The present disclosure is related to shields for use during an intubation procedure.
When a patient is intubated, a healthcare worker often stands in close proximity to the patient, including the patient's mouth and nose. This close proximity of the healthcare worker increases the risk that the healthcare worker will be exposed to bodily fluids, such as blood, respiratory droplets, etc. These bodily fluids can carry bacteria, viruses, etc. and thus healthcare workers are at risk of being exposed to such bacteria, viruses, etc. when intubating a patient. Thus, new devices and methods are needed for protecting healthcare workers during intubation procedures and other procedures.
According to aspects of the present disclosure, a device for shielding a user from a patient during an intubation procedure or other procedure comprises a base, a shield, and a flexible drape. The shield is coupled to the base, and extends vertically and horizontally relative to the base. The flexible drape is coupled to or overlaid on the shield, such that an interior space is defined by the shield and the flexible drape. The flexible drape includes at least one opening to allow access into the interior space.
The above summary is not intended to represent each embodiment or every aspect of the present disclosure. Rather, the foregoing summary merely provides an example of some of the novel aspects and features set forth herein. The above features and advantages, and other features and advantages of the present disclosure, will be readily apparent from the following detailed description of representative embodiments and modes for carrying out the present invention, when taken in connection with the accompanying drawings and the appended claims.
The disclosure will be better understood from the following description of exemplary embodiments together with reference to the accompanying drawings.
The present disclosure is susceptible to various modifications and alternative forms. Some representative embodiments have been shown by way of example in the drawings and will be described in detail herein. It should be understood, however, that the invention is not intended to be limited to the particular forms disclosed. Rather, the disclosure is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention as defined by the appended claims.
The present inventions can be embodied in many different forms. Representative embodiments are shown in the drawings, and will herein be described in detail. The present disclosure is an example or illustration of the principles of the present disclosure, and is not intended to limit the broad aspects of the disclosure to the embodiments illustrated. To that extent, elements, and limitations that are disclosed, for example, in the Abstract, Summary, and Detailed Description sections, but not explicitly set forth in the claims, should not be incorporated into the claims, singly or collectively, by implication, inference, or otherwise. For purposes of the present detailed description, unless specifically disclaimed, the singular includes the plural and vice versa; and the word “including” means “including without limitation.” Moreover, words of approximation, such as “about,” “almost,” “substantially,” “approximately,” and the like, can be used herein to mean “at,” “near,” or “nearly at,” or “within 3-5% of,” or “within acceptable manufacturing tolerances,” or any logical combination thereof, for example.
The base 110 generally includes a baseplate 112 and a post 114. The baseplate 112 is coupled to one end of the post 114, while the shield 120 is coupled to the opposite end of the post 114. As shown in
In some implementations, the upper end of the post 114 includes an attachment point 115 that the shield 120 can be attached to. The attachment point 115 is generally a structure that defines a slot configured to receive a portion of the shield 120. The post 114 may also include a locking structure (such as a clip, a clamp, or some other structure) that is configured to releasably lock the shield 120 to the post 114. The shield 120 can thus be secured to the post 114 during use, but can also be unlocked and removed from the post 114 if the shield 120 requires maintenance is to be discarded.
In some implementations, the angle of the shield 120 relative to the post 114 when in the deployed position can be adjusted. In one example, the angle of the shield 120 can be adjusted relative to the attachment point 115, which is fixed to the post 114. In another example, the angle of the attachment point 115 can be adjusted relative to the post 114, while the shield 120 is fixed to the attachment point 115. The attachment point 115 can be configured to lock the angle of the shield 120 relative to the attachment point 115, or lock the angle of the attachment point 115 relative to the post 114. In other implementations, a pair of angular support beams can be adjustably coupled to the shield 120 and either the post 114 or the attachment point 115, to adjust and lock the angle of the shield 120.
Further, the device 100 can generally be locked in both the collapsed position (
In the illustrated implementation, the shield 120 is formed from crossmember 122 and two legs 124A, 124B. The crossmember 122 and the legs 124A, 124B form a trapezoidal shape with a first end 126A at the crossmember 122, a first lateral side formed by leg 124A, a second lateral side formed by leg 124B, and a second end 126B at the opening between the ends of the legs 124A, 124B opposite the crossmember 122. The crossmember 122 and the first end 126A of the trapezoidal shape are positioned proximal to the post 114, while the opening between opposite ends of the legs 124A, 124B are positioned distal to the post 114. Legs 124A and 124B both extend from the crossmember 122 at an angle, such that the legs 124A, 124B extend away from each other. Thus, the second end 126B of the trapezoidal shape of the shield 120 is wider than the first end 126A. In the illustrated implementation, the shield 120 generally forms an open structure formed by the crossmember 122 and the legs 124A, 124B at the edges.
As shown in
The drape 130 generally includes at least one opening sized to allow a healthcare worker to reach their hands into the interior space 132 defined by the shield 120 and the drape 130, wherein the face 201 of the patient 200 is located. In the illustrated implementation, the drape 130 includes two openings 134A, 134B defined on either side of the drape 130. Opening 134A is thus spaced apart from the post 114 in a first direction (which is generally lateral and outward), while opening 134B is spaced apart from the post 114 in a second direction (which is also generally lateral and outward). During use, the healthcare worker (e.g., a doctor, a nurse, etc.) generally stands with their torso in line with the vertical post 114 and the patient 200, such that they are able to reach their left hand into the interior space 132 through opening 134A, and their right hand into the interior space 132 through opening 134B.
In additional or alternative implementations, the drape 130 includes flap portions that overlay the openings 134A, 134B when the drape 130 is not being used and the healthcare worker is not extending their arms through the openings 134A, 134B. When the healthcare worker extends their arms through the openings 134A, 134B, the flaps move out of the way to allow access to the patient 200. The flaps can thus aid in in sealing off the interior space 132 prior to the healthcare worker extending their arms through the openings 134A, 134B. In other implementations, the drape 130 can include gasket-type valves at the openings 134A, 134B (formed from rubber, latex, etc.) that maintain a seal when the healthcare worker does not have his or her arms extended through the openings 134A, 134B.
Because the shield 120 extends upward and outward from the post 114, and because the legs 124A, 124B of the shield 120 extend outward from the crossmember 122 away from each other, the width and height of the interior space 132 both increase from a first end proximal to the post 114, to a second end distal from the post 114. The interior space 132 defined by the shield 120 and the drape 130 thus has a large amount of volume. This large volume allows the healthcare worker a sufficient amount of room to maneuver their arms and hands, in order to intubate the patient 200 or perform other procedures. In particular, because the post 114 is generally positioned directly in front of the healthcare worker's torso, and because the legs 124A, 124B extend upward and outward from the healthcare worker, the amount of obstruction experienced by the healthcare worker due to rigid portions of the device 100 is minimized. Generally, the only portion of the device 100 that contacts the healthcare worker during use is the drape 130. However, because the drape 130 is formed from a flexible material, contact between the healthcare worker and the drape 130 minimally interferes with the intubation procedure.
Further, the drape 130 extends on all sides of the patient 200 (including between the patient 200 and the torso of the healthcare worker). Because the face 201 of the patient 200 is positioned in the interior space 132, at least a portion of the drape 130 is positioned between the healthcare worker and the face 201 of the patient 200. The healthcare worker is thus protected from any respiratory droplets or other bodily fluids that may be emitted from the patient 200 during the intubation procedure.
Referring now to
In some implementations, the two posts 116A, 116B are manually movable by a user. In additional or alternative implementations, the posts 116A, 116B can be moved via a hydraulic mechanism, an electronic mechanism, or other mechanisms.
The shield 220 forms a closed shape, in contrast to the open shape of the shield 120. In
Data series 702A corresponds to measurement location 1, which is located outside of the drape 130, near where the healthcare worker's head would be during use. Data series 702E corresponds to measurement location 5, which is located outside of the drape 130, near the distal end of the shield 120, spaced apart from where the healthcare worker's head would be during use. Data series 702B, 702C, and 702D correspond to measurement locations 2, 3, and 4, respectively. Each of these measurement locations are located inside of the drape 130. Thus, data series 702A-702E show the particle counts at various locations inside and outside of the drape 130.
The smoke generator was activated at a time of 0 seconds. As can be seen, data series 702A and 702E quickly drop to near zero, indicating that the particle count at the two locations outside of the drape 130 were almost immediately zero. In contrast, the particle counts shown by data series 702B, 702C, and 702D increased and remained high once the smoke generator was activated. Then, once the pump was activated (at a time between 100 seconds and 150 seconds) and substances from within the drape 130 were extracted via the tube, the particle counts at the three measured locations inside of the drape 130 began to decrease. The particle counts at locations 2 and 4, illustrated by data series 702B and 702D, fell to zero between 250 seconds and 300 seconds. The particle count at location 3, illustrated by data series 702C, fell to zero around 350 seconds. Thus, plot 700 illustrates that the device 100 is effective at preventing unwanted substances emitted by the patient (e.g., respiratory droplets, viral particles) from reaching healthcare workers positioned outside of the drape 130, and allows for the unwanted substances to be removed from the inside of the drape 130 using the tube and the air pump, prior to the device 100 being completely removed from the patient once the intubation procedure is completed.
In some implementations, one or both of the shield (include shield 120 or shield 220) and the flexible drape 130 are disposable, such that the shield 120/220 and the drape 130 can be discarded after use. In other implementations, the shield 120/220 and the drape 130 can be reused after being thoroughly cleaned and disinfected. In some implementations, the shield 120/220 and/or the flexible drape 130 can be made from any combination of polycarbonate, acrylic, polyethylene, terephthalate glycol, clear vinyl, or other clear plastic sheeting.
While
Because of the flexibility of usable settings, the device 100—specifically the baseplate 112 and the post 114/214—is readily adaptable to a variety of scenarios. The baseplate 112/212 and/or the post 114 are generally configured to be attached to any suitable mounting point, which can include underneath a mattress, underneath a patient's head, a portion of a bed frame of the patient's bed, a gurney, a backboard, etc. In some implementations, the baseplate 112/212 is weighted, such that the device 100 can be used without attaching the baseplate 112/212 to a separate structure.
The terminology used herein is for the purpose of describing particular embodiments only, and is not intended to be limiting of the invention. As used herein, the singular forms “a,” “an,” and “the” are intended to include the plural forms as well, unless the context clearly indicates otherwise. Furthermore, to the extent that the terms “including,” “includes,” “having,” “has,” “with,” or variants thereof, are used in either the detailed description and/or the claims, such terms are intended to be inclusive in a manner similar to the term “comprising.”
Unless otherwise defined, all terms (including technical and scientific terms) used herein have the same meaning as commonly understood by one of ordinary skill in the art. Furthermore, terms, such as those defined in commonly used dictionaries, should be interpreted as having a meaning that is consistent with their meaning in the context of the relevant art, and will not be interpreted in an idealized or overly formal sense unless expressly so defined herein.
While various embodiments of the present invention have been described above, it should be understood that they have been presented by way of example only, and not limitation. Numerous changes to the disclosed embodiments can be made in accordance with the disclosure herein, without departing from the spirit or scope of the invention. Thus, the breadth and scope of the present invention should not be limited by any of the above described embodiments. Rather, the scope of the invention should be defined in accordance with the following claims and their equivalents.
Although the invention has been illustrated and described with respect to one or more implementations, equivalent alterations, and modifications will occur or be known to others skilled in the art upon the reading and understanding of this specification and the annexed drawings. In addition, while a particular feature of the invention may have been disclosed with respect to only one of several implementations, such feature may be combined with one or more other features of the other implementations as may be desired and advantageous for any given or particular application.
This application claims the benefit of, and priority to, U.S. Provisional Patent Application No. 63/068,686 filed on Aug. 21, 2020, which is hereby incorporated by reference herein in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/US21/71243 | 8/20/2021 | WO |
Number | Date | Country | |
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63068686 | Aug 2020 | US |