Patent Application
20050010992
The present invention is directed to a head gear apparatus that incorporates a face shield and apparatus that incorporates a ventilation system. The present invention has particular application for use with a garment worn by a medical caregiver during surgical procedures.
In many surgical procedures, medical personnel wear garments that are intended to maintain a barrier between the personnel and the patient. This barrier helps maintain sterile conditions in the operating room setting by completely shrouding the medical personnel and their clothing. In addition, this barrier serves to protect the caregiver from exposure to blood and body fluids. Various organizations, such as OSHA, promulgate recommendations regarding occupational exposure to fluid-borne pathogens during medical procedures. The surgical gown or shroud helps meet these recommendations.
One such surgical gown, or personal protection system, is the PROVISION™ System, marketed by DePuy Orthopaedics Co., Inc. This system includes a helmet system that integrates with a barrier hood and gown. The hood and gown are composed of a HYTREL® elastomer (provided by DuPont deNemours) that allows heat to escape while maintaining a fluid-impervious barrier protection. In addition to the gown material, a face shield or bubble is provided to allow the caregiver a protected view of the surgical arena.
The helmet system supports at least the barrier hood. Since the medical caregiver is essentially encased within the hood and gown, ventilation is of critical importance. Ventilation is necessary for air supply, CO2 discharge, heat control and anti-fogging of the face shield. Thus, the helmet component of the PROVISION™ System includes an air moving and filtration system. The system draws ambient air through a filter assembly and directs the filtered air through vents formed in the helmet. In the PROVISION™ System, air is directed across the face of the wearer and across the face shield. The air mover is an electric fan that connects to an external power supply and speed control worn about the waist of the caregiver.
Certain aspects of the PROVISION™ System are described in U.S. Pat. No. 6,393,617, assigned to the owner of the present invention. The specification and figures of this application are incorporated herein by reference. For purposes of illustration, certain features of the helmet system described in the '617 patent are shown in
The ventilation aspect of the surgical garment 10 is accomplished through a ventilation duct 22 formed within the helmet 16. The duct 22 is arranged to direct air flow from the fan assembly 18 to the front of the helmet, and more particularly across the face shield 12 and the face of the wearer. An adjustable airflow deflector 23 is positioned within the duct 22 to control the direction of air flow passing across the face shield. For instance, the deflector can be extended to its position 23′ to direct most of the air flow across the face of the caregiver wearing the garment 10. This adjustment can be readily accomplished by grasping the control knob through the shroud 14.
The helmet 16 is stabilized by an adjustable strap assembly 24 that is pivotably attached to the helmet. The assembly includes a forehead strap portion 25 that engages the forehead of the wearer. The forehead strap portion includes a pad for the comfort of the wearer. The strap assembly 24 also includes an adjustable nape strap portion 26 that is arranged to grip the nape of the neck of the caregiver. The nape strap portion includes two straps that are coupled through an adjustment mechanism 28. Rotating the knob on the adjustment mechanism 28 draws the two straps of the nape strap portion 26 together to tighten the strap assembly 24 onto the head of the wearer.
The aforementioned PROVISION™ System incorporates many features of the garment system shown in
The surgical garment 10 shown in
In view of this continuing motivation, the present invention contemplates improvements to a ventilated surgical garment that increase the comfort of wearing the garment, enhance the ventilation characteristics, and improve the ease of donning the garment.
In one embodiment of the invention, a head gear apparatus comprises a helmet configured to be supported on the head of a wearer, with at least two airflow passageways defined by the helmet. A first one of the passageways is arranged to direct airflow across the back of the wearer and a second one of the passageways is arranged to direct airflow across the face of the wearer when the helmet is supported on the head of the wearer. The head gear apparatus includes a fan supported by the helmet to direct airflow through the two airflow passageways.
In one feature of this embodiment, at least one of the airflow passageways includes means for adjusting the airflow through the passageway. In a preferred embodiment, both the forward and rear passageways include means for adjusting the airflow through the corresponding passageway. The second or rear airflow passageway can includes a plurality of portals defined in the helmet adjacent the fan. The portals are arranged to direct airflow across the back of the wearer. In a most preferred embodiment, each portal includes a baffle that is arranged to specifically direct the airflow to the neck of the wearer.
The means for adjusting the airflow through the rear airflow passageway can include a louver plate disposed within the helmet between the plurality of portals and the fan. The louver plate defines a plurality of louver openings corresponding to the plurality of portals, with walls between the portals. The louver plate is slidable within the helmet to adjustably overlap at least a portion of the portals. The louver plate can preferably move from a first position in which the louver openings are aligned with the portals to permit full airflow through the portals, to a second position in which the walls completely overlap the portals, thereby effectively stopping airflow through the portals across the wearer's back.
In another embodiment of the invention, a head gear apparatus comprises a helmet configured to be supported on the head of a wearer, a number of airflow passageways defined by the helmet to direct airflow across the body of the wearer and a fan supported by the helmet to direct airflow through the number of airflow passageways. In this embodiment, a strap assembly is provided for supporting the helmet without allowing the helmet to contact the head of the wearer. The strap assembly can include a head band configured to be supported on the head of the wearer and a strap arrangement connected between the head band and the helmet to support the helmet so that the helmet is not supported directly on the head of the wearer.
In certain embodiments, this strap arrangement includes a crown strap that extends along at least the side of the wearer's head, and an attachment tab extending from the crown strap. The attachment tab is connected to the helmet. In a preferred embodiment, a pair of crown straps are provided that extend along opposite sides of the wearer's head and that are sized to meet at the crown of the wearer's head. A fastener disposed between the pair of crown straps can adjustably fasten the straps together at the top of the wearer's head.
In the preferred embodiment, each crown strap defines a cut-out with a corresponding attachment tab positioned within the cut-out. Preferably, a top portion of the attachment tab is integral with the crown strap and an opposite bottom portion of the attachment tab is connected to the helmet. The attachment tab and cut-out resiliently suspends the helmet from the strap assembly so that tightening of the head band does not exert any force on the connection between the helmet and tabs.
In a further feature of the invention, the strap assembly includes an occipital support connected to the head band. The occipital support is configured to bear against the occiput of the wearer when the head band is on the head of the wearer. In a preferred embodiment, the occipital support is vertically adjustably connected to the head band to permit adjustment of the occipital support across the distance between the head band and the occiput of the wearer. The occipital support can include a lattice configuration for the comfort of the wearer.
In another embodiment of the invention, a head gear apparatus comprises a helmet configured to be supported on the head of a wearer and a face shield mounted to the helmet, the face shield defining a substantially clear viewing area for the wearer. A plurality of substantially transparent film layers can be removably mounted on the face shield over the viewing area. Successive layers can be removed when the layer becomes soiled, such as by splattered fluids during a surgical procedure.
In yet another embodiment of the invention, a head gear apparatus comprises a helmet configured to be supported on the head of a wearer, the helmet including a chin bar extending adjacent the chin of the wearer when the helmet is supported on the head of the wearer. The helmet defines a face opening above the chin bar. A face shield is included that is configured to cover at least a portion of the face opening. A plurality of magnetic elements are disposed between the face shield and the chin bar to attach the face shield on the chin bar. Preferably, the chin bar is continuous from one side of the helmet to the other side of the helmet.
In a preferred embodiment, the plurality of magnetic elements includes at least a pair of magnetic elements supported on the chin bar, with at least one each mounted on opposite sides of the wearer's head. A corresponding number of magnetic elements can be attached to the face shield and arranged to engage the corresponding magnetic elements on the chin bar. Most preferably, the magnetic elements on the chin bar are permanent magnets, while the elements on the face shield are metal slugs.
In another embodiment of the invention, a head gear apparatus comprises a helmet configured to be supported on the head of a wearer, the helmet including a chin bar extending adjacent the chin of the wearer when the helmet is supported on the head of the wearer. The helmet defines a face opening above the chin bar. In accordance with one feature of this embodiment, the chin bar defines a slot. A face shield is provided that is configured to cover at least a portion of the face opening. The face shield has a lower edge and a tab extending from the lower edge. The tab is configured for engagement within the slot to hold the face shield in position on the helmet.
In a preferred embodiment, the chin bar is continuous from one side of the helmet to the other side of the helmet and the slot is defined substantially at the center of the chin bar. The chin bar can define a forward-projecting lower ledge with the slot defined within the ledge. The ledge is configured to support at least a portion of the lower edge of the face shield when the tab extends through the slot.
In another aspect of the invention, the face shield includes an upper edge opposite the lower edge, and the helmet includes an upper ledge at an upper portion of the face opening. The upper ledge is configured to receive at least a portion of the upper edge when the tab extends through the slot in the chin bar.
A surgical garment system is provided that comprises a helmet and a disposable garment. The helmet is configured to be supported on the head of a wearer, with a number of airflow passageways defined by the helmet to direct airflow across the body of the wearer. A fan assembly includes an inlet opening defined by the helmet and a fan supported by the helmet within the inlet opening to direct airflow through the number of airflow passageways. A face shield is supported on the helmet and is attached to a shroud. The shroud is sized and configured to cover at least the helmet.
In one aspect of this embodiment, the shroud includes a filter element positioned on the shroud that is sized to overlay the inlet opening and a portion of the helmet surrounding the inlet opening when the shroud is covering the helmet. The filter element defines an area greater than the area of the inlet opening when the filter element overlies the inlet opening and the helmet. This relative sizing of the filter element to the inlet opening allows for greater manufacturing tolerances with respect to the position of the shroud on the helmet.
While the invention has been illustrated and described in detail in the drawings and foregoing description, the same should be considered as illustrative and not restrictive in character. It is understood that only the preferred embodiments have been presented and that all changes, modifications and further applications that come within the spirit of the invention are desired to be protected.
Referring now to
As can be appreciated from
The present invention contemplates a novel face shield 50 as shown in
The face shield 50 is formed of a lightweight clear plastic as is known in the art (although the plastic may be tinted or coated for glare reduction). The face shield material is preferably scratch resistant, but since the surgical garment is intended for disposal after a single use the material need not be extremely durable. In one aspect of the invention, a series of peel-away transparent film layers 60 can be removably carried by the face shield 50. The peel-away film layers 60 are formed of a transparent, thin and flexible film material, such as PET-G plastic. Preferably, the layers 60 cover all or a substantial area of the face shield. Each layer 60 can be readily removed during a surgical procedure when the layer becomes scratched or splattered. With prior face shields, a scrub nurse is frequently required to try to wipe the face shield clean of splattered fluids that obstruct the surgeon's vision. With the peel-away layers 60 of the present invention, the vision obscuring material can be removed with the layer. The layers 60 can be provided with indexed tabs (not shown) that extend away from the face shield 50 to make grasping and removing a layer easier, especially when wearing surgical gloves.
In another aspect of the invention, reliable attachment of the face shield 50 to the helmet 30 is simplified. In one feature, the chin bar 36 includes a plurality of magnetic elements 40 mounted to the chin bar. As shown in
The magnetic attraction between the elements 40 and 58 is sufficiently strong to hold the face shield 50 tightly against the chin bar. On the other hand, the magnetic attraction is sufficiently weak to allow easy removal of the face shield from the helmet. In the preferred embodiment, the face shield 50 is initially generally planar, or only slightly curved. When the face shield is engaged to the helmet, the shield is formed into a broad curve around the face opening 44 of the helmet. This broad curve adds strength to the face shield, but more importantly ensures an undistorted panoramic view from inside the helmet. The magnetic attraction between the elements 40 and 58 must be sufficiently strong to hold the face shield 50 at this curvature against the natural tendency of the shield to spring back to its generally planar configuration. Alternatively, the face shield can be formed with a pre-determined curvature, in which case a lesser degree of magnetic attraction may be sufficient to hold the face shield to the helmet.
In the preferred embodiment, the magnetic elements 40, 58 form one part of the mechanism for supporting and retaining the face shield 50 on the helmet 30. In another aspect of the invention, the face shield 50 is provided with a tab 62 projecting below the lower edge 54 of the shield. This tab 62 and the upper edge 52 of the shield cooperate with features on the helmet shown in
In the preferred embodiment, the upper edge 52 of the face shield rests adjacent to the notch plate 65 while being spaced apart from the upper ledge 67 as shown in
Opposite the notch plate 65, or more particularly at the middle of the chin bar 36, is a lower ledge 69, as shown in
The magnetic elements 40, 58, notch plate 65 and tab/slot 62, 71 features combine to provide a solid attachment of the face shield 50 to the helmet. In addition, these components allow for easy donning of the shroud and face shield (it being understood that the face shield is fastened to a shroud as described herein). Specifically, the face shield is mounted on the helmet by first positioning the tab 62 within the slot 71. When the tab/slot engages, the face shield can be tilted back toward the helmet until the upper edge 52 of the shield rests against the upper ledge 67. At this point, the sides of the face shield can be pushed inward until the magnetic elements 40, 58 engage. The face shield 50 can be removed by reversing these steps, or by simply moving the upper edge 52 of the shield away from the upper ledge 67 and tilting the face shield forward to disconnect the magnetic elements.
The magnetic engagement of the face shield to the helmet provides a secure connection. If one side of the face shield becomes dislodged from the chin bar, the magnetic elements can be quickly re-engaged by a simple turn of the wearer's head. Once the magnetic elements of the face shield move into close proximity to the magnetic elements on the chin bar, the magnetic attraction draws the elements together, thereby re-establishing the connection between the face shield and the helmet.
Optimally, the mounting on or removal of the face shield 50 relative to the helmet can be accomplished with one hand by the wearer, rather than with both hands or with outside assistance. Moreover, the magnetic elements 40, 58 provide a self-aligning feature for the face shield 50 so that the face shield remains centered in its proper position over the face opening 44.
Referring now to
The base of the rear portion 32 includes a power jack 78 that is electrically connected to the fan 74. The jack 78 receives a power cable that is connected to a power supply and control system (not shown). This power supply and control system can be of the type known in the art. By way of example, this system can include a battery and speed control circuitry that permits control of the speed of the fan, and therefore the airflow rate through the helmet. This power supply and control system is preferably supported around the waist of the wearer so that the weight and bulk of the system does not present a burden on the wearer. In a preferred embodiment, the battery is a lithium ion type battery. This type of battery is lighter weight, has higher energy density, and improved cycle life in comparison to other battery types traditionally used with surgical helmets.
In accordance with one feature of the present invention, the fan assembly 18 provides air flow to both the forward and rear portions of the helmet. In one embodiment of the invention, the fan 74 directs air through a forward ventilation channel 80 and through rear ventilation portals 82. The forward channel 80 is formed within the ventilation duct 34 that extends from the rear portion 32 over the top of the wearer's head toward the forehead, as shown in
The forward air flow passes through the channel 80 in the duct 34 and exits at the forward discharge opening 85. The direction of this discharged airflow can be modified using the mechanism depicted in the detail view of
As indicated above, the present invention contemplates ventilation at the rear of the helmet as well. The rear ventilation portals 82 are formed in the bottom of the rear portion 32, as best seen in
In one feature of the preferred embodiment, the rear ventilation portals are adjustable from a fully opened to a fully closed configuration. Returning to
The louver plate 94 is slidably mounted within the helmet so that the plate can be moved from a fully open position in which the louver openings 96 are aligned with the portals 82 to fully closed position in which the walls 97 are aligned with the portals. An adjustment knob 98 (
From the above discussion, it should be appreciated that the more the rear ventilation portals 82 are blocked or occluded by the walls 97 of the louver plate 94 (and thus the lower the velocity of air flow out of the portals 82), the higher the velocity of air flow out of the forward discharge opening 85. Likewise, the less the rear ventilation portals 82 are blocked or occluded by the walls 97 of the louver plate 94 (and thus the higher the velocity of air flow out of the portals 82), the lower the velocity of air flow out of the forward discharge opening 85.
As thus far described, the helmet provides a support structure for the ventilation components and for the hood and/or shroud donned over the helmet. Another feature of the invention resides in a strap assembly 100, shown in
In one embodiment of the invention, the strap assembly 100 includes a head band portion 102 that is sized to fit around the head of the wearer. A front portion 103 contacts the wearer's forehead. A rear portion of the head band is split into two adjustably connected straps 104 that traverse the back of the wearer's head. As shown in
The strap assembly 100 includes opposite crown straps 110 that are arranged to wrap around the crown of the wearer's head. The crown straps can be provided with opposing fastener elements 112, 113 to allow adjustable interconnection of the free ends of the straps 110. In a preferred embodiment, these fastener elements 112, 113 can be mating hook and loop fasteners that can be easily engaged and re-adjusted whenever necessary. The interior of the crown straps 110, as well as the headband 102, can include padding for the wearer's comfort.
In addition to providing an additional feature for supporting the strap assembly 100 on the wearer's head, the crown straps 110 also incorporate the mechanism for connecting the strap assembly to the helmet 30. As shown in
It can be appreciated that the strap assembly 100 is connected to the helmet 30 at only two locations—one on each opposite side of the helmet, namely locations 121—as shown in
In a further beneficial feature of the present invention, the strap assembly 100 can include an occipital support 125. Alternatively, the occipital support 125 may be attached directly to the helmet 30. The occipital support 125 projects below from the rear of the strap assembly. In a preferred embodiment, the occipital support includes a pair of adjustment bars 127 (
The occipital support 125 includes opposite support edges 131 that are arranged and configured to contact the occipital ridge at the base of the wearer's skull. The occipital support 125 employs an open lattice so that the support can flex during use. The open lattice also allows airflow through the support 125. A hinge portion 133 can be defined between the support edges 131 to accommodate the occipital notch in the skull and to allow another degree of flex for the occipital support. The occipital support 125 thus operates as an anchor of sorts against the base of the wearer's skull that cooperates with the head band 102 to provide stable support for the helmet. This anchor effect is particularly beneficial in connection with the attachment tabs from which the forward portion of the helmet hangs. The occipital support shares the load of supporting the helmet with the head band and helps distribute that load in a more balanced manner than with prior helmet systems.
The face shield 50 is affixed to a fabric shroud, such as the shroud 140 shown in
The shroud 140 includes a filter element 144 sealed or sewn to the shroud in a known manner. The filter element can be conventional in material and properties. In a preferred embodiment, the filter element includes an electrostatic media capable of removing at least 91% of aerosolized particulates down to 0.1 microns. In one embodiment of the invention, the filter element 144 is larger in area than the fan opening 75. This larger area requires less tolerance in the position of the filter element relative to the fan assembly 18. When the shroud 140 is mounted over the helmet 30 and the fan 74 is operating, the suction generated by the fan will be sufficient to hold the filter element 144 in position over the fan opening 75. The over-sized nature of the filter element relative to the fan opening ensures that only the filter element is positioned over the fan, and not the shroud material itself.
As explained above, the face shield is curved when mounted on the helmet to ensure an unobstructed, undistorted view through the face shield. In an alternative embodiment of the invention, a face shield 160 shown in
For the purposes of promoting an understanding of the principles of the invention, reference will now be made to the embodiments illustrated in the drawings and described in the following written specification. It is understood that no limitation to the scope of the invention is thereby intended. It is further understood that the present invention includes any alterations and modifications to the illustrated embodiments and includes further applications of the principles of the invention as would normally occur to one skilled in the art to which this invention pertains.
