# US 2019/0167501 A1 · Left radial access, right room operation, peripheral intervention system

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- Number: US 2019/0167501 A1
- Document ID: US20190167501A1
- Status: Published application
- Kind: A1
- Application number: 16/239,943
- Filed: 2019-01-04
- Published: 2019-06-06
- Earliest claimed: 2013-07-21
- Assignees: Trans-Radial Solutions LLC
- Applicants: Trans-Radial Solutions LLC
- Inventors: James E. Conner; Barney C. Wasson, JR.; Andrew W. Shealy
- Web page: https://patentgrep.com/patent/US20190167501A1

## CPC

- A61G 13/1235: {Arms}
- A61B 6/0407: {Supports, e.g. tables or beds, for the body or parts of the body}
- A61B 6/107: {Protection against radiation, e.g. shielding}
- A61B 6/12: Arrangements for detecting or locating foreign bodies
- A61G 7/0513: {covering particular sections of the bed, e.g. one or more partial side-rail sections along the bed}
- G21F 1/00: Shielding characterised by the composition of the materials
- A61G 2210/50: for radiography
- A61G: TRANSPORT, PERSONAL CONVEYANCES OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS (appliances for aiding patients or disabled persons to walk A61H3/00); OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES (embalming corpses A01N1/00)
- A61B: DIAGNOSIS; SURGERY; IDENTIFICATION (usefulness limited to only animals A61D)
- G21F: PROTECTION AGAINST X-RADIATION, GAMMA RADIATION, CORPUSCULAR RADIATION OR PARTICLE BOMBARDMENT; TREATING RADIOACTIVELY CONTAMINATED MATERIAL; DECONTAMINATION ARRANGEMENTS THEREFOR (radiation protection by pharmaceutical means A61K8/00, A61Q17/04; in cosmonautic vehicles B64G1/54; combined with a reactor G21C11/00; combined with X-ray tubes H01J35/16; combined with X-ray apparatus H05G1/02)

## Abstract

Systems and methods for left radial access, right room operation peripheral interventions are provided that include left radial bases to stabilize a left arm of a cardiac patient across a midsagittal plane, transradiant right radial bases to position a right arm of the patient, and radiodense radiation reduction barriers located between the patient and a doctor.

## Claims

### Claim 1

A left radial access, right room operation peripheral intervention system for use with an imaging system, the peripheral intervention system comprising:
a left radial fence being configured to stabilize a left arm of a patient across a midsagittal plane of the patient during a lower extremity peripheral intervention on a procedure table;
a right radial deck disposed substantially parallel to an operating surface of the procedure table, the right radial deck being transradiant and configured to position a right arm of the patient in a direction away from the midsagittal plane during the lower extremity peripheral intervention; and
a radiation reduction barrier disposed substantially perpendicular to the right radial deck and spaced apart from the left radial fence, the radiation reduction barrier having a radiodense material disposed between the patient and an attending staff member to reduce scatter radiation from the patient in a direction of the staff member during a procedure.

### Claim 2 (depends on 1)

The left radial access, right room operation peripheral intervention system as in claim 1, wherein the left radial fence includes a support surface for contacting the left arm.

### Claim 3 (depends on 2)

The left radial access, right room operation peripheral intervention system as in claim 2, further comprising a pad depending from the support surface.

### Claim 4 (depends on 1)

The left radial access, right room operation peripheral intervention system as in claim 1, further comprising a base board being configured to receive the right radial deck, the left radial fence and the radiation reduction barrier.

### Claim 5 (depends on 1)

The left radial access, right room operation peripheral intervention system as in claim 1, further comprising at least one radiodense apron in releasable connection proximate the operating table.

### Claim 6 (depends on 5)

The left radial access, right room operation peripheral intervention system as in claim 5, wherein the radiodense apron includes a plurality of pockets and respective radiodense inserts configured for insertion in the pockets.

### Claim 7 (depends on 5)

The left radial access, right room operation peripheral intervention system as in claim 5, wherein the radiodense apron and the radiation reduction barrier are disposed in a plane substantially parallel to each other.

### Claim 8 (depends on 7)

The left radial access, right room operation peripheral intervention system as in claim 7, wherein scatter radiation reduction exposure to an attending physician is reduced by at least sixty percent over a system without the radiodense apron and the radiation reduction barrier.

### Claim 9 (depends on 7)

The left radial access, right room operation peripheral intervention system as in claim 7, wherein scatter radiation reduction exposure to attending staff is reduced by between about thirty percent to about seventy-seven percent over a system omitting the radiodense apron and the radiation reduction barrier.

### Claim 10

A left radial access, right room operation peripheral intervention system for use with an imaging system, the peripheral intervention system comprising:
a base board being configured for connection proximate a table having a left side and a right side corresponding to a left arm and a right arm of a patient;
a left radial fence attached to the base board and being configured to cushion and stabilize a left arm of a cardiac patient across a midsagittal plane of the patient during a lower extremity peripheral intervention on the table, wherein an attending cardiologist may perform the intervention from the right side of the table; and
a radiation reduction barrier arranged vertically and spaced apart from the left radial fence, the radiation reduction barrier having a radiodense material disposed between the patient and an attending staff member to reduce radiation scattering from the patient in a direction of the staff member.

### Claim 11 (depends on 10)

The left radial access, right room operation peripheral intervention system as in claim 10, further comprising a right radial deck disposed substantially parallel to an operating surface of the table, the right radial deck being transradiant and configured to position a right arm of the patient in a direction away from the midsagittal plane during the lower extremity peripheral intervention.

### Claim 12 (depends on 11)

The left radial access, right room operation peripheral intervention system as in claim 11, wherein the right radial deck is attached to the base board.

### Claim 13 (depends on 10)

The left radial access, right room operation peripheral intervention system as in claim 10, further comprising at least one radiodense apron releasably connected to the base board.

### Claim 14

A left radial access, right room operation peripheral intervention system for use with an imaging system, the peripheral intervention system comprising:
a base board being configured for attachment proximate a procedure table;
a left radial fence attachable to the base board and being configured to stabilize a left arm of a patient across a midsagittal plane of the patient during a lower extremity peripheral intervention on the procedure table;
a right radial deck attachable to the base board and disposed substantially parallel to an operating surface of the procedure table, the right radial deck being transradiant and configured to position a right arm of the patient in a direction away from the midsagittal plane during the lower extremity peripheral intervention;
a radiation reduction barrier attachable to the base board and spaced apart from the left radial fence and from the right radial deck, the radiation reduction barrier having a radiodense material disposed substantially vertically between the patient and an attending staff member to reduce radiation scattering from the patient in a direction of the staff member during an imaging procedure; and
a radiodense apron releasably connected to the base board.

### Claim 15 (depends on 14)

The left radial access, right room operation peripheral intervention system as in claim 14, wherein the radiation reduction barrier includes radiation attenuating material being configured for extension.

### Claim 16 (depends on 14)

The left radial access, right room operation peripheral intervention system as in claim 14, wherein the radiodense apron includes a plurality of sleeves and respective radiodense material inserts.

### Claim 17 (depends on 14)

The left radial access, right room operation peripheral intervention system as in claim 14, further comprising at least two radiodense aprons.

### Claim 18

A left radial access, right room operation peripheral intervention system for use with an imaging system, the peripheral intervention system comprising:
a right radial deck having a base board attachable to a procedure table with a right side and a left side corresponding to a right arm and a left arm of a patient, the right radial deck being disposed substantially parallel to an operating surface of the operating table, the right radial deck board being disposed under the operating surface, the right radial deck being transradiant and configured to position the right arm of the patient in a direction away from the midsagittal plane during the lower extremity peripheral intervention;
a left radial fence in connection with the base board and being configured to stabilize a left arm of a patient across a midsagittal plane of the patient during a lower extremity peripheral intervention on the procedure table;
a radiation reduction barrier attachable to the base board under the table surface, the radiation reduction barrier spaced apart from the left radial fence and from the right radial deck, the radiation reduction barrier having a radiodense material disposed between the patient and an attending staff member to reduce radiation scattering from the patient in a direction of the staff member during an imaging procedure; and
a radiodense apron releasably connected to the base board.

### Claim 19 (depends on 18)

The left radial access, right room operation peripheral intervention system as in claim 18, wherein the radiodense apron includes at least two radiodense aprons, at least one apron movable relative to the other.

### Claim 20 (depends on 1, 10, 14, 18)

A method for left radial access and right room operation peripheral intervention using a system as in claim 1, 10, 14 or 18, the method comprising:
joining a left radial fence proximate a procedure table having a left side corresponding to a left arm of a patient and a right side corresponding to right arm of a patient;
stabilizing the left arm of a patient across a midsagittal plane of the patient with the left radial fence;
joining a radiation reduction barrier proximate the right side of the procedure table spaced apart from the left radial fence, the radiation reduction barrier having a radiodense material disposed substantially vertically between the patient and an attending staff member; and
performing a lower extremity peripheral intervention on the procedure table through the left arm of the patient from the right side of the operating table.

### Claim 21 (depends on 20)

The method as in claim 20, further comprising joining a base board proximate the procedure table and attaching at least one of the left radial fence and the radiation reduction barrier to the base board.

### Claim 22 (depends on 20)

The method as in claim 20, further comprising joining a radiation reduction curtain proximate the operating table.

### Claim 23 (depends on 22)

The method as in claim 22, further comprising reducing radiation scattering from the patient in a direction of the staff member by at least sixty percent over a system lacking the radiation reduction barrier the radiation reduction curtain.
