CN104244992B - 便携式医疗设备保护器 - Google Patents

便携式医疗设备保护器 Download PDF

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CN104244992B
CN104244992B CN201380007894.0A CN201380007894A CN104244992B CN 104244992 B CN104244992 B CN 104244992B CN 201380007894 A CN201380007894 A CN 201380007894A CN 104244992 B CN104244992 B CN 104244992B
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CN104244992A (zh
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帕特里克·O·滕尼肯
L·M·菲普斯
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Hyprotek Inc
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Abstract

本申请描述了示例性便携式医疗设备保护器，其可以与多种抗菌剂和/或消毒剂组合使用以减少便携式医疗设备上的污染物。根据一些实施方案，本发明描述了所述保护器可以包含不可渗透的容器以存储用抗菌剂或消毒剂浸渍的可渗透的涂抹器。

Description

便携式医疗设备保护器
相关申请的交叉引用
本申请要求提交于2013年2月1日，标题为“便携式医疗设备保护器”的美国专利申请第13/757,381号的优先权；美国专利申请第13/757,381号要求提交于2012年2月6日，标题为“消毒剂涂抹器和保护设备”的美国临时专利申请第61/595,635号的优先权，这两者都以其全部引入本文作为参考。
背景技术
医疗保健获得性感染(HAI)已被公认为可预防的死亡和发病的一个显著原因。在美国，HAI每年夺走近99,000条生命并在额外治疗和住院上消耗数十亿美元。Klevens等人在Public Health Reports(公共健康报告)2007年第122卷第160页的Estimating HealthCare-Associated Infection and Deaths in U.S.Hospitals,2002(估算2002年美国医院内医疗保健相关的感染和死亡)。血管内导管、手术部位及侵入性措施部位的污染经常导致移除和更换设备，延长肠外抗菌剂治疗，并延长住院治疗和延迟康复。
多重耐抗菌剂耐药菌的传播经常是通过医疗保健提供者的手或医疗设备传播的，从一个移植的或受感染的患者到其他易感患者。手术部位感染可能是皮肤消毒准备不充分所导致的结果。广泛使用葡萄糖酸氯己定(CHG)对术前部位进行常规清洗和擦拭，已经导致在某些医院环境中同时对甲氧西林(MRSA)和CHG有抗性的金黄色葡萄球菌的发生率增加。
附图说明
参照附图进行详细描述。在附图中，附图标记最左边的数字标识该附图标记首次出现的附图。在不同的图中使用相同的附图标记表示相似或相同的项目或特征。
图1说明了一种示例性便携式医疗设备保护器，所述便携式医疗设备保护器具有位于不可渗透的容器内的可渗透的涂抹器。
图2说明了另一种示例性便携式医疗设备保护器，所述便携式医疗设备保护器具有位于不可渗透的容器中的用于存储一个或多个可渗透的涂抹器的可移动的托盘。
图3说明了另一种示例性便携式医疗设备保护器，所述便携式医疗设备保护器具有存储用于擦洗设备(图示为听诊器)的可渗透的涂抹器的可移动托盘和用于保护和防止再污染的不可渗透的容器。
图4为显示用于操作示例性便携式医疗设备保护器的示例性过程的流程图。
具体描述
概述
本公开描述了被设计用来减少和/或防止感染的医用涂抹器和保护器。在一个实施方案中，本公开描述了一种便携式医疗设备保护器，所述便携式医疗设备保护器包括用来容纳便携式医疗设备(例如听诊器)的可密封的、不可渗透的容器(container)或放置空间(receptacle)，以及载有抗菌剂或消毒剂组合物的可渗透的、吸收剂和/或吸附剂涂抹器。在一些实施方案中，所述抗菌组合物可以包含水、低分子量醇、过氧化物或过氧化物生成剂、以及螯合剂。在一些实施方案中，所述可渗透的涂抹器可用于擦拭所述便携式医疗设备，以防止和/或减少感染的传播，这是因为所述便携式医疗设备在多名患者之间使用或运送。
下文的详细讨论以标题为“示例性抗菌组合物”的章节开始，其详细描述了可以被包括在本文所述的医疗涂抹器和保护器中的示例性抗菌组合物。标题为“示例性设备保护器”的下一章节描述了用于使用便携式医疗设备的示例性清洗和保护设备。接着，描述了用于操作示例性设备保护器的“示例性方法”。最后，用简短的“结论”总结了本发明。
提供这个概述(包括各章节标题)是为了以简单的形式介绍选择的概念，这些概念将在下文进一步描述。提供所述概述是为方便读者，而不是意在限制权利要求的范围或接下来的各章节。
示例性抗菌组合物
在一个示例性实施方案中，可以与本文所描述的方法结合使用的抗菌组合物可包括描述于例如提交于2011年1月21日的Tennican等人发明的国际专利申请第PCT/US2011/022150号，以及提交于2012年11月28日的Tennican等人发明的美国非临时专利申请第13/688,078号中的那些，这些专利申请都通过引用并入本文。例如，所述抗菌组合物可以包括水(H2O)、强且无毒的螯合剂例如乙二胺四乙酸(EDTA)(例如，EDTA二钠、EDTA二钠钙、EDTA镁、EDTA钾、EDTA镓)或柠檬酸钠(或EDTA或柠檬酸钠的酸、盐、衍生物或其他形式)、短链一元醇(例如，分子式为C2H5OH、经验式为C2H6O的乙醇)、以及强的、小分子氧化剂例如过氧化氢(H2O2)。在一个具体实施例中，所述组合物可以基本上由水、EDTA、乙醇和过氧化氢组成。其他的成分可包括增稠剂、胶凝剂、表面活性剂、起泡剂和/或泡沫稳定剂。但是，在其他实施例中，可以结合本公开所描述的涂抹器和设备使用其他抗菌组合物。
取决于具体应用的需要，所述抗菌组合物可以是液体形式或凝胶形式，并且可以与一种或多种载体或稀释剂进行组合。例如，如果将所述抗菌组合物用作清洁剂，则所述抗菌组合物可以是液体形式。在这种情况下，各组分的浓度可以取决于例如卫生和/或消毒的期望水平、是否将所述组合物直接施加到活组织或医疗设备、和/或以避免被直接或间接(例如，经由其上施加或已施加所述组合物的医疗设备)施加组合物对组织的刺激。
除了在施加的时候提供消毒外，所述抗菌组合物也可以对污染提供持久的屏障。例如，即使所述组合物的挥发性成分(例如，水、醇、过氧化氢等)已经挥发之后，所述螯合剂可保持在处理后的表面(例如，多用小瓶或接口清洁/保护器、听诊器、手指、周围组织等)作为提供抗菌、抗真菌或杀孢子(例如防止孢子萌发)、抗寄生虫、杀精子或抑制精子(例如降低精子的运动性)和抗病毒性质的屏障。通过抢夺细菌(例如金黄色葡萄球菌(MRSA)、绿脓杆菌(Pseudimonas aeruginosa)和其他抗药菌)、孢子、寄生虫、真菌和病毒繁殖所需的成分(例如铁、镁和锰)环境，所述螯合剂甚至在抗菌组合物的其他成分蒸发掉之后仍提供对污染的持久防御。此外，所述抗菌组合物中的过氧化氢可以在其上将被施加所述抗菌组合物的材料(例如硅树脂材料)的表面上产生电荷，这使所述材料对细菌或其他微生物更有抗性。
当被施加于表面或材料上时，上文所描述的抗菌组合物也可以提供污染的视觉指示，这样的指示可以使使用者识别并清洁表面以防止感染。
在描述示例性抗菌组合物的上下文中所使用的术语“大约”或“近似于”被解释为包括本领域中可接受的和/或已知的合理范围的误差。
示例性设备保护器
本文中描述了多种示例性保护设备。参照图1-3一般性地描述了被构造成预防和/或减少病原微生物从一个受感染的患者、表面或使用者传播到另一患者、表面或使用者的示例性保护设备。
图1说明了一个用于便携式医疗设备上示例性设备保护器100。示例性便携式医疗设备包括但不限于：听诊器、温度计、血压监视器、脉搏血氧仪、喷雾剂(nebulizer)及相关设备、镜(scope)、血糖监测器、多普勒仪、二氧化碳分析仪、吸入泵、多种设备的接口、诊断或治疗的超声传感器和/或其他诊断设备。在一个实施方案中，示例性设备保护器100可以被构造成容纳整个便携式医疗设备或其任意部分，并充当防护罩。如图1所示，设备保护器100可含有不可渗透的容器102以容纳整个便携式医疗设备或其任意部分。可以构造任意数量的不可渗透的容器102，设计用来封装整个便携式医疗设备或其任意部分。例如，不可渗透的容器102可以被构造成容纳听诊器的“钟形”部分或被构造成容纳整个听诊器。用于不可渗透的容器组合物的示例性材料包括但不限于：聚乙烯、三氧化二铝、铝箔、氧化硅涂覆的聚合物薄膜、聚丙烯、聚硅氧烷、聚四氟乙烯、聚氯乙烯、聚酯薄膜或它们的组合。
在一些实施方案中，不可渗透的容器102可包括在所述容器102的开口106处的闭合机构104，所述闭合机构104被构造来牢固地封装所述便携式医疗设备的插入部分。示例性闭合机构包括但不限于：拉绳、拉链锁、泡沫开口(foam opening)、扎带、塑料夹和/或弹簧材料。
在一些实施方案中，所述闭合机构为拉绳和/或扎带。在这些实施方案中，所述不可渗透的容器的开口可以包含绳、线或具有从所述不可渗透的容器延伸的两端的其他类似材料。当拉住和/或缠绕绳端时，所述不可渗透的容器的内容(例如听诊器的钟)被封装。因此，闭合了所述不可渗透的容器的开口。
在另一个实施方案中，在所述不可渗透的容器上的闭合机构可以是泡沫开口。所述泡沫开口可以被构造成允许将所述便携式医疗设备或它的任意部分通过所述开口插入。一旦收入了所述便携式医疗设备，所述泡沫开口可以回复到它未开启的位置，从而保护所述便携式医疗设备不被位于所述不可渗透的容器外的污染物污染。
在另一个实施方案中，所述闭合机构包含弹簧材料。所述弹簧材料可以保持所述不可渗透的容器的开口处于闭合位置。使用者可以挤压所述闭合机构的相对端，以激活弹簧使所述不可渗透的容器的开口打开并变得可以插入所述便携式医疗设备的任意部分。
在一些实施方案中，可渗透的涂抹器108可以被存储在不可渗透的容器102之中。可以用诸如前述章节中所描述的抗菌组合物的抗菌或消毒剂组合物浸渍或涂覆可渗透的涂抹器108。在一些实施方案中，可以将可渗透的涂抹器108从不可渗透的容器102上移下并可用于清洁和/或消毒所述便携式医疗设备的任意部分(例如隔膜、胸件、管材、耳塞或者听诊器的任意其他部分)。
可以将可渗透的涂抹器108构造成多种形状和尺寸。例如，如图1中所示，涂抹器可以小于所述不可渗透的容器。在其他实施方案中，所述涂抹器可以为大体上与所述不可渗透的容器相同或更大的尺寸。在一些实施方案中，所述涂抹器可以在其自身上以任意合适方式折叠、加倍、增至三倍等等，以使所述涂抹器适合所述不可渗透的容器。
在另一个实施方案中，可渗透的涂抹器108可以作为不可渗透的容器102的内部衬里附着。例如，所述可渗透的涂抹器可以可移除地或不可移动地附着在所述不可渗透的容器的内壁上。在这个实施方案中，使用者可以将所述便携式医疗设备或它的任意部分放置于所述不可渗透的容器内。一旦所述设备处于所述容器内，使用者可以通过例如使用按摩动作操纵所述容器。这样的动作可以使附着在所述不可渗透的容器内壁上的可渗透的涂抹器用于用所述抗菌组合物擦洗/消毒所述医疗设备。
可渗透的涂抹器108组合物的示例性材料包括但不限于：淀粉聚合物、纤维素凝胶、聚乙烯泡沫、硅橡胶开孔泡沫或它们的混合物。在一些实施方案中，可渗透的涂抹器108可以包括不同的表面处理(例如切槽、分条等)、表面磨光(surface finishes)(例如宏观结构、微观结构或纳米结构等)和/或外形(例如圆形、有楞纹的、凸起状、手指状等)以使得使用者握住所述涂抹器并帮助擦洗或清洁所述医疗设备。
图2说明了设备保护器200的替代实施方案，其中一个或多个可渗透的涂抹器202可被存储在位于不可渗透的容器102内的可移动托盘204上。使用者在使用前可以将托盘204密封在不可渗透的容器102内。在一些实施方案中，一旦不可渗透的容器102被打开可以将托盘204移出，使得使用者接触到/使用一个或多个涂抹器202。可以在所述医疗设备的任意部分被放置在不可渗透的容器102内之前丢弃托盘204。
所述的一个或多个涂抹器202可以具有上文对于图1的可渗透的涂抹器所描述的任意特征。在一些实施方案中，在所述托盘上的每个所述的一个或多个涂抹器可以包含相同或不同的清洁剂、消毒剂或抗菌剂，或它们的不同浓度。
图2说明了上文参照图1所描述的拉绳闭合机构206。但是，在其他的实施方案中，上文参照图1所描述的任意其他闭合机构可以与设备保护器200一起使用。
所述托盘204组合物的示例性材料包括但不限于：聚丙烯、高密度聚乙烯、聚四氟乙烯、聚氯乙烯、或任意其他合适的热塑性聚合物。在一些实施方案中，托盘204可以被构造成具有一个或多个间隔以分隔存储所述的一个或多个涂抹器202的每个部分。
图3说明了设备保护器的又一个实施方案。在这个实施方案中，不可渗透的容器300和可渗透的涂抹器302可以被置于无菌的、可丢弃的包304内。如图3中所示，不可渗透的容器300(示于托盘204和听诊器308的钟306上)和可渗透的涂抹器302可以被置于无菌包304内的托盘204上。一旦打开无菌包304，使用者可以移除托盘204，并使用用抗菌或消毒剂组合物浸渍的可渗透的涂抹器302以对所述便携式医疗设备(例如图3中所示的听诊器308)的任意部分进行消毒。在用所述涂抹器将所述便携式医疗设备消毒后，使用者可以随后将所述便携式医疗设备或它的任意部分放入不可渗透的容器300以使它避免污染。例如，如图3中所示，当使用者将所述钟放入兜、包等之中时，不可渗透的容器300将保护听诊器308的钟306免于与它们接触或被污染。
在一些实施方案中，位于所述不可渗透的容器中或在无菌包中的托盘上的所述涂抹器可以为具有不可渗透层的涂抹器，所述不可渗透层被连接到可渗透的，吸收和/或吸附底层，因而，防止使用者的手上存在的传染物转移到可渗透底层和便携式医疗设备。
示例性过程
图4说明了用于执行上述操作示例性保护设备的技术的示例性过程400。过程400被示出为逻辑流程图。描述操作的顺序不应被解释为一种限制，并且所描述的操作的数字可以以任意顺序和/或并行地组合以实现该过程。
在操作402中，确定设备保护器用于与便携式医疗设备一起使用。在图3的上下文中，如果使用者穿行于医院中的多个房间使用听诊器，则所述使用者可以确定设备保护器以与所述听诊器或所述听诊器的钟一起使用。
在操作404中，可以打开设备保护器的可密封的或不可密封的不可渗透的容器(receptacle)。在图1的上下文中，使用者可以通过将显示为拉链锁机构的闭合机构104分开来打开所述不可渗透的容器。
在操作406中，可以将载有抗菌剂或消毒剂的可渗透的涂抹器从所述不可渗透的容器上移下。再次，在图1的上下文中，可以将可渗透的涂抹器108从不可渗透的容器102上移下。
在操作408中，可以将所述可渗透的涂抹器施加于所述便携式医疗设备的至少一部分上。例如，可以将所述可渗透的涂抹器用于涂抹或擦拭整个听诊器或所述听诊器的任意部分(例如所述的钟)。
在操作410中，可以将所述便携式医疗设备的至少一部分置于所述设备保护器的不可渗透的容器中。在图3的上下文中，可以将听诊器308的钟306置于不可渗透的容器300之中。
最后，在操作412中，可以将所述不可渗透的容器围绕所述便携式医疗设备的插入部分可移动地密封。例如，可以通过上文参照图1和图2描述的任意机构将所述不可渗透的容器密封。
结论
虽然本发明公开了具有特定结构特征和/或方法动作的实施例，但是要理解权利要求并不必然限于这些所描述的具体特征或动作。相反，这些具体特征和动作仅是落入本公开权利要求的范围之内的一些说明性的实施方式。

Claims (6)

1.一种便携式医疗设备保护器系统，其包含：
容纳可移动托盘的无菌包，所述可移动托盘包含：
可密封的、不可渗透的容器，其被构造用以封装便携式医疗设备的一部分；
可渗透的涂抹器，其被构造用以擦洗部分所述便携式医疗设备；
和
置于所述可渗透的涂抹器之上或之内的清洁剂、抗菌剂或消毒剂，其中所述抗菌剂包含水、低分子量醇、过氧化物或过氧化物生成剂以及螯合剂；
所述可密封的、不可渗透的容器和所述可渗透的涂抹器均位于所述无菌包内的所述托盘上。
2.根据权利要求1所述的便携式医疗设备保护器系统，其特征在于所述可移动托盘包含聚丙烯、高密度聚乙烯、聚四氟乙烯、聚氯乙烯、或任意其他合适的热塑性聚合物。
3.根据权利要求1所述的便携式医疗设备保护器系统，其特征在于所述可移动托盘进一步包含：多个可渗透的涂抹器，所述多个可渗透的涂抹器各自包含多种浓度的所述抗菌剂。
4.根据权利要求1所述的便携式医疗设备保护器系统，其特征在于所述可密封的、不可渗透的容器包含拉绳、拉链锁、泡沫开口、扎带、塑料夹或弹簧材料以确保所述不可渗透的容器围绕所述便携式医疗设备。
5.根据权利要求1所述的便携式医疗设备保护器系统，其特征在于将所述可密封的、不可渗透的容器进一步构造为用以封装整个所述便携式医疗设备。
6.根据权利要求1所述的便携式医疗设备保护器系统，其特征在于所述抗菌剂进一步包含：
5至50mg/ml的乙二胺四乙酸(EDTA)；
以体积计至多70％乙醇；
以体积计至多7.5％过氧化氢；和
水。
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EP2812032A1 (en) 2014-12-17
BR112014019290A8 (pt) 2017-07-11
US20130199946A1 (en) 2013-08-08
CA2863841A1 (en) 2013-08-15
CA2863702C (en) 2020-06-23
EP2812033A4 (en) 2015-10-14
SG11201404359RA (en) 2014-11-27
IN2014DN06503A (zh) 2015-06-12
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CA2863844A1 (en) 2013-08-15
MX366557B (es) 2019-07-12
JP2015508675A (ja) 2015-03-23
BR112014019233B1 (pt) 2021-08-24
EP2811988B1 (en) 2018-04-04
US9039967B2 (en) 2015-05-26
CA2863855A1 (en) 2013-08-15
AU2013217603B2 (en) 2016-03-31
BR112014018688B1 (pt) 2019-06-25
US20170209229A1 (en) 2017-07-27
CN104168894A (zh) 2014-11-26
US10617472B2 (en) 2020-04-14
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BR112014019290A2 (zh) 2017-06-20
KR20140130427A (ko) 2014-11-10
CA2863844C (en) 2020-07-14
BR112014019290B1 (pt) 2021-06-15
HK1203422A1 (zh) 2015-10-30
BR112014018667B1 (pt) 2019-06-25
JP2015507954A (ja) 2015-03-16
JP6671098B2 (ja) 2020-03-25
AU2013217606A1 (en) 2014-08-21
CN104185486B (zh) 2017-09-15
AU2013217606B2 (en) 2017-03-02
HK1204582A1 (zh) 2015-11-27
TR201815518T4 (tr) 2018-11-21
US20130204212A1 (en) 2013-08-08
MX349941B (es) 2017-08-21
BR112014019233A8 (pt) 2017-07-11
KR20140125775A (ko) 2014-10-29
JP6416629B2 (ja) 2018-10-31
WO2013119504A1 (en) 2013-08-15
JP6522947B2 (ja) 2019-05-29
MX2014009432A (es) 2014-11-10
CA2863855C (en) 2019-12-31
CN104203290A (zh) 2014-12-10
EP2812032A4 (en) 2015-10-14
SG11201404503TA (en) 2014-10-30
CA2863841C (en) 2021-02-16
MX362284B (es) 2019-01-10
MX2014009435A (es) 2014-11-10
AU2013217602A1 (en) 2014-08-21
CA2863702A1 (en) 2013-08-15
WO2013119508A1 (en) 2013-08-15
CN104244992A (zh) 2014-12-24
SG10201605854PA (en) 2016-09-29
BR112014018688A2 (zh) 2017-06-20
BR112014018688A8 (pt) 2017-07-11
HK1203858A1 (zh) 2015-11-06
WO2013119505A1 (en) 2013-08-15
US10080620B2 (en) 2018-09-25
EP2812048A1 (en) 2014-12-17
MX366560B (es) 2019-07-12
AU2013217603A1 (en) 2014-08-21
IN2014DN06505A (zh) 2015-06-12
JP6272783B2 (ja) 2018-01-31
HK1203408A1 (zh) 2015-10-30
EP2812032B1 (en) 2017-03-29
EP2811988A4 (en) 2015-10-21
US9192443B2 (en) 2015-11-24
KR20140130470A (ko) 2014-11-10
KR20140120899A (ko) 2014-10-14
JP2018008096A (ja) 2018-01-18
US20130202483A1 (en) 2013-08-08
BR112014019233A2 (pt) 2017-06-20
EP2812048B1 (en) 2018-03-14
SG11201404504RA (en) 2014-10-30
JP6823572B2 (ja) 2021-02-03
EP2811988A1 (en) 2014-12-17
WO2013119509A1 (en) 2013-08-15
MX2014009434A (es) 2014-11-10
EP2812033A1 (en) 2014-12-17
US20130199947A1 (en) 2013-08-08
BR112014018667A2 (zh) 2017-06-20
JP2015509485A (ja) 2015-03-30
BR112014018667A8 (pt) 2017-07-11
SG11201404502WA (en) 2014-10-30
JP2015509386A (ja) 2015-03-30

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