The present invention relates, in general, to surgical trays and, more particularly, this invention relates to containers and protective covers for hypodermic needles and other devices for handling sharps employed during surgery and to an apparatus for holding a cautery tool as well as a tip cleaner for such cautery tool.
Numerous inventions have been devised to assist operating room personnel in the handling of instruments, needles, scalpels, sutures, etc. employed during a surgical procedure. Particular concern is shown for suture needles, hypodermic needles, scalpel blades, etc., which are referred to in the art as “sharps”. Concern is also shown for placing these close to a surgical site in a manner which is convenient for the surgeon. One purpose of the application referenced above is to provide a transfer pad which eliminates hand to hand transfers. A surgeon can call for sharps or instruments, and an assistant places them on the transfer pad. The surgeon then picks them up from the transfer pad. Thus, the danger of fumbling a hand-to-hand transfer is substantially minimized.
Numerous prior art patents address safety issues related to sharps. For example, U.S. Pat. No. 5,538,132: “Guard Structure for Sharps” includes a magnet on which magnetic sharps can be safely placed. The sharps can be disposed of by folding, over the magnet, a layer having an adhesive, which seals against the magnet and the sharps on the magnet.
U.S. Pat. No. 5,665,810: “Puncture Resistant Material” teaches a flexible puncture resistant material which may be used for gloves or garments. Platelets of a hard material, oriented to lie in the plane of the material, are included in the material to improve puncture resistance.
U.S. Pat. No. 5,681,018: “Operating Room Tray System” teaches a surgical tray mounted on a vertical tube attached to the operating table.
U.S. Pat. No. 5,729,879: “Surgical Blade Removal and Disposal Device” teaches a disposal device for surgical blades. It includes a surgical blade removal device, magnetic means for retaining blades, with counting indicia. The device comprises two parts which may be closed against each other and latched.
U.S. Pat. No. 5,791,472: “Surgical Tray for Sharp Surgical Instruments” teaches a surgical tray for transport of a sharp surgical instrument. It includes a tray portion with an integral handle extending therefrom. The underside may be formed with ribs to prevent slippage.
U.S. Pat. No. 5,799,788: “Suture Needle Park and Collector” teaches a suture needle holder which may be placed on a surgical drape. It provides a portion around which suture material may be wound, and it provides a transparent disposal place for used needles.
U.S. Pat. No. 5,938,063: “Hinged, Latchable Box as for Medical Sharps” teaches an improved hinge and latch for a sharps box.
U.S. Pat. No. 6,279,743: “Device for Facilitating Engagement and Disengagement between Needles and Associated Syringes and Sheaths and for Receiving Sharps” teaches a device for guiding syringe needles into needle caps. It includes a protective cover for preventing accidental loss of sharps from the device.
U.S. Pat. No. 6,605,100: “Scalpel Blade Exchange Apparatus and Method” teaches a mechanism for removing scalpel blades from a scalpel, and replacing the blades with new blades. The device may accommodate a plurality of cartridges for selection of differing blades.
U.S. Pat. No. 6,783,003: “Hypodermic Needle Holder” teaches a needle holder including at least one hypodermic needle retainer for engaging and keeping a hypodermic needle. The device includes a receptacle that may contain needles or other sharps.
From the foregoing, it can be inferred that there is a need for improved devices for securely displaying and retaining sharps and instruments employed in surgery. Such a device should be placeable on a surgical drape covering a patient, or directly on the patient.
The teachings of the issued patents discussed above are incorporated herein by reference thereto.
The present invention is an apparatus for displaying, in a secure manner, instruments and sharps employed during surgery. It includes a retention layer which functions in the manner of a pincushion. Suture needles, hypodermic needles, scalpel blades and other sharps may be partially embedded in the retention layer to secure them during surgery. Preferably, the invention has a mounting system which enables it to be attached to a surgical drape, or directly to the patient. The retention layer overlies a puncture resistant component which protects the patient from sharps embedded in the retention layer. The invention further includes an elongate tray portion which may be employed to secure a cautery tool, and it may have a cautery tip cleaner. One purpose of the elongate tray portion is to substantially minimize the potential for fires by enabling placement of the cautery tool so its tip does not touch anything. Preferably, the invention also includes a non skid component on which scalpels and other implements may be placed.
In one aspect, the present invention is an apparatus for displaying and retaining surgical instruments and sharps employed during surgery. The apparatus includes a retention layer for retaining sharps, wherein the sharps may be partially embedded within the retention layer. The apparatus also includes a puncture resistant component, the puncture resistant component including at least a portion thereof underlying the retention layer. The puncture resistant component resists penetration by the sharps. The apparatus further includes an elongate tray portion for holding a cautery tool.
In another aspect, the present invention is a method of making an apparatus for displaying and retaining surgical instruments and sharps employed during surgery. The method includes forming an integral unit including a puncture resistant component having a shallow recess and an elongate tray portion, the elongate tray portion for holding a cautery tool. The method further includes forming a retention layer configured to fit within the shallow recess, and adhering the retention layer into the shallow recess of the puncture resistant component.
FIG. I is an illustration of a surgical pad and tray, according to the present invention;
10 Surgical pad and tray
12 Back side of Surgical pad and tray 10
14 Universal Mounting System
20 Integral unit including puncture resistant component and elongate tray portion
22 Puncture resistant component
24 Side wall of puncture resistant component
26 Puncture resistant layer
28 Retention layer
30 Tray for cautery tool
32 Bottom of tray
34 Long side of tray
35 Low central portion of long side 34
36 Short side of tray
37 Notch in short side 36
40 Cautery tip cleaner
42 Raised platform for cautery tip cleaner
50 Non-skid layer
52 High friction surface of non-skid layer
54 Portion of non-skid layer underling puncture resistant component
60 Non-skid layer for configuration with tray on side
62 High friction surface of non-skid layer for configuration with tray on side
64 Portion of non-skid layer 60 underlying puncture resistant component
70 Embodiment having tray on side
72 Puncture resistant component with tray on side
74 Side wall of puncture resistant component for tray on side
76 Puncture resistant layer for embodiment with tray on side
78 Retention layer, tray on side
80 Integral unit including puncture resistant component and elongate tray portion on side
82 Scalpel
84 Suture needle
86 Scalpel blade
88 Hypodermic needle
90 Cautery tool
The following description of the invention sets forth specific embodiments which are described in sufficient detail to enable those skilled in the art to practice the present invention. It should be apparent to those skilled in the art that other embodiments may be utilized while remaining within the scope of the present invention. The following detailed description is, therefore, not to be taken in a limiting sense, and the scope of the invention is defined only by the appended claims.
The sharps are secured by a retention layer 28 overlying a puncture resistant layer 26. The retention layer 28 functions in the manner of a pincushion. Suture needles, hypodermic needles, scalpel blades and other sharps may be partially embedded in retention layer 28.
The surgical pad and tray 10 may be placed directly on the patient or on a drape covering the patient. To protect the patient from the sharps, the device includes puncture resistant layer 26 that underlies the retention layer 28.
The retention layer, preferably, has a low density and is fairly thick. For example only, its thickness may be in a range from about 9 mm to 12 mm. It is presently preferred that it be comprised of a cross linked polyethylene closed cell foam. Its density may be approximately 2 lbs/ft3 (32.03 kg/m3).
The puncture resistant layer 26 is relatively hard and dense to resist penetration by any of the sharps. It is presently preferred that the puncture resistant layer 26 be comprised of a high impact polystyrene. A rigid, high density polyethylene may alternatively be employed. For example only, the puncture resistant layer 26 may have an Izod impact strength rating of about 2 ft-lb in (0.1068 J/mm).
It is preferred that the puncture resistant layer 26 be a portion of a puncture resistant component 22 that includes the puncture resistant layer 26 and also a plurality of side walls 24 that surround retention layer 28 to provide greater strength near the edges of retention layer 28.
For additional convenience and ergonomic efficiency, the surgical pad and tray 10 further includes a tray 30 that is for a cautery tool. Tray 30 has a bottom 32, a long side 35 and short sides 36. The long side 35, preferably has a low central portion 36 to facilitate grasping the cautery tool 90.
Preferably, each short side 36 of tray 30 includes a notch 37. Notch 37 receives the handle of cautery tool 90, which is shown in
Referring again to
Integral unit 80 is preferably formed of high impact polystyrene. A rigid, high-density polyethylene may also be employed.
When the surgical pad and tray 10 or 70 is produced, an integral unit 20 comprising puncture resistant component 22 and tray 30 at the top is produced, or the integral unit 80 comprising puncture resistant component 72 with tray 30 on the side is produced. The non-skid layer 50 or the non-skid layer 60 is then cut to size. Then, integral unit 20 is bonded to non-skid layer 50, or the integral unit 80 is bonded to the non-skid layer 60.
Retention layer 28 is then bonded to the puncture resistant layer 26 of puncture resistant component 22, or retention layer 78 is bonded to the puncture resistant layer 76 of puncture resistant component 72. The cautery tip cleaner 40 is then bonded to the retention layer 28. The bonding steps may be done in any sequence or simultaneously. Adhesive bonding is presently preferred. An alternative method of bonding is thermal bonding.
It should be recognized that the above-mentioned embodiments of the invention and the methods of making it are intended to be illustrative only. Numerous alternative embodiments may be devised by those skilled in the art without departing from the scope of the following claims.
The present invention is closely related to co-pending U.S. patent application Ser. No. 10/936,993 entitled “Surgical Transfer Pad with Puncture Resistant Sharps Zone” filed on Sep. 8, 2004, which has the same inventors as the present invention and is assigned to the assignee of the present invention. The teachings of this co-pending application are incorporated herein by reference thereto.