[0001] This invention relates to a body exhaust gown arrangement for use in operating theatres
and other locations where contamination of work zones, such as operating and instrument
tables or work benches, by bodily emissions is to be minimized and, if possible, prevented.
[0002] Previous body exhaust gown arrangements comprising a gown made of material which
resists the passage of air and prevents undesirable body emissions from escaping into
the. ambient air and incorporating exhaust duct apertures beneath theg)wn in the region
of the face or chest of the wearer have been described in Patent Specifications Nos.
1208284, 1395099, 2105971 and 2151457. In all of these arrangements air is drawn into
the bottom of the gown, and in most cases also in through apertures in the gown or
hood near the face of the wearer, and thence into exhaust duct means, in the form
of flexible tubing, via the aforesaid apertures. Air drawn into the exhaust duct means
is carried away by an extension exhaust tube which is connected to an exhaust manifold
situated on a wall, floor or ceiliag,the extension tube being flexible and of sufficient
leagth to allow the wearer an adequate range of movement. Beyond the manifold, the
exhaust air passes along a rigid exhaust pipe or channel to a remote motor-driven
fan which discharges the air outside the room where the work zone is being kept free
of contamination.
[0003] It is an object of this invention to simplify the aforesaid exhaust arrangement by
substantially eliminating the extension tube and removing the need for the fixed exhaust
means, namely the rigid channel, the fan and the motor.
[0004] Pursuant hereto, the invention provides a body exhaust gown arraagement comprising
a sleeved gown and exhaust duct means, in the form of flexible tubing, which, in use,
extends over each of the wearer's shoulders beneath the gown and has a plurality of
exhaust inlets in the region of the wearer's chest or face, characterised in that
the exhaust duct means is connected, beneath the gown, to impeller means and thence
discharges exhaust air directly into the ambient air from the bottom of the gown.
[0005] This novel proposal has arisen from an appreciation that in an operating theatre
or other sensitive environment, the work zones which have to be kept free of contamination
by bodily emissions, such as operating and instrument tables and work benches, are
located of the order of 1m above floor level. Indeed, the floor of an operating theatre
has always been regarded as microbiologically dirty. Moreover, when procedures which
must be contamination-free are being carried out in these work zones it is necessary
to have either a downward or downwardly exponential (i.e. downwards and radially outward)
flow of clean air of sufficient velocity to prevent the movement of contaminents upwards
or inwards towards the work zone. In such circumstances the venting of bodily emissions
from beneath an impermeable gown at floor level does not jeopardize the sterility
of the work zone yet has the advantage of allowing the wearer of the gown a much greater
degree of freedom of movement than when connected up to. an extraneous exhaust system.
In any event, appropriate filter means may be associated with the impeller means or
with an outlet duct leading therefrom to minimize the amount of contamination reaching
the ambient air.
[0006] The gown itself may have an integral or removable hood which may or may not be provided
with a mask over a front opening in line with the eyes of the wearer. Alternatively,
the gown may have a close-fitting mandarin-style neck and be designed for use with
a separate cap and mask to facilitate work at microscopes.
[0007] The exhaust duct means is preferably in the form of a loop for fitting to the wearer
in the manner of a large necklace and having exhaust inlets at intervals therealong.
The loop is advantageously composed of alternate lengths of flexible corrugated tubing
and short sections of non-flexible tubing, each of which has therein a respective
exhaust inlet.
[0008] Preferably the loop connects by its ends to a Y-shaped connection which, in turn,
is attached to impeller means in the form of a fan driven by a small motor. The motor
may be supplied with power either by batteries or by a wire connection to a low voltage
supply point. The fan, with its associated motor, may either be fixed to a belt worn
around the waist of the wearer or be in the form of a back pack with shoulder straps.
In either case it preferably leads into a downwardly extending outlet tube having
its end at about the same level as or slightly below the hem of the gown.
[0009] The invention will be described further, by way of example, with reference to the
accompanying drawing in which the single figure is a front perspective view showing
one practical embodiment of the exhaust gown arrangement in use on a wearer.
[0010] As illustrated, one practical embodiment of the body exhaust gown arrangement of
the invention comprises, in combination, a fabric gown 10 and underlying exhaust duct
means in the form of a loop 11. The gown 10 has sleeves 12 which fit closely around
the wrists of a wearer 20 and an integral hood 13 provided with a narrow opening 14
in line with the wearer's eyes. The fabric of the gown 10 is either impermeable or
of very low permeability to air, moisture, or airborne particles and may suitably
consist of material sold under the Trade Mark Ventile or the Trade Mark Goretex.
[0011] The loop 11 is composed of alternate lengths 15 of the flexible corrugated tubing
and short sections 16 of non-flexible tubing each of which has therein a respective
exhaust inlet in the form of a slot 17. The exhaust duct loop 11 is intended to be
fitted onto the wearer 20 (who will be wearing undergarments) in the manner of a large
necklace and it has two ends which fit into a Y-shaped connector 18 resting against
the back of the wearer 20. The connector 18 is attached to a fan housing 19, which
is carried on a belt (not shown) to be worn around the waist of the wearer 20 beneath
the gown 10. The central region of the exhaust duct loop 11 may also be held in position
by being secured to this belt at the front of the wearer 20 by means of tapes, or
the tapes may be separately tied around the wearer's waist. The fan inside the housing
19 is driven by an adjacent low voltage motor 21 which receives its power supply from
batteries or remotely via an electric cable. In this respect, a 12V or 24V supply
should be sufficient. The fan housing 19 is connected to a downwardly extending flexible
outlet tube 22 which terminates at about 0.3m above the floor, that is at about the
same level as the bottom hemline 23 of the gown 10, when the fan is at waist height.
[0012] A further belt or tie 24 is provided to encircle the gown 10 externally and secure
it tightly around the waist of the wearer 20.
[0013] Tapes 25 are attached at each side of the eye opening 14 and are tied back around
the head of the wearer 20 to bring about close contact between the gown material and
the face of the wearer across the forehead and below the eyes, but above the end of
the nose of the wearer 20. Small gaps will, however, remain at each side of the wearer's
nose.
[0014] In use, the gown 10 itself forms a barrier greventing dissemination of body emissions
from the wearer into the ambient air. When the fan 19 is switched on, air is drawn
into the gown 10 via the opening 14 and the gaps at each side of the wearer's nose
and then into the exhaust duct loop 11 via the slots 17 and is vented from the outlet
tube 22 about 0.3m above the floor The belt or tie 24 at the waist tends to prevent,
or at least restrict, flow of air upwards from the bottom of the gown 10 towards the
exhaust duct inlets 17 so bodily emissions below the waist will tend to disperse gradually
from the bottom of the gown 10.
[0015] The aforesaid venting and gradual dispersal of contaminated air from the level of
the bottom of the gown 10 should not prove detrimental since this is approximately
0.3m above the floor and thus well below the level (approximately 1m above the floor)
of work zones, such as operating and instrument tables which must be kept free of
contamination during the course of an operation to minimize the risk of infection
of a patient. Moreover, as mentioned in the early part of this description, in order
to achieve a sterile zone around an operating table or the like during the course
of an operation or other work requiring a germ-free environment a downward or exponentially
downward flow of clean air will necessarily have to be provided and this will, of
course, prevent the contaminated air issuing from the bottom of the gown 10 and the
end of the outlet tub* 22 from dispersing upwardly towards the work zone. Instead
it will be entrained outwardly from the sterile zone, which is located below the ceiling
mounted outlet means from which the downwardly flowing air issues.
[0016] In certain circumstances it will be desirable to incorporate filter means in the
outlet tube 22 and in other circumstances where a mask is used to cover the opening
14 in the hood 13 it may alternatively or additionally be desirable to have a filter
over any air intake aperture to protect the wearer from contamination, e.g. in the
case of work with contageous diseases or harmful chemicals.
[0017] As mentioned previously, the form of the gown itself will depend on the circumstances
of use and it may or may not incorporate a hood as in the above-described example.
Also it may or may not be provided with an opening down the rear to facilitate putting
on and taking off by the wearer.
[0018] Furthermore, in contrast to the waist-mounted fan in the illustrated embodiment,
in an alternative embodiment the fan with its associated motor (preferably battery
powered) may advantageously be in the form of a back pack which is mountable by means
of shoulder straps. In such a case, the I-shaged connector leading to the fan housing
should, of course, be disposed higher up the back of the wearer.
1. A body exhaust gown arrangement comprising a sleeved gown (10) and exhaust duct means (11), in the form of flexible tubing (15), which, in use,
extends over each of the wearer's shoulders beneath the gown (10) and has a plurality
of exhaust inlets (17) in the region of the wearer's whest or face, characterised
in that the exhaust duct means (ll) is connected, beneath the gown (10), to impeller
means (19) and thence discharges exhaust air directly into the ambient air from the
bottom of the gown (10).
2. A gown arrangement as claimed in claim 1 wherein the gown (10) has an integral
hood (13) provided with a front opening (14) in line with the eyes of the wearer and
with a number of tapes (25) for tying around the hood (13) in such a way that close
contact between the material of the gown (10) is achieved across the forehead and
across the face below the eyes, but above the nose, of the wearer.
3. A gown arrangement as claimed in claim 1 or 2 wherein the exhaust duct means (11)
is in the form of a loop for fitting to the wearer in the manner of a large necklace,
said loop being composed of alternate lengths of flexible corrugated tubing (15) and
short sections of non-flexible tubing (16), each section having therein a respective
exhaust inlet (17).
4. A gown arrangement as claimed in claim 3 wherein the exhaust duct loop (11) connects
by its ends to a γ-ehaped connector (18) whereby it is connected to the impeller means
(19).
5. A gown arrangement as claimed in claim 3 or 4 wherein a tie cord or the like is
connected to the exhaust duct loop (11) to enable the wearer to secure the duct in
place after it has been positioned on his/her chest.
6. A gown arrangement as claimed in any preceding claim wherein the impeller means
(19), in the form of a fan driven by a small motor (21), leads into a downwardly extending
outlet tube (22).
7. A gown arrangeatent as claimed in claim 6 wherein the outlet tube (22) ends at
approximately the level of the hemline (23) of the gown (10).
8. A gown arrangement as claimed in any preceding claim wherein the impeller means
(19) is fixed to a belt around the waist of the wearer.
9. A gown arrangement as claimed in any of claims 1 to 7 wherein the impeller means
is in the form of a back pack mountable by means of shoulder straps.
10. A gown arrangement as claimed in any preceding claim wherein filter means are
provided in association with the impeller means (19) or in association with an outlet
duct (22) leading therefrom.
11. A gown arrangement as claimed in any preceding claim, further inclnding a belt
or tie (24) for securing externally of the gown (10) around the waist of the wearer
to restrict upward flow of air beneath the gown (10).