WO1996038096A1 - Champ operatoire - Google Patents

Champ operatoire Download PDF

Info

Publication number
WO1996038096A1
WO1996038096A1 PCT/IE1996/000032 IE9600032W WO9638096A1 WO 1996038096 A1 WO1996038096 A1 WO 1996038096A1 IE 9600032 W IE9600032 W IE 9600032W WO 9638096 A1 WO9638096 A1 WO 9638096A1
Authority
WO
WIPO (PCT)
Prior art keywords
pocket
drape
surgical drape
sterile
side wall
Prior art date
Application number
PCT/IE1996/000032
Other languages
English (en)
Inventor
Rosemary Ryan
Original Assignee
Rosemary Ryan
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Rosemary Ryan filed Critical Rosemary Ryan
Priority to AU58436/96A priority Critical patent/AU5843696A/en
Publication of WO1996038096A1 publication Critical patent/WO1996038096A1/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/10—Surgical drapes specially adapted for instruments, e.g. microscopes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B2046/205—Adhesive drapes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B46/00—Surgical drapes
    • A61B46/20—Surgical drapes specially adapted for patients
    • A61B46/23—Surgical drapes specially adapted for patients with means to retain or hold surgical implements
    • A61B2046/236—Surgical drapes specially adapted for patients with means to retain or hold surgical implements with means for collecting drain fluid, e.g. drain tubes

Definitions

  • the present invention relates to a disposable surgical drape for limb and the like surgery requiring the intermittent use of bulky auxiliary operating equipment, the drape being of the type comprising a flexible, sterile micro-organism proof main sheet of non-woven plastics material having an upper surface and a bottom sterile patient contacting surface and a clearly defined operating site.
  • Such disposable surgical drapes are well known. Indeed, there are many surgical drapes which are provided for limb surgery such as illustrated in European Patent Specification No. 281 331. There are many drapes provided for other specific uses such as disposable drapes for cardio-vascular procedures as described in European Patent Specification No. 186 582 or for the use in procedures requiring exposure of both legs and containment of the perineum such as described in U.S. Patent Specification No. 4,479,492.
  • the initial step in targeting is positioning of the image intensifier such that the distal holes in the nail appear correctly which causes the image intensifier to be moved upwards or downwards in a vertical direction.
  • An image intensifier mounted target device is then fitted to a carriage that is mounted on the X-Ray tube side of the image intensifier and after the X-Ray beam is aligned to produce the correct target, the target device is folded down in line with the beam and manoeuvred against the patient's thigh and the screwing operation takes place.
  • the various pieces of bulky auxiliary operation equipment have to be moved in and out of the area.
  • surgical drapes have side edges lying along the operating table and the end edges across it that is to say transversely relative to the patient being operated on.
  • panels and fold lines substantially parallel to the side edges are identified are being longitudinal and are designated lateral when parallel or substantially parallel to the end edges .
  • the present invention is directed towards providing a disposable surgical drape which will overcome the aforesaid problems and provide an efficient sterile drape - 5 -
  • a disposable surgical drape for limb and the like surgery requiring the intermittent use of bulky auxiliary operating equipment the drape being of the type comprising a flexible, sterile micro ⁇ organism proof main sheet having an upper surface and a patient contacting bottom sterile surface and a clearly defined operating site, wherein there is provided a pocket in the sheet on one side of the operating site of dimensions sufficient to allow such auxiliary equipment to be moved adjacent to the patient and to be enveloped with the patient underneath the drape, the pocket having an outer surface and an inner sterile equipment contacting surface.
  • the invention provides a surgical drape in which the pocket is connected to an extensive opening, cut-out of the main sheet, and is formed by an auxiliary pocket forming sheet secured adjacent the peripheral edge of the opening and releasably secured to the upper surface with its inner sterile surface folded within itself.
  • the opening for the pocket is rectangular and the pocket is formed from folding a rectangular sheet about a longitudinal fold line to form two longitudinal panels and cutting away and joining the sheet together at each lateral edge to form a triangular lateral panel, thus forming a substantially triangular pocket in cross-section when its apex formed by the longitudinal fold line is pulled apart from the opening.
  • the triangular configuration is particularly advantageous in that while it is encompassing a piece of bulky material the longitudinal panel projects substantially horizontally and the other substantially vertically and since most auxiliary equipment is of generally rectangular shape, this is the ideal shape of pocket to encompass it and is to be preferred to a pocket of laterally transverse section.
  • the surgical drape has a pair of releasable connection means provided longitudinally spaced apart on the outer surface adjacent the apex of the pocket and a co-operating pair of releasable connection means provided on the upper surface longitudinally spaced apart from the lateral edge of the opening so that on mutual engagement of the connection means, the inner sterile surface is drawn fully within itself and folded flat against the upper surface.
  • connection means The advantage of this arrangement of connection means is that the pocket is tightly folded within itself and away from the aperture in the surgical drape proper and thus will not foul with the surgeon's body or indeed brush against the patient's body over and above what the drape would normally do.
  • a tape of sterile micro-organism proof reinforcing material is placed along the lateral and longitudinal edges joining the pocket to the opening. The advantage of this is that tearing of the drape is unlikely to occur when moving the bulky auxiliary operation equipment.
  • the operating site is formed by portion of the drape having sterile patient skin contacting adhesive covering the bottom sterile surface thereof, and a plurality of separate removable cover strips across the adhesive.
  • the removable cover strips extend beyond the adhesive for ease of removal and ensuring that inadvertently adhesive will not contact a patient's skin other than where desired.
  • the surgical drape is provided with an instrument retaining pocket on the upper surface adjacent the operating site.
  • the instrument retaining pocket will ensure that any instruments used will be seen and thus articles retained in the pocket may be viewed through the transparent material so that the presence of articles in the pocket may be detected by the surgical team to prevent their loss and even more importantly to prevent inadvertently the leaving of any such equipment, instruments, swabs, or the like in the patient's body.
  • the surgical drape comprises: a strip of releasable non-setting adhesive on the top surface adjacent the periphery of the drape for retaining the drape in position during an operation; and
  • the advantage of this is that as much of the surgical drape as is required can be secured to a support pole above the operating table, thus providing vertical isolation and maintaining a sterile area.
  • the material used is a non-woven plastics material utilising seam welding where required.
  • the surgical drape has a pair of opposed opposite pockets on either side of the operating site, thereby allowing the surgeon free access to both sides of the operating site without moving the patient or compromising sterility of the operating site.
  • the drape further comprises a fluid collection pocket having an inlet and an outlet with a side wall tapering inwardly between the inlet and the outlet.
  • the fluid collection pocket has fastening means for removably mounting the fluid collection pocket adjacent the operating site.
  • the side wall is formed by two side wall panels and the fastening means is provided by an adhesive band covered by a peel away strip on each side wall panel adjacent the inlet.
  • a fluid collection pocket having fastening means for removably engaging a surgical drape, the pocket having an inlet, an outlet and a side wall tapering inwardly between the inlet and the outlet, the side wall being formed by two side wall panels and the fastening means being provided by an adhesive band covered by a peel away strip on each side wall panel adjacent the inlet.
  • Fig. 1 is a plan view of a surgical drape according to the invention when laid flat;
  • Fig. 2 is a perspective view of the surgical drape of Fig. 1 with a pocket forming part of the drape pulled away from it;
  • Fig. 3 is a sectional view along the lines III-III of Fig. 1;
  • Fig. 4 is a cross-sectional view along the lines IV-IV of Fig. 1;
  • Fig. 5 is a sectional view along the lines V-V of Fig. 1;
  • Fig. 6 is a perspective view of the surgical drape according to the present invention in one position of use
  • Fig. 7 is a perspective view of the surgical drape with a pocket forming part of the drape being pulled apart for reception of the auxiliary bulky operation equipment;
  • Fig. 8 is a perspective view of the drape with the auxiliary operation equipment in use
  • Fig. 9 is a perspective view of a fluid collection pocket forming part of the invention.
  • Fig. 10 is a perspective view similar to Fig. 6 with the fluid collection pocket of Fig. 9 in use.
  • a surgical drape indicated generally by the reference numeral 1 manufactured from a flexible sterile micro-organism proof non-woven plastics material forming a main sheet 2 and a pocket 3.
  • the surgical drape 1 has an upper surface 4 and a patient contacting bottom sterile surface 5.
  • the pocket 3 as can be most clearly seen from Fig. 2 is mounted over an extensive rectangular opening 6 in the main sheet 2 and is formed from an auxiliary pocket forming sheet which is substantially rectangular which is folded about a longitudinal fold line to form two longitudinal panels 7 for which the fold line forms an apex 8.
  • the sheet is so cut-away and joined together to form two triangular lateral panels 9.
  • the weld seams 10 and 11 are clearly shown in Fig.
  • the pocket 3 has an outer surface 12 and an inner sterile surface 13.
  • a pair of longitudinally spaced apart releasable connection means identified by the reference numeral 14 are provided on the pocket 3 for cooperation with corresponding connection means 15 on the main sheet 2.
  • the connection means 14, 15 are provided by VELCRO strips .
  • a strip of releasable non-setting adhesive 22 is placed on the bottom surface 5 adjacent the periphery of the sheet 2 for retaining the sheet 2 in position during an operation and is preferably provided with a removable cover strip 23.
  • a pocket 25 for instruments is provided.
  • connection means 14 and 15 To fold the pocket and secure the connection means 14 and 15 the apex 8 is pulled upwards and outwards so that the connection means 14 contact the connection means 15. This causes the triangular lateral panels 9 to lie partially laterally and partially longitudinally as illustrated in Fig. 1. The remainder of the panel 9 folds in on itself as can be seen from Fig. 1. The correct orientation of the various portions of panels are illustrated clearly in Figs. 3 to 5.
  • the surgical drape 1 is placed over a patient as illustrated in Fig. 6.
  • the connecting means 14 and 15 are disconnected as shown in Fig. 3 and the pocket 3 withdrawn so that the bottom portion of the main sheet 2 below the pocket 3 and the pocket itself can be placed over the X- ray machine 30 as illustrated clearly in Fig. 8.
  • an optional removable connection means which may be mounted on the inner sterile surface 13 and used with a cooperating connection means on the X-ray machine 30. This is illustrated by the reference numeral 31. This helps to hold the pocket in position on the X- ray machine 30.
  • the surgeon can operate on the patient as he or she desires and when necessary to use, for example, the X-ray machine 30. It can be wheeled into and out of position by the use of the pocket 3. When the pocket 3 is not required, then the connection means 14 and 15 are reconnected and the pocket 3 folded back into position to lie flat against the sheet 2 thereby preventing accidental disengagement.
  • FIGs. 9 and 10 there is illustrated a fluid collection pocket forming part of the invention indicated generally by the reference numeral 50.
  • the fluid collection pocket 50 has an inlet 51, an outlet 52 and a side wall provided by two side wall panels 53 tapering inwardly between the inlet 51 and the outlet 52.
  • Each side wall panel 53 has fastening means at the inlet 51 provided by an adhesive band 54 covered by a peel away strip 55.
  • the inlet 51 also has a spacer band 56 to keep the side wall panels 53 apart when in use.
  • the pocket 50 is moved into a position on one side of the operating site, one of the peel-away strips 55 is removed and. the adhesive band 54 attached to the drape 2.
  • fluid from the operating site flows into the inlet 51 down along the tapered side wall panels 53 to the outlet 52.
  • the same fluid collection pocket may be positioned on either side of the operating site.
  • the drape may include a thermal insulation layer.
  • the disposable surgical drape according to the invention has been described with particular reference to limb surgery, but it may be used for any surgical procedure where such bulky auxiliary equipment is required.
  • the pocket might be formed to accommodate a particular type of image intensifier for example allowing laser targeting of an X- ray site in orthopaedic surgery.
  • the invention does have certain considerable advantages in that the one composite drape can be used for such surgery whether bulky auxiliary operation equipment is required or not.
  • the present surgical drape covers the whole operating table and surrounding area. It is able to accommodate moving machinery which can then be kept sterile.
  • the great advantage of the construction of drape is that there is little possibility of contamination from unsterile machines as the pocket receives the unsterile machine and keeps it separate from the patient.
  • the drape may include more than one pocket situated around the operating site and that the size and shape of the pockets may be adapted to accommodate a wide variety of operating equipment.
  • the drape may also optionally include additional pockets for holding surgical equipment, and drainage channels or pockets.
  • fluid collection pocket described may be used with any surgical drape and need not necessarily be used with the surgical drape described.

Landscapes

  • 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)
  • Accommodation For Nursing Or Treatment Tables (AREA)

Abstract

Champ opératoire jetable (1) conçu, par exemple, pour la chirurgie des membres et possédant une feuille principale (2) ainsi qu'une poche (3). Cette poche (3) est conçue pour permettre à un équipement volumineux d'accéder de façon intermittente au site opératoire sans avoir recours à des draps supplémentaires et sans compromettre la stérilité du site opératoire.
PCT/IE1996/000032 1995-05-29 1996-05-29 Champ operatoire WO1996038096A1 (fr)

Priority Applications (1)

Application Number Priority Date Filing Date Title
AU58436/96A AU5843696A (en) 1995-05-29 1996-05-29 A surgical drape

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
IE950387 1995-05-29
IES950387 1995-05-29

Publications (1)

Publication Number Publication Date
WO1996038096A1 true WO1996038096A1 (fr) 1996-12-05

Family

ID=11040770

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IE1996/000032 WO1996038096A1 (fr) 1995-05-29 1996-05-29 Champ operatoire

Country Status (2)

Country Link
AU (1) AU5843696A (fr)
WO (1) WO1996038096A1 (fr)

Cited By (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2362323A (en) * 2000-05-20 2001-11-21 Murray Brown James Hamilton Surgical operating drape
US6874505B1 (en) 2003-09-19 2005-04-05 Kimberly-Clark Worldwide, Inc. Surgical drape system with pouch
WO2009126681A3 (fr) * 2008-04-09 2010-01-07 Serge Kaska Drap radiologique stérile
WO2011038792A1 (fr) * 2009-09-30 2011-04-07 Paul Hartmann Aktiengesellschaft Drap chirurgical
WO2011005503A3 (fr) * 2009-06-22 2011-04-28 Contour Fabricators, Inc. Champ opératoire et procédé d'obtention d'une surface stérile avec celui-ci
WO2011088445A3 (fr) * 2010-01-18 2011-11-10 Contour Fabricators, Inc. Drap stérile de radioprotection, combinaison d'un écran de radioprotection et d'un drap stérile pour former celui-ci, et procédé de pose d'un drap stérile autour d'un écran de radioprotection
US8286637B2 (en) 2008-04-09 2012-10-16 Serge Kaska Sterile radiological imaging unit drape and method of providing a sterile surface therewith
US10835337B2 (en) 2017-02-02 2020-11-17 Tidi Products, Llc Sterile imaging protective system
USD916293S1 (en) 2018-06-01 2021-04-13 Tidi Products, Llc Lateral c-arm drape
US11051899B2 (en) 2017-04-05 2021-07-06 Warsaw Orthopedic, Inc. Surgical draping system and method
US20210220069A1 (en) * 2020-01-22 2021-07-22 Nue Medical Solutions, LLC Surgical drape with accomodations for imaging
US11406466B2 (en) 2018-03-16 2022-08-09 Warsaw Orthopedic, Inc. Surgical draping system and method
US11432903B2 (en) 2018-03-16 2022-09-06 Warsaw Orthopedic, Inc. Surgical sterilization system and method

Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2936256A1 (de) * 1979-09-07 1981-03-19 H. Guido Dr. 8000 München Mutke Isolationseinrichtung
US4414968A (en) * 1981-05-29 1983-11-15 Amin Shailesh R Surgical drape
US4462396A (en) * 1983-01-27 1984-07-31 The Kendall Company Surgical drape
US4489720A (en) * 1982-11-02 1984-12-25 Surgikos, Inc. Cesarean section surgical drape
US4730609A (en) * 1985-02-27 1988-03-15 Mcconnell Bernard E Surgical drape with limb securing structure and method for securing a surgical site
US5074316A (en) * 1990-03-12 1991-12-24 Baxter International Inc. Brachial angiography surgical drape
WO1993005740A1 (fr) * 1991-09-16 1993-04-01 Little Rapids Corporation Dispositif d'isolation chirurgicale
US5209243A (en) * 1991-10-18 1993-05-11 Glassman Jacob A Cesarian section collecting incise drape
US5339831A (en) * 1992-01-30 1994-08-23 Baxter International Inc. Pouch within a pouch design
US5345946A (en) * 1993-04-23 1994-09-13 Johnson & Johnson Medical, Inc. Multi-element surgical drape with sealable surgical run-off pouches
US5445165A (en) * 1993-02-10 1995-08-29 Liebel-Flarsheim Company Medical drape with drain and method for deploying

Patent Citations (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE2936256A1 (de) * 1979-09-07 1981-03-19 H. Guido Dr. 8000 München Mutke Isolationseinrichtung
US4414968A (en) * 1981-05-29 1983-11-15 Amin Shailesh R Surgical drape
US4489720A (en) * 1982-11-02 1984-12-25 Surgikos, Inc. Cesarean section surgical drape
US4462396A (en) * 1983-01-27 1984-07-31 The Kendall Company Surgical drape
US4730609A (en) * 1985-02-27 1988-03-15 Mcconnell Bernard E Surgical drape with limb securing structure and method for securing a surgical site
US5074316A (en) * 1990-03-12 1991-12-24 Baxter International Inc. Brachial angiography surgical drape
WO1993005740A1 (fr) * 1991-09-16 1993-04-01 Little Rapids Corporation Dispositif d'isolation chirurgicale
US5209243A (en) * 1991-10-18 1993-05-11 Glassman Jacob A Cesarian section collecting incise drape
US5339831A (en) * 1992-01-30 1994-08-23 Baxter International Inc. Pouch within a pouch design
US5445165A (en) * 1993-02-10 1995-08-29 Liebel-Flarsheim Company Medical drape with drain and method for deploying
US5345946A (en) * 1993-04-23 1994-09-13 Johnson & Johnson Medical, Inc. Multi-element surgical drape with sealable surgical run-off pouches

Cited By (19)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2362323A (en) * 2000-05-20 2001-11-21 Murray Brown James Hamilton Surgical operating drape
US6874505B1 (en) 2003-09-19 2005-04-05 Kimberly-Clark Worldwide, Inc. Surgical drape system with pouch
EP3178437A1 (fr) * 2008-04-09 2017-06-14 Tidi Products, LLC Drap radiologique stérile
WO2009126681A3 (fr) * 2008-04-09 2010-01-07 Serge Kaska Drap radiologique stérile
CN102112068A (zh) * 2008-04-09 2011-06-29 新兴医药科技股份有限公司 无菌放射性披盖
EP2265209A2 (fr) * 2008-04-09 2010-12-29 Emerging Medical Technology Inc. Drap radiologique stérile
US8286637B2 (en) 2008-04-09 2012-10-16 Serge Kaska Sterile radiological imaging unit drape and method of providing a sterile surface therewith
EP2265209A4 (fr) * 2008-04-09 2015-04-15 Emerging Medical Technology Inc Drap radiologique stérile
WO2011005503A3 (fr) * 2009-06-22 2011-04-28 Contour Fabricators, Inc. Champ opératoire et procédé d'obtention d'une surface stérile avec celui-ci
US8807138B2 (en) 2009-06-22 2014-08-19 Contour Fabricators, Inc. Surgical drape and method providing a sterile surface therewith
WO2011038792A1 (fr) * 2009-09-30 2011-04-07 Paul Hartmann Aktiengesellschaft Drap chirurgical
US8844538B2 (en) 2009-09-30 2014-09-30 Paul Hartmann Aktiengesellschaft Surgical drape
WO2011088445A3 (fr) * 2010-01-18 2011-11-10 Contour Fabricators, Inc. Drap stérile de radioprotection, combinaison d'un écran de radioprotection et d'un drap stérile pour former celui-ci, et procédé de pose d'un drap stérile autour d'un écran de radioprotection
US10835337B2 (en) 2017-02-02 2020-11-17 Tidi Products, Llc Sterile imaging protective system
US11051899B2 (en) 2017-04-05 2021-07-06 Warsaw Orthopedic, Inc. Surgical draping system and method
US11406466B2 (en) 2018-03-16 2022-08-09 Warsaw Orthopedic, Inc. Surgical draping system and method
US11432903B2 (en) 2018-03-16 2022-09-06 Warsaw Orthopedic, Inc. Surgical sterilization system and method
USD916293S1 (en) 2018-06-01 2021-04-13 Tidi Products, Llc Lateral c-arm drape
US20210220069A1 (en) * 2020-01-22 2021-07-22 Nue Medical Solutions, LLC Surgical drape with accomodations for imaging

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Publication number Publication date
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