsites/cv/hcp/products/heart-failure/lvad/heartmate-3/documents/hf-lvad-heartmate-3-patient-guide.pdf