CA1100704A - Surgical gown - Google Patents
Surgical gownInfo
- Publication number
- CA1100704A CA1100704A CA210,113A CA210113A CA1100704A CA 1100704 A CA1100704 A CA 1100704A CA 210113 A CA210113 A CA 210113A CA 1100704 A CA1100704 A CA 1100704A
- Authority
- CA
- Canada
- Prior art keywords
- gown
- absorbent
- liquid
- surgical gown
- operative field
- 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.)
- Expired
Links
- 239000000463 material Substances 0.000 claims abstract description 39
- 239000007788 liquid Substances 0.000 claims abstract description 38
- 230000002745 absorbent Effects 0.000 claims abstract description 31
- 239000002250 absorbent Substances 0.000 claims abstract description 31
- 239000004745 nonwoven fabric Substances 0.000 claims abstract description 13
- -1 polyethylene Polymers 0.000 claims description 18
- 239000004698 Polyethylene Substances 0.000 claims description 16
- 229920000573 polyethylene Polymers 0.000 claims description 15
- 239000002985 plastic film Substances 0.000 claims description 5
- 229920006255 plastic film Polymers 0.000 claims description 5
- 229920000915 polyvinyl chloride Polymers 0.000 claims description 5
- 239000004800 polyvinyl chloride Substances 0.000 claims description 5
- 239000004743 Polypropylene Substances 0.000 claims description 3
- 229920001155 polypropylene Polymers 0.000 claims description 3
- 230000002940 repellent Effects 0.000 abstract description 15
- 239000005871 repellent Substances 0.000 abstract description 15
- 239000012530 fluid Substances 0.000 description 15
- 238000010276 construction Methods 0.000 description 7
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 6
- 239000008280 blood Substances 0.000 description 5
- 210000004369 blood Anatomy 0.000 description 5
- 238000000034 method Methods 0.000 description 4
- 238000001356 surgical procedure Methods 0.000 description 4
- 241000894006 Bacteria Species 0.000 description 2
- 238000005299 abrasion Methods 0.000 description 2
- 230000005540 biological transmission Effects 0.000 description 2
- 238000001125 extrusion Methods 0.000 description 2
- 210000000245 forearm Anatomy 0.000 description 2
- 238000004900 laundering Methods 0.000 description 2
- 230000000149 penetrating effect Effects 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 241000905957 Channa melasoma Species 0.000 description 1
- 229920005830 Polyurethane Foam Polymers 0.000 description 1
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 238000007792 addition Methods 0.000 description 1
- 239000000853 adhesive Substances 0.000 description 1
- 230000001070 adhesive effect Effects 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 150000002500 ions Chemical class 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000926 neurological effect Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 239000011496 polyurethane foam Substances 0.000 description 1
- 229920002689 polyvinyl acetate Polymers 0.000 description 1
- 239000011118 polyvinyl acetate Substances 0.000 description 1
- 229920006395 saturated elastomer Polymers 0.000 description 1
- 238000007789 sealing Methods 0.000 description 1
- 239000011780 sodium chloride Substances 0.000 description 1
- 239000007921 spray Substances 0.000 description 1
- 238000010998 test method Methods 0.000 description 1
- 229920002554 vinyl polymer Polymers 0.000 description 1
- 238000009736 wetting Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A41—WEARING APPAREL
- A41D—OUTERWEAR; PROTECTIVE GARMENTS; ACCESSORIES
- A41D13/00—Professional, industrial or sporting protective garments, e.g. surgeons' gowns or garments protecting against blows or punches
- A41D13/12—Surgeons' or patients' gowns or dresses
- A41D13/1209—Surgeons' gowns or dresses
- A41D13/1227—Surgeons' gowns or dresses with liquid-proof sleeves
Abstract
J&J 754 SURGICAL GOWN
ABSTRACT OF THE DISCLOSURE
A disposable surgical gown provided with a front panel having a central operative field comprising a liquid impervious material having an absorbent outer surface. Preferably, the sleeves comprise a liquid im-pervious layer and have an absorbent inner surface for absorbing perspiration, thus making the gown more com-fortable to wear. The remaining portions of the gown preferably comprise a disposable liquid repellent nonwoven fabric.
ABSTRACT OF THE DISCLOSURE
A disposable surgical gown provided with a front panel having a central operative field comprising a liquid impervious material having an absorbent outer surface. Preferably, the sleeves comprise a liquid im-pervious layer and have an absorbent inner surface for absorbing perspiration, thus making the gown more com-fortable to wear. The remaining portions of the gown preferably comprise a disposable liquid repellent nonwoven fabric.
Description
J8~ 754 l~S~17(~
BACKGROUND OF ~E INVENTION
Field Of The Invention This invention relate~ to surglcal gowns and the like and, in particular, to disposable surgical gowns which rèduce liquid run-o~f, prevent strike-through of liquids and have improved moisture absorption properties.
scri~on O ~ Prior Art It i~ well known that the surgeon' s sterile gown mugt function, dur~ng the course of an operation, to prevent contamination of the patient, surgical instruments, and other personnel through contact with the wearer and to prevent the clothes of the we~rer from becoming satur~ted wi th blood and other llqulds .
Originally, surgical gowns were made o~ linen, the gowns being sterilized prior to use in the operating room. Linen gowns were not capable o~ preventing "strike-through'~ of various liquids which were encountered durlng surglcal procedures. As a result, the wearer' 8 clothes became saturated with blood and the like, and a path was established ~or the transmission of bacteria to ~nd from the wearer of the gown. Additionally, linen gown~, due to thelr h~gh cost, had to be used a number of tlmes, thus necessitating laundering and sterili2ation between succes-si~e uses.
In an attempt to reduce strike-through of liquid~
and to eliminate the need ~or repeated laundering and sterilizatlon, di~posable gowns were made from fluid repellent nonwoven fabrics. These gowns reduced liquid strike-through for a limited time. In addition, liquids _ 2 -. .
~ 704 J&J 754 had a tendenc~ to run off the outer surface of the gOWnJ
frequently wetting the shoes and the unprotected lower portlons of the wearer's clothing.
Surgical gowns were then made wherein the fluid repellent nonwoven fabric was laminated to, or lined with, a fluid impervious material such as polyethylene. Al~hough this approach prevented strike-through o~ liquids and solved the problems arising thereYrom, the problem~
associated wlth liquid run-o~f stlll persistedD In addi-tion, the fluid lmpervious mater~al tended to trap perapira-tion, thus making the gown increa~ingly uncom~ortable as the surgical operation proceeded, SUMMARY OF THE INVENTION
. _ . , .
I have now made an inexpen~ive, disposable surgical gown which greatly reduces liquid run-off and prevents liquid Qtrike-through, thus solving the ma~or difficulties encountered with prlor art gowns. In a pre~erred embodiment Or my inventlon, means are also provided ~or ab~orblng perspiration in the arm area, thus making the gown more comfortable to wear, My new surgical ~own comprlses a main sheet ~ith sleeve~ attached thereto, said main sheet comprising a front panel having a central operative field. As used herein "central operatlve field"
refers to that part of a surgical gown which i8 mo~t llkely : 25 to be contacted with blood, variQus body flulds, or tre~ting liqulds such as water or saline solutions, during the course of a particular surgical procedure. lt wlll be understood that the size of the central operative field wlll vary according to the particular operation. In some instances, the central operatlve ~ield would extend over the entire J8cJ 754 )70~
front; panel of the gown, that i8, the central operative field and the front panel would be c~extensive, while in other cases the central operative f~eld would include only a part o~ the front panel. In order to reduce l~quid run-off and prevent liquid strike-through3 the central operative field of the front panel of my gown comprises a fluid impervious material having an absorbent outer sur~ace.
Where the central operative field includes an area le88 than that o~ the entire front panel of the gown~ the re-maining portions Or said ~ront panel may be made from any~f the well known materials commonly used in the manu~acture of surglcal gowns. ~he various other parts o~ my gown3 e.g., the side panels and sleeve~, may be made from the same materlals as used for the front panel of the gown, although other well known material~ for constructing di~-posable gOWtlS may be used i~ d2slred.
In one modiflcation of the present invention, at least the forearm portion of the sleeve comprises a liquid impervious material having ~n absorbent inner sur~aceg while ln another modiricatiorl, the ent~re sleeve is made from ~uch a material. In the modi~ication6 mentioned, the absorbent inner sur~ace provides means ~or absorbing per-spi~ation, thus making the gown more com~ortable to wear.
The liquid impervious characteristic of the materlal pre-vents persplration ~rom reaching the outsr surface o~ thesleeve, and thus prevent~ the e~tablishment of a pathway ~or the transmission o~ bacteria.
When the term "~ront" is used herein to describe a part o~ a gown, reference is being made to that part of ths gown whlch3 when the gown is being worn, ove~lies the chest o~ the wearer; the term "back" refers to that part of the gown which, when the gown is being worn, overlies the back of the wearer. The term "outer'` describes that surface of a gown, or of a part thereof, which faces away from the wearer when the gown is being worn, and the term "inner"
describes that surface of a gown, or of a part thereof, which contacts the clothes or body of the wearer when the gown is being worn. The terms '`left'` and 'Iright~'~ when used to des-cribe a gown or portions thereof, refer to the left hand side and right hand side, respectively, of t~e wearer when the gown is being worn.
When a material is described herein as being "liquid repellent", it is meant that that material, when tested according to AATCC Test Method 22-1967, has a spray rating of at least about 70. Those skilled in the art wilL be aware that materials which are repellent according to the standards set by the above mentioned test may nevertheless permit the passage of water or other liquids therethrough under some circumstances. When a material is described herein as being "liquid impervious" it is meant that that material substan tially completely prevents the passage of water and similar liquids therethrough.
In accordance with a particular embodiment, a disposable surgical gown comprises a main sheet having a front portion and side portions, said front portion having a central operative field extending substantially to the bottom edge of said front portion, said operative field portion comprising a liquid impervious inner plastic film material and an outer absorbent, through bonded, non-shedding, nonwoven fabric layer bonded to the inner plastic film, said main sheet having sleeves attached thereto, said sleeves - 5 _ ~;
~ -, "
110()704 con~pris.in~ a li~uid impervious material having an absorbent inner surface, the remainder of the main sheet comprising a liquid repellant nonwoven fabric.
BRIEF DESCRIPTION OF T~E DRAWINGS
~ he invention will be better understood with reference to the annexed drawings in which:
FIG. 1 is a plan ~iew of the outer surface of a back closing surgical gown in accordance with the present invention.
FIG. 2 is a plan view of the inner surface of the gown of Fig. 1, with the sleeves turned inside out.
FIG. 3 is a cross-sectional view, with parts - 5a -J&J 754 magnified, taken a].ong line 3-3 o~ Fig. l.
Fie. 4 is a fragmentary cros~-sectional view, with parts magni~ied, taken along l~ne 4-4 of Fig. 1.
Flg. 5 is a fragmentary view sim~lar to Fig. 1 showing the shoulder and sleeve portion of anot~er embodi-ment of the present invention.
Fig. 6 ls a cross-sectional vlew, wlth parts magnified, taken along line 6-6 of Flg. 5.
Fig. 7 is a plan view, with certain parts cut away and with certaln parts ln phantom, o~ the outer surface of another gown in accordance with the present invention.
Flg. 8 is a plan view o~ the outer surface o~ a gown in accordance with the present invention haYing central oper~tive ~ield "e~gh".
Fig. 9 is a plan view of the outer surrace o~
another gown havlng a central oper~tive fleld 'lpvwXyu".
Fig. 10 is a plan view of the outer ~urface of another gown having a centr~l operative field "abc~gh".
DESCRIPTION OF THE P~ R~D ~ ~DDIMENT~
.
: Referring now to Fig. 7, there is shown a back closing surgieal gown in accordance with the present lnven-tion. Gown 10 comprises a main sheet 12 having sleeves 13 and 14 ~a~tened thereto. MQin ~heet 12 comprises a front panel 16, left slde panel 18, and right side panel 20, the ~everal panels being ~oined together b~ stltching (not shown). Sleeves 13 ~nd 14 are provlded wlth knitted cuffs 15. Belt mean~ 21, 21a are provided ~or securing the gown around the wQist and tie ~trings 22, 22a are provided to secure the gown ~t the neck. Other well known means ~or securing the gown around the waist and at the neck of the 110()704 wearer may be employed to suit various purposes.
Front panel 16 of back closing gown 10 comprises an absorbent outer surface 16a which is capable of absorbing body or other fluids such as bloodor water and the like, and a liquid impervious inner surface 16b (shown in the cutaway portion of Figure 7) which prevents li~uids absorbed by outer surface 16a from penetrating the front panel to contact the clothes or body of the wearer. Front panel 16 (designated in Figure 7 as "jklmno") is made by extrusion coatlng a nonwoven fabric made in accordance with the teaching of Canadian Patent No. 929,701 issued ~uly 10, 1973, with polyethylene. Other fluid impervious materials such as polypropylene or polyvinyl chloride may be used in place of polyethylene. It will be recognized that other materials having the above indicated required characteristics may be used for front panel 1~. These might include, for example, an absorbent polyurethane foam laminated to a fluid impervious material such as polyethylene, an absorbent tissue bonded to a sheet of polyvinyl chloride; or an absorbent nonwoven fabric bonded to a li~uid impervious material such as polyvinyl chloride, polyethylene or the like. It will also be recogni~ed that it is not necessary that the absorbent material be entirely bonded to the fluid impervious material, it is sufficient, e.g., if the two are "spot-bonded" in a desired configuration or if the two are joined together at thelr adjoining edges.
Side panels 18 and 20, shown in phantom in Figure 7, may be made ~rom any of the various disposable materials, such as a li~uid repellent nonwoven fabric, known to be of use in making surgical gowns.
J&J 754 '110()709~
Referring now to Fig. 8, t;here is shown a back closing gown similar to the one shown in Fig. 7. Gown 25 comprises a front panel 26 designated by the letters "~klmno". Front panel 26 has a generally rectangular central operatl~e ~ield 28 designated by the letters "efgh". Central operative field 28 comprise~ a ~luid impervious material having an absorbent outer ~urface.
The remainlng portions of front panel 26 ma~ comprise any desired material such as a liquid repellent nonwoven.
Gown 25 o~ Flg. 8 would be particularly useful in, e.g., neurological or orthopedic surgery.
In Fig. 9 there is ~hown ~nother modific~tion of the surgical gown o f this ~nvention. ~own 35 comprise~
front panel 36 designated by the letters "pqrstu". Fron~
panel 36 has a central operative fleld, des~gnated by the letters "pvwxyu," which has a modifled bib shape. Central operQtive field "pvwxyu" comprises a fluid impervious material having an absorbent outer surface. The remaining portion "qrstyxwv" of front panel 36 comprises any desired material of construction.
As illustrated ln Fig. 10 gown 45 comprlses front panel 46, deslgnated by letters "abcdefgh". Panel 46 has a crittcal operative field, designated by letters "abc~gh,"
which comprises a flu~d impervious material having an abfiorbent outer ~urface. The remaining portion "cde~'l of panel 46 comprises any o~ the materials commonly used for construction of dispo6able surgical gown~.
Gowns 35 and 45 would be particularly useful in such surglcal procedures as cystQscopy uhere large amount~
of irrlgating fluids are to be used.
Referring now to Figs. 1-4 there is shown a p~rticularly preferred back closing surgic~l gown embodylng J&J 754 110(~7Q4 the present invention. Gown 50 compri~es a main sheet 52 having sleeves 53 and 54 fastened thereto. Main sheet 52 compri~es a front panel 58, left s~de panel 60, and rig~t side panel 62, the several p~nels b~ing ~oined together by stitching 64. Rlght hand sleeve 53 and le~t hand sleeve 54 are provided with knitted cuffs 55. Tie string~ 66, 66a and belt means 68, 68a are provided to secure the gown at the neck and around the waist of the wearer, re~pectively.
~eferring specifically to Figs. 1 and 3, ~ront panel 58 o~ back closing gown 50 comprises an absorbent outer surface 58a which is capable of ~bsorblng body or other fluids ~uch as blood or water and the like, and a liquid impervious lnner surface ~8b ( see cutaway portion of Fig. 1) which prevents liqulds absorbed by outer surf~ce 15 58a from penetrating the ~ront panel to cont~t the clothes of the wearer. The extrusion coated nonwoven fabric used for front panel 16 Or gown 10 (Fig. 7) is used for front panel 58 of gown 50. Again, as ~ndicated earl~er herein, other materials having the above ind~cated requlred character-istics may be used for front panel 58.
~ ide panels 60 and 62 of gown 50 comprise a non-woYen ~abric which 1s repellent to such fluids as water, blood, and the like. Althoug~ lt is preferred that side panels 60 and 62 comprise a liquid repellent nonwoven ~abric, ; ~5 any of the well known materials commonly used in making dlspos~ble ~urgical drapes may be employed if desired.
Referring to Flg. 4 and to the upper right hand portion of Fig. 1, le~t sleeve 54 of gown 50 comprises an outer layer 54a of a liquid repellent nonwoven ~abrie. The ~orearm portion of sleeve 54 further comprlses an inner layer 54b of absorbent tissue which is capable of' absorbing J&J 754 1~0-~704 '~quids such as persplration, and intermedi~te l~yer 54c of liquid impervious polyethylene film. As ~hown in the enlarged portion of Fig. ~, absorbent tisque 54b is secured by any well known seeuring mean~ to polyethylene fllm 54c to form a liquid lmpervious mater~al ha~ing an ab~orbent surface. Liquid repellent nonwoven 54a, however, is not bonded to polyethylene film 54c except near the elbow and wriqt portion~ of the sleeve. Thi8 i8 lllu~trated in the enlar~ed portlon o~ F~g. 4 whereln there is a clearance between nonwoven 54a an~ polyethylene film 54c. Li~uid repellent nonwoven 54a is secured to polyethylene film 54c in the elbow area by heat ~eallng. Other securlng means, e.g., a plasticlzed polyvinyl acetate re~in-based adhesive, could also be employed. As shown in Fig. 4, liquid repel-lent nonwo~en 54a, absorbent tis~ue 54b and polyethylenefilm 54c are secured to each other and to knitted cu~f 53 at the wrlst portlon o$ sleeve 54 by stitching 64. Again, alternative securing means may be used in place o~ stitchln~
54 if desired. Sleeve 53 ha~ the same construction as sleeve 54.
Fig. 2 shows the inner surface o~ surgical gown 50, with the sleeves turned inside out. m e cutaway portion at the lower center o~ Fig. 2 shows the absorbent outer surface 58a o~ front panel 58 of the gown. Referring to the cutaway porti~n at the upper right h~nd portion of Fig. 2, right hand sleeve 53 is shown turned inside out. q~he fore-arm portion of sleeve 53 ha~ a liquld absorbent inner sur-face compri~ing a layer 53b of absorbent tigsue~ and an outer surface 53a comprising a llquld repellent no~woven ~abrlc.
Intermediate the ab~orbent ti3~ue and the ~luid ~epellent nonwoven fabric i~ a liquid impervious layer 53c of poly-ethylene.
-- 10 ~
JecJ 754 11l)07U4 Fi~, 3 shows the con~truct:ion ~f main sheet ~?2 ~f gown ';0 with some parts ma~nified. Referrin~
particularly to the magnified portion at the left hand side of Fig. 3~ front panel 58 comprises an absorbent outer surface 58a and a liquld impervious inner sur~ace 58b. Side panel 60, QS indicated before, comprises ~
liquid repellent nonwoven, but may be m~de from other suitable m~teri~ls of constructlon if desired.
Figs. 5 and 6 illustrate a variation on the sleeve construction of Figs. 1-4. Fig. 5 shows the upper left hand port~on of the outer surface of a back clo~ing æurgical gown 70. It will be understood that gown 70 comprises a main sheet with sleeves, and has tie strings at the neck and belt means at the waist, although only left hand sleeve 73 and portions of front panel 78 and lert side panel 80 are shown. Left sleeve 73 Or gown 70 comprises a liquid lmpervious material having an absorbent inner surface. The inner surface 73b of sleeve 73 com-prises an absorbent nonwo~en ~abric made ~n accordance with ~he teaching o~ U.S. 3,663,348. The outer surface 73a o~ sleeve 73 ~omprisea a layer of liqu1d impervious polyethylene. In the embodiment o~ Figs. 5 and 5, the : -nonwoven fabric has been extruslon coated with polyethylene, according to well known technique~, to provlde the liquid impervious material having an absorbent ~urface. It ~ill be under~tood that other materials and methods of con-struction may be used. Absorbent tissue could be substi-tuted for t~e nonwoven ~abric, and other plastic materials9 such as polyvinyl chloride or polypropylene, could be subst~tuted for the polyethylene. The ~luid impervious plastic need not be applied by ~xtrusion coating techn~ques J&J 754 13.C~0704 to the absorbent tissue. A material serving the desired purposes can be conveniently made, ~or example, by bonding absorbent tissue to a sheet of polyvinyl chl~ride by heat sealing or other bonding means. Sleeve 73 ha~ a suitable cu~f 85 attacl~d thereto with stitching 84. ~he right hand sleeve (not shown) has the same construction as sleeve 73.
It has been found that the sleeve construction illustrated in Figs. 5 and 6 is particularly advanta~eous.
Since the inner surfaces of the sleeves are absorbent, they function to absorb perspiration, thus makin~ the gown more com~ortable to wear. During a surgical procedure the sleeves of a surgical gown frequently come into contact with the surgical drape. After repeat~d contact~ the outer ~urfaces o~ ~he sleeves of the gown may become abraded and there ls a danger of loose material belng tran8ferred into the incision area. The fluid impervious outer surface or the sleeve, being made o~ polyethylene or similar thermo-plastlc materials, has a considerable amount o~ abrasion re~istance in addition to being fluid impervious. Since the outer sur~aces of the sleeves shown in Figs. 5 and 6 have improved abrasion resistan~e, the amount of loose material produced during the course of surgery i~ con-siderably reduced, and the chan~e o~ loose material being transferred to the incision area is significantly lesscned.
lt will be understood by those skilled in the art that the principles of the present invention may be applied not only to the back closlng surgical gowns illustrated ln Figs. 1-10, but also to other gowns such as a front closing ~own. Other variations and modifications can be made with-out departing ~rom the spirit and scope of the invention.
BACKGROUND OF ~E INVENTION
Field Of The Invention This invention relate~ to surglcal gowns and the like and, in particular, to disposable surgical gowns which rèduce liquid run-o~f, prevent strike-through of liquids and have improved moisture absorption properties.
scri~on O ~ Prior Art It i~ well known that the surgeon' s sterile gown mugt function, dur~ng the course of an operation, to prevent contamination of the patient, surgical instruments, and other personnel through contact with the wearer and to prevent the clothes of the we~rer from becoming satur~ted wi th blood and other llqulds .
Originally, surgical gowns were made o~ linen, the gowns being sterilized prior to use in the operating room. Linen gowns were not capable o~ preventing "strike-through'~ of various liquids which were encountered durlng surglcal procedures. As a result, the wearer' 8 clothes became saturated with blood and the like, and a path was established ~or the transmission of bacteria to ~nd from the wearer of the gown. Additionally, linen gown~, due to thelr h~gh cost, had to be used a number of tlmes, thus necessitating laundering and sterili2ation between succes-si~e uses.
In an attempt to reduce strike-through of liquid~
and to eliminate the need ~or repeated laundering and sterilizatlon, di~posable gowns were made from fluid repellent nonwoven fabrics. These gowns reduced liquid strike-through for a limited time. In addition, liquids _ 2 -. .
~ 704 J&J 754 had a tendenc~ to run off the outer surface of the gOWnJ
frequently wetting the shoes and the unprotected lower portlons of the wearer's clothing.
Surgical gowns were then made wherein the fluid repellent nonwoven fabric was laminated to, or lined with, a fluid impervious material such as polyethylene. Al~hough this approach prevented strike-through o~ liquids and solved the problems arising thereYrom, the problem~
associated wlth liquid run-o~f stlll persistedD In addi-tion, the fluid lmpervious mater~al tended to trap perapira-tion, thus making the gown increa~ingly uncom~ortable as the surgical operation proceeded, SUMMARY OF THE INVENTION
. _ . , .
I have now made an inexpen~ive, disposable surgical gown which greatly reduces liquid run-off and prevents liquid Qtrike-through, thus solving the ma~or difficulties encountered with prlor art gowns. In a pre~erred embodiment Or my inventlon, means are also provided ~or ab~orblng perspiration in the arm area, thus making the gown more comfortable to wear, My new surgical ~own comprlses a main sheet ~ith sleeve~ attached thereto, said main sheet comprising a front panel having a central operative field. As used herein "central operatlve field"
refers to that part of a surgical gown which i8 mo~t llkely : 25 to be contacted with blood, variQus body flulds, or tre~ting liqulds such as water or saline solutions, during the course of a particular surgical procedure. lt wlll be understood that the size of the central operative field wlll vary according to the particular operation. In some instances, the central operatlve ~ield would extend over the entire J8cJ 754 )70~
front; panel of the gown, that i8, the central operative field and the front panel would be c~extensive, while in other cases the central operative f~eld would include only a part o~ the front panel. In order to reduce l~quid run-off and prevent liquid strike-through3 the central operative field of the front panel of my gown comprises a fluid impervious material having an absorbent outer sur~ace.
Where the central operative field includes an area le88 than that o~ the entire front panel of the gown~ the re-maining portions Or said ~ront panel may be made from any~f the well known materials commonly used in the manu~acture of surglcal gowns. ~he various other parts o~ my gown3 e.g., the side panels and sleeve~, may be made from the same materlals as used for the front panel of the gown, although other well known material~ for constructing di~-posable gOWtlS may be used i~ d2slred.
In one modiflcation of the present invention, at least the forearm portion of the sleeve comprises a liquid impervious material having ~n absorbent inner sur~aceg while ln another modiricatiorl, the ent~re sleeve is made from ~uch a material. In the modi~ication6 mentioned, the absorbent inner sur~ace provides means ~or absorbing per-spi~ation, thus making the gown more com~ortable to wear.
The liquid impervious characteristic of the materlal pre-vents persplration ~rom reaching the outsr surface o~ thesleeve, and thus prevent~ the e~tablishment of a pathway ~or the transmission o~ bacteria.
When the term "~ront" is used herein to describe a part o~ a gown, reference is being made to that part of ths gown whlch3 when the gown is being worn, ove~lies the chest o~ the wearer; the term "back" refers to that part of the gown which, when the gown is being worn, overlies the back of the wearer. The term "outer'` describes that surface of a gown, or of a part thereof, which faces away from the wearer when the gown is being worn, and the term "inner"
describes that surface of a gown, or of a part thereof, which contacts the clothes or body of the wearer when the gown is being worn. The terms '`left'` and 'Iright~'~ when used to des-cribe a gown or portions thereof, refer to the left hand side and right hand side, respectively, of t~e wearer when the gown is being worn.
When a material is described herein as being "liquid repellent", it is meant that that material, when tested according to AATCC Test Method 22-1967, has a spray rating of at least about 70. Those skilled in the art wilL be aware that materials which are repellent according to the standards set by the above mentioned test may nevertheless permit the passage of water or other liquids therethrough under some circumstances. When a material is described herein as being "liquid impervious" it is meant that that material substan tially completely prevents the passage of water and similar liquids therethrough.
In accordance with a particular embodiment, a disposable surgical gown comprises a main sheet having a front portion and side portions, said front portion having a central operative field extending substantially to the bottom edge of said front portion, said operative field portion comprising a liquid impervious inner plastic film material and an outer absorbent, through bonded, non-shedding, nonwoven fabric layer bonded to the inner plastic film, said main sheet having sleeves attached thereto, said sleeves - 5 _ ~;
~ -, "
110()704 con~pris.in~ a li~uid impervious material having an absorbent inner surface, the remainder of the main sheet comprising a liquid repellant nonwoven fabric.
BRIEF DESCRIPTION OF T~E DRAWINGS
~ he invention will be better understood with reference to the annexed drawings in which:
FIG. 1 is a plan ~iew of the outer surface of a back closing surgical gown in accordance with the present invention.
FIG. 2 is a plan view of the inner surface of the gown of Fig. 1, with the sleeves turned inside out.
FIG. 3 is a cross-sectional view, with parts - 5a -J&J 754 magnified, taken a].ong line 3-3 o~ Fig. l.
Fie. 4 is a fragmentary cros~-sectional view, with parts magni~ied, taken along l~ne 4-4 of Fig. 1.
Flg. 5 is a fragmentary view sim~lar to Fig. 1 showing the shoulder and sleeve portion of anot~er embodi-ment of the present invention.
Fig. 6 ls a cross-sectional vlew, wlth parts magnified, taken along line 6-6 of Flg. 5.
Fig. 7 is a plan view, with certain parts cut away and with certaln parts ln phantom, o~ the outer surface of another gown in accordance with the present invention.
Flg. 8 is a plan view o~ the outer surface o~ a gown in accordance with the present invention haYing central oper~tive ~ield "e~gh".
Fig. 9 is a plan view of the outer surrace o~
another gown havlng a central oper~tive fleld 'lpvwXyu".
Fig. 10 is a plan view of the outer ~urface of another gown having a centr~l operative field "abc~gh".
DESCRIPTION OF THE P~ R~D ~ ~DDIMENT~
.
: Referring now to Fig. 7, there is shown a back closing surgieal gown in accordance with the present lnven-tion. Gown 10 comprises a main sheet 12 having sleeves 13 and 14 ~a~tened thereto. MQin ~heet 12 comprises a front panel 16, left slde panel 18, and right side panel 20, the ~everal panels being ~oined together b~ stltching (not shown). Sleeves 13 ~nd 14 are provlded wlth knitted cuffs 15. Belt mean~ 21, 21a are provided ~or securing the gown around the wQist and tie ~trings 22, 22a are provided to secure the gown ~t the neck. Other well known means ~or securing the gown around the waist and at the neck of the 110()704 wearer may be employed to suit various purposes.
Front panel 16 of back closing gown 10 comprises an absorbent outer surface 16a which is capable of absorbing body or other fluids such as bloodor water and the like, and a liquid impervious inner surface 16b (shown in the cutaway portion of Figure 7) which prevents li~uids absorbed by outer surface 16a from penetrating the front panel to contact the clothes or body of the wearer. Front panel 16 (designated in Figure 7 as "jklmno") is made by extrusion coatlng a nonwoven fabric made in accordance with the teaching of Canadian Patent No. 929,701 issued ~uly 10, 1973, with polyethylene. Other fluid impervious materials such as polypropylene or polyvinyl chloride may be used in place of polyethylene. It will be recognized that other materials having the above indicated required characteristics may be used for front panel 1~. These might include, for example, an absorbent polyurethane foam laminated to a fluid impervious material such as polyethylene, an absorbent tissue bonded to a sheet of polyvinyl chloride; or an absorbent nonwoven fabric bonded to a li~uid impervious material such as polyvinyl chloride, polyethylene or the like. It will also be recogni~ed that it is not necessary that the absorbent material be entirely bonded to the fluid impervious material, it is sufficient, e.g., if the two are "spot-bonded" in a desired configuration or if the two are joined together at thelr adjoining edges.
Side panels 18 and 20, shown in phantom in Figure 7, may be made ~rom any of the various disposable materials, such as a li~uid repellent nonwoven fabric, known to be of use in making surgical gowns.
J&J 754 '110()709~
Referring now to Fig. 8, t;here is shown a back closing gown similar to the one shown in Fig. 7. Gown 25 comprises a front panel 26 designated by the letters "~klmno". Front panel 26 has a generally rectangular central operatl~e ~ield 28 designated by the letters "efgh". Central operative field 28 comprise~ a ~luid impervious material having an absorbent outer ~urface.
The remainlng portions of front panel 26 ma~ comprise any desired material such as a liquid repellent nonwoven.
Gown 25 o~ Flg. 8 would be particularly useful in, e.g., neurological or orthopedic surgery.
In Fig. 9 there is ~hown ~nother modific~tion of the surgical gown o f this ~nvention. ~own 35 comprise~
front panel 36 designated by the letters "pqrstu". Fron~
panel 36 has a central operative fleld, des~gnated by the letters "pvwxyu," which has a modifled bib shape. Central operQtive field "pvwxyu" comprises a fluid impervious material having an absorbent outer surface. The remaining portion "qrstyxwv" of front panel 36 comprises any desired material of construction.
As illustrated ln Fig. 10 gown 45 comprlses front panel 46, deslgnated by letters "abcdefgh". Panel 46 has a crittcal operative field, designated by letters "abc~gh,"
which comprises a flu~d impervious material having an abfiorbent outer ~urface. The remaining portion "cde~'l of panel 46 comprises any o~ the materials commonly used for construction of dispo6able surgical gown~.
Gowns 35 and 45 would be particularly useful in such surglcal procedures as cystQscopy uhere large amount~
of irrlgating fluids are to be used.
Referring now to Figs. 1-4 there is shown a p~rticularly preferred back closing surgic~l gown embodylng J&J 754 110(~7Q4 the present invention. Gown 50 compri~es a main sheet 52 having sleeves 53 and 54 fastened thereto. Main sheet 52 compri~es a front panel 58, left s~de panel 60, and rig~t side panel 62, the several p~nels b~ing ~oined together by stitching 64. Rlght hand sleeve 53 and le~t hand sleeve 54 are provided with knitted cuffs 55. Tie string~ 66, 66a and belt means 68, 68a are provided to secure the gown at the neck and around the waist of the wearer, re~pectively.
~eferring specifically to Figs. 1 and 3, ~ront panel 58 o~ back closing gown 50 comprises an absorbent outer surface 58a which is capable of ~bsorblng body or other fluids ~uch as blood or water and the like, and a liquid impervious lnner surface ~8b ( see cutaway portion of Fig. 1) which prevents liqulds absorbed by outer surf~ce 15 58a from penetrating the ~ront panel to cont~t the clothes of the wearer. The extrusion coated nonwoven fabric used for front panel 16 Or gown 10 (Fig. 7) is used for front panel 58 of gown 50. Again, as ~ndicated earl~er herein, other materials having the above ind~cated requlred character-istics may be used for front panel 58.
~ ide panels 60 and 62 of gown 50 comprise a non-woYen ~abric which 1s repellent to such fluids as water, blood, and the like. Althoug~ lt is preferred that side panels 60 and 62 comprise a liquid repellent nonwoven ~abric, ; ~5 any of the well known materials commonly used in making dlspos~ble ~urgical drapes may be employed if desired.
Referring to Flg. 4 and to the upper right hand portion of Fig. 1, le~t sleeve 54 of gown 50 comprises an outer layer 54a of a liquid repellent nonwoven ~abrie. The ~orearm portion of sleeve 54 further comprlses an inner layer 54b of absorbent tissue which is capable of' absorbing J&J 754 1~0-~704 '~quids such as persplration, and intermedi~te l~yer 54c of liquid impervious polyethylene film. As ~hown in the enlarged portion of Fig. ~, absorbent tisque 54b is secured by any well known seeuring mean~ to polyethylene fllm 54c to form a liquid lmpervious mater~al ha~ing an ab~orbent surface. Liquid repellent nonwoven 54a, however, is not bonded to polyethylene film 54c except near the elbow and wriqt portion~ of the sleeve. Thi8 i8 lllu~trated in the enlar~ed portlon o~ F~g. 4 whereln there is a clearance between nonwoven 54a an~ polyethylene film 54c. Li~uid repellent nonwoven 54a is secured to polyethylene film 54c in the elbow area by heat ~eallng. Other securlng means, e.g., a plasticlzed polyvinyl acetate re~in-based adhesive, could also be employed. As shown in Fig. 4, liquid repel-lent nonwo~en 54a, absorbent tis~ue 54b and polyethylenefilm 54c are secured to each other and to knitted cu~f 53 at the wrlst portlon o$ sleeve 54 by stitching 64. Again, alternative securing means may be used in place o~ stitchln~
54 if desired. Sleeve 53 ha~ the same construction as sleeve 54.
Fig. 2 shows the inner surface o~ surgical gown 50, with the sleeves turned inside out. m e cutaway portion at the lower center o~ Fig. 2 shows the absorbent outer surface 58a o~ front panel 58 of the gown. Referring to the cutaway porti~n at the upper right h~nd portion of Fig. 2, right hand sleeve 53 is shown turned inside out. q~he fore-arm portion of sleeve 53 ha~ a liquld absorbent inner sur-face compri~ing a layer 53b of absorbent tigsue~ and an outer surface 53a comprising a llquld repellent no~woven ~abrlc.
Intermediate the ab~orbent ti3~ue and the ~luid ~epellent nonwoven fabric i~ a liquid impervious layer 53c of poly-ethylene.
-- 10 ~
JecJ 754 11l)07U4 Fi~, 3 shows the con~truct:ion ~f main sheet ~?2 ~f gown ';0 with some parts ma~nified. Referrin~
particularly to the magnified portion at the left hand side of Fig. 3~ front panel 58 comprises an absorbent outer surface 58a and a liquld impervious inner sur~ace 58b. Side panel 60, QS indicated before, comprises ~
liquid repellent nonwoven, but may be m~de from other suitable m~teri~ls of constructlon if desired.
Figs. 5 and 6 illustrate a variation on the sleeve construction of Figs. 1-4. Fig. 5 shows the upper left hand port~on of the outer surface of a back clo~ing æurgical gown 70. It will be understood that gown 70 comprises a main sheet with sleeves, and has tie strings at the neck and belt means at the waist, although only left hand sleeve 73 and portions of front panel 78 and lert side panel 80 are shown. Left sleeve 73 Or gown 70 comprises a liquid lmpervious material having an absorbent inner surface. The inner surface 73b of sleeve 73 com-prises an absorbent nonwo~en ~abric made ~n accordance with ~he teaching o~ U.S. 3,663,348. The outer surface 73a o~ sleeve 73 ~omprisea a layer of liqu1d impervious polyethylene. In the embodiment o~ Figs. 5 and 5, the : -nonwoven fabric has been extruslon coated with polyethylene, according to well known technique~, to provlde the liquid impervious material having an absorbent ~urface. It ~ill be under~tood that other materials and methods of con-struction may be used. Absorbent tissue could be substi-tuted for t~e nonwoven ~abric, and other plastic materials9 such as polyvinyl chloride or polypropylene, could be subst~tuted for the polyethylene. The ~luid impervious plastic need not be applied by ~xtrusion coating techn~ques J&J 754 13.C~0704 to the absorbent tissue. A material serving the desired purposes can be conveniently made, ~or example, by bonding absorbent tissue to a sheet of polyvinyl chl~ride by heat sealing or other bonding means. Sleeve 73 ha~ a suitable cu~f 85 attacl~d thereto with stitching 84. ~he right hand sleeve (not shown) has the same construction as sleeve 73.
It has been found that the sleeve construction illustrated in Figs. 5 and 6 is particularly advanta~eous.
Since the inner surfaces of the sleeves are absorbent, they function to absorb perspiration, thus makin~ the gown more com~ortable to wear. During a surgical procedure the sleeves of a surgical gown frequently come into contact with the surgical drape. After repeat~d contact~ the outer ~urfaces o~ ~he sleeves of the gown may become abraded and there ls a danger of loose material belng tran8ferred into the incision area. The fluid impervious outer surface or the sleeve, being made o~ polyethylene or similar thermo-plastlc materials, has a considerable amount o~ abrasion re~istance in addition to being fluid impervious. Since the outer sur~aces of the sleeves shown in Figs. 5 and 6 have improved abrasion resistan~e, the amount of loose material produced during the course of surgery i~ con-siderably reduced, and the chan~e o~ loose material being transferred to the incision area is significantly lesscned.
lt will be understood by those skilled in the art that the principles of the present invention may be applied not only to the back closlng surgical gowns illustrated ln Figs. 1-10, but also to other gowns such as a front closing ~own. Other variations and modifications can be made with-out departing ~rom the spirit and scope of the invention.
Claims (4)
1. A disposable surgical gown comprising a main sheet having a front portion and side portions, said front portion having a central operative field extending substantially to the bottom edge of said front portion, said operative field portion comprising a liquid impervious inner plastic film material and an outer absorbent, through bonded, non-shedding, nonwoven fabric layer bonded to the inner plastic film, said main sheet having sleeves attached thereto, said sleeves com-prising a liquid impervious material having an absorbent inner surface, the remainder of the main sheet comprising a liquid repellant nonwoven fabric.
2. The surgical gown of claim 1 wherein the central operative field is rectangular in shape.
3. The surgical gown of claim 1 wherein the central operative field has a modified bib shape.
4. The surgical gown of claim 2 wherein said plastic film is selected from the group consisting of polyethylene, polypropylene, and polyvinyl chloride.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US401301A US3868728A (en) | 1973-09-27 | 1973-09-27 | Surgical gown |
US401,301 | 1973-09-27 |
Publications (1)
Publication Number | Publication Date |
---|---|
CA1100704A true CA1100704A (en) | 1981-05-12 |
Family
ID=23587173
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA210,113A Expired CA1100704A (en) | 1973-09-27 | 1974-09-26 | Surgical gown |
Country Status (5)
Country | Link |
---|---|
US (1) | US3868728A (en) |
CA (1) | CA1100704A (en) |
GB (1) | GB1465122A (en) |
IE (1) | IE40403B1 (en) |
PH (1) | PH11000A (en) |
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-
1973
- 1973-09-27 US US401301A patent/US3868728A/en not_active Expired - Lifetime
-
1974
- 1974-09-16 PH PH16291A patent/PH11000A/en unknown
- 1974-09-26 CA CA210,113A patent/CA1100704A/en not_active Expired
- 1974-09-26 GB GB4192474A patent/GB1465122A/en not_active Expired
- 1974-09-26 IE IE2007/74A patent/IE40403B1/en unknown
Also Published As
Publication number | Publication date |
---|---|
PH11000A (en) | 1977-10-20 |
GB1465122A (en) | 1977-02-23 |
US3868728A (en) | 1975-03-04 |
IE40403L (en) | 1975-03-27 |
IE40403B1 (en) | 1979-05-23 |
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Legal Events
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