U.S. patent number 3,859,993 [Application Number 05/391,643] was granted by the patent office on 1975-01-14 for operating table accessory.
Invention is credited to Daniel G. Bitner.
United States Patent |
3,859,993 |
Bitner |
January 14, 1975 |
OPERATING TABLE ACCESSORY
Abstract
An operating table accessory for use particularly in eye surgery
comprising an instrument tray and having an underlying ventilation
fitting suspended over the patient's chest by an arched support
member releasibly and terminally mounted in sockets in the sides of
the operating table. The ventilation fitting is disposed near the
patient's face and is connectable to either an oxygen supply or a
suction device at the election of the operating surgeon.
Inventors: |
Bitner; Daniel G. (San Diego,
CA) |
Family
ID: |
23547395 |
Appl.
No.: |
05/391,643 |
Filed: |
August 27, 1973 |
Current U.S.
Class: |
128/847;
128/205.26; 5/507.1; 5/658; 211/88.01; 128/200.24; 128/849 |
Current CPC
Class: |
A61G
10/04 (20130101); A61M 16/009 (20130101); A61G
13/10 (20130101) |
Current International
Class: |
A61G
10/04 (20060101); A61G 13/00 (20060101); A61M
16/00 (20060101); A61G 13/10 (20060101); A61G
10/00 (20060101); A61m 015/00 () |
Field of
Search: |
;128/132R,132D,14R,139,146,146.3,1R,1B,142.4,142.5,276,277,287,292,298,204
;211/88,126,127 ;269/322-327 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Recla; Henry J.
Attorney, Agent or Firm: Branscomb; Ralph S.
Claims
I claim:
1. An accessory for an operating table having two opposite sides
comprising:
a support member having attachment means for direct and rigid
mounting thereof to the opposite sides of an operating table and
defining a transverse arch over a forward portion of an operating
table to which the support member is mounted;
a ventilation fitting mounted on said support member so as to be
near the face of a patient lying on said operating table and
connectable to a ventilation hose;
an instrument tray mounted on said support member; and
a surgical drape overlying said tray, ventilation fitting and arch
and depending from said accessory to define, together with an
operating table to which the accessory is attached and portions of
the body of a patient lying thereon, a ventilation space
communicating with the nose of the patient.
2. The structure according to claim 1 wherein said support member
is manually releasible from an operating table to which it is
mounted.
3. The structure according to claim 1 and including two generally
horizontal and parallel mounting sockets attached to the opposite
sides of a forward portion of an operating table to which said
accessory is mounted, and said attachment means is slidably
engagable in said mounting sockets.
4. The structure according to claim 1 wherein said ventilation
fitting comprises a rigid open-ended tube extending longitudinally
of an operating table to which said accessory is mounted and is
connectable at its foot end to said ventilation hose.
5. The structure according to claim 4 wherein the head end portion
of said tube is perforate to prevent blocking of the tube resulting
from the inhalation therein of a surgical drape when said
ventilation hose is connected to a vacuum source.
6. The structure according to claim 4 wherein said instrument tray
is mounted above said ventilation fitting and the forward edge of
said tray extends forwardly at least as far as the head end of said
ventilation fitting to prevent enshrouding of said ventilation
fitting and interference with the ventilating function thereof by
said overlying surgical drape.
Description
BACKGROUND OF THE INVENTION
The present invention related to operating table accessories, and
particularly to a combination instrument tray and ventilation
fitting.
Heretofore, patients undergoing eye surgery under local anesthesia
and requiring additional oxygen or suction for ventilation have
been provided with catheters attached to the face near the nose.
There is a need for an anchored instrument tray in the immediate
vicinity of the sphere of operation with an attached fitting which
provides ventilation without the use of catheters.
SUMMARY OF THE INVENTION
The present invention fulfills such need and includes a rigid
arcuate support member which is releasibly mounted by its ends on
both sides of an operating table and arches over the chest of a
patient lying thereon. Attached to the central portion of the
support member is a tubular ventilation fitting longitudinally
disposed above the operating table, the foot end thereof being
attachable to a ventilation hose and the opposite or head end being
open and perforate in its side portions. Mounted on the support
member above the ventilation fitting is a horizontal instrument
tray. The entire apparatus is covered by a surgical drape which
forms a substantially enclosed space encompassing at least said
head end of the ventilation fitting and the upper portion of the
patient's body, including the patient's nose, but exposing the eye
area. The ventilation hose is connected either to an oxygen supply
or a suction device, in which latter case the enclosed space is
continuously relieved of stale air and replenished with fresh air
drawn from beneath or through the surgical drape.
The apparatus including the tray is of sturdy enough construction
to provide an immobile armrest during indirect ophthalmoscopy of
the superior retina.
BRIEF DESCRIPTION OF THE DRAWINGS
FIG. 1 is a perspective view of the complete unit;
FIG. 2 is a side elevation view of the unit in use, with a surgical
drape indicated in broken line;
FIG. 3 is an end elevation view of the unit itself as taken from
the left hand side of FIG. 2; and
FIG. 4 is an enlarged sectional view taken on line 4--4 of FIG.
3.
DETAILED DESCRIPTION OF A PREFERRED EMBODIMENT
A portion of an operating table 10 with a patient thereon is
illustrated in FIG. 2. In the preferred embodiment the operating
table is of the type fitted with two opposed, laterally mounted
horizontal utility support sockets 12, one of which is shown in
FIG. 2. A support member 14, which is preferably constructed of
cylindrical steel or other suitably strong material, has two
parallel, cylindrical feet 16 extending from the ends thereof and
dimensioned to snugly engage in the sockets 12 as shown in FIG. 2
when the structure is mounted. The support member is arched as
illustrated and when mounted extends over and in proximity to the
patient's chest.
Mounted on the underside of the central portion of the support
member is a ventilation fitting 18 which may be a simple rigid,
open-ended tube. The foot end of the fitting is removably connected
to a ventilation hose 20.
The invention is contemplated for use especially in eye operations,
and in normal use surgical drape 24 would be provided to cover
those portions of the patient's body beneath eye level. The drape
defines a substantially enclosed ventilation space 26 beneath the
ventilation fitting which includes the nose and mouth of the
patient. Normally, the ventilation hose 20 would be connected to a
supply of oxygen so that the space 26 will constantly be
replenished with fresh oxygen and the stale air expelled. However,
not infrequently the operating surgeon will determine that more
appropriate ventilation will be provided by drawing off the stale
air through the ventilation fitting, causing the circulation of
fresh air from beneath the edges of, or directly through, the
drape, and the ventilation hose 20 will be connected to a suitable
vacuum source rather than an oxygen supply. In order to prevent the
ventilation fitting from inhaling the drape 24 and becoming blocked
when suction is used, the head end of the ventilation fitting is
provided with perforations 28 to provide alternate air
passages.
A surgical instrument tray 30, preferably of stainless steel
construction, is mounted atop the support member 14 and is securely
anchored thereto by spotwelding or other appropriate means. The
tray may also be welded to supports 32, as well as to the
ventilation fitting, to provide additional support. In addition to
the use of the tray as an instrument container and a steadying
support, it ensures also that the drape 24 defined an adequate
ventilation space 26, and it tends to hold the drape away from the
patient's nose and mouth and the open front end and perforations 28
of the ventilation fitting to facilitate the uncongested flow of
air or oxygen.
When general anesthesia is used, the patient receives both the
anesthetic and an air supply through a tube feeding directly into
the trachea, and no other ventilation is required. The endotracheal
tube and the hose connections pass along the patient's chest
enclosed in space 26 beneath arch 14 and attach to an anesthesia
machine located at the level of the patient's waist. In this
situation, the tray is used alone and the ventilation fitting need
not be connected to the ventilation apparatus. When a local
anesthetic is administered, however, ventilation must be provided
beneath the surgical drape to prevent suffocation of the patient,
and the ventilation fitting and instrument tray are of concomitant
utility.
The entire structure is strong and firmly mounted. Instruments to
be used during the course of the operation can be temporarily
contained in the tray 30 to maximize their accessibility and
promote the smooth uninterrupted progression of the operation,
particularly during microsurgery. When surgery is finished, the
apparatus can be very simply removed without disturbing the patient
by removing the drape 24, disconnecting the ventilation hose, and
removing the support member from the sockets 12.
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