CROSS-REFERENCE TO RELATED APPLICATIONSThis application is a continuation of U.S. application Ser. No. 15/017,108 filed on Feb. 5, 2016, which claims the benefit of U.S. Provisional Application No. 62/150,739 filed on Apr. 21, 2015, the disclosures of which are hereby incorporated by reference herein in their entirety.
FIELD OF INVENTIONThe present general inventive concept relates generally to biological transport carriers, and more particularly to biological containment and transport carriers for use with setup tables in operating rooms, and methods for using the same.
BACKGROUNDDuring many medical procedures, numerous amounts of instruments and tools are used by health care workers to perform various invasive surgical procedures. Instruments and tools that are opened in a surgical suite, whether used during the procedure or not, must be thoroughly decontaminated prior to disinfection and/or sterilization.
The decontamination procedure, which is time consuming and costly, typically begins during the surgical procedure by using a sterile water-moistened sponge to remove blood and other debris from the instruments and to prevent biological material from drying on the instruments.
Typically, a setup table, also referred to herein as aback table setup10, is used to assist health care workers in separating and sorting the contaminatedinstruments14 at the point of use (e.g., the surgical suite). (SeeFIG. 1) The health care workers may loadtrays12 filled with the contaminatedinstruments14 on upper andlower shelves16 and18 of theback table setup10. However, since theback table setups10 require the health care workers to frequently bend down and reach in between the contaminatedinstruments14 and also provide limited visibility to load and unloadinstruments14, these back table set-ups10 often put a considerable amount of burden, stress, and risk of infection on the health care workers.
The contaminatedinstruments14 andback table setup10 must then be transported to specific decontamination areas (“SPD”) within a facility to be decontaminated prior to re-use. The contaminated equipment may be transported on theback table setup10 or may be transferred onto specifically designed transport carts. However, due to the costs associated with obtaining, decontaminating, and maintainingback table setups10 and these transport carts, many medical facilities maintain a limited number ofback table setups10 and transport carts which are repeatedly decontaminated and re-used.
Consequently, there is a need for a disposable bio containment apparatus and method for containing contaminated instruments at a point of use which reduces cross-contamination during transport, reduces risk of infection exposure to health care workers, and also reduces costs for medical facilities.
BRIEF SUMMARYExample embodiments of the present general inventive concept provide a biological containment and transport carrier apparatus including for use with a table in an operating room to store surgical equipment, including a base layer having an inner surface and an opposing outer surface, a top layer having an inner surface and an opposing outer surface, a perimeter of the top layer being coupled to a perimeter of the base layer to form a sealed bag, and a zipper formed within the top layer configured to open and close an insertion flap to provide access to a cavity formed between the base layer and the top layer such that when the zipper is open, a portion of the top layer extending around the zipper is configured to fold inside out over a top surface of the table and to extend below the top surface to secure the base layer to the top surface of the table.
The base layer and the top layer can include a length and a width defined by a length and width of the top surface of the table.
The inside out folded portion of the top layer can be configured to form a sterile drape portion extending below a bottom surface of the table.
The sterile drape portion can extend at least two inches below the bottom surface of the table.
The base layer and the top layer may be constructed from a puncture resistant material.
The base layer and the top layer may be constructed from a leak resistant material.
The base layer and the top layer may be constructed from a material having a thickness between about 0.2 millimeters to 10 millimeters.
The base layer and the top layer may be constructed from a material configured to be an antimicrobial barrier from the table.
The cavity formed between the base layer and the top layer may be sealed off from an external environment when the zipper is closed.
The cavity formed between the base layer and the top layer may be open to an external environment when the insertion flap is in an open state.
The sealed bag formed between the base layer and the top layer may be leak proof when the zipper is closed.
Example embodiments of the present general inventive concept can also provide a method of containing and transporting bio-contaminated instruments when storing surgical instruments on a table in an operating room, including obtaining a biological containment and transport carrier including a base layer having an inner surface and an outer surface, a top layer having an inner surface and an outer surface, the top layer coupled to the base layer, and a zipper formed in a central portion of the top layer, the zipper can be configured to open and close an insertion flap formed by the top layer when the zipper is open and closed, respectively, wherein the inner surface of the base layer is configured to lie flat on a surface of a table and wherein end and corner portions of the top layer are configured to fold inside out to secure the base layer to the surface of the table, placing the outer surface of the base layer on the surface of the table, opening the insertion flap by using the zipper, folding the portions of the top layer around the zipper inside out to secure the base layer to the surface of the table, placing bio-contaminated instruments within an opening of the top layer defined by the insertion flap, unfolding the inside out portions of the top layer around the zipper, and closing the insertion flap by using the zipper to contain the bio-contaminated instruments between the base layer and the top layer.
Additional features and embodiments of the present general inventive concept will be apparent from the following detailed description, drawings, and claims.
BRIEF DESCRIPTION OF THE FIGURESThe following example embodiments are representative of example techniques and structures designed to carry out the objects of the present general inventive concept, but the present general inventive concept is not limited to these example embodiments. In the accompanying drawings and illustrations, the sizes and relative sizes, shapes, and qualities of lines, entities, and regions may be exaggerated for clarity. A wide variety of additional embodiments will be more readily understood and appreciated through the following detailed description of the example embodiments, with reference to the accompanying drawings in which:
FIG. 1 is a front perspective view of a conventional back table setup cart;
FIG. 2 is a front perspective view of a biological containment and transport carrier according to an example embodiment of the present general inventive concept, wherein an insertion flap is in a partially open state;
FIG. 3 is an exploded front perspective assembly view of the biological containment and transport carrier illustrated inFIG. 2 and a back table setup;
FIG. 4 is a front perspective view of the biological containment and transport carrier illustrated inFIG. 3 secured to the back table setup, wherein the insertion flap is in a fully open state.
FIG. 5 is a front perspective view of the biological containment and transport carrier illustrated inFIG. 3 filled with contaminated instruments;
FIG. 6 is a front perspective view of a biological containment and transport carrier according to another example embodiment of the present general inventive concept; and
FIG. 7 is a front perspective view of a biological containment and transport carrier according to another example embodiment of the present general inventive concept.
DETAILED DESCRIPTIONReference will now be made to the example embodiments of the present general inventive concept, examples of which are illustrated in the accompanying drawings and illustrations. The example embodiments are described herein in order to explain the present general inventive concept by referring to the figures.
The following detailed description is provided to assist the reader in gaining a comprehensive understanding of the structures and fabrication techniques described herein. Accordingly, various changes, modification, and equivalents of the structures and fabrication techniques described herein will be suggested to those of ordinary skill in the art. The progression of fabrication operations described are merely examples, however, and the sequence type of operations is not limited to that set forth herein and may be changed as is known in the art, with the exception of operations necessarily occurring in a certain order. Also, description of well-known functions and constructions may be simplified and/or omitted for increased clarity and conciseness.
Numerous variations, modifications, and additional embodiments are possible, and accordingly, all such variations, modifications, and embodiments are to be regarded as being within the spirit and scope of the present general inventive concept. For example, regardless of the content of any portion of this application, unless clearly specified to the contrary, there is no requirement for the inclusion in any claim herein or of any application claiming priority hereto of any particular described or illustrated activity or element, any particular sequence of such activities, or any particular interrelationship of such elements. Moreover, any activity can be repeated, any activity can be performed by multiple entities, and/or any element can be duplicated.
It is noted that the simplified diagrams and drawings included in the present application do not illustrate all the various connections and assemblies of the various components, however, those skilled in the art will understand how to implement such connections and assemblies, based on the illustrated components, figures, and descriptions provided herein. Numerous variations, modification, and additional embodiments are possible, and, accordingly, all such variations, modifications, and embodiments are to be regarded as being within the spirit and scope of the present general inventive concept.
The present general inventive concept provides a disposable bio-containment instrument transport bag which reduces cross-contamination and controls bio-burden exposure when transporting instruments used or exposed during medical procedures from a point of use (e.g., a surgical suite) to a decontamination area (e.g. a sterile processing department). The bio-containment instrument transport bag may be constructed from a heavy duty puncture and leak resistant material that further acts as an anti-microbial barrier between a table and the contaminated medical instruments. The bio-containment instrument transport bag may further control exposure of bio-aerosols from the contaminated medical instruments stored therein when being transported from the surgical suite to a decontamination area through various semi sterile areas within the facility.
FIG. 2 is a front perspective view of a biological containment andtransport carrier100 according to an example embodiment of the present general inventive concept, wherein an insertion flap is in a partially open state. Referring toFIG. 2, the biological containment andtransport carrier100 may include abase layer110 having aninner surface112 and an opposingouter surface114, atop layer120 having aninner surface122 and an opposingouter surface124, and azipper130 formed which can be formed in a u-shape along edges (e.g., along three sides) and corners of thetop layer120.
In the present example embodiment, aperimeter116 of thebase layer110 may be coupled and sealed to aperimeter126 of thetop layer120 to form a sealed bag. However, the present general inventive concept is not limited thereto. That is, in alternative example embodiments, a portion of theperimeter116 of thebase layer110 may be coupled and sealed to a portion of theperimeter126 of thetop layer120 to form the sealed bag.
In the present example embodiment, thezipper130 may be configured in a u-shape to open and close aninsertion flap132 to provide access to acavity134 formed in between thebase layer110 and thetop layer120. That is, thezipper130 may include amovable zipper member130awhich opens theinsertion flap132 when moved along a first direction D1 and closes theinsertion flap132 when moved along a second direction D2.
FIG. 3 is an exploded front perspective assembly view of the biological containment andtransport carrier100 illustrated100 inFIG. 2 and aback table setup10. Referring toFIG. 3, thebase layer110 may be coupled to thetop layer120 in such a manner so as to create aninner seam102 within thecavity134 formed between thebase layer110 and thetop layer120. Theinner seam102 may be formed around theperimeter116 of thebase layer110 and may be sized and shaped so as to correspond or match a size and shape of theback table setup10.
In the present example embodiment, as illustrated inFIGS. 2 and 3, aportion120aof thetop layer120 surrounding thezipper130 may be designed and/or configured to fold inside out to thereby secure thebase layer110 to theback table setup10.
In alternative example embodiments, thebase layer110 and thetop layer120 may be custom designed to include a width dimension (e.g., 44 inches) and a length dimension (e.g., 36 or 68 inches) to correspond or match width and length dimensions of asurface10aof a certain back table10. That is, theinner seam102 formed within thecavity134 may include a width dimension which corresponds to and matches a width dimension of thesurface10aof the back table10 and a length dimension which corresponds to and matches a length dimension of thesurface10aof the back table10. As such, by folding theportion120aof thetop layer120 inside out around the table10, theinner surface112 of thebase layer110 may thereby be securely affixed so that thebase layer110 is parallel and/or flat with respect to thesurface10aof the back table10.
FIG. 4 is a front perspective view of the biological containment and transport carrier illustrated100 inFIG. 3 secured to theback table setup10, wherein theinsertion flap132 is in a fully open state.
Referring now toFIGS. 2 through 4, in the present example embodiment, a user (e.g., a health care worker) may place thetransport carrier100 onto thesurface10aof the back table10 so that theouter surface114 of thebase layer110 faces and contacts thesurface10aof the table10, and thetop layer120 faces an upward direction.
The user may then slide or move thezipper member130aalong the first direction D1 to open theinsertion flap132. In the present example embodiment, thecavity134 formed between thebase layer110 and thetop layer120 may be sealed off from the external environment E when theinsertion flap132 is in a closed state and may be exposed to the external environment E when in an open state. The user may then fold open theinsertion flap132 over aside10b(e.g., a back side) of the back table10 to expose thecavity134 formed in between thebase layer110 andtop layer120 to the external environment E.
The user may then fold theportion120aof thetop layer120 around thezipper130 inside out over and around all thesides10b,10c,10d, and10eof the back table10 to thereby secure thetransport carrier100 to thesurface10aof the back table10. In addition, theportion120bof thetop layer110 may be configured and/or designed to secure theinsertion flap132 to the side of the back table10 when folded inside out.
In the present example embodiment, the inside out foldedportion120bof thetop layer110 may form a sterile drape portion, or margin border, extending around allsides10b,10c,10d, and10eof the table. The sterile drape portion may extend to a distance W1 below thesurface10aof the back table10, for example a distance of about 2 inches. However, the present general inventive concept is not limited to any particular distance W1 for the sterile margin created by the inside out folded portion. The inside out folded out portion of the top layer is constructed and designed to create the sterile drape portion when the zipper is open. The structure is dimensioned to substantially match the dimensions of the table such that the when the device is situated on the top surface of the table, the edge and/or corner portions are designed to wrap around one or more outer edges of the table and extend a predetermined distance below the bottom surface of the table to secure the base layer to the table and to provide a sterile margin, or drape portion, around the table, and to provide a custom fit for the table to allow for sterile use in procedure of setup packs with reduced exposure of contaminated surfaces.
For example, during and/or after a medical procedure, users (e.g., health care workers) may easily loadmedical trays12 filled with contaminatedinstruments14 onto a flatinner surface112 of thebase layer110, which has been detachably secured to the back table10.
The biological containment andtransport carrier100 according to the present inventive concept provides complete visibility of theentire surface10aof the back table10, thereby reducing the health care workers exposure risk for infection when loading and/or unloading the contaminatedinstruments14 into and out of thetransport carrier100. In addition, thetransport carrier100 may further provide a microbacterial barrier between the contaminatedinstruments14 and thesurface10aof the back table10 to reduce a risk of cross-contamination and to allow for sterile use in procedure setup packs. The carrier is designed to specifically meet specifications for surgical instrument transport.
Once the health care workers finish loading theinner surface112 of thebase layer110 with contaminatedinstruments14, the foldedportion120bmay then be unfolded from the table10 to thereby release thebase layer110 from thesurface10aof the table10.
FIG. 5 is a front perspective view of the biological containment andtransport carrier100 illustrated inFIG. 3 filled with contaminatedinstruments14. Referring toFIG. 5, the health care worker may then fold theinsertion flap132 back over the contaminatedinstruments14 and close theinsertion flap132 to contain and/or seal off the contaminatedinstruments14 from the external environment E. In the open state, the configuration of the zipper which is designed to extend around at least one side of the length and both end width portions of the carrier permits the top layer to be lifted up and away from a top front edge of the table such a person standing in front of the table can visualize contents of the container or place additional instruments into the container. The zipper can then be closed to seal the contaminated instruments therein, without requiring squatting or bending of the person. In the present example embodiment, the sealed bag formed between thebase layer110 and thetop layer120 is leak proof when theinsertion flap132 is in the closed state. The bag may be provided and packaged for use in an unsterile form, or it may be added to sterile procedure packs for use as a table cover that converts to a transport bag.
In alternative example embodiments, thezipper130 may include an elastic portion (not illustrated) to further assist in securing thebase layer110 to the table10 when folded inside out around the edges of the back table10.
In alternative example embodiments, thebase layer110 and thetop layer120 may be constructed from a heavy duty puncture resistant and/or leak resistant material. The material may have a thickness between about 0.2 millimeters to 10 millimeters, which has been found to provide sufficient leak and/or puncture resistance properties in view of the specific types of instruments that may be stored therein, and may include antimicrobial properties so as to create a microbacterial barrier between thesurface10aof the table10 and objects placed on thebase layer110. This addresses sharp instrument protocols and guidelines for sharp instruments. However, the present general inventive concept is not limited to any particular thickness or material. For example, in some example embodiments, thebase layer110 and thetop layer120 may be constructed from a variety of single or multi-layered barrier fabrics including non-woven polypropylene and/or various other polymeric materials.
FIG. 6 is a front perspective view of a biological containment andtransport carrier200 according to another example embodiment of the present general inventive concept. Referring toFIG. 6, the biological containment andtransport carrier200 according to the present example embodiment includes the elements and/or features as described in the previous example embodiments. That is, the biological containment andtransport carrier200 may include abase layer210 having an inner surface212 and an opposing outer surface214, atop layer220 having an inner surface222 and an opposing outer surface224, and au-shaped zipper230 formed along edges (e.g., along three sides) of thetop layer220. In addition, the biological containment andtransport carrier200 according to the present example embodiment may further include avacuum port240 formed through thetop layer220 which may be used to vacuum seal thetransport carrier200. A vacuuming device (not illustrated) may be detachably coupled to thevacuum port240 to safely remove air, bio-burden, and/or bio-aerosols within the cavity234 formed between thebase layer210 and thetop layer220, when theinsertion flap232 is in a closed state. In the present example embodiment, thevacuum port240 allows the health care workers to vacuum seal the biological containment andtransport carrier200 to reduce a risk of cross-contamination when transporting thetransport carrier200 from the point of use to a specific decontamination area.
FIG. 7 is a front perspective view of a biological containment andtransport carrier300 according to another example embodiment of the present general inventive concept. Referring toFIG. 7, the biological containment andtransport carrier300 according to the present example embodiment may include the features and/or elements as described in the previous example embodiments. The biological containment andtransport carrier300 may include abase layer310 having an inner surface312 and an opposing outer surface314, atop layer320 having an inner surface322 and an opposing outer surface324, and azipper330 formed along central portion of thetop layer320.
The biological containment and transport carrier according to the present general inventive concept provides a disposable bio-containment instrument transport bag which reduces cross-contamination and controls bio-burden exposure when transporting contaminated instruments from a point of use (e.g., a surgical suite) to a decontamination area (e.g. a sterile processing department). The biological containment and transport carrier provides a barrier between the contaminated instruments and reduces cross contamination and controls bio-burden and bio-aersols during post-operative transport of the contaminated instruments through semi sterile areas from the point of use to the specific decontamination areas.
The biological containment and transport carrier provides an airtight and/or water proof cavity in which the contaminated instruments are kept moist for ease of cleaning even hours after the medical procedures. The biological containment and transport carrier may further be constructed of a disposable material which allows health care workers to easily load, transport, and unload contaminated instruments after medical procedures and then dispose the biological containment and transport carrier to reduce costs associated with maintaining and cleaning and decontaminating wash cycles of conventional back table setups. Embodiments of the present general inventive concept reduce expenses and labor associated with cart maintenance and cart washing cycles and expedite sterile instrument reprocessing. Operating room turnover time is reduced.
While the present general inventive concept has been illustrated by description of several example embodiments, and while the illustrative embodiments have been described in detail, it is not the intention of the applicant to restrict or in any way limit the scope of the general inventive concept to such descriptions and illustrations. Instead, the descriptions, drawings, and claims herein are to be regarded as illustrative in nature, and not as restrictive, and additional embodiments will readily appear to those skilled in the art upon reading the above description and drawings. Additional modifications will readily appear to those skilled in the art. Accordingly, departures may be made from such details without departing from the spirit or scope of applicant's general inventive concept.