Background of the Invention
This invention relates to the field of devices for disinfecting or cleansing dental and medical instruments of germs or bacteria prior to use on patients, or for keeping them in a germ-free or bacteria-free environment prior to use, and in particular to such devices which are disposable after their first use.
Prior art devices of this kind include sheaths or sleeves which have pockets that are more or less air-tight to prevent entrance of germs or bacteria in which the instrument is packaged when new, or originally sterilized or disinfected. Devices of this kind are illustrated and disclosed in U.S. Pat. Nos. 4,178,735 and 3,331,499.
Other prior art devices in this general field include disposal pads for sharp instruments usable during surgery, in which the instruments are placed on a foam pad lining of a non-porous outer layer, the foam lining being impregnated with an adhesive substance to keep the instruments in place conveniently ready as needed by the surgeon during an operation, as disclosed in U.S. Pat. No. 4,076,882.
Various other devices for disinfecting or sterilizing dental and medical instruments known to the prior art include those disclosed in U.S. Pat. No. 3,270,743 (a hypodermic syringe in a cylindrical container having a wad of antiseptic impregnated cotton in the bottom to contact the needle end of the instrument while in the container), U.S. Pat. No. 1,647,637 (a reusable sterilizer having absorbent cotton in the bottom saturated with formaldehyde to disinfect dental handpieces), U.S. Pat. No. 1,496,426 (another reusable sterilizer for dental handpieces having a wad of cotton at one end impregnated with a disinfectant), and U.S. Pat. No. 1,330,460 (a box-like container having a wad of cotton saturated with formaldehyde to disinfect a vibrating device, this one also reusable).
Another prior art patent, U.S. Pat. No. 3,633,758 discloses tubular sleeves to receive a medical instrument, a catheter in this case, the sleeves conforming to the outer shape of the instrument, but there is no suggestion of lining the inner wall of the sleeves with a foam material which can be impregnated with a germicide to disinfect the instrument while it is awaiting use, after which the tubular sleeve is discarded.
None of the prior art devices provide a convenient disposable means of disinfecting a dental or medical instrument while being stored in between uses of the instrument, means which is flexible having a foam lined interior capable of receiving instruments of various exterior shapes and closely contacting the entire exterior surface areas of such instruments received therein, the foam lining being impregnated with fresh germicide material to disinfect the entire exterior surface areas of the instruments while remaining in the sleeve awaiting use.
Summary of the Invention
It is an object of this invention to provide a flexible germicide sleeve for dental and medical instruments having a foam lined interior wall, the foam lining being impregnated with a germicide to disinfect a dental or medical instrument received therein, such germicide impregnated foam material contacting the entire exterior surface areas of such dental or medical instrument.
It is an object of the invention to provide a flexible sheet germicide sleeve for dental and medical instruments having a foam lined interior wall capable of conforming to the exterior shape of a variety of dental and medical instruments.
It is an object of the invention to provide a germicide sleeve for dental and medical instruments which is disposable after its first use.
It is an object of this invention to provide a germicide sleeve for dental and medical instruments having a cavity therein surrounded by compressible absorbent material to receive and closely contact all exterior surface areas of dental or medical instruments inserted therein, such compressible absorbent material being impregnated with a germicide just prior to inserting a dental or medical instrument therein.
It is an object of this invention to provide injector means to impregnate the absorbent lining of the inner wall of a germicide sleeve with a germicide, such injector means including an elongated nozzle conforming to the length and diameter of the central bore of said sleeve, such elongated nozzle having spaced apart perforations therein to permit a flow of germicide therethrough when directed into and through said nozzle from a source of supply of said germicide.
It is an object of this invention to provide a flexible germicide sleeve for dental and medical instruments having compressible absorbent material around its inner wall to cushion and protect a dental or medical instrument received therein while at the same time disinfecting such instrument.
Brief Description of the Drawing
FIG. 1 is a side elevation view of a germicide sleeve for dental and medical instruments in accordance with this invention and an instrument received therein with a portion extending outwardly thereof.
FIG. 2 is a section view taken on line 2--2 of FIG. 1.
FIG. 3 is a section view taken on line 3--3 of FIG. 2.
FIG. 4 is a section view similar to FIG. 3 but with the instrument removed, and including a germicide impregnating nozzle positioned for entry into the central bore of the germicide sleeve, the nozzle connected to a supply of germicide solution.
Description of Preferred Embodiment
A germicide sleeve 1 for dental and medical instruments comprising an elongated sleeve 2 having a closed end wall 3 and an opposite open end wall 4. The elongated sleeve 2 includes a flexible outer wall 5 of non-permeable material such as plastic or the like. The closed end wall 3 may also be of such flexible non-permeable material. The inner surface of the flexible outer wall 5 has a relatively thick layer of compressible absorbent material 6, such as foam rubber or various types of plastic foam material connected thereto throughout its entire length and around its entire inner periphery, defining a relatively small diameter central bore 7 extending for substantially the entire length of the sleeve 2 and opening to the open end wall 4. The inner surface of the closed end wall 3 also has a relatively thick layer of such compressible absorbent material 6 connected thereto, the inner end 8 of the central bore 7 terminating at such layer of compressible absorbent material connected to the inner surface of the closed end wall 3.
The open end wall 4 has a breakable seal 9 of plastic or other non-permeable material, but which may be broken or punctured by an object forced against it in the direction toward the central bore 7. The seal 9 may be adhered to the peripheral edge of the outer wall 5 at and around its open end wall 4, by heat sealing or by an appropriate adhesive. The seal 9 is thin enough to be punctured by a tool or object pressed against it from the outside. The seal 9 is also resilient or elastic whereby it tends to frictionally and elastically adhered to the side wall of the tool or object as it passes through after such puncture, the portions of the seal 9 elastically gripping around the side wall of the tool or object being carried inwardly of said central bore 7 a short distance as said tool or object is moved inwardly into said central bore 7, thereby maintaining a seal around the side wall of the tool or object.
When the sleeve 1 of this invention is manufactured with the seal 9 in place to completely close the open end wall 4, the compressible absorbent material 6 around the inner surface of the sleeve wall 5 has not as yet been impregnated with germicide in one form of this invention. The germicide is injected later, just before the sleeve is to be used with a dental or medical instrument. The reason for this is that most germicide solutions remain fully active after being exposed for a period of about 30 days. If the germicide is injected into the absorbent material 6 at the time of manufacture, it may lose its full effectiveness by the time it is sold to a dentist or doctor for use in disinfecting their instruments unless additional measures are taken.
Therefore, in accordance with this invention, injection means are provided to inject germicide into the absorbent material 6 just prior to the time the dentist or doctor is ready to use one of the sleeves 1 to place an instrument in for safe storage and at the same time disinfection of the instrument until such time as it will be used again. One form of such injection means is an elongated nozzle 10 having a plurality of spaced apart apertures 11, connected by a tube 12 to a supply source of germicide solution 13. As shown in the drawing, the germicide solution 13 is contained in a squeezable container 14 which may be hand squeezed to force a quantity of germicide solution 13 out of the container 14, through the tube 12 and into nozzle 10.
The free end 15 of the nozzle 10 is rounded or tapered to more easily puncture the seal 9 in its center when held thereagainst and pressure applied in the direction toward the central bore 7. When the seal 9 punctures, the nozzle 10 then passes into the central bore 7 extending substantially the entire length of the sleeve 2. The length of the nozzle 10 corresponds substantially to the length of the central bore 7. When fully inserted, the spaced apart apertures 11 along the nozzle 10 and around the nozzle 10, as well as in the free end 15 of nozzle 10, are facing corresponding portions of the compressible absorbent material 6 throughout its entire length and around its entire circumference. At such time, a quantity of germicide solution 13 is forced into the nozzle 10 and out the plurality of apertures 11 to completely impregnate the inner wall layer of compressible absorbent material 6 throughout its entire length. The nozzle 10 is then withdrawn from the central bore 7.
A dental or medical instrument of corresponding size to that of the particular sleeve chosen, such as a dental air rotor 16, is then placed with its head portion 17 against the central portion of the outer face of the seal 9 and pushed inwardly until the seal 9 (which has already been punctured by the nozzle 10 forming a relatively small opening through the seal 9) punctures further to allow the relatively larger size head 17 of the instrument or tool 16 to pass and enter the central bore 7. As the head 17 passes into the central bore 7, it pushes and compresses the absorbent material 6 radially outwardly toward the side wall 5 thus enlarging the diameter of the central bore 7 as it goes and causing the compressible absorbent material to compress against all parts of the exterior surface area of the tool 16 received in the central bore 7. In this way, all parts of the exterior surface area are contacted by the compressible absorbent material which has now been impregnated with a germicide solution 13. The compressing action of the tool 16 entering the central bore 7, enlarging it as it proceeds and compressing the absorbent material 6 in a radially outward direction, provides a squeezing action which squeezes germicide solution 13 onto and around the tool 16 thoroughly contacting all exterior surface areas thereof with germicide solution 13 to thoroughly disinfect all parts thereof.
The elastic seal 9, as its puncute hole 18 becomes larger when the head 17 of tool 16 breaks through, has portions 19 thereof which elastically grip and surround the puncture hole 18 and which are pushed inwardly as the tool 16 is pushed inwardly to form and provide a seal around the portion of the body of tool 16 adjacent to such portions 19 of seal 9. This seal protects the interior of the sleeve 1 from exterior contaminants, and at the same time prevents leakage of germicide solution 13 from the interior to the exterior.
The compressible absorbent material 6 serves a dual purpose, acting as a protective cushion which completely surrounds the instrument or tool 16 received within the central bore 7 of the sleeve 1 in addition to providing an intimate contact source of germicide solution 13 to all parts of the exterior surface area of the tool 16 received therein.
Germicide solutions 13 which may be used with this invention include glutaraldehyde solutions such as Sporicidin which have been recommended as germicides which are suitable for use in dentistry by the Council on Dental Therapeutics. These germicide solutions may be used in accordance with this invention to impregnate the absorbent material 6 as described above. However, identifying certain of the germicide solutions which may be used does not exclude the use of other germicide solutions.
The shape, size and configuration of the germicide sleeves 1 in accordance with this invention may vary depending on the shape, size and configuration of the dental and medical instruments with which they are to be used. In general, the sleeves 1 may be elongated and cylindrical in cross-sectional configurations since they are flexible and can readily conform to the shape and cross-sectional configuration of many different instruments as they are pushed into the central bore 7. The diameter of the central bore 7 when the surrounding layer of compressible absorbent material 6 is in its expanded or uncompressed state is preferably several times smaller than the diameter or cross-section of the instrument or tool 16 that is to be inserted therein. Since the sleeves 1 may be elongated and cylindrical in shape for use with many different dental and medical instruments, they have a universal character to them whereby it is not necessary to order and have on hand a wide variety of germicide sleeves separately shaped for use with separate individual types of instruments. The primary variant will be diameter size and longitudinal length, depending on the cross-sectional dimension of the instrument with which the sleeve is to be used and its length.
The sleeves 1 are disposable and are to be discarded after their first use, that is after a dental or medical instrument has been stored therein for a given period of time in between uses. When the instrument is withdrawn from the sleeve 1 for use of the instrument, that sleeve 1 is discarded. When use of this instrument has been completed and it is ready to be stored again, a new unused sleeve 1 is taken, a quantity of germicide injected therein to impregnate its absorbent layer of material 6 as described above, and the instrument inserted through the puncture hole 18 of the seal 9 into the central bore 7 until fully inserted into the central bore, with the inwardly extending elastic edge portions 19 of seal 9 surrounding the puncture hole 18 sealingly bearing against that portion of the body of the instrument or tool 16 adjacent thereto to seal in the germicide solution 13 and seal out contaminants from the exterior.
The layer of compressible absorbent material 6 is sufficiently thick to provide good cushioning protection for a dental or medical instrument in the central bore 7, so as to prevent or minimize physical damage to the instrument if accidentally dropped on the floor or if other impact type of accident occurs. The thickness of the layer of compressible material 6 may be up to about one-half the cross-sectional dimension of the tubular sleeve 1 or just slightly less, so when placed around the inner surface of the peripheral wall 5, the layer of compressible material 6 nearly fills the space within the confines of the peripheral wall 5 leaving only a relatively small diameter central bore 7, that is when expandable central bore 7 is in its unexpanded state and the layer of compressible material 6 is not compressed. The diameter of central bore 7 in its unexpected state is shorter in dimension than the thickness of the layer of compressible material 6 around the inner surface of the wall 5 when not compressed. Thus, the germicide sleeves 1 in accordance with this invention not only provide protection against germs and bacteria by disinfecting instruments placed therein, but they also provide protection against physical damage from impact against solid objects such as dropping on the floor, hitting against a table or cabinet, dropping a book or other solid object on the instrument encased in the protective sleeve 1, and the like, by virtue of the relatively thick layer of cushioning compressible material 6 which completely surrounds the central bore 7 in which the instrument is placed.
The germicide sleeve or enclosure in accordance with this invention has been described herein as being used for dental and medical instruments. It can of course be used for all types of instruments or implements which require disinfecting, or used in any way in the care and treatment of living beings, including those used by beauticians in beauty shops, manicurists, barbers and the like. Surgical instruments are included in the general terms "dental and medical instruments" as used in this case, the germicide enclosure in accordance with this invention being particularly well adapted for use with surgical instruments to store and disinfect them between uses. The general term "dental and medical instruments" as used herein also includes instruments used by veterinarians in the care and treatment of animals, such veterinarian's instruments capable of being stored and disinfected in the germicide sleeves or enclosures of this invention.