CA1197745A - Surgical securing means - Google Patents
Surgical securing meansInfo
- Publication number
- CA1197745A CA1197745A CA000424592A CA424592A CA1197745A CA 1197745 A CA1197745 A CA 1197745A CA 000424592 A CA000424592 A CA 000424592A CA 424592 A CA424592 A CA 424592A CA 1197745 A CA1197745 A CA 1197745A
- Authority
- CA
- Canada
- Prior art keywords
- securing means
- surgical
- patient
- portions
- drape
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Expired
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B46/00—Surgical drapes
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Materials For Medical Uses (AREA)
Abstract
SURGICAL SECURING MEANS
ABSTRACT OF THE DISCLOSURE
Means are provided for use with surgical drapes or towels, by which the surgical drape or towel may be secured to the body of a surgical patient, or by which surgical tubing or other articles may be fixed in place relative to the sterile field on the patient. The securing means, in general, comprises a movable and placeable body -- several are used -- having a lower surface which may be adhesively attached to the body of the surgical patient, and having an upper surface with several protuberances or other portions that extend above the area surrounding them. The securing means are affixed to the body of the patient, and then the surgical drapes or towels may be affixed to the securing means by clamping them thereto, without piercing the drape or towel and thereby assuring that the septic barrier around the sterile field remains unbroken. There is also no trauma to the patient.
File No. PAT6152
ABSTRACT OF THE DISCLOSURE
Means are provided for use with surgical drapes or towels, by which the surgical drape or towel may be secured to the body of a surgical patient, or by which surgical tubing or other articles may be fixed in place relative to the sterile field on the patient. The securing means, in general, comprises a movable and placeable body -- several are used -- having a lower surface which may be adhesively attached to the body of the surgical patient, and having an upper surface with several protuberances or other portions that extend above the area surrounding them. The securing means are affixed to the body of the patient, and then the surgical drapes or towels may be affixed to the securing means by clamping them thereto, without piercing the drape or towel and thereby assuring that the septic barrier around the sterile field remains unbroken. There is also no trauma to the patient.
File No. PAT6152
Description
F I ELD OF THE I NVENT I ON
This inven~ion relates to means for securing surgical drapes or towels to the body of a surgical patient, and more particularly provides means by wh;eh surgical drapes and towels may be secured to the patient withou~ injury to ~he patient or damage ~o the bac~erial barrier provided by them; and without additional trauma to the patient, beyond that caused by the primary surgical procedure being carried out. Ihe invention also provides a means for securing surgical tubing relative to the field of surgery~ in either a moveable or immoveable manner.
BACKGRI:)UND OF THE INVENTION
There have been several general approaches to preparing ("prepping") and draping any particular portion of a surgical patient's body for surgery. Those procedures include the preparation of a st~rile field, using surgical drapes or towels, which may or may not be fenestrated, or otherwise, so that the drapes or towels form a sterile field and present a bacterial barrier aroulld the area. Of particular concern to the present invention is the manner by which the surgical drapes or towels are secured in place.
The most usu~l method by which surgical drapes and/or 26 towels are secured in place relative to the s~erile field of the patient's body has been to secure the surgical drapes or towels to the ~ocly by the use of locking forceps which not only pierce the surgical drape or towel, they also pierce the skin of the patient and thereby secure the drape or towel in place relative to the sterile field. Tha~ securement is, of course, by the mechanical attachment through the skin and subcutaneous layers of the patient's body. This gives rise to secondary wounds, additional trauma, and possible additional disfigurement to the patient, due to further scarring that may occur.
Moreover, the bacterial barrier which is supposedly presented by the surgical drape or towel is broken due to the piercing action of the pincers through the material of the drape or towel, and after several uses -- as is common when the drapes or towels are made of muslin or other reusable material -- there may be a number of breaks or dlscontinuities in the otherwise supposedly sterile and secure bacterial barrier.
The other general approach has been the use of adhesive strips or areas which form a part of a surgical drape or towel, for placement on the body of the patient. Generally, however, such drapes or towels have needed to be disposable, as the adhesives will not withstand washing, giving rise to considerable costs of acquisition, and indeed of storage and warehousing. Several prior art examples are particularly to be noted. Each is very expensive, and none of the prior art devices easily permits any readjustment or re-positioning of 26 the surgical drape or towel, once it is placed.
Bayer et al, in U.S. Patent 3,561,440, issued February 9, 1971, teach the use of several tabs of self-adhering adhesive s material which are incorporated into or secure~ ~o the r,la~erial of a disposable surgical drape. }lowever, each of the a(~hesive areas rnust have a release paper removed fro~ it, and each forms an integrated part of the total drape that cannot be used with any other drape.
Krzewynski, in U.SO Patent 3,871,369, issued March 1~, 1975, shows several embodiments of disposable surgical drapes or towels, all of which require the placement of the drape or towel and thereafter unfolding an edge, to which has been secured an adhesive area having a releasable cover sheet. The particular stated advantage of the Krzewynski device is that correct placement with respect to the sterile field may be assured.
Merry et al, in U.S. Patent 4,080,963, issued March 28, 1978, teach a fenestrated disposable drape which may be unfolded to a number o~ differenlt configurations. However, as before, the Merry et al device is yet another form of drape, and not a securing means for retaining any drape ~n a fixed portion.
Stoneback, in U.S. Patent 4,316,456, issued February 23, 1982, teaches a surgical drape system having a fenestrated disposable drape similar to that previously taught by Krzewynski, above. Indeed, Stoneback provides several drapes one above the other, where the fenestration in the top drape is substantially larger than in the bottom, and again creates the 26 problems of expense and re-positioning, discussed above, which is common to all drapes.
While preparing for the surgical process, certain of the operating room p~rsonnel -- at least one surgeon, at least on~
; nurse -- are "sterile" and are permittcd to work at the sterile field where the operative wound is to be made. Other persons within the operating room are "non-sterile", and perform such functions as removing soiled sponges, used equiprnent, etc., away from the sterile area of the operating room. All of these procedures, of course, are established to safeguard the health of the patient, particularly against post~operative infection.
However, the risk of infection still exists where the bacterial barrier surrounding the sterile field is broken or is not intact at the time that it is put into place.
According to previous procedures, especially where launderable and reusable surgical dr~pes and towels are used in order to keep expenses down, the surgical barrier is broken whenever the surgical drape or towel is secured to the patient by piercing the material as well as piercing the skin of the patient. Moreover, previous holes that have been made from previous surgical procedures may, if the material has not been previously patched, result in a broken or non-integral bacterial barrier even before the surgical procedure begins.
The dI sadvantages mentioned above may be overcome using the securing means tor surgical drapes or towels of the present invention. Those disadvantages are particularly overcome because there is no necessity for the material of the surgical drape or towel to be pierced at any time, and yet a secure 26 attachment or placement of the surgical drape or towel with respect to the steri~e field is a~sured.
Moreover, surgical tubing which may enter the sterile field -- suction tubes or the like -- may also be secure~ in place with respect to the sterile field, particularly easily using certain embodiments of the securing means of the present ; invention, as discussed hereafter.
The securing means of the present invention, in its simplest form, comprises an independent, movable and placeable body ~hat may be moved and placed independently of any drape or other similar securing means by the surgeon or sterile nurse as the sterile field is being prepared. Each securing means has a lower surface and an upper surface; and on the lower surface ; there is an adhesive layer and a releasable cover sheet which is placed thereover. The aclhesive layer may be a pressure ` sensitive adhesive, such as polyacrylate or polymethacrylate, or other approved surgical adhesive materials.
The upper surface of the securing means has at least one portion which has an elevation relative to the lower surface that is above the area which is in the vicinity of that at least one portion. The at least one portion has a thickness and a mechanical strength which is sufficient to accommodate a - 20 clamping action thereagainst.
By the provision of such securing means, this invention permi-ts the use of forceps or clamps that do not need to pierce the drape, so that the bacterial barrier surrounding the sterile Eield will not be broken. Moreover, as the seeuring means is anchored to the patient by adhesive means~ no 26 additional wounds or trauma are caused to the patient~
Thus, this invention provides an inexpensive means Eor securing surgical drapes or towels around the sterile field, while assuring integrity of the bacterial ~arrier without causing additional wouncls or trauma to the patient.
BRIEF DESCRIPTION OF THE DRAWINGS
These and other features and objects of the invention, and several embodiments thereof, are more ful].y discussed hereafter in association with ~he accompanying drawings, in which:
Figure 1 is a perspective view, but not to scale, of a first embodiment of a securing means according to this invention;
Figure 2 is a perspective view of a second embodiment of a securing means according to this invention; and Figure 3 is a perspective view showing two securing means in use for the purpose of maintaining surgical tubing and tools in place.
DESC~PTION OF THE PREFERRED EMBODIMENTS
As mentioned above~ the present invention is directed to securi.ng means for use with surgi.cal drapes or towels~ several embodiments of which are illustrated in Figures 1 to 3.
Indeed, Figure 2, as discussed hereafterg illustrates one preferred embodiment and suggests an alternative to that embodiment.
26 In any event, it is to be noted that surgical drapes or towels may be secured to the surgical patient by other means than piercing the drape or towel and piercing the skin of the 7~
patient; or by other me~ns than a self a~hesive strip permanently forming a part of a disposable clrape or towel. Such alternative me-~ns are particularly provided by the present invention, whereby surgical drapes or towels may be used, without damage to them or additional wounds or trauma to the patient.
With reference to Figure 1, there is provided a first embodiment of a securing means for use with surgical drapes or towels~ which comprises a body 10 which is independant of any other similar body -- i.e., ~he securing means are provided (usually packaged in pairs) in such a manner that as many of them may be used as are required, and each of the independent bodies 10 or otherwise is movable and placeable on the surgical patient, irrespective and independant of any other similar body. Each of them comprises a lower surface 12 and an upper 14 surface.
On the lower surface 12, there is provided an adhesive layer 16 which is generally also provided with a releasable cover sheet 18 placed ~hereover. The releasable cover sheet 18 is removed by the sterile nurse or surgeon at the time that the securing means 10 is placed by him on the patien~ (or elsewise as described hereafter)~
The upper surface 14 of the securing means 10 of the embodiment of Figure 1 has at least one portion; and in this case two portions, designated as 20, each of which has an 26 elevation with respect to the lower surface 12 higher than the area 22 which extends between the portions 20. The area 22 may, as described hereafter with respect to Figure 2, be considerecl to be tha~ area of tile body l~ which is in the vicinity of each of the portions 20.
The upstanding portions 20 of the securing body 10 of Figure 1 each have a thickness and a mechanical strength which is sufficient ~o accommodate a clamping action against them.
That is, each portion 20 may be clamped against by clamping forceps or pincers, without collapsing or otherwise being destroyed; and each portion has the mechanical strength to withstand the clamping action and to withstand such other reasonable forces as may be imposed on it, such as the weight or a portion of the weight of the surgical drape or towel, either dry or wet.
A different embodiment of securing means for use with surgical drapes or towels, according to the present invention, is shown at 24 in Figure 2. The securing means 24 of Figure 2 has a lower surface 26 having an adhesive layer 28 and releasable cover sheet 30 placed thereover. In the upper surface of the securing means 24 of Figure 2, there are provided a number of protuberances 32. Each of the protuberances or portions 32 may have substantially straight sides as the portions 20 of securing means 10 of Figure 1, or they may have upwardly and inwardly directed sloped sides, as illustrated. There may also be some further portions 34 similar to and contiguous with the portions 32, such that each area 36 which is bounded in part by one of the portions 32 and 26 34 is lower in elevation relative to the lower surface 26 than ; the portions or protuberances 32 and 34. The securing Means 24 of Figure 2 may therefore have a generally waffled upper 7~
surface.
In utilizing securing means such as ~hose of either Figure 1 or 2 in their primary function~ the surgeon or sterile nurse places at least one and usually a plurality of the securing means on the skin of the patient surrounding the area which is to be prepared as the sterile field. Of course, in each case the releasable cover sheet is removed from the lower surface of the securing means and discarded. As the surgical drapes or towels are placed over the body of the surgical patient, it may be necessary for the surgeon or sterile nurse to feel for and determine the positioning of the securing means against the body of the patient, through the surgical drape or towel.
However, the protuberances 20, 32 or 34 have a suffici.ently high elevation above the lower surface by which they are secured to the patient, so that they may be easily located.
Thereafter, clamping forceps or other clamps or pincers may be used to secure the surgical drapes or towels in place, relative to the sterile field where the surgical wound will be made, without piercing the surgical drape or towel, and of course without piercing the skin of the patient. Thus, no permanent damage is done to the surgical drape or towel, and no damage or trauma to the patient occurs.
In another function that the securing means of the present invention serves, as illustrated in Figure 3, surgical tubing or other devices or implements may be secured in place relative 26 to the sterile field by securing means according to the present invention~ For those purposes, securing means 10 as shown previously in Figure 1 and discussed above, are particularly useful.
In Figure 3, a surgical drape or towel 3~ is shown overlying a portion 40 of the patient's body, and has been placed and secured using other securing means according to the present invention. A pair of securing means lOA are placed on the surgical drape 38 in superimposed relation one to the other, such that the lower securing means lOA is secured by its adhesive coating to the surgical drape or towel 38.
When the areas of the upper securing means or body lOA are stripped of their releasable cover sheet, the two bodies may be superimposed one on the other, with the upper body adhesively secured ~o the lower body at the upper surface of its portions 20A. However, before the upper body is placed or superimposed over the lower body, surgical tubing 42 and 44 -- such as suction tubes or the like -- are placed between the - protuberances 20A of the lower body lOA, so that they may be held and secured in place by the placement of the upper body lOA over the lower body lOAo Also shown in Figure 3 is a further purpose for the securing means of the present invention. It may sometimes happen that the surgeon wishes to put down a surgical implement, such as a forceps 46, without taki-ng them away ~rom the surgical field, and in that case the thumb or finger hole 48 (or other convenient part of an implement) may be easily placed over one of the protuberances 20 of any one of the 26 securing means 10 in use.
The materials from which the securing means of the present invention may be formed include both woven and unwoven materials, wllich may l~e i~oldecl and/or sti Lched in place, particularly as shown in l~igure 2; or closed-cell or open-cell foam material, such as polyethylene, polypropylene~
polyurathane and polyvinyl chloride.
Other embodiments of securing means according to the present invention may be formed, and other materials used, without departing from the spirit and scope of the appended claims.
This inven~ion relates to means for securing surgical drapes or towels to the body of a surgical patient, and more particularly provides means by wh;eh surgical drapes and towels may be secured to the patient withou~ injury to ~he patient or damage ~o the bac~erial barrier provided by them; and without additional trauma to the patient, beyond that caused by the primary surgical procedure being carried out. Ihe invention also provides a means for securing surgical tubing relative to the field of surgery~ in either a moveable or immoveable manner.
BACKGRI:)UND OF THE INVENTION
There have been several general approaches to preparing ("prepping") and draping any particular portion of a surgical patient's body for surgery. Those procedures include the preparation of a st~rile field, using surgical drapes or towels, which may or may not be fenestrated, or otherwise, so that the drapes or towels form a sterile field and present a bacterial barrier aroulld the area. Of particular concern to the present invention is the manner by which the surgical drapes or towels are secured in place.
The most usu~l method by which surgical drapes and/or 26 towels are secured in place relative to the s~erile field of the patient's body has been to secure the surgical drapes or towels to the ~ocly by the use of locking forceps which not only pierce the surgical drape or towel, they also pierce the skin of the patient and thereby secure the drape or towel in place relative to the sterile field. Tha~ securement is, of course, by the mechanical attachment through the skin and subcutaneous layers of the patient's body. This gives rise to secondary wounds, additional trauma, and possible additional disfigurement to the patient, due to further scarring that may occur.
Moreover, the bacterial barrier which is supposedly presented by the surgical drape or towel is broken due to the piercing action of the pincers through the material of the drape or towel, and after several uses -- as is common when the drapes or towels are made of muslin or other reusable material -- there may be a number of breaks or dlscontinuities in the otherwise supposedly sterile and secure bacterial barrier.
The other general approach has been the use of adhesive strips or areas which form a part of a surgical drape or towel, for placement on the body of the patient. Generally, however, such drapes or towels have needed to be disposable, as the adhesives will not withstand washing, giving rise to considerable costs of acquisition, and indeed of storage and warehousing. Several prior art examples are particularly to be noted. Each is very expensive, and none of the prior art devices easily permits any readjustment or re-positioning of 26 the surgical drape or towel, once it is placed.
Bayer et al, in U.S. Patent 3,561,440, issued February 9, 1971, teach the use of several tabs of self-adhering adhesive s material which are incorporated into or secure~ ~o the r,la~erial of a disposable surgical drape. }lowever, each of the a(~hesive areas rnust have a release paper removed fro~ it, and each forms an integrated part of the total drape that cannot be used with any other drape.
Krzewynski, in U.SO Patent 3,871,369, issued March 1~, 1975, shows several embodiments of disposable surgical drapes or towels, all of which require the placement of the drape or towel and thereafter unfolding an edge, to which has been secured an adhesive area having a releasable cover sheet. The particular stated advantage of the Krzewynski device is that correct placement with respect to the sterile field may be assured.
Merry et al, in U.S. Patent 4,080,963, issued March 28, 1978, teach a fenestrated disposable drape which may be unfolded to a number o~ differenlt configurations. However, as before, the Merry et al device is yet another form of drape, and not a securing means for retaining any drape ~n a fixed portion.
Stoneback, in U.S. Patent 4,316,456, issued February 23, 1982, teaches a surgical drape system having a fenestrated disposable drape similar to that previously taught by Krzewynski, above. Indeed, Stoneback provides several drapes one above the other, where the fenestration in the top drape is substantially larger than in the bottom, and again creates the 26 problems of expense and re-positioning, discussed above, which is common to all drapes.
While preparing for the surgical process, certain of the operating room p~rsonnel -- at least one surgeon, at least on~
; nurse -- are "sterile" and are permittcd to work at the sterile field where the operative wound is to be made. Other persons within the operating room are "non-sterile", and perform such functions as removing soiled sponges, used equiprnent, etc., away from the sterile area of the operating room. All of these procedures, of course, are established to safeguard the health of the patient, particularly against post~operative infection.
However, the risk of infection still exists where the bacterial barrier surrounding the sterile field is broken or is not intact at the time that it is put into place.
According to previous procedures, especially where launderable and reusable surgical dr~pes and towels are used in order to keep expenses down, the surgical barrier is broken whenever the surgical drape or towel is secured to the patient by piercing the material as well as piercing the skin of the patient. Moreover, previous holes that have been made from previous surgical procedures may, if the material has not been previously patched, result in a broken or non-integral bacterial barrier even before the surgical procedure begins.
The dI sadvantages mentioned above may be overcome using the securing means tor surgical drapes or towels of the present invention. Those disadvantages are particularly overcome because there is no necessity for the material of the surgical drape or towel to be pierced at any time, and yet a secure 26 attachment or placement of the surgical drape or towel with respect to the steri~e field is a~sured.
Moreover, surgical tubing which may enter the sterile field -- suction tubes or the like -- may also be secure~ in place with respect to the sterile field, particularly easily using certain embodiments of the securing means of the present ; invention, as discussed hereafter.
The securing means of the present invention, in its simplest form, comprises an independent, movable and placeable body ~hat may be moved and placed independently of any drape or other similar securing means by the surgeon or sterile nurse as the sterile field is being prepared. Each securing means has a lower surface and an upper surface; and on the lower surface ; there is an adhesive layer and a releasable cover sheet which is placed thereover. The aclhesive layer may be a pressure ` sensitive adhesive, such as polyacrylate or polymethacrylate, or other approved surgical adhesive materials.
The upper surface of the securing means has at least one portion which has an elevation relative to the lower surface that is above the area which is in the vicinity of that at least one portion. The at least one portion has a thickness and a mechanical strength which is sufficient to accommodate a - 20 clamping action thereagainst.
By the provision of such securing means, this invention permi-ts the use of forceps or clamps that do not need to pierce the drape, so that the bacterial barrier surrounding the sterile Eield will not be broken. Moreover, as the seeuring means is anchored to the patient by adhesive means~ no 26 additional wounds or trauma are caused to the patient~
Thus, this invention provides an inexpensive means Eor securing surgical drapes or towels around the sterile field, while assuring integrity of the bacterial ~arrier without causing additional wouncls or trauma to the patient.
BRIEF DESCRIPTION OF THE DRAWINGS
These and other features and objects of the invention, and several embodiments thereof, are more ful].y discussed hereafter in association with ~he accompanying drawings, in which:
Figure 1 is a perspective view, but not to scale, of a first embodiment of a securing means according to this invention;
Figure 2 is a perspective view of a second embodiment of a securing means according to this invention; and Figure 3 is a perspective view showing two securing means in use for the purpose of maintaining surgical tubing and tools in place.
DESC~PTION OF THE PREFERRED EMBODIMENTS
As mentioned above~ the present invention is directed to securi.ng means for use with surgi.cal drapes or towels~ several embodiments of which are illustrated in Figures 1 to 3.
Indeed, Figure 2, as discussed hereafterg illustrates one preferred embodiment and suggests an alternative to that embodiment.
26 In any event, it is to be noted that surgical drapes or towels may be secured to the surgical patient by other means than piercing the drape or towel and piercing the skin of the 7~
patient; or by other me~ns than a self a~hesive strip permanently forming a part of a disposable clrape or towel. Such alternative me-~ns are particularly provided by the present invention, whereby surgical drapes or towels may be used, without damage to them or additional wounds or trauma to the patient.
With reference to Figure 1, there is provided a first embodiment of a securing means for use with surgical drapes or towels~ which comprises a body 10 which is independant of any other similar body -- i.e., ~he securing means are provided (usually packaged in pairs) in such a manner that as many of them may be used as are required, and each of the independent bodies 10 or otherwise is movable and placeable on the surgical patient, irrespective and independant of any other similar body. Each of them comprises a lower surface 12 and an upper 14 surface.
On the lower surface 12, there is provided an adhesive layer 16 which is generally also provided with a releasable cover sheet 18 placed ~hereover. The releasable cover sheet 18 is removed by the sterile nurse or surgeon at the time that the securing means 10 is placed by him on the patien~ (or elsewise as described hereafter)~
The upper surface 14 of the securing means 10 of the embodiment of Figure 1 has at least one portion; and in this case two portions, designated as 20, each of which has an 26 elevation with respect to the lower surface 12 higher than the area 22 which extends between the portions 20. The area 22 may, as described hereafter with respect to Figure 2, be considerecl to be tha~ area of tile body l~ which is in the vicinity of each of the portions 20.
The upstanding portions 20 of the securing body 10 of Figure 1 each have a thickness and a mechanical strength which is sufficient ~o accommodate a clamping action against them.
That is, each portion 20 may be clamped against by clamping forceps or pincers, without collapsing or otherwise being destroyed; and each portion has the mechanical strength to withstand the clamping action and to withstand such other reasonable forces as may be imposed on it, such as the weight or a portion of the weight of the surgical drape or towel, either dry or wet.
A different embodiment of securing means for use with surgical drapes or towels, according to the present invention, is shown at 24 in Figure 2. The securing means 24 of Figure 2 has a lower surface 26 having an adhesive layer 28 and releasable cover sheet 30 placed thereover. In the upper surface of the securing means 24 of Figure 2, there are provided a number of protuberances 32. Each of the protuberances or portions 32 may have substantially straight sides as the portions 20 of securing means 10 of Figure 1, or they may have upwardly and inwardly directed sloped sides, as illustrated. There may also be some further portions 34 similar to and contiguous with the portions 32, such that each area 36 which is bounded in part by one of the portions 32 and 26 34 is lower in elevation relative to the lower surface 26 than ; the portions or protuberances 32 and 34. The securing Means 24 of Figure 2 may therefore have a generally waffled upper 7~
surface.
In utilizing securing means such as ~hose of either Figure 1 or 2 in their primary function~ the surgeon or sterile nurse places at least one and usually a plurality of the securing means on the skin of the patient surrounding the area which is to be prepared as the sterile field. Of course, in each case the releasable cover sheet is removed from the lower surface of the securing means and discarded. As the surgical drapes or towels are placed over the body of the surgical patient, it may be necessary for the surgeon or sterile nurse to feel for and determine the positioning of the securing means against the body of the patient, through the surgical drape or towel.
However, the protuberances 20, 32 or 34 have a suffici.ently high elevation above the lower surface by which they are secured to the patient, so that they may be easily located.
Thereafter, clamping forceps or other clamps or pincers may be used to secure the surgical drapes or towels in place, relative to the sterile field where the surgical wound will be made, without piercing the surgical drape or towel, and of course without piercing the skin of the patient. Thus, no permanent damage is done to the surgical drape or towel, and no damage or trauma to the patient occurs.
In another function that the securing means of the present invention serves, as illustrated in Figure 3, surgical tubing or other devices or implements may be secured in place relative 26 to the sterile field by securing means according to the present invention~ For those purposes, securing means 10 as shown previously in Figure 1 and discussed above, are particularly useful.
In Figure 3, a surgical drape or towel 3~ is shown overlying a portion 40 of the patient's body, and has been placed and secured using other securing means according to the present invention. A pair of securing means lOA are placed on the surgical drape 38 in superimposed relation one to the other, such that the lower securing means lOA is secured by its adhesive coating to the surgical drape or towel 38.
When the areas of the upper securing means or body lOA are stripped of their releasable cover sheet, the two bodies may be superimposed one on the other, with the upper body adhesively secured ~o the lower body at the upper surface of its portions 20A. However, before the upper body is placed or superimposed over the lower body, surgical tubing 42 and 44 -- such as suction tubes or the like -- are placed between the - protuberances 20A of the lower body lOA, so that they may be held and secured in place by the placement of the upper body lOA over the lower body lOAo Also shown in Figure 3 is a further purpose for the securing means of the present invention. It may sometimes happen that the surgeon wishes to put down a surgical implement, such as a forceps 46, without taki-ng them away ~rom the surgical field, and in that case the thumb or finger hole 48 (or other convenient part of an implement) may be easily placed over one of the protuberances 20 of any one of the 26 securing means 10 in use.
The materials from which the securing means of the present invention may be formed include both woven and unwoven materials, wllich may l~e i~oldecl and/or sti Lched in place, particularly as shown in l~igure 2; or closed-cell or open-cell foam material, such as polyethylene, polypropylene~
polyurathane and polyvinyl chloride.
Other embodiments of securing means according to the present invention may be formed, and other materials used, without departing from the spirit and scope of the appended claims.
Claims (5)
1. Securing means for use with surgical drapes or towels comprising an independent, moveable and placeable body having a lower surface and an upper surface;
said lower surface having an adhesive layer and a releasable cover sheet placed thereover;
and said upper surface having at least one portion thereof which is higher in elevation relative to said lower surface than the contiguous area of said upper surface which is in the immediate vicinity of said at least one portion.
said at least one portion having a thickness and mechanical strength sufficient to accommodate a clamping action thereagainst.
said lower surface having an adhesive layer and a releasable cover sheet placed thereover;
and said upper surface having at least one portion thereof which is higher in elevation relative to said lower surface than the contiguous area of said upper surface which is in the immediate vicinity of said at least one portion.
said at least one portion having a thickness and mechanical strength sufficient to accommodate a clamping action thereagainst.
2. The securing means of claim 1, where said upper surface comprises a plurality of portions, each of which is higher in elevation relative to said lower surface than the contiguous area of the upper surface in its respective vicinity, and each having a thickness and mechanical strength sufficient to accommodate a clamping action thereagainst.
3. The securing means of claim 1 or 2, where said upper surface has at least two spaced apart portions, each having a substantially planar top surface which is higher in elevation relative to said lower surface than the contiguous area of the upper surface in the immediate vicinity of each of said spaced apart portions;
and where said releasable cover sheet on said lower surface is removable to effect adhesive connection between the respective upper and lower surfaces when two of said bodies are placed in superimposed relation one to the other.
and where said releasable cover sheet on said lower surface is removable to effect adhesive connection between the respective upper and lower surfaces when two of said bodies are placed in superimposed relation one to the other.
4. The securing means of claim 1 or 2, where said body above said adhesive layer is formed of a material chosen from the group consisting of woven or non-woven material, and closed-cell or open-cell foam material.
5. The securing means of claim 1 or 2, having at least first and second portions in said upper surface, that are contiguous one with the other, where the area bounded in part by said first and second portions is lower in elevation relative to said lower surface than said first and second portions.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CA000424592A CA1197745A (en) | 1983-03-03 | 1983-03-03 | Surgical securing means |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CA000424592A CA1197745A (en) | 1983-03-03 | 1983-03-03 | Surgical securing means |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CA1197745A true CA1197745A (en) | 1985-12-10 |
Family
ID=4124884
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CA000424592A Expired CA1197745A (en) | 1983-03-03 | 1983-03-03 | Surgical securing means |
Country Status (1)
| Country | Link |
|---|---|
| CA (1) | CA1197745A (en) |
Cited By (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5848693A (en) * | 1997-11-04 | 1998-12-15 | Davis; Steven J. | Laparoscopic surgical tray with apertured clips |
| US7309519B2 (en) * | 1998-10-05 | 2007-12-18 | 3M Innovative Properties Company | Friction control articles for healthcare applications |
| EP3673801A1 (en) * | 2008-04-17 | 2020-07-01 | C. R. Bard, Inc. | Systems and methods for breaching a sterile field for intravascular placement of a catheter |
| US10849695B2 (en) | 2007-11-26 | 2020-12-01 | C. R. Bard, Inc. | Systems and methods for breaching a sterile field for intravascular placement of a catheter |
| US10863920B2 (en) | 2014-02-06 | 2020-12-15 | C. R. Bard, Inc. | Systems and methods for guidance and placement of an intravascular device |
| US10912488B2 (en) | 2009-06-12 | 2021-02-09 | Bard Access Systems, Inc. | Apparatus and method for catheter navigation and tip location |
| US10966630B2 (en) | 2007-11-26 | 2021-04-06 | C. R. Bard, Inc. | Integrated system for intravascular placement of a catheter |
| US10973584B2 (en) | 2015-01-19 | 2021-04-13 | Bard Access Systems, Inc. | Device and method for vascular access |
| US10992079B2 (en) | 2018-10-16 | 2021-04-27 | Bard Access Systems, Inc. | Safety-equipped connection systems and methods thereof for establishing electrical connections |
| US11000207B2 (en) | 2016-01-29 | 2021-05-11 | C. R. Bard, Inc. | Multiple coil system for tracking a medical device |
| US11026630B2 (en) | 2015-06-26 | 2021-06-08 | C. R. Bard, Inc. | Connector interface for ECG-based catheter positioning system |
| US11027101B2 (en) | 2008-08-22 | 2021-06-08 | C. R. Bard, Inc. | Catheter assembly including ECG sensor and magnetic assemblies |
| US11123099B2 (en) | 2007-11-26 | 2021-09-21 | C. R. Bard, Inc. | Apparatus for use with needle insertion guidance system |
| US11134915B2 (en) | 2007-11-26 | 2021-10-05 | C. R. Bard, Inc. | System for placement of a catheter including a signal-generating stylet |
| US11207496B2 (en) | 2005-08-24 | 2021-12-28 | C. R. Bard, Inc. | Stylet apparatuses and methods of manufacture |
| US11419517B2 (en) | 2009-06-12 | 2022-08-23 | Bard Access Systems, Inc. | Apparatus and method for catheter navigation using endovascular energy mapping |
| US11529070B2 (en) | 2007-11-26 | 2022-12-20 | C. R. Bard, Inc. | System and methods for guiding a medical instrument |
-
1983
- 1983-03-03 CA CA000424592A patent/CA1197745A/en not_active Expired
Cited By (20)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5848693A (en) * | 1997-11-04 | 1998-12-15 | Davis; Steven J. | Laparoscopic surgical tray with apertured clips |
| US7309519B2 (en) * | 1998-10-05 | 2007-12-18 | 3M Innovative Properties Company | Friction control articles for healthcare applications |
| US11207496B2 (en) | 2005-08-24 | 2021-12-28 | C. R. Bard, Inc. | Stylet apparatuses and methods of manufacture |
| US11123099B2 (en) | 2007-11-26 | 2021-09-21 | C. R. Bard, Inc. | Apparatus for use with needle insertion guidance system |
| US10849695B2 (en) | 2007-11-26 | 2020-12-01 | C. R. Bard, Inc. | Systems and methods for breaching a sterile field for intravascular placement of a catheter |
| US11779240B2 (en) | 2007-11-26 | 2023-10-10 | C. R. Bard, Inc. | Systems and methods for breaching a sterile field for intravascular placement of a catheter |
| US11707205B2 (en) | 2007-11-26 | 2023-07-25 | C. R. Bard, Inc. | Integrated system for intravascular placement of a catheter |
| US10966630B2 (en) | 2007-11-26 | 2021-04-06 | C. R. Bard, Inc. | Integrated system for intravascular placement of a catheter |
| US11529070B2 (en) | 2007-11-26 | 2022-12-20 | C. R. Bard, Inc. | System and methods for guiding a medical instrument |
| US11134915B2 (en) | 2007-11-26 | 2021-10-05 | C. R. Bard, Inc. | System for placement of a catheter including a signal-generating stylet |
| EP3673801A1 (en) * | 2008-04-17 | 2020-07-01 | C. R. Bard, Inc. | Systems and methods for breaching a sterile field for intravascular placement of a catheter |
| US11027101B2 (en) | 2008-08-22 | 2021-06-08 | C. R. Bard, Inc. | Catheter assembly including ECG sensor and magnetic assemblies |
| US11419517B2 (en) | 2009-06-12 | 2022-08-23 | Bard Access Systems, Inc. | Apparatus and method for catheter navigation using endovascular energy mapping |
| US10912488B2 (en) | 2009-06-12 | 2021-02-09 | Bard Access Systems, Inc. | Apparatus and method for catheter navigation and tip location |
| US10863920B2 (en) | 2014-02-06 | 2020-12-15 | C. R. Bard, Inc. | Systems and methods for guidance and placement of an intravascular device |
| US10973584B2 (en) | 2015-01-19 | 2021-04-13 | Bard Access Systems, Inc. | Device and method for vascular access |
| US11026630B2 (en) | 2015-06-26 | 2021-06-08 | C. R. Bard, Inc. | Connector interface for ECG-based catheter positioning system |
| US11000207B2 (en) | 2016-01-29 | 2021-05-11 | C. R. Bard, Inc. | Multiple coil system for tracking a medical device |
| US10992079B2 (en) | 2018-10-16 | 2021-04-27 | Bard Access Systems, Inc. | Safety-equipped connection systems and methods thereof for establishing electrical connections |
| US11621518B2 (en) | 2018-10-16 | 2023-04-04 | Bard Access Systems, Inc. | Safety-equipped connection systems and methods thereof for establishing electrical connections |
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