CN107106256A - Sterile barrier for lamp holder of performing the operation - Google Patents

Sterile barrier for lamp holder of performing the operation Download PDF

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Publication number
CN107106256A
CN107106256A CN201580056877.5A CN201580056877A CN107106256A CN 107106256 A CN107106256 A CN 107106256A CN 201580056877 A CN201580056877 A CN 201580056877A CN 107106256 A CN107106256 A CN 107106256A
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CN
China
Prior art keywords
barrier
lamp holder
handle
piece
sterile
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CN201580056877.5A
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Chinese (zh)
Inventor
约瑟华·贝茨
保尔·斯科特
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Individual
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Publication of CN107106256A publication Critical patent/CN107106256A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00Surgical drapes
    • A61B46/10Surgical drapes specially adapted for instruments, e.g. microscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00902Material properties transparent or translucent
    • A61B2017/00907Material properties transparent or translucent for light
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00951Material properties adhesive
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/308Lamp handles
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21LIGHTING
    • F21VFUNCTIONAL FEATURES OR DETAILS OF LIGHTING DEVICES OR SYSTEMS THEREOF; STRUCTURAL COMBINATIONS OF LIGHTING DEVICES WITH OTHER ARTICLES, NOT OTHERWISE PROVIDED FOR
    • F21V21/00Supporting, suspending, or attaching arrangements for lighting devices; Hand grips
    • F21V21/40Hand grips
    • F21V21/403Hand grips for operation or dentist lamps
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21LIGHTING
    • F21WINDEXING SCHEME ASSOCIATED WITH SUBCLASSES F21K, F21L, F21S and F21V, RELATING TO USES OR APPLICATIONS OF LIGHTING DEVICES OR SYSTEMS
    • F21W2131/00Use or application of lighting devices or systems not provided for in codes F21W2102/00-F21W2121/00
    • F21W2131/20Lighting for medical use
    • F21W2131/205Lighting for medical use for operating theatres

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Endoscopes (AREA)
  • Non-Portable Lighting Devices Or Systems Thereof (AREA)
  • Apparatus For Disinfection Or Sterilisation (AREA)
  • Surgical Instruments (AREA)

Abstract

A kind of infection alleviator that interim disposable sterilized barrier is provided between the aseptic area and non-sterile light-emitting zone of operation lamp holder.Surgical team member easily can apply and remove when needed protective barrier.The possibility that the device makes biohazard materials be propagated between patient is minimized, so as to reduce the chance of infection, and finally provides improved clinical effectiveness for patient.The middle section of barrier may be adapted to accommodate and/or cover the operation lamp holder regulation handle positioned at center of (partially or even wholly) one or more types.The device can be manufactured using single structure or composite construction.According to barrier and the concrete composition of application, support bearing part device provides extra geometrical stability for barrier when its operating position on lamp holder can be manipulated in barrier.The device can be configured to compatible with all operation lamp holders and the disposable handle system of non-OEM repackings.

Description

Sterile barrier for lamp holder of performing the operation
Qiao Xibeizi and Borrow's Wei Sesipu Scotts IV
The cross reference of related application
This application claims the power of the U.S. Provisional Application for the Application No. 62/056,671 submitted on October 19th, 2014 Benefit, entire contents are incorporated herein by reference.
Technical field
Disclosed apparatus and method are related to crown operating theatre luminaire system, relate more specifically to shield it towards anterior region From the disposable interim sterile barrier of potential source biomolecule harmful pollution.
Background technology
Healthcare associated infections (HAI) are to cause the great original of the morbidity and mortality of medical centre all over the world Cause.The surgical site infection of hospitalisation for surgery in 2007, American Centers for Disease Control and Prevention (CDC) estimation United States Hospital Quantity is about 300,000, the wherein HAI of United States Hospital all annual about 30,000,000,000 dollars of direct medical cost estimations.
In modern operating room, operative site is illuminated usually using large-scale crown lamp holder.These lamp holders are typically hung from day Movable floor frame is attached on card, wall or in some cases.Lamp holder generally has larger face forward in itself Region, wherein the illumination from light source is projected by window.
Many operation lamp holders include that the regulation handle in aforementioned window center can be located at.This handle is surgeon or operation Assistant provides positioning forehead lamp and is aimed at the ability of patient's area-of-interest.In order to avoid unnecessary confusion and save Save time, surgeon can lean on his/her to manipulate operating lamp.Because the handle is disposably protected all the time during performing the operation Protecting cover is covered, so it is generally considered the sole zone of sterile operation lamp holder.In order to reduce cost, in some medical treatment The heart uses the non-OEM handle covers from third part purchase.These third party's convering systems usually require what is provided by handle cover supplier Adapter (adapter) is installed to operation lamp holder to accommodate lid.
In many operations, open operation position (wound) leaves patient for biological provided with potential source biomolecule nuisance And the chance of equipment near in contaminated operation room.Similarly, the patient with open operation position, which is in, to be received former Operation during in the risk of the potential source biomolecule nuisance of equipment that has polluted.Some operations are required using to the biological material of atomization Material or the operating theater instruments that substantial amounts of kinetic energy is otherwise assigned to the particularly effective power of biomaterial, heavy impulse.At these In the case of, biological pollutant easily can reach and adhere to exposure, the generally non-sterile surface of operation lamp holder.These with The pollutant of preceding application slave unit can be fallen into the open operation position of other patients later.Receive the infection caused of patient May be fatal.
As it was previously stated, the area of the window area of operation lamp holder can be very big and be also the face for pointing to operative site.Cause This, the biomaterial for being easy to be sprayed from operative site towards anterior region of lamp holder pollutes.Operation lamp holder is also can be straight Connect one kind in a few devices being placed on above corrective surgery position, therefore they are particularly at and fall bio-hazard pollutant Into open wound or in the risk of the possibility autologous material that falls into open wound that pollution is discharged from patient, and because This shows high infection risk to patient.
In addition, the larger region towards front portion of lamp holder is surgeon or any surgical staff is not intended to dirt during performing the operation Contaminate they gloves or other clothes main target.When going to take lamp holder handle, manipulation lamp holder or even by not knowing not Feel ground nuzzle up lamp holder when may occur this pollution.If operation member does not know that they have been contaminated, the sense of patient Dye risk may increased dramatically.
, it is surprising that the light-emitting zone towards front portion of operation lamp holder is generally uncovered or is not protected from dirt Dye.According to the specific cleaning solution of medical centre, although surgical technic personnel's occasional wipes clean these surfaces, but they from It is not considered as sterile and is polluted generally between patient.So far, generally it is protected from the unique of lamp holder that perform the operation of pollution Region be surgical staff using come manipulate physical location and/or control lamp some functions handle.
Accordingly, it would be desirable to protect luminous or the disposable interim sterile barrier towards anterior region or the protection of operation lamp holder Thing.Changing the fender (between including but not limited to performing the operation) makes operation lamp holder propagate potential source biomolecule harmful pollution between patient The possibility of thing is minimized, so as to improve its clinical effectiveness.
The content of the invention
A kind of interim disposable sterilized screen of offer between the sterile region and non-sterile, light-emitting zone of operation lamp holder is disclosed The infection alleviator of barrier.Between each operation, protective barrier easily can be applied and removed from lamp holder.The device makes life The possibility that thing deleterious material is propagated between patient is minimized, and is changed so as to reduce the chance of infection and finally be provided for patient Kind clinical effectiveness.
Barrier device is configurable to suitably be adapted to all lamp holder models from all manufacturers.Although many manufactures Business produces circular lamp cap, but the barrier device may be adapted to adaptation and include but is not limited to square, rectangle, hexagon and ellipse The lamp holder of any shape of shape.The device is configurable to partially or even wholly cover the luminous zone towards front portion of lamp holder Domain, and far beyond the region with provide for side and any non-sterile peripheral surface covering.
Barrier device can be made up of the semi-transparent film or hyaline membrane of one or more types.According to the annex and system used Method is made, can use adhesive that film is assembled and/or is attached on lamp holder.
Operation lamp holder can be configured to be located therein launch light window middle section in position fixing handle and/or Joystick.The handle can provide for surgeon or operation assistant and position forehead lamp and be aimed at the interested of patient The ability in region, and the right using other controls such as brightness and focus is provided sometimes.The handle can be with sterile and can To be covered during performing the operation by disposable cover.Protective barrier device disclosed herein can also be suitable to (partially or even wholly) connect Receive and/or cover the operation lamp holder regulation handle at the centrally located place of one or more types.It is constructed in existing central handle In the case of with camera, barrier device is readily applicable at manufacturer or covered at using position those exposures Surface.
Although barrier can be adhered on lamp holder using traditional adhesive, static adhesion effect can also be used. Barrier can also be attached by being mechanically fixed, and wherein the central handle of lamp holder and/or outward flange provide the device of fixing device. Construction barrier, which allows shape to provide overall geometrical stability, can realize the attachment area more much smaller than flat device.When When the device is configured to be attached with adhesive, those adhesives optionally can be exposed or be placed, rather than be covered whole Individual surface.For example, by by device be configured in the region of holding meanss do not have adhesive, can minimize installation and/ Or intractability.Adhesive position can also be configured only to be attached in specific region rather than in large area, so as to improve The convenience of installation.
In order to reduce cost, some medical centres use the non-OEM handle covers from third part purchase.These third parties lid system System usually requires adapter and is installed to operation lamp holder to accommodate lid.Protective barrier device disclosed herein may be adapted to accommodate and/ Or it is installed to the adapter.
Device can be manufactured using single structure or composite construction.For example, when barrier is positioned on lamp holder, Ke Yili Geometrical stability is provided with overall enhanced one or more methods.This can be included moulding material or non-shaped material It is pressed together layer by layer for two layers or more or by integrating such as metal, plastics, ceramics, fiber, fabric or its different material combined The various combinations of material.
When support bearing part device is being maneuvered in its functional location on lamp holder, it can be provided additionally for barrier Geometrical stability.Supporting part can be separated independently or with barrier device.
Device may be configured as the lamination group of multiple disposable layers.Lamination group can be applied to lamp holder and then It can be removed and disposal exposed surface (between including but not limited to performing the operation) as needed.
Brief description of the drawings
Fig. 1 is the perspective view of the modification for the method applied the sterile barrier with pinniform center to operation lamp holder.
Fig. 2 is the saturating of the modification of the sterile barrier of the lamp holder with the disposable handle cover of circular central and with standard shank Depending on exploded view.
Fig. 3 a are the changes for the method that the sterile barrier with foldable center is removed from the lamp holder with disposable handle cover The perspective view of type.
Fig. 3 b are the close-up views of Fig. 3 a modification.
Fig. 4 is the saturating of the modification for the sterile barrier with pinniform center applied to the operation lamp holder with shooting cleaner handgrip View.
Fig. 5 is the perspective view of the modification of the sterile barrier with integrated handle lid.
Fig. 6 a are the perspective views of the modification for the sterile barrier for having integrated video camera handle cover in control junction surface region.
Fig. 6 b are the close-up views of Fig. 6 a modification.
Fig. 7 a and Fig. 7 b are configured for the decomposition diagram of the modification of the taper sterile barrier of repacking shooting cover respectively And side view.
Fig. 7 a ' are the close-up views of Fig. 7 a modification.
Fig. 7 c are configured for the perspective of the modification of the taper sterile barrier with foldable center of repacking shooting cover Figure.
Fig. 7 c ' are the close-up views of the modification of Fig. 7 c cross section, A-A.
Fig. 8 a and Fig. 8 b are configured for reequiping respectively the decomposition diagram of the modification of the taper sterile barrier of rigid handles And side view.
Fig. 9 a and Fig. 9 b are configured for reequiping respectively the exploded perspective of the modification of the taper sterile barrier of flexible handle lid Figure and side view.
Figure 10 is the decomposition diagram of the modification of the peelable convering system of multilayer.
Figure 11 a are the perspective views of the modification of the sterile barrier with line enhanced portion.
Figure 11 a ' are the close-up views of Figure 11 b modification.
Figure 11 b are the perspective views of the modification of the sterile barrier of the plastic foil enhanced portion with shaping.
Figure 11 b ' are the close-up views of Figure 11 b modification.
Figure 11 c are the perspective views of the modification of the sterile barrier with flat plastic film enhanced portion.
Figure 12 is the perspective view for the modification for using the method with the sterile barrier for installing support bearing portion.
Figure 13 a to Figure 13 e are the perspective views of the modification of the sterile barrier of the adhesive in diverse location with exposure.
Figure 14 a are the perspectives of the modification of non-porous and without handle taper sterile barrier on the luminescence window of lamp holder Figure.
Figure 14 b are the perspectives of the modification of non-porous and without handle flat sterile barrier on the luminescence window of lamp holder Figure.
Reference
001:Operation lamp adapter assembly
002:Operating lamp head window mouthful
003:Standard shank for lamp holder of performing the operation
004:Shooting cleaner handgrip for lamp holder of performing the operation
005:Disposable sterilized lid for standard shank
006:Disposable sterilized lid for imaging cleaner handgrip
007:Repacking adapter-rigidity for standard shank
008:Repacking adapter-flexibility for standard shank
009:Repacking adapter for imaging cleaner handgrip
010:Disposable rigidity repacking handle
011:Disposable flexible sterile lid for reequiping handle adapter
012:Disposable rigidity repacking video camera sterility cover
013:Operation lamp holder support arm
014:Operation lamp holder assist handle
015:Operating lamp head window mouthful-without handle
100:Sterile barrier-pinniform center
105:Sterile barrier-circular central
110:Sterile barrier-foldable center
115:Sterile barrier-integrated handle lid
120:Sterile barrier-there is the integrated video camera handle cover for controlling junction surface region
125:Sterile barrier-repacking shooting cleaner handgrip
130:Sterile barrier-repacking rigid handles
135:Sterile barrier-repacking flexible handle
140:Sterile barrier-foldable-repacking shooting cleaner handgrip
141:Sterile barrier-non-porous-cone
142:Sterile barrier-non-porous-flat
143:Sterile barrier-line enhanced portion
145:Exposed adhesive position
150:Peeling piece
155:Line enhanced portion
160:Flat enhanced portion
165:The enhancement layer of shaping
170:Reinforcing rib
175:Foldable volume pleat
180:Feathered paint edge
185:Lamp holder controls junction surface region
190:Overlapping laminating edge
195:Integrated video camera handle cover
200:Multilayer sterile barrier system
205a:The strippable coating of multilayer sterile barrier system
205b:The strippable coating of multilayer sterile barrier system
205c:The strippable coating of multilayer sterile barrier system
205d:The strippable coating of multilayer sterile barrier system
300:Support bearing portion is installed
400:Arrow-stripping sterile barrier with lamp holder to separate
405:Arrow-elimination sterile barrier is for processing
410:Arrow-sterile barrier is installed
Embodiment
Fig. 1 shows that sterility protection barrier device 100 (also referred herein as barrier) can be attached to as shown by arrows General operation lamp adapter assembly 001 (referred to herein as operation lamp holder).Operation lamp adapter assembly can have light source and work as light source The luminescence window 002 that the light from light source passes through it during transmitting light.Luminescence window can be circle it may also be rectangle, pros Shape, triangle, hexagon, ellipse or its any combinations.Sterility protection barrier device (such as 100) be configurable to matching or Extend past periphery, periphery, circumference or the external diameter of luminescence window and/or lamp adapter assembly of performing the operation.
Reference picture 2, operation lamp holder can be installed using the suspension type of support arm 013, or also may be mounted to mobile floor branch Frame, wall or the miscellaneous equipment close to lamp holder.Operation lamp holder can have the standard shank 003 extended from luminescence window 002. Standard shank can be located at the center of luminescence window 002 and be extended vertically from luminescence window 002.Standard shank 003 can be by Disposable sterilized handle cover 005 is completely or partially covered.As shown in Fig. 7 a and Figure 10, one or more video cameras 004 can be with Extend through standard shank 003.As shown in Fig. 4 and Figure 10, video camera 004 can also be covered by disposable sterilized lid 006.As schemed Shown in 2, operation lamp holder can have the assist handle 014 that can be radially extended from operation lamp adapter assembly 001.Sterility protection barrier is filled One or more stripping films 150 can be had by putting.Sterility protection barrier can by many available techniques for example hot forming, cross cutting, One or more in adhesive and/or heat fusing are manufactured.
Center modification
Sterility protection barrier (such as 100-140,200) can be with coverage criteria handle 003 and/or shooting cleaner handgrip 004.Figure 2 disclose the sterile barrier 105 with circular central.Fig. 3 is disclosed with the sterile barrier 110 for being hinged foldable center 175.Fig. 4 Pinniform center sterile barrier 100 with feathered paint edge 180 is disclosed.Fig. 5 discloses the sterile barrier 115 with integrated handle lid. Fig. 6 discloses the sterile barrier 120 with integrated video camera handle cover 195, and its middle cover can be configured to have control close to area Domain 185.Features described above can be by including but is not limited to many available techniques of vacuum forming, cross cutting, adhesive and/or heat fusing In one or more manufacture.For example, handle/shooting cover geometry can be thermoformed into the entirety of sterile barrier device Feature, or it can be with separately fabricated and then bond/be fused together.Figure 14 a and Figure 14 b disclose luminous without being located at The operation lamp holder of standard shank on window 015.Figure 14 a disclose a kind of taper barrier modification 141, and Figure 14 b disclose flat barrier Modification 142.Modification 141 and 142 without hole can be attached to lamp holder 001 by adhesive, fastener and/or fixture.
Refitting tool compatibility
Operation lamp holder 001 can be configured to the after market as shown in Fig. 7 a, 8a and 9a, not OEMed repacking handle Convering system.These third party's convering systems usually require adapter (for example, respectively 009,007 or 008) and are attached to operation lamp holder To accommodate the disposable cover (such as 005,006,011 or 012) or disposable handle (such as 010) of standardization.It is disclosed herein Protective barrier device may be adapted to accommodate and/or be installed to the adapter.Fig. 7 a disclose be configured to shooting cleaner handgrip 004, Reequip adapter 009 and the compatible disposable barrier 125 of disposable shooting cover 012.The repacking shown in Fig. 9 a and Fig. 9 b System (such as 007,008,009,010 and 012) can have thin, flexibility the (not shown) of disposable handle cover 011 and soft Property repacking handle adapter 008.Barrier (such as 125,130,135 or 140) can be that taper or part are tapered.Disposable hand Handle lid 011 may slide on flexible repacking handle adapter 008.Sterile barrier 135 include extend radially past handle 008 with Also form the flexible handle lid of the sterile barrier for operating lamp head window mouthful 002.Disposable barrier 135 and its modification can be by all One or more manufactures in such as many available techniques of hot forming, cross cutting, adhesive and/or heat fusing.Fig. 7 a ' and Fig. 7 b show The overlapping edge 190 (that is, two edge of opening) for going out the disposable barrier 125 by being die cut manufacture can be then attached together To form self-supporting form.
Fig. 7 c and Fig. 7 c ' are disclosed with the coaxial foldable ripple being hinged, wrinkle or the disposable barrier 140 for rolling up pleat 175. Fig. 8 a and Fig. 8 b, which are disclosed, is configured to the disposable barrier compatible with disposable rigidity repacking handle 010 and repacking adapter 007 130.Similar to the barrier device 125 and 140 disclosed above for being used to reequip shooting cover, barrier 130 can be by disposable handle Keep.Barrier 125 is also similar to, barrier 130 can have foldable ripple, wrinkle or volume pleat 175.Fig. 9 a and Fig. 9 b disclose structure Cause the disposable barrier 135 compatible with disposable flexible repacking handle adapter 008.Similar to barrier device disclosed above 125 and 130, barrier 135 can be kept by repacking adapter 008 and (that is, remain to operation lamp holder), and be also configured to tool There is foldable volume pleat 175.
The peelable barrier of multilayer
Figure 10 discloses the laminated multi-layer sterile barrier system comprising multiple strippable coating 205a, 205b, 205c and 205d 200。
Barrier enhanced portion
Figure 11 a, Figure 11 a ', Figure 11 b, Figure 11 b ' and Figure 11 c disclose the integrated enhanced portion change for sterile barrier device Type.Figure 11 a and Figure 11 a ' disclose the embodiment of line enhanced portion 155.It can form, mould and/or weld these line enhanced portion. In one modification, have as disclosed in Figure 11 a detailed view, in the online enhanced portion 155 of barrier 143 and keep barrier 105 Overlapping portion 190.The direct attachment wire enhanced portion of other methods including adhesive tape or heat fusing can also be used.Figure 11 b and Figure 11 b ' are public Layers apart is pressed onto the embodiment of the auxiliary layer of the formable plastics film 165 with enhancing ridge or feature 170 in main screen barrier layer 143.Root According to various factors such as material type and geometry, can substantially stabilized shaping layer 165 cause do not need single barrier layer 143.Enhanced feature 170 can also be the multiple less subassemblies for the specific region for being attached to barrier layer 143.Figure 11 c are disclosed Embodiment applied to the flat reinforcing material 160 of sterile barrier 105.
Support bearing portion is installed
Figure 12 discloses carrying or stable sterile barrier 105 until the barrier is attached to the support meanss 300 of operation lamp holder. The support meanss can by transparent/translucent and opaque relative broad range material manufacture.
Adhesive modification
Figure 13 a- Figure 13 e disclose the modification for the application for needing adhesive.Barrier 105 can have and have in position 145 The barrier film of exposed adhesive.One or more stripping films 150 can be placed in the different directions from the circumference extension of barrier 105 On.For example, barrier 105 can have:Single stripping film 150 (as shown in figures 13a andb), with the relative stripping of two groups of diameters From piece 150 each other with 90 degree of four mutually deployed stripping films 150 (as shown in figure 13 c), each other mutually deployed with 120 degree Three stripping films 150 (as shown in figure 13d), each other two relative stripping films (as shown in figure 13e) of diameter or its overlapping combinations. Adhesive can be applied to the selected section or whole surface of barrier film.Then, barrier 150 can be with being configured to as needed Only expose another film lamination of adhesive position 145.Adhesive type and position selection can be based on including providing enough Adhesiveness, it is easily installed and removes and minimize or eliminate any residue for remaining on operation lamp holder after removal Some factors.Some regions (for example, stripping film 150) of disposable barrier 105 are configurable to no adhesive so that operation The possibility of the undesirable attachment for wearing gloves hand of the user of device is preferably minimized.Traditional adhesive and such as magnet, Elastic webbing, frictional force, VELCRO, electrostatic adherence, suction, machanical fastener or many other means for attachment of its combination can be Barrier film is attached at position 145.On-plane surface or taper sterile barrier can use adhesive as attachment method.
Material modification
Protective barrier device can be by including but is not limited to the transparent or semitransparent materials of following one or more types Composition:Polyethylene terephthalate (PET), polyester (PE), makrolon (PC), polymethyl methacrylate (PMMA), Polystyrene (PS), polyurethane (PUR and PU), copolyesters (PETG), PEP (FEP), perfluoroalkoxy (PFA), polytetrafluoroethylene (PTFE) (teflon), polychlorotrifluoroethylene (PCTFE or PTFCE), biaxial orientation poly terephthalic acid second two Alcohol ester (BoPET), biaxial orientation PEN (PEN), cellulose acetate (CA), styrene-acrylonitrile (SAN), PPSU (PPSU), polyether-ether-ketone (PEEK), polyimides (PI), polysulfones (PSU) or its combination.
Protective barrier can by or absorb vision spectrum in vision spectrum outside specific wavelength or wave band radiate.It is other Not translucent/transparent material is applicable to not need light transmissive region.For example, reinforcing material can include metal alloy, increase Strong fiber, composite, plastics, resin, paper products and combinations thereof.
Operation
Fig. 1 discloses a kind of non-sterile surface for the exposure for applying lamp holder 001 of extremely performing the operation for example to prevent potential source biomolecule to be harmful to The sterility protection barrier device 100 of pollution.One in surgical staff can before the surgery by sterile barrier device (for example 100) application is to operation lamp holder 001, then, such as shown in figure 3, as desired by one (or multiple) stripping film of pulling 150 remove (as illustrated by arrow 400) away from operation lamp holder 001 and handle the sterile barrier device (for example, 100).Reference picture 2, illumination can launch from window 002.Because the region is generally directed towards the direction of operative site, it be also pollution risk most One of big region.Partially due to the window surface is close to lamp holder position fixing handle 003, it is not intended to touch so it is also at surgical staff In the risk touched.Lamp holder of performing the operation can have video camera 004 (Fig. 7 a), instead of standard lamp head position fixing handle 003.However, shooting Machine still can be used for positioning and controlling lamp holder and/or camera function.Some operation lamp holders can have assist handle 014, But they are generally neither covered during performing the operation by sterile barrier, also not by intentional contact.
Center modification
As shown in Fig. 2 operation lamp holder can have positioning/joystick 003 positioned at center.Such as Fig. 7 a and Figure 10 institutes Show, handle 003 can have or can be video camera.As shown in fig. 6, during surgical procedure, surgical staff and/or surgery Doctor can use handle positioning operation lamp holder 001 and realize and some or all of lamp and/or video camera 004 are controlled.This A little non-sterile handles can be covered by disposable sterilized lid 005 and/or 006 (Fig. 2 and Figure 10) so as to be shifted between patient biological The possibility of pollutant is minimized.
Sterility protection barrier (such as 100) can be configured to adapt to or coverage criteria handle 003 and shooting cleaner handgrip 004 A variety of modifications.Fig. 2 discloses the sterile barrier 105 with circular incision center.Fig. 3 is disclosed with the foldable center being hinged 175 sterile barrier 110, it can be by the region that allows to engage with disposable handle cover 005 or 006 in sterile barrier device In be hinged to improve the geometry compatibility between different lamp holder model and size.Fig. 4 disclose can improve sterile barrier and The pinniform center sterile barrier 100 with feathered paint edge 180 of geometry compatibility between disposable handle cover 005 or 006.Figure 5 disclose the sterile barrier with integrated handle lid 115, and it can be such that pollutant destroys between disposable handle cover 005 or 006 The risk at junction surface minimize and make preparation be used for perform the operation lamp holder needed for step it is minimum.Fig. 6 is disclosed to be taken the photograph with integrated The sterile barrier of camera handle cover 120, its middle cover can be configured to the video camera close to lamp holder or setting thereunder Control the region 185 at junction surface.
Refitting tool compatibility
In order to reduce cost and provide wider cross-compatibility, operation lamp holder 001 can be configured to have such as Fig. 7 a, Fig. 8 a and after market, not OEMed handle convering system shown in Fig. 9 a.These third party's handle convering systems are usually required Adapter (such as be respectively adapter 009,007 or 008) removedly or is separately mounted to standard procedures lamp holder handle 003 or video camera operation lamp holder handle 004 to accommodate the disposable cover (for example, 005,006,011 or 012) or once of standardization Property handle (such as 010).Protective barrier device disclosed herein may be adapted to using and do not having to use what is provided by third party The adapter is accommodated and/or is installed in the case of disposable cover or handle.Fig. 7 a, Fig. 7 b and Fig. 7 c, which are disclosed, to be configured to and takes the photograph Camera handle 004, repacking adapter 009 and the compatible disposable barrier 125 of disposable rigidity shooting cover 012.Barrier is (for example 125th, 130,135, form 140) can be during installation with whole geometry stability is provided when installing, and adapt to repacking The taper of adapter (such as adapter 009,007 or 008) or part conic.
Utilize the modifying system using the rigid disposable apparatus for being similar to lid 012 or handle 010 (Fig. 7 a and Fig. 8 a), nothing Bacterium barrier 125 or 130 can be attached to the lid and then be screwed into the repacking adapter similar to adapter 007 or 009. Once operation is completed, device 010 or 012 can be turned on, it is allowed to sterile barrier 125 or 130 with post processing sterile barrier and hand Both handle lids are removed together.The having for cooperation modification that Fig. 7 c are disclosed between the lamp holder model and size that adapt to wider range can roll over The disposable barrier 140 of folded volume pleat 175.
Fig. 8 a and Fig. 8 b, which are disclosed, to be configured to and disposable rigidity repacking handle 010 and to reequip adapter 007 compatible once Property barrier 130.Similar to the barrier device disclosed above 125 for reequiping shooting cover, barrier 130 can be by disposable handle Keep, and the shape of the intrinsic barrier of three-dimensional geometry provides resistance to overturning.Barrier 125 is also similar to, barrier 130 can also It is configured to foldable volume pleat 175 provide the lamp holder compatibility of wider range.Fig. 9 a and Fig. 9 b, which are disclosed, to be configured to and one The compatible disposable barrier 135 of secondary property flexibility repacking handle adapter 008.The modifying system is commonly configured with thin, flexible The disposable (not shown) of handle cover 011.Barrier device 135 can be by itself between flexible handle lid adapter 008 Frictional force at junction surface is kept.When lamp needs to be configured with sterile barrier, barrier device 135 may slide into lid adaptation On device 008, and it is then followed by being removed and handling allowing new sterile barrier 135 is installed.
As barrier device 125 and 130 disclosed above, the shape of barrier 135 can provide overall dimensionally stable Property.Barrier 140 can be also configured to the foldable volume pleat 175 similar to 125 and 130 adapt to the lamp holder chi of wider range Very little change.These changes include reequiping height of the adapter (007,008 or 009) to the face for lamp holder window 002 of performing the operation, the window The diameter of mouth and the shape/size of lamp adapter assembly 001.Notice in Fig. 8 b and Fig. 9 b, barrier can extend beyond lamp holder Edge provide extra cover with the side of the side for lamp adapter assembly 001, the side of assist handle 014 and other exposed surfaces Lid.The covering of the extension can be used for minimizing or prevent the pollution of these adjacent surfaces.The covering power of the extension is applied to All disposable sterilized barriers disclosed herein.
The peelable barrier of multilayer
Figure 10 disclose it is a kind of include by layer 205a, 205b, 205c and 205d of part or peelable removal represent it is multiple The laminated multi-layer sterile barrier system 200 of layer.In order that using the system, multilayer sterile barrier system 200 can be close to lamp holder It is employed before being performed the operation or is attached to operation lamp holder 001.When needing new sterile barrier, as shown in the 205a in Figure 10 The stripping film 150 that is interlocked by exposed angle of top layer peel off (as shown in arrow 400 and 405), so as to show another nothing Bacterium barrier (assuming that there is remaining barrier in bag or barrier system 200).After removal, the sterile barrier component of pollution can be handled 205.The process can be repeated, the disposable sterilized barrier layer (205a, 205b, 205c and 205d) all until having exhausted, Wherein lamp holder can be protected from biological pollution using new multilayer sterile barrier bag 200.
Support bearing portion is installed
During the installation of sterile barrier (such as 100), operation lamp holder 001 can be oriented at beneficial to will be thin, flexible Plastic foil efficient application is to many different positions of lamp holder window 002.Figure 12 discloses one kind by being grasped by sterile barrier There is provided geometrical stability to simplify the support meanss 300 of installation for it when indulging the appropriate location on operation lamp holder.Once it is sterile Barrier is in place, removable support meanss 300.Support meanss can include during positioning keep support carrier and sterile barrier it Between proper orientation low tacky adhesion or other devices.
Sterile barrier device, which can be similar to, is used for the procephalic bathing cap of operating lamp.Operation lamp holder, which can be retracted, to be wrapped in Perform the operation on lamp holder.
Any element here depicted as odd number can be that (that is, any element for being described as " one " can be plural number More than one).Any kind of element of category element can have the feature or element of any other kind of element of the category.For implementing Above-mentioned construction, element or the complete assemblies and method and its element of the present invention, and the modification of each aspect of the present invention can be with Any combinations are combined with each other and changed.For example, disclosed center modification, adhesive position and attachment method can be with being disclosed herein The configuration of many sterile barriers it is compatible.Many other sterile barrier attachment methods are considered to have potential equal authenticity, and Those disclosed herein method may be better than.For example, in the case of open adhesive, these adhesives can utilize such as magnetic Body, VELCRO, elastic webbing, friction, static adhesion, suction, mechanical fasteners or many other attachment arrangements of its combination are substituted.

Claims (20)

1. a kind of sexual system of light transmission, it includes:
Perform the operation lamp holder, it includes luminescence window and at least one of following:Position fixing handle, video camera, control junction surface;With And
Sterile barrier, it is configured to cover the luminescence window;Wherein described barrier has hole, and the hole is configured to accommodate It is at least one of following:Position fixing handle, video camera, control junction surface.
2. system according to claim 1, wherein the barrier is at least partly translucent and/or transparent.
3. system according to claim 1, wherein the shape of the barrier is at least partly taper.
4. system according to claim 1, wherein the barrier includes coaxial foldable volume pleat.
5. system according to claim 1, wherein the barrier includes film and adhesive.
6. system according to claim 1, wherein the barrier has what is radially extended from the remainder of the barrier Piece.
7. system according to claim 1, wherein the barrier is configured to cover whole luminescence window.
8. system according to claim 1, wherein the barrier includes the first peelable layer can be removed and described first The second peelable layer can be removed on peelable layer can be removed, wherein the first peelable layer can be removed has the first pulling-on piece, And wherein described second peelable layer can be removed has the second pulling-on piece, and wherein described first pulling-on piece is from second pulling-on piece At least partially angularly offset.
9. a kind of operating theatre luminaire system, it includes:
Crown operation lamp holder, it includes light source, luminescence window and handle;And
Sterile barrier, it is configured to cover the luminescence window, wherein the barrier has a hole, and wherein described handle to Distal side extends through the hole.
10. system according to claim 9, wherein the barrier is translucent and/or transparent at least in part.
11. system according to claim 9, wherein the shape of the barrier is at least partly taper.
12. system according to claim 9, wherein the center of the barrier has circular port.
13. system according to claim 12, wherein the circular port has feathered paint edge.
14. system according to claim 9, wherein the barrier includes coaxial foldable volume pleat.
15. system according to claim 9, wherein the barrier includes film and adhesive.
16. system according to claim 9, wherein the barrier has what is radially extended from the remainder of the barrier Piece.
17. system according to claim 9, wherein the barrier is configured to cover whole luminescence window.
18. system according to claim 9, wherein the barrier includes the first peelable layer can be removed and described first The second peelable layer can be removed on peelable layer can be removed.
19. system according to claim 18, wherein the first peelable layer can be removed has the first pulling-on piece, wherein institute Stating the second peelable layer that removes has the second pulling-on piece, wherein first pulling-on piece is at an angle of at least in part from second pulling-on piece Ground is offset.
20. a kind of keeping method of sterile surfaces, it includes:
First disposable sterilized barrier is applied to the region for the light-emitting device for wherein launching illumination, and wherein described barrier tool There is hole, and wherein described device includes handle, and wherein include distad leading to the handle using first barrier Cross the hole;
Remove the described first disposable sterilized barrier;And
Second disposable sterilized barrier is applied to the region for the light-emitting device for wherein launching illumination.
CN201580056877.5A 2014-10-19 2015-10-19 Sterile barrier for lamp holder of performing the operation Pending CN107106256A (en)

Applications Claiming Priority (3)

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US201462065671P 2014-10-19 2014-10-19
US62/065,671 2014-10-19
PCT/US2015/056272 WO2016064758A1 (en) 2014-10-19 2015-10-19 Sterile barrier for surgical lightheads

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JP (1) JP2017534359A (en)
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CA2964913A1 (en) 2016-04-28
EP3206558A1 (en) 2017-08-23
WO2016064758A1 (en) 2016-04-28
AU2019200107A1 (en) 2019-01-31
EP3206558A4 (en) 2018-10-03
CA2964913C (en) 2020-07-14
AU2019200107B2 (en) 2020-08-20
JP2017534359A (en) 2017-11-24
AU2015336215A1 (en) 2017-05-18

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