Surgical pack and tray

• US 8,177,064 B2
• Filed: 04/21/2008
• Issued: 05/15/2012
• Est. Priority Date: 04/20/2007
• Status: Active Grant

• Current Assignee: Doheny Eye Institute
• Original Assignee: Doheny Eye Institute
• Inventors: McCormick, Matthew, Chong, Lawrence, Kerns, Ralph, DeBoer, Charles, Humayun, Mark
• Primary Examiner(s): Ackun, Jacob K
• Application Number:
  US12/106,962
• Publication Number:
  US 20080272023A1
• Time in Patent Office: 1,485 Days
• Field of Search: 206/369, 206/370, 206/557, 206/564, 206/565, 206/561, 206/63.5
• US Class Current: 206/370
• CPC Class Codes: A61B 2050/005 with a lid or cover
• CPC Class Codes: A61B 2050/3008 having multiple compartments
• CPC Class Codes: A61B 46/23 with means to retain or hold surgical implements
• CPC Class Codes: A61B 50/30 Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for wound clamps A61B17/10; for ligaturing clips A61B17/122; packages or dispensers for surgical gloves or finger-stalls A61B42/40
• CPC Class Codes: A61B 50/33 Trays

Abstract

A surgical pack includes a platform having a plurality of recesses configured to function as a surgical tray. A plurality of surgical instruments are contained in a corresponding recess of the platform. The recess may have the shape of the surgical instrument that it is designed to receive. The recess may also include safety mechanisms to protect the tips of certain instruments and to lower the risk of injury caused by them. A packaging or covering holds the platform and the plurality of surgical instruments in a substantially sterile condition.

Claims

1. A surgical apparatus for use by a surgeon during an ophthalmic surgical procedure comprising:

a tray having a plurality of recesses located on an upper side of the tray, the tray comprising an opening extending entirely through the tray from the upper side of the tray to a lower side of the tray, the opening having a U-shaped configuration, the opening sized and configured to surround a head of a human patient undergoing the ophthalmic surgical procedure in a manner such that the tray can be moved without disturbing or moving the head of the human patient;

a plurality of surgical instruments, each of the surgical instruments being removably positioned in a corresponding one of the recesses; and

a cover removably affixed to the tray at the upper side of the tray for covering at least the upper side of the tray and the surgical instruments, the cover being adapted to preserve the sterility of the upper side at least until the cover is removed.

2. The surgical apparatus of claim 1, wherein the tray is configured to sit on a surgical stand to the side of or on top of the human patient.

3. The surgical apparatus of claim 1, wherein the tray comprises a processing unit configured to control operation of at least one of the plurality of surgical instruments.

4. The surgical apparatus of claim 1, wherein at least one of the surgical instruments has a substantially sharp end, and wherein the one of the recesses corresponding to the at least one of the surgical instruments comprises a covering for substantially shielding the substantially sharp end.

5. The surgical apparatus of claim 1, wherein at least one of the surgical instruments has a substantially sharp end, and wherein a portion of the one of the recesses corresponding to the at least one of the surgical instruments is configured to have a shape substantially conforming to a shape of the substantially sharp end.

6. The surgical apparatus of claim 1, wherein at least one of the surgical instruments has a substantially sharp end and a handle portion, wherein the one of the recesses corresponding to the at least one of the surgical instruments has a depth configured to contain the substantially sharp end deeper in the recess than the handle portion.

7. The surgical apparatus of claim 1, wherein the tray has identifiers located in relation to the recesses, the identifiers corresponding to the surgical instruments positioned in the recesses.

8. The surgical apparatus of claim 7, wherein at least one of the identifiers includes tactile identifiers.

9. The surgical apparatus of claim 7, wherein at least one of the identifiers includes a light emitting diode (LED) display.

10. The surgical apparatus of claim 7, wherein at least one of the identifiers includes a colored code.

11. The surgical apparatus of claim 1, wherein the tray accommodates a substantially sterile barrier accessible by a substantially non-sterile user wearing substantially sterile protection for providing assistance during the ophthalmic surgical procedure.

12. The surgical apparatus of claim 1, wherein the tray comprises a power source.

13. The surgical apparatus of claim 1, further comprising a drape and a drape attachment mechanism to which the drape is removably attachable, wherein the drape is configured to be positioned adjacent to a surgical site of an eye of the human patient, and wherein the drape attachment mechanism is positioned adjacent the opening in the tray.

14. The surgical apparatus of claim 13, wherein the drape attachment mechanism comprises a ridge positioned adjacent the opening in the tray.

15. The surgical apparatus of claim 1, wherein the plurality of recesses includes a first recess on the upper side of the tray, the first recess configured to receive a balanced salt solution container.

16. A surgical apparatus comprising:

a tray having a plurality of recesses located on an upper side of the tray the tray comprising an opening extending entirely through the tray from the upper side of the tray to a lower side of the tray, the opening having a U-shaped configuration, the opening sized and configured to surround a head of a human patient undergoing an ophthalmic surgical procedure in a manner such that the tray can be moved without disturbing or moving the head of the human patient;

a biological tissue cutter removably positioned in a corresponding one of the recesses, thereby positioning the biological tissue cutter in close proximity to an eye of the human patient during the ophthalmic surgical procedure;

a cover for holding the biological tissue cutter in a substantially sterile condition.

17. The surgical apparatus of claim 16, further comprising a tissue illuminator removably positioned in a second corresponding one of the recesses.

18. The surgical apparatus of claim 16, wherein the cover is removable.

19. The surgical apparatus of claim 16, further comprising a drape and a drape attachment mechanism to which the drape is removably attachable, wherein the drape is configured to be positioned adjacent to a surgical site of the eye of the human patient, and wherein the drape attachment mechanism is positioned adjacent the opening in the tray.

20. The surgical apparatus of claim 19, wherein the drape attachment mechanism comprises a ridge positioned adjacent the opening in the tray.

21. The surgical apparatus of claim 16, wherein the plurality of recesses includes a first recess on the upper side of the tray, the first recess configured to receive a balanced salt solution container.

22. A method for providing improved access to instrumentation during an ophthalmic surgical procedure, the method comprising:

providing a surgical pack including;

a tray having a plurality of recesses, the tray comprising an opening extending entirely through the platform from an upper side of the tray to a lower side of the tray, the opening having a U-shaped configuration, the opening sized and configured to surround a head of a human patient undergoing the ophthalmic surgical procedure in a manner such that the tray can be moved without disturbing or moving the head of the human patient;

a plurality of surgical instruments, each of the surgical instruments being removably positioned in a corresponding one of the recesses, the corresponding one of the recesses having a shape substantially conforming to the shape of the surgical instrument being received; and

a cover attached to the upper side of the tray for holding the plurality of surgical instruments in a substantially sterile condition;

removing the cover from the tray;

placing the tray such that the tray effectively surrounds the head of the human patient, thereby allowing the surgical instruments to be in close proximity to an eye of the human patient to be accessed during the ophthalmic surgical procedure;

removing at least one of the surgical instruments from the corresponding recess for a first part of the ophthalmic surgical procedure; and

returning the at least one of the surgical instruments to the corresponding recess after the first part of the ophthalmic surgical procedure.

23. The method of claim 22, wherein removing at least one of the surgical instruments from the corresponding recess for a first part of the ophthalmic surgical procedure comprises removing a biological tissue cutter.

24. The method of claim 22, wherein removing at least one of the surgical instruments from the corresponding recess for a first part of the ophthalmic surgical procedure comprises removing a tissue illuminator.

25. The method of claim 22, further comprises positioning a drape adjacent to a surgical site of the eye of the human patient, wherein the drape is configured to be removably attachable to a drape attachment mechanism, and wherein the drape attachment mechanism is positioned adjacent the opening in the tray.

26. The method of claim 25, wherein the drape attachment mechanism comprises a ridge positioned adjacent the opening in the tray.

27. The method of claim 22, wherein the plurality of recesses includes a first recess on the upper side of the tray, the first recess configured to receive a balanced salt solution container, and further comprises positioning the balanced salt solution container within the first recess.

28. A surgical apparatus for use by a surgeon during an ophthalmic surgical procedure comprising:

a tray having a plurality of recesses located on an upper side of the tray, the tray comprising an opening extending entirely through the tray from the upper side of the tray to a lower side of the tray, the opening having a U-shaped configuration, the opening sized and configured to surround a head of a human patient undergoing the ophthalmic surgical procedure in a manner such that the tray can be moved without disturbing or moving the head of the human patient; and

a plurality of surgical instruments, each of the surgical instruments being removably positioned in a corresponding one of the recesses of the tray;

wherein the tray comprises a covering configured to preserve sterility.

29. The surgical apparatus of claim 28, further comprising a sterile barrier mounted to the tray.

30. The surgical apparatus of claim 28, wherein the tray comprises a drape configured to cover at least a portion of the head of the human patient, the drape configured to be removably coupled to an attachment site on the tray, wherein the attachment site comprises an attachment mechanism that is positioned around the opening of the tray.

31. The surgical apparatus of claim 28, further comprising a drape and a drape attachment mechanism to which the drape is removably attachable, wherein the drape is configured to be positioned adjacent to a surgical site of an eye of the human patient, and wherein the drape attachment mechanism is positioned adjacent the opening in the tray.

32. The surgical apparatus of claim 31, wherein the drape attachment mechanism comprises a ridge positioned adjacent the opening in the tray.

33. The surgical apparatus of claim 28, wherein the plurality of recesses includes a first recess on the upper side of the tray, the first recess configured to receive a balanced salt solution container.

34. A surgical apparatus for use by a surgeon during an ophthalmic surgical procedure comprising:

a tray having a plurality of recesses located on an upper side of the tray, the tray comprising an opening extending entirely through the tray from the upper side of the tray to a lower side of the tray, the opening sized and configured to be positioned adjacent to a head of a patient undergoing the ophthalmic surgical procedure in a manner such that the tray can be moved without disturbing or moving the head of the patient, the plurality of recesses comprising a first recess on the upper side of the tray, the first recess configured to receive a balanced salt solution container;

a plurality of surgical instruments, each of the surgical instruments being removably positioned in a corresponding one of the recesses;

a cover removably affixed to the tray at the upper side of the tray for covering at least the upper side of the tray and the surgical instruments, the cover being adapted to preserve the sterility of the upper side at least until the cover is removed; and

an illuminator disposed in relation to the first recess so to illuminate the first recess.

35. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein the opening comprises a U-shaped configuration.

36. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein the illuminator is a light emitting diode.

37. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein the tray is configured to be positioned on a surgical stand to the side of or on top of the patient.

38. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein the tray comprises a processing unit configured to control operation of at least one of the plurality of surgical instruments.

39. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein at least one of the surgical instruments has a substantially sharp end, and wherein the one of the recesses corresponding to the at least one of the surgical instruments comprises a covering for substantially shielding the substantially sharp end.

40. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein at least one of the surgical instruments has a substantially sharp end, and wherein a portion of the one of the recesses corresponding to the at least one of the surgical instruments is configured to have a shape substantially conforming to a shape of the substantially sharp end.

41. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein at least one of the surgical instruments has a substantially sharp end and a handle portion, wherein the one of the recesses corresponding to the at least one of the surgical instruments has a depth configured to contain the substantially sharp end deeper in the recess than the handle portion.

42. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein the tray has identifiers located in relation to the recesses, the identifiers corresponding to the surgical instruments positioned in the recesses.

43. The apparatus of claim 42 for use by a surgeon during an ophthalmic surgical procedure, wherein at least one of the identifiers includes tactile identifiers.

44. The apparatus of claim 42 for use by a surgeon during an ophthalmic surgical procedure, at least one of the identifiers includes a light emitting diode (LED) display.

45. The apparatus of claim 42 for use by a surgeon during an ophthalmic surgical procedure, wherein at least one of the identifiers includes a colored code.

46. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein the tray accommodates a substantially sterile barrier accessible by a substantially non-sterile user wearing substantially sterile protection for providing assistance during the ophthalmic surgical procedure.

47. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein the tray comprises a covering configured to preserve sterility.

48. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, further comprising a sterile barrier mounted to the tray.

49. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, wherein the tray comprises a drape configured to cover at least a portion of the head of the patient, the drape configured to be removably coupled to an attachment site on the tray, wherein the attachment site comprises an attachment mechanism that is positioned around the opening of the tray.

50. The apparatus of claim 34 for use by a surgeon during an ophthalmic surgical procedure, further comprising a drape and a drape attachment mechanism to which the drape is removably attachable, wherein the drape is configured to be positioned adjacent to a surgical site of an eye of the patient, and wherein the drape attachment mechanism is positioned adjacent the opening in the tray.

51. The apparatus of claim 50 for use by a surgeon during an ophthalmic surgical procedure, wherein the drape attachment mechanism comprises a ridge positioned adjacent the opening in the tray.