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WO2004032783A1 - Set of instruments for performing a surgical operation - Google Patents

Set of instruments for performing a surgical operation Download PDF

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Publication number
WO2004032783A1
WO2004032783A1 PCT/EP2002/010862 EP0210862W WO2004032783A1 WO 2004032783 A1 WO2004032783 A1 WO 2004032783A1 EP 0210862 W EP0210862 W EP 0210862W WO 2004032783 A1 WO2004032783 A1 WO 2004032783A1
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WO
WIPO (PCT)
Prior art keywords
instruments
accessories
sterile
packaging
instrument set
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.)
Ceased
Application number
PCT/EP2002/010862
Other languages
German (de)
French (fr)
Inventor
Manfred Dworschak
Theodor Lutze
Pedro Morales
Dieter Weisshaupt
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Aesculap AG
Original Assignee
Aesculap AG
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Aesculap AG filed Critical Aesculap AG
Priority to AU2002368279A priority Critical patent/AU2002368279A1/en
Priority to PCT/EP2002/010862 priority patent/WO2004032783A1/en
Publication of WO2004032783A1 publication Critical patent/WO2004032783A1/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/31—Carrying cases or bags, e.g. doctors' bags
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/36—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments for collecting or disposing of used articles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/30—Surgical pincettes, i.e. surgical tweezers without pivotal connections
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3201—Scissors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/3205—Excision instruments
    • A61B17/32056—Surgical snare instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/322—Skin grafting apparatus
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/3008—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments having multiple compartments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B2050/3015—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments transparent
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B50/30—Containers specially adapted for packaging, protecting, dispensing, collecting or disposing of surgical or diagnostic appliances or instruments
    • A61B50/33—Trays

Definitions

  • the invention relates to instrument sets for a surgical operation.
  • Instrument sets are thus created in which the essential instruments which are required for a specific operation are summarized.
  • the instruments used are designed as disposable instruments, so they preferably consist of cheap and recyclable materials, in particular plastic, and all these instruments are offered together in sterile packaging and made available to the surgeon.
  • accessories can also be arranged in these packaging units, in particular, for example, drapes, cloth clips and also disposal containers, in which not only the instruments themselves but also the packaging material of the sterile packaging can be collected and disposed of after the operation.
  • the instrument sets described can be industrially prefabricated and can then be specially tailored to an operation; expensive sterilization and sorting processes after the operation is completely eliminated.
  • the surgical instruments consist entirely or predominantly of plastic.
  • the packaging has defined positions for the instruments and further parts, so that the instruments and the other parts are positioned and arranged in the packaging in a defined and orderly manner, thereby also preventing any damage.
  • the sterile packaging can be designed as a blister pack.
  • certain instruments or parts contain several differently dimensioned specimens in the sterile package, so that the surgeon can select from these differently dimensioned specimens as needed during the operation. Even if certain instruments are not used in an operation, this is tolerable, since the instruments are designed as single-use instruments, the manufacturing effort is low and the material used can be recycled if necessary.
  • Figure 1 is a plan view of a sterile package with a set of surgical instruments and accessories
  • Figure 2 a mouth lock made of plastic
  • Figure 3 tweezers made of plastic
  • Figure 4 a coagulation forceps
  • FIG. 1 scissors made of plastic
  • Figure 6 a tonsil lace-up made of plastic
  • Figure 7 Dissectors made of plastic of different dimensions
  • Figure 8 a plastic cloth clamp
  • Figure 9 a stock of disposal bags
  • Figure 10 a disposal container made of plastic
  • Figure 11 a sterile drape.
  • a rectangular packaging container 1 is shown, which is designed in the manner of a blister pack and has a transparent cover 2.
  • the part of the packaging container 1 overlaid by the cover 2 has adapted receiving recesses into which a larger number of instruments 3 and accessories 4 are inserted, which are required for a specific operation, in the present case for a tonsillectomy.
  • These instruments 3 are fixed in the receiving recesses or in other suitable holding devices in such a way that they remain in this position even when the packaging container 1 is being transported.
  • the packaging container 1 is sealed airtight, the entire content is sterile, so that all instruments and accessories are sterile and remain until the packaging container 1 is opened. It is only opened when it is used in the operating area.
  • the instruments 3 inside the packaging container 1 are designed as single-use instruments.
  • these instruments mainly consist of a sterilizable plastic material, only to a limited extent are metallic parts used where it is absolutely necessary, for example for the design of electrodes or cutting edges. These metal parts are then preferably embedded in plastic material, for example by injection molding.
  • the instruments 3 arranged in the packaging container 1 are specifically designed for a specific operation, that is, the special instruments that are required for a specific operation are summarized.
  • these are, for example, a mouth stopper 5 made of plastic (FIG. 2), a tweezers 6 made of plastic (FIG. 3), a coagulation tweezers 7 with metallic electrodes 8 (FIG. 4), a pair of scissors 9 made of plastic ( Figure 5), a tonsil lace 10 made of plastic ( Figure 6) or dissectors 11 made of plastic ( Figure 7).
  • there are dissectors 11 with two different dimensions for example the size can be different or the sharpness of the cutting edges is different.
  • various accessories are provided in the packaging container 1, for example a sterile cloth 13 (FIG. 11), a cloth clamp 14 made of plastic (FIG. 8) or a supply of flexible disposal bags 15 (FIG. 9), into which the used instruments and accessories and also the used packaging container 1 can be filled in after the operation.
  • These disposal bags can, for example, be closed by means of a wire binder and then disposed of together with their contents in a manner known per se.
  • FIG. 10 It would also be possible to use fixed disposal containers 16 in addition to or instead of the disposal bags 15; such a disposal container is shown in FIG. 10.
  • a disposal container 16 could also be accommodated in the packaging container 1, for this purpose the packaging container 1 would have to have a correspondingly modified outer contour in order to provide sufficient space for accommodating the disposal container 16.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Packages (AREA)

Abstract

The invention relates to a set of instruments for performing a surgical operation. The aim of the invention is to reduce the effort of placing together and disposing of the instruments used for performing certain operations. To this end, instruments essentially required for performing a certain surgical operation are designed as single-use instruments and are packaged together in a sterile manner in a sterile packaging optionally along with covering cloths, cloth clips and disposal containers, whereby they are combined to form an operation set that can be thrown away after the operation is completed.

Description

INSTRUMENTENSET FÜR EINE CHIRURGISCHE OPERATION INSTRUMENT SET FOR SURGICAL OPERATION

Die Erfindung betrifft Instrumentensets für eine chirurgische Operation.The invention relates to instrument sets for a surgical operation.

Bei der Durchführung von chirurgischen Operationen wird normalerweise eine Vielzahl von chirurgischen Instrumenten eingesetzt, die für eine ganz bestimmte Operation speziell ausgeführt sind. Für jede Operation werden im Krankenhaus die für diese Operation benötigten Instrumente zusammengestellt, nach der Verwendung werden diese Instrumente dann gemeinsam sterilisiert und wieder bei neuen Operationen verwendet. Dabei ist es durchaus möglich, daß bestimmte Instrumente zusammen mit anderen bei andersartigen Operationen eingesetzt werden. Daraus ergibt sich ein großer Sortier- und Ordnungsaufwand, außerdem ergeben sich bei der Sterilisation erhebliche Aufwendungen.When performing surgical operations, a variety of surgical instruments that are specifically designed for a particular operation are typically used. For each operation, the instruments required for this operation are put together in the hospital. After use, these instruments are then sterilized together and used again in new operations. It is entirely possible that certain instruments can be used together with others in other types of operations. This results in a great deal of sorting and organizing, and there are also considerable expenses in sterilization.

Es ist auch bekannt, einzelne Instrumente als Wegwerfinstrumente auszubilden, beispielsweise durch Verwendung von Kunststoffmaterialien statt der sehr aufwendigen metallischen Werkstoffe. Dies ändert aber nichts an der Notwendigkeit, für bestimmte Operationen geeignete Instrumente zusammenzustellen.It is also known to design individual instruments as disposable instruments, for example by using plastic materials instead of the very complex metallic materials. However, this does not change the need to put together suitable instruments for certain operations.

Insgesamt ist bisher im Ablauf des Krankenhausbetriebes die Bereitstellung von Instrumenten und auch die Entsorgung derselben mit ganz erheblichen Schwierigkeiten verbunden, ein wesentlicher Teil der Aufwendungen, die im Zusammenhang mit der Durchführung einer Operation entstehen, richten sich auf diese Tätigkeit. Es ist Aufgabe der Erfindung, Instrumente für eine chirurgische Operation so zu gestalten, daß der Vorbereitungs- und Entsorgungsaufwand so weit wie möglich herab gesetzt wird.Overall, the provision of instruments and also the disposal of the same have been associated with very considerable difficulties in the course of the operation of the hospital. It is an object of the invention to design instruments for a surgical operation so that the preparation and disposal costs are reduced as much as possible.

Diese Aufgabe wird bei Instrumenten für eine chirurgische Operation erfindungsgemäß dadurch gelöst, daß wesentliche für eine bestimmte chirurgische Operation benötigte Instrumente als Einmalinstrumente ausgebildet sind und gemeinsam gegebenenfalls mit Abdecktüchern, Tuchklemmen und Entsorgungsbehältern zusammen in einer sterilen Verpackung steril verpackt und dadurch zu einem nach Beendigung der Operation wegwerfbaren Operationsset vereinigt sind.This object is achieved according to the invention in the case of instruments for a surgical operation in that essential instruments required for a specific surgical operation are designed as single-use instruments and, if appropriate, are packed together in a sterile packaging together with drapes, cloth clips and disposal containers, and thereby become one after the end of the operation disposable surgical set are united.

Es werden also Instrumentensets geschaffen, bei denen die wesentlichen Instrumente, die für eine bestimmte Operation benötigt werden, zusammengefaßt werden. Die verwendeten Instrumente sind als Einmalinstrumente ausgebildet, bestehen also vorzugsweise aus billigen und recyclebaren Werkstoffen, insbesondere aus Kunststoff, und all diese Instrumente werden gemeinsam in einer Sterilverpackung angeboten und dem Operateur zur Verfügung gestellt. Zusätzlich zu den eigentlichen Operationsinstrumenten können in diesen Ver- Packungseinheiten auch noch Zubehörteile angeordnet sein, insbesondere beispielsweise Abdecktücher, Tuchklemmen und auch Entsorgungsbehälter, in denen nach Beendigung der Operation nicht nur die Instrumente selbst, sondern auch das Verpackungsmaterial der Sterilverpackung eingesammelt und entsorgt werden kann. Insgesamt erhält man dadurch eine wesentliche Vereinfachung des Organisationsablaufes in einem Krankenhaus. Die beschriebenen Instrumentensets lassen sich industriell vorfertigen und können dann speziell auf eine Operation abgestimmt werden, teure Sterilisations- und Sortierungsvorgänge nach Abschluß der Operation entfallen vollständig. Insbesondere kann vorgesehen sein, daß die chirurgischen Instrumente vollständig oder ganz überwiegend aus Kunststoff bestehen.Instrument sets are thus created in which the essential instruments which are required for a specific operation are summarized. The instruments used are designed as disposable instruments, so they preferably consist of cheap and recyclable materials, in particular plastic, and all these instruments are offered together in sterile packaging and made available to the surgeon. In addition to the actual surgical instruments, accessories can also be arranged in these packaging units, in particular, for example, drapes, cloth clips and also disposal containers, in which not only the instruments themselves but also the packaging material of the sterile packaging can be collected and disposed of after the operation. Overall, this results in a significant simplification of the organizational process in a hospital. The instrument sets described can be industrially prefabricated and can then be specially tailored to an operation; expensive sterilization and sorting processes after the operation is completely eliminated. In particular, it can be provided that the surgical instruments consist entirely or predominantly of plastic.

Es ist günstig, wenn die Verpackung durchsichtig ist, dies ermöglicht eine zusätzliche Kontrolle darüber, daß das richtige Operationsset für eine Operation zur Verfügung steht.It is beneficial for the packaging to be transparent, this allows additional control that the correct surgical set is available for an operation.

Bei einer bevorzugten Ausführungsform ist vorgesehen, daß die Verpackung definierte Lageplätze für die Instrumente und weitere Teile aufweist, so daß die Instrumente und die übrigen Teile definiert und geordnet in der Verpak- kung positioniert werden, dadurch wird auch jede Beschädigung sicher vermieden.In a preferred embodiment it is provided that the packaging has defined positions for the instruments and further parts, so that the instruments and the other parts are positioned and arranged in the packaging in a defined and orderly manner, thereby also preventing any damage.

Insbesondere kann die Sterilverpackung als Blisterpackung ausgebildet sein.In particular, the sterile packaging can be designed as a blister pack.

Bei einer besonders bevorzugten Ausführungsform ist vorgesehen, daß von bestimmten Instrumenten oder Teilen mehrere unterschiedlich dimensionierte Exemplare in der Sterilpackung enthalten sind, so daß der Operateur während der Operation unter diesen unterschiedlich dimensionierten Exemplaren bedarfsgerecht auswählen kann. Selbst wenn bestimmte Instrumente bei einer Operation nicht benutzt werden, ist dies tolerierbar, da die Instrumente als Einmalinstrumente ausgebildet sind, der Herstellungsaufwand ist gering und das verwendete Material kann gegebenenfalls recyclet werden.In a particularly preferred embodiment it is provided that certain instruments or parts contain several differently dimensioned specimens in the sterile package, so that the surgeon can select from these differently dimensioned specimens as needed during the operation. Even if certain instruments are not used in an operation, this is tolerable, since the instruments are designed as single-use instruments, the manufacturing effort is low and the material used can be recycled if necessary.

Während in derartigen Instrumentensets zumindest die wichtigsten für eine Operation benötigten Instrumente zusammengefaßt werden, beispielsweise alle Instrumente, die für eine bestimmte Operation speziell ausgebildet sein müssen, kann bei anderen Ausführungsformen der Erfindung auch vorgesehen sein, daß in der Sterilpackung alle für eine bestimmte chirurgische Operation benötigten Instrumente vorhanden sind, so daß außer diesem Instrumentenset keine weiteren Instrumente und Zubehörteile für die Operation bereitgestellt werden müssen.While at least the most important instruments required for an operation are summarized in such instrument sets, for example all the instruments that have to be specially designed for a specific operation, other embodiments of the invention can also be provided be that all the instruments required for a particular surgical operation are present in the sterile package, so that apart from this instrument set no further instruments and accessories have to be provided for the operation.

Die nachfolgende Beschreibung einer bevorzugten Ausführungsform der Erfindung dient im Zusammenhang mit der Zeichnung der näheren Erläuterung.The following description of a preferred embodiment of the invention serves in conjunction with the drawing for a more detailed explanation.

Es zeigen:Show it:

Figur 1 : eine Draufsicht auf eine Sterilverpackung mit einem Satz von chirurgischen Instrumenten und Zubehörteilen;Figure 1 is a plan view of a sterile package with a set of surgical instruments and accessories;

Figur 2 : einen Mundsperrer aus Kunststoff;Figure 2: a mouth lock made of plastic;

Figur 3 : eine Pinzette aus Kunststoff;Figure 3: tweezers made of plastic;

Figur 4 : eine Koagulationspinzette;Figure 4: a coagulation forceps;

Figur 5 : eine Schere aus Kunststoff;Figure 5: scissors made of plastic;

Figur 6 : einen Tonsillenschnürer aus Kunststoff;Figure 6: a tonsil lace-up made of plastic;

Figur 7 : Dissektoren aus Kunststoff verschiedener Dimensionierung;Figure 7: Dissectors made of plastic of different dimensions;

Figur 8 : eine Tuchklemme aus Kunststoff;Figure 8: a plastic cloth clamp;

Figur 9 : einen Vorrat an Entsorgungsbeuteln; Figur 10 : ein Entsorgungsgefäß aus Kunststoff undFigure 9: a stock of disposal bags; Figure 10: a disposal container made of plastic and

Figur 11 : ein Steriltuch.Figure 11: a sterile drape.

Die Beschreibung wird nachstehend am Beispiel eines Instrumentensets beschrieben, das für die Tonsillektomie eingesetzt wird und das speziell auf diese Operation abgestimmt ist. Selbstverständlich wird für anders geartete Operationen eine andere Zusammenstellung der in der Sterilverpackung kombinierten Instrumente und Zubehörteile gewählt werden können, die Tonsillektomie wird hier als bevorzugtes Beispiel näher erörtert. Es versteht sich aber von selbst, daß für anders geartete Operationen die dort jeweils benötigten Instrumente in entsprechender Weise ausgebildet und zusammengestellt werden können.The description is described below using the example of an instrument set that is used for tonsillectomy and that is specifically tailored to this operation. Of course, a different combination of the instruments and accessories combined in the sterile packaging can be selected for operations of a different type; tonsillectomy is discussed in more detail here as a preferred example. It goes without saying, however, that for operations of a different nature, the instruments required there can be designed and put together in a corresponding manner.

In Figur 1 ist ein rechteckiger Verpackungsbehälter 1 dargestellt, der nach Art einer Blisterpackung ausgebildet ist und eine durchsichtige Abdeckung 2 aufweist. Der von der Abdeckung 2 überfangene Teil des Verpackungsbehälters 1 weist angepaßte Aufnahmevertiefungen auf, in die eine größere Anzahl von Instrumenten 3 und Zubehörteilen 4 eingelegt sind, die für eine bestimmte Operation benötigt werden, in vorliegenden Fall für eine Tonsillektomie.In Figure 1, a rectangular packaging container 1 is shown, which is designed in the manner of a blister pack and has a transparent cover 2. The part of the packaging container 1 overlaid by the cover 2 has adapted receiving recesses into which a larger number of instruments 3 and accessories 4 are inserted, which are required for a specific operation, in the present case for a tonsillectomy.

Diese Instrumente 3 werden in den Aufnahmevertiefungen oder in anderen geeigneten Halteeinrichtungen so fixiert, daß sie auch beim Transport des Verpackungsbehälters 1 in dieser Lage verbleiben, durch die durchsichtige Abdek- kung 2 hindurch kann man genau sehen, welche Instrumente und Zubehörteile im Inneren des Verpackungsbehälters angeordnet sind. Der Verpackungsbehälter 1 ist luftdicht verschlossen, der gesamte Inhalt ist steril verpackt, so daß alle Instrumente und Zubehörteile steril sind und bis zum Öffnen des Verpackungsbehälters 1 auch bleiben. Eine Öffnung erfolgt erst beim Einsatz im Operationsbereich.These instruments 3 are fixed in the receiving recesses or in other suitable holding devices in such a way that they remain in this position even when the packaging container 1 is being transported. Through the transparent cover 2, one can see exactly which instruments and accessories are arranged inside the packaging container are. The packaging container 1 is sealed airtight, the entire content is sterile, so that all instruments and accessories are sterile and remain until the packaging container 1 is opened. It is only opened when it is used in the operating area.

Die Instrumente 3 im Inneren des Verpackungsbehälters 1 sind als Einmalinstrumente ausgebildet. Dazu bestehen diese Instrumente überwiegend aus einem sterilisierbaren Kunststoffmaterial, lediglich in geringem Umfange werden auch metallische Teile eingesetzt, wo es unbedingt notwendig ist, beispielsweise zur Ausgestaltung von Elektroden oder Schneiden. Diese Metallteile werden dann vorzugsweise in Kunststoffmaterial eingebettet, beispielsweise durch Umspritzen.The instruments 3 inside the packaging container 1 are designed as single-use instruments. For this purpose, these instruments mainly consist of a sterilizable plastic material, only to a limited extent are metallic parts used where it is absolutely necessary, for example for the design of electrodes or cutting edges. These metal parts are then preferably embedded in plastic material, for example by injection molding.

Die im Verpackungsbehälter 1 angeordneten Instrumente 3 sind speziell auf eine bestimmte Operation ausgerichtet, das heißt es werden die Spezialin- strumente zusammengefaßt, die für eine bestimmte Operation benötigt werden. Bei dem dargestellten Ausführungsbeispiel eines Operationssatzes für eine Tonsillektomie sind das beispielsweise ein Mundsperrer 5 aus Kunststoff (Figur 2), eine Fasspinzette 6 aus Kunststoff (Figur 3), eine Koagulationspinzette 7 mit metallischen Elektroden 8 (Figur 4), eine Schere 9 aus Kunststoff (Figur 5), ein Tonsillenschnürer 10 aus Kunststoff (Figur 6) oder Dissektoren 11 aus Kunststoff (Figur 7). Bei dem dargestellten Ausführungsbeispiel sind Dissektoren 11 mit zwei unterschiedlichen Dimensionierungen vorhanden, beispielsweise kann die Größe unterschiedlich sein, oder aber die Schärfe der Schneiden ist unterschiedlich. Der Operateur kann auf diese Weise die für den speziellen Einsatz geeignetsten Instrumente aus einer solchen Vielzahl gleichartiger aber verschieden dimensionierter Instrumente auswählen. Zusätzlich sind in dem Verpackungsbehälter 1 noch diverse Zubehörteile vorgesehen, beispielsweise ein Steriltuch 13 (Figur 11), eine Tuchklemme 14 aus Kunststoff (Figur 8) oder ein Vorrat an flexiblen Entsorgungsbeuteln 15 (Figur 9), in die die gebrauchten Instrumente und Zubehörteile und auch der gebrauchte Verpackungsbehälter 1 nach Beendigung der Operation eingefüllt werden können. Diese Entsorgungsbeutel können beispielsweise mittels eines Drahtbinders verschlossen werden und dann zusammen mit ihrem Inhalt in an sich bekannter Weise entsorgt werden.The instruments 3 arranged in the packaging container 1 are specifically designed for a specific operation, that is, the special instruments that are required for a specific operation are summarized. In the illustrated embodiment of an operation set for a tonsillectomy, these are, for example, a mouth stopper 5 made of plastic (FIG. 2), a tweezers 6 made of plastic (FIG. 3), a coagulation tweezers 7 with metallic electrodes 8 (FIG. 4), a pair of scissors 9 made of plastic ( Figure 5), a tonsil lace 10 made of plastic (Figure 6) or dissectors 11 made of plastic (Figure 7). In the exemplary embodiment shown, there are dissectors 11 with two different dimensions, for example the size can be different or the sharpness of the cutting edges is different. In this way, the surgeon can select the most suitable instruments for the particular application from such a large number of similar but differently dimensioned instruments. In addition, various accessories are provided in the packaging container 1, for example a sterile cloth 13 (FIG. 11), a cloth clamp 14 made of plastic (FIG. 8) or a supply of flexible disposal bags 15 (FIG. 9), into which the used instruments and accessories and also the used packaging container 1 can be filled in after the operation. These disposal bags can, for example, be closed by means of a wire binder and then disposed of together with their contents in a manner known per se.

Grundsätzlich wäre es auch möglich, zusätzlich oder an Stelle der Entsorgungsbeutel 15 feste Entsorgungsbehälter 16 zu verwenden, ein solcher Entsorgungsbehälter ist in Figur 10 dargestellt. Auch ein solcher Entsorgungsbehälter 16 könnte in den Verpackungsbehälter 1 aufgenommen sein, dazu müßte der Verpackungsbehälter 1 eine entsprechend geänderte Außenkontur aufweisen, um genügend Raum für die Aufnahme des Entsorgungsbehälters 16 zur Verfügung zu stellen.In principle, it would also be possible to use fixed disposal containers 16 in addition to or instead of the disposal bags 15; such a disposal container is shown in FIG. 10. Such a disposal container 16 could also be accommodated in the packaging container 1, for this purpose the packaging container 1 would have to have a correspondingly modified outer contour in order to provide sufficient space for accommodating the disposal container 16.

Bei dem dargestellten Ausführungsbeispiel sind aus Gründen der Übersichtlichkeit nur wenige Instrumente und Zubehörteile vorgesehen, es können aber in einem solchen Verpackungsbehälter 1 auch sehr viel mehr Instrumente und Zubehörteile aufgenommen sein, insbesondere unterschiedlich dimensionierte Exemplare des an sich gleichen Instrumentes und auch eine größere Anzahl von gleichgearteten Instrumenten oder Zubehörteilen, falls bei einer Operation Bedarf für eine solche Vielzahl gleichartiger Instrumente oder Zubehörteile besteht. In the exemplary embodiment shown, only a few instruments and accessories are provided for reasons of clarity, but it is also possible for a lot more instruments and accessories to be accommodated in such a packaging container 1, in particular specimens of different dimensions of the same instrument and also a larger number of the same type Instruments or accessories, if there is a need for such a large number of similar instruments or accessories during an operation.

Claims

PATENTANSPRÜCHE 1. Instrumentenset für eine chirurgische Operation, dadurch gekennzeichnet, daß wesentlich für eine bestimmte Operation benötigte Instrumente (3) als Einmalinstrumente ausgebildet sind und gemeinsam gegebenenfalls mit Zubehörteilen (4) und Entsorgungsbehältern (15, 16) zusammen in einer Sterilverpackung (1) steril verpackt und dadurch zu einem nach Beendigung der Operation wegwerfbaren Operationsset vereinigt sind.1. Instrument set for a surgical operation, characterized in that instruments required for a specific operation (3) are designed as single-use instruments and, together with accessories (4) and disposal containers (15, 16), are packaged together in sterile packaging in sterile packaging (1) and are thereby combined into a disposable surgical set after the end of the operation. 2. Instrumentenset nach Anspruch 1, dadurch gekennzeichnet, daß es vollständig oder ganz überwiegend aus Kunststoff besteht.2. Instrument set according to claim 1, characterized in that it consists entirely or entirely of plastic. 3. Instrumentenset nach Anspruch 1 oder 2, dadurch gekennzeichnet, daß die Verpackung (1) zumindest teilweise durchsichtig ist.3. Instrument set according to claim 1 or 2, characterized in that the packaging (1) is at least partially transparent. 4. Instrumentenset nach einem der voranstehenden Ansprüche, dadurch gekennzeichnet, daß die Verpackung (1) definierte Lageplätze für die Instrumente (3) und Zubehörteile (4) aufweist.4. Instrument set according to one of the preceding claims, characterized in that the packaging (1) has defined locations for the instruments (3) and accessories (4). 5. Instrumentenset nach einem der voranstehenden Ansprüche, dadurch gekennzeichnet, daß die Sterilpackung (1) als Blisterpackung ausgebildet ist. 5. Instrument set according to one of the preceding claims, characterized in that the sterile pack (1) is designed as a blister pack. 6. Instrumentenset nach einem der voranstehenden Ansprüche, dadurch gekennzeichnet, daß von bestimmten Instrumenten (3) oder Zubehörteilen (4) mehrere gegebenenfalls unterschiedlich dimensionierte Exemplare in der Sterilpackung (1) enthalten sind.6. Instrument set according to one of the preceding claims, characterized in that certain instruments (3) or accessories (4) several optionally differently dimensioned copies are included in the sterile package (1). 7. Instrumentenset nach einem der voranstehenden Ansprüche, dadurch gekennzeichnet, daß in der Sterilpackung (1) alle für eine bestimmte chirurgische Operation benötigten Instrumente (3) und Zubehörteile (4) vorhanden sind. 7. Instrument set according to one of the preceding claims, characterized in that in the sterile package (1) all the instruments (3) and accessories (4) required for a specific surgical operation are present.
PCT/EP2002/010862 2002-09-27 2002-09-27 Set of instruments for performing a surgical operation Ceased WO2004032783A1 (en)

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