U.S. patent number 3,862,632 [Application Number 05/335,108] was granted by the patent office on 1975-01-28 for surgical drape having integral leggings and method of making.
This patent grant is currently assigned to Kimberly-Clark Corporation. Invention is credited to Kurt W. Hinsch.
United States Patent |
3,862,632 |
Hinsch |
January 28, 1975 |
SURGICAL DRAPE HAVING INTEGRAL LEGGINGS AND METHOD OF MAKING
Abstract
A surgical drape having integral leggings therein and adapted
for use by a patient in the lithotomy position. The surgical drape
is fabricated from as little as three sheets, including a main
sheet and two smaller sheets of material which are attached on
opposite sides of said main sheet to form a pair of leggings.
Inventors: |
Hinsch; Kurt W. (Tucson,
AZ) |
Assignee: |
Kimberly-Clark Corporation
(Neenah, WI)
|
Family
ID: |
23310289 |
Appl.
No.: |
05/335,108 |
Filed: |
February 23, 1973 |
Current U.S.
Class: |
128/849; 128/856;
128/853 |
Current CPC
Class: |
A61B
46/30 (20160201) |
Current International
Class: |
A61B
19/08 (20060101); A61B 19/00 (20060101); A61b
019/06 () |
Field of
Search: |
;128/132D,132R,292,155,156,157 |
References Cited
[Referenced By]
U.S. Patent Documents
Primary Examiner: Gaudet; Richard A.
Assistant Examiner: Dunne; G. F.
Attorney, Agent or Firm: Wolfe, Hubbard, Leydig, Voit &
Osann, Ltd.
Claims
What is claimed is:
1. A surgical drape having integral leggings therein,
comprising:
a main sheet having a head end portion, a foot end portion and two
side portions where said leggings are located;
said main sheet having a fenestration located generally midway
between said head and foot end portions and said side portions;
said main sheet being inwardly cut from both outside edges toward
the center and adjacent said fenestration, each side portion below
the cut line being folded inwardly to define a diagonal fold line,
the edges of each said folded over side portion defining, together
with the unfolded side portion nearer said head end portion, three
sides of a generally quadrangular shape;
each of said leggings being comprised of a generally quadrangular
piece of material attached to said main sheet along said three
sides of said shape to define a pocket between said folded over
side portion and said piece in which the leg of a patient may be
inserted while in the lithotomy position.
2. A surgical drape as defined in claim 1 wherein said main sheet
is inwardly cut from both outside edges along two lines which
converge adjacent said fenestration, so as to remove a triangular
shaped portion from each of said side portions, each side portion
below the cut lines being folded inwardly to define a diagonal fold
line.
3. A surgical drape as defined in claim 1 wherein a single cut is
made inwardly toward the center from each of said outside edges,
each side portion below said cut line being folded inwardly to
define a diagonal fold line, the edges of each said folded over
side portion defining, together with said unfolded portion adjacent
said cut line, the three sides of said generally quadrangular
shape.
4. A surgical drape as defined in claim 3 wherein said cut lines
are generally perpendicular to a line extending from the head to
the foot end portion, so that when said side portions are folded
inwardly to define said diagonal fold line, said generally
quadrangular shape comprises a rectangular shape and each of said
pieces of material which are bonded to said main sheet are in the
shape of a rectangle.
5. A surgical drape as defined in claim 1 wherein said quadrangular
pieces of material are continuously bonded to said main sheet along
first and second sides of said quadrangular shape and along the
third side from the intersection of said second and third sides to
a point located a predetermined distance inwardly from the outside
edge of said main sheet to permit even draping of said surgical
drape over the stirrup of a table when the patient is in the
lithotomy position.
6. A surgical drape as defined in claim 5 wherein a reinforcing
patch is applied at said predetermined point on said third side and
a second patch is applied at the intersection of said first and
second sides to provide additional strength as well as close small
openings which communicate bacteria between opposite sides of the
drape.
7. A surgical drape as defined in claim 1 wherein said pieces of
material extend outwardly from the edges of said main sheet.
8. A method of making a surgical drape having integral leggings
therein, comprising the steps of:
providing a main sheet with head and foot end portions defining the
longitudinal direction thereof, with a fenestration being located
near the center thereof;
cutting said main sheet along lines generally transversely of said
longitudinal direction and inwardly a predetermined distance at a
location between said head end and foot end portions;
folding outer side portions nearer the foot end portions of said
cut lines inwardly and toward said foot end portion so as to define
a generally triangular opening at each side of said main sheet, the
edges of each said folded over side portion defining, together with
the unfolded side portion nearer said head end portion, three sides
of a generally quadrangular shape;
adhesively bonding a piece of material to the edges of each of said
folded over portions and to the unfolded main sheet adjacent said
cut lines to define a pocket between each said folded over portion
and piece which provide a pair of integral leggings for draping a
patient in the lithotomy position; and
applying reinforcing patches having pressure sensitive adhesive
thereon at a predetermined point on the third side and at the
intersection of the first and second sides of said quadrangular
shape to provide additional strength for preventing tearing of said
drape during use and to hold said pieces to said main sheet until
said adhesive bonding said pieces to said main sheet sets.
Description
The present invention relates generally to surgical drapes and,
more particularly, to surgical drapes of improved construction
which have integral leggings therein and which are particularly
adapted for use on a patient while in the lithotomy position.
Because it has long been known that the use of surgical drapes
together with separate leg covers or leggings in cystoscopy or
lithotomy procedures have had several shortcomings. Among other
things, the aseptic techniques involved with their use has at least
one considerable disadvantage, the disadvantage being that the
leggings are separate articles and quite often present a gap
between the main surgical drape and the legging which can easily
contribute to contamination during use. Additionally, the separate
leggings are often quite unwieldy and take considerably time in
which to apply. For these reasons, there has been a long-felt need
for a surgical drape having integral leggings which would
inherently improve the aseptic technique and would also require
only a single drape sheet for patients in the lithotomy
position.
With a drape sheet having integral leggings, the necessity for
considerable overlapping of the legging material with the main
drape sheet is also eliminated, so that with proper design, it is
possible to use considerably less material than would be required
for separate leggings and a surgical drape. While recent
developments in the area of disposable surgical drapes have
included surgical drape sheets that have integral leggings, such
preexisting drapes have required considerable sewing or attaching
of many separate pieces in their fabrication. For example, in one
instance five separate pieces must be attached to one another in
the fabrication of such a surgical drape. It is quite apparent that
in the market place for disposable surgical drapes, the requirement
for attaching a substantial number of pieces of material in the
fabrication of such drapes will increase the cost because of the
additional labor involved in cutting and attaching the pieces
together. Since such disposable surgical drapes are often intended
for only a single use, it should be understood that such a design
is not desirable. On the other hand, while surgical drapes made of
muslin or other woven material that are adapted for reuse after
laundering may more easily justify the added labor cost of sewing
together many difference pieces of material, it should also be
understood that the cost of such reusable surgical drapes would
accordingly be less if fewer pieces of material were combined to
form it.
Accordingly, it is a primary object of the present invention to
provide a surgical drape having integral leg covers or leggings
therein, so that the surgical drape is particularly adapted for use
on patients while they are in the lithotomy position.
Still another object of the present invention is to provide a
surgical drape having integral leggings that is easily fabricated
from as few as three pieces of material and which is capable of
being fabricated from differing materials, thereby permitting the
drape to be directed toward either the disposable or reusable
surgical drape markets.
Yet another object of the present invention lies in the provision
for fabricating a surgical drape having integral leggings therein
that can be easily made in a short period of time.
Still another object of the present invention is to provide a
surgical drape sheet having integral leggings therein which can be
easily applied to the patient in the lithotomy position with a
minimum of effort.
Still another object of the present invention is to provide a
surgical drape having integral leggings therein which uses
considerably less material during fabrication and which has no gaps
near the fenestration thereof which would permit bacterial
contamination of the fenestration area.
Other objects and advantages will become apparent upon reading the
ensuing specification, while referring to the attached drawings, in
which:
FIG. 1 is a perspective view of a patient in the lithotomy position
with the surgical drape embodying the present invention applied
thereto;
FIG. 2 is a top plan view of a portion of the surgical drape of the
present invention;
FIG. 3 is a top plan view of the surgical drape of the present
invention, with portions removed;
FIG. 4 is a front elevation of the surgical drape shown in FIG. 3
and is taken generally in the direction of the line 4-4 of FIG.
3;
FIG. 5 is a top plan view of a modification of the surgical drape
embodying the present invention, and is shown with certain portions
removed.
While the invention is susceptible of various modifications and
alternative forms, certain specific embodiments thereof have been
shown by way of example in the drawings which will be described
herein. It should be understood, however, that it is not intended
to limit the invention to the particular forms disclosed, but, on
the contrary, the invention is intended to cover all modifications,
equivalents and alternatives falling within the spirit and scope of
the invention.
Turning now to the drawings, and particularly FIG. 1, there is
shown a surgical drape embodying the present invention as applied
to a patient that is positioned on a cystoscopy table in the
lithotomy position. As is well known in the field of surgery, both
lithotomy and cystoscopy procedures are carried out with the
patient in illustrated position, and the patient's feet are
typically placed in outwardly extending stirrups. As is best shown
in FIGS. 3 and 5, two embodiments of the surgical drape having
integral leggings therein are specifically illustrated. Turning
firstly to the embodiment shown in FIGS. 2, 3, and 4, the surgical
drape comprises a main sheet generally indicated at 10, which has
head and foot portions 12 and 14, respectively, as well as side
portions 16 and 18 and integrally formed leggings 20 and 22. For
purposes of description herein, the longitudinal line of the main
sheet is defined as the direction between the head and foot
portions 12 and 14 although the width of the main sheet is slightly
larger than its length. Generally midway between the head and foot
portions as well as midway between the side portions is a
fenestration or opening 24 through which the surgical procedures
are performed by a physician.
In accordance with an important aspect of the present invention,
the manner in which the leggings are constructed in the surgical
drape of the present invention will now be described. As shown in
FIG. 3, the side portion 16 is shown with the leggings 20
completed, while the opposite side portion 18 is shown prior to
final completion.
To form the leggings, cut lines 26 and 28 are made inwardly from
the outside edges toward the center of the main sheet. The side
portions 16, 18 below the cut lines 26, 28 as viewed in FIGS. 2 and
3 are then folded inwardly toward the foot end portions to define
diagonal fold lines 30 and 32. As is shown with respect to the side
portion 18, the unfolded portion on the head end side or above the
cut lines 26 and 28 define a first side 34 of a generally
quadrangular shape, with the other sides 36 and 38 being defined by
the folded over portions of the main sheet. Thus, the lines 34, 36
and 38 define three sides of a generally quadrangular shape. It
should be understood that with the embodiment illustrated in FIG.
3, the cut lines 26 and 28 are generally perpendicular to the
longitudinal direction of the gown, and with the fold lines 30 and
32 being at an angle of approximately 45.degree. relative to their
respective cut lines, the angles between intersecting adjacent
sides 34, 36 and 38 are at right angles to each other and thereby
define a rectangular shape. It should be understood that in the
event the angle of each of the cut lines is somewhat different from
that shown, or if the folded over portions do not have a diagonal
fold line at an angle of 45.degree. as shown, the quadrangular
shape will be something other than a rectangle.
To complete the fabrication of the leggings 20, 22, it is only
necessasry to attach generally quadrangular pieces of material 40
to the main sheet by placing the pieces in overlying position as
shown with respect to the legging 20 in FIG. 3, and thereafter
attaching the pieces to the main sheet adjacent the cut lines 26,
28 and to the folded over portions of the main sheet along the
lines 34, 36 and 38 to define pockets between the coextensive areas
of said folded over portions and said pieces 40. The pieces of
material 40 preferably extend beyond the outer edge of the main
sheet so that when the surgical drape is applied to the patient
while in a lithotomy position, the legs of the patient extend into
said pockets and the material will drape downwardly below the upper
surface of the table. While the pieces of material 40 may be
attached to the main sheet by various means, such as sewing or
adhesive bonding, it is preferred that the attachment be continuous
along the lines 34, 36 and 38 to prevent the passage of bacteria
and contaminates through the seam.
If adhesive bonding is used to attach the pieces 40 to the main
sheet 10, it should be understood that in relatively fast
production line fabrication, the adhesive may not have sufficient
time in which to fully set or dry, in which case the bond may not
have sufficient strength to preclude pulling apart during
subsequent folding steps. It has been found that by applying
patches 42 of material preferably having a pressure sensitive
adhesive thereon which has considerably strength immediately after
application, to the intersection lines 34 and 36, sufficient
strength will be present to substantially preclude separation of
the pieces of material 40 from the main sheet during subsequent
folding steps.
It should be noted that the patches 42 also effectively cover a
small opening at the intersection of the lines 34 and 36 and
thereby tend to block the passage of contaminates or bacteria
through the drape at this location in addition to providing
desirable reinforcement during fabrication of the drape.
Additionally, similar patches 44 may desirably be placed at the end
of the lines 38 to reinforce the end of this seam as well. It
should be understood from FIG. 1 that the patches 44 may be
required to sustain considerable stress during use, since it is
this area that will overlie the stirrups which hold the patient's
legs and feet. The patches 44 are preferably attached to the folded
over side portions 16, 18 in a manner such that approximately half
of the patch will contact the underside of the folded over portion
and the other half will contact the piece of material 40 and
thereby reinforce the seam between the two components. It should
also be understood that in the event the pieces of material 40 are
sewn to the main sheet, it may be unnecessary to have such
reinforcing patches 44 since additional stitches may suffice if
reinforcement is needed at certain locations along the seam.
In keeping with the present invention, the main sheet 10 is
preferably a rectangular shape but may have the corners removed by
cutting along the diagonal lines 46 near the head end portion and
along lines 48 near the foot end portion, merely to remove
unnecessary material which offers little additional benefit during
use. It should be understood, however, that the corners may be left
intact without causing any substantial detrimental effect.
The surgical drape of the present invention may be fabricated from
either a woven material such as conventional muslin or other cloth,
or it may be fabricated from a nonwoven fabric or suitable plastic
film, such as polyethylene, if desired. A desirable nonwoven
material that is particularly suited for producing a disposable
surgical drape embodying the present invention comprises outer
layers of wadding and inner layers of highly drafted fibers
disposed angularly relative to each other with a spaced pattern of
adhesive disposed between each fiber layer and its adjacent wadding
layer, with the fibers in each fiber layer partially embedded in
and held by the adhesive of the adjacent adhesive layer and
partially embedded in and held by the adhesive in the other
adhesive layer where it extends between the adjacent fibers of its
adjacent fiber layer as described in the Sokolowski U.S. Pat. No.
3,484,330, assigned to the assignee of the present invention.
Turning now to the embodiment illustrated in FIG. 5, there is shown
a main sheet 100 having head and foot portions 112 and 114,
respectively, and side portions 116 and 118, together with a
generally centrally located fenestration 124, all of which is
similar to the main sheet 10 illustrated in FIG. 1. it can be seen,
however, that the integrally formed leggings 120, 122 of this
embodiment are positioned at a different angle relative to the
longitudinal direction than is the case with the embodiment
illustrated in FIGS. 2, 3 and 4. In this instance, a pair of inward
cut lines 126 and 128 are made and converge to a point 130 located
adjacent the fenestration, thus removing a segment of material
shown in phantom at 131. The side nearer the foot portion of the
main sheet 100 is folded over at 130 along a diagonal fold line 132
in a manner similar to that described with respect to FIG. 2. The
lines 134, 136 and 138 thus generally define three sides of a
quadrangular shape to which a separate piece of material 140 is to
be bonded to the main sheet to substantially complete the
fabrication of each of the integral leggings 120 and 122. A patch
142 may be applied to the intersection of the edges 134 and 136 to
prevent passage of contaminates or bacteria at this location.
Thus, a surgical drape having integral leggings therein has been
shown and described which is easily fabricated from a minimum of
components. The drape is believed to satisfy all of the
aforementioned objects and advantages.
* * * * *