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Color change surgical prep solution

a color change and surgical technology, applied in the field of disinfectants, can solve the problems of increasing the risk of infection of patients, flammability of alcohol-based surgical prep solutions, and certain surgical procedures not being able to begin

Inactive Publication Date: 2008-04-03
CAREFUSION 2200 INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

However, the integrity of the skin barrier is breached during surgical procedures, potentially exposing the surgical site or wound to microorganisms, increasing a patient's risk of infection.
However, alcohol based surgical prep solutions are flammable and certain surgical procedures cannot begin until the alcohol is completely evaporated.
Hospital fires have been caused by unevaporated flammable solvents within surgical prep solutions.
Solvent evaporation in particular presents a major challenge for healthcare practitioners for several reasons.
First, it is difficult to visually determine when a colorless solvent (e.g., alcohol) has sufficiently evaporated to begin surgery or the surgical procedure.
Second, the healthcare practitioners will often physically touch the skin surface or the medical device with a glove to determine the level of dryness.
However, if the skin or medical device is not dry when touched, such a touch may breach the applied prep solution and provide a pathway for microorganisms to enter the body through the skin or via the medical device.
Poor adherence is especially problematic in orthopedic surgery or surgical procedures in which patients are draped after the surgical prep solution has dried.
If the surgical prep solution adheres poorly to the skin or is water soluble, the drape will typically fall off during the procedure, contaminating the sterile surgical environment and increasing the chance of a hospital-acquired infection.
The disadvantages of the '662 patent include inter alia the particular combination is not applicable to antimicrobial with inherent color, such as iodine or iodophors and the color change is not reversible.
In addition, U.S. Pat. No. 4,584,192 teaches chlorhexidine or its derivative, but does not disclose which chlorhexidine compound is suitable and has no visualization feature.

Method used

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Examples

Experimental program
Comparison scheme
Effect test

examples

[0035]The following non-limiting examples illustrate particular embodiments of the invention. The examples are not meant to be comprehensive of the entire scope of the invention.

[0036]The following table lists both the composition of the one step surgical prep solution composition and a preferred embodiment.

Amount, preferredembodimentIngredientAmount (wt. / wt. %)(wt. / wt. %)Solventabout 10–about 90about 60–about 80Antimicrobial agentabout 0–about 5about 1.5–about 2.5(e.g. iodine or CHG,excluding alcohols)Waterabout 3–about 35about 15–about 25Color Dye (optional)about 0–about 0.1about 0.005–about 0.05Film forming polymerabout 0–about 20about 0–about 10(optional)pH indicatorTraceTracepH adjusterTraceTraceViscosity regulatorabout 0–about 5about 0–about 5

[0037]In preparing the solutions, solid ingredients, such as polymers (including viscosity regulator), solvents, and color dye were first mixed to allow the slower-dissolving ingredients (i.e., film forming polymers, if used) time to diss...

example a

Non-Film Forming

[0039]

IngredientAmount (wt. / wt. %)Isopropanol77.5Water20.50.1% Bromothymol blue in IPA11% Ammonium hydroxide1

[0040]In preparing the solution in Example A, isopropanol and water were mixed first. Subsequently, bromothymol blue was added and the solution pH was adjusted to between 8 to 10 using ammonium hydroxide. When applied to the skin, Example A changed from blue to light yellow / colorless after the solvent evaporated.

example b

Non-Film Forming

[0041]

IngredientAmount (wt. / wt. %)Isopropanol64.220% CHG aqueous solution11.7Water22.05FD&C Red 40.050.1% Bromothymol blue in IPA11% Ammonium hydroxide1

[0042]In preparing the solution in Example B, Red 40, isopropanol, 20% CHG aqueous solution, and water were mixed first. Subsequently, bromothymol blue was added and the solution pH was adjusted to between 8 to 10 using ammonium hydroxide. When applied to the skin, Example B changed from purple to red after the solvent evaporated.

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PUM

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Abstract

This invention discloses a surgical prep solution formulation, either film forming or non-film forming, that changes color upon a change in pH to indicate that the solvent has sufficiently evaporated. The major components of this surgical prep solution include: antimicrobial agents, solvents, pH adjusters, color changing pH indicators, and optionally: film forming polymers, dyes and viscosity regulators. The pH of the solution may rise or fall depending on the pH of the original solution as compared with the normal pH range of the acid mantle of the human skin or the normal pH range of a sterilizing solution. As the pH changes, the pH indicator may cause the surgical prep solution to change color. Concurrently, as the fluids evaporate, the pH indicators interact with atmospheric CO2, causing the solution to change color based on the pH of the solution. The solution may also be used as coating for medical devices.

Description

FIELD OF THE INVENTION[0001]The invention relates to disinfectants for use in medical procedures that breach the skin, such as surgery, surgical procedures and intravenous injections. In particular, the invention pertains to surgical prep solutions used to disinfect a selected surface, for example, pre-operative surgical sites and medical devices.BACKGROUND OF THE INVENTION[0002]Pre-operative preparation of the skin with a topical antimicrobial agent is necessary to reduce the likelihood that the patient will contract a hospital-acquired infection during a surgery or surgical procedure. Typically, the healthcare practitioners, for example, prep nurses, apply a topical antimicrobial agent to a surgical or needle entry site before the procedure. Similarly, it is essential that medical devices that breach the skin be disinfected prior to penetrating the skin at an entry site or accessing an intravenous system. Healthcare practitioners typically disinfect these medical devices by applyi...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): A61K49/00A01N25/00
CPCA01N31/02A01N31/08A01N31/12A01N31/16A01N37/36A01N47/44A01N59/12A61L27/34A61L27/50A61L27/54A61L2300/404A61L2300/606A01N25/10A01N2300/00A61P31/04A61P31/10A61P31/12A01N25/00
Inventor HUANG, YEONG H.BAROT, NANCY
Owner CAREFUSION 2200 INC
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