Method and Apparatus for the Containment of a Surgical Site

• US 20090036918A1
• Filed: 11/13/2007
• Published: 02/05/2009
• Est. Priority Date: 11/13/2006
• Status: Abandoned Application

• Current Assignee: James E. Burgess
• Original Assignee: James E. Burgess
• Inventors: Burgess, James E.
• Application Number:
  US11/939,248
• Publication Number:
  US 20090036918A1
• Time in Patent Office: Days
• US Class Current: 606/201
• CPC Class Codes: A61B 17/3423 Access ports, e.g. toroid shape introducers for instruments or hands access sites for liquids A61M39/0247
• CPC Class Codes: A61B 2017/00539 hydraulically
• CPC Class Codes: A61B 2017/3445 used as instrument channel for multiple instruments
• CPC Class Codes: A61B 2017/3449 whereby the instrument channels merge into one single channel
• CPC Class Codes: A61B 2017/3492 against the outside of the body
• CPC Class Codes: A61B 2090/064 for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61M 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463
• CPC Class Codes: A61M 3/0202 with electronic control means or interfaces
• CPC Class Codes: A61M 3/0283 with at least two inner passageways, a first one for irrigating and a second for evacuating suction-irrigation systems A61M1/77; aspiration tips with fluid supply means A61M1/85; for negative pressure wound therapy A61M1/92

Abstract

An apparatus for the containment of a surgical site includes an enclosure, with at least one port, securely coupled to the surgical site and a source of pressurized fluid in fluid communication with the enclosure via the at least one port providing pressurized fluid to the surgical site. The pressurized fluid establishes a hemostatic equilibrium within the enclosure by reducing blood egress through injuries in blood vessels at the surgical site thereby preventing bleeding at the surgical site. A method for the containment of a surgical site includes securely coupling an enclosure to a surgical site; fluidly coupling a source of pressurized fluid to the enclosure; and continuously providing pressurized fluid to the enclosure from the source of pressurized fluid and draining fluid from the enclosure. The pressurized fluid establishes a hemostatic equilibrium within the enclosure.

Claims

1. An apparatus for the containment of a surgical site comprising:

an enclosure, with at least one port, securely coupled to the surgical site; and

a source of pressurized fluid in fluid communication with the enclosure via the at least one port providing pressurized fluid to the surgical site;

wherein the pressurized fluid establishes a hemostatic equilibrium within the enclosure by reducing blood egress through injuries in blood vessels at the surgical site thereby preventing bleeding at the surgical site.

2. The apparatus of claim 1, wherein the enclosure includes at least a first port and a second port.

3. The apparatus of claim 2, wherein the first port is configured to be in communication with the source of pressurized fluid and the second port is adapted to provide an outlet for the pressurized fluid.

4. The apparatus of claim 2, wherein the enclosure further includes a third port adapted to receive a surgical tool therein and a fourth port adapted to receive optical devices therein.

5. The apparatus of claim 1, wherein the enclosure is constructed from aluminum, titanium, polyethylene terephthalate, polyacrylate, polyurethane, polycarbonate or any combination thereof.

6. The apparatus of claim 1, wherein at least a portion of the enclosure is constructed from a transparent material thereby allowing a surgeon to see inside of the enclosure.

7. The apparatus of claim 1, wherein the enclosure comprises a window formed thereon allowing a surgeon to see inside the enclosure.

8. The apparatus of claim 1, wherein the enclosure is securely coupled to the surgical site via an adhesive, a pressure loaded device, a robotic arm or any combination thereof.

9. The apparatus of claim 1, wherein the pressurized fluid is continuously delivered to the enclosure at a pressure of about 1 torr to 300 torr above ambient atmospheric pressure.

10. The apparatus of claim 1, wherein the surgical site is a patient'"'"'s knee, abdomen, brain, spine, thoracic cavity, shoulder, elbow, wrist or any combination thereof.

11. The apparatus of claim 1, wherein the enclosure further comprises at least one tool port.

12. The apparatus of claims 11, wherein the at least one tool port is sized to accommodate one or more surgical tools.

13. A method for the containment of a surgical site comprising the steps of:

a) securely coupling an enclosure to a surgical site;

b) fluidly coupling a source of pressurized fluid to the enclosure; and

c) continuously providing pressurized fluid to the enclosure from the source of pressurized fluid and draining fluid from the enclosure,

wherein the pressurized fluid establishes a hemostatic equilibrium within the enclosure by reducing blood egress through injuries in blood vessels at the surgical site thereby preventing bleeding at the surgical site.

14. The apparatus of claim 13, wherein the enclosure includes at least a first port and a second port.

15. The method of claim 14, wherein the first port is configured to be in communication with the source of pressurized fluid and the second port is adapted to provide an outlet for the pressurized fluid.

16. The method of claim 14, wherein the enclosure further includes a third port adapted to receive a surgical tool therein and a fourth port adapted to receive optical devices therein.

17. The method of claim 13, wherein the enclosure is constructed from aluminum, titanium, polyethylene terephthalate, polyacrylate, polyurethane, polycarbonate or any combination thereof.

18. The method of claim 13, wherein at least a portion of the enclosure is constructed from a transparent material thereby allowing a surgeon to see inside of the enclosure.

19. The method of claim 13, wherein the enclosure is securely coupled to the surgical site via an adhesive, a pressure loaded device, a robotic arm or any combination thereof.

20. The method of claim 13, wherein the pressurized fluid is continuously delivered to the enclosure at a pressure of about 1 torr to 300 torr above ambient atmospheric pressure.

21. The method of claim 13, wherein the surgical site is a patient'"'"'s knee, abdomen, brain, spine, thoracic cavity, shoulder, elbow, wrist or any combination thereof.

22. An apparatus for the containment of a surgical site comprising:

a) an enclosure securely coupled to the surgical site, the enclosure comprising at least;

i) a first port adapted to provide an inlet for a pressurized fluid;

ii) a second port adapted to provide an outlet for fluids and/or waste materials;

iii) a third port adapted to receive a surgical tool therein; and

iv) a fourth port adapted to receive optical devices therein; and

b) at least one sensor positioned within the enclosure for providing signals indicative of a condition within the enclosure;

c) a source of pressurized fluid in fluid communication with the enclosure via the first port, the source of pressurized fluid thereby providing pressurized fluid to the surgical site; and

d) a control device electronically coupled to the source of pressurized fluid and the at least one sensor, the control device configured to control the source of pressurized fluid based on signals provided by the at least one sensor,

wherein the pressurized fluid establishes a hemostatic equilibrium within the enclosure by reducing blood loss through injuries in blood vessels at the surgical site thereby preventing bleeding at the surgical site.