Surgical draping system

• US 7,114,500 B2
• Filed: 10/03/2002
• Issued: 10/03/2006
• Est. Priority Date: 08/28/2001
• Status: Active Grant

• Current Assignee: Bonutti Skeletal Innovations LLC (Acacia Research Corporation)
• Original Assignee: MarcTec LLC
• Inventors: Bonutti, Peter M.
• Primary Examiner(s): Bennett, Henry
• Assistant Examiner(s): PATEL, NIHIR B
• Application Number:
  US10/263,893
• Publication Number:
  US 20030060831A1
• Time in Patent Office: 1,461 Days
• Field of Search: 128849-856
• US Class Current: 128/851
• CPC Class Codes: A41D 19/0157 with luminous or reflective means protective garments with reflective or luminous safety means A41D13/01
• CPC Class Codes: A61B 17/025 Joint distractors
• CPC Class Codes: A61B 17/0401 Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors A61B17/0642 takes precedence; fixation devices for tendons or ligaments A61F2/0811
• CPC Class Codes: A61B 17/0487 Suture clamps, clips or locks, e.g. for replacing suture knots; Instruments for applying or removing suture clamps, clips or locks suture anchors A61B17/0401; wound clamps or clips A61B17/08; ligaturing clamps or clips A61B17/122
• CPC Class Codes: A61B 17/155 Cutting femur
• CPC Class Codes: A61B 17/157 Cutting tibia
• CPC Class Codes: A61B 17/158 Cutting patella
• CPC Class Codes: A61B 17/1604 Chisels; Rongeurs; Punches; Stamps
• CPC Class Codes: A61B 17/1666 for the acetabulum
• CPC Class Codes: A61B 17/1668 for the upper femur A61B17/164 takes precedence
• CPC Class Codes: A61B 17/1675 for the knee
• CPC Class Codes: A61B 17/1703 using imaging means, e.g. by X-rays
• CPC Class Codes: A61B 17/1717 for applying intramedullary nails or pins
• CPC Class Codes: A61B 17/1721 for applying pins along or parallel to the axis of the femoral neck
• CPC Class Codes: A61B 17/1746 for the acetabulum
• CPC Class Codes: A61B 17/1764 for the knee
• CPC Class Codes: A61B 17/809 with bone-penetrating elements, e.g. blades or prongs bone staples A61B17/0642; intramedullary nails with a plate at an end A61B17/7233
• CPC Class Codes: A61B 2017/00004 (bio)absorbable, (bio)resorbable, resorptive for implantable prostheses A61F2210/0004
• CPC Class Codes: A61B 2017/00199 with a console, e.g. a control panel with a display
• CPC Class Codes: A61B 2017/00477 Coupling A61B2017/0046 takes precedence
• CPC Class Codes: A61B 2017/00557 : inflatable A61B2017/22051 takes precedence
• CPC Class Codes: A61B 2017/00734 : battery operated
• CPC Class Codes: A61B 2017/0268 : for the knee
• CPC Class Codes: A61B 2017/0409 : Instruments for applying suture anchors for applying suture clamps, clips or locks A61B2017/0488
• CPC Class Codes: A61B 2017/0414 : having a suture-receiving opening, e.g. lateral opening lateral eyelet for attaching suture to needle A61B2017/06019
• CPC Class Codes: A61B 2017/0496 : for tensioning sutures
• CPC Class Codes: A61B 2034/102 : Modelling of surgical devices, implants or prosthesis
• CPC Class Codes: A61B 2034/105 : Modelling of the patient, e.g. for ligaments or bones
• CPC Class Codes: A61B 2046/201 : for extremities, e.g. having collection pouch
• CPC Class Codes: A61B 2046/205 : Adhesive drapes
• CPC Class Codes: A61B 2046/236 : with means for collecting drain fluid, e.g. drain tubes
• CPC Class Codes: A61B 2090/064 : for measuring force, pressure or mechanical tension
• CPC Class Codes: A61B 2090/309 : using white LEDs
• CPC Class Codes: A61B 2090/401 : using air flow
• CPC Class Codes: A61B 2217/005 : with suction drainage system
• CPC Class Codes: A61B 2217/007 : with irrigation system
• CPC Class Codes: A61B 34/20 : Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 34/30 : Surgical robots
• CPC Class Codes: A61B 42/00 : Surgical gloves; Finger-stalls specially adapted for surgery; Devices for handling or treatment thereof
• CPC Class Codes: A61B 46/00 : Surgical drapes
• 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 90/36 : Image-producing devices or illumination devices not otherwise provided for
• CPC Class Codes: A61B 90/361 : Image-producing devices, e.g. surgical cameras
• CPC Class Codes: A61B 90/37 : Surgical systems with images on a monitor during operation
• CPC Class Codes: A61B 90/40 : Apparatus fixed or close to patients specially adapted for providing an aseptic surgical environment
• CPC Class Codes: A61F 2/30721 : Accessories
• CPC Class Codes: A61F 2/30724 : Spacers for centering an implant in a bone cavity, e.g. in a cement-receiving cavity
• CPC Class Codes: A61F 2/30767 : Special external or bone-contacting surface, e.g. coating for improving bone ingrowth
• CPC Class Codes: A61F 2/30771 : applied in original prostheses, e.g. holes or grooves
• CPC Class Codes: A61F 2/34 : Acetabular cups
• CPC Class Codes: A61F 2/38 : for elbows or knees
• CPC Class Codes: A61F 2/3859 : Femoral components
• CPC Class Codes: A61F 2/3868 : with sliding tibial bearing
• CPC Class Codes: A61F 2/3872 : Meniscus for implantation between the natural bone surfaces
• CPC Class Codes: A61F 2/3877 : Patellae or trochleae
• CPC Class Codes: A61F 2/389 : Tibial components A61F2/3868 takes precedence
• CPC Class Codes: A61F 2/4609 : of acetabular cups
• CPC Class Codes: A61F 2/461 : of knees
• CPC Class Codes: A61F 2/4684 : Trial or dummy prostheses
• CPC Class Codes: A61F 2002/2817 : Bone stimulation by chemical reactions or by osteogenic or biological products for enhancing ossification, e.g. by bone morphogenetic or morphogenic proteins [BMP] or by transforming growth factors [TGF]
• CPC Class Codes: A61F 2002/2835 : Bone graft implants for filling a bony defect or an endoprosthesis cavity, e.g. by synthetic material or biological material
• CPC Class Codes: A61F 2002/30079 : magnetic
• CPC Class Codes: A61F 2002/30326 : differing in height or in length
• CPC Class Codes: A61F 2002/30331 : made by longitudinally pushing a protrusion into a complementarily-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2002/30364 : Rotation about the common longitudinal axis
• CPC Class Codes: A61F 2002/30387 : Dovetail connection
• CPC Class Codes: A61F 2002/30398 : Sliding
• CPC Class Codes: A61F 2002/30433 : using additional screws, bolts, dowels, rivets or washers e.g. connecting screws
• CPC Class Codes: A61F 2002/30507 : using a threaded locking member, e.g. a locking screw or a set screw
• CPC Class Codes: A61F 2002/30761 : Support means for artificial cartilage, e.g. cartilage defect covering membranes
• CPC Class Codes: A61F 2002/30883 : dovetail-shaped
• CPC Class Codes: A61F 2002/30892 : parallel
• CPC Class Codes: A61F 2002/3092 : having an open-celled or open-pored structure
• CPC Class Codes: A61F 2002/30934 : Special articulating surfaces
• CPC Class Codes: A61F 2002/30975 : made of two halves
• CPC Class Codes: A61F 2002/3401 : with radial apertures, e.g. radial bores for receiving fixation screws
• CPC Class Codes: A61F 2002/3403 : Polar aperture
• CPC Class Codes: A61F 2002/3895 : unicompartimental
• CPC Class Codes: A61F 2002/4631 : the prosthesis being specially adapted for being cemented
• CPC Class Codes: A61F 2002/4635 : using minimally invasive surgery
• CPC Class Codes: A61F 2002/4677 : using a guide wire
• CPC Class Codes: A61F 2210/009 : magnetic
• CPC Class Codes: A61F 2220/0025 : Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
• CPC Class Codes: A61F 2220/0033 : made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
• CPC Class Codes: A61F 2220/0041 : using additional screws, bolts, dowels or rivets, e.g. connecting screws
• CPC Class Codes: A61F 2250/0037 : differing in height or in length
• CPC Class Codes: A61F 2310/00011 : Metals or alloys
• CPC Class Codes: A61F 2310/00017 : Iron- or Fe-based alloys, e.g. stainless steel
• CPC Class Codes: A61F 2310/00023 : Titanium or titanium-based alloys, e.g. Ti-Ni alloys
• CPC Class Codes: A61F 2310/00029 : Cobalt-based alloys, e.g. Co-Cr alloys or Vitallium
• CPC Class Codes: A61F 2310/00131 : Tantalum or Ta-based alloys
• CPC Class Codes: A61F 2310/00365 : Proteins; Polypeptides; Degradation products thereof
• CPC Class Codes: A61G 13/0045 : specially adapted for hand or wrist surgeries
• CPC Class Codes: A61G 13/0054 : specially adapted for back or spinal surgeries
• CPC Class Codes: A61G 13/0063 : specially adapted for knee surgeries
• CPC Class Codes: A61G 13/0072 : specially adapted for shoulder surgeries
• CPC Class Codes: A61G 13/0081 : specially adapted for hip surgeries
• CPC Class Codes: A61G 13/1245 : Knees, upper or lower legs
• CPC Class Codes: A61G 13/125 : Ankles or feet

Abstract

A draping system provides a continuous sterile field between a patient incision area and one or more medical practitioners. The draping system has a quick release system incorporated into the drape that enables a medical practitioner to separate from the continuous sterile field without disrupting the sterile field around the practitioner or the patient. The draping system may include an abbreviated practitioner gown, a drain and an integral patient incision area or a flap for extending the continuous sterile field around to one or more additional operating room tables. A modular drape and gown system extends the sterile field beyond the operating table allowing practitioners to couple to the extended field. A tent provides an enclosed sterile field useful in mobile or other non operating room surgical environments. Integral lighting and information displays facilitate field surgical procedures.

Claims

1. A drape providing a continuous sterile field between a practitioner and a patient, the drape comprising:

a first fastening element for fastening a first end of the drape to the practitioner;

a second fasteing element for fastening a second end of the drape to a patient drape; and

a separating element located between the first and second ends of the drape for enabling the practitioner to separate from the continuous sterile field while at least a portion of the drape is still fastened to the practitioner and at least a second portion of the drape is still coupled to the patient drape.

2. The drape according to claim 1 wherein said separating element comprises a perforation within the drape allowing the practitioner to separate from the continuous sterile field by parting the drape along said perforation.

3. The drape according to claim 1 wherein said first fastening element includes at least a hook, an adhesive, a snap, or a tie for fastening the drape to the practitioner.

4. The drape according to claim 1 further comprising

an integral practitioner gown portion for providing at least a portion of the continuous sterile field between the practitioner and the patient.

5. The drape according to claim 4 wherein said integral practitioner gown portion is worn upon at least a torso, head, arm, face or hand of the practitioner.

6. The drape according to claim 1 wherein the drape provides a continuous sterile field between the practitioner and the patient and further comprises

an integral incision region at least partially covering a patient surgical area wherein a patient incision is made by simultaneously cutting through said integral incision region and at least a portion of the patient.

7. A surgical drape system comprising a suspended drape having a first end portion coupled with a surface located below a patient support device supporting a patient and a second end portion coupled wit a practitioner to thereby provide a continuous sterile field between the patient and practitioner, the suspended drape having a quick release means for enabling the practitioner to separate from the continuous sterile field while the first and second end portions remain coupled, the system further including a patient drape positionable over the patient on the patient support device, wherein the first end portion of the suspended drape is coupled with the patient drape.

8. The system of claim 7 wherein the quick release means includes at least one of a perforation, a serration, a hook, and a hook and loop fastener.

9. The system of claim 8 further comprising a fastening element for fastening the suspended drape to at least one of the patient drape and the practitioner.

10. The system of claim 9 wherein the fastening element includes at least one of a clamp, a hook and loop fastener, a tie, a button, a hook, a snap, and adhesive.

11. The system of claim 7 wherein the patient drape includes a fenestration through which surgery is performed.

12. The system of claim 11 wherein the fenestration is integral with the patient drape.

13. The system of claim 11 wherein the first end portion of the suspended drape is coupled with the patient drape.

14. The system of claim 13 wherein the quick release means includes at least one of a perforation, a serration, a hook, and a hook and loop fastener.

15. The system of claim 14 further comprising a fastening element for fastening the suspended drape to at least one of the patient drape and the practitioner.

16. The system of claim 15 wherein the fastening element includes at least one of a clamp, a hook and loop fastener, a tie, a button, a hook, a snap, and adhesive.

17. The system of claim 7 wherein the suspended drape and patient drape are one piece to form a unitary drape.

18. The system of claim 17 wherein the quick release means includes at least one of a perforation, a serration, a hook, and a hook and loop fastener.

19. The system of claim 18 further comprising a fastening element for fastening the unitary drape to the practitioner.

20. The system of claim 19 wherein the fastening element includes at least one of a clamp, a hook and loop fastener, a button, a hook, a snap, and adhesive.

21. The system of claim 17 wherein the unitary drape includes a fenestration through which surgery is performed.

22. The system of claim 21 wherein the fenestration is integral with the patient drape.

23. The system of claim 7 further including a gown positionable on the practitioner.

24. The system of claim 23 wherein the second end portion of the suspended drape is coupled with the practitioner by way of the gown.

25. The system of claim 23 wherein the quick release means includes at least one of a perforation, a serration, a hook, and a hook and loop fastener.

26. The system of claim 25 further comprising a fastening element for fastening the suspended drape to the surface located below the patient support device.

27. The system of claim 26 wherein the fastening element includes at least one of a clamp, a hook and loop fastener, a tie, a button, a hook, a snap, and adhesive.

28. The system of claim 23 wherein the suspended drape and grown are one piece to form a single drape.

29. The system of claim 28 wherein the quick release means includes at least one of a perforation, a serration, a hook, and a hook and loop fastener.

30. The system of claim 29 further comprising a fastening element for fastening the single drape to the surface located below the patient support device.

31. The system of claim 30 wherein the fastening element includes at least one of a clamp, a hook and loop fastener, a tie, a button, a book, a snap, and adhesive.