This invention relates to a warming blanket that has decontamination means or apparatus for treating air that passes into and/or through the warming blanket.
In medical and surgical settings there is a frequent need to modulate the body temperature of the patient. Commonly, in surgical procedures, patient body temperature can fall due to physiological and anatomical factors. This hypothermia can increase the risk for bleeding, infection and other significant complications. Forced-air patient warming has become the standard for maintaining patient body temperature during surgical procedures. These systems typically consist of an air-handling unit comprising a blower, heating element, controller, connection tube, and a flexible blanket containing air chambers. In a typical embodiment, the forced-air blanket comprises small apertures to allow for warmed air to exit the blanket and create a convective heating current around the patient.
A recent concern in such systems is that the convective air can contain potential microbial contamination which can contribute to the risk of surgical site infections. This contamination can arise due to room air contamination entering the air handler, or convective currents aerosolizing microbial particles from the patients themselves. Some systems have attempted to reduce contamination risk by introducing mechanical filtration into the air handler, and/or blanket, at the point of the convective apertures. However, mechanical air filtration can be subject to leakage, contamination of the filter itself, and transmission of small particles, such as viruses. Filters also serve to increase static backpressure and reduce system efficiency.
What is needed, therefore, is an improved system and method for decontaminating and removing germicides from air delivered to or received from a warming means or apparatus, such as a warming blanket.
Air disinfection using irradiation, such as C-Band ultraviolet, when correctly applied, has been shown to significantly reduce microbial levels in a moving air column.
It is one object of this invention to apply principles of airstream irradiation to forced-air patient warming systems, in several embodiments.
Another object of the invention is to provide a warming system that also comprises a germicidal decontamination system or means for providing decontaminated air to and/or through a blanket.
Another object of the invention is to provide a system and method for warming and decontaminating air wherein the germicidal decontamination system is situated in the air handler.
Another object of the invention is to provide a system and method for warming and decontaminating air wherein the germicidal decontamination system is situated either upstream or downstream of the patient and separate from the air handler.
Another object of the invention is to provide a warming and decontaminating system and method that provides decontaminated and heated air to a patient.
Yet another object of the invention is to provide a warming and decontamination system that is adapted to deliver warmed and decontaminated air to a patient and collect the air at or near the patient for purposes of further decontamination.
Another object of the invention is to provide a warming blanket and decontamination system that provides germicidal decontamination so that air exiting the blanket into a surrounding environment is substantially decontaminated.
Still another object of the invention is to provide a decontamination system that is adapted for use with an air handler and/or a warming blanket in order to treat or decontaminate the air prior to it reaching the patient.
Another object of the invention is to provide an ultraviolet germicidal decontamination system that may be situated inside of an air handler or outside of an air handler and is adapted for decontaminating air.
Yet another object of the invention is to provide a warming system having a decontamination or germicidal decontamination system having means for controlling air flow and/or pressure in the germicidal decontamination system.
Another object of the invention is to provide a warming system having a decontamination or germicidal decontamination system having means and apparatus for controlling air flow in the germicidal decontamination system.
Another object of the invention is to provide a warming system having means or apparatus for disrupting air flow in order to maximize air exposure time to at least one or a plurality of decontaminating or germicidal removal means, such as at least one or a plurality of ultraviolet lamps in order to improve decontamination efficiency.
Still another object of the invention is to provide a warming system having a collection system for collecting or scavenging air at or near the patient and collecting air that is exhausted from a warming blanket, and if desired, returning the air to a decontamination system.
In one aspect, one embodiment of the invention comprises a medical warming system comprising an air handler; a heater for heating air generated or received by the air handler; a blanket adapted to be placed on or near a patient, the blanket having at least one air channel for receiving an air stream generated by the air handler, the blanket having at least one perforation, exhaust or aperture for permitting at least some of the air stream received by the blanket to exit the blanket; and a germicidal radiation source for decontaminating the air stream generated or received by the air handler.
In another aspect, another embodiment of the invention comprises a medical warming system comprising an air handler; a heater for heating an air stream generated or received by the air handler; a blanket adapted to be placed on or near a patient, the blanket having at least one air channel for receiving the air stream generated by the air handler, the blanket having at least one exhaust for permitting at least some of the air stream received by the blanket to exit the blanket; and a germicidal radiation source for decontaminating the air stream generated or received by the air handler; the exhaust comprising the germicidal radiation source which irradiates the air stream after the air stream passes through the blanket and prior to the air stream being exhausted from the medical warming system.
In another aspect, another embodiment of the invention comprises a medical warming system comprising an air handler; a heater for heating an air stream generated or received by the air handler; a warming blanket adapted to be placed on or near a patient, the warming blanket having at least one air channel for receiving the air stream generated by the air handler, the warming blanket having at least one perforation, exhaust or aperture for permitting at least some of the air stream received by the warming blanket to exit the warming blanket; a germicidal radiation source for decontaminating the air stream generated or received by the air handler; a communication conduit comprising a delivery conduit for coupling an outlet of the air handler to an inlet of the at least one air channel of the warming blanket and a return conduit for coupling an outlet of the at least one air channel of the warming blanket to an inlet of the air handler, the germicidal radiation source being situated in at least one of the delivery conduit or the return conduit.
In another aspect, another embodiment of the invention comprises a medical warming system comprising an air handler; a warming blanket adapted to be placed on or near a patient, the warming blanket having at least one air channel for receiving an air stream generated by the air handler, the warming blanket having at least one perforation, exhaust or aperture for permitting at least some of the air stream received by the warming blanket to exit the warming blanket; and a germicidal radiation source for decontaminating the air stream generated or received by the air handler; the air handler generating the air stream that is in two way communication between the air handler and the warming blanket, so that the air handler generates an outgoing air stream and substantially simultaneously receives an incoming air stream from the warming blanket; the germicidal radiation source irradiating both the incoming air stream into the air handler and the outgoing air stream from the air handler substantially simultaneously.
In another aspect, another embodiment of the invention comprises a medical warming system comprising an air handler; a warming blanket adapted to be placed on or near a patient, the warming blanket having at least one air channel for receiving an air stream generated by the air handler, the warming blanket having at least one perforation, exhaust or aperture for permitting at least some of the air stream received by the warming blanket to exit by warming blanket via positive pressure; a germicidal radiation source for decontaminating by air stream generated or received by the air handler; and a scavenger or collector in fluid communication with the air handler, the scavenger or collector being situated in proximity to the patient and capturing the air stream under negative pressure generated by the air handler and returning the air stream to the air handler, the scavenger or collector comprising the germicidal radiation source which irradiates the air stream collected by the scavenger or collector.
In another aspect, another embodiment of the invention comprises a medical forced air warming system comprising an air handler comprising a warming means; a warming blanket with air channels; an air stream between and inclusive of the air handler and the blanket; and a germicidal radiation source; the radiation source being in communication with the airstream.
In another aspect, another embodiment of the invention comprises a medical forced air warming system comprising an air handler comprising a warming means; a warming blanket with air channels; an air stream between and inclusive of the air handler and the blanket; and an exhaust means to allow the air stream to exit the blanket; the exhaust means comprising a germicidal radiation source which irradiates the air prior to exhausting from the system.
In another aspect, another embodiment of the invention comprises a medical forced air warming system comprising an air handler comprising a warming means; a warming blanket with air channels; and an air stream in two way communication between the air handler and the blanket; the communication comprising a return to the air handler; the air handler further comprising a germicidal irradiation means to irradiate the air stream retuning from the blanket.
In another aspect, another embodiment of the invention comprises a medical forced air warming system comprising an air handler comprising a warming means; a warming blanket with air channels; and an air stream in two way communication between the air handler and the blanket; the air handler handling outgoing and incoming air in communication with the blanket; the air handler further comprising a germicidal irradiation means irradiating the incoming and the outgoing air in a substantially simultaneous manner.
In another aspect, another embodiment of the invention comprises a medical forced air warming system comprising an air handler comprising a warming means; a warming blanket with air channels; an air stream between and inclusive of the air handler and the blanket; and a germicidal radiation means; the radiation means in communication with the airstream; the radiation means comprising a radiation source in cooperation with air baffles, lenses, blockers, reflective surfaces, or similar means to optimize irradiation dosage and/or exposure duration of the air stream and/or suspended microbes therein.
In another aspect, another embodiment of the invention comprises a medical forced air warming system comprising an air handler comprising a warming means; a warming blanket comprising air channels; a substantially tubular connection between the air handler and the blanket; and a germicidal radiation source; the radiation source mounted within, or in communication with, the tubular connection.
In another aspect, another embodiment of the invention comprises a medical forced air warming system comprising an air handler comprising a warming means; a warming blanket comprising air channels; an air stream between and inclusive of the air handler and the blanket; and an exhaust means to allow the air stream to exit the blanket; the exhaust means comprising a pressure valve and communicating with a germicidal radiation source which irradiates the air prior to exhausting from the system.
In another aspect, another embodiment of the invention comprises a medical forced air warming system comprising an air handler comprising a warming means; a warming blanket comprising air channels; an air stream between and inclusive of the air handler and the blanket; and an exhaust means to allow the air stream to exit the blanket; the exhaust means comprising a pressure valve and communicating with a germicidal radiation source which irradiates the air; the pressure valve being adjustable to allow for level of air return versus release from the blanket.
In another aspect, another embodiment of the invention comprises a medical forced air warming system comprising an air handler comprising a warming means; a warming blanket comprising air apertures under positive air pressure; and a scavenging means comprising air apertures under negative air pressure; the scavenging means being in proximity to a subject being warmed and comprising a germicidal radiation source which irradiates the scavenged air.
This invention, including all embodiments shown and described herein, could be used alone or together and/or in combination with one or more of the features covered by one or more of the following list of features:
These and other objects and advantages of the invention will be apparent from the following description, the accompanying drawings and the appended claims.
Referring now to
The medical forced-air warming system 10 comprises a decontamination system or means 20, a heater 24 and an air handler 14 that decontaminate and heat air which is supplied to a blanket 16 associated with the patient P. In the illustration being described, the blanket 16 comprises at least one or a plurality of apertures 16a to deliver the decontaminated and heated air to the patient P for warming the patient P. As illustrated, the heater 24 heats the air stream created by the air handler 14 and passes such air past the decontamination system or means 20, which comprises at least one or a plurality of irradiators or germicidal lamps 20a and 20b that irradiate and decontaminate the air before it is received in the blanket 16.
In the illustration being described, the blanket 16 comprises at least one or a plurality of apertures 16a that permit the decontaminated and heated air to warm or heat the blanket 16 and the patient P as the air passes therethrough, thereby providing warmed and decontaminated air to the patient P as illustrated in
In this regard, when the fan 22 is energized, it creates a negative pressure that pulls air into a housing 14a of the air handler 14 through an inlet (not shown) of the housing 14a. The fan 22 forces the air past the germicidal lamps 20a and 20b and into a conduit 18, which delivers the heated and irradiated air into the blanket 16. The air is forced by positive pressure through the blanket 16 and through the apertures 16a where the heated and decontaminated air is passed over the patient P as illustrated in
As illustrated and described later, it may be desirable to provide more or less perforations, exhaust ports or apertures 16a in the blanket 16 in order to control the amount of pressure in the blanket 16. Also, it may be desirable to provide no exhaust ports in the upper surface (as viewed in
Although not shown, it is contemplated that a switch, air regulator or pressure valve or alternatively to provide no exhaust ports or apertures 16a that face towards the patient P, so all air is exhausted away from the patient P.
It is important to understand that the decontamination system or means 20 is in contact with the air as it passes by the heater 24 and through the air handler 14 and decontaminates the air before it is passed or directed to and through the blanket 16. The treated air is exhausted from the blanket 16 and enters the environment after passing through the blanket 16. It is important to note that the medical forced-air warming system 10 captures the ambient air in the room, heats it and irradiates it before it is delivered to the blanket 16 and when that air is exhausted into the local environment, it is substantially free of any contamination, airborne bacteria or germs.
In the illustration being described, the air handler 14 may include the system, apparatus or features of the air handler and irradiation devices shown in U.S. Pat. Nos. 9,433,693; 9,457,119; 9,764,054; 10,039,854; 10,532,122 and 10,549,007; as well as U.S. Patent Publication Nos. 2018/0133084; 2018/0133355; 2018/0264391 and 2019/0099050, all of which are assigned to the same assignee as the present application and are incorporated herein by reference and made a part hereof.
As best illustrated in
It should be understood that the air handler 14 therefor comprises germicidal radiation means or sources, such as one or more germicidal lamps 20a and 20b, which in the embodiment being described are at least one or a plurality of ultraviolet radiation lamps. It should be appreciated that the germicidal lamps 20a and 20b and the air handler 14 may comprise not only the germicidal lamps 20a and 20b, but can have other features which are shown and described in the above-referenced patents or patent applications, all of which are incorporated herein by reference and made a part hereof. For example, the air handler 14 or the germicidal lamps 20a and 20b may comprise air baffles, airflow interrupters for interrupting and disrupting the airflow, lenses, blockers, reflective surfaces, such as mirrors, or other similar means or apparatus to optimize the irradiation dosage and/or exposure duration of the air stream and/or suspended microbes therein, which in turn facilitates decontaminating the air stream as it flows through the air handler 14. The medical forced-air warming system 10 comprises a conventional control, as mentioned earlier, the air handler 14 and germicidal lamps 20a and 20b all of which are available from Aerobiotix, Inc. located in Miamisburg, Ohio.
Thus, in the illustration described relative to
Referring now to the embodiment of
Advantageously, these systems and embodiments shown and described relative to
Referring now to
Yet another embodiment is shown in
Referring now to
Note that the embodiment of
Returning back to the description of the embodiment of
As with other embodiments, during operation, the fan 22″″ is energized and pulls air into the air handler 14″″ whereupon it is heated by the at least one or plurality of heating coils 24″″ and then irradiated and decontaminated by passing the air into the decontamination system or means 20″″ and past the germicidal lamps 20a″″ and 20b″″. The heated and decontaminated air is received and forced under positive pressure through the conduit 18″″ whereupon it is delivered to the blanket 16″″ and ultimately to the patient P″″ through the apertures 16a″″. Again, with this embodiment, the scavenger or collector 32″″ is utilized to capture exhausted dirty or contaminated air and any decontaminated air around the patient P″″ and delivers it via negative pressure to the air handler 14″″ as illustrated.
1. It should be understood that the air disinfection system shown and described in the various embodiments of
2. As mentioned earlier relative to the patents and patent applications cited earlier herein, Applicant's conventional air handlers 14 and heaters 24 can be used with the blanket 16 to achieve the advantages and objects described herein. They are available from Aerobiotix, Inc. located in Miamisburg, Ohio. Although not shown, such air handlers 14 and systems comprise the features shown and described in the aforementioned patents and patent applications, such as a conventional control system, power supplies, irradiation sources, and the like. In the illustrations being described, the heating coils 24 can be conventional heating coils which are adapted, mounted and housed in the housing 14a as illustrated in the Figures. They are also available from Aerobiotix, Inc. located in Miamisburg, Ohio
3. Although not shown, the heating coils 24 may also be provided in a separate housing, but it is preferable that they be housed in the air handler 14 as illustrated.
4. Note that in the embodiments of
5. In the illustration being described, it is contemplated that the blanket 16 could be of any predetermined shape or size but preferably covers the entire patient P, and may even be large enough to completely wrap and surround the patient P. Likewise, the apertures 16a in the blanket 16 that permit the exhaust of the air towards the patient P and into the room may be selectively provided depending on how much air is being delivered to the patient P or is desired to be delivered to the patient P. In this regard, the one or more pressure valves 30 may be provided to control the airflow through the conduits 18 and 36 and in the medical forced-air warming system 10.
6. The germicidal lamps 20a and 20b are C-band ultraviolet lamps in the illustration being described and while the illustration shows a plurality of two or more germicidal lamps 20a and 20b, it should be appreciated that a single lamp 20a or 20b may be used or other means for treating the air stream. In this regard, chemical decontaminating filters, filter means or treatment means may be provided in addition to or in lieu of the germicidal lamps 20a and 20b. It is important that as much of the air that reaches the patient P be decontaminated so it may be necessary to provide more irradiation sources or other means for decontaminating the air before it reaches the patient P. Decontaminant components may also include: mechanical filtration or means, an irradiations system or means, a chemical decontamination means or an electrostatic device or means.
7. Although the various embodiments illustrate the patient P being situated on the table 12 or on the blanket 16 which is situated on the table 12, it should be understood that the medical forced-air warming system 10 may be utilized with a bed, chair or other device for supporting the patient P. Alternatively, the patient P may be in a non-prone position, such as a sitting or standing position, yet wrapped with the blanket 16. It is most preferred, however, that the blanket 16 be used particularly in pre-operative and post-operative procedures in order to reduce the chances of infection as a result of airborne contaminants or germs.
8. Although not shown, the blanket 16 may not be used and instead, the bed or other support 12 may be adapted and coupled to the medical forced-air warming system 10, so long as it is configured to receive and pass the warmed and decontaminated air.
9. Advantageously, the medical forced-air warming system 10 is particularly adapted for the medical environment, although it could be used outside of a medical environment, such as at home private use.
10. In some embodiments, the air stream is in two-way communication with positive and negative pressure between the air handler 14 and the blanket 16 and the communication comprises a return to the air handler 14, which in turn comprises the germicidal lamps 20a and 20b which irradiate the air stream returning from the blanket 16. Thus, the air stream is in two-way communication between the air handler 14 and the blanket 16 in some embodiments, and the air handler 14 handles outgoing and incoming air in a substantially simultaneous manner. This enables the air handler 14 to irradiate both incoming and outgoing air in order to substantially simultaneously decontaminate the air.
11. In still other embodiments, the germicidal lamps 20a and 20b are in communication with the air stream and comprise at least one or a plurality of irradiation sources in cooperation with air baffles, lenses, blockers, reflective surfaces, airflow interrupters or similar means or apparatus to optimize irradiation dosage and/or exposure duration of the air stream and/or suspended microbes therein. Applicant has found that by providing baffles and airflow interrupters, there is an increase in the irradiation dosage and exposure time of the air stream relative to the radiation sources which improves the decontamination and irradiation of the air stream. For example, the features of the devices shown in U.S. Patent Nos. U.S. Pat. Nos. 9,433,693; 9,457,119; 9,764,054; 10,039,854; 10,532,122 and 10,549,007; as well as U.S. Patent Publication Nos. 2018/0133084; 2018/0133355; 2018/0264391 and 2019/0099050, all of which are assigned to the same assignee as the present application and are incorporated herein by reference and made a part hereof.
12. Note that in another embodiment, a substantially tubular connection exists between the air handler 14 and the blanket 16 and the germicidal lamps 20a and 20b that are mounted within or in communication with the tubular connection. As shown, it should be appreciated that the germicidal lamps 20a and 20b may be separately housed from the air handler 14 if desired.
13. As mentioned earlier, one or more pressure valves or airflow control devices 30 may be provided in communication with the germicidal lamps 20a and 20b or with the decontamination heater and air handler 14. In this regard, the medical forced-air warming system 10 may comprise the exhaust means or apparatus to allow the air stream to exit the blanket 16, with the exhaust means comprising a pressure valve 30 in communication with the germicidal lamps 20a and 20b which irradiate the air prior to exiting the medical forced-air warming system 10. In some embodiments as shown, the air may be irradiated after the patient P has been exposed to it as well. It should be appreciated that the pressure valve 30, which may or may not be in communication with the germicidal lamps 20a and 20b that irradiate the air, may be adjusted to allow for a level of air return versus release from the blanket 16. The pressure valve 30 may also be adjusted to increase or decrease the amount of airflow and pressure in the conduits or passageways 18 or 36 in the medical forced-air warming system 10.
14. In still another embodiment, note that the blanket 16 comprises the apertures 16a under positive air pressure while the scavenger or collector 32 scavenges air through air apertures 34 under negative air pressure to capture the air and return it to the decontamination heater and air handler 14. The air can be treated external of the air handler 14 or as with the embodiments shown in
15. In the illustration, note that the scavenger or collector 32 is situated in proximity to the patient P being warmed and may comprise or house the at least one or a plurality of germicidal lamps 20a and 20b which irradiate the scavenged and collected air. Thus, it is contemplated that the germicidal lamps 20a and 20b may be housed in the scavenger or collector 32 rather than housed separately or housed in the decontamination heater and air handler 14. This is particularly useful for adapting the medical forced-air warming system 10 to conventional environments, which facilitates preventing the release of contaminated air into the environment.
16. While the embodiment is shown as delivering the decontaminated and heated air to the blanket 16, other devices or apparel may be used in association with this medical forced-air warming system 10 in order to reduce patient infection resulting from airborne contaminants. In this regard, the medical forced-air warming system 10 may be used with a mask, patient clothing apparel, patient tent or the like.
17. Advantageously, the medical forced-air warming system 10 provides means, an apparatus and a system for decontaminating and heating air that is delivered to the blanket 16 and the patient P. It should be understood, however, that it is not necessary for the air to be substantially simultaneously heated and decontaminated, these can occur in different steps. In fact, the heating and decontamination can occur in two separate units or stages within the system. The main goal is to prevent release of contaminated air into the room environment, not necessarily delivery of clean air to the patient which is an added benefit of the system. Because the blanket is non-perforated, the patient is not directly exposed to the air supply. It is only when air is exhausted at the control unit into the environment that decontamination is needed. This exhausting occurs when there is too much air in the system, such as flexing or compressing the blanket (like squeezing a balloon).
18. A key feature of this system is maintain flexibility and inflation of the blanket in any conformation or under compression, without leakage of air around the patient. In contrast, the prior art uses perforations in the blanket to achieve this function. This invention moves that exhaust air over the control unit where it can be filtered or decontaminated.
Advantageously, the embodiments shown and described herein could be used alone or together and/or in combination with one or more of the features covered by one or more of the claims set forth herein, including but not limited to one or more of the features or steps mentioned in the Summary of the Invention and the claims.
While the system, apparatus and method herein described constitute preferred embodiments of this invention, it is to be understood that the invention is not limited to this precise system, apparatus and method, and that changes may be made therein without departing from the scope of the invention which is defined in the appended claims.
The present application claims priority to provisional U.S. Application Ser. No. 62/950,532, filed Dec. 19, 2019, to which Applicant claims the benefit of the earlier filing date. This provisional application is incorporated herein by reference and made a part hereof.
Number | Date | Country | |
---|---|---|---|
62950532 | Dec 2019 | US |