The present disclosure relates generally to optical devices requiring a sterile field. More particularly, the present disclosure relates to medical lens assemblies and sterile drapes with one or more lens assemblies for maintaining a sterile field.
During a surgical operation, the surgical site and surrounding areas must remain sterile. A “surgical field” is an environmentally-controlled area in a typical hospital operating room where the risk of infection, such as from naturally occurring organisms (e.g., bacteria), is minimized or eliminated. The sterility of the surgical field is typically controlled by limiting the introduction of infection-causing bacteria and other contaminants. In general, this is achieved by implementing strict regulations over the personnel and equipment present in the operating room.
Surgical drapes are often utilized during surgery in the operating room to minimize the risk of infection to surgical patients and to protect medical equipment from the surgical field. An array of different surgical drapes may be placed over the patient and the medical equipment to create a sterile barrier, preventing microorganisms and other contaminants that may cause infections from migrating to and from exposed tissue, bodily fluids, etc. For example, bodily fluids secreted during surgery that would otherwise settle on medical equipment, which would then become contaminated and potentially hazardous, will instead ultimately settle on the drapes and not on the draped medical equipment.
Optical devices, such as surgical microscopes and cameras, have become an integral part of many operating rooms. Microscopes used for surgery are generally permanent fixtures of the operating room, typically mounted to the ceiling or a wall, or supported on a floor-mounted stand. Surgical microscopes often have an articulated cantilever support arrangement to facilitate movement of the microscope over an operating zone. Surgical microscopes normally take on very complex shapes, often having several sets of eyepieces that permit the surgeon and others to simultaneously view the magnified area under the microscope's objective lens. In addition to the ocular segments, one or more viewing tubes and/or laser arms (depending on design) project out from the microscope housing.
Due to its complex geometry, it is very time consuming and difficult to thoroughly sterilize an entire microscope assembly before and after each surgical procedure. As such, it is common practice to cover the microscope with a disposable surgical drape. The drape typically comprises a flexible sheet-form material that covers all of the components of the surgical microscope, including the ocular ports, the viewing tubes, the microscope head, and the structure that supports the head. The disposable surgical drape is typically manufactured and packaged under sterile conditions so that, when unpackaged and placed on a microscope, the drape creates a sterile field around the microscope and its components.
The microscope drape is often initially affixed to the microscope at the lens housing for the objective lens, to orient the drape with respect to other structure of the microscope. For example, some microscope drapes include an annular positioning sleeve that is attached to or integral with an elongated tubular cover. The positioning sleeve fits onto the objective lens housing of the microscope to initially affix the sterile drape to the microscope assembly. Once the surgical drape is attached to the objective lens housing, the remaining portions of the drape can be conveniently unfolded and positioned to cover the remainder of the microscope assembly.
In order to protect the objective lens without obstructing the view of the surgical area, a transparent protective lens (also referred to in the art as “lens cover”) adapted to shield the objective lens is usually associated with the drape assembly. For example, in some prior art configurations, a housing comprising a rigid mounting ring, which encloses a transparent-plastic lens, is integrally-formed with the drape. The mounting ring housing is adapted to attach, typically via a separate adaptor or clamp, to the outer diameter of the microscope objective lens housing. Some designs incorporate an interchangeable lens cover that can be removed from the lens cover housing and replaced with a substitute lens cover.
Unlike typical microscopes, the illuminating light source of many surgical microscopes comes from above and shines onto the lens cover covering the objective lens, which may generate glare when the surgeon looks through the microscope. Moreover, during surgical operations, the lens cover can be splattered by fluids from the surgery, such as blood, which will obscure the surgeon's vision. To rectify this problem, someone on the surgical team is conventionally required to either wipe the lens cover (which can further obscure the vision), remove and replace the lens cover (which requires a lens cover be taken from another drape assembly), or replace the entire drape (which temporarily breaks the sterile field, is time consuming, and wastes another entire drape assembly). Finally, different surgical microscopes use different size objective lenses. Thus, a facility with a variety of different surgical microscopes is required to carry an array of different surgical drape assemblies with lens housings and lens covers of various sizes, increasing overhead costs and unnecessarily complicating the preparation process for the operating room.
Various advantages of the invention will become apparent upon reading the following detailed description and upon reference to the drawings.
While the invention is susceptible to various modifications and alternative forms, specific embodiments are 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 invention is to cover all modifications, equivalents, and alternatives falling within the spirit and scope of the invention.
While this invention is susceptible of embodiment in many different forms, there is shown in the drawings and will herein be described in detail representative embodiments of the invention with the understanding that the present disclosure is to be considered as an exemplification of the principles of the invention and is not intended to limit the broad aspect of the invention to the embodiments illustrated. To that extent, elements and limitations that are disclosed, for example, in the Drawings, Abstract, and Description of the Illustrative Embodiments section, but not explicitly set forth in the claims, should not be incorporated into the claims, singly or collectively, by implication, inference or otherwise.
The present invention will be described herein in the context of a surgical lens assembly and a sterile surgical drape assembly for covering a surgical microscope and creating a barrier between a sterile field of an operating room and a surgical microscope. However, the present invention is by no means limited to this particular application. By way of non-limiting example, the concepts of the present invention may just as easily be incorporated into sterile drape assemblies used in any procedure requiring a sterile field, including surgical procedures, non-surgical medical procedures, and non-medical operations (e.g., in a scientific research clean room). Moreover, the lens assemblies and drape assemblies of the present invention may be used on surgical microscopes and various other optical devices, such as medical imaging equipment (e.g., surgical cameras), operating room light fixtures, etc., without departing from the intended scope and spirit of the present invention. Finally, the drawings presented herein are not to scale and are provided purely for instructional purposes. As such, absent explicit claim language to the contrary, the individual and relative dimensions and orientations shown in the drawings are not to be considered limiting.
Referring to the drawings, wherein like reference numerals refer to like components throughout the several views,
The lens housing 12 is attached or attachable to a surgical drape 20 to form a drape assembly 18, as seen in
According to one intended application, the drape assembly 18 of
The lens housing 12 is configured to engage with and thereby attach to the medical device 22. In the illustrated embodiment, for example, the annular lens housing 12 comprises an outer backing ring, designated as 28 in
In the embodiment illustrated in
With continuing reference to
The surgical drape 20 is preferably made of materials now known or hereinafter developed that are commonly used in medical drapes. Such materials may include, but are not limited to, coated papers and pretreated and/or pre-impregnated cloths, including non-woven and woven fabrics, such as spunbond polypropylene (PPSB), spunlace, spunbond meltblown spunbond (SMS), and combinations thereof. The drape material may also comprise bi-component non-woven materials, tri-laminates, bi-laminates, combinations thereof, and/or any variation of such fabrics. The material may include hydro-entangled materials and other fluid-resistant materials. However, one preferred material for the surgical drape 20 is a clear plastic, such as polyethylene or polyurethane, as the transparency eases application to the surgical microscope 22. It is also possible for the plastic to be of a darker shade, while still being transparent, in order to reduce glare from the drape itself. An “eco drape” type material is also envisioned for the surgical drape 20, such as unbleached drape materials and/or fluorocarbon free drape materials that are biodegradable and/or compostable.
The size and shape of the drape body 23 is sufficient to cover at least a portion, but preferably all of the surgical microscope 22. The geometry and dimensions of the drape 20 may be varied depending upon factors such as the size and design of the microscope 22 and other practical considerations. It is generally desirable that the drape 20 be provided with the appropriate extensions and necessary openings that cover and/or allow access to the various microscope oculars. The drape 20 may also include optional strips of cloth or plastic (not shown), which allow the drape body 23 to be tightened and secured to the microscope 22. For instance, plastic straps may be adhered or otherwise fixed at one end to an outer-side surface of the drape body 23, and provided with adhesive on the opposite end such that the user can wrap the straps around loose drape material, then secure the loose drape material to the microscope 22.
Referencing both
Continuing with the above example, the lens cover holder 14 includes a complementary arcuate slot 38 that is configured to receive and mate with the flange 36, thereby attaching the lens cover holder 14 to the lens housing 12. According to the embodiment illustrated in
In order to attach the lens cover holder 14 to the lens housing 12 (and, thus, the drape assembly 18 in the embodiment of
The lens cover holder 14 is selectively rotatable with respect to the lens housing 12 when operatively engaged therewith. That is, when the flange 36 is properly positioned inside the arcuate slot 38, the entire lens cover holder 14, including the lens cover 16, can be selectively rotated about a first axis A (
According to one advantageous facet of the present invention, the lens housing 12 can be designed as a universal interface for attaching a standard-sized lens cover holder 14 to any of an array of different microscopes with objective lenses of varying sizes. For instance, multiple versions of the lens housing 12 can be designed with an attachment flange 36 that has a common, predetermined outer circumference to mate with a standardized complementary arcuate slot 38 of a predetermined diameter and geometric configuration. The inner circumference of the lens housing 12, however, can be adjusted to accommodate (e.g., press-fit onto and frictionally engage) different-sized objective lens housings.
A universal lens cover holder 14 and lens cover 16, as taught herein, allows the end user to have a universal store of lens cover holders separate from a stock of surgical microscope drape assemblies. This feature helps reduce overhead costs by eliminating the need to stockpile a variety of different replacement drape assemblies and/or replacement lens cover holders. This system also eliminates the need for a separate permanent or semi-permanent adaptor attached to the objective lens.
Referring to
The lens cover 16 pivots about a second axis B that is different from the first axis about which the lens cover holder 14 rotates, as seen with comparative reference to
The internal chamber 40 illustrated in
In the embodiment shown, the lens cover 16 is shown as a thin, flat, circular lens that is fabricated from a transparent or generally-transparent material, such as polycarbonate. The lens cover 16 may be coated or laminated with anti-glare or anti-fog materials. The lens cover holder 14, on the other hand, is a generally-rigid, opaque material, such as polypropylene, that may colored black or other comparable pigments. The pivotable lens cover 16 described hereinabove deflects unwanted glare away from the ocular path and allows the end user to re-direct the glare to whatever direction he/she desires. In embodiments where the lens cover 16 is not curved, distortion of the original microscope vision is further minimized. Also, by coloring the lens cover housing (e.g., black), the amount of light being reflected back to the lens cover 16 is minimized.
The medical lens assembly 10 described hereinabove allows for the replacement of only the removable lens cover holder 14 when the lens cover 16 is obscured by fluids. This eliminates requiring the user to waste an entire, new drape assembly to find a replacement for the lens cover. This particular facet of the present invention also eliminates the necessity of having to operate without a lens cover or having to wipe the lens cover, thus potentially obscuring visual clarity. In addition, the lens cover holder is removed and attached horizontally, decreasing the chance of the lens cover dropping into the surgical site during removal or attachment. The lens cover holder also attaches to the lens housing without telescoping, thus preserving the visual scope of the microscope.
The following exemplary embodiments of the invention are not intended to represent each embodiment, or every aspect, of the present invention. The above features and advantages, and other features and advantages of the present invention, will become more readily apparent from the following description.
According to one embodiment of the present invention, a lens assembly for a medical drape is featured. The lens assembly comprises an annular lens housing that is attachable (e.g., via adhesives) to the medical drape. The lens housing is configured to engage with and thereby attach to the medical device. An annular lens cover holder is removably attachable to the lens housing. The lens assembly also includes a lens cover that is configured to shield the objective lens. The lens cover is hinged to the lens cover holder such that the lens cover is selectively pivotable with respect to the lens cover holder.
In accordance with one optional facet of the present invention, the lens cover holder has an internal chamber within which the lens cover pivots. Optionally, the internal chamber of the lens cover holder includes first and second angularly offset shoulders. Each shoulder presses against a respective portion of the lens cover to thereby restrict the pivot angle of the lens cover.
In accordance with another optional facet, the lens cover pivots about an axis that is generally transverse with respect to a longitudinal axis of the annular lens cover holder. It may be desirable that the lens cover be able to pivot at least 20 degrees. To that end, the lens cover may be provided with a tilt knob for selectively pivoting the lens cover.
As part of another optional facet of the present invention, the lens housing or the lens cover holder includes a flange that protrudes therefrom. Optionally, the flange extends around an outer perimeter of the annular lens housing or the annular lens cover holder. The other of the lens housing and the lens cover holder includes a complementary arcuate slot that receives the flange, thereby attaching the lens cover holder to the lens housing. Optionally, the arcuate slot extends over 180 degrees about an upper surface of the annular lens housing or annular lens cover holder. The flange may be fabricated from a flexible material such that the flange can be press-fit into engagement with the arcuate slot.
According to yet another aspect, the annular lens housing has an inner-diameter surface comprised of a flexible material. The flexible material allows the inner-diameter surface to frictionally engage with an outer-diameter surface of an objective lens housing and thereby attach the lens housing to the medical device. Additionally, or as an alternative thereto, the inner-diameter surface of the annular lens housing may be provided with a plurality of compliant protrusions that project inward therefrom. The protrusions engage with the outer-diameter surface of the objective lens housing to provide additional/alternative means for attaching the lens housing to the medical device.
As part of yet another aspect of the present invention, the lens housing and lens cover holder both have a common, fixed outer diameter, which eliminates the possibility of the lens cover holder and lens housing from telescoping with respect to one another. In contrast, the inner diameter of the lens housing may be selectively modifiable to accommodate objective lens housings of varying outer diameters. This optional configuration provides for a universal lens cover holder that is interchangeable with an array of lens housings that accommodate objective lens housings of varying sizes.
According to another embodiment of the present invention, a drape assembly is provided for creating a barrier between a sterile field and an optical device, such as a surgical microscope or camera. In this embodiment, the drape assembly includes a drape body comprising a flexible material sized to cover at least a portion of the optical device. A lens housing, which is attached to the drape body, is engageable with the optical device to attach thereto proximate to the objective lens of the optical device. The drape assembly also includes a lens cover holder that is removably attached to the lens housing to rotate about a first axis. A lens cover is mounted to the lens cover holder to pivot about a second axis that is different from the first axis.
In accordance with one optional facet of the present invention, the second axis is generally orthogonal with respect to the first axis.
As part of another optional aspect, a flange protrudes laterally from a bottom edge of the lens housing. In this instance, a complementary C-shaped slot projects upwardly from a top surface of the lens cover holder. The C-shaped slot is configured to receive the flange and thereby attach the lens cover holder to the lens housing. Ideally, the C-shaped slot extends over 180 degrees about the top surface of the lens cover holder.
According to another optional facet, the lens cover holder defines an internal chamber. The lens cover is positioned inside and spans across the internal chamber of the lens cover holder. The internal chamber of the lens cover holder may be provided with angularly offset shoulders, each of which is configured to obstruct the movement of the lens cover and thereby limit the pivoting range of the lens cover.
In accordance with yet another embodiment of the invention, a surgical drape assembly is presented for creating a barrier between a sterile field of an operating room and a surgical microscope. In this embodiment, the surgical drape assembly includes a drape body comprising a sheet-like material sized to cover substantially all of the surgical microscope. An annular lens housing is fixed to the drape body. The lens housing is configured to press-fit onto an annular objective lens housing of the surgical microscope, whereby the drape body is removably attached to the surgical microscope. An annular lens cover holder with an internal chamber is removably mounted to the lens housing to rotate about a first axis that is generally coaxial with a viewing axis of the microscope's objective lens. The surgical drape assembly also includes a substantially-transparent lens cover that is positioned inside and spans across the internal chamber of the lens cover holder. The lens cover is hinged to the lens cover holder to pivot about a second axis that is generally transverse with respect to the viewing axis of the objective lens.
While the present invention has been described with reference to one or more particular embodiments, those skilled in the art will recognize that many changes may be made thereto without departing from the spirit and scope of the present invention. Each of these embodiments and obvious variations thereof is contemplated as falling within the spirit and scope of the invention, which is set forth in the following claims.
This application is a divisional of U.S. patent application Ser. No. 12/649,127, which was filed on Dec. 29, 2009, and is incorporated herein by reference in its entirety.
Number | Date | Country | |
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Parent | 12649127 | Dec 2009 | US |
Child | 13941725 | US |