Medical drape for laser surgery

• US 4,998,538 A
• Filed: 08/25/1989
• Issued: 03/12/1991
• Est. Priority Date: 08/25/1989
• Status: Expired due to Fees

• Current Assignee: Deborah A. Charowsky, Harry P. Charowsky
• Original Assignee: Deborah A. Charowsky, Harry P. Charowsky
• Inventors: Charowsky, Harry P., Charowsky, Deborah A.
• Primary Examiner(s): Hafer, Robert A.
• Assistant Examiner(s): Rooney, Kevin G.
• Application Number:
  US07/398,712
• Time in Patent Office: 564 Days
• Field of Search: 128/849, 128/851, 128/853, 128/854, 128/855, 128/856, 128/846, 128/917, 128/847, 128/863, 250/516.1, 250/517.1, 250/519.1
• US Class Current: 128/856
• CPC Class Codes: A61B 18/20 using laser
• CPC Class Codes: A61B 2046/205 Adhesive drapes
• CPC Class Codes: A61B 2218/008 for smoke evacuation
• CPC Class Codes: A61B 46/10 specially adapted for instruments, e.g. microscopes
• CPC Class Codes: A61B 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: Y10S 128/917 Body fluid, devices for protection therefrom, e.g. aids, hepatitus

Abstract

A disposable medical drape adapted for use in laser surgery is configured to form an enclosure, acting as an emission barrier, between the medical laser and the patient tissue to be removed so as to contain, within the enclosure, materials present in the laser plume. The drape includes a floor having an opening therein which defines the target area of patient tissue. The floor includes moisture-absorbent material which is premoistened to protect the patient from errant laser shots. The underside of the floor includes an adhesive material for fixing the floor of the drape directly to the skin of the patient. The drape includes flexible transparent walls which extend from the floor of the drape to the medical laser, the walls including stiffening rings to define an obstruction-free corridor for the laser beam. The walls of the drape are gathered around the barrel of the medical laser so as to prevent emissions at that juncture. The walls of the drape include suction ports adapted to be used with evacuation equipment for removing laser plume materials from the enclosure and creating a negative pressure therein. The walls of the drape also provide access to the patient tissue. The material of the drape is nonflammable.

Claims

1. A medical drape for use in a medical procedure wherein a laser is employed to remove tissue from a patient, said drape comprising:

(a) an enclosure extending between the laser and the patient tissue to be removed, said enclosure defining a substantially enclosed space between the laser and the patient tissue;

(b) said enclosure including target area boundary means for encircling a target area of patient tissue to be removed, said target area boundary means defining an opening in said enclosure; and

(c) said enclosure including containment means for substantially retaining, in said enclosed space, material resulting from laser removal of patient tissue.

2. The drape of claim 1 wherein said enclosure includes fastening means proximate said opening for attaching a portion of said enclosure which is adjacent said opening to said patient, and for fixing said opening so as to encircle said target area, said portion of said enclosure which is adjacent to said opening defining a floor of said enclosed space.

3. The drape of claim 2 wherein said fastening means includes adhesive means for causing said floor to adhere to the skin of the patient.

4. The drape of claim 1 wherein a portion of said enclosure which is adjacent said opening includes protective means for impeding penetration of said enclosure by an errant laser beam which fails to strike said target area.

5. The drape of claim 4 wherein said protective means includes moisture absorbent means for absorbing and retaining moisture in said portion of said enclosure adjacent said opening.

6. The drape of claim 1 wherein a portion of said enclosure adjacent said opening defines a floor of said enclosed space, said floor having an upper surface facing said enclosed space and a lower surface facing away from said enclosed space, said lower surface of said floor including fastening means for attaching said floor to said patient and for fixing said opening so as to encircle said target area.

7. The drape of claim 6 wherein said upper surface of said floor includes protective means for impeding penetration of said floor by an errant laser beam which fails to strike said target area.

8. The drape of claim 7 wherein said protective means includes moisture absorbent means for absorbing and retaining moisture in said floor, and said fastening means includes adhesive means for fastening said floor to the skin of the patient.

9. The drape of claim 1 wherein said enclosure includes attachment means proximate said laser for attaching said enclosure to said laser.

10. The drape of claim 1, further including structural support means attached to said enclosure for supporting said enclosure and preventing said enclosure from becoming interposed between the laser and said target area.

11. The drape of claim 1 wherein a portion of said enclosure is non-flammable.

12. The drape of claim 1 wherein a portion of said enclosure proximate the laser is constructed of flexible, substantially transparent material which will impede passage of particles through said enclosure.

13. The drape of claim 1 in combination with means for maintaining said substantially enclosed space at a pressure which is below ambient pressure.

14. The drape of claim 1 in combination with means for removing gases and airborne particles from within said enclosed space.

15. The drape of claim 1 wherein said enclosure means includes one or more aperture means apart from said opening for permitting access to said enclosed space.

16. The drape of claim 1 wherein the laser and said target area together define a straight laser beam path extending between the laser and said target area, said enclosure arranged so as to define a laser corridor whose approximate central axis is said laser beam path.

17. The drape of claim 16 wherein said enclosure includes semi-rigid structural means for shaping said enclosure so as to define said laser corridor.

18. A medical drape for use in a medical procedure wherein a laser is employed to remove tissue from a patient, said drape comprising a floor proximate the patient, said floor including opening means for surrounding the patient tissue to be removed, and an elongate sleeve having first and second ends defined by an endless sleeve wall, said floor attached to said first end of said sleeve so as to close said first end of said sleeve, said second end of said sleeve closed so that said sleeve and said floor together substantially define an enclosed space, said sleeve and said floor cooperating as containment means for retaining, in said enclosed space, material resulting from laser removal of patient tissue.

19. A method for containing emissions resulting from removal of patient tissue by laser beam, said method comprising providing an enclosure which defines an enclosed space extending between the laser and the patient tissue to be removed, said enclosure including opening means for encircling the patient tissue to be removed;

affixing said enclosure to said patient so that said opening means encircles the patient tissue to be removed; and

attaching said enclosure to the laser so that a laser beam from the laser has an unobstructed path to the patient tissue to be removed, said enclosure acting as containment means for retaining, in said enclosed space, material resulting from laser removal of patient tissue.

20. The method of claim 19, further including providing evacuation means for removing emissions from said enclosure and maintaining the pressure in said enclosure below ambient pressure so as to substantially prevent emissions from escaping from said enclosure except through said evacuation means.

21. The method of claim 19, further including providing a portion of said enclosure surrounding said opening means with moisture absorbent material and moistening said moisture absorbent material so that an errant laser beam which fails to strike the patient tissue to be removed does not penetrate said enclosure and burn the patient.