OUTER GARMENT
Surgical garments and methods are disclosed for maintaining a sterile field between a garment wearer seated on a surgical chair and a patient positioned between the wearer's legs.
This application claims priority to and the benefit of U.S. Provisional Application Nos. 61/186,333, filed Jun. 11, 2009, and 61/321,444, filed Apr. 6, 2010, both of which are incorporated herein by reference.
FIELDThis disclosure concerns outer garments, and more particularly but not exclusively garments for use in clean environments, with a surgical garment for use in a sterile operating environment being one example.
BACKGROUNDVarious classes of workers position themselves in a conventional posture whereby the worker stands adjacent a work area and uses outstretched arms to reach an object of the worker's labor. Some classes of these workers, such as, for example, artists, surgeons, assembly line workers, bakers, cleanroom workers and blacksmiths, work in an environment where, for convenience and/or safety reasons, the workers wear an external garment.
For example, a surgeon ordinarily wears an external surgical gown, many of which are disposable, to maintain a sterile field adjacent a surgical work area. However, conventional surgical gowns are only designed to maintain a sterile filed when the surgeon is in a standing position adjacent an operating table. If the surgeon assumes a different posture, such as a seated position, conventional surgical gowns may not maintain the sterile filed between the surgeon and the patient.
By way of further example, bakers and blacksmiths have traditionally worn an apron to avoid soiling street clothes, and, in the case of the blacksmith, to reduce the likelihood of being burned by things such as embers or slag. Other workers, such as assembly line workers, wear gowns, smocks and/or aprons to maintain a field of cleanliness (e.g., electronics assemblers, chicken processors) in a work space, as well as, in at least some instances, to avoid soiling street clothes. Such gowns, smocks and aprons traditionally cover part, or all, of the wearer's torso, and/or part or all of the worker's arms and leave the wearer's legs partially or entirely exposed. Cleanroom workers have traditionally worn external garments, such as “bunny suits,” over street clothes. These external garments are notoriously difficult and time-consuming to don, and can be uncomfortable to wear.
Accordingly, there exists a need for new and improved garments for use in such applications.
SUMMARYSeveral embodiments of surgical garments are disclosed that allow a wearer, such as a surgeon, to assume different postures, such as seated in a chair straddling a patient, while still maintaining a sterile field between the patient and the wearer's torso, arms, and legs. The disclosed surgical garments can be donned from the front of the wearer and can wrap around the wearer's torso and lower body. Some embodiments include individual leg panels that wrap around each leg and a groin-covering panel that wraps through the wearer's groin region and is secured at the back of the wearer. Other embodiments include a flared, gown-like lower body portion that wraps around the entire lower body of the wearer.
According to one embodiment described herein, a surgical garment for covering a wearer's torso, arms and legs to maintain a sterile field between the wearer and a patient includes a torso portion, leg panels and a groin-covering panel. The torso portion comprises left and right side portions and a lower end portion. The torso portion is configured for wrapping around the torso of the wearer and the left and right side portions are securable to one another at the back of the wearer's torso. A left leg panel and a right leg panel extend downwardly from the lower end of the torso portion and extend horizontally between respective inner and outer side portions. Each leg panel is configured for wrapping around a respective leg of the wearer from a groin region of the wearer to an ankle region of the wearer and the inner and outer side portions of each leg panel are securable to one another at the back of the respective leg. A groin-covering panel comprises opposing side edges extending from an upper front edge portion to an upper rear edge portion of the groin-covering panel. At least the side edges and the upper rear edge portion are separate from the torso portion and the leg panels. The upper rear edge is securable to the torso portion at the back of the wearer.
An exemplary method is further disclosed for maintaining a sterile field between one's body and a patient in an operating environment while in a seated position above and straddling the patient. The method includes: positioning a surgical chair adjacent the patient, the surgical chair having a seat positioned above the patient and a front torso support extending upwardly from the seat; donning a sterile surgical garment, like the garment described in the previous paragraph, from the front of one's body; and sitting on the surgical chair such that the surgical garment forms a sterile field between the patient and one's body.
According to another embodiment disclosed herein, a surgical garment includes a torso portion, sleeves, and a flared lower body portion. The torso portion extends laterally between opposing side edges and extends vertically between an upper edge and a lower edge. The lower body portion extends laterally between opposing side edges and extends vertically between a bottom edge and an top edge, the top edge of the lower body portion is joined to the lower edge of the torso portion, and the bottom edge has a greater length than the top edge such that the garment flares in a direction extending from the top edge to the bottom edge. The lower body portion includes a plurality of first panels and a plurality of triangular second panels interposed between the first panels. The first and second panels are oriented with their heights extending from the bottom edge toward the top edge of the lower body portion and each triangular panel has a base that forms part of the bottom edge of the lower body portion. The surgical garment is donned from the front of a wearer and the torso portion is adapted to wrap completely around the torso of the wearer and the lower body portion is adapted to wrap completely around the lower body of the wearer from the torso to about the ankles of the wearer.
Although various classes of workers have traditionally stood adjacent a work area and used outstretched arms to reach the object of their labor, ergonomic considerations have lead some to reconsider this conventional working posture. For example, an improved surgical chair is disclosed in U.S. Publication No. 2009/0050162-A1, which is incorporated by reference herein. The disclosed surgical chair allows a surgeon to maintain a more comfortable posture during surgery.
With reference to
In
With further reference to
Each sleeve 105 of the illustrated garment 100 is attached, as by stitching, gluing or other known joining technique, to the torso-covering portion. In some embodiments, the sleeves 105 extend contiguously, without a discernible seam or joint, from the torso-covering portion 150.
In donning the garment shown in
The torso-covering portion 150 can be retained about a wearer's torso in a working position so as to cover all, or at least a significant portion, of the wearer's torso, as shown in
In other embodiments, the torso-covering portion 150 can comprise left and right side portions that are configured for wrapping around the torso of the wearer such that the left and right side portions are securable in an overlapping position at the back or sides of the wearer.
Shown in
In other embodiments, at least some of the ties 103, 103′ and/or additional ties (not shown) can be position at other portions on the garment, such as between the side edges 104, 104′ of the torso-covering portion 150, to facilitate securing the side portions of the torso-covering portion in an overlapping position at the back or sides of the wearer.
With reference to the garment 100 shown in
As shown, each pair of adjacent panel edges 122, 132 and 122′, 132 can terminate at a respective apex 139, 139′. The apexes 139, 139′ provide convenient reference points for distinguishing between an “upper” or “torso-covering” portion extending above the apexes and “lower” or “leg-covering” panels extending below the apexes, but these reference points do not necessarily correspond to a wearer's anatomy. For example, a garment worn by a first individual can position the apexes (and therefore at least a portion of one or both “leg-covering” panels) adjacent the first individual's torso, and, if worn by a second individual, the garment can position the apexes (and therefore at least a portion of the “torso-covering” portion) adjacent the second individual's legs.
As noted above, the outer panels 120, 120′ can be used to cover a wearer's legs. As shown in
As shown in
The leg panels 120, 120′ can be retained in the working position 102 by fasteners, as by, for example, a pair 155 of tied ties 124, 123. (Alternatively or in combination, other known fasteners, such as buttons and button holes, snaps, hook-and-loop fasteners, zippers, and the like, can be used to retain the panels 120, 120′ in a working position.)
As shown in
Similarly, ties 123′, 125′, 127′ can extend from the outer longitudinal edge 104′ at locations positioned between the apex 139′ and the lower edge 120′, and corresponding ties 124′, 126′, 128′ extend from the inner longitudinal edge 122′ to form respective pairs of ties 155′, 156′, 157′. Each of the respective pairs of ties 155′, 156′, 157′ can be formed to retain the panel 120′ in a pseudo-cylindrical configuration and around a wearer's right leg.
In other embodiments, at least some of the ties shown in
Groin-covering members can be affixed to, or of unitary construction with, garments as disclosed herein. For example, as shown in
Unlike the panels 120, 120′, which can be wrapped into pseudo-cylindrical structures for covering the wearer's legs, as shown in
The upper front edge portion 134 of the panel 130 can be of unitary construction with the lower end portion 92 of the torso-covering portion 150 or can be securable thereto. In the embodiment shown in
In the working position, as shown in
Ties 133, 135 can extend from opposing side edges 132, lower edge 131, or the corners therebetween defined by the panel 130, as shown in
Referring to
The panel 402 can also comprise a front hook-and-loop fastener strip 472 positioned adjacent the upper front edge portion 404 and a rear hook-and-loop fastener strip 474 positioned adjacent the upper rear edge portion 406. When the groin-covering member 400 is worn with garment 200 or 300, for example, the front hook-and-loop fastener strip 472 can be releasably secured to the hook-and-loop fastener strip 270 or 370, respectively, to secure the upper front edge portion 404 in an overlapping position with the front of the torso-covering portion 250 or 350, respectively. Similarly, the rear hook-and-loop fastener strip 474 can be releasably secured to a complimentary hook-and-loop fastener strip (not shown) positioned at the rear of the garment.
In lieu of or in addition to the hook and loop fasteners, the groin-covering member 400 can be retained in place covering the wearer's groin by joining ties 411, 412 and 413, 414 in respective pairs 420, 421 adjacent the hips of the wearer, as shown in
In an alternative embodiment, as shown in
The upper rear edge portion of 406 of the groin-covering member 400 can be similarly permanently or releasably secured to the garment at the rear of the wearer. In some embodiments, the upper rear edge portion 406 can hang free from the garment when it is not in the working, as-worn position. To place the groin-covering member 400 in the working, as-worn position (
With respect to
As shown in
Unlike the lower panels 220, 220′, however, the lower panels 320, 320′ comprise inner flaps 360, 360′ that are shaped to better conform to the wear's legs and groin area. The flaps 360, 360′ define respective vertical edges 322, 322′ and respective upper horizontal edges 362, 362′ that can be formed by cutting lower panels 320, 320′. Leg-covering portions of the type shown in
The lower body portion 604 can extend laterally between opposing side edges 616 and can extend vertically between a bottom edge 612 and a seam 614 separating the torso portion 602 and the lower body portion 604. The bottom edge 612 can have a greater length (measured from one side 616 to the other side 616) than the seam 614 such that the garment flares in a direction extending from the seam to the bottom edge.
The lower body portion 604 can comprise a plurality of generally rectangular shaped panels 608 (eight in the illustrated embodiment) and a plurality of generally triangular shaped panels 610 (seven in the illustrated embodiment) interposed between, or alternating with, the rectangular panels. Each of the panels 608 and 610 can be oriented with their respective longer dimensions, or heights, extending from the bottom edge 612 toward the seam 614. The alternating rectangular and triangular panels 608, 610 can form a row of panels that extends from one side edge 616 to the other side edge 616. Each triangular panel can comprise a base, or lower edge, 630 that forms part of the lower edge 612 of the gown and side edges 638 that taper toward a triangle apex 632 closer to the seam 614.
Each rectangular panel 608 can comprise a lower edge 634 that forms part of the lower edge 612 of the gown, an upper edge 636 that forms part of the seam 614, and side edges 640 extending therebetween. In some embodiments, the panels 608 are not true rectangles. As shown in
Due to the presence of the triangular portions, the lower body portion 604 has a much greater circumference at the lower edge 612 than at the seam 614. The lower body portion 604 would take on a generally frustoconical shape if the side edges 616 are placed in contact with each other and the lower body portion is filled out (all panels are spread out in a radial outward direction). The lower body portion 604 of the gown also is desirably sized such that the lower edge 612 extends to a position adjacent the ankles of the wearer, as shown in
In some gown embodiments, some portions of the lower body portion 604, such as the triangular panels 610, can comprise pleats, as shown in
The gown 600 can include straps, such as straps 618, 620, 622, 624, 626, and 628 shown in
The gown 600 is different than conventional surgical gowns in that when the wearer assumes a seated position with legs spread apart, as depicted in
Although surgical gowns being compatible with improved surgical postures have been described, similar external garments can be made for various classes of workers (e.g., artists, surgeons, assembly line workers, bakers, cleanroom workers and blacksmiths) positioned in a seated, or partially seated, working posture. For example, assembly line workers that have traditionally stood adjacent the objects of their labor can sit adjacent to and/or straddle the objects of their labor. An external garment incorporating one or more of the disclosed features of the surgical gowns shown in the accompanying drawings can be worn by the seated or straddling assembly-line worker to maintain a field of cleanliness that heretofore has only been possible with a conventional gown, smock or apron when the worker is positioned in a standing position.
Cleanroom workers can wear an external garment incorporating one or more of the disclosed features in addition to, or instead of, a conventional cleanroom suit (e.g., a “bunny suit”). External garments as disclosed herein are easier and less time-consuming to don than conventional cleanroom garb, and can be more comfortable to wear.
Garments as described above can be constructed of any material suitable for the uses and characteristics described. For example, paper, laminates of paper and plastic, thin-plastic and/or rubberized films suitable for surgical applications can form one or more portions of the disclosed garments, e.g., the torso portion, lower body portion, sleeve, etc. A polyurethane (or other elastomer) film and/or treated fabric can also be used. Other materials, such as silicone rubber, urethane, etc, are possible as well.
Directions and references (e.g., up, down, top, bottom, left, right, rearward, forward, etc.) have been used in the detailed description above to facilitate discussion of the drawings, but are not intended to be limiting. For example, certain terms may have been used such as “up,” “down,”, “upper,” “lower,” “horizontal,” “vertical,” “left,” “right,” and the like. Such terms are used, where applicable, to provide some clarity of description when dealing with relative relationships, particularly with respect to the illustrated embodiments. Such terms are not, however, intended to imply absolute relationships, positions, and/or orientations. For example, with respect to an object, an “upper” surface can become a “lower” surface simply by turning the object over. Nevertheless, it is still the same surface and the object remains the same. As used herein, “and/or” means “and”, “or” and both “and” and “or.”
In view of the many possible embodiments to which the principles disclosed herein may be applied, it should be recognized that the illustrated embodiments are only preferred examples and should not be taken as limiting the scope of the disclosure. Rather, the scope is defined by the following claims. We therefore claim all that comes within the scope and spirit of these claims.
Claims
1. A surgical garment for covering a wearer's torso, arms and legs to maintain a sterile field between the wearer and a patient, the surgical garment comprising:
- a torso portion comprising left and right side portions and a lower end portion, the torso portion being configured for wrapping around the torso of the wearer and the left and right side portions being securable to one another at the back of the wearer's torso;
- a left leg panel and a right leg panel, each extending downwardly from the lower end portion of the torso portion and extending horizontally between respective inner and outer side portions, each leg panel being configured for wrapping around a respective leg of the wearer from a groin region of the wearer to an ankle region of the wearer and the inner and outer side portions of each leg panel being securable to one another at the back of the respective leg; and
- a groin-covering panel configured to cover a groin region of the wearer, the groin-covering panel comprising opposing side edges extending from an upper front edge portion to an upper rear edge portion of the groin-covering panel, at least the side edges and the upper rear edge portion being separate from the torso portion and the leg panels, the upper rear edge being securable to the torso portion at the back of the wearer.
2. The surgical garment of claim 1, wherein the leg panels are sized to wrap around the legs of the wearer such that the inner and outer side portions overlap one another.
3. The surgical garment of claim 1, wherein the upper front edge portion of the groin-covering panel is also separate from the torso portion and the leg panels, the upper front edge portion being securable to the torso portion at the front of the wearer.
4. The surgical garment of claim 1, wherein the upper front edge portion of the groin-covering panel is secured to and extends downwardly from the lower end portion of the torso portion.
5. The surgical garment of claim 1, wherein the groin-covering panel is configured to overlap portions of the torso portion and portions of the leg panels.
6. A method of maintaining a sterile field between one's body and a patient in an operating environment while in a seated position above and straddling the patient, the method comprising:
- positioning a surgical chair adjacent the patient, the surgical chair comprising a seat positioned above the patient and a front torso support extending upwardly from the seat;
- placing a sterile surgical garment on one's body from the front of one's body, the surgical garment comprising: a torso portion comprising left and right side portions and a lower end portion, the torso portion being wrapped around one's torso and the left and right side portions being secured to one another; a left leg panel and a right leg panel, each extending downwardly from the lower end portion of the torso portion and extending horizontally between respective inner and outer side portions, each leg panel being wrapped around a respective leg from one's groin region to one's ankle region and the inner and outer side portions of each leg panel being secured to one another along the respective leg; and a groin-covering panel covering one's groin region, the groin-covering panel comprising opposing side edges extending from an upper front edge portion to an upper rear edge portion of the groin-covering panel, at least the side edges and the upper rear edge portion being separate from the torso portion and the leg panels, the upper rear edge being secured to the torso portion; and
- sitting on the surgical chair such that the surgical garment forms a sterile field between the patient and one's body.
7. The method of claim 6, wherein the leg panels are sized to wrap around one's legs such that the inner and outer side portions overlap one another.
8. The method of claim 6, wherein the upper front edge portion of the groin-covering panel is also separate from the torso portion and the leg panels, and the upper front edge portion is secured to the torso portion.
9. The method of claim 6, wherein the upper front edge portion of the groin-covering panel is secured to and extends downwardly from the lower end portion of the torso portion.
10. The method of claim 6, wherein the groin-covering panel overlaps portions of the torso portion and portions of the leg panels.
11. The method of claim 6, wherein the sterile field extends from one ankle, across the groin region, and to the other ankle.
12. The method of claim 6, wherein the sterile field extends below the patient to locations adjacent one's ankles.
13. A surgical garment for use in maintaining a sterile field between a wearer of the garment and a patient, comprising:
- a torso portion extending laterally between opposing side edges and extending vertically between an upper edge and a lower edge;
- sleeves joined to the torso portion; and
- a lower body portion extending laterally between opposing side edges and extending vertically between a bottom edge and an top edge, the top edge of the lower body portion being joined to the lower edge of the torso portion, the bottom edge having a greater length than the top edge such that the lower body portion flares in a direction extending from the top edge to the bottom edge, the lower body portion comprising a plurality of first panels and a plurality of triangular second panels interposed between the first panels, the first and second panels being oriented with their heights extending from the bottom edge toward the top edge of the lower body portion, and each triangular panel having a base that forms part of the bottom edge of the lower body portion;
- wherein the surgical garment is donned from the front of a wearer and the torso portion is adapted to wrap completely around the torso of the wearer and the lower body portion is adapted to wrap completely around the lower body of the wearer from the torso to about the ankles of the wearer.
14. The surgical garment of claim 13, wherein each triangular second panel comprises two opposing side edges, each of which is sewn to a side edge of an adjacent first panel.
15. The surgical garment of claim 13, wherein the plurality of triangular second panels comprises a plurality of pleats adjacent the bottom edge.
16. The surgical garment of claim 13, wherein the first and second panels form a row of alternating first and second panels, the row extending from one side of the lower body portion to the other side of the lower body portion.
17. The surgical garment of claim 13, further comprising first and second opposing side portions that extend from the upper edge of the torso portion to the bottom edge of the lower body portion, the side portions being securable to one another with the first side portion overlapping the second side portion.
18. The surgical garment of claim 17, further comprising a plurality of straps extending from the torso portion and the lower body portion for securing the opposing side portions together.
Type: Application
Filed: Jun 10, 2010
Publication Date: Dec 16, 2010
Inventors: Craig Turner (Portland, OR), Dan Allen (Newbury, OH), Sherry Ogrin (Chagrin Falls, OH)
Application Number: 12/813,357
International Classification: A41D 13/12 (20060101);