The present invention relates generally to a negative pressure chamber that can be used to protect a practitioner during procedures releasing virus, bacteria, or other contaminants from a patient, such as tracheal intubation of a patient, wherein the chamber is configured to be easily transported between patient beds. The present invention also relates to protecting users from contaminants from machines.
The coronavirus disease 19 (COVID-19) has been determined to be responsible for an outbreak of potentially fatal atypical pneumonia. This novel COVID-19, termed severe acute respiratory syndrome (SARS)-CoV-2, was found to be similar to the particular coronavirus that was responsible for the SARS pandemic that occurred in 2002.
The coronaviruses, Coronaviridae, are a large family of enveloped, non-segmented, positive-sense, single-stranded RNA viruses that infect a broad range of vertebrates. They are found in many birds and mammals, especially in bats. In humans, most coronaviruses tend to cause mild to moderate upper respiratory tract infections such as the common cold. However, some strains of coronaviruses can exhibit stronger virulence and can be quickly passed from human to human. In some cases, the infection is mild but in others the response can be severe. In extreme cases, death occurs due to gradual respiratory failure as the result of alveolar damage by the virus.
The coronavirus known as COVID-19 has been found to be highly contagious and is believed to be spread through droplets expelled into the air by a sick patient. The highly infectious nature and ease of spreading between humans has increased the number of patients sick COVID-19 at such a rate, they have been overwhelming the hospitals to the point that there is not enough protective gear to adequately protect the medical personnel (including doctors, nurses, physician assistants, and various people serving in emergency medical services, including firefighters, paramedics, and the like). As such, many medical personnel are being unnecessarily and dangerously exposed to COVID-19.
One of the times of highest exposure for medical personnel is when they perform tracheal intubation of a patient, which is the placement of a flexible plastic tube into the trachea to maintain an open airway or assist a patient with breathing. As is well known almost all critical patients of COVID-19 may need ventilators and most of those will be intubated at some point in time to facilitate ventilation of the lungs. The most widely used method of intubation is orotracheal, in which an endotracheal tube is passed through the mouth and vocal apparatus into the trachea. It is during this process that the medical personnel get close to the patient, and droplets may be expelled from the patient. Therefore, the very act of trying to save the patient through ventilation may create a very high risk of exposure to the medical personnel, and given the current lack of protective gear, the protective gear while protecting the medical personnel, if reused as currently suggested in some medical settings, may expose subsequent patients to COVID-19.
Other professionals work with either people or bodies in performing procedures that could release viruses or other undesired substances into the air. For example, dental hygienists or dentists can aspirate particles from a person's mouth into the air when performing a cleaning or dental procedure. Coroners performing work on a corpse may cause undesired particles to enter the air.
It is desirable to provide a safe way to intubate or perform medical procedures on patients that could release infectious agents, such as COVID-19 patients, which is not dependent solely on the protective gear of the medical personnel, such as mask, glasses, and gloves alone.
There are also other situations in which it is desirable to protect people from harmful gases. During surgery (both in humans and animals), anesthetic gases are utilized to subdue patients and cause a loss of consciousness and prevent the nervous system from responding to pain receptors. Anesthetic gasses in small concentrations are okay and necessary. Due to various reasons, these anesthetic gases can leak into hospital and healthcare settings. When these gases are leaked, they are deemed a waste anesthetic gas (WAG).
A WAG is anesthetic agents in gaseous form that enter the surrounding patient care atmosphere. WAGS occur in multiple ways. They can be found via leaks in closed systems like a breathing circuit and a scavenging system. They can also be found via excess gas escaping in open systems like that of a dental procedure and also in post anesthesia care units (PACU).
In the PACU, WAGs occur when a patient is recovering from a surgery that utilized anesthetic gases. The patient's body does not absorb the gas and their body becomes a vessel for the gas. The highest concentration of WAGS occurs during extubation of a patient. After that, the patient continues to exhale in the PACU, which causes WAGS to go into the ‘Breathing Zone’ of health care workers resulting in continued exposure.
Effects of exposure in include, nausea, fatigue, headache, difficulty with judgment and coordination and liver and kidney diseases. Research has shown that long-term low concentration exposure to WAGS has been linked to reproductive issues in both men and women. These reproductive issues come in the form of miscarriages and various birth defects.
There are current products on the market (such as Teleflex ISOguard) that are used post-surgery that doubles as an oxygen mask as well as a negative pressure source control for WAGS. However, this device is small and only covers the mouth and nose. The device cannot be utilized during extubating a patient which is when the HCW are exposed to the highest concentrations of WAGS. This means that during extubation, there is currently no source control for health care providers. There remains a need to solve the problem of excess WAGs after surgery.
3D printers create three-dimensional (or 3D) objects via CAD generated data. A computer file “tells” the 3D printer what object to create and how. 3D printers utilize print heads that essentially stack fine layers of a material to produce a product or prototype. Most common 3D printing processes use a thread like plastic filament (called feedstock) that is melted into a liquid via a heating element, and which is then jetted through a nozzle. Prolonged exposure to fumes from some materials can be hazardous. Recent studies of 3D printers and thermoplastic feedstock have found hazardous vapors and gases are emitted during the printing process. The most popular thermoplastics used, ABS (Acrylonitrile Butadiene Styrene) and PLA (Polylactic Acid), have shown that there is a release of ultrafine particle (UFP) and volatile organic compounds (VOCs).
UFPs, or nanoparticles, are particles between 1 and 100 nanometers in size. This is the same dimension of biological molecules, which means that they can be immediately absorbed by living systems. Research has found that inhaled nanoparticles can reach the liver, heart, and blood. Exposure to these nanoparticles at high concentrations can be associated with adverse health effects.
VOCs are organic chemicals that have a high vapor pressure at room temperature. The high-pressure nature means that large numbers of molecules can evaporate and enter the surrounding air. There have been recent studies on some the materials used for 3D printing, such as ABS, PLA, and nylon that found that these materials can be a source of dangerous VOCs such as styrene, butanol, cyclohexanone, ethylbenzene, and others. Heating ABS at a temperature typical for 3D printing results in high VOC emission. A study found that the particle concentration of ABS material was 33-38 times higher than PLA material. Health effects from VOC emissions include eye, nose, and throat irritation, nausea, and organ damage.
Desktop printers are very easily purchased online. However, consumers are not aware of the health risks that can be caused by a desktop 3D printer. Development of desktop 3D printing is grown rapidly, but the development of 3D printing safety controls is lagging. The only solution currently used is using expensive HVAC equipment that requires specialty infrastructure to set up. There remains a need for the removal of UFPs and VOCs during 3D printer use.
The present invention provides for a chamber for placement over a patient while allowing medical personnel to perform a medical procedure on the patient releasing virus, bacteria, or other contaminants, including a frame forming, supporting, and operatively integrated within a transparent body including a supported arch, an unsupported arch, and a top shield extending between the supported arch and the unsupported arch, wherein the body includes at least one access hole, and wherein the chamber surrounds the patient's head and the unsupported arch deforms around the patient's body in order to capture and exhaust any of the virus, bacteria, or other contaminants released by the patient during the medical procedure through negative pressure.
A method of using a chamber to perform a medical procedure on a patient releasing virus, bacteria, or other contaminants, by placing a chamber over a patient's head on a bed, wherein the chamber includes a frame forming, supporting, and operatively integrated within a transparent body including a supported arch, an unsupported arch, and a top shield extending between the supported arch and the unsupported arch, wherein the body includes at least one access hole, and wherein the chamber surrounds the patient's head and the unsupported arch deforms around the patient's body, providing negative pressure within the chamber, and medical personnel providing a medical procedure to the patient through the at least one access hole in the body of the chamber while capturing and exhausting any of the virus, bacteria, or other contaminants released by the patient during the medical procedure.
The present invention also provides for a method of preventing exposure to waste anesthetic gas (WAG) released from a patient after surgery, by placing a chamber over a patient's head on a bed after surgery, providing negative pressure within the chamber, and capturing any waste anesthetic gas released by the patient.
The present invention further provides for a method of preventing exposure to ultrafine particles (UFPs) and volatile organic compounds (VOCs) during 3D printer use, by placing a chamber over a 3D printer, using the 3D printer, and capturing any UFPs and VOCs that the 3D printer releases.
Other advantages of the present invention are readily appreciated as the same becomes better understood by reference to the following detailed description when considered in connection with the accompanying drawings wherein:
The present invention provides a chamber or shield, shown at 10 in the FIGURES, for placement over a patient 12, while still allowing medical personnel to perform various medical procedures on the patient 12 releasing virus, bacteria, or other contaminants (such as tracheal intubation of the patient 12). More specifically, the chamber 10 includes a frame 14 defining, supporting, and forming two sidewalls 16 and a curved center portion 18 extending between the sidewalls 16 of a transparent body 20. Essentially, the body 20 is in the shape of the frame 14 (i.e., the body 20 forms the shape of the two sidewalls 16 and curved center portion 18), shown in
The chamber 10 can be formed in a variety of sizes shapes and configurations, but in general is sized to fit over a patient's head 22 and leave enough room for medical personnel to easily and efficiently intubate or perform another medical procedure on the patient 12 without interference from body 20 of the chamber 10. The chamber 10 can also be sized in different sizes (smaller or larger) for different medical procedures. In addition, the chamber 10 is preferably sized to fit on but not extend past the sides of the typical hospital or medical office bed 24. The shape of the chamber 10 is exemplary and additional pieces can be used or a rectangle shape having multiple center pieces can be used. It is desirable that the chamber 10 be formed from a lightweight material yet have enough structural rigidity to substantially hold its shape and not collapse when placed under negative pressure. As shown in
The chamber 10 can be made in multiple sizes to fit the smallest kids up through the largest adults; however, it is expected that it also could be sized to standard hospital size beds 24, such as the new standard 28″ beds, or the older ER beds with a 26 inch base or 22 inch base for use in endoscopy or even a 20 inch base for operating room use. It is expected that to ensure a fit and allow for tolerance issues that the chamber 10 can be sized slightly smaller than the beds 24 on which it is used, but of course, a hospital can order a 26 inch base or even a 22 inch base for all chambers 10, which allows the chamber 10 to be used across the hospital on almost every size bed 24. Smaller versions could also be used in field hospitals easily.
The frame 14 can be made of any suitable lightweight material, such as plastic or metal. The frame 14 can be a single piece or multiple pieces connectable together for ease of transport and set up. The frame 14 can be assembled and the overlapping arched frame members can be assembled together with a bungee cord or other spring mechanism in the hollow center of the frame rods, similar to assembling tent poles, which allows for easier packaging of the chamber in a smaller package, as well as easy assembly.
The frame 14 can include at least one hinge 40 that allows the frame 14 to be folded into a compact design for storage and/or shipping without damage, shown in
A securing mechanism 48 such as a clip, hook and loop, or other suitable mechanism can be used to secure the frame 14 after folding so that it remains folded when carrying. The securing mechanism 48 can be located at any suitable place on the frame 14.
To assemble the chamber 10 with the hinged frame 14, the frame 14 is set down flat. Any securing mechanism 48 is released. The sidewalls 16 are swung open and separated. The cross-members 44 are swung up and each sidewall 16 is connected by attaching the cross-members 44 to a pressure sleeve 46. The body 20 is then draped over the frame 14.
The body 20 can be made of any suitable lightweight and flexible material such as a transparent/clear plastic (such as polyvinyl chloride (PVC)) so that the patient 12 can see out and the medical personnel can see into the chamber 10. The material is flexible so that it can deform to different size patients on the lower edge 28 of the front sidewall 16. The front sidewall 16 of the body 20 can have a formed cutout to allow the patient's head 22 and even part of their torso extend through. A sealing skirt can be draped in this area to improve the negative pressure capabilities of the chamber 10 and be coupled to the front sidewall 16.
Various access holes 26 can be provided through the sidewalls 16 and/or the curved center portion 18. As illustrated in the FIGURES, two access holes 26 are provided on the rear sidewall 16, one on the front sidewall 16, and at least one access hole 26 on the curved center portion 18 proximate to either the left or right side. To make the chamber 10 ambidextrous, the access holes 26 that are to be used for insertion of arms by the medical personnel can be formed in a mirror image or in other places. By placing other access holes 26, a second medical personnel can assist with intubation of the patient 12. In addition, access holes 26 can provide mechanisms for allowing passage of the air on a regulated basis into the chamber 10, as well as smaller access holes 26 that can include fittings or other mechanisms to attach the chamber 10 to a vacuum, such as the wall vacuum line in a hospital room. The access holes 26 can be cut during the manufacturing process or by medical personnel so that they can place the access holes 26 where they want.
The access holes 26 can be replaced or supplemented with simply overlapping sheets 30 of flexible plastic, as illustrated in
A negative pressure can be provided within the chamber or shield 10, such as by connecting the chamber 10 to wall vacuum to evacuate any droplets containing COVID-19 or another infectious disease before they can reach the attending medical personnel. In
In addition, the access holes 26 can have sealing engagements 34 that minimize air flow through them when no arm is inserted, but also allow an arm to be inserted through while maintaining the sealing engagement. The sealing engagement 34 does not have to be perfect and in fact it is more important to allow freedom of movement for the medical personnel but needs to be sealing enough to allow creation of the negative pressure in the chamber 10. The illustrated sealing engagements 34 can be made from a flexible material that substantially closes when no arm is inserted and allows easy insertion of an arm may be configured in a variety of other shapes, sizes or configurations and can be made from a variety of materials. One of the access holes 26 can include a vent control 36 which can allow adjustment of the level of negative pressure in the chamber 10 easily while working on the patient, without having to adjust it at the wall. As illustrated in
While a ventilation line for the patient 12 once intubated can pass through the body 20 of the chamber 10, it just as easily can pass under the body 20 of the chamber 10 (including the center portion 18), which allows easy removal by lifting it off the patient 12 without having to disconnect the chamber 10. This is a major improvement over having a system with a lower wall or forced connections through the walls, which would require major effort and time to remove from a patient once intubated. More specifically, in practice, when a patient 12 is ready to be intubated, the chamber 10 can be dropped over the patient, a vacuum line arranged underneath, with the medical personnel sticking their arms through the holes and ready to intubate. The medical devices needed for intubation can be laid by the patient's head 22 before placing the chamber 10 over the patient's head 22.
In addition to connecting to the hospital vacuum lines, the chamber 10 can be provided with other types of connections that allow it to be attached to a portable vacuum, such as a HEPA vacuum for the chamber 10 to be portable and allow for field use outside of a hospital. Furthermore, a viral filter unit, powered can be included and directly interfaced with the chamber 10 to allow for a single contained unit to make the negative pressure (further described below). The fan can be located externally and pull air through a HEPA or Viral filter located within or attached to the chamber 10. It can also be located on the inner surface of the chamber 10, such as being directly coupled to the supporting frame 14, although for ease of use and to minimize size of the unit, while keeping sufficient space in the chamber 10, it is believed that any additional attachments would be better suited to be located on the outer surface of the chamber 10.
The body 20 of the chamber 10 can be coated with an antiviral or antibacterial surface coating but can easily be cleaned by simply flipping over the chamber 10. The chamber 10 can be disposable and replaceable, or just the outer plastic body 20 can be replaceable, similar to the way hospitals replace the paper bed coverings in examining rooms, with the outer plastic body 20 easily uncoupling or being removed from the frame 14 and dropping a new plastic body 20 over the frame.
The body 20 can include zippers 50 operatively integrated within the material of body 20 (such as by RF welding) for easy assembly and disassembly. For example, as shown in
In another example, shown in
The chamber 10 can further include a negative pressure mechanism 54, shown in
In one particular embodiment, shown in
A cross-member 44 can be included that removeably connects the supported arch 63 to the unsupported arch 64 and is hinged at the supported arch 63 with hinge 40, as shown in
A negative pressure manifold 70 is operatively and adjustably attached at the bottom side 66. The negative pressure manifold 70 includes a nozzle 76 operatively attached that connects to a negative pressure source, shown in
The top shield 68 can create a seal by using the frame 14 of the supported arch 63 and unsupported arch 64. When the supported arch 63 and the unsupported arch 64 rotate around the eyebolts 72, and are pressed outwards, they create a seal with the top shield 68. This seal is tight enough to prevent VOCs, UFPs, and pathogens from making it through. This seal acts like that of an O-ring between the top shield 68, the unsupported arch 64 and the supported arch 63.
The present invention provides for a method of using a chamber 10 of to perform a medical procedure on a patient 12 releasing virus, bacteria, or other contaminants, by placing the chamber 10 over a patient's head 22 on a bed 24, wherein the chamber 10 includes a frame 14 forming and supporting two sidewalls 16 and a curved center portion 18 extending between the sidewalls 16 of a transparent body 20, wherein the body 20 includes at least one access hole 26, and wherein the one of the sidewalls 16 deforms around the patient's body, providing negative pressure within the chamber 10, and medical personnel performing a medical procedure on the patient 12 through the at least one access hole 26 in the body 20 of the chamber 10 while capturing and exhausting any of the virus, bacteria, or other contaminants released by the patient during the medical procedure. In other words, the chamber 10 allows for preventing infectious disease droplets from exiting the chamber 10 to medical personnel. Preferably, the medical procedure is an intubation, but any other medical procedure can be performed. The method can further include assembling the chamber 10 by connecting cross-members and draping body 20 over the frame 14 as described above or zipping the sidewalls 16 and curved center portion 18 together with the frame 14 integrated within the body 20 as described above. The method can further include disassembling the chamber 10 by disconnecting cross-members and removing body 20 from the frame 14 as described above or unzipping the sidewalls 16 and curved center portion 18 together with the frame 14 integrated within the body 20 as described above. Negative pressure can be provided by attaching a vacuum line 28 to the chamber 10 or by using the negative pressure mechanism 54.
The present invention also provides for a method of preventing exposure to waste anesthetic gas (WAG) released from a patient after surgery, by placing the chamber 10 over a patient's head 22 on a bed 24, providing negative pressure within the chamber 10, and capturing any waste anesthetic gas released by the patient. The method can also include the step of medical personnel performing an extubation on the patient. By placing the chamber 10 over the patient, medical personnel are protected from the WAG during extubation, as well as during any time the patient is expelling WAG. Preferably, with this method, the chamber 10 includes a negative pressure mechanism 54 with HEPA filter 56 and carbon trap/filter such that the HEPA filter 56 removes pathogens and the carbon trap absorbs the WAG. Suction or vacuum creating the negative pressure generates airflow to allow the WAG to be removed from the chamber 10.
The present invention further provides for a method of preventing exposure to ultrafine particles (UFPs) and volatile organic compounds (VOCs) during 3D printer 100 use, by placing the chamber 10 over a 3D printer 100, providing negative pressure within the chamber 10, using the 3D printer 100, and capturing any UFPs and VOCs that the 3D printer 100 releases. The chamber 10 essentially acts as a barrier and contains the VOCs and UFPs to protect any operator of the 3D printer 100. Preferably, with this method, the chamber 10 includes a negative pressure mechanism 54 with HEPA filter 56 and carbon trap such that the HEPA filter 56 removes UFPs and the carbon trap absorbs the VOCs. Suction or vacuum creating the negative pressure generates airflow to allow the UFPs and VOCs to be removed from the chamber 10. The chamber 10 can easily be unfolded and placed over the top of the 3D printer 100 when needed, and the chamber 10 can be removed, folded, and stored when the 3D printer 100 is done printing as described above. The chamber 10 can be sized to fit any size 3D printer 100. An example of use over a 3D printer 100 is shown in
The terminology used herein is for the purpose of describing particular example aspects only and is not intended to be limiting. As used herein, the singular forms “a,” “an,” and “the” may be intended to include the plural forms as well, unless the context clearly indicates otherwise. The terms “comprises,” “comprising,” “including,” and “having,” are inclusive and therefore specify the presence of stated features, integers, steps, operations, elements, and/or components, but do not preclude the presence or addition of one or more other features, integers, steps, operations, elements, components, and/or groups thereof. The method steps, processes, and operations described herein are not to be construed as necessarily requiring their performance in the particular order discussed or illustrated, unless specifically identified as an order of performance. It is also to be understood that additional or alternative steps may be employed.
When an element or feature is referred to as being “on,” “engaged to,” “connected to,” “coupled to” “operably connected to” or “in operable communication with” another element or feature, it may be directly on, engaged, connected, or coupled to the other element or layer, or intervening elements or features may be present. In contrast, when an element is referred to as being “directly on,” “directly engaged to,” “directly connected to,” or “directly coupled to” another element or feature, there may be no intervening elements or layers present. Other words used to describe the relationship between elements should be interpreted in a like fashion (e.g., “between” versus “directly between,” “adjacent” versus “directly adjacent,” etc.). As used herein, the term “and/or” includes any and all combinations of one or more of the associated listed items.
Although the terms first, second, third, etc. may be used herein to describe various elements, components, regions, layers and/or sections, these elements, components, regions, layers and/or sections should not be limited by these terms. These terms may be only used to distinguish one element, component, region, layer or section from another region, layer, or section. Terms such as “first,” “second,” and other numerical terms when used herein do not imply a sequence or order unless clearly and expressly indicated by the context. Thus, a first element, component, region, layer, or section discussed below could be termed a second element, component, region, layer, or section without departing from the teachings of the example embodiments.
For purposes of description herein, the terms “upper,” “lower,” “right,” “left,” “rear,” “front,” “vertical,” “horizontal,” and derivatives thereof shall relate to the invention as oriented in the FIGS. However, it is to be understood that the present disclosure may assume various alternative orientations and step sequences, except where expressly specified to the contrary. It is also to be understood that the specific devices and processes illustrated in the attached drawings and described in the following specification are exemplary aspects of the inventive concepts defined in the appended claims. Hence, specific dimensions and other physical characteristics relating to the aspects disclosed herein are not to be considered as limiting, unless the claims expressly state otherwise.
Throughout this application, various publications, including United States patents, are referenced by author and year and patents by number. Full citations for the publications are listed below. The disclosures of these publications and patents in their entireties are hereby incorporated by reference into this application in order to more fully describe the state of the art to which this invention pertains.
The invention has been described in an illustrative manner, and it is to be understood that the terminology, which has been used is intended to be in the nature of words of description rather than of limitation.
Obviously, many modifications and variations of the present invention are possible in light of the above teachings. It is, therefore, to be understood that within the scope of the appended claims, the invention can be practiced otherwise than as specifically described.
Number | Date | Country | |
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63004384 | Apr 2020 | US | |
63034330 | Jun 2020 | US |
Number | Date | Country | |
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Parent | 17220690 | Apr 2021 | US |
Child | 17560040 | US |