WO2005107525A2 - Chariot pour operation medicale et procede pour le personnaliser - Google Patents

Chariot pour operation medicale et procede pour le personnaliser Download PDF

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Publication number
WO2005107525A2
WO2005107525A2 PCT/US2005/008703 US2005008703W WO2005107525A2 WO 2005107525 A2 WO2005107525 A2 WO 2005107525A2 US 2005008703 W US2005008703 W US 2005008703W WO 2005107525 A2 WO2005107525 A2 WO 2005107525A2
Authority
WO
WIPO (PCT)
Prior art keywords
working surface
cart
tray
equipment
instruments
Prior art date
Application number
PCT/US2005/008703
Other languages
English (en)
Other versions
WO2005107525A3 (fr
Inventor
Mark Alan Rockoff
Original Assignee
Children's Medical Center Corporation
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 Children's Medical Center Corporation filed Critical Children's Medical Center Corporation
Publication of WO2005107525A2 publication Critical patent/WO2005107525A2/fr
Publication of WO2005107525A3 publication Critical patent/WO2005107525A3/fr

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
    • A61G12/00—Accommodation for nursing, e.g. in hospitals, not covered by groups A61G1/00 - A61G11/00, e.g. trolleys for transport of medicaments or food; Prescription lists
    • A61G12/001—Trolleys for transport of medicaments, food, linen, nursing supplies
    • 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
    • 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
    • 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
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B62—LAND VEHICLES FOR TRAVELLING OTHERWISE THAN ON RAILS
    • B62B—HAND-PROPELLED VEHICLES, e.g. HAND CARTS OR PERAMBULATORS; SLEDGES
    • B62B3/00—Hand carts having more than one axis carrying transport wheels; Steering devices therefor; Equipment therefor
    • 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
    • A61B2050/105—Cabinets
    • 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
    • A61B50/18—Cupboards; Drawers therefor
    • A61B2050/185—Drawers
    • 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
    • A61B2050/3008—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments having multiple compartments
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B62—LAND VEHICLES FOR TRAVELLING OTHERWISE THAN ON RAILS
    • B62B—HAND-PROPELLED VEHICLES, e.g. HAND CARTS OR PERAMBULATORS; SLEDGES
    • B62B2206/00—Adjustable or convertible hand-propelled vehicles or sledges
    • B62B2206/06—Adjustable or convertible hand-propelled vehicles or sledges adjustable in height

Definitions

  • the present invention relates to a medical procedure cart that can be stocked according to a particular operator, and more particularly, to a medical procedure cart and stocking method thereof that incorporates a stocking template to enable the user to quickly and easily prepare for a medical procedure.
  • a medical procedure cart is used to carry the necessary medical equipment, instruments and other materials that a medical professional needs for a particular procedure.
  • an emergency crash cart includes all the necessary equipment for a medical emergency and can be quickly moved into a treatment room or area upon demand.
  • U.S. Patent No. 4,790,610 discloses such a medical emergency crash cart.
  • a catheter in an anesthesia or endoscopic procedure, a catheter must be inserted into a patient.
  • catheters such as intravenous, arterial, epidural, etc.
  • Such processes involve the operator, such as a physician or nurse, first gathering the needed equipment, for example, catheters, tourniquets, gloves, etc., from many sources. Often most supplies can be found within the medical cart.
  • each operator's needs and procedure is unique and often the cart is not equipped completely or properly. If the cart is not stocked properly, the operator has to gather additional equipment in the middle of the procedure.
  • the height of the cart is not adjustable and the operator must often create a work surface that defaults to being the patient's bed or stretcher or in the operating room, the surgical table. This results in the operator gathering the instruments and equipment and carrying it to the patient site. Also, the size of the cart itself prohibits close proximity to the patient, once again requiring the operator to carry the instrumentation to the patient site.
  • any needles inadvertently left on the working surface i.e., the bed, stretcher or operating table, may cause injury to the operator or others (nurses, housekeepers,, other medical professionals) who get stuck when either attempting to remove these sharp objects or when they are forgotten or lost and then later encountered.
  • a device such as a catheter (intravenous, arterial, epidural, etc.)
  • the hazardous materials such as needles
  • Another object of the present invention is to provide a medical procedure cart that is adjustable in height to enable the operator to easily bring the cart to the patient's side where the insertion is performed.
  • Still another object of the present invention is to provide a medical procedure cart that is customized by enabling each operator to designate in advance all equipment preferred for the particular procedure and to provide a customized working surface with the designated equipment without forgetting any necessary materials.
  • Yet another object of the present invention is to provide a method that facilitates the teaching of a medical procedure by enabling each operator to custom design his/her working surface with all the preferred equipment.
  • a custom design feature makes it easy for an operator to set up the cart each day and facilitates training of an assistant by helping the technician, nurse, trainee, etc., to arrange the specific equipment desired by each operator for each particular procedure.
  • a medical procedure cart including a housing having a working surface disposed on a top thereof.
  • the working surface forms a tray and includes a transparent top removably disposed above the tray. Height adjustment means adjust the height of the working surface.
  • a template is disposed in the tray below the transparent top.
  • the template includes a plurality of figures depicting various different materials, instruments and equipment that an operator prefers for a particular procedure, wherein the operator can place the instruments, supplies and equipment on the transparent top above a corresponding figure to enable the working surface to be stocked for a particular procedure.
  • the present invention provides a method of stocking a medical procedure cart including the step of providing a housing having a working surface disposed on a top thereof, the working surface forming a tray and including a transparent top removably disposed above the tray.
  • a template is positioned within the tray.
  • the template includes a plurality of figures depicting various different materials, instruments and equipment an operator prefers for a particular procedure. The materials, instruments, and equipment are then placed on the transparent top above a corresponding figure to enable the working surface to be stocked for a particular procedure.
  • the present invention also provides a method of training a trainee for a medical procedure by customizing a medical procedure cart including the steps of providing a housing having a working surface disposed on a top thereof.
  • the working surface forms a tray and includes a transparent top removably disposed above the tray.
  • a template is positioned within the tray.
  • the template includes a plurality of figures depicting various different materials, instruments and equipment an operator prefers for a particular procedure. The materials, instruments, and equipment are then placed on the transparent top above a corresponding figure to enable the working surface to be stocked for a particular procedure.
  • Fig. 1 is a perspective view of an embodiment of a medical procedure cart in accordance with the present invention.
  • Fig. 2. is a top view of the working surface of the cart of Fig. 1.
  • Fig. 3 is a top view of another working surface according to the present invention.
  • Fig. 4. is an enlarged cross-sectional view of the working surface taken along Line I-I ofFig. 1.
  • Fig. 5 is a perspective view of the cart of Fig. 1 with the working surface raised.
  • Fig. 6 is a side view of Fig. 5.
  • Fig. 7 is a flow diagram of a graphic user interface according to the present invention.
  • Fig. 8 is a perspective view of another embodiment of a medical procedure cart in accordance with the present invention.
  • Fig. 9 is a cross-section of the working surface of the cart taken along Line II-II of Fig. 8.
  • Cart 10 includes a housing 12 having a plurality of drawers 14. It should be appreciated that the number of drawers is dependent upon the predetermined use of the cart and may vary for a particular intended procedure.
  • the cart 10 is composed of a plurality of lightweight materials, for example, stainless steel, aluminum and thermoplastics.
  • Cart 10 further includes wheels or coasters 16 to enable the cart to be movable.
  • a sharps container 18 is disposed at one side of the cart.
  • a working surface 20 is located at the top of the cart.
  • the height of working surface 20 above cart 10 can be adjusted by a mechanism 22 (Fig. 6), so as to allow the operator to use the surface while sitting (Fig. 1) or standing (Fig. 5). This enables the operator to bring the working surface to and placed at the best height near of over the patient. Caregivers can therefore conveniently utilize the cart whether they prefer to perform catheter insertions while seated next to the patient, or, alternatively, the top can be adjusted upward to provide a working surface that is easily accessible for caregivers who prefer to stand during the procedure.
  • working surface 20 includes a recessed tray 24 in which a removable template 30 can be placed.
  • Working surface 20 has a transparent Plexiglas top 26 through which the template 30 can be viewed.
  • transparent top 26 can sit on a ledge 28 formed on the inside of tray 24 so as to be removable.
  • Top 26 is recessed within tray to form a slight lip thereabove. However, top 26 can also be flush with the sides of tray 24.
  • a cut-out 29 (Fig. 2) can be made at one corner of top 26 to enable the top to be grasped and removed.
  • Top 26 can be removably attached to tray 24 by hinges or other means (not shown) to allow access to the interior of tray 24.
  • Top 26 can also include a contoured portion or armrest 27 for a positioning a patient's arm directly on the working surface, for example, during placement of an arterial catheter.
  • a tape dispenser 25 can also be located on top 26 or elsewhere on working surface 20, so the operator can easily obtain pieces of adhesive tape needed to secure catheters following their insertion.
  • two hands are needed to do this, whereby a secure tape dispenser will enable dispensing to be done cleanly and with a single hand.
  • template 30 includes a plurality of cutouts or figures 32 depicting various different material and equipment the operator prefers for a particular procedure.
  • figures 32 may depict catheters, tourniquets, gloves, alcohol swabs, gauze pads, sterile transparent dressings, tapes, syringes containing heparinized saline attached to a T-connector, arm boards, etc.
  • a customized template 30 can be placed within tray 24 and instruments, equipment and supplies placed on top 26 above the designated figures to stock the working surface/cart according to the preferred equipment. Since operators frequently prefer "setups" that differ slightly from their colleagues, for example, left-handed vs.
  • Template 30 also serves as a visual reminder of all equipment needed to avoid having the operator get, or ask for, additional equipment during the middle of the procedure. Redundant components remain stocked in drawers 14 for easy access should they be needed.
  • templates 30 could take the form of individual figures 32 located on the bottom of the tray or a sheet with outlines of the desired equipment disposed thereon. Operators could use the cutouts or figures to custom design their own procedure sheets, which could then be operator and procedure specific. As shown in Figs. 2 and 3, different templates are contemplated by the present invention and the actual placement of the patterns 32 on template 30 is governed by a particular procedure and operator. It should be appreciated that the actual template design varies and although not illustrated the present invention contemplates a myriad of different template designs.
  • the present invention also contemplates a graphic-user interface, which can include a preference list for a particular procedure or interface. It is common practice for operating and treatment institutions to use preference lists for individual operators and/or procedures, which list the specific instrumentation, supplies, etc., needed for a particular procedure. These preference lists also include idiosyncrasies unique to individual surgeons/operators, such as glove size, etc.
  • a graphic-user interface 50 such as a computer, which can be located on cart 10 or at a remote location; Interface 50 could use a CD-Rom or DVD that includes a plurality of templates and or figures.
  • interface 50 could communicate with an internal network or via the internet to a source to retrieve the needed information from a remote location.
  • a recorded preference list 52 for an operator and/or procedure.
  • a template database 54 which include the numerous figures of various equipment, supplies, etc., can also be accessed by the user.
  • the user can than create a customized template 56 by for example, dragging and dropping the designated cutouts or figures.
  • the customized template can be displayed 58. It should be appreciated that the displayed customized template could be projected directly on template 30 via an LCD or equivalent device (not shown), and print out the predetermined template.
  • the template can also be printed out in step 60. As discussed previously herein, the template can be printed out as individual cut-outs or a sheet with the figures depicted thereon.
  • the template can be printed out at a remote location and brought to the cart or printed directly at the cart by a local printer (not shown). For example, if an operator has privileges at numerous health care facilities, he/she could bring the pre-printed customized template(s) with him/her. Once the template is printed, the operator or assistant can position the template on the working surface 62 and proceed to stock the cart at 64 as discussed herein.
  • Cart 10 is small and mobile so as to allow it to be easily positioned at the side of the patient wherever the patient is, including the preoperative holding area, operating room, emergency room or hospital ward.
  • a bar 34 on the cart can facilitate the operator grabbing the cart and bringing it to the patient's side while the operator's hands are uncontaminated. After successful catheter insertion, the cart can then be conveniently pushed out of the way for surgery and yet be easily retrieved for use with the next patient.
  • a locking drawer mechanism 36 enables the operator to push the cart away from the patient, even with a foot, thereby avoiding contamination of the cart surface by dirty (and potentially contaminated, blood covered) hands/gloves, yet prevents the drawers from opening.
  • a sharps container 18 is attached to the side of the cart to facilitate the placement of all hazardous material (especially needles) directly and immediately in a protective disposal system, rather than leaving hazardous material elsewhere for later disposal.
  • Container 18 can be of any type and style because the cart includes a universal bracket 19 for attaching the container. This allows for the attachment of any type of needle disposal unit or bucket, since every institute employs its own system of sharps containers that are routinely replaced. Furthermore, by enabling the caregiver to directly dispose of all sharp, hazardous materials at the moment of insertion, the need for others to be involved in this process and/or the caregiver from performing a separate transfer later is eliminated.
  • the back of cart 10 can also include an adjustable height pole (not shown) for holding a plurality of intravenous fluid bags and administration sets. This enables the operator or assistant to set up the bags/sets in advance and have them conveniently located adjacent to the patient for easy attachment to intravenous catheters once inserted. Other medical equipment can be attached to cart 10 depending on the particular medical procedure.
  • the height of the working surface 20 can be adjusted by height mechanism 22.
  • Mechanism 22 is operated via release lever 23 to retract a pin (not shown) enabling the rod 21 to be raised or lowered.
  • the operator can bring working surface 20 to the patient site, whether the operator is standing or sitting during the procedure. It should be appreciated that a plurality of height adjustment mechanisms are contemplated by the present invention.
  • Figs. 8 and 9 illustrate another embodiment of the invention whereby the working surface 20 is located in a top 40 of the cart.
  • Top 40 includes a recess 42 in which template 30 is located.
  • the equipment can be positioned on top of transparent top 26.
  • the present invention provides a means of organizing simple or complex instrumentation to allow practitioners to perform routine or non-routine procedures better.
  • Advantages to clinicians include serving as a "memory reminder" that will enable clinicians to set up all the necessary equipment for a procedure thereby improving procedural efficiency by decreasing the operator's need to leave the patient to obtain necessary materials, and improving safety by eliminating potential contamination.
  • the present invention also provides trainees a visual and textual training method of teaching about equipment needs for procedures that require complex or multiple pieces of equipment. Therefore, the cart can also be used for procedures other than those involving needle insertions, such as endotracheal intubations, etc.
  • the present invention has been described in relation to particular embodiments thereof, many other variations and modifications and other uses will become apparent to those skilled in the art. It is preferred therefore, that the present invention be limited not by the specific disclosure herein, but only by the appended claims.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Nursing (AREA)
  • Chemical & Material Sciences (AREA)
  • Combustion & Propulsion (AREA)
  • Transportation (AREA)
  • Mechanical Engineering (AREA)
  • Accommodation For Nursing Or Treatment Tables (AREA)
  • Handcart (AREA)

Abstract

La présente invention concerne un chariot pour opération médicale comprenant un logement qui présente une surface de travail placée au-dessus de celui-ci. Cette surface de travail forme un plateau et comprend une partie supérieure transparente placée amovible au-dessus du plateau. Un mécanisme de réglage de hauteur permet de régler la hauteur de la surface de travail. Le modèle comprend une pluralité de dessins représentant divers matériaux, instruments et équipement différents qu'un opérateur préfère utiliser pour une opération particulière. L'opérateur peut ainsi placer les instruments, matériaux et équipement sur la partie supérieure transparente de la surface de travail, au-dessus d'un dessin correspondant, afin de pouvoir équiper la surface de travail pour une opération particulière.
PCT/US2005/008703 2004-04-22 2005-03-16 Chariot pour operation medicale et procede pour le personnaliser WO2005107525A2 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US56394304P 2004-04-22 2004-04-22
US60/563,943 2004-04-22

Publications (2)

Publication Number Publication Date
WO2005107525A2 true WO2005107525A2 (fr) 2005-11-17
WO2005107525A3 WO2005107525A3 (fr) 2007-01-18

Family

ID=35320688

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2005/008703 WO2005107525A2 (fr) 2004-04-22 2005-03-16 Chariot pour operation medicale et procede pour le personnaliser

Country Status (2)

Country Link
US (1) US20050236940A1 (fr)
WO (1) WO2005107525A2 (fr)

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USD998277S1 (en) * 2020-08-21 2023-09-05 Canon U.S.A., Inc. Mobile cart
EP4210622A4 (fr) * 2020-09-10 2024-10-09 Mark Kenner Appareil, procédé et système permettant la gestion et la distribution d'instruments médicaux
CN114041955A (zh) * 2021-12-21 2022-02-15 徐银凤 一种普外科病房用医疗用具的放置及运输推车
EP4216126A1 (fr) 2022-01-25 2023-07-26 Jaes Informatica Societa'Cooperativa Système et procédé de gestion et de suivi authomatique de matériaux chirurgicaux

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