Sterile surgical tray

• US 8,323,271 B2
• Filed: 10/22/2008
• Issued: 12/04/2012
• Est. Priority Date: 04/20/2007
• Status: Active Grant

• Current Assignee: Doheny Eye Institute
• Original Assignee: Doheny Eye Institute
• Inventors: Humayun, Mark, DeBoer, Charles, McCormick, Matthew, Bhadri, Prashant, Cicchella, Joel, Kerns, Ralph
• Primary Examiner(s): Lucchesi, Nicholas D.
• Assistant Examiner(s): BERDICHEVSKY, AARTI
• Application Number:
  US12/256,420
• Publication Number:
  US 20090143734A1
• Time in Patent Office: 1,504 Days
• Field of Search: 604/131, 604/151, 606/4, 606/170, 606/171, 606/1, 206/570, 206/572, 206/569, 206/571
• US Class Current: 606/1
• CPC Class Codes: A61B 2017/00544 pneumatically
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/00973 pedal-operated
• CPC Class Codes: A61B 50/33 Trays
• 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 90/40 Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61F 9/00736 Instruments for removal of intra-ocular material or intra-ocular injection, e.g. cataract instruments A61F9/008 takes precedence
• CPC Class Codes: A61F 9/00763 with rotating or reciprocating cutting elements, e.g. concentric cutting needles atherectomy cutting instruments A61B17/3207; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: A61M 1/72 Cassettes forming partially or totally the fluid circuit
• 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 2205/123 with incorporated reservoirs
• CPC Class Codes: A61M 2205/3553 remote, e.g. between patient's home and doctor's office
• CPC Class Codes: A61M 2205/3561 local, e.g. within room or hospital
• CPC Class Codes: A61M 2205/505 Touch-screens; Virtual keyboard or keypads; Virtual buttons; Soft keys; Mouse touches
• CPC Class Codes: A61M 2210/0612 Eyes
• CPC Class Codes: A61M 3/0201 Cassettes therefor

Abstract

A sterile surgical tray includes structure for receiving a plurality of surgical instruments, a pump fluid reservoir within the tray, a pump contained within the sterile tray and connected to the pump fluid reservoir, and a motor contained within the sterile tray and connected to the pump. Sterile surgical tray 10 also may include electrical input and output connectors attached to tray.

Claims

1. A sterile surgical tray comprising:

a receiving area for holding a plurality of surgical instruments;

a fluid reservoir disposed apart from the receiving area;

a pump operatively connected to the fluid reservoir;

a motor drivingly coupled to the pump; and

a plurality of input and output connectors attached to the sterile tray, at least one of the input and output connectors being connected to the motor.

2. A sterile surgical tray system comprising:

a tray with a top surface defining a sterile surface for holding a plurality of surgical instruments;

at least one surgical instrument held on the top surface;

a pump fluid reservoir for use with the at least one surgical instrument;

a pump operatively connected to the at least one surgical instrument and to the pump fluid reservoir;

a motor connected to the pump for driving the pump; and

wherein at least the pump remains within a sterile field during surgery.

3. A sterile surgical tray comprising:

a top surface for holding a plurality of surgical instruments;

a pump connected to the sterile tray and for connection to a fluid pump reservoir; and

a motor connected to the pump for powering the pump.

4. A sterile surgical tray comprising:

a tray having a sterile top surface for holding a plurality of surgical instruments;

a pump fluid reservoir prepackaged and sterilized with the tray;

a pump in the tray for operative connection to at least one surgical instrument and the pump fluid reservoir; and

a motor connected to the pump for powering the pump.

5. A sterile surgical tray comprising:

a sterile surgical tray having a surface for holding a plurality of surgical instruments; and

a plurality of electrical input and output connectors attached to the tray.

6. The tray of claim 5 further including a display for displaying one or more of a status of a plurality of instruments attached to the input and output connectors, a power level of a battery or fuel cell connected to the input and output connectors, a fluid level of a pump fluid reservoir attached to the input and output connectors, and an illumination level of an illuminator attached to the input and output connectors.

7. The tray of claim 5 further including a processor attached to the input and output connectors for receiving inputs from a user and a plurality of surgical instruments attached to the input and output connectors and for transmitting signals to a user and the plurality of surgical instruments.

8. The tray of claim 5 wherein the input and output connectors includes a foot control connector for connecting a foot controller to the tray.

9. The tray of claim 8 wherein the foot control connector is a wireless transceiver for wirelessly connecting a foot controller to the tray.

10. The tray of claim 5 further including a wireless transceiver connected to the input and output connectors for transmitting and receiving signals to and from remote devices and surgical instruments.

11. The tray of claim 10 wherein the wireless transceiver is at least one of an infrared and a radio frequency transceiver.

12. The tray of claim 5 further including a pump fluid reservoir contained within the sterile tray, a pump operatively connected to the fluid reservoir, and a motor connected to the pump wherein at least one of the input and output connectors is connected to the motor for connecting the motor to a power source.

13. The tray of claim 12 further including at least one surgical instrument connected to at least one of the input and output connectors.

14. The tray of claim 13 further including a pump fluid reservoir contained within the sterile tray and including a pump operatively connected to the fluid reservoir and the at least one surgical instrument is connected to the pump fluid reservoir.

15. The tray of claim 5 further including at least one status indicator attached to at least one of the output connectors.

16. The tray of claim 15 wherein the status indicator is a light emitting diode.

17. The tray of claim 15 wherein the status indicator is an audible signal generator.

18. The tray of claim 15 wherein a plurality of light emitting diodes are connected to a plurality of output connectors and at least one light emitting diode is connected to the tray adjacent each of a plurality of surgical instrument retaining recesses for illuminating a location of the surgical instrument retaining recesses on the tray.

19. The tray of claim 5 wherein a shape of the tray conforms to a contour of a body portion adjacent a surgical site.

20. The tray of claim 19 wherein the shape of the tray is curved so that the tray may be placed around a patient'"'"'s head during ophthalmic surgery.

21. The tray of claim 19 wherein the shape of the tray is generally U-shaped.

22. The tray of claim 19 wherein the shape of the tray is generally semi-circular.

23. The tray of claim 19 wherein the tray is sufficiently narrow at a location that will be immediately between a patient and a surgeon to allow the surgeon unrestricted access to a surgical site.

24. The tray of claim 19 further including a plurality of surgical instruments retained in the tray and connected to a portion of the plurality of input and output connectors, wherein the input and output connectors connected to the plurality of surgical instruments are attached to the tray at a generally central location so that the connected instruments may be placed on either side of the tray to accommodate either a left or right handed surgeon.

25. The tray of claim 5 wherein at least one of the input and output connectors is a power connector for connecting at least a portion of the input and output connectors to a power source.

26. The tray of claim 25 wherein a power distributor is connected between the power connector and at least a portion of the input and output connectors for powering a plurality of surgical instruments.

27. The tray of claim 25 wherein the power connector is at least one of an alternating current connector, a battery connector, a fuel cell connector, and a wireless power connector.

28. The tray of claim 27 wherein the power connector is connected to one of a battery and a fuel cell that is prepackage and sterilized with the tray.

29. The tray of claim 25 is also connected to at least one surgical instrument, such that the power source powers a pump motor and the at least one surgical instrument.

30. The tray of claim 29 wherein the at least one surgical instrument is connected to at least one of the input and output connectors and is connected to a pump fluid reservoir, wherein the surgical instrument and the pump fluid reservoir are prepackaged and sterilized with the tray.

31. The tray of claim 5 further including a plurality of surgical instruments retained in the tray and connected to a portion of the plurality of input and output connectors and prepackaged and sterilized with the tray.

32. The tray of claim 31 wherein a portion of the input and output connectors are for connection to additional instruments beyond the plurality of instruments prepackaged and sterilized in the tray.

33. The tray of claim 31 further including a pump fluid reservoir contained within the sterile tray and including a pump operatively connected to the fluid reservoir and more than one of the plurality of instruments is connected to the pump fluid reservoir.

34. The tray of claim 31 wherein the plurality of surgical instruments includes at least a tissue isolation instrument, an aspiration instrument, an infusion instrument, and an illumination instrument.

35. The tray of claim 34 wherein the tissue isolation instrument is at least one of vitreous cutter, a lens emulsification device, a fragmentation device, a lens cutting device, a scissors, and a cautery knife.

36. The tray of claim 34 wherein the aspiration instrument is incorporated into the tissue isolation instrument.

37. The tray of claim 34 wherein the aspiration and the infusion instrument is an infusion and aspiration instrument.

38. The tray of claim 34 wherein the infusion instrument is an infusion cannula and connected tubing.

39. The tray of claim 34 includes an illumination instrument.

40. The tray of claim 34 includes a plurality of entry site alignment devices.

41. The tray of claim 34 wherein the plurality of surgical instruments includes all the instruments necessary to perform a vitrectomy of an eye.

42. The tray of claim 34 wherein the plurality of surgical instruments includes all the instruments necessary to perform a cataract removal from an eye.

43. A sterile surgical tray comprising:

a pump in the sterile tray; and

an electrically powered motor connected to the pump.

44. The tray of claim 43 includes structure forming a priming fluid reservoir for receiving one of more instruments during priming of the one or more instruments with a surgical fluid.

45. The sterile tray of claim 43 further comprises a structure for receiving a plurality of surgical instruments.

46. The tray of claim 43 includes structure forming arm rests for a surgeon to use during surgery.

47. The tray of claim 43 includes mating structure for each of the plurality of surgical instruments.

48. The tray of claim 43 wherein the pump is a vacuum pump.

49. The tray of claim 43 wherein the pump is a positive displacement pump.

50. The tray of claim 43 is molded.

51. The tray of claim 43 further comprising a pump fluid reservoir, wherein the pump fluid reservoir is contained within the tray such that during surgery the pump fluid reservoir is less than two feet from a surgical site.

52. The tray of claim 43 further comprising a pump fluid reservoir having a rigid housing.

53. The tray of claim 43 further comprising a pump fluid reservoir that is a bag and wherein the tray includes structure for hanging the bag from the tray.

54. The tray of claim 43 further including structure for connecting a sterile barrier to the tray.

55. The sterile tray of claim 43 further comprising a pump fluid reservoir.

56. The sterile tray of claim 55 wherein the pump contained within the sterile tray is operatively connected to the pump fluid reservoir.

57. The tray of claim 43 includes structure for attaching a drape to the tray and wherein the drape is to be placed over a patient.

58. The tray of claim 57 includes structure forming at least one fluid retention trough for collecting fluid runoff from the drape that occurs during surgery.

59. The tray of claim 43 wherein a sterile barrier is attached to the tray.

60. The tray of claim 59 wherein the sterile barrier includes a pliable sheet having at least one pocket formed in the sheet for allowing a user outside a sterile field to manipulate items within the sterile field without compromising the sterile field.

61. The tray of claim 43 further comprising a pump fluid reservoir that is an infusion pump fluid reservoir for infusing fluid into a surgical site.

62. The tray of claim 61 further comprising an infusion pump fluid reservoir having multiple chambers for infusing multiple fluids into a surgical site.

63. The tray of claim 62 wherein the multiple fluids includes two or more of balanced-salt-solution, silicone oil, gas, and viscoelastic.

64. The tray of claim 43 further including the plurality of surgical instruments wherein the plurality of surgical instruments are ophthalmic surgical instruments prepackaged and sterilized with the tray and at least one of the surgical instruments is connected to the pump fluid reservoir.

65. The tray of claim 64 wherein the plurality of surgical instruments includes all the instruments necessary to perform a vitrectomy of an eye.

66. The tray of claim 64 wherein the plurality of surgical instruments includes all the instruments necessary to perform a cataract removal from an eye.

67. The tray of claim 64 wherein the structure for receiving the plurality of instruments includes structure for receiving additional instruments beyond the plurality of instruments that are prepackaged and sterilized with the tray.

68. The tray of claim 43 further comprising a plurality of surgical instruments comprising at least a tissue isolation instrument, an aspiration instrument, and an infusion instrument.

69. The tray of claim 68 wherein the tissue isolation instrument is at least one of vitreous cutter, a lens emulsification device, a fragmentation device, a lens cutting device, a scissors, and a cautery knife.

70. The tray of claim 69 wherein the aspiration instrument is incorporated into the tissue isolation instrument.

71. The tray of claim 69 wherein the aspiration and the infusion instrument is a combined infusion/aspiration instrument.

72. The tray of claim 69 wherein the infusion instrument is an infusion cannula and connected tubing.

73. The tray of claim 69 includes an illumination instrument.

74. The tray of claim 69 includes a plurality of entry site alignment devices.

75. The tray of claim 43 wherein a shape of the tray conforms to a contour of a body portion adjacent a surgical site.

76. The tray of claim 75 wherein the shape of the tray is curved so that the tray may be placed around a patient'"'"'s head during ophthalmic surgery.

77. The tray of claim 75 wherein the shape of the tray is generally U-shaped.

78. The tray of claim 75 further comprising a pump fluid reservoir, wherein the pump fluid reservoir is contained within the tray such that the pump fluid reservoir is located to a side of the patient'"'"'s head during surgery.

79. The tray of claim 75 wherein the shape of the tray is generally semi-circular.

80. The tray of claim 79 wherein the pump fluid reservoir includes a bag within the fluid reservoir and is at least partially filled with balanced-salt-solution such that the pump pressurizes the fluid reservoir during surgery to force the balanced-salt solution from the fluid reservoir.

81. The tray of claim 79 wherein the pump fluid reservoir includes a filler port for allowing a user to fill the fluid reservoir with a surgical fluid to be infused into a surgical site.

82. The tray of claim 43 further comprising a pump fluid reservoir that is an aspiration pump fluid reservoir for collecting aspirated tissue and fluid during surgery.

83. The tray of claim 82 wherein the aspiration pump fluid reservoir is connected to one or more surgical instruments and prepackaged and sterilized with the tray.

84. The tray of claim 83 wherein the surgical instruments include a vitreous cutter, a lens emulsification device, a fragmentation device, a lens cutting device, and a scissors.

85. The tray of claim 82 further including an infusion pump fluid reservoir for infusing a fluid into a surgical site.

86. The tray of claim 85 wherein the aspiration and infusion pump fluid reservoirs are connected to one or more surgical instruments and prepackaged and sterilized with the tray.

87. The tray of claim 85 wherein the infusion pump fluid reservoir and the aspiration pump fluid reservoir form a single fluid reservoir with separate chambers for infusion and aspiration and a pump operatively connected to each chamber.

88. The tray of claim 87 wherein the infusion pump fluid reservoir includes multiple chambers for infusing multiple fluids into a surgical site and a single pump connected to each chamber and a multiple-position valve connected to an output of each chamber for selectively allowing a desired fluid to be infused into the surgical site.

89. The tray of claim 43 further including a power connector connected to the motor for connecting the motor to a power source wherein the power connector includes at least one of a direct current connector, an alternating current connector, a battery connector, a fuel cell connector, and a wireless power connector.

90. The tray of claim 89 wherein the power connector is also connected to a power distributor for distributing power throughout the sterile tray for powering a plurality of surgical instruments.

91. The tray of claim 89 wherein the power connector is attached to a portion of the tray.

92. The tray of claim 89 wherein the power connector is connected to at least one of a battery and a fuel cell that is prepackaged and sterilized with the tray.

93. The tray of claim 89 wherein the power connector is also connected to at least one surgical instrument, such that the power source powers the pump and the at least one surgical instrument.

94. The tray of claim 93 wherein the power connector is connected to one of a battery and a fuel cell that is prepackaged and sterilized with the tray.

95. The tray of claim 93 wherein the at least one surgical instrument includes at least one of a vitreous cutter, a lens emulsification device, fragmentation device, a lens cutting device, an illumination device, and a scissors.

96. The tray of claim 95 wherein the at least one surgical instrument is prepackaged and sterilized with the tray and connected to a pump fluid reservoir.