Thermal Treatment System Instrument Rack and Method of Selectively Thermally Treating Medical Instrument Portions

• US 20100116810A1
• Filed: 11/24/2009
• Published: 05/13/2010
• Est. Priority Date: 03/23/2004
• Status: Active Grant

• Current Assignee: Microtek Medical Incorporated (Ecolab, Inc.)
• Original Assignee: OR Solutions Inc (Ecolab, Inc.)
• Inventors: Faries, Durward I. JR., Heymann, Bruce R., Hendrix, David
• Granted Patent: US 8,148,667 B2
• Time in Patent Office: Days
• US Class Current: 219/429
• CPC Class Codes: A61B 1/127 with means for preventing fogging A61B1/253 takes precedence
• CPC Class Codes: A61B 2050/0018 Electric heating
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 50/20 Holders specially adapted for surgical or diagnostic appliances or instruments drapes with means to hold surgical instruments A61B46/23; for catheters A61M25/02
• CPC Class Codes: A61F 7/00 Heating or cooling appliances for medical or therapeutic treatment of the human body heating or cooling means in connection with bedsteads or mattresses A47C21/00 ; massage, therapeutic baths A61H; hyperthermia using electric or magnetic fields or ultrasound A61N; electric heating elements H05B
• CPC Class Codes: Y10T 428/24008 including fastener for attaching to external surface

Abstract

A system according to the present invention includes a cabinet, a basin positioned within the cabinet to contain and thermally treat a liquid bath, and a support assembly that stabilizes a surgical scope. The support assembly may include a first support that elevates scope optics above the liquid bath within the basin, and a second support that positions the shaft of the scope within the liquid bath, but above the floor and away from the walls of the basin. The scope optics resides outside of the bath in a dry state, while the remaining scope portions are positioned within the bath so the portions can be thermally treated. The support assembly enables a user to warm selected portions of the scope, while protecting the scope, the basin, and/or a drape lining the basin from damage caused when the scope contacts the basin.

Claims

1-33. -33. (canceled)

34. A thermal treatment system for thermally treating an object including a medical instrument comprising:

a housing including a top surface;

a basin recessed into said top surface and configured to contain a sterile medium, wherein said basin comprises a floor;

a thermal unit to thermally treat said basin and said sterile medium;

a first support disposed to rest at least partially on the housing top surface and having a portion defining at least one receptacle within said basin to support the object, wherein the at least one receptacle is positioned at least partially above said sterile medium at a first elevation relative to said basin floor; and

a second support disposed within said basin at least partially below the surface of the sterile medium at a second elevation relative to said basin floor that is lower than said first elevation, wherein the first support and second support are configured to support the object including the medical instrument within the basin at an inclined angle relative to said basin floor such that a portion of the object is elevated above the surface of the sterile medium to maintain that portion in a dry state.

35. The thermal treatment system of claim 34, wherein the first support comprises a rack including a first end portion, a second end portion, and an intermediate portion defining the at least one receptacle.

36. The thermal treatment system of claim 35, wherein the intermediate portion of the first support comprises a series of alternating recesses and peaks disposed perpendicularly to said basin floor, and wherein the recesses define a series of receptacles.

37. The thermal treatment system of claim 35, wherein each of the end portions of the first support comprise an engagement member configured to engage the housing top surface and position the first support proximate the housing top surface.

38. The thermal treatment system of claim 34, wherein the second support comprises a rack including a first end portion, a second end portion, and an intermediate portion defining at least one receptacle to support the object.

39. The thermal treatment system of claim 38, wherein the intermediate portion of the second support comprises a series of alternating recesses and peaks disposed perpendicularly to said basin floor, and wherein the recesses define a series of receptacles.

40. The thermal treatment system of claim 38, wherein the end portions of the second support member each comprise an engagement member configured to engage the housing top surface and position the second support proximate the basin floor.

41. The thermal treatment system of claim 34, wherein the second support comprises a stand including a base disposed on said basin floor that supports a portion defining a receptacle.

42. The thermal treatment system of claim 41, wherein the second support receptacle defining portion comprises a series of alternating recesses and peaks, and wherein the recesses define a plurality of receptacles.

43. The thermal treatment system of claim 34, wherein the second support comprises a block with at least one receptacle configured to receive a portion of the object.

44. The thermal treatment system of claim 43, wherein the receptacle is formed by a bore extending through the block.

45. The thermal treatment system of claim 34, wherein the second support comprises a platform disposed on said basin floor with at least one longitudinal receptacle configured to longitudinally support a portion of the object.

46. The thermal treatment system of claim 45, wherein the longitudinal receptacle comprises an open slot defined in a top surface of the platform.

47. The thermal treatment system of claim 34, wherein the object includes a surgical scope with a distal portion and a proximal portion including an optics unit.

48. The thermal treatment system of claim 47, wherein the first and second supports maintain the optics unit in a dry state by positioning the scope distal portion in the sterile medium and elevating the scope optics unit above the sterile medium.

49. The thermal treatment system of claim 34, further comprising a drape disposed over the thermal treatment system and recessed within said basin to form a drape receptacle for said sterile medium.

50. The thermal treatment system of claim 49, wherein the first and second supports are disposed above the drape.

51. The thermal treatment system of claim 49, wherein the first and second supports are disposed below the drape.

52. The thermal treatment system of claim 49, wherein the first and second supports are formed integral with the drape.

53. The thermal treatment system of claim 49, wherein the drape includes sensors to detect at least one of the presence of a liquid within the basin, the absence of a liquid within the basin, or the presence of a drape leak.

54. In a thermal treatment system including a housing with a top surface, a basin recessed into said top surface including a floor and configured to contain a sterile medium, a first support disposed to rest at least partially on the housing top surface and having a portion defining at least one receptacle positioned within said basin and above said sterile medium, a second support disposed within said basin and at least partially below the surface of the sterile medium, a method of selectively thermally treating medical instrument portions comprising:

(a) receiving an object including a medical instrument within said basin with a first portion of said object supported by the at least one receptacle of the first support and a second portion of the object supported by the second support, and elevating the first portion of said object above the sterile medium at a first elevation relative to the basin floor, via the first support, to maintain the supported portion in a dry state and elevating the second portion of the object above the floor of the basin at a second elevation relative to the basin floor lower than said first elevation, via said second support, to thermally treat the second portion via the sterile medium, wherein the object is supported within the basin at an inclined angle relative to the basin floor.

55. The method of claim 54, wherein the object includes a surgical scope including a distal portion and a proximal portion with an optics unit, and step (a) further includes:

(a.1) receiving said object on the supports such that the distal portion contacts the sterile medium and the optics unit is elevated above said sterile medium.

56. The method of claim 54, wherein the first and second supports each comprise a serpentine portion with at least one peak and at least one recess forming a corresponding receptacle disposed perpendicularly to said basin floor, and step (a.1) further includes:

(a.1.1) receiving the object within the receptacles of the first and second supports such that the distal portion extends from the first support receptacle into the sterile medium and to the second support receptacle.

57. A surgical drape for use in a thermal treatment system including a housing with a top surface and a basin recessed within the housing top surface to contain and thermally treat a sterile medium, the basin including a floor, said drape comprising:

a drape adapted to cover and hang down from the top surface of the housing, the drape being disposed within and conforming to the basin to form a drape receptacle;

a first support disposed to rest at least partially on the housing top surface and within the drape receptacle at a first elevation relative to said basin floor and having a portion defining at least one receptacle configured to removably receive and support a first portion of an object including a medical instrument above the surface of the sterile medium to maintain the first object portion in a dry state; and

a second support disposed within the drape receptacle at a second elevation relative to said basin floor that is lower than said first elevation and configured to support a second portion of the object below the surface of the sterile medium and above the floor of the basin, wherein the first support and second support are further configured to support the object including the medical instrument within the basin at an inclined angle relative to said basin floor.

58. The drape of claim 57, wherein

the first support is in the form of a rack comprising a first end portion configured to engage said housing;

a second end portion configured to engage the housing; and

an intermediate portion defining the at least one receptacle; and

the second support is in the form of a rack comprising a first end portion configured to engage said housing;

a second end portion configured to engage the housing; and

an intermediate portion including at least one receptacle configured to removably receive the object.

59. The drape of claim 58, wherein each of the intermediate portions include a series of alternating peaks and recesses disposed perpendicularly to said basin floor, and wherein the recesses respectively form the at least one receptacle.

60. The drape of claim 57, wherein

the first support is in the form of a rack comprising a first end portion configured to engage said housing;

a second end portion configured to engage the housing; and

an intermediate portion defining the at least one receptacle; and

the second support is in the form of a stand comprising a base disposed on said basin floor and a bar supported by the base, the bar comprising at least one receptacle configured to removably receive the object.

61. The drape of claim 60, wherein

the first support intermediate portion includes a series of alternating peaks and recesses, and wherein the recesses form the at least one receptacle;

and

the second support bar includes a series of alternating peaks and recesses, and wherein the recesses form the at least one receptacle.

62. The drape of claim 57, wherein

the first support is in the form of a rack comprising a first end portion configured to engage said housing;

a second end portion configured to engage the housing; and

an intermediate portion defining the at least one receptacle; and

the second support comprises a platform disposed on said basin floor including a longitudinal receptacle formed by a slot extending along the top surface of the platform.

63. The drape of claim 57, wherein

the first support is in the form of a rack comprising a first end portion configured to engage said housing;

a second end portion configured to engage the housing; and

an intermediate portion defining the at least one receptacle; and

the second support comprises a block including a receptacle formed by a channel extending through the block.

64. The drape of claim 57, wherein the object includes a scope with an optics unit.

65. The drape of claim 57, wherein the drape further includes sensors to detect at least one of the presence of a liquid within the basin, the absence of a liquid within the basin, or the presence of a drape leak.