WO2024030089A1 - Laparoscopic instrument cable arrangement structure that can remain closed and sterile - Google Patents

Laparoscopic instrument cable arrangement structure that can remain closed and sterile Download PDF

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Publication number
WO2024030089A1
WO2024030089A1 PCT/TR2022/051194 TR2022051194W WO2024030089A1 WO 2024030089 A1 WO2024030089 A1 WO 2024030089A1 TR 2022051194 W TR2022051194 W TR 2022051194W WO 2024030089 A1 WO2024030089 A1 WO 2024030089A1
Authority
WO
WIPO (PCT)
Prior art keywords
arrangement structure
inner roller
lower table
external cover
cables
Prior art date
Application number
PCT/TR2022/051194
Other languages
French (fr)
Inventor
Dercan GENÇBAŞ
Neslihan ILKAZ
Original Assignee
Ankara Medipol Universitesi
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
Priority claimed from TR2022/012323 external-priority patent/TR2022012323A1/en
Application filed by Ankara Medipol Universitesi filed Critical Ankara Medipol Universitesi
Publication of WO2024030089A1 publication Critical patent/WO2024030089A1/en

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
    • A61B1/3132—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes for laparoscopy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00142—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor with means for preventing contamination, e.g. by using a sanitary sheath
    • 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
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65H—HANDLING THIN OR FILAMENTARY MATERIAL, e.g. SHEETS, WEBS, CABLES
    • B65H75/00—Storing webs, tapes, or filamentary material, e.g. on reels
    • B65H75/02—Cores, formers, supports, or holders for coiled, wound, or folded material, e.g. reels, spindles, bobbins, cop tubes, cans, mandrels or chucks
    • B65H75/34—Cores, formers, supports, or holders for coiled, wound, or folded material, e.g. reels, spindles, bobbins, cop tubes, cans, mandrels or chucks specially adapted or mounted for storing and repeatedly paying-out and re-storing lengths of material provided for particular purposes, e.g. anchored hoses, power cables
    • B65H75/38—Cores, formers, supports, or holders for coiled, wound, or folded material, e.g. reels, spindles, bobbins, cop tubes, cans, mandrels or chucks specially adapted or mounted for storing and repeatedly paying-out and re-storing lengths of material provided for particular purposes, e.g. anchored hoses, power cables involving the use of a core or former internal to, and supporting, a stored package of material
    • B65H75/44—Constructional details
    • B65H75/4402—Guiding arrangements to control paying-out and re-storing of the material
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65H—HANDLING THIN OR FILAMENTARY MATERIAL, e.g. SHEETS, WEBS, CABLES
    • B65H75/00—Storing webs, tapes, or filamentary material, e.g. on reels
    • B65H75/02—Cores, formers, supports, or holders for coiled, wound, or folded material, e.g. reels, spindles, bobbins, cop tubes, cans, mandrels or chucks
    • B65H75/34—Cores, formers, supports, or holders for coiled, wound, or folded material, e.g. reels, spindles, bobbins, cop tubes, cans, mandrels or chucks specially adapted or mounted for storing and repeatedly paying-out and re-storing lengths of material provided for particular purposes, e.g. anchored hoses, power cables
    • B65H75/38—Cores, formers, supports, or holders for coiled, wound, or folded material, e.g. reels, spindles, bobbins, cop tubes, cans, mandrels or chucks specially adapted or mounted for storing and repeatedly paying-out and re-storing lengths of material provided for particular purposes, e.g. anchored hoses, power cables involving the use of a core or former internal to, and supporting, a stored package of material
    • B65H75/44—Constructional details
    • B65H75/4457—Arrangements of the frame or housing
    • B65H75/446—Arrangements of the frame or housing for releasably or permanently attaching the frame to a wall, on a floor or on a post or the like
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65H—HANDLING THIN OR FILAMENTARY MATERIAL, e.g. SHEETS, WEBS, CABLES
    • B65H75/00—Storing webs, tapes, or filamentary material, e.g. on reels
    • B65H75/02—Cores, formers, supports, or holders for coiled, wound, or folded material, e.g. reels, spindles, bobbins, cop tubes, cans, mandrels or chucks
    • B65H75/34—Cores, formers, supports, or holders for coiled, wound, or folded material, e.g. reels, spindles, bobbins, cop tubes, cans, mandrels or chucks specially adapted or mounted for storing and repeatedly paying-out and re-storing lengths of material provided for particular purposes, e.g. anchored hoses, power cables
    • B65H75/38—Cores, formers, supports, or holders for coiled, wound, or folded material, e.g. reels, spindles, bobbins, cop tubes, cans, mandrels or chucks specially adapted or mounted for storing and repeatedly paying-out and re-storing lengths of material provided for particular purposes, e.g. anchored hoses, power cables involving the use of a core or former internal to, and supporting, a stored package of material
    • B65H75/44—Constructional details
    • B65H75/4457—Arrangements of the frame or housing
    • B65H75/4471—Housing enclosing the reel
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00112—Connection or coupling means
    • A61B1/00114—Electrical cables in or with an endoscope
    • 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
    • A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
    • A61B2050/0058—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover closable by translation
    • 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
    • A61B2050/3009—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments having means for connecting similar adjacent containers
    • 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
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65H—HANDLING THIN OR FILAMENTARY MATERIAL, e.g. SHEETS, WEBS, CABLES
    • B65H2701/00—Handled material; Storage means
    • B65H2701/30—Handled filamentary material
    • B65H2701/34—Handled filamentary material electric cords or electric power cables
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B65—CONVEYING; PACKING; STORING; HANDLING THIN OR FILAMENTARY MATERIAL
    • B65H—HANDLING THIN OR FILAMENTARY MATERIAL, e.g. SHEETS, WEBS, CABLES
    • B65H2701/00—Handled material; Storage means
    • B65H2701/50—Storage means for webs, tapes, or filamentary material
    • B65H2701/53—Adaptations of cores or reels for special purposes
    • B65H2701/534—Stackable or interlockable reels or parts of reels

Definitions

  • the invention is related to an arrangement structure in which the cables of the laparoscopic instruments are wound to protect the sterilization of the equipment used in laparoscopic surgery by remaining in a closed container during the operation and extending only to the sterile field side, ensuring patient and employee safety, and increasing the working comfort of the surgical team.
  • Laparoscopic surgery also known as closed surgery, is a surgical method that allows the patient to recover faster and feel less pain than open surgery.
  • the incision size on the skin is extremely small.
  • Laparoscopic surgery takes its name from the laparoscope used during the surgical procedure.
  • a laparoscope can be defined as a fiber optic telescope with a light at the end.
  • Many corded instruments are used during laparoscopic surgery (laparoscopic dissector, laparoscopic cautery cord, laparoscopic scissors, and laparoscopic hemostatic devices). Under present conditions, these devices are fixed in different ways; the surgery is performed by creating a lumen on the surgical covers on the patient on the operating table with a towel clamp or by slipping it to the ears where the towel clamp is held.
  • the invention is related to a disposable surgical instrument apparatus having a generally rectangular- shaped holder body with one or more elongated cylinders for holding surgical instruments such as a suction device, cautery, and other instruments when not in use during the surgery.
  • One of the cylinders has a sealed chamber with a passage of decreasing diameter to accommodate a cavity of the different-sized suction port of the suction device within the chamber.
  • One or more slotted channels are associated with the cylinders to hold the tubing and electrical cables of the surgical instruments.
  • the invention is related to a tool holder for use alone or combined with a hose/cable organizer.
  • the holder can be made in various ways; the preferred embodiment is an elongated plastic body with folding wing structures that carry opposite tool receiver sets such as snap clamps, rings, handles, and combinations thereof.
  • the holder can be used alone or in combination with a hose/cable organizer.
  • the invention is related to a regulation device for use during medical procedures that allows the surgeon to keep multiple tubes, wires, and cables organized when used during laparoscopic or hysteroscopic surgery.
  • this device has a rectangular body, an upper section with an integral ring in the center, and a lower section with a drop slot optimized for the insertion and retention of cables and tubes.
  • the device has an annular body, an integral ring in the center, and a series of slots radially arranged at the periphery and secured by a cylindrical latching mechanism.
  • the device is secured using magnets rather than a rotating latch mechanism.
  • the surgical team may have difficulties because the cables need to be used as long or short during the use of the instruments in different positions.
  • this inability to move easily can cause stretching of the cables and therefore the possibility of electrical leakage, causing electrical burns to both the patient and the employees.
  • the need for an arrangement in which the cables belonging to the laparoscopic instruments will be wound eliminates the disadvantages of the present art, and the insufficiency of the existing solutions made it necessary to make an improvement in the related technical field.
  • the invention is related to an arrangement structure that meets the above-mentioned requirements, eliminates all the disadvantages, and brings some additional advantages, in which the cables of the laparoscopic instruments are wound to protect the sterilization of the equipment used in laparoscopic surgery by remaining in a closed container during the operation and extending only to the sterile field side, ensuring patient and employee safety, and increasing the working comfort of the surgical team.
  • the purpose of the invention is to protect the sterilization of the equipment used in laparoscopic surgery during the operation, to ensure patient and employee safety, and to increase the working comfort of the surgical team, thanks to the developed arrangement.
  • the purpose of the invention is to increase the operating comfort of the surgical team in the sterile field by preventing the entanglement of the hemostatic instruments, laparoscopic cautery cable, laparoscopic dissector, and scissors used during the operation, thanks to an arrangement structure in laparoscopic surgeries.
  • Another purpose of the invention is to ensure that the laparoscopic instruments, which are currently tried to be used by creating a lumen with a towel clamp or by being fixed to the side of the towel clamp, remain in a closed container during the operation and are sterilized only by extending to the sterile field side, thus ensuring the protection of patient safety.
  • Another purpose of the invention is to prevent electrical leakages that may occur during the operation and to prevent possible electrical burns by preventing the cable tension problem that may occur with the fixing methods.
  • Another purpose of the invention is to ensure patient and employee safety, laparoscopic instrument sterilization and safety, to prevent surgical site infections that may occur after surgery due to impairment of sterilization, and to reduce costs that may occur due to the possibility of impairment of the continuous sterilization of instruments.
  • Another purpose of the invention is to keep the cables in the surgical area by wounding them with a closed pulley system and to ensure the continuity of sterilization, as well as to prevent the cables of many instruments in the surgical field from tangling with each other, thanks to this pulley system allowing unilateral cable elongation.
  • Figure- 1 is the schematic overview of the disassembled version of the arrangement structure
  • Figure-2 is a schematic overview of the arrangement structure assembled
  • Figure-3 is the schematic overview of the use of the dual arrangement structure in a preferred embodiment of the invention.
  • the arrangement structure (100) shown in Figure- 1 comprises the lower table (110), which is fixed to the surgical drapes on the patient on the operating table and where the inner roller (140) is positioned; the inner roll (140) on which the cables are wound; and an external cover (130), which is connected to the inner roller (140) and covers this inner roller (140).
  • Said lower table (110); preferably rectangular, is made of a rigid sterilizable material.
  • Four corners comprise slots (111) into which the towel clamp is inserted to hold and fix the lower table (110) to the surgical drapes on the operating table.
  • the inner roller mounting surface (115) is positioned for assembly and stable positioning of the inner roller (140).
  • the mounting surface (114) positioned on both sides of the lower table (110) is made of a sterile hard material or a sterile suitable metal that will not cause an allergic reaction.
  • the thickness of the said mounting surface (114) must be at least 2 cm to carry the arrangement structure (100), to prevent it from breaking, to occupy space in terms of use, and to be ergonomic.
  • Said external cover (130) forms a whole with the inner roller (140) and has the feature of being able to be opened on one side.
  • socket side cable exit lumen (132) that provides for the cables wound on the inner roller (140) on the underside of the external cover (130) to be placed in the non-sterile area after the external cover (130), and a patient side cable exit lumen (131) which allows the cables which are wound on the inner roller (140) on the upper side of the external cover (130), to exit into the sterile area after the external cover (130) is closed so that the cable can reach the field and the patient side on the upper side.
  • a transparent indicator (133) is positioned on the external cover (130) to understand whether the system is on or off by showing the off indicator (142) and the on indicator (143) on the inner roller (140). Since the transparent side surface (134) positioned on the external cover (130) to see the cables wound on the said inner roller (140) from the outside, is made of a hard material that does not break, it is possible to see the condition of the cables without the need to open the external cover (130). The part of the external cover (130) other than the side surface (134) consists of the opaque upper surface (135).
  • the lower table (110) comprises the inner roller (140) fixed in the middle so that the cable wound can be extended and shortened, can be opened/extended when it is locked by pulling and releasing movements and pulled again, and the locking system positioned between the inner roller (140) lower floor and the upper floor of the lower table (110).
  • the said inner roller (140) comprises the cable winding surface (141) on which cables of different thicknesses are wound; the off indicator (142) indicates that the arrangement structure (100) is locked; the on indicator (143) indicates that the arrangement structure (100) is on; cable winding apparatus (144) for manually winding the cable after closing the external cover (130) on the inner roller (140); roller inner depth (145) for winding cables of different thicknesses.
  • more than one arrangement structure (100) is connected using the snap recesses (112) and snap protrusions (113) located on the side of the lower table (110).

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
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  • Physics & Mathematics (AREA)
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  • Radiology & Medical Imaging (AREA)
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  • Surgical Instruments (AREA)

Abstract

The invention is an arrangement structure (100) in which the cables of the laparoscopic instruments are wound to protect the sterilization of the equipment used in laparoscopic surgery by remaining in a closed container during the operation and extending only to the sterile field side, ensuring patient and employee safety, and increasing the working comfort of the surgical team, characterized in that it comprises; the lower table (110), which is fixed to the surgical drapes on the patient on the operating table and where the inner roller (140) is positioned; inner roller (140) on which the cables are wound; the external cover (130) that can be opened on one side, forms a whole by connecting to the inner roller (140) and covers this inner roller (140).

Description

LAPAROSCOPIC INSTRUMENT CABLE ARRANGEMENT STRUCTURE THAT CAN REMAIN CLOSED AND STERILE
Technical Field
The invention is related to an arrangement structure in which the cables of the laparoscopic instruments are wound to protect the sterilization of the equipment used in laparoscopic surgery by remaining in a closed container during the operation and extending only to the sterile field side, ensuring patient and employee safety, and increasing the working comfort of the surgical team.
The State of the Art
Laparoscopic surgery, also known as closed surgery, is a surgical method that allows the patient to recover faster and feel less pain than open surgery. In the laparoscopic surgery method, the incision size on the skin is extremely small. Laparoscopic surgery takes its name from the laparoscope used during the surgical procedure. A laparoscope can be defined as a fiber optic telescope with a light at the end. Many corded instruments are used during laparoscopic surgery (laparoscopic dissector, laparoscopic cautery cord, laparoscopic scissors, and laparoscopic hemostatic devices). Under present conditions, these devices are fixed in different ways; the surgery is performed by creating a lumen on the surgical covers on the patient on the operating table with a towel clamp or by slipping it to the ears where the towel clamp is held.
Today, many studies have been carried out and new products have been developed so that the cables of the instruments used during laparoscopic surgery can be regularly passed through the lumens and kept in the sterile field. One of these studies is the invention of the patent application numbered US20060634469. The invention is related to a disposable surgical instrument apparatus having a generally rectangular- shaped holder body with one or more elongated cylinders for holding surgical instruments such as a suction device, cautery, and other instruments when not in use during the surgery. One of the cylinders has a sealed chamber with a passage of decreasing diameter to accommodate a cavity of the different-sized suction port of the suction device within the chamber. One or more slotted channels are associated with the cylinders to hold the tubing and electrical cables of the surgical instruments.
Another study is the invention of patent application W02011097072. The invention is related to a tool holder for use alone or combined with a hose/cable organizer. The holder can be made in various ways; the preferred embodiment is an elongated plastic body with folding wing structures that carry opposite tool receiver sets such as snap clamps, rings, handles, and combinations thereof. The holder can be used alone or in combination with a hose/cable organizer.
Another study is the invention of patent application US2020253681. The invention is related to a regulation device for use during medical procedures that allows the surgeon to keep multiple tubes, wires, and cables organized when used during laparoscopic or hysteroscopic surgery. In the first arrangement, this device has a rectangular body, an upper section with an integral ring in the center, and a lower section with a drop slot optimized for the insertion and retention of cables and tubes. In a second arrangement, the device has an annular body, an integral ring in the center, and a series of slots radially arranged at the periphery and secured by a cylindrical latching mechanism. In a third arrangement, the device is secured using magnets rather than a rotating latch mechanism.
Although the lumen is closed in the products developed and used today, there is no system in which the cables will remain closed. In all these products, the cables are used with the possibility of hanging from the open and sterile field. Therefore, these methods pose a risk in terms of patient safety. The biggest of these risks is the inability to maintain sterilization. That is because the cables moving in the lumen or inside the towel clamp can slip or come out of the lumen, and their sterilization may be impaired. In the event of impairing sterilization, replacing or re- sterilizing the instruments is necessary. This may result in a prolonged operation time and may increase costs. However, when sterilization is impaired, the risk of surgical site infection increases for the patient. In addition, the cable attached to the ears of the towel clamps sometimes cannot be easily moved. During the operation, the surgical team may have difficulties because the cables need to be used as long or short during the use of the instruments in different positions. In addition, this inability to move easily can cause stretching of the cables and therefore the possibility of electrical leakage, causing electrical burns to both the patient and the employees. In this sense, there is a need for new structures that will eliminate the technical problems mentioned in the technical field. As a result, the need for an arrangement in which the cables belonging to the laparoscopic instruments will be wound eliminates the disadvantages of the present art, and the insufficiency of the existing solutions made it necessary to make an improvement in the related technical field.
Brief Description of the Invention
The invention is related to an arrangement structure that meets the above-mentioned requirements, eliminates all the disadvantages, and brings some additional advantages, in which the cables of the laparoscopic instruments are wound to protect the sterilization of the equipment used in laparoscopic surgery by remaining in a closed container during the operation and extending only to the sterile field side, ensuring patient and employee safety, and increasing the working comfort of the surgical team.
Starting from the state of the art, the purpose of the invention is to protect the sterilization of the equipment used in laparoscopic surgery during the operation, to ensure patient and employee safety, and to increase the working comfort of the surgical team, thanks to the developed arrangement.
The purpose of the invention is to increase the operating comfort of the surgical team in the sterile field by preventing the entanglement of the hemostatic instruments, laparoscopic cautery cable, laparoscopic dissector, and scissors used during the operation, thanks to an arrangement structure in laparoscopic surgeries.
Another purpose of the invention is to ensure that the laparoscopic instruments, which are currently tried to be used by creating a lumen with a towel clamp or by being fixed to the side of the towel clamp, remain in a closed container during the operation and are sterilized only by extending to the sterile field side, thus ensuring the protection of patient safety.
Another purpose of the invention is to prevent electrical leakages that may occur during the operation and to prevent possible electrical burns by preventing the cable tension problem that may occur with the fixing methods. Another purpose of the invention is to ensure patient and employee safety, laparoscopic instrument sterilization and safety, to prevent surgical site infections that may occur after surgery due to impairment of sterilization, and to reduce costs that may occur due to the possibility of impairment of the continuous sterilization of instruments.
Another purpose of the invention is to keep the cables in the surgical area by wounding them with a closed pulley system and to ensure the continuity of sterilization, as well as to prevent the cables of many instruments in the surgical field from tangling with each other, thanks to this pulley system allowing unilateral cable elongation.
The structural and characteristic features of the invention and all its advantages will be understood more clearly thanks to the figures given below and the detailed description written concerning these figures, and therefore the evaluation should be made by taking these figures and detailed explanation into consideration.
Brief Description of the Figures
To understand the embodiment of the invention together with the additional elements in the best possible manner, it should be considered together with the figures whose explanation is given below.
Figure- 1 is the schematic overview of the disassembled version of the arrangement structure Figure-2 is a schematic overview of the arrangement structure assembled,
Figure-3 is the schematic overview of the use of the dual arrangement structure in a preferred embodiment of the invention.
Reference Numbers
100. Arrangement structure
110. Lower table
111. Slot
112. Snap recess
113. Snap protrusion
114. Mounting surface 115. Inner roller mounting surface
120. Cover connection element
130. External cover
131. Patient side cable exit lumen
132. Socket side cable exit lumen
133. Indicator
134. Side surface
135. Upper surface
140. Inner roller
141. Cable winding surface
142. Off indicator
143. On indicator
144. Cable winding apparatus
145. Roller inner depth
Detailed Description of the Invention
In this detailed explanation, the arrangement structure (100) in which the cables belonging to the laparoscopic instruments will be wound to protect the sterilization of the equipment used in the laparoscopic surgery of the invention by remaining in a closed container during the operation and extending only to the sterile field side, ensuring patient and employee safety, and increasing the working comfort of the surgical team is explained only as an example for a better understanding of the subject and in a way that does not create any limiting effect.
The arrangement structure (100) shown in Figure- 1 comprises the lower table (110), which is fixed to the surgical drapes on the patient on the operating table and where the inner roller (140) is positioned; the inner roll (140) on which the cables are wound; and an external cover (130), which is connected to the inner roller (140) and covers this inner roller (140). Said lower table (110); preferably rectangular, is made of a rigid sterilizable material. Four corners comprise slots (111) into which the towel clamp is inserted to hold and fix the lower table (110) to the surgical drapes on the operating table. In the middle of the lower table (110), the inner roller mounting surface (115) is positioned for assembly and stable positioning of the inner roller (140). On both sides of the lower table (110), there is a snap recess (112) to which the snap protrusion (113) of the other lower table (110) is connected for interlocking the two lower tables (110) and the snap protrusion (113) connected to the snap recess (112) of the other lower table (110). Each corner and edge of the lower table (110) is rounded to prevent injury to the patient. The mounting surface (114) positioned on both sides of the lower table (110) is made of a sterile hard material or a sterile suitable metal that will not cause an allergic reaction. The thickness of the said mounting surface (114) must be at least 2 cm to carry the arrangement structure (100), to prevent it from breaking, to occupy space in terms of use, and to be ergonomic.
The inner roller (140) and the external cover (130), which are fixed to the lower table (110) shown in Figure-2, are connected using the cover connection element (120). Said external cover (130) forms a whole with the inner roller (140) and has the feature of being able to be opened on one side. There is a manual locking mechanism in the outlet section for fixing the cable in the said external cover (130). When the plug side of the instrument's cable (the part to be plugged into the power supply) which is wound around the said inner roller (140) comes to the underside of the lower table (110), there is a socket side cable exit lumen (132) that provides for the cables wound on the inner roller (140) on the underside of the external cover (130) to be placed in the non-sterile area after the external cover (130), and a patient side cable exit lumen (131) which allows the cables which are wound on the inner roller (140) on the upper side of the external cover (130), to exit into the sterile area after the external cover (130) is closed so that the cable can reach the field and the patient side on the upper side. A transparent indicator (133) is positioned on the external cover (130) to understand whether the system is on or off by showing the off indicator (142) and the on indicator (143) on the inner roller (140). Since the transparent side surface (134) positioned on the external cover (130) to see the cables wound on the said inner roller (140) from the outside, is made of a hard material that does not break, it is possible to see the condition of the cables without the need to open the external cover (130). The part of the external cover (130) other than the side surface (134) consists of the opaque upper surface (135). The lower table (110) comprises the inner roller (140) fixed in the middle so that the cable wound can be extended and shortened, can be opened/extended when it is locked by pulling and releasing movements and pulled again, and the locking system positioned between the inner roller (140) lower floor and the upper floor of the lower table (110). The said inner roller (140) comprises the cable winding surface (141) on which cables of different thicknesses are wound; the off indicator (142) indicates that the arrangement structure (100) is locked; the on indicator (143) indicates that the arrangement structure (100) is on; cable winding apparatus (144) for manually winding the cable after closing the external cover (130) on the inner roller (140); roller inner depth (145) for winding cables of different thicknesses.
In a preferred embodiment of the invention shown in Figure 3, more than one arrangement structure (100) is connected using the snap recesses (112) and snap protrusions (113) located on the side of the lower table (110).

Claims

CLAIMS An arrangement structure (100) in which the cables of the laparoscopic instruments are wound to protect the sterilization of the equipment used in laparoscopic surgery by remaining in a closed container during the operation and extending only to the sterile field side, ensuring patient and employee safety, and increasing the working comfort of the surgical team, characterized in that it comprises; the lower table (110), which is fixed to the surgical drapes on the patient on the operating table and where the inner roller (140) is positioned; inner roller (140) on which the cables are wound; the external cover (130) that can be opened on one side, forms a whole by connecting to the inner roller (140) and covers this inner roller (140). Arrangement structure (100) according to Claim 1, is characterized in that the lower table (110) comprises a slot (111) located at the comers of the lower table (110) where the towel clam is inserted to hold and fix it to the surgical drapes on the operating table. Arrangement structure (100) according to Claim 1, is characterized in that it comprises a snap recess (112) positioned on both sides of the lower table (110), where the snap protrusion (113) of the other lower table (110) is connected to connect the two lower tables (110) in an interlocking manner. Arrangement structure (100) according to Claim 1, is characterized in that it comprises a snap recess (113) positioned on both sides of the lower table (110), where the snap protrusion (112) of the other lower table (110) is connected to connect the two lower tables (110) in an interlocking manner. Arrangement structure (100) according to Claim 1, is characterized in that it comprises an mounting surface (114) positioned on both sides of the lower table (110), made of a rigid sterilizable material or a sterile suitable metal that will not cause an allergic reaction. Arrangement structure (100) according to Claim 1, is characterized in that it comprises an inner roller mounting surface (115) positioned right in the middle of the lower table (110) for assembled and fixed connection of the inner roller (140).
7. Arrangement structure (100) according to Claim 1, is characterized in that it comprises a cover connection element (120) that connects the inner roller (140) fixed to the lower table (110) and the external cover (130) to each other.
8. Arrangement structure (100) according to Claim 1, is characterized in that it comprises a manual locking mechanism positioned in the cable exit section of the external cover (130) to fix the cable.
9. Arrangement structure (100) according to Claim 1, is characterized in that it comprises socket side cable exit lumen (132) positioned on the underside of the external cover (130) so that the cables wound on the inner roller (140) exit into the non-sterile area after the external cover (130) is closed when the plug side of the tool's cable (the part to be plugged into the power supply) that is wound around the inner roller (140) comes to the underside of the lower table (110).
10. Arrangement structure (100) according to Claim 1, is characterized in that it comprises the patient side cable exit lumen (131) positioned on the upper side of the external cover (130) that allows the external cover to come out into the sterile area after the cover (130) is closed so that the cable can extend to the field side when the instrument side of the instrument to be used on the patient comes to the top of the lower table (110), which is wrapped around the inner roller (140).
11. Arrangement structure (100) according to Claim 1, is characterized in that it comprises the transparent indicator (133) positioned on the external cover (130) to indicate whether the system is on or off by showing the off indicator (142) and the on indicator (143) on the inner roller (140).
12. Arrangement structure (100) according to Claim 1, is characterized in that it comprises the transparent side surface (134) positioned on the external cover (130) so that the condition of the cables can be seen without the need to open the external cover (130).
13. Arrangement structure (100) according to Claim 1, is characterized in that it comprises the locking system positioned between the inner roller (140) lower floor and the lower table (110) upper floor, which can be opened/extended when locked and shortened by pulling and releasing movements. Arrangement structure (100) according to Claim 1, is characterized in that it comprises the cable winding surface on which cables of different thicknesses are wound (141). Arrangement structure (100) according to Claim 1, is characterized in that it comprises the off indicator (142) indicating that the arrangement structure (100) is locked. Arrangement structure (100) according to Claim 1, is characterized in that it comprises the indicator (143) indicating that the arrangement structure (100) is locked. Arrangement structure (100) according to Claim 1, is characterized in that it comprises the cable winding apparatus (144) for manually winding the cable after closing the external cover (130) on the inner roller (140). Arrangement structure (100) according to Claim 1, is characterized in that it comprises the roller inner depth (145) for winding cables of different thicknesses.
PCT/TR2022/051194 2022-08-03 2022-10-27 Laparoscopic instrument cable arrangement structure that can remain closed and sterile WO2024030089A1 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
TR2022/012323 TR2022012323A1 (en) 2022-08-03 LAPAROSCOPIC INSTRUMENT CABLE ARRANGEMENT THAT CAN REMAIN CLOSED AND STERILE
TR2022012323 2022-08-03

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008045808A2 (en) * 2006-10-06 2008-04-17 Ryan Fila Cauterizing system
US20130313352A1 (en) * 2012-05-18 2013-11-28 Clark J. Alexandre Cord organizer for portable electronic devices
CN112022106A (en) * 2020-09-29 2020-12-04 重庆大学附属肿瘤医院 Hub with disinfection function for ICU monitor
US10912477B1 (en) * 2019-02-19 2021-02-09 Pragmatic Medical Devices, LLC Modular cable organization system

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2008045808A2 (en) * 2006-10-06 2008-04-17 Ryan Fila Cauterizing system
US20130313352A1 (en) * 2012-05-18 2013-11-28 Clark J. Alexandre Cord organizer for portable electronic devices
US10912477B1 (en) * 2019-02-19 2021-02-09 Pragmatic Medical Devices, LLC Modular cable organization system
CN112022106A (en) * 2020-09-29 2020-12-04 重庆大学附属肿瘤医院 Hub with disinfection function for ICU monitor

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