US20150216602A1 - System, method and apparatus for surgical stand - Google Patents
System, method and apparatus for surgical stand Download PDFInfo
- Publication number
- US20150216602A1 US20150216602A1 US14/688,747 US201514688747A US2015216602A1 US 20150216602 A1 US20150216602 A1 US 20150216602A1 US 201514688747 A US201514688747 A US 201514688747A US 2015216602 A1 US2015216602 A1 US 2015216602A1
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- deck
- stand
- tray
- longitudinal
- lateral
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Classifications
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- A61B19/0256—
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
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- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47B—TABLES; DESKS; OFFICE FURNITURE; CABINETS; DRAWERS; GENERAL DETAILS OF FURNITURE
- A47B13/00—Details of tables or desks
- A47B13/08—Table tops; Rims therefor
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- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47B—TABLES; DESKS; OFFICE FURNITURE; CABINETS; DRAWERS; GENERAL DETAILS OF FURNITURE
- A47B13/00—Details of tables or desks
- A47B13/08—Table tops; Rims therefor
- A47B13/16—Holders for glasses, ashtrays, lamps, candles or the like forming part of tables
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- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47B—TABLES; DESKS; OFFICE FURNITURE; CABINETS; DRAWERS; GENERAL DETAILS OF FURNITURE
- A47B23/00—Bed-tables; Trays; Reading-racks; Book-rests, i.e. items used in combination with something else
- A47B23/02—Bed-tables; Trays; Reading-racks; Book-rests, i.e. items used in combination with something else releasably mounted on the bedstead or another item of furniture
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- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47B—TABLES; DESKS; OFFICE FURNITURE; CABINETS; DRAWERS; GENERAL DETAILS OF FURNITURE
- A47B9/00—Tables with tops of variable height
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- A61B19/0248—
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
- A61B50/13—Trolleys, e.g. carts
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
- A61B50/15—Mayo stands; Tables
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/20—Holders specially adapted for surgical or diagnostic appliances or instruments
-
- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47B—TABLES; DESKS; OFFICE FURNITURE; CABINETS; DRAWERS; GENERAL DETAILS OF FURNITURE
- A47B87/00—Sectional furniture, i.e. combinations of complete furniture units, e.g. assemblies of furniture units of the same kind such as linkable cabinets, tables, racks or shelf units
- A47B87/02—Sectional furniture, i.e. combinations of complete furniture units, e.g. assemblies of furniture units of the same kind such as linkable cabinets, tables, racks or shelf units stackable ; stackable and linkable
- A47B87/0207—Stackable racks, trays or shelf units
- A47B87/0261—Independent trays
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- A—HUMAN NECESSITIES
- A47—FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
- A47F—SPECIAL FURNITURE, FITTINGS, OR ACCESSORIES FOR SHOPS, STOREHOUSES, BARS, RESTAURANTS OR THE LIKE; PAYING COUNTERS
- A47F5/00—Show stands, hangers, or shelves characterised by their constructional features
- A47F5/04—Stands with a central pillar, e.g. tree type
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- A61B19/0271—
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- A61B2019/0251—
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- A61B2019/0255—
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/10—Furniture specially adapted for surgical or diagnostic appliances or instruments
- A61B50/15—Mayo stands; Tables
- A61B2050/155—Mayo stands
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
- A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
- A61B50/33—Trays
Definitions
- the present invention relates in general to surgical stands and, in particular, to an improved system, method and apparatus for a surgical stand.
- the sterile area is defined with respect to a standing person, such as from the vertical region of a scrub assistant from chest to waist.
- Newer surgical techniques require numerous complicated and potentially hazardous instruments that must be safely managed in the sterile area. For example, surgeons typically place arthroscopes, laparoscopes, lasers, and bovie electrocautery directly on patients during surgery. The light source for the arthroscope, the bovie, and oscillating saws are potential burn or cutting sources for the patient. Yet, these instruments must be placed directly on the patient because they have sterile cords that may be contaminated if placed on a remote back table and brought back and forth from that remote table to the patient's surgical wound where they are used.
- such operating equipment has multiple electric cords and surgical suction tubing that must remain in the midline of the sterile field.
- the current practice to keep these cords and tubing from migrating peripherally (into non-sterile areas) is to use straps placed on the disposable sterile paper drapes that surround the operative site. With repetitive use during surgery, these cords and tubing may loosen from the straps, fall off the edges of the surgical drapes and contaminate the tubing and cords, as well as the downstream instruments that are being supplied power by the electrical cords.
- improvements in managing operating room equipment continue to be of interest.
- the stand may comprise a support post configured to be oriented in a substantially vertical orientation.
- a frame extends from the support post and is configured to be oriented in a substantially horizontal orientation.
- a tray has a first deck that is complementary in shape to the frame and configured to rest on and be supported by the frame.
- a second deck is connected to and transversely spaced apart from the first deck, such that at least lateral access to both the first and second support surfaces is provided.
- the tray may be disposable.
- FIG. 1 is an isometric view of an embodiment of a stand.
- FIGS. 2 and 3 are front and rear isometric views of embodiments of stands with trays.
- FIGS. 4-6 are side and rear isometric views of alternate embodiments of stands with trays.
- FIGS. 7 and 8 are enlarged isometric views of embodiments of a bracket for a stand.
- FIGS. 9 and 10 are isometric views of other embodiments of stands and trays.
- FIG. 11 is an isometric view of an embodiment of a tray and stand in operation.
- the surgical stand 11 may comprise a safety instrument platform (SIP) stand having a support post 13 that is configured to be oriented in a substantially vertical orientation.
- a frame 15 may extend from the support post 13 and be configured to be oriented in a substantially horizontal orientation. Both the support post 13 and frame 15 may be formed from rigid materials, such as metals.
- the frame 15 is configured to support a tray 21 .
- the tray may be disposable and formed from a plastic or other suitably safe and inexpensive materials.
- the term “disposable” comprises a single-use application.
- the tray 21 has a proximal end 23 located adjacent the support post 13 and a distal end 25 opposite the proximal end 23 .
- a longitudinal direction “x” is defined as extending between the proximal and distal ends 23 , 25 .
- a lateral direction “y” is perpendicular to the longitudinal direction x, such that both the longitudinal and lateral directions x, y are substantially horizontal.
- a transverse direction “z” is perpendicular to both the longitudinal and lateral directions x, y such that it is substantially vertical.
- Embodiments of the tray 21 may further comprise a first deck 31 that is complementary in shape to the frame 15 and configured to rest on and be supported exclusively by the frame 15 .
- the first deck 31 has a first support surface 33 , which may comprise many different forms depending on the surgical application.
- a second deck 41 is connected to the first deck 31 .
- the second deck 41 may be substantially longitudinally and laterally aligned with the first deck 31 and have a second support surface 43 .
- the first and second decks 31 , 41 may have similar horizontal surface areas (e.g., +/ ⁇ 25%), or substantially the same horizontal surface area.
- the tray 21 may comprise a single integrated (e.g., molded) component comprising both of the first and second decks, or a plurality of components (e.g., two separate molded components) that are discrete and configured to be assembled together.
- the second deck 41 may be transversely spaced apart (i.e., in the z direction) from the first deck 31 , such that a user is provided with at least lateral (i.e., in the y-direction) access to both the first and second support surfaces 33 , 43 .
- the first deck 31 may provide access in all three of the longitudinal, lateral and transverse directions.
- the second deck 41 may provide access in substantially only the longitudinal and lateral directions.
- the second deck 41 hangs below and is supported exclusively by the first deck 31 (or upper deck), such that the second deck 41 (or lower deck) is directly beneath the frame 15 .
- the second support surface 43 is located entirely beneath the upper deck 41 .
- the second deck 41 may be located above the first deck 31 .
- the tray 21 is formed from a disposable material, the first and second decks 31 , 41 may be substantially fixed with respect to each other, such that they adequately support tools for surgical procedures with substantially no relative movement therebetween.
- the tray 21 may be provided with sidewalls 51 that connect the first deck 21 to the second deck 41 .
- the sidewalls 51 may have the same transverse or z-direction dimension such that both the first and second decks 31 , 41 are substantially horizontal.
- one of the sidewalls 51 b FIG. 3 ) may have a greater transverse dimension than the other sidewall 51 a , such that one of the decks is horizontal (e.g., first deck 31 ) and the other deck (e.g., second deck 41 ) is inclined relative to horizontal.
- Each of the side walls 51 may be provided with a plurality of apertures 61 (e.g., three shown) that are configured to receive and support medical equipment.
- the apertures 61 a and 61 b may be circular, and a distal one of the apertures 61 c may be semi-circular.
- the second deck 41 may be provided with a plurality of bays 71 a , 71 b , 71 c that extend in the lateral or y-direction.
- the bays 71 a - c may be longitudinally aligned with respective ones of the apertures 61 a - c .
- the bays 71 may be partitioned by baffles 81 and each of the bays 71 may be semi-cylindrical in shape.
- the second deck 41 may further comprise end baffles 81 a , 81 d on its longitudinal ends (i.e., proximal and distal ends).
- Each of the apertures 61 may be configured to provide ingress and egress of medical equipment in the lateral or y-direction.
- equipment such as scopes, shavers, lasers, etc.
- Other ones of the apertures 61 may support and provide control for tubing and cords, such as surgical suction tubing and sterile electric cords.
- the distal one of the apertures 61 c has an open structure that is configured to provide ingress and egress of medical equipment in both the longitudinal and lateral directions.
- the tray 21 may further comprise a pocket 83 ( FIG. 4 ) extending from tray.
- the pocket 83 may have a profile 85 and open slot 87 that are configured to support medical equipment.
- the pocket 83 may be located on the first deck 31 and may extend longitudinally from the proximal end 23 of the tray 21 .
- the profile 85 and open slot 87 of the pocket 83 may be rectangular in shape and adapted to support bovie holsters having either oval or rectangular shapes.
- the stand 11 may further comprise a lever 91 configured to adjust a vertical or transverse position (i.e., in the z-direction) of the frame 15 and tray 21 relative to an operating room table 93 .
- the lever 91 may extend from the support post 13 and may be located beneath the frame 15 between the first and second decks 31 , 41 .
- the lever 91 is located in a sterile field SF ( FIG. 5 ) as defined by current operating room practice.
- the SF extends in the transverse or z-direction between a chest and a waist of a person standing in the room, such as a scrub assistant.
- Lever 91 is located on the stand 11 to meet this sterile area criteria, which allows for adjustments to its height by a “sterile” scrub tech or nurse who is “sterile” (i.e., scrubbed in the case).
- sterile i.e., scrubbed in the case.
- an operating room nurse can deploy lever 91 and move the stand 11 up or down. If lever 91 was down at the attachment site of the stand 11 to the rail 95 of the operating room table 95 , the adjustments would have to be made by a non-sterile person in the operating room.
- Lever 91 may be covered by a sterile mayo stand cover but is in the correct sterile area.
- the stand 11 also may further comprise a mounting bracket 101 ( FIGS. 6-8 ) that is configured to mount the support post 13 to a rail 95 , such as a table rail.
- the frame 15 and tray 21 are collectively rotatable ( FIG. 6 , circular arrow) about an axis 14 of the support post 13 .
- rotation of the frame 15 and tray 21 is frictionally limited by controlled drag in the mounting bracket 101 .
- a desired amount of drag may be provided by a sleeve 103 ( FIG. 7 ) on or inside the mounting bracket 101 .
- the mounting bracket 101 may adjustably compress the sleeve 103 (e.g., via a screw 105 ) in a radial direction relative to the axis 14 to provide a variable amount of drag on rotation of the support post 13 . If the tray were bumped or rotated without drag control, the heavy instruments on the tray could be thrown off of the tray onto the patient. A lack of drag control also may permit annoying rotational migration of the tray during surgery.
- the drag feature acts as a brake that is fully adjustable from “off” (no drag/no brake, such that the stand may free wheel) to fully “on” (locked like an emergency brake) to anywhere in between, where the “brake” is partially applied resulting in the desired drag to allow movement but to prevent unintended movement.
- the coefficient of friction in this joint may be tuned and varied based on the application of use, manufacturing tolerances and surface finishes.
- the mounting bracket 101 may further comprise a lever 91 (e.g., a tilt lever) that is configured to variably adjust an angle of inclination a of the support post 13 in a vertical plane to either side of the table 93 .
- the mounting bracket 101 may still further comprise a clamp with jaws 109 ( FIG. 8 ) configured to adjustably grip the rail 95 .
- the jaws 109 may comprise inner surfaces 111 that are inclined toward the table 93 , or relative to a vertical plane defined by the lateral and transverse directions, y and z.
- the inner surfaces 111 are adapted to draw the rail 95 into the jaws 109 when the jaws are tightened (e.g., via mechanism 113 ), thereby always ensuring a snug fit even after normal wear.
- Mounting bracket 101 also provides lateral repositioning (see horizontal arrows in FIG. 6 ) of the support post 13 , frame 15 and tray 21 along rail 95 .
- the stand may further comprise a portable floor base 121 ( FIG. 9 ), such as a Mayo stand, which is configured to engage and mount the support post 13 as shown.
- a portable floor base 121 FIG. 9
- stand 11 may be mounted to table 93 or portable floor base 121 .
- the tray 121 and surgical stand 11 may be configured as described elsewhere herein for the various embodiments.
- the tray 121 has a proximal end 123 located adjacent the support post 13 and a distal end 125 opposite the proximal end 123 .
- Embodiments of the tray 121 may comprise a first deck 131 that is complementary in shape to the frame 15 of stand 11 , and configured to rest on and be supported exclusively by the frame 15 .
- the first deck 131 has a first support surface 133 , which may comprise many different forms depending on the surgical application.
- One or more second decks 141 may be connected to the first deck 131 .
- the second deck 141 may be tubular and substantially lateral, and may include a second support surface 143 .
- the tray 121 may comprise a plurality of separate, discrete components (e.g., the three separately molded components shown) that are configured to be assembled together.
- the second deck(s) 141 may be transversely spaced apart (i.e., in the z-direction) from the first deck 131 , such that a user is provided with at least lateral (i.e., in the y-direction) access to both the first and second support surfaces 133 , 143 .
- the first deck 131 may provide access in all three of the longitudinal, lateral and transverse directions.
- the second deck 141 may provide access in substantially only the lateral direction.
- the second deck 141 may hang below and may be supported exclusively by the first deck 131 (or upper deck), such that the second deck 141 (or lower deck) is directly beneath the frame 15 .
- the second support surface 143 is located entirely beneath the upper deck 131 .
- the tray 121 may be formed from disposable materials, the first and second decks 131 , 141 may be substantially fixed with respect to each other, such that they are adequately rigid enough to support tools for surgical procedures with substantially no relative movement therebetween.
- the tray 121 may be provided with sidewalls 151 .
- the sidewalls 151 may be used to connect the first deck 121 to the second deck 141 , such as via elastic bands 152 (e.g., rubber bands).
- elastic bands 152 e.g., rubber bands
- one elastic band 152 may extend along each lateral edge of second deck 141 and protrude from holes on both ends thereof.
- only two elastic bands 152 may be used to adequately secure second deck 141 to first deck 121 .
- the ends of the elastic bands 152 may wrap around and be secured to features in side walls 151 , such as castellations 153 .
- the castellations 153 may define apertures 155 therebetween.
- the apertures 155 may vary in shape and size, depending on the application.
- apertures 155 are well suited for supporting and separating various types of devices and cords 157 on or in tray 121 .
- second support surface 143 of second deck 141 is well suited for supporting various types of devices and cords
- Embodiments of second deck 141 may be configured to provide ingress and egress of medical equipment in the lateral or y-direction.
- equipment such as scopes, shavers, lasers, etc.
- the first and second decks 121 , 141 , castellations 153 and apertures 155 may support and provide control for tubing and cords, such as surgical suction tubing and sterile electric cords.
- tubing and cords such as surgical suction tubing and sterile electric cords.
- Each of these components may be configured with an open structure to provide ingress and egress of medical equipment in one or more of the longitudinal, lateral and transverse directions.
- the sidewalls 151 may have the same transverse or z-direction dimension such that both the first and second decks 131 , 141 are substantially horizontal. Alternatively, one of the sidewalls 151 may have a greater transverse dimension than the other sidewall 151 , such that one of the decks is horizontal and the other deck is inclined relative to horizontal.
- the sidewalls 151 may be further configured as described elsewhere herein.
- the tray 121 may further comprise a pocket 183 extending from tray.
- the pocket 183 may have a profile 185 and open slot 187 that are configured to support medical equipment as described elsewhere herein.
- the pocket 183 may extend in any direction, but is shown extending in the lateral direction from first deck 131 .
- the profile 185 and open slot 187 of the pocket 183 may be rectangular in shape and adapted to support bovie holsters having either oval or rectangular shapes.
- a stand may comprise a support post configured to be oriented in a substantially vertical orientation.
- a frame may extend from the support post and be configured to be oriented in a substantially horizontal orientation.
- a tray that is disposable has a proximal end located adjacent the support post and a distal end opposite the proximal end.
- a longitudinal direction extends between the proximal and distal ends.
- a lateral direction is perpendicular to the longitudinal direction, such that both the longitudinal and lateral directions are substantially horizontal.
- a transverse direction perpendicular to both the longitudinal and lateral directions is substantially vertical.
- the tray may further comprise a first deck that is complementary in shape to the frame and configured to be supported by the frame.
- the first deck may have a first support surface.
- a second deck may be connected to the first deck.
- the second deck may have a second support surface that is transversely spaced apart from the first deck, such that at least lateral access to both the first and second support surfaces is provided.
- the first deck may provide access in the longitudinal, lateral and transverse directions, and the second deck may provide access in substantially only the lateral direction.
- the second deck may hang below and be supported by the first deck, such that the second deck is beneath the frame.
- the tray may be plastic, and the first and second decks may be substantially fixed with respect to each other.
- the tray may have sidewalls having apertures configured to receive and support medical equipment.
- the second deck may comprise a plurality of second decks that are longitudinally spaced apart from each other.
- the first and second decks may be separate, discrete components configured to be assembled together, such as by rubber bands.
- the stand may further comprise a lever configured to adjust a vertical position of the frame and tray.
- the lever may be located in a sterile field.
- the sterile field may be defined in the transverse direction between a chest and a waist of a standing person.
- the lever may extend from the support post and be located beneath the frame between the first and second decks.
- the stand may further comprise a mounting bracket configured to mount the support post to a rail.
- the frame and tray may be collectively rotatable about an axis of the support post. Rotation of the frame and tray may be frictionally limited by a brake in the mounting bracket configured to adjustably exert drag on the support post.
- the stand may further comprise a pocket extending from tray.
- the pocket may have a profile and open slot configured to support medical equipment.
- the pocket may be located on the first deck and extend substantially horizontally from the tray.
- the profile and open slot of the pocket may be rectangular in shape and adapted to support bovie holsters having either oval or rectangular shapes.
- Additional embodiments of the tray may comprise a first deck having a first support surface to provide access in the longitudinal, lateral and transverse directions.
- a second deck may be connected to and transversely spaced below the first deck.
- the second deck may have a second support surface that provides access in substantially only the lateral direction.
- the tray may be disposable.
- the second support surface may be located beneath the first deck.
- the tray may have sidewalls that support the second deck.
- the side walls may have apertures configured to receive and support medical equipment.
- the second deck may comprise a plurality of tubular second decks that extend in the lateral direction.
- the first and second decks may be discrete components that are configured to be assembled together.
- the tray may further comprise a pocket extending from tray.
- the pocket may have a profile and open slot configured to support medical equipment.
- the pocket may be located on the first deck and extend laterally from the tray.
- the profile and open slot of the pocket may be rectangular in shape and may be adapted to support bovie holsters having either oval or rectangular shapes.
- the stand and tray described herein places traditional and possibly injurious operating instruments (e.g., scalpel and suture needles) and the bovie electrocautery on the upper deck of the tray.
- Surgical instruments such as scopes, shavers, lasers, etc., may be placed in the lower deck of the tray.
- Such designs prevent the burn/cutting/sawing instruments from being placed directly on the patient's torso face or extremities.
- the tray also allows the operating room technician to pass instruments from the immediate area that the surgery is actually taking place, rather than from a back table which is several feet from the area the surgery is occurring.
- the embodiments disclosed herein also address issues related to the electrical cords and surgical suction tubing that must remain in the midline of the horizontal sterile field.
- the current practice is to try to keep these cords and tubes from migrating peripherally (into non-sterile areas) with straps placed on the disposable sterile paper drapes that surround the operative site.
- the cords and tubes may break loose from the straps and fall off the edges of the surgical drapes, thereby contaminating the cords, tubes as well as the downstream instruments that are being supplied power by the electrical cords.
- the middle aperture of the lower deck may thus contain and control these sterile electrical cords and suction tubes and prevents peripheral migration and subsequent contamination at the edges of the sterile operative field.
- the pocket on the upper deck of the tray has a slot that fits the two most commonly shaped types of bovie holsters (i.e., oval and rectangular). This allows the burning electrocautery and its protective plastic holster to be up on the tray rather than attached to the drapes directly above the patients torso or head. This feature eliminates another potential burn source to the patient.
- Arthroscopes typically have a water inflow attachment, a light cord, and a power cord.
- the open bay at the distal end of the lower deck of the tray allows the scope and its three attachments (that come off the scope at 90 degree angles) to be easily put in and out of the lower deck of the tray.
- the open bay accommodates all of the cords and attachments coming off at 90 degree angles from the scope. It is advantageous to have the scope stored in the tray rather than on the sterile drapes adjacent to the patient's body.
- the light source that comes into the side of the scope and out of the scope tip is extremely bright and hot, which it a potential burn source if placed directly on the sterile drapes over the patient.
- the embodiments disclosed herein eliminate most of the burn perils to underlying unconscious patients, as well as saw/cutting perils from the oscillating saws used in newer techniques and pinching/cutting from the arthroscope shavers. They also maintain cords and suction tubing in the sterile midline of the surgical field. This lowers the infection rate compared to strapped tubing and cords, which can migrate off the sterile field and then inadvertently pull germs back into the sterile field when the surgeon pulls the cords back into the surgical field not knowing they had migrated peripherally into a contaminated peripheral position.
- the terms “comprises,” “comprising,” “includes,” “including,” “has,” “having” or any other variation thereof, are intended to cover a non-exclusive inclusion.
- a process, method, article, or apparatus that comprises a list of features is not necessarily limited only to those features but may include other features not expressly listed or inherent to such process, method, article, or apparatus.
- “or” refers to an inclusive-or and not to an exclusive-or. For example, a condition A or B is satisfied by any one of the following: A is true (or present) and B is false (or not present), A is false (or not present) and B is true (or present), and both A and B are true (or present).
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract
A surgical stand has a support post in a substantially vertical orientation. A frame extends from the support post in a substantially horizontal orientation. A disposable tray has a first deck that rests on and is supported by the frame. A second deck is connected to and transversely spaced apart from the first deck, such that at least lateral access to both the first and second support surfaces is provided.
Description
- This application is a continuation and claims priority under 35 U.S.C. §119(e) to U.S. patent application Ser. No. 13/758,411 entitled “System, Method and Apparatus for Surgical Stand,” by Steven B. Brotzman, James H. Esch, Timothy A. Marvin and John Van Witbeck, filed Feb. 3, 2013, which application claims priority under 35 U.S.C. §119(e) to U.S. Provisional Patent Application No. 61/595,928 entitled “System, Method and Apparatus for Surgical Stand,” by Steven B. Brotzman, James H. Esch, Timothy A. Marvin and John Van Witbeck, filed Feb. 7, 2012, of which both applications are assigned to the current assignee hereof and incorporated herein by reference in their entirety.
- 1. Field of the Disclosure
- The present invention relates in general to surgical stands and, in particular, to an improved system, method and apparatus for a surgical stand.
- 2. Description of the Related Art
- Operating room practices require the equipment used during procedures to remain in a sterile area. The sterile area is defined with respect to a standing person, such as from the vertical region of a scrub assistant from chest to waist. Newer surgical techniques require numerous complicated and potentially hazardous instruments that must be safely managed in the sterile area. For example, surgeons typically place arthroscopes, laparoscopes, lasers, and bovie electrocautery directly on patients during surgery. The light source for the arthroscope, the bovie, and oscillating saws are potential burn or cutting sources for the patient. Yet, these instruments must be placed directly on the patient because they have sterile cords that may be contaminated if placed on a remote back table and brought back and forth from that remote table to the patient's surgical wound where they are used.
- In addition, such operating equipment has multiple electric cords and surgical suction tubing that must remain in the midline of the sterile field. The current practice to keep these cords and tubing from migrating peripherally (into non-sterile areas) is to use straps placed on the disposable sterile paper drapes that surround the operative site. With repetitive use during surgery, these cords and tubing may loosen from the straps, fall off the edges of the surgical drapes and contaminate the tubing and cords, as well as the downstream instruments that are being supplied power by the electrical cords. Thus, improvements in managing operating room equipment continue to be of interest.
- Embodiments of a system, method and apparatus for a surgical stand are disclosed. For example, the stand may comprise a support post configured to be oriented in a substantially vertical orientation. A frame extends from the support post and is configured to be oriented in a substantially horizontal orientation. A tray has a first deck that is complementary in shape to the frame and configured to rest on and be supported by the frame. A second deck is connected to and transversely spaced apart from the first deck, such that at least lateral access to both the first and second support surfaces is provided. The tray may be disposable.
- The foregoing and other objects and advantages of these embodiments will be apparent to those of ordinary skill in the art in view of the following detailed description, taken in conjunction with the appended claims and the accompanying drawings.
- So that the manner in which the features and advantages of the embodiments are attained and can be understood in more detail, a more particular description may be had by reference to the embodiments thereof that are illustrated in the appended drawings. However, the drawings illustrate only some embodiments and therefore are not to be considered limiting in scope as there may be other equally effective embodiments.
-
FIG. 1 is an isometric view of an embodiment of a stand. -
FIGS. 2 and 3 are front and rear isometric views of embodiments of stands with trays. -
FIGS. 4-6 are side and rear isometric views of alternate embodiments of stands with trays. -
FIGS. 7 and 8 are enlarged isometric views of embodiments of a bracket for a stand. -
FIGS. 9 and 10 are isometric views of other embodiments of stands and trays. -
FIG. 11 is an isometric view of an embodiment of a tray and stand in operation. - The use of the same reference symbols in different drawings indicates similar or identical items.
- Embodiments of a system, method and apparatus for a surgical stand are disclosed. For example, the surgical stand 11 (
FIG. 1 ) may comprise a safety instrument platform (SIP) stand having asupport post 13 that is configured to be oriented in a substantially vertical orientation. Aframe 15 may extend from thesupport post 13 and be configured to be oriented in a substantially horizontal orientation. Both thesupport post 13 andframe 15 may be formed from rigid materials, such as metals. - As shown in
FIG. 2 , theframe 15 is configured to support atray 21. The tray may be disposable and formed from a plastic or other suitably safe and inexpensive materials. In some embodiments, the term “disposable” comprises a single-use application. Thetray 21 has aproximal end 23 located adjacent thesupport post 13 and adistal end 25 opposite theproximal end 23. For reference purposes, a longitudinal direction “x” is defined as extending between the proximal anddistal ends - Embodiments of the
tray 21 may further comprise afirst deck 31 that is complementary in shape to theframe 15 and configured to rest on and be supported exclusively by theframe 15. Thefirst deck 31 has afirst support surface 33, which may comprise many different forms depending on the surgical application. - A
second deck 41 is connected to thefirst deck 31. Thesecond deck 41 may be substantially longitudinally and laterally aligned with thefirst deck 31 and have asecond support surface 43. The first andsecond decks tray 21 may comprise a single integrated (e.g., molded) component comprising both of the first and second decks, or a plurality of components (e.g., two separate molded components) that are discrete and configured to be assembled together. - The
second deck 41 may be transversely spaced apart (i.e., in the z direction) from thefirst deck 31, such that a user is provided with at least lateral (i.e., in the y-direction) access to both the first andsecond support surfaces first deck 31 may provide access in all three of the longitudinal, lateral and transverse directions. Thesecond deck 41 may provide access in substantially only the longitudinal and lateral directions. - In the embodiment shown, the
second deck 41 hangs below and is supported exclusively by the first deck 31 (or upper deck), such that the second deck 41 (or lower deck) is directly beneath theframe 15. In this configuration, thesecond support surface 43 is located entirely beneath theupper deck 41. Alternatively, thesecond deck 41 may be located above thefirst deck 31. Although thetray 21 is formed from a disposable material, the first andsecond decks - The
tray 21 may be provided with sidewalls 51 that connect thefirst deck 21 to thesecond deck 41. The sidewalls 51 may have the same transverse or z-direction dimension such that both the first andsecond decks sidewalls 51 b (FIG. 3 ) may have a greater transverse dimension than theother sidewall 51 a, such that one of the decks is horizontal (e.g., first deck 31) and the other deck (e.g., second deck 41) is inclined relative to horizontal. - Each of the side walls 51 may be provided with a plurality of apertures 61 (e.g., three shown) that are configured to receive and support medical equipment. In the example of
FIG. 3 , theapertures apertures 61 c may be semi-circular. - The
second deck 41 may be provided with a plurality ofbays second deck 41 may further comprise end baffles 81 a, 81 d on its longitudinal ends (i.e., proximal and distal ends). - Each of the apertures 61 may be configured to provide ingress and egress of medical equipment in the lateral or y-direction. For example, equipment such as scopes, shavers, lasers, etc., may be placed in through one or more of the apertures 61 on the
second support surface 43. Other ones of the apertures 61 may support and provide control for tubing and cords, such as surgical suction tubing and sterile electric cords. The distal one of theapertures 61 c has an open structure that is configured to provide ingress and egress of medical equipment in both the longitudinal and lateral directions. - The
tray 21 may further comprise a pocket 83 (FIG. 4 ) extending from tray. Thepocket 83 may have aprofile 85 andopen slot 87 that are configured to support medical equipment. Thepocket 83 may be located on thefirst deck 31 and may extend longitudinally from theproximal end 23 of thetray 21. Theprofile 85 andopen slot 87 of thepocket 83 may be rectangular in shape and adapted to support bovie holsters having either oval or rectangular shapes. - Again referring to
FIG. 3 , thestand 11 may further comprise alever 91 configured to adjust a vertical or transverse position (i.e., in the z-direction) of theframe 15 andtray 21 relative to an operating room table 93. Thelever 91 may extend from thesupport post 13 and may be located beneath theframe 15 between the first andsecond decks - The
lever 91 is located in a sterile field SF (FIG. 5 ) as defined by current operating room practice. The SF extends in the transverse or z-direction between a chest and a waist of a person standing in the room, such as a scrub assistant.Lever 91 is located on thestand 11 to meet this sterile area criteria, which allows for adjustments to its height by a “sterile” scrub tech or nurse who is “sterile” (i.e., scrubbed in the case). Thus, an operating room nurse can deploylever 91 and move thestand 11 up or down. Iflever 91 was down at the attachment site of thestand 11 to therail 95 of the operating room table 95, the adjustments would have to be made by a non-sterile person in the operating room.Lever 91 may be covered by a sterile mayo stand cover but is in the correct sterile area. - The
stand 11 also may further comprise a mounting bracket 101 (FIGS. 6-8 ) that is configured to mount thesupport post 13 to arail 95, such as a table rail. Theframe 15 andtray 21 are collectively rotatable (FIG. 6 , circular arrow) about anaxis 14 of thesupport post 13. In some embodiments, rotation of theframe 15 andtray 21 is frictionally limited by controlled drag in the mountingbracket 101. A desired amount of drag may be provided by a sleeve 103 (FIG. 7 ) on or inside the mountingbracket 101. The mountingbracket 101 may adjustably compress the sleeve 103 (e.g., via a screw 105) in a radial direction relative to theaxis 14 to provide a variable amount of drag on rotation of thesupport post 13. If the tray were bumped or rotated without drag control, the heavy instruments on the tray could be thrown off of the tray onto the patient. A lack of drag control also may permit annoying rotational migration of the tray during surgery. - In some embodiments, the drag feature acts as a brake that is fully adjustable from “off” (no drag/no brake, such that the stand may free wheel) to fully “on” (locked like an emergency brake) to anywhere in between, where the “brake” is partially applied resulting in the desired drag to allow movement but to prevent unintended movement. The coefficient of friction in this joint may be tuned and varied based on the application of use, manufacturing tolerances and surface finishes.
- The mounting
bracket 101 may further comprise a lever 91 (e.g., a tilt lever) that is configured to variably adjust an angle of inclination a of thesupport post 13 in a vertical plane to either side of the table 93. The mountingbracket 101 may still further comprise a clamp with jaws 109 (FIG. 8 ) configured to adjustably grip therail 95. Thejaws 109 may compriseinner surfaces 111 that are inclined toward the table 93, or relative to a vertical plane defined by the lateral and transverse directions, y and z. Theinner surfaces 111 are adapted to draw therail 95 into thejaws 109 when the jaws are tightened (e.g., via mechanism 113), thereby always ensuring a snug fit even after normal wear. Thus,jaws 109 thoroughly compensate for the equipment on the tray that generates significant cantilever forces on the stand to avoid swaying or other dangerous instabilities. Mountingbracket 101 also provides lateral repositioning (see horizontal arrows inFIG. 6 ) of thesupport post 13,frame 15 andtray 21 alongrail 95. - In still other embodiments, the stand may further comprise a portable floor base 121 (
FIG. 9 ), such as a Mayo stand, which is configured to engage and mount thesupport post 13 as shown. Thus, stand 11 may be mounted to table 93 orportable floor base 121. - Referring now to
FIGS. 10 and 11 , still other embodiments of atray 121 and asurgical stand 11 are shown. Thetray 121 andsurgical stand 11 may be configured as described elsewhere herein for the various embodiments. Thetray 121 has aproximal end 123 located adjacent thesupport post 13 and adistal end 125 opposite theproximal end 123. Embodiments of thetray 121 may comprise a first deck 131 that is complementary in shape to theframe 15 ofstand 11, and configured to rest on and be supported exclusively by theframe 15. The first deck 131 has afirst support surface 133, which may comprise many different forms depending on the surgical application. - One or more second decks 141 (e.g., two shown) may be connected to the first deck 131. The
second deck 141 may be tubular and substantially lateral, and may include asecond support surface 143. Thetray 121 may comprise a plurality of separate, discrete components (e.g., the three separately molded components shown) that are configured to be assembled together. - The second deck(s) 141 may be transversely spaced apart (i.e., in the z-direction) from the first deck 131, such that a user is provided with at least lateral (i.e., in the y-direction) access to both the first and second support surfaces 133, 143. The first deck 131 may provide access in all three of the longitudinal, lateral and transverse directions. The
second deck 141 may provide access in substantially only the lateral direction. - In the embodiment shown, the
second deck 141 may hang below and may be supported exclusively by the first deck 131 (or upper deck), such that the second deck 141 (or lower deck) is directly beneath theframe 15. In this configuration, thesecond support surface 143 is located entirely beneath the upper deck 131. Although thetray 121 may be formed from disposable materials, the first andsecond decks 131, 141 may be substantially fixed with respect to each other, such that they are adequately rigid enough to support tools for surgical procedures with substantially no relative movement therebetween. - The
tray 121 may be provided withsidewalls 151. As shown inFIG. 11 , thesidewalls 151 may be used to connect thefirst deck 121 to thesecond deck 141, such as via elastic bands 152 (e.g., rubber bands). For example, oneelastic band 152 may extend along each lateral edge ofsecond deck 141 and protrude from holes on both ends thereof. Thus, only twoelastic bands 152 may be used to adequately securesecond deck 141 tofirst deck 121. The ends of theelastic bands 152 may wrap around and be secured to features inside walls 151, such ascastellations 153. Thecastellations 153 may defineapertures 155 therebetween. Theapertures 155 may vary in shape and size, depending on the application. As shown inFIG. 12 ,apertures 155 are well suited for supporting and separating various types of devices andcords 157 on or intray 121. Likewise,second support surface 143 ofsecond deck 141 is well suited for supporting various types of devices andcords 157. - Embodiments of
second deck 141 may be configured to provide ingress and egress of medical equipment in the lateral or y-direction. For example, equipment such as scopes, shavers, lasers, etc., may be placed in or through thesecond support surface 143. The first andsecond decks castellations 153 andapertures 155 may support and provide control for tubing and cords, such as surgical suction tubing and sterile electric cords. Each of these components may be configured with an open structure to provide ingress and egress of medical equipment in one or more of the longitudinal, lateral and transverse directions. - The
sidewalls 151 may have the same transverse or z-direction dimension such that both the first andsecond decks 131, 141 are substantially horizontal. Alternatively, one of thesidewalls 151 may have a greater transverse dimension than theother sidewall 151, such that one of the decks is horizontal and the other deck is inclined relative to horizontal. Thesidewalls 151 may be further configured as described elsewhere herein. - The
tray 121 may further comprise apocket 183 extending from tray. Thepocket 183 may have aprofile 185 andopen slot 187 that are configured to support medical equipment as described elsewhere herein. Thepocket 183 may extend in any direction, but is shown extending in the lateral direction from first deck 131. Theprofile 185 andopen slot 187 of thepocket 183 may be rectangular in shape and adapted to support bovie holsters having either oval or rectangular shapes. - Still other embodiments of a stand may comprise a support post configured to be oriented in a substantially vertical orientation. A frame may extend from the support post and be configured to be oriented in a substantially horizontal orientation. A tray that is disposable has a proximal end located adjacent the support post and a distal end opposite the proximal end. A longitudinal direction extends between the proximal and distal ends. A lateral direction is perpendicular to the longitudinal direction, such that both the longitudinal and lateral directions are substantially horizontal. A transverse direction perpendicular to both the longitudinal and lateral directions is substantially vertical.
- The tray may further comprise a first deck that is complementary in shape to the frame and configured to be supported by the frame. The first deck may have a first support surface. A second deck may be connected to the first deck. The second deck may have a second support surface that is transversely spaced apart from the first deck, such that at least lateral access to both the first and second support surfaces is provided. The first deck may provide access in the longitudinal, lateral and transverse directions, and the second deck may provide access in substantially only the lateral direction. The second deck may hang below and be supported by the first deck, such that the second deck is beneath the frame. The tray may be plastic, and the first and second decks may be substantially fixed with respect to each other. The tray may have sidewalls having apertures configured to receive and support medical equipment. The second deck may comprise a plurality of second decks that are longitudinally spaced apart from each other. The first and second decks may be separate, discrete components configured to be assembled together, such as by rubber bands.
- The stand may further comprise a lever configured to adjust a vertical position of the frame and tray. The lever may be located in a sterile field. The sterile field may be defined in the transverse direction between a chest and a waist of a standing person. The lever may extend from the support post and be located beneath the frame between the first and second decks.
- The stand may further comprise a mounting bracket configured to mount the support post to a rail. The frame and tray may be collectively rotatable about an axis of the support post. Rotation of the frame and tray may be frictionally limited by a brake in the mounting bracket configured to adjustably exert drag on the support post.
- The stand may further comprise a pocket extending from tray. The pocket may have a profile and open slot configured to support medical equipment. The pocket may be located on the first deck and extend substantially horizontally from the tray. The profile and open slot of the pocket may be rectangular in shape and adapted to support bovie holsters having either oval or rectangular shapes.
- Additional embodiments of the tray may comprise a first deck having a first support surface to provide access in the longitudinal, lateral and transverse directions. A second deck may be connected to and transversely spaced below the first deck. The second deck may have a second support surface that provides access in substantially only the lateral direction. The tray may be disposable.
- The second support surface may be located beneath the first deck. The tray may have sidewalls that support the second deck. The side walls may have apertures configured to receive and support medical equipment. The second deck may comprise a plurality of tubular second decks that extend in the lateral direction. The first and second decks may be discrete components that are configured to be assembled together.
- The tray may further comprise a pocket extending from tray. The pocket may have a profile and open slot configured to support medical equipment. The pocket may be located on the first deck and extend laterally from the tray. The profile and open slot of the pocket may be rectangular in shape and may be adapted to support bovie holsters having either oval or rectangular shapes.
- The embodiments disclosed herein have numerous advantages compared to conventional solutions. With the advent of newer surgical techniques and instruments, the safety of current operating room practices can be improved. Presently, surgeons lay arthroscopes, laparoscopes, lasers, and bovie electrocautery directly on the patient during surgery. The light source for the arthroscope, the bovie, and oscillating saws are all potential burn or cutting sources for the patient, and yet these instruments are typically placed directly on the patient. This is necessitated since these tools have sterile cords that would become contaminated if they were placed on a remote or back table and brought back and forth from that table to the surgical wound of the patient where they are used. The stand and tray described herein places traditional and possibly injurious operating instruments (e.g., scalpel and suture needles) and the bovie electrocautery on the upper deck of the tray. Surgical instruments such as scopes, shavers, lasers, etc., may be placed in the lower deck of the tray. Such designs prevent the burn/cutting/sawing instruments from being placed directly on the patient's torso face or extremities. Ergonomically, the tray also allows the operating room technician to pass instruments from the immediate area that the surgery is actually taking place, rather than from a back table which is several feet from the area the surgery is occurring.
- The embodiments disclosed herein also address issues related to the electrical cords and surgical suction tubing that must remain in the midline of the horizontal sterile field. Unfortunately, the current practice is to try to keep these cords and tubes from migrating peripherally (into non-sterile areas) with straps placed on the disposable sterile paper drapes that surround the operative site. With repetitive use during surgery, the cords and tubes may break loose from the straps and fall off the edges of the surgical drapes, thereby contaminating the cords, tubes as well as the downstream instruments that are being supplied power by the electrical cords. The middle aperture of the lower deck may thus contain and control these sterile electrical cords and suction tubes and prevents peripheral migration and subsequent contamination at the edges of the sterile operative field.
- The pocket on the upper deck of the tray has a slot that fits the two most commonly shaped types of bovie holsters (i.e., oval and rectangular). This allows the burning electrocautery and its protective plastic holster to be up on the tray rather than attached to the drapes directly above the patients torso or head. This feature eliminates another potential burn source to the patient.
- Arthroscopes typically have a water inflow attachment, a light cord, and a power cord. The open bay at the distal end of the lower deck of the tray allows the scope and its three attachments (that come off the scope at 90 degree angles) to be easily put in and out of the lower deck of the tray. The open bay accommodates all of the cords and attachments coming off at 90 degree angles from the scope. It is advantageous to have the scope stored in the tray rather than on the sterile drapes adjacent to the patient's body. The light source that comes into the side of the scope and out of the scope tip is extremely bright and hot, which it a potential burn source if placed directly on the sterile drapes over the patient.
- Thus, the embodiments disclosed herein eliminate most of the burn perils to underlying unconscious patients, as well as saw/cutting perils from the oscillating saws used in newer techniques and pinching/cutting from the arthroscope shavers. They also maintain cords and suction tubing in the sterile midline of the surgical field. This lowers the infection rate compared to strapped tubing and cords, which can migrate off the sterile field and then inadvertently pull germs back into the sterile field when the surgeon pulls the cords back into the surgical field not knowing they had migrated peripherally into a contaminated peripheral position.
- One or ordinary skill in the art will recognize that the embodiments are suitable for many different types of medical applications, including dental applications.
- This written description uses examples to disclose the embodiments, including the best mode, and also to enable those of ordinary skill in the art to make and use the invention. The patentable scope is defined by the claims, and may include other examples that occur to those skilled in the art. Such other examples are intended to be within the scope of the claims if they have structural elements that do not differ from the literal language of the claims, or if they include equivalent structural elements with insubstantial differences from the literal languages of the claims.
- Note that not all of the activities described above in the general description or the examples are required, that a portion of a specific activity may not be required, and that one or more further activities may be performed in addition to those described. Still further, the order in which activities are listed are not necessarily the order in which they are performed.
- In the foregoing specification, the concepts have been described with reference to specific embodiments. However, one of ordinary skill in the art appreciates that various modifications and changes can be made without departing from the scope of the invention as set forth in the claims below. Accordingly, the specification and figures are to be regarded in an illustrative rather than a restrictive sense, and all such modifications are intended to be included within the scope of invention.
- As used herein, the terms “comprises,” “comprising,” “includes,” “including,” “has,” “having” or any other variation thereof, are intended to cover a non-exclusive inclusion. For example, a process, method, article, or apparatus that comprises a list of features is not necessarily limited only to those features but may include other features not expressly listed or inherent to such process, method, article, or apparatus. Further, unless expressly stated to the contrary, “or” refers to an inclusive-or and not to an exclusive-or. For example, a condition A or B is satisfied by any one of the following: A is true (or present) and B is false (or not present), A is false (or not present) and B is true (or present), and both A and B are true (or present).
- Also, the use of “a” or “an” are employed to describe elements and components described herein. This is done merely for convenience and to give a general sense of the scope of the invention. This description should be read to include one or at least one and the singular also includes the plural unless it is obvious that it is meant otherwise.
- Benefits, other advantages, and solutions to problems have been described above with regard to specific embodiments. However, the benefits, advantages, solutions to problems, and any feature(s) that may cause any benefit, advantage, or solution to occur or become more pronounced are not to be construed as a critical, required, or essential feature of any or all the claims.
- After reading the specification, skilled artisans will appreciate that certain features are, for clarity, described herein in the context of separate embodiments, may also be provided in combination in a single embodiment. Conversely, various features that are, for brevity, described in the context of a single embodiment, may also be provided separately or in any subcombination. Further, references to values stated in ranges include each and every value within that range.
Claims (20)
1. A stand, comprising:
a support post configured to be oriented in a substantially vertical orientation;
a frame extending from the support post and configured to be oriented in a substantially horizontal orientation;
a tray that is disposable and has a proximal end located adjacent the support post and a distal end opposite the proximal end, a longitudinal direction extends between the proximal and distal ends, a lateral direction is perpendicular to the longitudinal direction, such that both the longitudinal and lateral directions are substantially horizontal, and a transverse direction perpendicular to both the longitudinal and lateral directions that is substantially vertical; and the tray further comprises:
a first deck that is complementary in shape to the frame and configured to be supported by the frame, the first deck having a first support surface; and
a second deck coupled to the first deck, the second deck having a second support surface that is transversely spaced apart from the first deck.
2. The stand of claim 1 , wherein the first deck provides access in the longitudinal, lateral and transverse directions, and the second deck provides access in at least the lateral direction.
3. The stand of claim 1 , wherein the second deck hangs below, is supported by and underneath the frame.
4. The stand of claim 1 , wherein the tray has sidewalls with holes configured to receive and support medical equipment.
5. The stand of claim 1 , wherein the second deck comprises a tubular second deck.
6. The stand of claim 1 , wherein the first and second decks are configured to be assembled together.
7. The stand of claim 1 , further comprising an adjustable lever configured to adjust a vertical position of the frame and tray.
8. The stand of claim 7 , wherein the adjustable lever extends from the support post.
9. The stand of claim 1 , further comprising a mounting bracket configured to mount the support post to a rail, and the frame is rotatable about an axis of the support post.
10. The stand of claim 9 , wherein rotation of the frame and tray is frictionally limited by a brake in the mounting bracket configured to adjustably exert drag on the support post.
11. The stand of claim 1 , further comprising a pocket extending from tray.
12. The stand of claim 11 , wherein the pocket is located on the first deck.
13. The stand of claim 11 , wherein the pocket has a profile and an open slot that are configured to support bovie holsters having either oval or rectangular shapes.
14. The stand of claim 11 , wherein the tray is plastic and configured for a single, one-time use in a sterile environment before disposal.
15. A disposable tray, comprising:
a tray body formed from plastic and configured for a single, one-time use in a sterile environment before disposal, the tray body comprising:
a proximal end and a distal end opposite the proximal end, a longitudinal direction extends between the proximal and distal ends, a lateral direction is perpendicular to the longitudinal direction, such that both the longitudinal and lateral directions are substantially horizontal, and a transverse direction perpendicular to both the longitudinal and lateral directions that is substantially vertical;
a first deck having a first support surface; and
a second deck coupled to the first deck, the second deck having a second support surface that is transversely spaced apart from the first deck.
16. The stand of claim 15 , wherein the first deck provides access in the longitudinal, lateral and transverse directions, and the second deck provides access in at least the lateral direction.
17. The stand of claim 15 , wherein the second deck hangs below, is supported by and underneath the first deck.
18. The stand of claim 15 , wherein the tray has sidewalls with holes configured to receive and support medical equipment.
19. The stand of claim 15 , wherein the first and second decks are configured to be assembled together to form the tray body.
20. A tray, comprising:
a proximal end and a distal end opposite the proximal end, a longitudinal direction extends between the proximal and distal ends, a lateral direction is perpendicular to the longitudinal direction, such that both the longitudinal and lateral directions are substantially horizontal, and a transverse direction perpendicular to both the longitudinal and lateral directions that is substantially vertical;
a first deck having a first support surface, and the first deck provides access in the longitudinal, lateral and transverse directions;
a second deck coupled to and transversely spaced below the first deck, the second deck having a second support surface underneath the first deck, the tray has sidewalls that support the second deck, the side walls have holes configured to receive and support medical equipment, and the second deck comprises tubular second decks; and
the tray is disposable, and the first and second decks are configured to be assembled together to form the tray.
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US14/688,747 US20150216602A1 (en) | 2012-02-07 | 2015-04-16 | System, method and apparatus for surgical stand |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11154132B2 (en) * | 2019-09-20 | 2021-10-26 | Dee Volin | Five-device-in-one multi-function multi-configurable hitch-mountable rollable rotatable collapsable tea table, capable of functioning as a pet-kennel, a storage locker, a table, a cooler, and an umbrella base |
US11547208B2 (en) * | 2018-04-13 | 2023-01-10 | Matthew G Bennett | Scoring or beverage station for a toss game |
Families Citing this family (17)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US9033162B2 (en) * | 2012-02-07 | 2015-05-19 | American Medical Stand LLC | System, method and apparatus for surgical stand |
AU2013296136B2 (en) * | 2012-07-25 | 2017-11-02 | Rowston, Phillip MR | A medical paraphernalia carrier assembly |
WO2014151828A1 (en) * | 2013-03-15 | 2014-09-25 | Endyk Tim | Sterile transfer of fluid |
EP2865900A1 (en) * | 2013-10-28 | 2015-04-29 | Frederic Torrachi | Clamp for mounting of tray and tray assembly thereof |
USD787701S1 (en) * | 2014-03-21 | 2017-05-23 | Intellicyt Corporation | Flow cytometer system shelf unit |
US10046108B2 (en) * | 2015-04-01 | 2018-08-14 | Richard Nesler | Compact intravenous pump and medication container holder |
CN104783901A (en) * | 2015-04-10 | 2015-07-22 | 芜湖锐进医疗设备有限公司 | Multi-functional medical support |
US10350020B2 (en) * | 2015-05-01 | 2019-07-16 | Chris Geiger | Medical tray assembly |
US10117719B2 (en) * | 2015-12-04 | 2018-11-06 | John Paul Cerda | System, method and device for a medical surgery tray |
CA3038004A1 (en) * | 2016-10-21 | 2018-04-26 | Trevor S. Gibbs | Medical stand |
US11052930B2 (en) * | 2017-06-16 | 2021-07-06 | Verb Surgical Inc. | Robotic arm cart having locking swivel joints and other position adjustment features and uses therefor |
US20190321601A1 (en) * | 2018-03-30 | 2019-10-24 | Jaywant P. Parmar | Electromagnetic Motion and Tracking Seldinger Technique Access System: Introducing the EMMT STA System |
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US12005003B2 (en) * | 2019-10-22 | 2024-06-11 | Carol Caddell | Multifunction medical platform |
US11992347B2 (en) * | 2020-02-21 | 2024-05-28 | Canon U.S.A., Inc. | Medical device cart with a tilted holder |
US11864931B2 (en) * | 2020-07-23 | 2024-01-09 | Michael Ryan Ballard | Medical organization apparatus |
US11793589B2 (en) * | 2021-03-16 | 2023-10-24 | Samuel Saleeb | Surgical instrument stand |
Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4501363A (en) * | 1983-10-25 | 1985-02-26 | Isbey Jr Edward K | Surgical kit |
US4779567A (en) * | 1987-06-11 | 1988-10-25 | Smith Linda B | Disposable pet litter box package |
US4986217A (en) * | 1989-09-15 | 1991-01-22 | Robinson Hartman | Disposable cat litter box |
US5114023A (en) * | 1991-01-28 | 1992-05-19 | Lavin Janice A | Utility tray for intravenous pole |
US5511674A (en) * | 1993-12-14 | 1996-04-30 | Boyd; William E. | Accessory tray for use in surgery |
US5938068A (en) * | 1997-12-11 | 1999-08-17 | Dart Container | Container with removable cover |
US6345873B1 (en) * | 1999-12-22 | 2002-02-12 | Andrew C. Kim | Arthroscopy organizer system |
US20080149001A1 (en) * | 2005-05-20 | 2008-06-26 | Hodges Scott D | Modular, Sterilizable Table for Use in Medical Procedures |
US20080230415A1 (en) * | 2007-03-19 | 2008-09-25 | Phillip Mark | Dental base and tray |
US9033162B2 (en) * | 2012-02-07 | 2015-05-19 | American Medical Stand LLC | System, method and apparatus for surgical stand |
Family Cites Families (45)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
GB190326265A (en) | 1903-12-01 | 1904-02-11 | Joseph Lesperance | Improvements in Daylight Developing and like Apparatus for use in Photography. |
US2709818A (en) | 1952-01-04 | 1955-06-07 | Paul S Freese | Table or the like for use on a bed |
US3301406A (en) * | 1964-10-21 | 1967-01-31 | Henry T Scott | Tray and bracket assembly |
USD248871S (en) | 1975-10-07 | 1978-08-08 | Toringe Consult Ab | Surgical instrument tray |
US4122956A (en) * | 1977-07-25 | 1978-10-31 | B & H Automotive | Tool holder apparatus for a workstand |
USD261837S (en) | 1979-11-28 | 1981-11-17 | Thonet Industries, Inc. | Overbed table |
DE3108826C2 (en) * | 1981-03-09 | 1985-10-24 | Kaltenbach & Voigt Gmbh & Co, 7950 Biberach | Dental equipment stand |
USD270588S (en) | 1981-07-20 | 1983-09-20 | LJM Enterprises, Inc. | Surgical instrument table |
DE3302189A1 (en) * | 1983-01-24 | 1984-07-26 | Kaltenbach & Voigt Gmbh & Co, 7950 Biberach | DEVICE FOR RECEIVING DENTAL EQUIPMENT |
US4725027A (en) | 1986-09-23 | 1988-02-16 | Joseph Bekanich | Intravenous equipment support |
US4715573A (en) | 1986-11-26 | 1987-12-29 | Hein-Werner Corporation | Convertible tool tray and support stand for mechanics tool |
USD323560S (en) | 1989-05-22 | 1992-01-28 | Boyce James R | Combined table and tray for holding anesthesia and operating instruments |
US5181681A (en) * | 1991-02-12 | 1993-01-26 | Edwards Johnny W | Adjustable stand apparatus |
US5170804A (en) | 1991-02-14 | 1992-12-15 | Glassman Jacob A | Mayo-stand disposable drape |
US5366191A (en) | 1992-02-19 | 1994-11-22 | Joseph Bekanich | Support apparatus for a patient infusion device |
US5362021A (en) | 1992-05-11 | 1994-11-08 | Phillips Medical Group, Inc. | Multi-adjustable surgical tray apparatus |
US5375276A (en) | 1993-02-05 | 1994-12-27 | The United States Of America As Represented By The Secretary Of The Army | Portable surgical table |
US5337992A (en) | 1993-02-08 | 1994-08-16 | Pryor Products, Inc. | Support device for ambulatory patient |
US5681018A (en) | 1994-03-02 | 1997-10-28 | Hoftman; Moshe M. | Operating room tray system |
USD363051S (en) | 1994-07-25 | 1995-10-10 | Joseph Lanzillo | Removable tray on a walker with rollers |
US5735413A (en) * | 1996-09-05 | 1998-04-07 | Allen; Benigene | Storage caddy and work station |
US6426041B1 (en) | 1999-11-23 | 2002-07-30 | Sharon G. Smith | Multipurpose surgical instrument tray |
US6629615B2 (en) * | 1999-12-22 | 2003-10-07 | Andrew Kim | Organizer apparatus for medical instruments |
US6471167B1 (en) | 2000-03-31 | 2002-10-29 | Poly Vac, Inc. | Surgical tray support system |
US7032522B2 (en) | 2000-05-05 | 2006-04-25 | Hill-Rom Services, Inc. | Overbed table for use with a patient support |
AU2002211821A1 (en) * | 2000-09-27 | 2002-04-08 | Cobe Cardiovascular, Inc. | Disposable cartridge for a blood perfusion system |
US20030056698A1 (en) * | 2001-09-25 | 2003-03-27 | Scott Comeaux | Sterile surgical table cover |
USD467754S1 (en) | 2001-10-22 | 2002-12-31 | Simon Chen | Utility desk |
US20030101512A1 (en) | 2001-11-13 | 2003-06-05 | Jensen Barbara Jean | Adjustable shelf/tray and anesthesia screen |
US6968957B2 (en) * | 2002-06-06 | 2005-11-29 | Custom Plastics, Inc. | Multiple tray desk organizer |
WO2004082554A2 (en) | 2003-03-18 | 2004-09-30 | Hill-Rom Services, Inc. | Patient care equipment management system |
WO2005037163A2 (en) | 2003-10-13 | 2005-04-28 | Hill-Rom Services, Inc. | Transferable patient care equipment support |
US7448099B2 (en) | 2005-06-14 | 2008-11-11 | Abernathie Dennis L | Attachment for operating table |
US7490837B2 (en) * | 2005-10-21 | 2009-02-17 | Inter-Med, Inc. | Equipment caddie system |
US7665606B2 (en) * | 2006-06-16 | 2010-02-23 | Gaillard Johnnie M | Clamp-on tray for neurosurgical patties |
US20100174415A1 (en) * | 2007-04-20 | 2010-07-08 | Mark Humayun | Sterile surgical tray |
US8568391B2 (en) * | 2007-04-20 | 2013-10-29 | Doheny Eye Institute | Sterile surgical tray |
USD588829S1 (en) | 2007-05-31 | 2009-03-24 | Steelcase Development Corporation | Overbed table |
AU2009257352A1 (en) * | 2008-06-13 | 2009-12-17 | Hill-Rom Services, Inc. | Item support apparatuses and systems for bedside |
USD588272S1 (en) * | 2008-06-16 | 2009-03-10 | Health Care Logistics, Inc. | Phlebotomy cart |
USD606202S1 (en) * | 2008-11-28 | 2009-12-15 | Kabushiki Kaisha Toshiba | Cart of measuring apparatus for ultrasonic diagnosis apparatus |
US8453977B2 (en) * | 2009-04-27 | 2013-06-04 | Surgisure, Llc | Neutral field tray system |
US8613454B2 (en) * | 2009-09-04 | 2013-12-24 | Kku, Inc. | Under hood service tray |
US8186530B2 (en) * | 2009-12-24 | 2012-05-29 | Avinoam Bar | Food tray |
USD626238S1 (en) | 2010-03-19 | 2010-10-26 | Zinnanti Thomas J | Anterior posterior surgical stand and tray |
-
2013
- 2013-02-04 US US13/758,411 patent/US9033162B2/en not_active Expired - Fee Related
-
2015
- 2015-04-16 US US14/688,747 patent/US20150216602A1/en not_active Abandoned
Patent Citations (10)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US4501363A (en) * | 1983-10-25 | 1985-02-26 | Isbey Jr Edward K | Surgical kit |
US4779567A (en) * | 1987-06-11 | 1988-10-25 | Smith Linda B | Disposable pet litter box package |
US4986217A (en) * | 1989-09-15 | 1991-01-22 | Robinson Hartman | Disposable cat litter box |
US5114023A (en) * | 1991-01-28 | 1992-05-19 | Lavin Janice A | Utility tray for intravenous pole |
US5511674A (en) * | 1993-12-14 | 1996-04-30 | Boyd; William E. | Accessory tray for use in surgery |
US5938068A (en) * | 1997-12-11 | 1999-08-17 | Dart Container | Container with removable cover |
US6345873B1 (en) * | 1999-12-22 | 2002-02-12 | Andrew C. Kim | Arthroscopy organizer system |
US20080149001A1 (en) * | 2005-05-20 | 2008-06-26 | Hodges Scott D | Modular, Sterilizable Table for Use in Medical Procedures |
US20080230415A1 (en) * | 2007-03-19 | 2008-09-25 | Phillip Mark | Dental base and tray |
US9033162B2 (en) * | 2012-02-07 | 2015-05-19 | American Medical Stand LLC | System, method and apparatus for surgical stand |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11547208B2 (en) * | 2018-04-13 | 2023-01-10 | Matthew G Bennett | Scoring or beverage station for a toss game |
US11154132B2 (en) * | 2019-09-20 | 2021-10-26 | Dee Volin | Five-device-in-one multi-function multi-configurable hitch-mountable rollable rotatable collapsable tea table, capable of functioning as a pet-kennel, a storage locker, a table, a cooler, and an umbrella base |
Also Published As
Publication number | Publication date |
---|---|
US20130200023A1 (en) | 2013-08-08 |
US9033162B2 (en) | 2015-05-19 |
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Legal Events
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