Abstract:
An arthroscopy organizing apparatus comprises a generally rectangular box like housing having a front and a back and an upper surface defining a planar support surface, a line holder mounted on the support surface at the back and comprising a resilient elastomeric panel member divided by a plurality of slots into a plurality of resilient holding members defining line receiving and holding areas between adjacent holding members.

Description:
BACKGROUND OF THE INVENTION 
     The present invention relates to an arthroscopy and pertains particularly to an arthroscopy organization system. 
     Arthroscopic operations are carried out with several instruments or tools that are connected by lines and cord to light source, power source, suction source etc. Currently, because of operating room layout, these instruments are unwrapped from sterile wrapping and hooked up and tested after the patient is brought into the operating room. The connection of the instruments to power, water, vacuum and other such supply sources are in a non-sterile area of the operating room. The instruments themselves are placed on the only sterile area in the operating room, the patient or operating table. This preparation takes a great deal of time while the patient is in the operating room under anesthesia. This preparation is particularly time consuming when problems such as inoperable instruments are found. The instrument must be replaced, repaired or adjusted in preparation for the operation. 
     The act of connecting the lines and cords to the light source, power source and the suction canister typically takes about four minutes if there are no problems. If there is any problem with the monitor, the pump or any other machine or instrument, much more time is wasted correcting the problem while the patient is under anesthesia. The cords and lines to the instruments are brought over the patient and are tied to drapes over the patients body. They are usually in a disarray and frequently tangled, resulting in time consuming delay in untangling cords and retrieving instrument. There have been cases of patients under anesthesia being burned by the hot instruments placed directly over the patient&#39;s abdomen. 
     Accordingly there is a need for a system to organize the instruments and their lines and cords and to hold the instruments in an organized accessible manner off of and away from the patient. 
     SUMMARY AND OBJECTS OF THE INVENTION 
     It is the primary object of the present invention to provide a simple and effective system to organize Arthroscopic instruments and their lines and cord and to hold the instruments in an organized, convenient and accessible manner. 
     In accordance with a primary aspect of the present invention an arthroscopy instrument organizing apparatus comprises a support member having a substantially planar support surface, and a line holder mounted on said support member and having resilient holding members defining line receiving and holding areas between adjacent holding members. 
    
    
     BRIEF DESCRIPTION OF THE DRAWINGS 
     The above and other objects and advantages of the present invention will become apparent from the following description and the accompanying drawings wherein: 
     FIG. 1 is a perspective view of an exemplary embodiment of an arthroscopic instrument organizer in accordance with the invention shown mounted on a stand; 
     FIG. 2 is a front elevation view of the organizer of FIG. 1; 
     FIG. 3 is a top plan view of the organizer of FIG. 1; 
     FIG. 4 is a perspective view of the organizer of FIG. 1 showing instruments in place; 
     FIG. 5 is a view like FIG. 4 of an alternate embodiment; and 
     FIG. 6 is a detailed view of a portion of the line holder. 
    
    
     DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS 
     Referring to FIGS. 1-3 of the drawings, an arthroscopy organizing apparatus or system in accordance with one embodiment of the invention is illustrated and designated generally by the numeral  10 . The organizing apparatus, as seen in FIG. 1, has a generally box like primary support structure on a tray which is preferably designed the fit on a Mayo stand as shown and will be further explained. 
     The primary support structure comprises a base support structure in the form of a central tray  12 , as shown in FIGS. 2 and 3, adapted to fit a Mayo stand and having extensions  14  and  16  to extend its width beyond that of the width of the Mayo stand to provide greater support area. A box like housing structure having end walls  18  and  20  and a top planar support surface  22  is built on and extends above the tray and forms an open front housing. The box like housing structure is constructed to be about half the depth (fore and aft) of the tray  12  and has an open front to receive instruments. A pair of interior walls or partitions  24  and  26  divide the interior of the housing into three compartments  28 ,  30  and  32  for receipt and separation of the instruments. A pair of dividers  34  and  36  extend from the ends of the walls across the open tray to the edge thereof to divide the surface thereof into separate support areas. 
     A line holder and organizer for the system of wires and hoses for the instruments comprises an elongated rail or panel  38  of elastomeric material mounted on top of the housing at or toward the rear thereof. The organizer panel is formed with a plurality of holding slots  40 ,  42 ,  44 ,  46 ,  48 ,  50 ,  52 ,  54 ,  56 ,  58  and  60  for receiving the hoses and lines of the arthroscopy instrument. The slots form adjacent holding members which act to grip the lines and hoses in the slots between them. The slots are each formed with upper and lower holes or rounded portions of different sizes in which the lines and hoses are positioned. The holes are preferably just slightly smaller than the line or hose that is to go therein. This insures that the line will be gripped by the walls of the portion of the slot with sufficient force to be held in place and allow the line or hose to be pulled through. 
     As best seen in FIG. 6, the slots, extend vertically up to and open at the upper edge of the elastic panel. As shown, slots  40 ,  42 , and  44  each have upper and lower holes or enlarged portions  62 ,  64 ,  66 ,  68 ,  70  and  72  respectively. The holes or enlarged portions of the slots preferably vary in size with a smaller at the top and larger at the bottom to accommodate different size hoses and lines. The elastomeric panel is preferably made from a heat resistant material such as the material currently sold under the mark Teflon. 
     The organizer of the present invention is designed to fit on a Mayo stand as illustrated in FIG. 1. A Mayo stand is a standard piece of hospital or operating room equipment which as illustrated has a generally u-shaped structural base  74  with wheels or rollers  76  at the four corners thereof for ease of rolling it about. A telescoping vertical post  78  and  80  is attached to and extends upward from one end of the base such that the base can extend underneath a bed or operating table with the post along one side to hold and adjustably position a table top  82  mounted at the upper end of the post. The telescoping post  78  and  80  is vertically adjustable to position it such that the table top  82  extends over and is adjustably positional above a patient on an operating table. The shelf or table surface  82  is formed with a recess for receiving and holding a tray to prevent it from sliding off. The organizer of the present invention is designed to fit and be supported on a Mayo stand to be accommodated with readily available equipment in an operating room. 
     In operation with the present invention, the operating room will be set up with a Mayo stand with a sterilized organizer such as FIG. 4 mounted on the stand such as illustrated in FIG.  1 . The sterilized instruments may then be taken to the operating room and removed from their packaging and placed on the tray in a manner such as for example as illustrated in FIG.  4 . For example as shown in FIG. 4, a thermo-probe  88  is shown placed in the tray in front of compartment  28  and includes a line  90  extending therefrom and extends through and secured in slot  42  of the holder  38 . The line  90  may be positioned in either the upper or lower hole of slot  42  as desired. Preferably the line  90  is positioned such that it is slightly gripped by the slot such that sufficient line can be pulled through to enable the surgeon perform the operation. 
     A second instrument such as a motorized shaver  92  is shown positioned in the center of the tray in front of center compartment  30  and includes two lines  94  and  96  extending and secured in slots  46  and  48 . As discussed previously, only sufficient line is pulled through the holder to enable the surgeon to manipulate the instrument to perform his operation. 
     A scope and cannula  98  is shown positioned in the tray in front of compartment  32  and includes four lines and hoses extending therefrom. As shown, line  100  extends and is gripped in slot  50 , line  102  is in slot  52 , line  104  is extended into and gripped in slot  54  and line  106  extends through and is gripped in slot  56 . It will be apparent that the line or lines from any one of the instruments may be positioned in any selected desirable slot. 
     The organizing apparatus of FIGS. 1-4 was designed to provide an optimum size to hold the various instruments needed by the surgeon during the surgery. However, it is desirable that the organizer also be sized to fit a flash autoclave, however this is difficult with the arrangement as illustrated. While the illustrated apparatus will fit a flash autoclave when all shelves and racks are removed from the autoclave such is not desirable because of the inconvenience. 
     Referring to FIG. 5, an apparatus in accordance with the invention is illustrated which is designed to be sized to fit the flash autoclave yet clamp to the typical Mayo stand. As illustrated, the apparatus designed generally by the numeral  110  comprises a box-like housing structure  112  substantially as in the previous embodiment however without the laterally extended tray as in the prior embodiment. The embodiment includes the box-like substantially rigid structure with partitions  114  and  116  dividing the interior thereof into three compartments as in the prior embodiment. The housing as illustrated is provided, by way of example, with a pair of clamps  118  and  120  designed to fit over and clamp to the edges of the shelf or table of a Mayo stand. The clamps include clamping means such as thumbscrews  122 ,  124  and  126  for gripping and securing it to the Mayo stand table. Other suitable clamping means may be utilized or provided. The apparatus is provided with the line holder  130  with the used slot construction as in the previous embodiment. This line holder has the usual series of slots as in the prior embodiment. 
     It is apparent that the apparatus of the present invention can be made from many different materials. For example, stainless steel is a preferred material for the housing and tray unit for reuseable units. However, it can be made by molding from any one of known disposable medical grade plastic materials. 
     While I have illustrated and described my invention by means of specific embodiments, it is to be understood that numerous changes and modifications may be made therein without departing from the spirit and the scope of the invention as shown in the appended claims.