Abstract:
Medical waste must be properly disposed of. Reusable instruments and tools must be properly cleaned and sterilized after usage if medical waste has been in contact with them. A welled handle disposable medical tool is contra-indicated for traditional instruments and tools. Herein is disclosed a welled handle device comprising a base with a front and back end having a predetermined silhouette or outer contour; a plurality of open wells formed in said base; and, a tool portion connected to the front end of said base.

Description:
RELATED APPLICATION 
       [0001]    This application claims the full Paris Convention benefit of and priority to U.S. Provisional Patent Application Ser. No. 61/463,041 filed Feb. 12, 2011, the contents of which are incorporated by reference herein in their entirety, as if fully set forth herein. 
     
    
     BACKGROUND 
       [0002]    1. Field 
         [0003]    This disclosure relates to medical waste collection with a handle of a hand held disposable medical instrument. 
         [0004]    2. General 
         [0005]    Properly discarding biological tissue during a surgical procedure is vital to the safety of the staff and the patient. Tissue is considered pathological waste, and after its disposal from the operating room it must be sterilized before it can be sent to a waste site. There is a significant possibility of transmission of infectious diseases if the tissue is simply thrown away in the garbage to decompose. Additionally, all scalpel blades used in the surgery to remove the tissue must be safely disposed of, and any used needles must be deposited into a sharps container. 
         [0006]    All biohazard containers and bags must be sent to the sterilization department within the hospital to be either incinerated or autoclaved. States vary on regulations concerning the final disposal of pathological waste. 
         [0007]    On a United States Federal level, the storage and management of medical waste is primarily regulated by OSHA. The OSHA regulations only apply to human blood, human infectious wastes, and human pathological wastes. Under OSHA:
   contaminated reusable sharps must be placed in containers that are: puncture resistant; labeled or color coded; and leakproof on the sides and bottom, reusable sharps that are contaminated with blood or other potentially infectious materials must not be stored or processed in a manner that requires employees to reach by hand into the containers, and specimens of blood or other potentially infectious material are required to be placed in a container that is labeled and color coded and closed prior to being stored, transported or shipped. Contaminated sharps must be placed in containers that are: closeable, puncture resistant, leakproof on sides and bottoms, and labeled or color coded. Regulated wastes (liquid or semi-liquid blood or other potentially infectious materials and contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed, items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling, contaminated sharps, and pathological and microbiological wastes containing blood or other potentially infectious materials) must be placed in containers that are: closeable, constructed to contain all contents and prevent leakage of fluids, labeled or color coded, and closed prior to removal. All bins, pails, cans, and similar receptacles intended for reuse, that have the likelihood of becoming contaminated with blood or other potentially infectious materials are required to be inspected and decontaminated on a regularly scheduled basis. Labels affixed to containers of regulated wastes, refrigerators and freezers containing blood or other potentially infectious materials, and other containers used to store, transport, or ship blood or other potentially infectious materials must: include the biohazard symbol, be fluorescent orange or orange-red or predominantly so, with lettering and symbols in contrasting color; and affixed as closely as possible to the container by adhesive or wire to prevent loss or removal. Citation at http://www.fedcenter.gov/assistance/facilitytour/solid/medical/.   
 
         [0009]    One definition of Medical Waste is: Medical waste is all waste materials generated at health care facilities, such as hospitals, clinics, physician&#39;s offices, dental practices, blood banks, and veterinary hospitals/clinics, as well as medical research facilities and laboratories. 
         [0010]    The Medical Waste tracking Act of 1988 defines medical waste as “any solid waste that is generated in the diagnosis, treatment, or immunization of human beings or animals, in research pertaining thereto, or in the production or testing of biologicals.” This definition includes, but is not limited to: 
         [0011]    blood-soaked bandages 
         [0012]    culture dishes and other glassware 
         [0013]    discarded surgical gloves 
         [0014]    discarded surgical instruments 
         [0015]    discarded needles used to give shots or draw blood (e.g., medical sharps) 
         [0016]    cultures, stocks, swabs used to inoculate cultures 
         [0017]    removed body organs (e.g., tonsils, appendices, limbs) 
         [0018]    discarded lancets 
         [0019]    Citation at http://www.epa.gov. 
       DESCRIPTION 
       [0020]    According to some exemplary implementations, disclosed is a method to collect medical waste, the method comprising collecting medical waste on a glove or hand of a user by griping a welled handle of a medical tool; and, having at least some of said medical waste be transferred from the glove or hand to being collected within the wells of the handle. In some instances, the welled handle with medical waste collected in the wells is disposed of. One aspect in some implementations includes a rough surface on at least one wall, defined as being textured or rough enough to facilitate medical waste adherence to the texture. 
         [0021]    According to some exemplary implementations, disclosed is a grippable reduced slip handle. Said handle with collection wells collects medical waste off the hand or glove of a user, thereby removing a portion of the fluid, tissue or other material which may cause slippage or reduce grip on said handle. 
         [0022]    According to some exemplary implementations, disclosed is a skeleton contour silhouette of a preselected shape with cut-out at the surface forming collection wells. Said contour with cut-outs providing collection recesses for medical waste and removing or directing said waste off the outer contour of the handle and into said wells. In some aspects, the outer silhouette shape has at least a portion which is one of bulb, oval, cylinder, polygon, elongated, conical, pencil curved sided, and planar. 
         [0023]    According to some exemplary implementations, disclosed is a medical instrument handle with a self-cleaning grip area. Said grip area has open collection wells wherein some medical waste off may flow from the hand or glove of a user, thereby removing a portion of the medical waste (fluid, tissue or other materials) which otherwise may cause the user&#39;s hand to slip or cause the user to have a reduced grip on said handle. 
         [0024]    Disposal of the medical waste and handle together is also disclosed. 
     
    
     
       DRAWINGS 
         [0025]    The above-mentioned features and objects of the present disclosure will become more apparent with reference to the following description taken in conjunction with the accompanying drawings wherein like reference numerals denote like elements and in which: 
           [0026]      FIGS. 1 and 2  show some aspects of a medical tool with waste collection; 
           [0027]      FIGS. 3 and 4  show some aspects of a medical tool with waste collection; and, 
           [0028]      FIGS. 5 and 6  show some aspects of a medical tool with waste collection; 
       
    
    
       [0029]    All descriptions and callouts in the Figures are hereby incorporated by this reference as if fully set forth herein. 
       FURTHER DESCRIPTION 
       [0030]    According to some exemplary implementations, a medical instrument/tool/device  100  comprises a handle  200  portion and a tool portion  300  with a body  302  that may support a distal tip  304  at its distal end. The handle is a base and may be referred to as a “base”. The base should be of a size and shape to allow it to be hand held. Said body  302  may also be a cutting or filing zone. The distal tip may be a mount for a tool such as a socket or it may a type of driver, screwdriver, wrench, cutter, probe, retractor, resector or prod. Tool portion  300  is affixed to handle  200  at a tool-handle interface  202 . Tool portion  300  is affixed to handle  200  at its proximal end  306  at a tool-handle interface  202 . The affixation is at ether the front end or the back end of said handle (not shown in detail, however the front end shall be the end nearest the tool-handle interface) and the back end shall be the end furthest form that interface. 
         [0031]    Handle  200  is not solid. Handle  200  has a plurality of deep open wells  208 . The handle may also be referred to as a “welled” structure. The deep wells may be 3, 4, or 5 sided. The top (unattached) edge of a series of walls  210 ,  212 ,  214  form a grippable outer contour, which for  FIGS. 1 and 2  approximates a bulb shape. The open wells  208  are bounded by horizontal walls  210 , and intersecting perpendicular walls  212  and  214 . In some implementations, a perpendicular wall  212  or  214  or a horizontal wall  210  may also function as a bottom boundary. In some implementations two perpendicular walls  212 , and two other perpendicular walls  214  form walls arising from a bottom wall (not shown); such a well is 5-sided. Said horizontal walls rise from a central core  215  and extend radially. 
         [0032]    The wells  208  are positioned to collect medical waste from the gloves of a user during procedures. Specifically, human bone, tissue, blood and other fluids are frequently present during procedures. These materials may be medical waste. Medical waste includes: 
         [0033]    “Any discarded biologic product such as blood or tissue removed from operating rooms, morgues, laboratories, or other medical facilities. The term may also be applied to bedding, bandages, syringes, and similar materials that have been used in treating patients and to animal carcasses or body parts used in research. Medical waste is regulated at the state and local levels.  Mosby&#39;s Medical Dictionary,  8th edition. @ 2009, Elsevier. 
         [0034]    Medical waste is regulated and needs to be properly disposed of (see Appendices A, B, and C). Part of the disposal process is the collection of such medical waste. The plurality of wells  208  interface with a user&#39;s hand. When properly gloved, the gloved hand of a user will pick-up or be covered with medical waste it is exposed to during medical procedures. The welled structures of the handle are transfer or collection points to acquire, capture or collect medical waste from the hand or gloves of the user during use of said tool. Further, unlike reusable medical device handles which must be sterilize after use and therefore teach away from creating nooks, crannies, cavities and/or wells wherein medical waste may collect, the collection handle herein is disposable and need not be sterilized for reuse. 
         [0035]    The material and surface of the wells may be adjusted to correspond to the intended usage. A highly lubricous material may be less adequate in collecting fluid, gooey medical waste. A textured or rough surface may facilitate the collection and retention of medical waste. A combination well wall with a highly smooth and/or slick (or lubricous) upper wall (nearest the open top of a well) and a more textured or rougher region nearer the core that may retain more medical waste. Walls in some instances maybe substantially smooth. Hybrid walls or multi-zone walls may be characterized by a transition between surface features. Said multi-zones may be a bright line transition or a more fuzzy transition. Those of ordinary skill in the art will also recognize that a multi-zone may have a plurality of wall zones of different thickness, texture, properties, geometries, etc. 
         [0036]    According to some exemplary implementations, a medical instrument/tool/device  110  shown on  FIGS. 3 and 4  comprises a handle  400  portion and a tool portion  300  with a body  302  that may support a distal tip  304  at its distal end. The handle should be of a size and shape to allow it to be hand held. Said body  302  may also be a cutting or filing zone. The distal tip may be a mount for a tool such as a socket or it may a type of driver, screwdriver, wrench, cutter, probe, retractor, resector or prod. Tool portion  300  is affixed to handle  400  at a tool-handle interface  202 . Tool portion  300  is affixed to handle  400  at its proximal end  306  at a tool-handle interface  202 . The affixation is at ether the front end or the back end of said handle (not shown in detail, however the front end shall be the end nearest the tool-handle interface) and the back end shall be the end furthest form that interface. 
         [0037]    Handle  400  is not solid. Handle  400  has a plurality of deep open wells  208 . The deep wells may be 3, 4, or 5 sided. The top (unattached) edge of a series of walls  210 ,  212 ,  214  form a grippable outer contour which for  FIGS. 3 and 4  approximates a generally elongated cylinder shape. In some instances, the open wells  208  are bounded by horizontal walls  210 , and intersecting perpendicular walls  212  and  214 . In some instances, the open wells are bounded by perpendicular walls  212  and  214  and have a bottom boundary wall which may be the central core  215 . Said horizontal walls extend from a central core  215  and extend radially. Those of ordinary skill in the art will recognize that the substantially planar walls defining the wells are not a limitation and that non-planar wall structures which surround a collection well are within the scope of this disclosure. 
         [0038]    According to some exemplary implementations, a medical instrument/tool/device  120  comprises a handle  500  portion and a tool portion  300  with a body  302  that may support a distal tip  304  at its distal end. The handle should be of a size and shape to allow it to be hand held. Said body  302  may also be a cutting or filing zone. The distal tip may be a mount for a tool such as a socket or it may a type of driver, screwdriver, wrench, cutter, probe, retractor, resector or prod. Tool portion  300  is affixed to handle  500  at a tool-handle interface  202 . Tool portion  300  is affixed to handle  500  at its proximal end  306  at a tool-handle interface  202 . The affixation is at ether the front end or the back end of said handle (not shown in detail, however the front end shall be the end nearest the tool-handle interface) and the back end shall be the end furthest form that interface. 
         [0039]    Handle  500  is not solid. Handle  500  has a plurality of open wells  208 . The wells are shown 5 sided (left, right, front, back, bottom). The top (unattached) edge of a series of walls  210  and  212  form a grippable outer contour which for  FIGS. 5 and 6  approximates a generally pencil cylinder shape. The open wells  208  are bounded by horizontal walls  210 , and intersecting perpendicular walls  212 . Said horizontal walls rise from a central core  215  and extend radially. Those of ordinary skill in the art will recognize that the substantially planar walls defining the wells are not a limitation and that non-planar wall structures which surround a collection well are within the scope of this disclosure. 
         [0040]    Open wells collect medical waste. Via the method of providing a handle having such open wells the user of such a handle will benefit from having medical waste products on the user&#39;s hands or gloves flow into collection wells thereby removing the slippery materials from coating all of the handle. In particular having edges of walls forming a silhouette interspersed with wells provides a balance between grippable surface and controlling the coating of medical waste about the area of the handle the user grips. In some instances the outer silhouette shape has at least a portion which are one of bulb, oval, cylinder, polygon, elongated, conical, pencil curved sided, and planar. The outermost edge (from the center core  215  of each instrument handle) of the walls form the silhouette of each handle  200 ,  200  and  500 . 
         [0041]    The medial device instrument handles shown in  FIGS. 1-6  have self-cleaning. Self-cleaning of of the outer edge of the walls forming the handle silhouette wherein medical waste off may flow from the hand or glove of a user thereby removing a portion of the medical waste (fluid, tissue or other materials) which otherwise may cause the user&#39;s hand to slip, or cause the user to have a reduced grip on said handle. 
         [0042]    While the method and apparatus have been described in terms of what are presently considered to be the most practical and preferred embodiments, it is to be understood that the disclosure need not be limited to the disclosed embodiments. It is intended to cover various modifications and similar arrangements included within the spirit and scope of the claims, the scope of which should be accorded the broadest interpretation so as to encompass all such modifications and similar structures. The present disclosure includes any and all embodiments of the following claims. 
         [0043]    It should also be understood that a variety of changes may be made without departing from the essence of the invention. Such changes are also implicitly included in the description. They still fall within the scope of this invention. It should be understood that this disclosure is intended to yield a patent covering numerous aspects of the invention both independently and as an overall system and in both method and apparatus modes. 
         [0044]    Further, each of the various elements of the invention and claims may also be achieved in a variety of manners. This disclosure should be understood to encompass each such variation, be it a variation of an embodiment of any apparatus embodiment, a method or process embodiment, or even merely a variation of any element of these. 
         [0045]    Particularly, it should be understood that as the disclosure relates to elements of the invention, the words for each element may be expressed by equivalent apparatus terms or method terms—even if only the function or result is the same. 
         [0046]    Such equivalent, broader, or even more generic terms should be considered to be encompassed in the description of each element or action. Such terms can be substituted where desired to make explicit the implicitly broad coverage to which this invention is entitled. 
         [0047]    It should be understood that all actions may be expressed as a means for taking that action or as an element which causes that action. 
         [0048]    Similarly, each physical element disclosed should be understood to encompass a disclosure of the action which that physical element facilitates. 
         [0049]    Any patents, publications, or other references mentioned in this application for patent are hereby incorporated by reference. In addition, as to each term used it should be understood that unless its utilization in this application is inconsistent with such interpretation, common dictionary definitions should be understood as incorporated for each term and all definitions, alternative terms, and synonyms such as contained in at least one of a standard technical dictionary recognized by artisans and the Random House Webster&#39;s Unabridged Dictionary, latest edition are hereby incorporated by reference. 
         [0050]    Finally, all referenced listed in the Information Disclosure Statement or other information statement filed with the application are hereby appended and hereby incorporated by reference; however, as to each of the above, to the extent that such information or statements incorporated by reference might be considered inconsistent with the patenting of this/these invention(s), such statements are expressly not to be considered as made by the applicant(s). 
         [0051]    In this regard it should be understood that for practical reasons and so as to avoid adding potentially hundreds of claims, the applicant has presented claims with initial dependencies only. 
         [0052]    Support should be understood to exist to the degree required under new matter laws—including but not limited to United States Patent Law 35 USC 132 or other such laws—to permit the addition of any of the various dependencies or other elements presented under one independent claim or concept as dependencies or elements under any other independent claim or concept. 
         [0053]    To the extent that insubstantial substitutes are made, to the extent that the applicant did not in fact draft any claim so as to literally encompass any particular embodiment, and to the extent otherwise applicable, the applicant should not be understood to have in any way intended to or actually relinquished such coverage as the applicant simply may not have been able to anticipate all eventualities; one skilled in the art, should not be reasonably expected to have drafted a claim that would have literally encompassed such alternative embodiments. 
         [0054]    Further, the use of the transitional phrase “comprising” is used to maintain the “open-end” claims herein, according to traditional claim interpretation. Thus, unless the context requires otherwise, it should be understood that the term “compromise” or variations such as “comprises” or “comprising”, are intended to imply the inclusion of a stated element or step or group of elements or steps but not the exclusion of any other element or step or group of elements or steps. 
         [0055]    Such terms should be interpreted in their most expansive forms so as to afford the applicant the broadest coverage legally permissible.