SURGICAL DRAPING SYSTEM

• US 20080047567A1
• Filed: 10/30/2007
• Published: 02/28/2008
• Est. Priority Date: 08/28/2001
• Status: Abandoned Application

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Inventors: Bonutti, Peter
• Application Number:
  US11/927,736
• Publication Number:
  US 20080047567A1
• Time in Patent Office: Days
• US Class Current: 128/852
• CPC Class Codes: A41D 19/0157 with luminous or reflective means protective garments with reflective or luminous safety means A41D13/01
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/158 Cutting patella
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1666 for the acetabulum
• CPC Class Codes: A61B 17/1668 for the upper femur A61B17/164 takes precedence
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 17/1703 using imaging means, e.g. by X-rays
• CPC Class Codes: A61B 17/1717 for applying intramedullary nails or pins
• CPC Class Codes: A61B 17/1721 for applying pins along or parallel to the axis of the femoral neck
• CPC Class Codes: A61B 17/1746 for the acetabulum
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 17/809 with bone-penetrating elements, e.g. blades or prongs bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00557 : inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00734 : battery operated
• CPC Class Codes: A61B 2017/0268 : for the knee
• CPC Class Codes: A61B 2017/0409 : Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0414 : having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/0496 : for tensioning sutures
• CPC Class Codes: A61B 2034/102 : Modelling of surgical devices, implants or prosthesis
• CPC Class Codes: A61B 2034/105 : Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2046/201 : for extremities, e.g. having collection pouch
• CPC Class Codes: A61B 2046/205 : Adhesive drapes
• CPC Class Codes: A61B 2046/236 : with means for collecting drain fluid, e.g. drain tubes
• CPC Class Codes: A61B 2090/064 : for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/309 : using white LEDs
• CPC Class Codes: A61B 2090/401 : using air flow
• CPC Class Codes: A61B 2217/005 : with suction drainage system
• CPC Class Codes: A61B 2217/007 : with irrigation system
• CPC Class Codes: A61B 34/20 : Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/30 : Surgical robots
• CPC Class Codes: A61B 42/00 : Surgical gloves; Finger-stalls specially adapted for surgery; Devices for handling or treatment thereof
• CPC Class Codes: A61B 46/00 : Surgical drapes
• CPC Class Codes: A61B 90/30 : Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
• CPC Class Codes: A61B 90/36 : Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/361 : Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61B 90/37 : Surgical systems with images on a monitor during operation
• CPC Class Codes: A61B 90/40 : Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61F 2/30721 : Accessories
• CPC Class Codes: A61F 2/30724 : Spacers for centering an implant in a bone cavity, e.g. in a cement-receiving cavity
• CPC Class Codes: A61F 2/30767 : Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/30771 : applied in original prostheses, e.g. holes or grooves
• CPC Class Codes: A61F 2/34 : Acetabular cups
• CPC Class Codes: A61F 2/38 : for elbows or knees
• CPC Class Codes: A61F 2/3859 : Femoral components
• CPC Class Codes: A61F 2/3868 : with sliding tibial bearing
• CPC Class Codes: A61F 2/3872 : Meniscus for implantation between the natural bone surfaces
• CPC Class Codes: A61F 2/3877 : Patellae or trochleae
• CPC Class Codes: A61F 2/389 : Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/4609 : of acetabular cups
• CPC Class Codes: A61F 2/461 : of knees
• CPC Class Codes: A61F 2/4684 : Trial or dummy prostheses
• CPC Class Codes: A61F 2002/2817 : Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• CPC Class Codes: A61F 2002/2835 : Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30079 : magnetic
• CPC Class Codes: A61F 2002/30326 : differing in height or in length
• CPC Class Codes: A61F 2002/30331 : made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/30364 : Rotation about the common longitudinal axis
• CPC Class Codes: A61F 2002/30387 : Dovetail connection
• CPC Class Codes: A61F 2002/30398 : Sliding
• CPC Class Codes: A61F 2002/30433 : using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30507 : using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30761 : Support means for artificial cartilage, e.g. cartilage defect covering membranes
• CPC Class Codes: A61F 2002/30883 : dovetail-shaped
• CPC Class Codes: A61F 2002/30892 : parallel
• CPC Class Codes: A61F 2002/3092 : having an open-celled or open-pored structure
• CPC Class Codes: A61F 2002/30934 : Special articulating surfaces
• CPC Class Codes: A61F 2002/30975 : made of two halves
• CPC Class Codes: A61F 2002/3401 : with radial apertures, e.g. radial bores for receiving fixation screws
• CPC Class Codes: A61F 2002/3403 : Polar aperture
• CPC Class Codes: A61F 2002/3895 : unicompartimental
• CPC Class Codes: A61F 2002/4631 : the prosthesis being specially adapted for being cemented
• CPC Class Codes: A61F 2002/4635 : using minimally invasive surgery
• CPC Class Codes: A61F 2002/4677 : using a guide wire
• CPC Class Codes: A61F 2210/009 : magnetic
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2250/0037 : differing in height or in length
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00029 : Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
• CPC Class Codes: A61F 2310/00131 : Tantalum or Ta-based alloys
• CPC Class Codes: A61F 2310/00365 : Proteins; Polypeptides; Degradation products thereof
• CPC Class Codes: A61G 13/0045 : specially adapted for hand or wrist surgeries
• CPC Class Codes: A61G 13/0054 : specially adapted for back or spinal surgeries
• CPC Class Codes: A61G 13/0063 : specially adapted for knee surgeries
• CPC Class Codes: A61G 13/0072 : specially adapted for shoulder surgeries
• CPC Class Codes: A61G 13/0081 : specially adapted for hip surgeries
• CPC Class Codes: A61G 13/1245 : Knees, upper or lower legs
• CPC Class Codes: A61G 13/125 : Ankles or feet

Abstract

A draping system provides a continuous sterile field between a patient incision area and one or more medical practitioners. The draping system has a quick release system incorporated into the drape that enables a medical practitioner to separate from the continuous sterile field without disrupting the sterile field around the practitioner or the patient. The draping system may include an abbreviated practitioner gown, a drain and an integral patient incision area or a flap for extending the continuous sterile field around to one or more additional operating room tables. A modular drape and gown system extends the sterile field beyond the operating table allowing practitioners to couple to the extended field. A tent provides an enclosed sterile field useful in mobile or other non operating room surgical environments. Integral lighting and information displays facilitate field surgical procedures.

Claims

1. A draping system for surgery, comprising:

a drape for providing a continuous sterile field over a patient; and

an information display disposed on said drape and viewable by a practitioner, said flexible color display showing information benefiting the patient to the practitioner.

2. The draping system according to claim 1, wherein said information display is flexible.

3. The draping system according to claim 1, wherein said information display shows colors.

4. The draping system according to claim 1, wherein said information display includes an organic light emitting diode (OLED).

5. The draping system according to claim 1, further comprising a means for communicating the information to said display.

6. The draping system according to claim 5, wherein said means for communicating the information to said display is a wire.

7. The draping system according to claim 5, wherein said means for communicating the information to said display is a wireless receiver.

8. The draping system according to claim 7, wherein said wireless receiver receives information according to the 802.11b standard.

9. The draping system according to claim 1, further comprising a battery connected to and powering said display.

10. The draping system according to claim 1, wherein the information is remotely generated.

11. The draping system according to claim 1, wherein the information includes data regarding the patient.

12. The draping system according to claim 1, wherein the information includes instructions from a further practitioner.

13. A draping system for surgery, comprising:

a drape for providing a continuous sterile field over a patient; and

a hook supporting said drape to extend the sterile field.

14. The draping system according to claim 13, further comprising a fastener fastening said drape to said hook.

15. The draping system according to claim 13, wherein said hook is connected to a wall.

16. The draping system according to claim 13, wherein said hook is connected to an operating table supporting the patient.

17. A portable surgical enclosure, comprising:

a tent enclosing a continuous sterile field configured to be disposed above a patient; and

a means for operating on the patient from outside the tent without compromising the continuous sterile field.

18. The portable surgical enclosure according to claim 17, wherein said tent includes an incision area disposed on the patient.

19. The portable surgical enclosure according to claim 17, wherein said tent includes a portion disposed over a table, said portion being configured to support a surgical instrument.

20. The portable surgical enclosure according to claim 17, further comprising an air handler connected to said tent and supplying sterilized air to said tent.

21. The portable surgical enclosure according to claim 20, wherein said air handler provides a positive pressure of the sterilized air to fill said tent.

22. The portable surgical enclosure according to claim 20, wherein said air handler supplements the sterilized air by adding an additive selected from the group consisting of ions, thrombin mist, and a therapeutic substance.

23. The portable surgical enclosure according to claim 20, wherein said tent has an air exit formed therein.

24. The portable surgical enclosure according to claim 23, wherein said air exit is connected to said air handler for recirculating the air.

25. The portable enclosure according to claim 23, wherein said air exit controls an amount of the air exiting said tent.

26. The portable enclosure according to claim 17, wherein said means for operating on the patient is a hole formed in said tent, said hole providing access for a practitioner to operate on the patient.

27. The portable enclosure according to claim 26, further comprising a flap for closing said hole.

28. The portable enclosure according to claim 17, wherein said tent includes a transparent portion.

29. The portable enclosure according to claim 17, wherein said tent includes an opaque portion.

30. The portable enclosure according to claim 17, further comprising a drain connected to said tent for collecting fluids during surgery on the patient.

31. The portable enclosure according to claim 19, wherein said tent includes a further portion disposed over a further table, said further portion being configured to support a surgical instrument.

32. The portable enclosure according to claim 19, further comprising a hook connected to said tent, said hook being configured to connect to a support in order to suspend said tent.

33. The portable enclosure according to claim 32, wherein:

said tent has a ceiling; and

a pole disposed within said tent for supports said ceiling.

34. A glove for illuminating a patient, comprising:

a sterile exterior surface covering a hand of a practioner; and

a light integrally disposed in said sterile exterior surface.

35. The glove according to claim 34, wherein said sterile exterior surface includes a light transmisive portion, said light emitting through said light transmisive portion.

36. The glove according to claim 34, wherein said light is an organic light emitting diode.

37. The glove according to claim 34, further comprising a switch connected to said light for activating said light.

38. The glove according to claim 34, further comprising flexible wiring connected to said light.

39. The glove according to claim 34, wherein:

said sterile exterior surface has a finger portion for receiving a finger of the practitioner; and

said light is disposed in said finger.

40. The glove according to claim 34, further comprising a battery connected to said light and powering said light.

41. The glove according to claim 40, wherein said battery is a flexible film battery.

42. A method for forming a continuous sterile field over a patient, which comprises:

providing a drape having a fenestration; and

disposing said fenestration of said drape over a location on a patient where an incision is to be made.

43. The method according to claim 42, which further comprises:

folding said drape with said fenestration on a bottom before said disposing step; and

unfolding said drape after said disposing step.

44. The method according to claim 42, which further comprises attaching said drape to a practitioner.

45. The method according to claim 44, which further comprises attaching said drape to a further practitioner.

46. The method according to claim 42, which further comprises disposing said drape over an instrument table.