Apparatus and method for securing an elongated member to a medical device

Abstract

An apparatus and method for securing an elongated member to a medical device. The apparatus includes an attachment device, the attachment device including a substrate, a pad, and an adhesive. The substrate includes a hole configured to receive the elongated member, wherein when the attachment device is coupled to the medical device, the pad can be positioned adjacent to the hole and axially aligned with the elongated member. The attachment device may include a pair of holes, and the pad can be positioned adjacent to the adhesive and at least partially between the pair of holes. The method for securing an elongated member to a medical device includes passing the elongated member through the hole of the attachment device and adhering the attachment device to the medical device. A method for manufacturing the attachment device may include cutting holes in the substrate, the adhesive, and the pad.

Description

[0001] CROSS-REFERENCE TO RELATED APPLICATIONS

[0002] This application claims priority to and the benefit of U.S. Application No. 62 / 626,440, filed on February 5, 2018, the entire contents of which are incorporated herein by reference. Background Art

[0003] Conventional medical procedures often involve the use of surgical tools and / or medical devices to assist medical professionals in accessing, observing, manipulating, or otherwise treating a local surgical site. In certain applications of medical devices, such as those involving the use of high-speed drills, rotary drills, fenestrated razors, and the like, heat and / or debris accumulation at the surgical site is inevitable. Here, a surgical system may employ an irrigation system in conjunction with a medical device. The irrigation system typically includes a fluid source and a flexible line or conduit that is coupled to the medical device and configured to supply fluid from the fluid source. Therefore, there remains a need in the art for an attachment device for coupling an elongated member or conduit to a medical device, the attachment device being configured to overcome the various disadvantages of conventional irrigation tube coupling mechanisms. Summary of the invention

[0004] The present disclosure generally relates to apparatus and methods for removably securing an elongated member, such as a flexible line or catheter, to a medical device. The apparatus includes an attachment device that can be configured to secure an elongated member, which can include a chamber, to a medical device to facilitate flushing.

[0005] One exemplary configuration of the apparatus provides an attachment device comprising an adhesive disposed at least partially between a substrate and a liner. The substrate may include a first substrate hole and a second substrate hole, and the liner may be positioned adjacent to the adhesive such that the liner is at least partially between the first substrate hole and the second substrate hole. The attachment device may be configured to removably secure an elongated member (such as a flexible tubing or catheter) to a medical device by passing the elongated member through the substrate hole and adhering an exposed portion of the adhesive to the medical device.

[0006] In another exemplary configuration of an attachment device for securing an elongated member to a medical device, the attachment device may include a liner, a substrate, and an adhesive. The substrate may also include a first substrate hole and a second substrate hole. The adhesive may be at least partially disposed between the substrate and the liner. The liner is positioned so that the liner is at least partially between the first substrate hole and the second substrate hole and adjacent to the adhesive.

[0007] In yet another exemplary configuration of an attachment device for securing an elongated member to a medical device, the attachment device may include a first pad, a second pad, a substrate, and an adhesive. The substrate may include a first substrate hole and a second substrate hole. The adhesive may be at least partially positioned between the substrate and the first pad and the second pad. The first pad may be positioned adjacent to the first substrate hole, and the second pad may be positioned adjacent to the second substrate hole. The first pad and the second pad may be axially aligned with a longitudinal axis defined by the first substrate hole and the second substrate hole.

[0008] In yet another exemplary configuration of an attachment device for securing an elongated member to a medical device, the attachment device may include a substrate including a top surface, a bottom surface, a first substrate hole, and a second substrate hole. The attachment device may also include an adhesive disposed at least partially on the bottom surface of the substrate such that the attachment device is free of adhesive on the bottom surface of the substrate between the first substrate hole and the substrate hole.

[0009] In yet another exemplary configuration of an attachment device for securing an elongated member to a medical device, the attachment device may include a pad, a substrate, and an adhesive. The substrate may include a first substrate hole and a second substrate hole. The pad may be disposed on the adhesive, the adhesive being at least partially located on the substrate between the first substrate hole and the second substrate hole.

[0010] An exemplary configuration of an attachment assembly for securing an elongated member to a medical device may include an attachment device. The attachment device may include a pad, a substrate, and an adhesive. The substrate may include a first substrate hole and a second substrate hole. The adhesive may be at least partially disposed between the substrate and the pad. The pad may be at least partially positioned between the first substrate hole and the second substrate hole and adjacent to the adhesive. The attachment assembly may also include an indicator tongue removably coupled to the attachment device, wherein the indicator tongue includes a marking indicating a method of attaching the attachment device to the medical device.

[0011] In another exemplary configuration of an attachment assembly for use with a medical device to facilitate flushing, the attachment assembly may include an attachment. The attachment may include a substrate having a first substrate hole and a second substrate hole. The attachment may also include an adhesive disposed on the substrate. The attachment assembly may also include an elongated member passing through the first substrate hole and the second substrate hole.

[0012] An exemplary irrigation system may include a medical device configured to cut tissue, the medical device having a body configured to be held by a user. The irrigation system may also include an elongated member and an attachment device configured to removably couple the elongated member to the medical device. The attachment device may include a pad, a substrate, and an adhesive. The substrate may include a first substrate hole and a second substrate hole. The adhesive may be at least partially disposed between the substrate and the pad. The pad may be at least partially positioned between the first substrate hole and the second substrate hole and adjacent to the adhesive. The elongated member may pass through the first substrate hole and the second substrate hole so that a portion of the elongated member is adjacent to the body of the medical device.

[0013] A method for coupling an elongated member to a medical device may include the step of providing an attachment device. The attachment device may include a cushion, a substrate including a first substrate hole and a second substrate hole, and an adhesive. The adhesive may be at least partially disposed between the substrate and the cushion, and the cushion may be at least partially between the first substrate hole and the second substrate hole and adjacent to the adhesive. The method may also include the step of passing the elongated member through the first substrate hole and the second substrate hole so that the elongated member is axially aligned with the cushion. The method may also include the step of adhering the attachment device to the medical device, wherein an exposed portion of the adhesive removably couples the attachment device to the medical device so that the elongated member is at least partially disposed between the attachment device and the medical device.

[0014] A method of manufacturing an attachment device for removably coupling an elongated member to a medical device may include the step of providing a substrate material having a top surface and an opposite bottom surface. The method may also include the step of applying an adhesive to the bottom surface of the substrate material. The method may also include the steps of removably coupling a gasket to the adhesive such that the gasket is at least partially disposed between a first substrate hole and a second substrate hole, and cutting the first substrate hole and the second substrate hole through the substrate material, the adhesive, and the gasket.

[0015] These and other embodiments, features and advantages of the present disclosure will be apparent to those skilled in the art.The present disclosure is not limited to or by these embodiments, features and advantages. BRIEF DESCRIPTION OF THE DRAWINGS

[0016] Referring now to the drawings, exemplary illustrations are shown in detail. Although the drawings represent illustrative embodiments, the drawings are not necessarily drawn to scale and certain features may be exaggerated to better illustrate and explain the innovative aspects of the illustrative embodiments. Furthermore, the exemplary illustrations described herein are not intended to be exhaustive or otherwise limit or restrict the precise forms and configurations shown in the drawings and disclosed in the following detailed description.

[0017] Advantages of the present disclosure will become readily appreciated by reference to the following detailed description when considered in conjunction with the accompanying drawings, as the advantages of the present disclosure will become better understood.

[0018] Figure 1 is a top view of an attachment device for securing an elongated member to a medical device.

[0019] Figure 2 yes Figure 1 A perspective view of an attachment device.

[0020] Figure 3 yes Figure 1 A cross-sectional view of an attachment device is shown, illustrating an example configuration of various elements of the attachment device.

[0021] Figure 4A yes Figure 1 A bottom view of an attachment device is shown, illustrating a first embodiment of a pad.

[0022] Figure 4B The first embodiment includes a gasket Figure 4A Cross-sectional view of the attachment device after rotation.

[0023] Figure 5A yes Figure 1 A bottom view of the attachment device of FIG. 1 is shown, illustrating a second embodiment of the pad.

[0024] Figure 5B The second embodiment includes a gasket Figure 5A Cross-sectional view of the attachment device after rotation.

[0025] Fig. 6A yes Figure 1 A bottom view of the attachment device of FIG. 1 is shown, illustrating a third embodiment of the pad.

[0026] Figure 6B The third embodiment includes a gasket Fig. 6A Cross-sectional view of the attachment device after rotation.

[0027] Figure 7 is a top view of an attachment assembly, the attachment assembly comprising Figure 1 indicator tongue and attachment device.

[0028] Figure 8 yes Figure 7 A partial exploded view of the attachment device assembly.

[0029] Fig. 9 is a top view of an indicator tongue including an example illustration of indicia on the indicator tongue indicating a method of securing an elongated member to a medical device using an attachment device.

[0030] Fig.10is a perspective view of a partially exploded and fully assembled attachment device assembly including an elongated member and an irrigation sleeve.

[0031] Fig.11 yes Fig.10 Top and bottom views of an assembled attachment device assembly including an elongated member and an irrigation sleeve.

[0032] Fig. 12A is used Figure 1 A perspective view of a method of securing an elongated member to a medical device using an attachment device.

[0033] Fig. 12B is used Figure 1 The attachment device secures the elongated member to the medical device Fig. 12A perspective of the method.

[0034] Fig. 12C is used Figure 1 The attachment device secures the elongated member to the medical device Fig. 12A perspective of the method. DETAILED DESCRIPTION

[0035] As medical professionals strive to reduce the size of incisions and the recovery time required after invasive medical procedures, the size of medical instruments used in various medical procedures has become smaller. Many medical instruments used in performing various medical procedures may include the use of cutting attachments, such as high-speed drills, rotary drills, window razors, and the like. An exemplary medical instrument is disclosed in U.S. Patent No. 5,941,891, issued on August 24, 1999, the entire contents of which are incorporated herein by reference. Many of these cutting attachments may require the use of irrigation or suction to reduce heat and / or remove debris at the surgical site. Similarly, irrigation can be used to lubricate the cutting attachment. Typically, elongated members such as those that include chambers can be used to direct fluid from an irrigation source to the surgical site and / or cutting attachment. As part of the sterilization process, the elongated member can be disposable, resulting in the elongated member being only temporarily attached to the medical instrument. The introduction of additional elements, such as elongated members for providing irrigation, can result in an increase in the size, profile, and / or overall volume of the medical instrument. Loose, elongated components extending from the irrigation system to the cutting accessory may obstruct the medical professional's view and / or distract the medical professional during operation of the medical device during a medical procedure. The positioning of the elongated member relative to the medical device may similarly affect the ergonomics of the medical device, thereby inhibiting the medical professional's ability to manipulate the medical device. Therefore, medical professionals may utilize attachment devices and / or assemblies that secure the elongated member to the medical device, such as Figure 1 and Figure 2 The attachment device 10 is shown.

[0036] Reference Figure 1 , Figure 2 and Figure 3 , illustrating an example configuration of the attachment device 10. Thus, the attachment device 10 may include a substrate 12, an adhesive 14, and a liner 16, wherein the attachment device 10 is configured to be attached to a medical device 48. The attachment device 10 may be configured as a laminate, wherein, as Figure 3 As shown, each of the substrate 12, adhesive 14, and liner 16 constitutes a layer of the attachment device 10 and can be positioned directly adjacent to each other. Figure 2 and Figure 3 , the attachment device 10 includes a substrate 12, an adhesive 14, and a gasket 16 stacked one above the other. Alternatively, the substrate 12, the adhesive 14, and the gasket 16 may be configured as separate elements that may be assembled using the adhesive 14 to interconnect the substrate 12 and the gasket 16.

[0037] Substrate 12 may include a flexible and tear-resistant material. For example, the substrate may include plastic or a composite material. When used in a medical environment such as a hospital or operating room, substrate 12 may similarly resist degradation or erosion. For example, substrate 12 may be cut into various shapes, such as a substantially oval shape, such as Figure 1 , Figure 2 and Figure 3 As shown, to define one or more holes (18A, 18B) of complementary shapes, as described below. When the attachment device 10 is coupled to a medical device having a generally convex surface, the generally elliptical shape can provide the necessary structural properties while also providing a limited profile. Although not shown in the figures, it is conceivable that the base 12 can be cut into different shapes and / or configurations depending on the application. For example, the base 12 can be cut into a square, rectangular, or similar polygonal shape. When the attachment device 10 is coupled to a generally flat surface, this can provide alternative structural properties and / or advantages. However, the above examples are not intended to be limiting. For example, it is conceivable that a polygonal base can be coupled to a convex surface, and a generally circular base 12 can be coupled to a flat surface.

[0038] The substrate 12 may be at least partially translucent and processed for printing, so that text and / or graphics may be printed on a portion of the substrate 12. For example, the substrate 12 may include a printed identification logo or graphics, as well as indicia representing instructions for using the attachment device 10. The substrate 12 may also be markable, i.e., include a writing surface, so that a medical professional may write a date of use or installation on the substrate 12 using a typical writing utensil, such as a pen, marker, or pencil.

[0039] The adhesive 14 can generally be disposed on at least one surface of the substrate 12 such that a portion of the adhesive 14 can be located between the substrate 12 and the liner 16. For example, the adhesive 14 can be applied to or cover the entire area of ​​at least one surface (such as the bottom) of the substrate 12, and the liner 16 can be configured to cover a limited area of ​​the adhesive 14, leaving a portion of the adhesive disposed on the substrate 12 exposed. The exposed portion of the adhesive 14 (not covered by the liner 16) can be configured to removably couple the attachment device 10 to a medical device 48 (discussed in detail below). In other words, after the attachment device is secured to the medical device 48, the liner remains on the attachment device 10.

[0040] Adhesive 14 may include a compound, such as a paste, silicone, glue, rubber putty, or a similar adhesive substance, configured to adhere substrate 12 to liner 16 and / or medical device 48. Adhesive 14 may similarly be configured as an adhesive tape, such as a double-sided adhesive tape having adhesive on both sides to allow adhesion to both substrate 12 and liner 16. For example, adhesive 14 may be a 3M TM Medical grade adhesives manufactured by 3M TM 9865 Polyethylene Single-Sided Medical Tape. The adhesive 14 may be configured such that it is suitable for use in wet and / or unclean environments and is safe for attachment to human skin.

[0041] The liner 16 is configured to be coupled to the adhesive so that the liner 16 can be positioned adjacent to (such as, directly adjacent to) the adhesive 14 opposite the substrate 12. The liner 16 can be configured to be arranged on the adhesive 14 so that the liner 16 covers a portion or a defined area of ​​the adhesive 14. The liner 16 can be removably coupled to the adhesive 14 of the attachment device 10. The liner 16 can include a material that has been treated with a compound that allows the liner 16 to be easily removed from the adhesive 14. For example, the liner 16 can include wax or Teflon. TM The liner 16 can be considered similar to the backing of a sticker, wherein the liner 16 can remain coupled to the adhesive 14 but can be easily removed or separated from the adhesive 14. However, when the attachment device is secured to the medical device, at least a portion of the liner 16 can remain on the attachment device.

[0042] like Figure 1 , Figure 2 and Figure 3As shown, the attachment device 10 may include a first substrate hole 18A and a second substrate hole 18B in the substrate 12. Although the figures show the configuration of the attachment device 10 including the first attachment device 10, it should be understood that it is contemplated that the attachment device 10 may be configured with a single substrate hole, or three or more substrate holes. Depending on the location, shape and / or number of the substrate holes 18A, 18B, the location and configuration of the adhesive 14 and / or the gasket 16 may vary, including the holes of the adhesive 14 and / or the gasket 16, which will be discussed in detail below.

[0043] The first substrate aperture 18A and the second substrate aperture 18B may also be configured to define a longitudinal axis L, such as Figure 1 As shown. For example, the longitudinal axis L bisects the first substrate hole 18A and the second substrate hole 18B. In one or more configurations of the attachment device 10 described below, the pad 16 can be configured to be substantially aligned with the longitudinal axis L defined by the first substrate hole 18A and the second substrate hole 18B. In one aspect, alignment refers to the longitudinal axis of the pad 16 being parallel to the longitudinal axis L. More generally, in some aspects, at least a portion of the pad 16 is disposed on the adhesive 14 between the first substrate hole 18A and the second substrate hole 18B. In other words, in some aspects, the pad 16 can be arranged in other ways relative to the longitudinal axis L and / or the first and second substrate holes 18A, 18B.

[0044] The attachment device 10 may also include adhesive holes 19A, 19B in the adhesive 14. One or more adhesive holes 19A, 19B may be configured to align with the first substrate hole 18A and the second substrate hole 18B, such as coaxially. It is also conceivable that the pad 16 may also include one or more pad holes 21A, 21B, wherein one or more pad holes 21A, 21B may be aligned with the first substrate hole 18A and the second substrate hole 18B and / or one or more adhesive holes 19A, 19B, such as coaxially. Therefore, on the one hand, one or more substrate holes 18A, 18B, adhesive holes 19A, 19B and pad holes 21A, 21B may be arranged together so that the center of each hole is aligned. However, in other aspects, the substrate holes 18A, 18B, adhesive holes 19A, 19B and pad holes 21A, 21B may partially overlap so that the elongated member can pass through it. The shapes and / or sizes of the substrate holes 18A, 18B, adhesive holes 19A, 19B, or gasket holes 21A, 21B may be the same or may be different. Figures 1 to 3 As shown, one or more substrate holes 18A, 18B and / or one or more adhesive holes 19A, 19B may be sized larger than one or more gasket holes 21A to prevent adhesive 14 from transferring to an object passing through one or more substrate holes 18A, 18B.

[0045] Alternatively, in another configuration of the attachment device 10, the base 12 may also include a recess 20, a chamfer, a rounded corner, or a similar transition between opposing surfaces of the base 12 surrounding the one or more base holes 18A, 18B. The recess 20 surrounding the one or more holes 18A, 18B may be configured to reduce any stress or strain on the base 12 at the periphery of the one or more holes 18A, 18B.

[0046] Reference Figure 4A and 4B , illustrating a configuration of a first exemplary liner 16A. In the first exemplary configuration of the liner 16A, the liner 16A is configured such that at least a portion of the liner 16A is removably coupled to the adhesive 14, which is disposed on the substrate 12 between the first and second substrate holes 18A, 18B. The liner 16A may also be configured to extend beyond the area of ​​the adhesive 12 disposed on the substrate 12 between the first and second substrate holes 18A, 18B. For example, the liner 16A may be configured to also cover a portion of the adhesive 14, such as Figure 4A and 4B As shown, the portion is disposed on the substrate 12 around the first and second substrate apertures 18A, 18B, and not on the substrate between the first aperture 18A and the second aperture 18B. In this configuration of the gasket 16A, the gasket 16A may include gasket apertures 21A, 21B.

[0047] Figure 4B The cross-sectional view shown shows an attachment device 10, wherein one or more substrate holes 18A, 18B, one or more adhesive holes 19A, 19B all have a substantially uniform diameter. One or more pad holes 21A, 21B may be configured to be smaller than the size of one or more substrate holes 18A, 18B and / or one or more adhesive holes 19A, 19B. This can prevent the adhesive 14 from transferring to an object passing through the substrate holes 18A, 18B. Although not shown in the figure, it is conceivable that the size of one or more pad holes 21A, 21B of the attachment device 10 may be the same as the size of one or more substrate holes 18A, 18B and / or one or more adhesive holes 19A, 19B. For example, one or more substrate holes 18A, 18B, one or more adhesive holes 19A, 19B and / or one or more pad holes 21A, 21B may be configured to include a uniform size, such as a diameter, passing through the attachment device 10. It is also contemplated that the size and / or shape of the apertures of the first substrate 18A, first liner 19A, and first adhesive 21A may be configured to be different than the size and / or shape of the apertures of the second substrate 18B, second liner 19B, and second adhesive 21B.

[0048] When the substrate 12, adhesive 14 and / or pad 16 are layered or stacked on each other, one or more substrate holes 18A, 18B, one or more adhesive holes 19A, 19B and one or more pad holes 21A, 21B can be roughly aligned, such as coaxial, so that one or more substrate holes 18A, 18B, one or more adhesive holes 19A, 19B and one or more pad holes 21A, 21B form a continuous hole through the attachment device 10. Alternatively, it is also conceivable that the size, shape and / or position of each hole can be different. For example, the center of one or more substrate holes 18A, 18B and / or the center of one or more adhesive holes 19A, 19B can deviate from the center of one or more pad holes 21A, 21B. In another configuration, the shape of one or more substrate holes 18A, 18B and / or the shape of one or more adhesive holes 19A, 19B can be different from the shape of one or more pad holes 21A, 21B. For example, one or more gasket holes 21A, 21B may be configured as a circle, and one or more substrate holes 18A, 18B and / or one or more adhesive holes 19A, 19B may be configured as an ellipse. This configuration may help prevent the adhesive 14 from transferring to the elongated member 36.

[0049] In another configuration, a portion of the adhesive 14 may be removed from the area of ​​the substrate 12 surrounding the substrate holes 18A, 18B, thereby increasing the size, such as the diameter, of the one or more adhesive holes 19A, 19B. In other words, a portion of the substrate 12 surrounding the substrate holes 18A, 18B is not in direct contact with the adhesive 14. A potential advantage of increasing the size, shape, and / or position of the substrate holes 18A, 18B and / or the one or more adhesive holes 19A, 19B relative to the one or more gasket holes 21A, 21B is to prevent the adhesive 14 from penetrating or transferring to the elongated member 36 when the elongated member 36 passes through the substrate holes 18A, 18B of the attachment device 10.

[0050] refer to Figure 5A and 5B , illustrating a configuration of a second exemplary liner 16B. In the second exemplary configuration of the liner 16B, the liner 16B is configured such that at least a portion of the liner 16B is coupled to the adhesive 14, which is disposed on the substrate between the first and second substrate holes 18A, 18B. In the second configuration of the liner 16B, the portion of the liner 16B coupled to the adhesive 14 may not surround the first and second substrate holes 18A, 18B and / or the adhesive holes 19A, 19B. Figure 5A and 5B As shown, the gasket 16B is configured as a strip, tape, tape, or strip of material coupled to a portion of the adhesive 14 that is disposed on the substrate 12 between the first and second substrate apertures 18A, 18B.

[0051] The length and width of the pad 16B can be configured based on the size of one or more substrate holes 18A, 18B and / or the size of one or more adhesive holes 19A, 19B, and the size of the elongated member 36. The length and width of the pad 16B can also be configured based on the distance between one or more substrate holes 18A, 18B and / or the distance between one or more adhesive holes 19A, 19B. Although not required, the width of the pad 16B can usually be at least as large as the size of one or more substrate holes 18A, 18BB and / or the size of one or more adhesive holes 19A, 19B. For example, the width of the pad 16B can be equal to or greater than the diameter of one or more substrate holes 18A, 18B and / or one or more adhesive holes 19A, 19B. The length of the pad 16B can also depend on the size of one or more adhesive holes 19A, 19B. For example, to prevent a portion of adhesive 14 disposed on substrate 12 covering an area between one or more substrate holes 18A, 18B from being exposed, an edge of liner 16B and liner 16B may be configured to at least cover the portion of adhesive 14 disposed on substrate 12 between one or more substrate holes 18A, 18B. Figure 5A and 5B As shown, the length of the liner 16B can be longer than the distance between the edges of one or more substrate holes 18A, 18B and / or the distance between the edges of one or more adhesive holes 19A, 19B, so that the liner 16B extends into and covers a portion of the one or more substrate holes 18A, 18B and / or one or more adhesive holes 19A, 19B. Alternatively, if the adhesive 14 is flush with the one or more substrate holes 18A, 18B, the liner 16B can be similarly configured to extend between the edges of the one or more substrate holes 18A, 18B, so that the liner 16B is also flush with one or more edges of the one or more substrate holes 18A, 18B. However, if a portion of the adhesive 14 surrounding the one or more substrate holes 18A, 18B is removed, the length of the liner 16B can be shortened so that the liner 16B will only cover the area on the substrate 12 between the one or more substrate holes 18A, 18B that is in contact with the adhesive 14.

[0052] Reference Fig. 6A and 6B , illustrating the construction of a third exemplary pad 16C. Figures 4A-5B, a third exemplary configuration of a pad 16C can be coupled to the adhesive 14 and can be positioned adjacent to one or more substrate apertures 18A, 18B. The pad 16C can be coupled to a portion of the adhesive 14 such that the pad 16C is substantially parallel or co-linear with a longitudinal axis L that can bisect the first substrate aperture 18A and the second substrate aperture 18B. The pad 16C can be configured to be substantially aligned with the longitudinal axis L defined by the first substrate aperture 18A and the second substrate aperture 18B, wherein alignment refers to the longitudinal axis of the pad 16 being parallel to the longitudinal axis L. As shown in FIG. Fig. 6A and 6B As shown, it is not necessary to place the gasket 16C on a portion of the adhesive 14 between the first and second substrate holes 18A, 18B. Fig. 6A and 6B In the example configuration shown, the gasket 16C may include multiple components that are disconnected from each other and positioned adjacent to one or more substrate holes 18A, 18B, wherein the components of the gasket 16C are offset from the one or more substrate holes 18A, 18B relative to the center of the attachment device 10. Alternatively, the gasket 16C may be disposed on a portion of the adhesive 14 that is disposed on the substrate 12 that is not between the first and second substrate holes 18A, 18B, but adjacent to the first and / or second substrate holes 18A, 18B.

[0053] The size and / or position of the pad 16C can be based at least in part on the size and / or position of one or more substrate holes 18A, 18B, and / or the size and / or position of one or more adhesive holes 19A, and the size of the elongated member 36. The length and width of the pad 16C can also be configured based on the distance between one or more substrate holes 18A, 18B and / or the distance between one or more adhesive holes 19A, and the outer edge of the attachment device 10. Although not required, the width of the pad 16C can generally be at least as large as the size of one or more substrate holes 18A, 18B and / or the size of one or more adhesive holes 19A, 19B. For example, the width of the pad 16C can be equal to or greater than the diameter of one or more substrate holes 18A, 18B and / or the diameter of the adhesive holes 19A, 19B. The length of the pad 16C can also depend on the size of the adhesive holes 19A, 19B. For example, to prevent a portion of the adhesive 14 disposed on the substrate 12 covering the area between the one or more substrate holes 18A, 18B and the one or more outer edges of the attachment device 10 from being exposed, the edge of the gasket 16C, the gasket 16C can be configured to at least cover a portion of the adhesive 14 disposed on the substrate 12 between the one or more substrate holes 18A, 18B and the one or more outer edges of the attachment device 10. Fig. 6A and 6BAs shown, the length of the gasket 16C can be longer than the distance between the edge of one or more substrate holes 18A, 18B and the outer edge of the attachment device 10, so that the gasket 16C extends into and covers a portion of the one or more substrate holes 18A, 18B and / or one or more adhesive holes 19A, 19B. Alternatively, if the adhesive 14 is flush with the one or more substrate holes 18A, 18B, the gasket 16C can be similarly configured to extend between the edges of the one or more substrate holes 18A, 18B, so that the gasket 16C is also flush with one or more edges of the one or more substrate holes 18A, 18B. However, if a portion of the adhesive 14 surrounding the one or more substrate holes 18A, 18B is removed, the length of the gasket 16C can be shortened so that the gasket 16C will only cover the area on the substrate 12 between the one or more substrate holes 18A, 18B and the one or more outer edges of the attachment device 10 that is in contact with the adhesive 14.

[0054] Although various configurations of the pad 16 have been discussed above, it should be understood that it is also conceivable that the attachment device 10 can be configured without a pad. In an embodiment of the attachment device 10 that does not include a pad, a portion of the adhesive corresponding to the same approximate location, position and / or shape of the pad can be removed from the attachment device 10. For example, the attachment device 10 can be configured to include a substrate 12, which includes a top surface and a bottom surface. As described above, the attachment device 10 can similarly include a first substrate hole 18A and a second substrate hole 18B. The adhesive 14 can be at least partially arranged on the bottom surface of the substrate 12, so that the area between the first substrate hole 18A and the second substrate hole 18B on the substrate 12 is free of adhesive. The attachment device 10 can be configured, wherein the area of ​​the substrate 12 without adhesive can correspond to the area covered by the pad described above.

[0055] Reference Figure 7 and Figure 8 , illustrating an exemplary configuration of an attachment device assembly 30. The attachment device assembly 30 may include the above-described attachment device 10 and an indicator tongue 32. The indicator tongue 32 may include a second liner 22 configured to be removably coupled to an adhesive 14 of the attachment device 10 that is not covered by the liner 16. The second liner 22 and the liner 16 may include similar or identical materials. The liner 16 and the second liner 22 may even be integrally formed from a single piece of material, wherein the material is cut to form the liner 16 and the second liner 22. The liner 16 and the second liner 22 may be cut such that the liner 16 is configured to remain coupled to the adhesive 14 of the attachment device 10 when the attachment device 10 is removed and / or separated from the indicator tongue 32. For example, as Figure 8As shown, the second pad 22 includes a second pad hole 24, which corresponds to the shape of the pad 16 that remains coupled to the coupling device 10. When the second pad 22 is removed by separating the indicator tongue 32 from the attachment device 10, a portion of the adhesive 14 corresponding to the second pad 22 is exposed, which is arranged on the base 12 of the attachment device 10. The exposed portion of the adhesive 14 can be configured to fix the attachment device 10 to another object, such as a medical device 48.

[0056] The second liner 22 can be integrally formed with the indicator tongue 32 of the attachment device assembly 30. However, although not shown in the drawings, it is contemplated that the second liner 22 can be configured as an element of the indicator tongue. For example, the indicator tongue 32 can be composed of a laminate or layer similar to the above-described attachment device 10. In this example configuration, the indicator tongue 32 can include a base indicator layer, an adhesive indicator layer, and a second liner, wherein the second liner is removably coupled to the adhesive indicator layer.

[0057] The indicator tongue 32 of the attachment device assembly 30 may also include a marking portion 34. Similar to the base 12 of the attachment device 10, the marking portion 34 may be translucent and processed for printing such that text and / or graphics may be printed on the marking portion 34. For example, the marking portion 34 may include a printed identification mark, illustration, text, or graphic that may indicate instructions for using the attachment device 10. The marking portion 34 may also be markable such that a medical professional may write a date of use or installation on the marking portion 34 using a typical writing utensil such as a pen, marker, or pencil. Fig. 9 , an exemplary illustration of the marking portion 34 of the indicator tongue 32 is shown.

[0058] Fig.10 and 11 An exemplary configuration of an irrigation assembly 50 is shown, which includes an elongated member 36 passing through the attachment device assembly 30 described above. The elongated member 36 can be constructed of a plastic, polymer, or similar durable and flexible material. The elongated member 36 can also include a chamber configured to create a conduit, duct, or channel that allows fluid flow. For example, the elongated member can be used to provide fluid to a surgical site or to aspirate debris from a surgical site through the elongated member 36. The elongated member 36 can be configured as a navigation tracker or console for a navigation system.

[0059] The elongated member may also include a distal end 38 and a proximal end 40. The proximal end 38 may be configured to be coupled to a surgical system, such as an irrigation system (not shown). The proximal end 40 may include a proximal coupler 42, wherein the proximal coupler 42 may be configured to couple the proximal end 40 to the surgical system. The proximal coupler 42 may include a barb connector, a Luer connector, an electrical connector, or similar accessories. It will be appreciated that the proximal coupler 42 may be coupled to the proximal end 40 of the elongated member 36 in a variety of different ways, such as via UV bonding, gluing, cement, epoxy, plastic welding, and the like. It should also be appreciated that the proximal coupler 42 may be omitted and the elongated member 36 may be directly coupled to the surgical system.

[0060] The distal end 38 can be configured to be coupled to a medical device attachment 44, such as an irrigation sleeve. An exemplary irrigation sleeve for a medical device is disclosed in U.S. Provisional Patent Application No. 62 / 536,733 filed on July 25, 2017, the entire contents of which are incorporated herein by reference. The distal end 38 of the elongated member can include a barb connector, a Luer connector, or a similar accessory configured to couple the elongated member 36 to the medical device attachment 44. Alternatively, the medical device attachment 44 can include an accessory coupler 46 configured to receive the distal end 38 of the elongated member 36. The accessory coupler 46 can be coupled to the distal end 38 of the elongated member 36 in a variety of different ways, such as by UV bonding, glue, cement, epoxy, plastic weldment, etc. It should also be understood that the accessory coupler 46 can be omitted, and the elongated member 36 can be configured to be positioned near the medical device attachment 44 and apply the fluid directly to the surgical site.

[0061] As described above, the attachment device 10 may include a plurality of base holes 18A, 18B. One or more base holes 18A, 18B may be configured to receive an elongated member 36, which may be passed through the one or more base holes 18A, 18B in the attachment device 10. The size and / or thickness of the one or more base holes 18A, 18B may be configured to reduce any stress or strain on the base 12 and / or the elongated member 36 when the elongated member 36 passes through the one or more base holes 18A, 18B. The diameter of the one or more base holes 18A, 18B and / or the distance between the one or more base holes 18A, 18B may be configured to generate a friction fit for the elongated member 36 when passing through the one or more base holes 18A, 18B. This will keep the elongated member 36 in place unless additional force is applied to the elongated member 36, such as by a medical professional pulling the elongated member 36 in one direction or another. Alternatively, as described above, the substrate may also include a recess 20, wherein the size and / or thickness of the recess 20 surrounding one or more substrate holes 18A, 18B may be configured to reduce any stress or strain on the substrates 12 and 18 when the elongated member 36 passes through the one or more substrate holes 18A, 18B.

[0062] As described above, many different configurations of pads 16A, 16B, and 16C may be used. However, the configuration of pads 16A, 16B, and 16C may dictate the direction and orientation of elongated member 36 through one or more base apertures 18A, 18B of attachment device 10. Fig.10 and 11 , the travel configuration of the elongated member 36 relative to the attachment device 10 corresponds to FIG. 4A to FIG. 5B The pads 16A, 16B are shown, wherein the pads 16A, 16B are positioned adjacent to the adhesive 14 and at least partially between the one or more base holes 18A, 18B. The elongated member 36 passes through the one or more base holes 18A, 18B of the attachment device 10, such that the middle portion of the elongated member 36 located between the one or more base holes 18A, 18B is adjacent to the pads 16A, 16B. Fig.11 Elongated member 36 is shown positioned adjacent to gasket 16 while extending between one or more substrate apertures 18A, 18B. One of the many functions of gasket 16 is to prevent elongated member 36 from coupling to adhesive 14, thereby allowing elongated member 36 to slide axially when attached to medical device 48.

[0063] Alternatively, the travel configuration of the elongated member 36 may be configured to correspond to Fig. 6A and 6B The pad 16C shown. This will Fig.10 and 11 The passage of the elongated member 36 shown is reversed. Fig. 6A and6B In the configuration of the pad 16C shown, the pad 16C includes two separate components that are placed adjacent to the one or more base holes 18A, 18B. However, in this configuration, the pad 16C may not be located between the one or more base holes 18A, 18B. When passing the elongated member 36 through the one or more base holes 18A, 18B, the elongated member 36 passes through the one or more base holes 18A, 18B of the attachment device 10 so that the middle portion of the elongated member 36 positioned between the one or more base holes 18A, 18B is adjacent to the base 12, i.e., on the top of the attachment device 10. The opposite ends of the elongated member 36 are positioned adjacent to the components of the pad 16C.

[0064] Although not shown in the drawings, it should be understood that additional one or more substrate holes 18A, 18B and / or configurations of the pad are contemplated to allow for additional pass-through configurations. Regardless of the number of substrate holes 18A, 18B and / or components of the pad 16, it should be understood that when the elongated member 36 is passed through the one or more substrate holes 18A, 18B, the components of the pad 16 will generally be included between the adhesive 14 and the elongated member 36 to prevent the elongated member 36 from being exposed to the adhesive 14.

[0065] Alternatively, rather than including the pad 16 as an element of the attachment device 10, it is also contemplated that the adhesive 14 corresponding to the location of the pad 16 may be removed from the substrate 12 (referring to Figures 4A-6B By removing portions of the adhesive 14 corresponding to the positions of the pads 16A, 16B, and 16C shown in the figure, the pads 16A, 16B, and 16C may not be required and thus the pads 16A, 16B, and 16C may be omitted from the attachment device 10.

[0066] Reference Fig. 12A , 12B 12C, illustrating an exemplary configuration of a surgical system 60. The surgical system 60 can be configured to include the above-described medical device 48 and an irrigation assembly 50. The medical device 48 can include a medical device attachment 44, such as a cutting attachment or an irrigation cannula. The elongated member 36 of the irrigation assembly 50 can pass through one or more base holes 18A, 18B of the attachment device 10, and the distal end 38 is coupled to the medical device attachment 44.

[0067] Reference Fig. 12B , the attachment device 10 can be removed from the indicator tongue 32 to expose a portion or area of ​​the adhesive 14 that is not covered by the liner 16. The attachment device 10 can then be removably coupled to the medical device 48 via the exposed portion of the adhesive 14. The attachment device 10 can be coupled to the medical device 48 at any point along the body 52 of the medical device 48, such as Fig. 12CFor example, the attachment device 10 can be coupled to the body 52 of the medical device 48 proximal to the medical device attachment 44. Alternatively, the attachment device 10 can be coupled to the body 52 of the medical device 48 distal to the medical device attachment 44. The medical professional can select a location to couple the attachment device 10 to the medical device 48. For example, when selecting a location to couple the attachment device 10 to the medical device 48, the medical professional can consider the size of the elongated member, the type of medical procedure to be performed, the ergonomic grip of the medical device 48, etc.

[0068] like Fig. 12C As shown, the elongated member 36 passes through one or more base holes 18A, 18B of the attachment device 10, so that the elongated member 36 is axially aligned with the pad 16A when attached to the body 52 of the medical device. When the attachment device 10 is coupled to the medical device 48, a portion of the elongated member 36 is located between the pad 16A and the body 52 of the medical device 48. The presence of the pad 16A between the adhesive 14 and the elongated member 36 allows the elongated member 36 to slide axially when attached to the medical device 48. This allows the medical professional to easily adjust the elongated member 36 to be tightened, or to provide additional slack in the elongated member 36 when needed.

[0069] Method of securing an elongated member to a medical device:

[0070] also, Fig. 12A , 12B 12C illustrate various steps of an exemplary method of attaching an elongated member 36 to a medical device 48 using the attachment device 10. The method of attaching the elongated member 36 to a medical device may include providing the attachment device 10 and / or assembly 30, wherein the attachment device 10 includes a pad 16, a base 12, and an adhesive 14 at least partially disposed between the base 12 and the pad 16. The attachment device 10 may also include a first base hole 18A and a second base hole 18B. The pad 16 may be positioned adjacent to the adhesive 14 such that the pad 16 is at least partially between the first base hole 18A and the second base hole 18B and adjacent to the adhesive. The method may also include passing the elongated member 36 through the first base hole 18A and the second base hole 18B of the attachment device 10 so that the elongated member 36 is axially aligned with the pad 16. Alternatively, in Fig. 6A and Figure 6B In the configuration of the gasket 16C shown, the gasket 16C may be positioned proximate to one or more substrate apertures 18A, 18B and adjacent to the adhesive 14. The gasket 16C may be aligned with a longitudinal axis defined by the substrate apertures 18A, 18B.

[0071] The method of securing the elongated member 36 may also include adhering the attachment device 10 to the medical device 48. The attachment device 10 is removably coupled to the body 52 of the medical device 48 by pressing the exposed portion of the adhesive 14 to the body 52 of the medical device 48 such that the elongated member 36 is at least partially disposed between the attachment device 10 and the medical device 48. For example, the attachment device 10 including the elongated member 36 passing through one or more holes 18A, 18B can be pressed onto the base 52 to secure the attachment device 10 to the medical device 48.

[0072] The method may also include separating the indicator tab 32 of the attachment device assembly 30 from the adhesive 14. The indicator tab 32 may be separated or removed by pulling the elongated member 36 of the attachment device 10 through the assembly 30. The indicator tab 32 may be configured to include indicia 34 indicating a method of coupling the attachment device 10 to the medical device 48.

[0073] The method may also include axially sliding the elongated member 36 adjacent to the pad 16 when coupling the attachment device 10 to the medical device 48 so that the elongated member 36 is tensioned. For example, the proximal end 40 of the elongated member 36 is pulled to eliminate any slack in the distal end 38 of the elongated member 36. This may reduce the profile and / or bulk of the surgical system 60. It may also prevent the elongated member 36 from getting caught or entangled in anything during operation of the medical device 48. Alternatively, the elongated member 36 may be slid by pulling on the distal end 38 to create additional slack in the elongated member 36.

[0074] The method may also include removing the second liner 22 from the adhesive 14 , wherein removal of the second liner 22 exposes a portion of the adhesive 14 configured to removably couple the attachment apparatus 10 to the medical device 48 .

[0075] After adhering the attachment device 10 to the medical device 48, the method may include separating the attachment device 10 from the medical device 48 by pulling the elongated member 36. For example, pulling the proximal end 40 of the elongated member 36 may remove and / or detach the attachment device 10 from the medical device 48. This allows the elongated member and attachment device 10 to be disposed of as part of a sterilization process after a medical procedure.

[0076] Manufacturing method

[0077] The manufacturing method of the above-described attachment device 10 and / or assembly 30 may include providing a substrate 12 having a top surface and an opposite bottom surface. One or more substrate holes 18A, 18B may be cut in the substrate 12. For example, a die cutting process may be used to cut the first substrate hole 18A and the second substrate hole 18B. Adhesive 14 may be applied to the bottom surface of the substrate 12. Adhesive 14 may be applied to the substrate 12 so that the adhesive 14 is flush with the first substrate hole 18A and the second substrate hole 18B. Alternatively, adhesive 14 may be applied to the substrate 12 so that a portion of the substrate 12 surrounding the first substrate hole 18A and the second substrate hole 18B is free of adhesive 14.

[0078] The method may also include removably coupling the gaskets 16A, 16B, 16C to the adhesive 14 such that the gaskets 16A, 16B are at least partially disposed between the first substrate hole 18A and the second substrate hole 18B in the substrate 12. Alternatively, as described above, the gasket 16C may be configured such that the gasket 16C is not located between the first substrate hole 18A and the second substrate hole 18B.

[0079] The method may also include cutting a recess 20, a chamfer, a chamfer, a fillet, or a similar transition portion configured to surround each of the first substrate hole 18A and the second substrate hole 18B in the top surface of the substrate 12. The recess 20 may be generated by making any number of secondary cuts, such as circular cuts. The shape of the recess 20 generated by the secondary cuts may correspond to the shape of the first substrate hole 18A and the second substrate hole 18B. Alternatively, the shape of the recess 20 may be different from the shape of the first substrate hole 18A and the second substrate hole 18B. Generally, the size and / or dimensions of the recess 20 generated by the secondary cuts may be larger than the size and / or dimensions of the first substrate hole 18A and the second substrate hole 18B. For example, in the case where the secondary cuts are circular cuts, the secondary cuts may be centered at the midpoint of the first substrate hole 18A and the second substrate hole 18B, wherein the diameter of the secondary cuts used to generate the recess 20 is larger than the diameter of the first substrate hole 18A and the diameter of the second substrate hole 18B. A secondary cut configured to create a recess may also be referred to as a "kiss cut" or a relief cut.

[0080] It is also contemplated that the attachment device 10 may be manufactured by enabling pre-assembled components of material that may include a substrate 12, an adhesive 14 applied to one surface of the substrate 12, and a gasket 16A, 16B, 16C removably coupled to the adhesive 14. In this configuration, a method of manufacturing the attachment device 10 may include cutting one or more substrate holes 18A, 18B through the substrate 12, the adhesive 14, and the gasket 16A, 16B, 16C. The method may also include cutting the gasket 16A, 16B, 16C so that the gasket 16A, 16B is at least partially disposed between the first substrate hole 18A and the second substrate hole 18B in the substrate 12. Alternatively, as described above, the gasket 16A, 16B, 16C may be cut so that the gasket 16C is not located between the first substrate hole 18A and the second substrate hole 18B. The method may also include cutting a recess 20, a bevel, a chamfer, a radius, or a similar transition portion in the top surface of the substrate 12, which is configured to surround each of the first substrate hole 18A and the second substrate hole 18B. The recess 20 may be generated by making any number of secondary cuts (such as circular cuts) of any shape. Similar to the above, the size and / or dimensions of the recess 20 generated by the secondary cuts may be larger than the size and / or dimensions of the first substrate hole 18A and the second substrate hole 18B. The secondary cuts configured to generate the recess may also be referred to as "kiss cuts" or relief cuts.

[0081] The method may further include passing the elongated member 36 through the first substrate hole 18A and the second substrate hole 18B. Figures 4A-5B , the elongated member 36 may be passed through the attachment device 10 by activating the elongated member 36 adjacent to the top surface of the substrate 12, inserting the elongated member 36 through the first substrate hole 18A, extending the elongated member 36 along the pads 16A, 16B, and inserting the elongated member 36 through the second substrate hole 18B. Fig. 6A and 6B With the configuration of pad 16C shown, elongated member 36 may be passed through attachment device 10 by activating elongated member 36 adjacent pad 16C, passing elongated member 36 through first substrate aperture 18A, extending elongated member 36 along the top surface of substrate 12, and inserting the elongated member through second substrate aperture 18B.

[0082] The method may also include removably coupling an indicator tab 32 to the liner 16 proximate the adhesive 14, wherein the indicator tab 32 may be configured to include indicia 34 that indicates the method of coupling the attachment device to the medical device. The indicia 34 may include text, graphics, and / or images that indicate the method of coupling the elongated member 36 to the medical device. The indicia 34 may be printed on the indicator tab 32 as part of the method of manufacturing the attachment device 10 and / or assembly 30. For example, again referring to Fig. 9 , illustrates an example of indicia 34 that may be printed on an indicator. Indicia 32 includes graphics and / or numbers that indicate the following steps: attaching the elongated member 36 to a cutting attachment; securing the elongated member 36 to a medical device 48 using the attachment device 10; and connecting the elongated member 36 to a medical system, such as an irrigation system.

[0083] As described above, the liner 16 may include the second liner 22, wherein the second liner 22 is integrally formed with the indicator tab 32. When manufacturing the attachment device assembly 30, the liner 16 and the second liner 22 may initially include a single integral component of the liner 16, 22. However, since the liner 16 is configured to remain coupled to the adhesive 14 when the indicator tab 32 is removed, it may be necessary to cut the liner 16, 22 so that the liner 16 and the second liner 22 are easily separated when the attachment device 10 is removed from the indicator tab 32. Therefore, the method of manufacturing the attachment device 10 may also include cutting the liner 16, 22 so that the second liner 22 may be configured to be detachable from the liner 16, and wherein the liner 16 remains at least partially disposed between the first substrate hole 18A and the second substrate hole 18B.

[0084] The method may also include cutting one or more gasket holes 21A, 21B in the gasket 16A, wherein the one or more gasket holes 21A, 21B are aligned with the one or more base holes 18A, 18B. The one or more base holes 18A, 18B may be defined by a first diameter, and the one or more gasket holes 21A may be defined by a second diameter. The attachment device 10 may be configured such that the first diameter and the second diameter are equal. However, it is also contemplated that the second diameter may be greater than the first diameter, and / or the first diameter may be greater than the second diameter.

[0085] Additional protection clauses:

[0086] I. An attachment device for fixing an elongated member to a medical device, the attachment device comprising: a first pad; a second pad; a base comprising a first base hole and a second base hole; an adhesive at least partially located between the base and the first pad and the second pad; wherein the first pad is adjacent to the first base hole and the second pad is adjacent to the second base hole; and wherein the first pad and the second pad are axially aligned with a longitudinal axis defined by the first base hole and the second base hole.

[0087] II. An attachment device for securing an elongated member to a medical device, the attachment device comprising: a base comprising a top surface, a bottom surface, a first base hole, and a second base hole; an adhesive at least partially disposed on the bottom surface of the base; and wherein the attachment device has no adhesive on the bottom surface of the base between the first base hole and the second base hole.

[0088] III. An attachment device for securing an elongated member to a medical device, the attachment device comprising: a pad; a base comprising a first base hole and a second base hole; an adhesive; and wherein the pad is arranged on the adhesive, and the adhesive is positioned on the base, at least partially between the first base hole and the second base hole.

[0089] IV. A method for manufacturing an attachment device for removably connecting an elongated member to a medical device, the method comprising: providing a base material having a top surface and an opposite bottom surface; applying an adhesive to the bottom surface of the base material; removably connecting a pad to the adhesive so that the pad is at least partially arranged between a first base hole and a second base hole; and cutting the first base hole and the second base hole through the base material, the adhesive and the pad.

[0090] V. The method of clause IV, further comprising cutting a recess in the top surface of the substrate material, the recess configured to surround each of the first substrate aperture and the second substrate aperture.

[0091] VI. The method of any of clauses IV or V, further comprising passing the elongated member through the first substrate aperture and the second substrate aperture.

[0092] VII. The method of any of clauses IV, V, or VI, wherein the substrate material comprises a generally oval shape.

[0093] VIII. The method of any of clauses IV, V, VI, or VII, further comprising removably coupling an indicator tab to the adhesive proximate the liner, the indicator tab comprising indicia indicative of the method of coupling the attachment device to the medical device.

[0094] IX. The method of any of clauses IV-VIII, further comprising cutting the pad so that the pad comprises a first pad portion and a second pad portion; wherein the second pad portion is configured to be separable from the first pad portion; and wherein the first pad portion remains at least partially arranged between the first substrate hole and the second substrate hole.

[0095] X. The method of any of clauses IV-IX, further comprising cutting a first liner hole in the liner; wherein the first liner hole is aligned with the first substrate hole; wherein the first substrate hole is defined by a first diameter and the first liner hole is defined by a second diameter; and wherein the second diameter is greater than the first diameter.

[0096] Several embodiments have been discussed in the foregoing description. However, the embodiments discussed herein are not intended to be exhaustive or to limit the attachment device 10, the attachment device assembly 30, and / or the surgical system 60 to any particular form. The terms that have been used are intended to be descriptive rather than limiting. In view of the above teachings, many modifications and variations are possible, and the system may be practiced in a manner different from that specifically described.

Claims

1. An attachment device for securing an elongated member to a medical device, the attachment device comprising: liner; a substrate comprising a first substrate aperture and a second substrate aperture; Adhesives; wherein the adhesive is at least partially disposed between the substrate and the liner; and Wherein, the liner has at least one of the following characteristics: (1) the gasket is at least partially between the first substrate hole and the second substrate hole and adjacent to the adhesive; and (2) the gasket is configured to cover a portion of the adhesive, the portion of the adhesive being disposed on the substrate between the first substrate hole and a first outer edge of the attachment device and between the second substrate hole and a second outer edge of the attachment device, It is characterized in that The gasket is configured to allow the elongated member to move axially along an axis defined by the first substrate hole and the second substrate hole when the attachment device is attached to the medical device via the exposed portion of the adhesive.

2. The attachment device according to claim 1, wherein: The substrate also includes a recessed portion surrounding the first substrate hole and the second substrate hole.

3. The attachment device according to claim 1 or 2, wherein: The attachment device also includes indicia indicating a method of attaching the attachment device to a medical device.

4. The attachment device according to claim 1 or 2, wherein: The pad also includes a first pad portion and a second pad portion; wherein the first pad portion is at least partially disposed between the first substrate hole and the second substrate hole; wherein the second pad portion is separable from the first pad portion; and Wherein the first cushion portion is configured to remain coupled to the adhesive when the second cushion portion is removed.

5. The attachment device according to claim 1 or 2, wherein: The base includes a generally oval shape.

6. The attachment device according to claim 1 or 2, wherein: The adhesive includes a medical grade adhesive.

7. The attachment device according to claim 1 or 2, wherein: The gasket further includes a first gasket hole and a second gasket hole; wherein the first gasket hole is aligned with the first substrate hole; and Wherein, the second pad hole is aligned with the second substrate hole.

8. The attachment device according to claim 7, wherein: The first substrate aperture is defined by a first diameter and the first gasket aperture is defined by a second diameter; and Wherein, the second diameter is greater than the first diameter.

9. An attachment assembly for securing an elongated member to a medical device, the assembly comprising: An attachment device according to any one of claims 1-2 and 5-8; and An indicator tab is removably coupled to the attachment device, the indicator tab including indicia indicating a method for attaching the attachment device to a medical device.

10. The attachment device assembly of claim 9, the pad further comprising a first pad portion and a second pad portion; in, The first pad portion is at least partially disposed between the first substrate aperture and the second substrate aperture; as well as Wherein the first cushion portion is configured to remain coupled to the adhesive when the second cushion portion is removed.

11. The attachment device assembly according to claim 10, wherein: The second pad portion is formed integrally with the indicator tongue.

12. An attachment assembly for use with a medical device to facilitate flushing, the assembly comprising: An attachment device according to any one of claims 1-2 and 4-8; and An elongated member passes through the first substrate aperture and the second substrate aperture and is adapted to provide irrigation.

13. The attachment device assembly of claim 12, the pad being removably coupled to the adhesive.

14. The attachment device assembly according to any one of claims 12-13, wherein: The elongated member further includes a first end and an opposite second end; The first end includes a first coupler configured to couple the elongated member to a medical device; and The second end includes a second coupler configured to couple the elongated member to a fluid source.

15. The attachment device assembly according to any one of claims 12-13, wherein: The pad is configured to align with the elongated member when the substrate is coupled to the medical device via the adhesive.

16. The attachment device assembly of claim 15, further comprising an indicator tab removably coupled to a section of the adhesive proximate the pad, the indicator tab comprising indicia indicating a method of attaching the attachment device to a medical device.

17. A flushing system comprising: a medical device configured to cut tissue, the medical device having a body configured to be held by a user; Long members; The attachment device of any one of claims 1-2 and 4-8, wherein the attachment device is configured to removably couple the elongated member to the medical device; and The elongated member passes through the first substrate hole and the second substrate hole such that a portion of the elongated member is adjacent to the body of the medical device.

18. The flushing system according to claim 17, wherein: The attachment device also includes an indicator tab removably coupled to a section of the adhesive proximate the pad, the indicator tab being configured to include indicia indicating a method of attaching the attachment device to the medical device.

19. A method of coupling an elongated member to a medical device, the method comprising: Providing an attachment device according to any one of claims 1-2 and 4-8; passing the elongated member through the first substrate hole and the second substrate hole to axially align the elongated member with the gasket; as well as The attachment device is adhered to the medical device, wherein the exposed portion of the adhesive removably couples the attachment device to the medical device such that the elongated member is at least partially disposed between the attachment device and the medical device and allows the elongated member to move axially along an axis defined by the first substrate hole and the second substrate hole.

20. The method of claim 19, further comprising separating the indicator tab from the adhesive by pulling the elongated member, wherein The indicator tab is configured to include indicia that indicates the method of coupling the attachment device to the medical instrument.

21. The method of any one of claims 19-20, further comprising axially sliding the elongated member adjacent the pad when the attachment device is coupled to the medical device such that the elongated member is tensioned.

22. The method of any one of claims 19-20, further comprising removing a portion of the liner from the adhesive, wherein: Removing the portion of the liner exposes an exposed portion of the adhesive configured to removably couple the attachment means to the medical device.

23. The method of any one of claims 19-20, further comprising, after pressing the attachment device to the medical device, detaching the attachment device from the medical device by pulling the elongated member.

Images