Apparatus and method for securing elongate member to medical instrument

Abstract

To provide an apparatus and a method for securing an elongate member to a medical instrument.SOLUTION: An apparatus and a method for securing an elongate member to a medical instrument are provided. The apparatus comprises an attachment device including a base, a liner, and an adhesive. The base comprises an aperture configured to receive the elongate member, wherein the liner is positioned adjacent the aperture and axially aligned with the elongate member when the attachment device is coupled to the medical instrument. The attachment device may comprise a pair of apertures and the liner may be positioned adjacent the adhesive and at least partially between the pair of apertures. The method of securing the elongate member to the medical instrument comprises threading the elongate member through the aperture of the attachment device and adhering the attachment device to the medical instrument. The method of manufacturing the attachment device may comprise cutting the aperture in the base, the adhesive, and liner.SELECTED DRAWING: Figure 3

Description

Technical Field

[0001] [Related Application] This application claims the benefit and priority of U.S. Application No. 62 / 626,440, filed on Feb. 5, 2018, the disclosure of which is hereby incorporated by reference in its entirety. and is incorporated herein by reference in its entirety.

Background Art

[0002] In conventional medical procedures, surgical tools and / or medical instruments are often used to assist medical professionals in accessing a local surgical site, observing, treating or treating it. Depending on the use of the medical instrument, for example, in applications using a high-speed drill, a rotating bar, a windowing shaver, etc. heat and / or debris will necessarily accumulate at the surgical site. Here, the surgical system uses a perfusion system in combination with the medical instrument. The perfusion system typically includes a fluid source and a flexible conduit or tube. The flexible conduit or tube is connected to the medical instrument and is configured to supply fluid from the fluid source. Accordingly, there is a need in the art for an attachment device for connecting an elongate member or tube to a medical instrument that addresses various drawbacks of conventional perfusion tube connection mechanisms.

[0003]

Summary of the Invention

[0003] The present disclosure generally relates to an apparatus and method for removably securing an elongate member, such as a flexible conduit or tube, to a medical instrument. The apparatus includes an attachment device configured to secure an elongate member having a lumen for facilitating perfusion to the medical instrument.

[0004] ​​​As an exemplary configuration of the machine, a mounting device is provided that includes an adhesive disposed at least partially between a base and a liner. The base includes a first base opening and a second base opening, and the liner is disposed at least partially between the first and second base openings adjacent to the adhesive. The mounting device is configured to removably secure an elongate member, such as a flexible conduit or tube, within the base opening and adhere an exposed portion of the adhesive to a medical device. In another exemplary configuration of the mounting device for securing an elongate member to a medical device, the mounting device includes a liner, a base, and an adhesive. The base further includes a first base opening and a second base opening. The adhesive is disposed at least partially between the base and the liner. The liner is disposed at least partially between the first base opening and the second base opening adjacent to the adhesive. In yet another exemplary form of the mounting device for securing an elongate member to a medical device, the mounting device includes a first liner, a second liner, a base, and an adhesive. The base includes a first base opening and a second base opening. The adhesive is disposed at least partially between the base, the first liner, and the second liner. The first liner is disposed adjacent to the first base opening, and the second liner is disposed adjacent to the second base opening. The first liner and the second liner are aligned axially along a major axis defined by the first base opening and the second base opening. The mounting device is configured to removably secure an elongate member, such as a flexible conduit or tube, within the base opening and adhere an exposed portion of the adhesive to a medical device. The mounting device is configured to removably secure an elongate member, such as a flexible conduit or tube, within the base opening and adhere an exposed portion of the adhesive to a medical device. The mounting device is configured to removably secure an elongate member, such as a flexible conduit or tube, within the base opening and adhere an exposed portion of the adhesive to a medical device.

[0005] In another exemplary configuration of the mounting device for securing an elongate member to a medical device, the mounting device includes a liner, a base, and an adhesive. The base further includes a first base opening and a second base opening. The adhesive is disposed at least partially between the base and the liner. The liner is disposed at least partially between the first base opening and the second base opening adjacent to the adhesive. The mounting device is configured to removably secure an elongate member, such as a flexible conduit or tube, within the base opening and adhere an exposed portion of the adhesive to a medical device. The adhesive is disposed at least partially between the base and the liner. The liner is disposed at least partially between the first base opening and the second base opening adjacent to the adhesive. The mounting device is configured to removably secure an elongate member, such as a flexible conduit or tube, within the base opening and adhere an exposed portion of the adhesive to a medical device.

[0006] In yet another exemplary form of the mounting device for securing an elongate member to a medical device, the mounting device includes a first liner, a second liner, a base, and an adhesive. The base includes a first base opening and a second base opening. The adhesive is disposed at least partially between the base, the first liner, and the second liner. The first liner is disposed adjacent to the first base opening, and the second liner is disposed adjacent to the second base opening. The first liner and the second liner are aligned axially along a major axis defined by the first base opening and the second base opening. The mounting device is configured to removably secure an elongate member, such as a flexible conduit or tube, within the base opening and adhere an exposed portion of the adhesive to a medical device. The adhesive is disposed at least partially between the base, the first liner, and the second liner. The first liner is disposed adjacent to the first base opening. The second liner is disposed adjacent to the second base opening. The first liner and the second liner are aligned axially along a major axis defined by the first base opening and the second base opening. The mounting device is configured to removably secure an elongate member, such as a flexible conduit or tube, within the base opening and adhere an exposed portion of the adhesive to a medical device.

[0007] In yet another exemplary configuration of an attachment device for securing an elongate member to a medical device, the attachment device comprises a base having a top surface, a bottom surface, a first base opening, and a second base opening. The attachment device further comprises an adhesive disposed at least partially on the bottom surface of the base and not positioned between the first base opening and the base opening.

[0008] In yet another exemplary configuration of an attachment device for securing an elongate member to a medical device, the attachment device comprises a liner, a base, and an adhesive. The base has a first base opening and a second base opening. The liner is disposed on the adhesive on the base such that it is positioned at least partially between the first base opening and the second base opening.

[0009] An exemplary configuration of an attachment device assembly for securing an elongate member to a medical device comprises an attachment device comprising a liner, a base, and an adhesive. The base has a first base opening and a second base opening. The adhesive is disposed at least partially between the base and the liner. The liner is positioned at least partially between the first base opening and the second base opening and is adjacent to the adhesive. The attachment device assembly further comprises an indicator tab removably coupled to the attachment device and having indicia representing a method of attaching the attachment device to the medical device.

[0010] In yet another exemplary configuration of an attachment device used with a medical device to facilitate perfusion, the attachment device assembly comprises an attachment device comprising a base having a first base opening and a second base opening. The attachment device comprises an adhesive disposed on the base. ​​​​​​​It has. The attachment device assembly further includes an elongate member stitched into the first base opening and the second base opening. The material is further provided.

[0011] An exemplary perfusion system is a medical device configured to cut tissue and includes a medical device having a body configured to be held by a user. The perfusion system further includes an elongate member and an attachment device configured to removably couple the elongate member to the medical device. The attachment device includes a liner, a base, and an adhesive. The base has a first base opening and a second base opening. The adhesive is at least partially disposed between the base and the liner. The liner is at least partially positioned between the first base opening and the second base opening and is adjacent to the adhesive. The elongate member is stitched into the first base opening and the second base opening such that a portion of the elongate member is adjacent to the body of the medical device. - has a body configured to be held by the user. The perfusion system further includes an elongate member and an attachment device configured to removably couple the elongate member to the medical device. The attachment device includes a liner, a base, and an adhesive. The base has a first base opening and a second base opening. The adhesive is at least partially disposed between the base and the liner. The liner is at least partially positioned between the first base opening and the second base opening and is adjacent to the adhesive. The elongate member is stitched into the first base opening and the second base opening such that a portion of the elongate member is adjacent to the body of the medical device. has a first base opening and a second base opening. The adhesive is at least partially disposed between the base and the liner. The liner is at least partially positioned between the first base opening and the second base opening and is adjacent to the adhesive. The elongate member is stitched into the first base opening and the second base opening such that a portion of the elongate member is adjacent to the body of the medical device. is at least partially positioned between the first base opening and the second base opening and is adjacent to the adhesive. The elongate member is stitched into the first base opening and the second base opening such that a portion of the elongate member is adjacent to the body of the medical device. is at least partially positioned between the first base opening and the second base opening and is adjacent to the adhesive. The elongate member is stitched into the first base opening and the second base opening such that a portion of the elongate member is adjacent to the body of the medical device. is stitched into the first base opening and the second base opening such that a portion of the elongate member is adjacent to the body of the medical device. is stitched into the first base opening and the second base opening such that a portion of the elongate member is adjacent to the body of the medical device.

[0012] A method of coupling an elongate member to a medical device preferably includes the step of preparing an attachment device. The attachment device includes a liner, a base having a first base opening and a second base opening, and an adhesive. The adhesive is at least partially disposed between the base and the liner, and the liner is at least partially positioned between the first base opening and the second base opening and is adjacent to the adhesive. The method preferably further includes the step of stitching the elongate member into the first base opening and the second base opening such that the elongate member is axially aligned with the liner. The method preferably includes the step of adhering the attachment device to the medical device such that an exposed portion of the adhesive is at least partially disposed between the attachment device and the medical device with the elongate member therebetween. The attachment device includes a liner, a base having a first base opening and a second base opening, and an adhesive. The adhesive is at least partially disposed between the base and the liner, and the liner is at least partially positioned between the first base opening and the second base opening and is adjacent to the adhesive. The adhesive is at least partially disposed between the base and the liner, and the liner is at least partially positioned between the first base opening and the second base opening and is adjacent to the adhesive. is at least partially positioned between the first base opening and the second base opening and is adjacent to the adhesive. The method preferably further includes the step of stitching the elongate member into the first base opening and the second base opening such that the elongate member is axially aligned with the liner. The method preferably further includes the step of stitching the elongate member into the first base opening and the second base opening such that the elongate member is axially aligned with the liner. The method preferably includes the step of adhering the attachment device to the medical device such that an exposed portion of the adhesive is at least partially disposed between the attachment device and the medical device with the elongate member therebetween. The method preferably includes the step of adhering the attachment device to the medical device such that an exposed portion of the adhesive is at least partially disposed between the attachment device and the medical device with the elongate member therebetween. The method may also include a step of removably connecting the device to the medical instrument.

[0013] A method of manufacturing an attachment device for removably connecting an elongate member to a medical instrument may include a step of providing a base material having a top surface and and an opposite bottom surface. The method may further include a step of applying an adhesive to the bottom surface of the base material. The method may also include a step of removably connecting a liner to the adhesive such that the liner is at least partially disposed between a first base opening and a second base opening, and cutting the first base opening and the second base opening through the base material, the adhesive, and the liner. The method may further include a step of applying an adhesive to the bottom surface of the base material. such that the liner is at least partially disposed between a first base opening and a second base opening, removably connecting a liner to the adhesive, and cutting the first base opening and the second base opening through the base material, the adhesive, and the liner.

[0014] 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. The present disclosure is not limited to, or by, these embodiments, features, and advantages. nor is it limited by, or to, these embodiments, features, and advantages.

[0015] Referring to the drawings, exemplary examples are shown in detail. The drawings represent schematic embodiments, but are not necessarily to scale, and some features may be exaggerated to better illustrate and describe novel aspects of the exemplary embodiments. Further, the exemplary examples described herein are not intended to be exclusive, nor do they limit or are they limited to the exact forms and configurations shown in the drawings and disclosed in the following detailed description. The drawings represent schematic embodiments, but are not necessarily to scale, and some features may be exaggerated to better illustrate and describe novel aspects of the exemplary embodiments. and to describe, some features may be exaggerated. Further, the exemplary examples described herein are not intended to be exclusive, nor do they limit or are they limited to the exact forms and configurations shown in the drawings and disclosed in the following detailed description or to these.

[0016] Advantages of the present disclosure will become readily apparent by reference to the following detailed description in connection with the accompanying drawings.

Brief Description of the Drawings

[0017]

Figure 1

Figure 2

Figure 3

Figure 4A

Figure 4B

Figure 5A

Figure 5B

Figure 6A

Figure 6B

Figure 7

Figure 8

Figure 9

Figure 10

Figure 11

Figure 12A

Figure 12B

Figure 12C

[0018] Medical professionals are able to reduce the size of incisions and the recovery time required after invasive medical procedures. In an effort to reduce the size of medical instruments, the medical instruments used in various medical procedures have become smaller. Examples of medical instruments used in medical procedures include high speed drills, rotary burrs, fenestration shavers, etc. An exemplary medical device is the cutting accessory approved on August 24, 1999. No. 5,941,891, the disclosure of which is incorporated herein by reference. These cutting accessories are incorporated herein by reference in their entirety. Many use irrigation or suction to reduce heat and / or remove debris at the surgical site. Similarly, irrigation may be used to lubricate cutting accessories. Generally, an elongate member, for example an elongate member with a lumen, provides a flow path from an irrigation source to a surgical site and The elongated member is used to direct fluid toward the sterilization process and / or the cutting accessory. They are only temporarily attached to the medical device as they are discarded as part of the system. The size, profile, and / or shape of the medical device may be improved by the introduction of additional elements such as elongated members for Or the overall bulk increases. The member may obstruct the view of the medical professional during manipulation of the medical instrument during a medical procedure and / or may obstruct the view of the medical professional during manipulation of the medical instrument during a medical procedure. The positioning of the elongate member relative to the medical device may also affect the use of the medical device. It may arbitrarily exert an influence and suppress the ability of medical professionals who handle medical devices. Therefore, medical professionals may utilize an attachment device and / or attachment device assembly for fixing the elongate member to the medical device, for example, the attachment device shown in FIGS. 1 and 2.

[0019] Referring to FIGS. 1, 2, and 3, one exemplary configuration of the attachment device 10 is shown. Specifically, the attachment device 10 includes a base 12, an adhesive 14, and a liner 16, and is configured to be attached to a medical device 4 8. The attachment device 10 is configured as a laminate, and the base 12, the adhesive 14, and the liner 16 each constitute respective layers of the attachment device 10 as shown in FIG. 3 and are arranged directly adjacent to each other. For example, referring to FIGS. 2 and 3, the attachment device 10 includes a base 12, an adhesive 14, and a liner 16 that are stacked on top of each other in the vertical direction. Alternatively, the base 12, the adhesive 14, and the liner 16 may be configured as individual elements, and these individual elements may be assembled using the adhesive 14 so as to interconnect the base 12 and the liner 16. The base 12 is made of a material having flexibility and tear resistance. For example, the base may be made of plastic or a composite material. Similarly, the base 12 may have resistance to deterioration or erosion when used in a medical setting, for example, in a hospital or an operating room. For example, the base 12 may be cut into various shapes, such as a substantially elliptical shape as shown in FIGS. 1, 2, and 3, defining one or more openings (1

[0020] 8a, 18B) having complementary shapes as described below. The substantially elliptical shape allows the attachment device 10 to be attached to a medical device having a substantially convex surface. The base 12 may be made of, for example, plastic or a composite material. Similarly, the base 12 may have resistance to deterioration or erosion when used in a medical setting, for example, in a hospital or an operating room. For example, the base 12 may be cut into various shapes, such as a substantially elliptical shape as shown in FIGS. 1, 2, and 3, defining one or more openings (1 8a, 18B) having complementary shapes as described below. The substantially elliptical shape allows the attachment device 10 to be attached to a medical device having a substantially convex surface. 8a, 18B) of complementary shapes as described below, for example, a substantially elliptical shape as shown in FIGS. 1, 2, and 3. The substantially elliptical shape allows the attachment device 10 to be attached to a medical device having a substantially convex surface. When connecting to, even if its contour is restricted, it can bring about the necessary structural characteristics. Although not shown, the base 12 may be cut into various shapes and / or forms depending on the application. For example, the base 12 may be cut into a square, rectangle, or similar polygonal shape. This brings alternative structural characteristics and / or advantages when connecting the mounting device 10 to a substantially flat surface. However, the above examples are not intended to be restrictive. For example, a polygonal base may be connected to a convex surface, or a substantially circular base 12 may be connected to a flat surface. .

[0021] The base 12 should be processed so that it is at least partially translucent and printable so that text and / or graphics can be printed on a part of the base 12. For example, the base 12 may be provided with printed identification marks or identification graphics and a label indicating instructions for using the mounting device 10. Also, the base 12 may be writable. That is, the base 12 has a writing surface so that a medical professional can write the usage date or installation date on the base 12 using a typical writing instrument, such as a pen, marker, or pencil. .

[0022] The adhesive 14 is generally arranged on at least one surface of the base 12 such that a part of the adhesive 14 is located between the base 12 and the liner 16. For example, the adhesive 14 may be applied or cover the entire area of at least one surface of the base 12, such as the bottom surface. The liner 16 should be configured to cover a defined area of the adhesive 14 while exposing a part of the adhesive disposed on the base 12. (By the liner 16) The exposed portion of the adhesive 14 (which is not covered) is configured to removably connect the attachment device 10 to a medical device 48 (described in detail below). In other words, the liner will remain on the attachment device 10 after the attachment device is fixed to the medical device 48. The liner is configured to removably connect the attachment device to the medical device 48. After the attachment device is fixed to the medical device 48, the liner will remain on the attachment device 10.

[0023] The adhesive 14 is a compound configured to attach the base 12 to the liner 16 and / or the medical device 48, for example, a paste, silicone, glue, rubber cement, or similar adhesive material. Similarly, the adhesive 14 may be configured as an adhesive tape that enables attachment to both the base 12 and the liner 16, for example, a double-sided tape with adhesive applied on both sides. For example, the adhesive 14 may be a medical-grade adhesive manufactured by 3M, for example, 3M 9865 polyethylene single-sided medical tape. The adhesive 14 is configured to be suitable for use in wet TM and / or dirty environments and to be safe for attachment to human skin. For example, it may be TM 3M and / or dirty environments and to be safe for attachment to human skin. It is configured.

[0024] The liner 16 is configured to be adjacent to the adhesive 14 on the opposite side of the base 12, for example, directly adjacent and connected to the adhesive. The liner 16 may be disposed on the adhesive 14 so as to cover a part or a defined area of the adhesive 14. The liner 16 may be removably connected to the adhesive 14 of the attachment device 10. The liner 16 may be composed of a material treated with a compound that enables easy removal from the adhesive 1 4. For example, the liner 16 may be waxed or have a Teflon coating applied to it. TM coating applied to it. The liner 16 is preferably similar to the backing of a sticker. Specifically, the adhesive 1 It may be easily removable or separable from the adhesive 14 while maintaining the state of being connected to 4. However, when the mounting device is fixed to the medical instrument, at least a part of the liner 16 may remain on the mounting device.

[0025] As shown in FIGS. 1, 2, and 3, the mounting device 10 includes a first base opening 18A and a second base opening 18B formed in the base 12. The drawings show the configuration of the mounting device 10 having the first base opening 18A and the second base opening 18B, but it should be understood that the mounting device 10 may be configured to have a single base opening or three or more base openings. Note that, as will be described in detail below, depending on the position, shape, and / or number of the base openings 18A and 18B, the position and configuration of the adhesive 14 and / or the liner 16, for example, the position and configuration of their openings may be changed. base opening or three or more base openings. It should be understood that the mounting device 10 may be configured to have a single base opening or three or more base openings. Also, as shown in FIG. 1, the first base opening 18A and the second base opening 18B are configured to define a long axis L. For example, the long axis L bisects the first base opening 18A and the second base opening 18B. In one or more of the configurations of the mounting device 10 described below, the liner 16 is configured to be substantially aligned with the long axis L defined by the first base opening 18A and the second base opening 18B. In one aspect, the term "aligned" means that the long axis of the liner 16 is parallel to the long axis L. More generally, in some aspects, at least a part of the liner 16 is positioned between the first base opening 18A and the second base opening 18B by the adhesive 14 / or the number, the position and configuration of the adhesive 14 and / or the liner 16, for example, the position and configuration of their openings may be changed. so as to be substantially straight.

[0026] Further, the first base opening 18A and the second base opening 18B are configured to define a long axis L as shown in FIG. 1. For example, the long axis L bisects the first base opening 18A and the second base opening 18B. In one or more of the configurations of the mounting device 10 described below, the liner 16 is configured to be substantially aligned with the long axis L defined by the first base opening 18A and the second base opening 18B. In one aspect, the term "aligned" means that the long axis of the liner 16 is parallel to the long axis L. More generally, in some aspects, at least a part of the liner 16 is positioned between the first base opening 18A and the second base opening 18B by the adhesive 14 axis L. For example, the long axis L bisects the first base opening 18A and the second base opening 18B. In one or more of the configurations of the mounting device 10 described below, the liner 16 is configured to be substantially aligned with the long axis L defined by the first base opening 18A and the second base opening 18B. In one aspect, the term "aligned" means that the long axis of the liner 16 is parallel to the long axis L. More generally, in some aspects, at least a part of the liner 16 is positioned between the first base opening 18A and the second base opening 18B by the adhesive 14 so that at least a part of the liner 16 is positioned between the first base opening 18A and the second base opening 18B. In one aspect, the term "aligned" means that the long axis of the liner 16 is parallel to the long axis L. More generally, in some aspects, at least a part of the liner 16 is positioned between the first base opening 18A and the second base opening 18B by the adhesive 14 so that at least a part of the liner 16 is positioned between the first base opening 18A and the second base opening 18B. In one aspect, the term "aligned" means that the long axis of the liner 16 is parallel to the long axis L. More generally, in some aspects, at least a part of the liner 16 is positioned between the first base opening 18A and the second base opening 18B by the adhesive 14 so as to be substantially straight. means that the long axis of the liner 16 is parallel to the long axis L. Furthermore, in some aspects, at least a part of the liner 16 is positioned between the first base opening 18A and the second base opening 18B by the adhesive 14 so as to be substantially straight. is disposed thereon. In other words, in some embodiments, the liner 16 is along the major axis L and / or may be arranged in other forms with respect to the first and second base openings 18A, 18B .

[0027] The mounting device 10 also includes adhesive openings 19A, 19B formed in the adhesive 14. The adhesive openings 19A, 19B are configured to be aligned straight with the first base opening 18A and the second base opening 18B, for example, coaxially. It is further contemplated that the liner 16 may include liner openings 21A, 21B. The liner openings 21A, 21B are preferably aligned straight with the first base opening 18A and the second base opening 18B and / or the adhesive openings 19A, 19 B, for example, coaxially. Thus, in one embodiment, the base openings 18A, 18B, the adhesive openings 19A, 19B, and the liner openings 21A , 21B are arranged in cooperation such that the centers of the respective openings are aligned straight. However, in other embodiments, the base openings 18A, 18B, the adhesive openings 19A, 19B, and the liner openings 21A, 21B may be partially aligned straight so that the elongated member can pass through. The base openings 18A, 18B, the adhesive openings 19A, 19B, or the liner openings 21A, 21B may have the same shape and / or size, or may be different. For example, as shown in FIGS. 1 - 3, the size of the base openings 18A, 18B and / or the adhesive openings 19A, 19B is set to be larger than the liner openings 21A, 21B in order to prevent the transfer of the adhesive 14 to the object passing through the base openings 18A, 18B.

[0028] Alternatively, in other configurations of the mounting device 10, the base 12 surrounds the base openings 18A, 18B. The base 12 may have a recess 20, bevel, chamfer, fillet, or similar transition between opposing surfaces of the base 12. The recess 20 surrounding the openings 18A and 18B may be provided in the openings 18A and 18B. It may be configured to reduce stress or strain on the base 12 at its periphery.

[0029] 4A and 4B, an exemplary configuration of the first liner 16A is shown. In one exemplary configuration of the liner 16A, the liner 16A has at least one The adhesive is disposed between the first and second base openings 18A and 18B of the base 12. The liner 16A is configured to be removably coupled to the base 14. 2. The adhesive 12 extends beyond the area located between the first and second base openings 18A, 18B of the first and second base openings 18A, 18B. For example, liner 16A is configured as shown in FIGS. , covering a portion of the adhesive 14 surrounding the first and second base openings 18A, 18B of the base 12. Therefore, the adhesive 14 is preferably configured to adhere to the first and second base openings of the base 12. The liner 16A is configured such that the liner 16A is not exposed between the openings 18A and 18B. 16A has liner openings 21A and 21B.

[0030] The cross-sectional view shown in FIG. 4B illustrates the base openings 18A, 18B and adhesive openings 19A, 19B. The mounting device 10 is shown with liner openings 21A, 21B each having a substantially equal diameter. With respect to the size of the base openings 18A, 18B and / or adhesive openings 19A, 19B, respectively, This is because the apertures 18A and 18B are configured to be small enough to allow the object to pass through them. This is to prevent the transfer of the adhesive. Although not shown, the sizes of the liner openings 21A , 21B of the mounting device 10 may be the same as the sizes of the base openings 18A, 18B and / or the adhesives 19A, 19B. For example, the base openings 18A, 18B, the adhesive openings 19A, 19B, and / or the liner openings 21A, 21B may be configured to have equal sizes, for example, equal diameters passing through the mounting device 10. Also, the first base opening 18A, the first liner opening 19A, and the first adhesive opening 21A may have different sizes and / or shapes from the second base opening 18B, the second liner opening 19B, and the second adhesive opening 21B, respectively. This is also taken into consideration.

[0031] The base openings 18A, 18B, the adhesive openings 19A, 19B, and the liner openings 21A, 21 B are preferably arranged, for example, coaxially, so that the base 12, the adhesive 14, and / or the liner 16 are generally aligned straight when stacked vertically on top of each other. By this, the base openings 18A, 18B, the adhesive openings 19A, 19B, and the liner openings 21 A, 21B form a continuous opening passing through the mounting device 10. Alternatively, it is also considered that the sizes, shapes, and / or positions of the respective openings may be different from each other. For example, the centers of the base openings 18A, 18B and / or the adhesive openings 19A, 19B may be offset from the centers of the liner openings 21A, 21B. In still other configurations, the shapes of the base openings 18A, 18 B and / or the adhesive openings 19A, 19B may be different from the shapes of the liner openings 21A, 21B. For example, the liner openings 21A, 21B may be configured as circles, and the base ... The openings 18A, 18B and / or the adhesive openings 19A, 19B may be configured as ellipses. This configuration helps prevent the transfer of the adhesive 14 to the elongate member 36.

[0032] In another configuration, a portion of the adhesive 14 is removed from the region of the base 12 surrounding the base openings 18A, 18B, thereby increasing the size, e.g., the diameter, of the adhesive openings 19A, 19B. That is, in this case, a portion of the base 12 surrounding the base openings 18A, 18B does not come into direct contact with the adhesive 14. The advantage of increasing the size, shape, and / or position of the base openings 18A, 18B and / or the adhesive openings 19A, 19B relative to the liner openings 21A, 21B is to prevent the seepage or transfer of the adhesive 14 onto the elongate member 36 when the elongate member 36 is stitched into the base openings 18A, 18B of the attachment device 10.

[0033] Referring to FIGS. 5A and 5B, an exemplary configuration of the second liner 16B is shown. In the exemplary configuration of the second liner 16B, the liner 16B is configured such that at least a portion of the liner 16B is connected to the adhesive 14 located between the first and second base openings 18A, 18B of the base 12. In the configuration of the second liner 16B, a portion of the liner 16B connected to the adhesive 14 does not surround the first and second base openings 18A, 18B and / or the adhesive openings 19A, 19B. The liner 16B shown in FIGS. 5A and 5B is configured as a strip, belt, strap, band, or ribbon-like material connected to the portion of the adhesive located between the first and second base openings 18A, 18B of the base 12.

[0034] The length and width of the liner 16B are related to the base openings 18A, 18B and / or the adhesive openings 19A​​​​​​​​​​​ , which is set based on the size of 19B and the dimensions of the elongated member 36. Also, the liner The length and width of 16B are set based on the distance between the base openings 18A, 18B and / or the adhesive openings 19A, 19B . Although not necessarily required, the width of the liner 16B is typically at least larger than the size of the base openings 18A, 18B and / or the adhesive openings 19A, 19B. For example, the width of the liner 16B may be the same as or larger than the diameter of the base openings 18A, 18B and / or the adhesive openings 19A, 19B. The length of the liner 16B also depends on the size of the adhesive openings 19A, 19B. For example, in order to prevent a part of the adhesive 14 covering the area between the base openings 18A, 18B of the base 12 from being exposed, the edge of the liner 1 6B is preferably configured to cover at least a part of the adhesive 14 located between the base openings 18A, 18B of the base 12. As shown in FIGS. 5A and 5B, the length of the liner 16B is preferably longer than the distance between the respective edges of the base openings 18A, 18B and / or the adhesive openings 19A, 19B. Such a liner 16B will extend to and cover a part of the base openings 18A, 18B and / or the adhesive 19A, 19B. Alternatively, if the adhesive 14 is in the same plane as the base openings 18A, 18B, the liner 16B is preferably configured to extend between the edges of the base openings 18A, 18B as well, so that the liner 16B forms the same plane as the edges of the base openings 18A, 18B. However, if a part of the adhesive 14 surrounding the base openings 18A, 18B is removed, the length of the liner 16B will be shortened, so that the liner 16B will only cover the area between the base openings 18 A, 18B of the base 12 that contacts the adhesive 14 of the base 12. / or part of the adhesive 19A, 19B. Instead, if the adhesive 14 is in the same plane as the base openings 18A, 18B, the liner 16B is preferably configured to extend between the edges of the base openings 18A, 18B, and thus the liner 16B forms the same plane as the edges of the base openings 18A, 18B. However, if a part of the adhesive 14 surrounding the base openings 18A, 18B is removed, the length of the liner 16B will be shortened, so that the liner 16B will only cover the area between the base openings 18A, 18B of the base 12 that contacts the adhesive 14 of the base 12. , the liner 16B forms the same plane as the edges of the base openings 18A, 18B. However, if a part of the adhesive 14 surrounding the base openings 18A, 18B is removed, the length of the liner 16B will be shortened, so that the liner 16B will only cover the area between the base openings 18 A, 18B of the base 12 that contacts the adhesive 14 of the base 12. A, 18B that contacts the adhesive 14 of the base 12.

[0035] Referring to FIGS. 6A and 6B, an exemplary configuration of the third liner 16C is shown. As in the configurations of liners 16A and 16B shown in FIGS. 4A-5B, this exemplary configuration of the third liner 16C is connected to the adhesive 14 and is disposed adjacent to the base openings 18A, 18B. The liner 16C is connected to a portion of the adhesive 14 so as to extend substantially parallel to or along the major axis L that bisects the first base opening 18A and the second base opening 16B. The liner 16C is configured to be substantially aligned with the major axis L defined by the first base opening 18A and the second base opening 18B. The term "aligned" means that the major axis of the liner 16 is parallel to the major axis L. As shown in FIGS. 6A and 6B, the liner 16C need not be disposed on the portion of the adhesive 14 located between the first and second base openings 18A, 18B. In the exemplary configuration shown in FIGS. 6A and 6B, the liner 16C is composed of a number of pieces. These pieces are each disposed adjacent to the base openings 18A, 18B. These pieces of the liner 16C are displaced from the base openings 18A, 18B with respect to the center of the mounting device 10. Alternatively, the liner 16C may be disposed on the portion of the adhesive 14 adjacent to (and not located between) the first and second base openings 18A, 18B of the base 12.

[0036] The size and / or position of the liner 16C is at least partially based on the size and / or position of the base openings 18A, 18B and / or the adhesive openings 19A, 19B and the dimensions of the elongate It is based on the law. The length and width of the liner 16C are also set based on the distance between the base openings 18A, 18B and / or the adhesive openings 19A, 19B and / or the outer edge of the mounting device 10. Although not necessarily required, the width of the liner 16C is typically at least as large as the size of the base openings 18A, 1 8B and / or the adhesive openings 19A, 19B. For example, the width of the liner 16C may be the same as or larger than the diameter of the base openings 18A, 18B and the adhesive openings 19A, 19B. Also, the length of the liner 16C depends on the size of the adhesive openings 19A, 19B. For example, in order to prevent the portion of the adhesive that covers the area between the base openings 18A, 18B of the base 12 and the outer edge of the mounting device 10 from being exposed, the outer edge of the liner 16C is preferably configured to at least cover the portion of the adhesive 14 located in the area between the base openings 18A, 18B of the base 12 and the outer edge of the mounting device 10. As shown in FIGS. 6A and 6B, the length of the liner 16C is preferably longer than the distance between the edges of the base openings 18A, 18B and the outer edge of the mounting device 10. Such a liner 16C extends to and covers a part of the base openings 18A, 18B and / or the adhesive openings 19A, 19B. Alternatively, if the adhesive 14 is on the same plane as the base openings 18A, 18B, the liner 16C is similarly preferably configured to extend between the edges of the base openings 18A, 18B, whereby the liner 16C is on the same plane as the edges of the base openings 18A, 18B. However, if a part of the adhesive surrounding the base openings 18A, 18B is removed, the length of the liner 16C is shortened, so that the liner 16C only covers the area between the base openings 18A, 18B of the base 12 and the outer edge of the mounting device 10 that does not contact the adhesive 14. However, if a part of the adhesive surrounding the base openings 18A, 18B is removed, the length of the liner 16C is shortened, so that the liner 16C only covers the area between the base openings 18A, 18B of the base 12 and the outer edge of the mounting device 10 that does not contact the adhesive 14. In this way, the liner 16C forms the same plane as the edges of the base openings 18A, 18B. However, if a part of the adhesive surrounding the base openings 18A, 18B is removed, the length of the liner 16C is shortened, so that the liner 16C only covers the area between the base openings 18A, 18B of the base 12 and the outer edge of the mounting device 10 that does not contact the adhesive 14. and the outer edge of the mounting device 10 that does not contact the adhesive 14.

[0037] Although various configurations of the liner 16 have been described, the mounting device 10 may be It should be understood that the mounting device 10 may be configured without a liner. In an embodiment, the liner may be removed from the mounting device 10 in the same position and / or shape as when it was removed. For example, the mounting device 10 may have an upper surface and an upper surface that are not covered with adhesive. The device may be configured to include a base 12 having a lower surface. The attachment device 10 may also include a first base opening 18A and a second base opening 18B. The adhesive 14 is disposed in the area between the first base opening 18A and the second base opening 18B of the base 12. The adhesive layer 14 may be at least partially disposed on the bottom surface of the base 12 such that the area is free of adhesive. The mounting device 10 is configured such that the adhesive-free areas of the base 12 are covered by the adhesive liner. It is preferable that the area is configured to correspond to the area where the image is displayed.

[0038] 7 and 8, an exemplary configuration of the mounting assembly 30 is shown. The device assembly 30 includes the mounting device 10 described above and an indicator tab 32. The indicator tab 32 is attached to the second liner 22. The second liner 22 is attached to the 1. The adhesive 10 may be removably attached to the adhesive 10 that is not covered by the liner 16 of the device 10. The second liner 22 and the liner 16 are constructed from similar or identical materials. The liner 16 and the second liner 22 are integrally formed from a single piece of material. In this case, a single piece of material may be formed to form the liner 16 and the second liner 22. Specifically, the liner 16 and the second liner 22 are cut into the mounting device 1. When 0 is removed from and / or separated from the indicator tab 22, the liner 16 may be cut so as to remain connected to the adhesive 14 of the mounting device 10. For example, as shown in FIG. 8, the second liner 22 has a second liner opening 24 corresponding to the shape of the liner 16 that remains connected to the mounting device 10. When the second liner 22 is removed by separating the indicator tab 32 from the mounting device 10, a part of the adhesive 14 at the base 12 of the mounting device 10 (corresponding to the second liner 22) is exposed. This exposed part of the adhesive 14 is configured to fix the mounting device 10 to another object, for example, a medical device 48. The second liner 22 may be integrally formed with the indicator tab 32 of the mounting device assembly 30. However, although not shown, the second liner 22 may be configured as one element of the indicator tab 32. For example, the indicator tab 32 may be composed of a laminate material or laminate layer similar to the aforementioned mounting device 10. In this exemplary configuration, the indicator tab 32 includes a base indicator layer, an adhesive indicator layer, and a second liner, and the second liner is removably connected to the adhesive indicator layer. The indicator tab 32 of the mounting device assembly 30 further includes a marking portion 34. The marking portion 34 is processed to be at least partially translucent and printable, such that text and / or graphics are printed on the marking portion 34, similar to the base 12 of the mounting device 10. For example, the marking portion 34 has printed instructions for using the mounting device 10.

[0039] The second liner 22 may be integrally formed with the indicator tab 32 of the mounting device assembly 30. However, although not shown, the second liner 22 may be configured as one element of the indicator tab 32. For example, the indicator tab 32 may be composed of a laminate material or laminate layer similar to the aforementioned mounting device 10. In this exemplary configuration, the indicator tab 32 includes a base indicator layer, an adhesive indicator layer, and a second liner, and the second liner is removably connected to the adhesive indicator layer. The indicator tab 32 of the mounting device assembly 30 further includes a marking portion 34. The marking portion 34 is processed to be at least partially translucent and printable, such that text and / or graphics are printed on the marking portion 34, similar to the base 12 of the mounting device 10. For example, the marking portion 34 has printed instructions for using the mounting device 10. The second liner 22 may be integrally formed with the indicator tab 32 of the mounting device assembly 30.

[0040] The indicator tab 32 of the mounting device assembly 30 further includes a marking portion 34. The marking portion 34 is processed to be at least partially translucent and printable, such that text and / or graphics are printed on the marking portion 34, similar to the base 12 of the mounting device 10. For example, the marking portion 34 has printed instructions for using the mounting device 10. The marking portion 34 is processed to be at least partially translucent and printable, such that text and / or graphics are printed on the marking portion 34, similar to the base 12 of the mounting device 10. For example, the marking portion 34 has printed instructions for using the mounting device 10. The marking portion 34 is processed to be at least partially translucent and printable, such that text and / or graphics are printed on the marking portion 34, similar to the base 12 of the mounting device 10. For example, the marking portion 34 has printed instructions for using the mounting device 10. It may have an identification mark, illustration, text, or figure. Also, the marking portion 34 is preferably made writable, so that a medical professional can use a typical writing instrument, such as a pen, marker, or pencil to write the use date or installation date on the marking portion 34. Referring to FIG. 9, an exemplary illustration of the marking portion 34 of the indicator tab 32 is shown.

[0041] Shown in FIGS. 10 and 11 is an exemplary configuration of an irrigation assembly 50 including an elongated member 36 that is sewn into the aforementioned attachment device assembly 30. The elongated member 36 may be composed of plastic, polymer, or a similarly durable flexible material. Also, the elongated member 36 preferably has a lumen configured to form a conduit, duct, or passageway that allows fluid flow. For example, the elongated member 36 may be used to supply fluid to a surgical site through the elongated member 36 or to aspirate debris from the surgical site through the elongated member 36. The elongated member 36 is preferably configured to correspond to a navigation tracker of a navigation system or a control console.

[0042] The elongated member further includes a distal end 38 and a proximal end 40. The proximal end 38 is configured to be connected to a surgical system, such as an irrigation system (not shown). The proximal end 40 includes a proximal coupler 42. The proximal coupler 42 is configured to connect the proximal end 40 to a surgical stem. The proximal coupler 42 may be composed of a barbed connector, a luer connector, an electrical connector, or a similar fixture. The proximal coupler ​​​​​​​​​​​​42 may be connected to the proximal end 40 of the elongate member 36 in a number of different ways, such as by ultrasonic bonding, adhesion, cement bonding, epoxy adhesion, plastic fusion, etc. It should be understood that it is also possible for the proximal coupler 42 to be omitted and the elongate member 36 to be directly connected to the surgical system. It should be understood that it is also possible for the proximal coupler 42 to be omitted and the elongate member 36 to be directly

[0043] The distal end 38 is configured to be connected to a medical device accessory 44, such as an irrigation sleeve. An exemplary irrigation sleeve used with a medical device is disclosed in U.S. Provisional Patent Application No. 62 / 536,733, filed July 25, 2017. This document is hereby incorporated by reference in its entirety. The distal end 38 of the elongate member may be composed of a barbed connector, a luer connector, or a similar fitting configured to connect the elongate member 36 to the medical device accessory 44. Alternatively, the medical device accessory 44 may include an accessory coupler 46 configured to receive the distal end 38 of the elongate member 36. The accessory coupler 46 may be connected to the distal end 38 of the elongate member 36 in a number of different ways, such as by ultrasonic bonding, adhesion, cement bonding, epoxy adhesion, plastic fusion, etc. It should also be understood that it is possible for the accessory coupler 46 to be omitted and the elongate member 36 to be positioned in the vicinity of the medical device accessory 44 and configured to directly supply fluid to the surgical site. It should also be understood that it is possible for the accessory coupler 46 to be omitted and the elongate member 36 to be positioned in the vicinity of the medical device accessory 44 and configured to directly supply fluid to the surgical site. 44 may include an accessory coupler 46 configured to receive the distal end 38 of the elongate member 36. The accessory coupler 46 may be connected to the distal end 38 of the elongate member 36 in a number of different ways, such as by ultrasonic bonding, adhesion, cement bonding, epoxy adhesion, plastic fusion, etc. It should also be understood that it is possible for the accessory coupler 46 to be omitted and the elongate member 36 to be positioned in the vicinity of the medical device accessory 44 and configured to directly supply fluid to the surgical site. ultrasonic bonding, adhesion, cement bonding, epoxy adhesion, plastic fusion, etc. It should also be understood that it is possible for the accessory coupler 46 to be omitted and the elongate member 36 to be positioned in the vicinity of the medical device accessory 44 and configured to directly supply fluid to the surgical site. It should also be understood that it is possible for the accessory coupler 46 to be omitted and the elongate member 36 to be positioned in the vicinity of the medical device accessory 44 and configured to directly supply fluid to the surgical site. It should be understood that it is also possible for the accessory coupler 46 to be omitted and the elongate member 36 to be positioned in the vicinity of the medical device accessory 44 and configured to directly supply fluid to the surgical site. It should be understood that it is also possible for the accessory coupler 46 to be omitted and the elongate member 36 to be positioned in the vicinity of the medical device accessory 44 and configured to directly supply fluid to the surgical site.

[0044] As described above, the attachment device 10 includes a number of base openings 18A, 18B. The base openings 18A, 18B are for elongate members that are sewn into the base openings 18A, 18B of the attachment device 10. It is configured to receive the elongate member 36. The dimensions and / or thickness of the base openings 18A, 18B are set to reduce stress or strain on the base 12 and / or the elongate member 36 when the elongate member 36 is stitched into the base openings 18A, 18B. The diameter of the base openings 18A , 18B and / or the distance between the base openings 18A, 18B are set to provide a friction fit to the elongate member 36 when the elongate member 36 is stitched into the base openings 18A, 18B. Thereby, the elongate member 36 is held in place unless additional force is applied to the elongate member 36, e.g., unless a medical professional pulls the elongate member 36 in one direction or the other. Alternatively, as described above, the base may comprise a recess 20. The dimensions and / or thickness of the recess 20 surrounding the base openings 18A, 18B are set to reduce stress or strain on the base 12 and / or the elongate member 36 when the elongate member 36 is stitched into the base openings 18A, 18B.

[0045] As described above, a number of different liner 16A, 16B, 16C configurations can be utilized. However, the liner 16A, 16B, 16C configuration is preferably such that it indicates the direction and orientation in which the elongate member 36 is stitched into the base openings 18A, 18B of the attachment device 10. Referring to FIGS. 10 and 11, the stitching configuration of the elongate member 36 relative to the attachment device 10 corresponds to the stitching configuration of the liners 16A, 16B shown in FIGS. 4A-5B. The liners 16A, 16B are arranged to be at least partially positioned between the base openings 18A, 18B adjacent to the adhesive 14. The elongate member 36 is positioned between the base openings 18A, 18B ​​​​​​​​​The mounting device 10 is configured such that an intermediate portion of the elongate member 36 is adjacent to the liners 16A, 16B. It is stitched into the base openings 18A, 18B. FIG. 11 shows the elongate member 36 extending along the liner 16 between the base openings 18A, 18B. One of the many functions of the liner 16 is to prevent the elongate member 36 from connecting to the adhesive 14, thereby enabling the protective member 36 to slide axially when attached to the medical device 48.

[0046] Alternatively, the stitching configuration of the elongate member 36 may be configured to correspond to the liner 16C shown in FIGS. 6A, 6B. This is the reverse of the stitching configuration of the elongate member 36 shown in FIGS. 10, 11. In the configuration of the liner 16C shown in FIGS. 6A, 6B, the liner 16C is composed of two individual pieces disposed adjacent to each of the base openings 18A, 18B. However, in this configuration, the liner 16C is not located between the base openings 18A, 18B. When the elongate member 36 is stitched into the base openings 18A, 18B, the elongate member 36 is stitched into the base openings 18A, 18B of the mounting device 10 while an intermediate portion of the elongate member 36 located between the base openings 18A, 18B extends along the base 12, i.e., along the upper surface of the mounting device 10. Both ends of the elongate member 36 will be located adjacent to the individual pieces of the liner 16C.

[0047] Although not shown, it should be understood that additional base opening 18A, 18B configurations and / or liner configurations that allow for additional stitching configurations are also contemplated. Regardless of the number of base openings 18A, 18 B and / or individual pieces of the liner 16, the elongate member 36 is configured to be stitched into the base openings 18A, 1 When sewn into the 8B, the individual pieces of the liner 16 typically lie between the adhesive 14 and the elongate member 36 to prevent exposure of the elongate member 36 to the adhesive 14. It should be appreciated that.

[0048] Alternatively, instead of including the liner 16 as an element of the attachment device 10, portions of the adhesive 14 corresponding to the location of the liner 16 may be removed from the base 12 (see liners 16A, 16B, 16C shown in FIGS. 4A - 6B). By removing the portions of the adhesive 14 corresponding to the locations of the illustrated liners 16A, 16B, 16C, the liners 16A, 16B, 16C are rendered unnecessary and may be omitted from the attachment device 10. See FIGS. 4A - 6B. See liners 16A, 16B, 16C shown in FIGS. 4A - 6B. By removing the portions of the adhesive 14 corresponding to the locations of the liners 16A, 16B, 16C, the liners 16A, 16B, 16C are rendered unnecessary and may be omitted from the attachment device 10. See FIGS. 4A - 6B.

[0049] Referring to FIGS. 12A, 12B, 12C, an exemplary configuration of a surgical system 60 is shown. The surgical system 60 is configured to include a medical instrument 48 and the aforementioned perfusion assembly 50. The medical instrument 48 includes a medical instrument accessory 44, such as a cutting accessory or a perfusion sleeve. The elongate member 36 of the perfusion assembly 50 is sewn into the base openings 18A, 18B of the attachment device 10, and the distal end 38 is connected to the medical instrument accessory 44. See FIGS. 12A, 12B, 12C. The medical instrument 48 includes a medical instrument accessory 44, such as a cutting accessory or a perfusion sleeve. The elongate member 36 of the perfusion assembly 50 is sewn into the base openings 18A, 18B of the attachment device 10, and the distal end 38 is connected to the medical instrument accessory 44. See FIGS. 12A, 12B, 12C.

[0050] Referring to FIG. 12B, the attachment device 10 is removed from the indicator tab 32 to expose portions or regions of the adhesive 14 not covered by the liner 16. The attachment device 10 is then removably connected to the medical instrument 48 via the exposed portion of the adhesive 14. The attachment device 10 may be connected at any point along the body 52 of the medical instrument 48, as shown in FIG. 12C. See FIG. 12B. See FIG. 12B. The attachment device 10 may be connected at any point along the body 52 of the medical instrument 48, as shown in FIG. 12C. ​​​It is connected. For example, the attachment device 10 may be connected to the main body 52 of the medical device 48 near the medical device accessory 44. Alternatively, the attachment device 10 may be connected to the main body of the medical device 48 away from the medical device accessory 44. A medical professional can select the location where the attachment device 10 is connected to the medical device 48. For example, when a medical professional selects the location where the attachment device 10 is connected to the medical device 48, the size of the elongated member, the type of medical treatment to be performed, the ergonomic grip of the medical device 48, etc. may be considered. As shown in FIG. 12C, when the elongated member 36 is attached to the main body 52 of the medical device, it is sewn into the base openings 18A, 18B of the attachment device 10 so as to be axially aligned with the liner 16A. A part of the elongated member 36 is located between the liner 16A and the main body 52 of the medical device 48 when the attachment device 10 is connected to the medical device 48. The presence of the liner 16A between the adhesive 14 and the elongated member 36 enables the elongated member 36 to be slid axially during attachment to the medical device 48. This allows a medical professional to adjust the tension or additionally relax the elongated member 36 as needed. A medical professional can select the location where the attachment device 10 is connected to the medical device 48. For example, when a medical professional selects the location where the attachment device 10 is connected to the medical device 48, the size of the elongated member, the type of medical treatment to be performed, the ergonomic grip of the medical device 48, etc. may be considered. A medical professional can select the location where the attachment device 10 is connected to the medical device 48. For example, when a medical professional selects the location where the attachment device 10 is connected to the medical device 48, the size of the elongated member, the type of medical treatment to be performed, the ergonomic grip of the medical device 48, etc. may be considered. A medical professional can select the location where the attachment device 10 is connected to the medical device 48. For example, when a medical professional selects the location where the attachment device 10 is connected to the medical device 48, the size of the elongated member, the type of medical treatment to be performed, the ergonomic grip of the medical device 48, etc. may be considered. A medical professional can select the location where the attachment device 10 is connected to the medical device 48. For example, when a medical professional selects the location where the attachment device 10 is connected to the medical device 48, the size of the elongated member, the type of medical treatment to be performed, the ergonomic grip of the medical device 48, etc. may be considered.

[0051] As shown in FIG. 12C, when the elongated member 36 is attached to the main body 52 of the medical device, it is sewn into the base openings 18A, 18B of the attachment device 10 so as to be axially aligned with the liner 16A. A part of the elongated member 36 is located between the liner 16A and the main body 52 of the medical device 48 when the attachment device 10 is connected to the medical device 48. The presence of the liner 16A between the adhesive 14 and the elongated member 36 enables the elongated member 36 to be slid axially during attachment to the medical device 48. This allows a medical professional to adjust the tension or additionally relax the elongated member 36 as needed. As shown in FIG. 12C, when the elongated member 36 is attached to the main body 52 of the medical device, it is sewn into the base openings 18A, 18B of the attachment device 10 so as to be axially aligned with the liner 16A. A part of the elongated member 36 is located between the liner 16A and the main body 52 of the medical device 48 when the attachment device 10 is connected to the medical device 48. The presence of the liner 16A between the adhesive 14 and the elongated member 36 enables the elongated member 36 to be slid axially during attachment to the medical device 48. This allows a medical professional to adjust the tension or additionally relax the elongated member 36 as needed. As shown in FIG. 12C, when the elongated member 36 is attached to the main body 52 of the medical device, it is sewn into the base openings 18A, 18B of the attachment device 10 so as to be axially aligned with the liner 16A. A part of the elongated member 36 is located between the liner 16A and the main body 52 of the medical device 48 when the attachment device 10 is connected to the medical device 48. The presence of the liner 16A between the adhesive 14 and the elongated member 36 enables the elongated member 36 to be slid axially during attachment to the medical device 48. This allows a medical professional to adjust the tension or additionally relax the elongated member 36 as needed. As shown in FIG. 12C, when the elongated member 36 is attached to the main body 52 of the medical device, it is sewn into the base openings 18A, 18B of the attachment device 10 so as to be axially aligned with the liner 16A. A part of the elongated member 36 is located between the liner 16A and the main body 52 of the medical device 48 when the attachment device 10 is connected to the medical device 48. The presence of the liner 16A between the adhesive 14 and the elongated member 36 enables the elongated member 36 to be slid axially during attachment to the medical device 48. This allows a medical professional to adjust the tension or additionally relax the elongated member 36 as needed. As shown in FIG. 12C, when the elongated member 36 is attached to the main body 52 of the medical device, it is sewn into the base openings 18A, 18B of the attachment device 10 so as to be axially aligned with the liner 16A. A part of the elongated member 36 is located between the liner 16A and the main body 52 of the medical device 48 when the attachment device 10 is connected to the medical device 48. The presence of the liner 16A between the adhesive 14 and the elongated member 36 enables the elongated member 36 to be slid axially during attachment to the medical device 48. This allows a medical professional to adjust the tension or additionally relax the elongated member 36 as needed. As shown in FIG. 12C, when the elongated member 36 is attached to the main body 52 of the medical device, it is sewn into the base openings 18A, 18B of the attachment device 10 so as to be axially aligned with the liner 16A. A part of the elongated member 36 is located between the liner 16A and the main body 52 of the medical device 48 when the attachment device 10 is connected to the medical device 48. The presence of the liner 16A between the adhesive 14 and the elongated member 36 enables the elongated member 36 to be slid axially during attachment to the medical device 48. This allows a medical professional to adjust the tension or additionally relax the elongated member 36 as needed. As shown in FIG. 12C, when the elongated member 36 is attached to the main body 52 of the medical device, it is sewn into the base openings 18A, 18B of the attachment device 10 so as to be axially aligned with the liner 16A. A part of the elongated member 36 is located between the liner 16A and the main body 52 of the medical device 48 when the attachment device 10 is connected to the medical device 48. The presence of the liner 16A between the adhesive 14 and the elongated member 36 enables the elongated member 36 to be slid axially during attachment to the medical device 48. This allows a medical professional to adjust the tension or additionally relax the elongated member 36 as needed. As shown in FIG. 12C, when the elongated member 36 is attached to the main body 52 of the medical device, it is sewn into the base openings 18A, 18B of the attachment device 10 so as to be axially aligned with the liner 16A. A part of the elongated member 36 is located between the liner 16A and the main body 52 of the medical device 48 when the attachment device 10 is connected to the medical device 48. The presence of the liner 16A between the adhesive 14 and the elongated member 36 enables the elongated member 36 to be slid axially during attachment to the medical device 48. This allows a medical professional to adjust the tension or additionally relax the elongated member 36 as needed.

[0052] [Method for fixing an elongated member to a medical device] FIGS. 12A, 12B, and 12C further show various steps of an exemplary method of attaching the elongated member 36 to the medical device 48 using the attachment device 10. The method of attaching the elongated member 36 to the medical device includes the step of preparing the attachment device 10 and / or the attachment device assembly 30. The attachment device 10 includes a liner 16, a base 12, and between the base 12 and the liner 16 FIGS. 12A, 12B, and 12C further show various steps of an exemplary method of attaching the elongated member 36 to the medical device 48 using the attachment device 10. The method of attaching the elongated member 36 to the medical device includes the step of preparing the attachment device 10 and / or the attachment device assembly 30. The attachment device 10 includes a liner 16, a base 12, and between the base 12 and the liner 16 FIGS. 12A, 12B, and 12C further show various steps of an exemplary method of attaching the elongated member 36 to the medical device 48 using the attachment device 10. The method of attaching the elongated member 36 to the medical device includes the step of preparing the attachment device 10 and / or the attachment device assembly 30. The attachment device 10 includes a liner 16, a base 12, and between the base 12 and the liner 16 FIGS. 12A, 12B, and 12C further show various steps of an exemplary method of attaching the elongated member 36 to the medical device 48 using the attachment device 10. The method of attaching the elongated member 36 to the medical device includes the step of preparing the attachment device 10 and / or the attachment device assembly 30. The attachment device 10 includes a liner 16, a base 12, and between the base 12 and the liner 16 and at least partially disposed adhesive 14. The mounting device 10 includes a first base and further includes an opening 18A and a second base opening 18B. The liner 16 is disposed adjacent to the adhesive 14. Specifically, the liner 16 is at least partially disposed between the first base opening 18A and the second base opening 18B adjacent to the adhesive. This method includes the step of sewing the elongate member 36 into the first base opening 18A and the second base opening 18B of the mounting device 10, the elongate member 36 being aligned axially straight with the liner 16 . Alternatively, as described above with reference to the configuration of the liner 16C shown in FIGS. 6A and 6B, the liner 16C may be disposed adjacent to the adhesive 14 in the vicinity of the base openings 18A, 18B. The liner 16C may be disposed so as to be aligned straight with the major axis defined by the base openings 18A, 18B.

[0053] The method of fixing the elongate member 36 further includes adhering the mounting device 10 to the medical device 48 . The mounting device 10 is removably coupled to the body 52 of the medical device 48 by pressing the exposed portion of the adhesive 14 against the body 52 of the medical device 48, whereby the elongate member 36 is at least partially disposed between the mounting device 10 and the medical device 48. For example , to fix the mounting device 10 to the medical device 48, the mounting device 10 including the elongate member 36 sewn into the openings 18A, 18B may be pressed against the base 52.

[0054] This method further includes the step of separating the indicator tab 32 of the mounting device assembly 30 from the adhesive 14 . The indicator tab 32 is attached to the mounting of the assembly 30 ​By pulling the elongated member 36 stitched within the device 10, it may be separated or removed. The indicator tab 32 may be configured to include a label 34 representing the method of connecting the attachment device 10 to the medical instrument 48.

[0055] This method further includes the step of axially sliding the elongated member 36 along the liner 16 such that the elongated member 36 is taut when the attachment device 10 is connected to the medical instrument 48. For example, by pulling the proximal end 40 of the elongated member 36, the slack at the distal end of the elongated member 36 can be taken up. This can reduce the profile or bulk of the surgical system 60. Also, this can prevent the elongated member 36 from being caught by foreign objects or becoming entangled during operation of the medical instrument 48. Alternatively, the elongated member 36 may be slid by pulling its distal end 38 to cause further slack in the elongated member 36.

[0056] This method includes the step of removing the second liner 22 from the adhesive 14, the removal of the second liner 22 exposing a portion of the adhesive 14 configured to removably connect the attachment device 10 to the medical instrument 48.

[0057] After adhering the attachment device 10 to the medical instrument 48, this method includes the step of separating the attachment device 10 from the medical instrument 48 by pulling on the elongated member 36. For example, by pulling the proximal end 40 of the elongated member 36, the attachment device 10 can be removed and / or detached from the medical instrument 48. After the medical procedure, the elongated member and the attachment device 10 ​​​​​​​​​​​​、 will be discarded as part of the sterilization process.

[0058] [Method of manufacturing] The method of manufacturing the aforementioned mounting device 10 and / or the mounting device assembly 30 includes the step of preparing a base 12 having an upper surface and an opposite lower surface. One or more base openings 18A, 18B are cut into the base 12. For example, a blanking process may be utilized to cut the first base opening 18A and the second base opening 18B. An adhesive 14 is applied to the bottom surface of the base 12. The adhesive 14 may be applied onto the base 12 such that it is coplanar with the first base opening 18A and the second base opening 18 B. Alternatively, the adhesive 14 may be applied to the base 12 such that the adhesive 14 does not adhere to a portion of the base 12 surrounding the first base opening 18A and the second base opening 18 B.

[0059] This method further includes the step of removably connecting the liners 16A, 16B to the adhesive 14, wherein the liners 16A, 16B are at least partially disposed between the first base opening 18A and the second base opening 1 8B of the base 12. Alternatively, as described above, the liner 16C may be configured not to be located between the first base opening 18A and the second base opening 18 B.

[0060] This method also includes the step of cutting a recess 20, chamfer, rounding, fillet, or similar transition configured to surround each of the first base opening 18A and the second base opening 18B on the upper surface of the base 12. The recess 20 may be formed by making a cutout of any shape, for example, a circular second cut. The shape of the recess 20 formed by the second cut should correspond to the shapes of the first base opening 18A and the second base opening 18B. Alternatively , the shape of the recess 20 may be different from the shapes of the first base opening 18A and the second base opening 18B . Generally, the size and / or dimensions of the recess 20 formed by the second cut should be larger than the size and / or dimensions of the first base opening 18A and the second base opening 18B. For example, when the second cut for forming the recess 20 is circular, this second cut may be centered on the midpoint of each of the first base opening 18A and the second base opening 18B, and its diameter should be larger than the diameters of the first base opening 18A and the second base opening 18B. The second cut configured to form a recess is also called a "kiss cut" or a "relief cut".

[0061] Manufacturing the mounting device 10 from a pre-assembled material piece is also further contemplated. The pre-assembled material comprises a base 12, an adhesive 14 applied to one surface of the base 12, and liners 16A, 16B, 16C removably connected to the adhesive 14. In this configuration, the method of manufacturing the mounting device 10 includes making one or more base openings 18A, 18B in the base 12, the adhesive 14, and the liners 16A, 16B, 16C. This method further includes cutting out the liners 16A, 16B, 16C such that the liners 16A, 16B are at least partially disposed between the first base opening 18A and the second base opening 18B of the base 12. Alternatively, as described above, in the case of the liner 16C, this liner 16C may be cut out so as not to be located between the first base opening 18A and the second base opening 18B. Also, this method includes making the first base opening 18A and the second base opening 18B in the upper surface of the base 12. Recesses 20, chamfers, rounds, fillets, or the like configured to surround each of the 8Bs also includes cutting out the transition portions thereof. The recess 20 may be formed in any shape, for example, by making a second notch. As described above, the size and / or dimensions of the recess formed by the second notch may be larger than the size and / or dimensions of the first base opening 18A and the second base opening 1 8B. The second notch configured to form a recess is also called a "kiss cut" or a relief cut. This method further includes sewing the elongate member 36 into the first base opening 18A and the second base opening 18B. When using the configurations of the liners 16A, 16B shown in FIGS. 4A - 5B, the elongate member 36 is placed on the upper surface of the base 12, the elongate member 36 is inserted into the first base opening 18A, the elongate member 36 is extended along the liners 16A, 16B, and the elongate member 3

[0062] 6 is inserted into the second base opening 18B so that the elongate member 36 may be sewn into the attachment device 10. Alternatively, when using the configuration of the liner 16C shown in FIGS. 6A, 6B, the elongate member 36 is placed along the liner 16C, the elongate member 36 is inserted into the first base opening 18 A, the elongate member 36 is extended along the upper surface of the base 12, and the elongate member 36 is inserted into the second base opening 18B so that the elongate member 36 may be sewn into the attachment device 10. This method includes removably connecting the indicator tab 32 to the adhesive 14 near the liner 16. The indicator tab 32 is configured to include a label 34 representing the method of connecting the attachment device 10 to a medical device. The label 34 is on the elongate member 3 18A, the elongate member 36 is extended along the liners 16A, 16B, and the elongate member 3 6 is inserted into the second base opening 18B so that the elongate member 36 may be sewn into the attachment device 10. Alternatively, when using the configuration of the liner 16C shown in FIGS. 6A, 6B, the elongate member 36 is placed along the liner 16C, the elongate member 36 is inserted into the first base opening 18 A, the elongate member 36 is extended along the upper surface of the base 12, and the elongate member 36 is inserted into the second base opening 18B so that the elongate member 36 may be sewn into the attachment device 10. A, the elongate member 36 is extended along the upper surface of the base 12, and the elongate member 36 is inserted into the second base opening 18B so that the elongate member 36 may be sewn into the attachment device 10. A, the elongate member 36 is extended along the upper surface of the base 12, and the elongate member 36 is inserted into the second base opening 18B so that the elongate member 36 may be sewn into the attachment device 10. A, the elongate member 36 is extended along the upper surface of the base 12, and the elongate member 36 is inserted into the second base opening 18B so that the elongate member 36 may be sewn into the attachment device 10. It is preferable.

[0063] This method includes removably connecting the indicator tab 32 to the adhesive 14 near the liner 16. The indicator tab 32 is configured to include a label 34 representing the method of connecting the attachment device 10 to a medical device. The label 34 is on the elongate member 3 connected to the attachment device 10 to the medical device. The label 34 is on the elongate member 3 6. The device may include text, graphics, and / or images illustrating how to connect the device to a medical device. The indicia 34 may be part of a method for manufacturing the mounting device 10 and / or the mounting device assembly 30. 9, the indicator tab 32 may be printed with the following information: An example of indicia 34 printed on tab 32 is shown. Indicia 34 is cut off by elongate member 36. Attaching the elongated member 36 to the medical device 48 using the attachment device 10 Securing and connecting the elongate member 36 to a medical system, e.g., an irrigation system. Includes graphics and / or numbers to indicate steps.

[0064] As previously mentioned, the liner 16 includes a second liner 22. 22 is integrally formed with indicator tab 32. During manufacture, the mounting assembly The liner 30, the liner 16, and the second liner 22 are initially a single liner 16, 22. However, when indicator tab 32 is removed, liner 16 The mounting device 10 is configured to remain connected to the adhesive 14 so that the Easy separation of the liner 16 and the second liner 22 when removed from the caterpillar tub 32 In order to allow for this, the liners 16 and 22 must be cut. The method of manufacture involves arranging the liner 22 so that the second liner 22 is separable from the liner 16. cutting the liner 16 through the first base opening 18A and the second base opening 22; The method further includes the step of: It is good to be.

[0065] This method is a step of cutting out liner openings 21A, 21B in the liner 16, including the step where the liner openings 21A, 21B are aligned straight with the base openings 18A, 21B. The base openings 18A, 18B are defined by a first diameter, and the liner opening 21A is defined by a second diameter. The mounting device 10 may be configured such that the first and second diameters are equal. However, the second diameter may be larger than the first diameter, or the first diameter may be larger than the second diameter.

[0066] [Provisions for further protection] I. A mounting device for fixing an elongate member to a medical device, comprising a first liner, a second liner, a base having a first base opening and a second base opening, and an adhesive disposed at least partially between the base, the first liner, and the second liner, wherein the first liner is adjacent to the first base opening, the second liner is adjacent to the second base opening, and the first liner and the second liner are axially aligned straight with the major axis defined by the first base opening and the second base opening. Mounting device.

[0067] II. A mounting device for fixing an elongate member to a medical device, comprising a base having an upper surface, a bottom surface, a first base opening, and a second base opening, and an adhesive disposed at least partially on the bottom surface of the base, wherein there is no adhesive between the first base opening and the second base opening on the bottom surface of the base. Mounting device.

[0068] III. A mounting device for fixing an elongate member to a medical device, comprising a liner and a first ​​​​A base having a base opening and a second base opening, and an adhesive, wherein the liner is at least partially located between the first base opening and the second base opening of the base and is disposed on the adhesive. An attachment device .

[0069] IV. A method of manufacturing an attachment device for removably connecting an elongate member to a medical device, the method comprising the steps of preparing 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 liner to the adhesive such that the liner is at least partially located between a first base opening and a second base opening, and cutting a first base opening and a second base opening into the base material, the adhesive, and the liner . .

[0070] V. The method according to clause IV, further comprising the step of cutting a recess configured to surround each of the first base opening and the second base opening into the top surface of the base material .

[0071] VI. The method according to any one of clauses IV or V, further comprising the step of sewing an elongate member into the first base opening and the second base opening .

[0072] VII. The clause according to any one of clauses IV, V, or VI, wherein the base material has a substantially elliptical shape .

[0073] VIII. The clause according to any one of clauses IV, V, VI, or VII, further comprising the step of removably connecting an indicator tab to the adhesive near the liner, the indicator tab comprising a label representing the method of connecting the attachment device to a medical device .

[0074] ​​​​​ IX. Cut the liner so that it has a first liner portion and a second liner portion in a step, wherein the second liner portion is configured to be separable from the first liner portion and the first liner portion remains at least partially disposed between the first base opening and the second base opening as described in any one of Clauses IV - VIII. The method described in any one of Clauses IV - VIII.

[0075] X. A step of cutting a first liner opening in the liner, wherein the first liner opening is aligned straight with the first base opening, the first base opening is defined by a first diameter and the first liner opening is defined by a second diameter, and the second diameter is larger than the first diameter The method described in any one of Clauses IV - IX, further comprising this step.

[0076] Some embodiments have been considered above. However, the embodiments considered here are not intended to be exclusive, nor are they intended to limit the mounting device 10, the mounting device assembly 3 0, and / or the surgical system 60 to any particular form. The technical terms used are intended to explain rather than limit. In light of the above suggestions, many modifications and changes are possible, and the system may be implemented by procedures other than those specifically described.

Claims

1. 1. An attachment device for securing an elongate member to a medical device, comprising: Liner and a base having a first base opening and a second base opening; Adhesive and Equipped with the adhesive is disposed at least partially between the base and the liner; The liner is at least partially between the first base opening and the second base opening. and adjacent to the adhesive; Mounting device.

2. The base further includes a recess surrounding the first base opening and the second base opening.

2. The mounting device of claim 1.

3. The attachment device further comprises indicia indicating how the attachment device is to be attached to the medical device. The mounting device according to any one of claims 1-2.

4. the liner further comprising a first liner portion and a second liner portion; The first liner portion is at least between the first base opening and the second base opening. Both are partially arranged, the second liner portion is separable from the first liner portion; The first liner portion is attached to the adhesive when the second liner portion is removed. configured to remain connected; A mounting device according to any one of claims 1 to 3.

5. The mounting device of any one of claims 1 to 4, wherein the base has a generally elliptical shape.

6. The adhesive of any one of claims 1 to 5, wherein the adhesive comprises a medical grade adhesive. The mounting device.

7. the liner further comprising a first liner opening and a second liner opening; the first liner opening is aligned with the first base opening; the second liner opening is aligned with the second base opening; A mounting device according to any one of claims 1 to 6.

8. The first base opening is defined by a first diameter and the first liner opening is 2 diameters, The second diameter is greater than the first diameter.

8. The mounting device of claim 7.

9. The liner is configured to hold the elongated member in place when the attachment device is attached to the medical device. Axial movement along an axis defined by the first base opening and the second base opening. The mounting device according to any one of claims 1 to 8, configured to enable Device.

10. 1. An attachment assembly for securing an elongate member to a medical device, comprising: A mounting device Liner and a base having a first base opening and a second base opening; an adhesive disposed at least partially between the base and the liner; Equipped with The liner is at least partially disposed between the first base opening and the second base opening. a first adhesive layer 240 and a second adhesive layer 242; A mounting device; An indicator tab removably connected to the mounting device for pre-installing the mounting device. an indicator tab having indicia indicating how the indicator tab should be attached to the medical device; A mounting assembly comprising:

11. the liner further comprising a first liner portion and a second liner portion; The first liner portion is at least between the first base opening and the second base opening. Both are partially arranged, The first liner portion is attached to the adhesive when the second liner portion is removed. configured to remain connected; The mounting assembly of claim 10.

12. 2. The method of claim 1, wherein said second liner portion is integrally formed with said indicator tab.

2. The mounting assembly of claim 1.

13. 1. A mounting device assembly for use with a medical instrument to facilitate irrigation, comprising: A mounting device comprising: a base having a first base opening and a second base opening; an adhesive disposed on the base; A mounting device comprising: an elongate member sewn into the first base opening and the second base opening; Equipped with Mounting device assembly.

14. a liner, the liner being configured such that the adhesive is disposed between the base and the liner; releasably coupled to the adhesive so as to be at least partially disposed thereon. Item 14. The mounting device assembly of item 13.

15. The liner is at least partially between the first base opening and the second base opening. The mounting assembly of claim 14 .

16. the elongate member further comprising a first end and an opposite second end; The first end includes a first cap configured to couple the elongate member to the medical device. Equipped with a The second end includes a second coupler configured to couple the elongated member to a fluid source. Prepare, A mounting assembly according to any one of claims 13-15.

17. The liner adheres to the membrane when the base is connected to the medical device by the adhesive.

15. The mounting assembly of claim 14, configured to align with the elongate member. 。

18. an indicator tab removably connected to the area of ​​adhesive adjacent the liner; and wherein the indicator tab indicates a manner in which the attachment device is attached to the medical device.

20. The mounting assembly of claim 17 comprising a marker.

19. A medical instrument configured to ablate tissue, the medical instrument being adapted to be held by a user. a medical device having a body configured as An elongated member; an attachment device configured to releasably connect the elongate member to the medical device. hand, Liner and a base having a first base opening and a second base opening; an adhesive disposed at least partially between the base and the liner; Equipped with The liner is at least partially disposed between the first base opening and the second base opening. a first adhesive layer 240 and a second adhesive layer 242; A mounting device; 1. An irrigation system comprising: The elongate member is configured to be secured to the front end such that a portion of the elongate member is adjacent to the body of the medical device. an irrigation system sewn into the first base opening and the second base opening.

20. The attachment device includes an insulator removably coupled to the adhesive area near the liner. and an indicator tab, the indicator tab indicating when the attachment device is attached to the medical device.

20. The irrigation system of claim 19, configured with indicia indicating how the irrigation system is to be applied. 。

21. 1. A method of connecting an elongate member to a medical device, comprising: Providing a mounting device, the mounting device comprising: Liner and a base having a first base opening and a second base opening; Adhesive and Equipped with the adhesive is disposed at least partially between the base and the liner; The liner is at least partially disposed between the first base opening and the second base opening. a first adhesive layer 240 and a second adhesive layer 242; Steps and The elongated member is aligned with the liner in the axial direction. stitching within the first base opening and the second base opening; Adhering the attachment device to the medical device, the elongated member being attached to the attachment device. an exposed portion of the adhesive so as to be at least partially disposed between the apparatus and the medical device; releasably connecting the attachment device to the medical device. The method includes:

22. Pulling the elongated member separates the indicator tab from the adhesive. wherein the indicator tab is adapted to couple the attachment device to the medical device.

22. The method of claim 21 further comprising the step of: Law.

23. The attachment device may be configured to attach to the medical device such that the elongate member is taut when the attachment device is coupled to the medical device. 21 - 22, further comprising the step of sliding an elongated member axially along the liner.

22. The method according to any one of claims 1 to 22.

24. removing a second portion of the liner from the adhesive, Removal of the second portion releasably couples the attachment device to the medical device.

3. The method of claim 2, further comprising exposing the exposed portion of the adhesive configured to: 1-23. The method according to any one of claims 1-23.

25. by pressing the attachment device against the medical device and then pulling the elongate member; Any of claims 21-24, further comprising the step of separating the attachment device from the medical device. The method according to any one of the preceding claims.

Images