阅读说明：本技术 在包装方面或与之相关的改进 (Improvements in or relating to packaging ) 是由 H·埃尔雷费伊 于 2018-05-03 设计创作，主要内容包括：本发明提供了一种密封包装(1O),该密封包装件包括容器(30)和盖(20),其中该容器具有内部防篡改密封(50),并且该盖具有外部防篡改密封(60,70)；其中,内部密封件设置在容器和盖之间；并且其中盖由弹性材料形成,使得其保护容器。在一个实施例中,本发明提供了一种用于预定外科手术中的手术器械包装件,该包装件包括一个或多个适合于预定外科手术中使用的无菌手术器械以及用于容纳一个或多个无菌外科器械的托盘。其中包装件由至少两个密封件密封。(The present invention provides a sealed package (1O) comprising a container (30) and a lid (20), wherein the container has an inner tamper-evident seal (50) and the lid has an outer tamper-evident seal (60, 70); wherein the inner seal is disposed between the container and the lid; and wherein the lid is formed of a resilient material such that it protects the container. In one embodiment, the present invention provides a surgical instrument package for use in an intended surgical procedure, the package comprising one or more sterile surgical instruments suitable for use in the intended surgical procedure and a tray for containing the one or more sterile surgical instruments. Wherein the package is sealed by at least two seals.)

1. A sealed package comprising a container and a lid, wherein the container has an internal tamper seal and the lid has an external tamper seal; wherein the inner seal is disposed between the container and the lid; and wherein the lid is formed of a resilient material such that it protects the container.

2. The package of claim 1, wherein the container is a tray, bag, or pouch.

3. A package according to claim 1 or 2, comprising a support for protecting the container.

4. A package according to any of the preceding claims, wherein the lid, container and/or the inner tamper evident seal are transparent.

5. The package of any of the preceding claims, wherein the lid has a clip to secure the lid to the container; preferably, the external tamper seal is provided on the clip.

6. The package of any preceding claim, wherein the external tamper-evident seal comprises a film seal.

7. A package according to any of the preceding claims, comprising one or more sterile surgical instruments adapted for use in a predetermined surgical procedure, wherein the container is a tray for receiving the one or more sterile surgical instruments.

8. The package of claim 7, wherein the one or more surgical instruments are disposable surgical instruments, preferably the one or more surgical instruments are formed of a plastic and/or metal material.

9. A package according to claim 7 or 8 wherein the tray has one or more tray compartments for receiving the one or more surgical instruments, preferably in the form of recesses or slots, preferably one or more tray compartments may be colour coded, preferably the tray is formed from a disposable, resilient and sterilisable material.

10. A package according to any of claims 7 to 9 comprising the majority of surgical instruments required for a predetermined surgical procedure, preferably the package contains from 50% to 90% of the surgical instruments required.

11. The package of any of claims 7-10, comprising one or more checklists listing names of the one or more surgical instruments in the package.

12. The package of any of the preceding claims, wherein at least one of the seals is transparent.

Technical Field

The present invention relates to packaging for the secure transport of articles.

Background

It is necessary to transport the item securely so that it can be checked whether it has been tampered with at every stage of its travel. For example, sterile surgical instruments need to be safely transported to the site of use so that it is clear that they remain sterile, food products need to be safely transported to the consumer, and therefore it is clear that the food items are still sealed at the time of use, and that high value items need to be safely transported so that they are clearly not tampered with when received by their owner.

Current packaging does not provide a means of checking the security of the contents of the package at each stage of its travel.

Disclosure of Invention

The present invention seeks to ameliorate these problems.

According to the present invention there is provided a sealed package comprising a container and a lid, wherein the container has an internal tamper-evident seal and the lid has an external tamper-evident seal; wherein the inner seal is disposed between the container and the lid. And wherein the lid is formed of a resilient material such that it protects the container.

Advantages of the invention include that the security of the contents of the package can be checked in different ways during transport of the package. During transport, the security of the package can be checked by checking the lid and its outer seal. After removal of the lid, the user of the container may check its internal seal to ensure that its contents have not been tampered with, before using or otherwise opening the container.

In some embodiments, the container may be a tray, bag, or pouch. In some embodiments, the package may include a support for protecting the container, particularly where the container is a bag or pouch. In some embodiments, the container may have a collar to allow it to be suspended in the support.

In some embodiments, the lid, container, and/or internal tamper-evident seal may be transparent such that the contents of the container may be inspected prior to use, e.g., prior to opening the tamper-evident seal.

In some embodiments, the lid may have a clip that secures the lid to the container. In some embodiments, an external tamper-evident seal may be provided on the clip. In some embodiments, the external tamper seal may be a film seal. Such a film seal may be formed from a layer of plastic material that is wrapped over the package such that the lid cannot be opened without removal.

In some embodiments, the package may be a package for sterile surgical instruments used in a predetermined surgical procedure, the package including a tray, a lid to protect the tray and one or more surgical instruments suitable for the predetermined surgical intervention, wherein the package is sealed by an outer seal and an inner seal.

The operating room has undergone a number of different interventions (interventions). Some of these interventions may be planned and planned in advance. However, if even a small delay severely affects the likelihood of a successful outcome, additional intervention is required within a short time. Before starting the intervention, many steps need to be taken, for example after the right equipment and the right instruments have arranged the right personnel into the operating room. Typically, a further step is the sterilization of the surgical instrument.

At least in most hospitals in the uk, there is a central disinfection store (CCST) which provides simplified disinfection services for all specialties, but which may be overwhelming. It is not unknown that they may make mistakes in preparing the instrument. The personnel working in these stores are not medical personnel and are not aware of the surgical procedure. Therefore, due to the lack of small but vital instruments in the surgical trays provided, certain specialized fields of surgery, such as orthopedic surgery, must be eliminated. The workload of central sterilization facilities has been high and the manner in which these critical locations are serviced has changed over the years.

The preparation of preoperative instruments is a recognized convention. CSST offers metal trays that open in a dedicated area or in a side room connected to the operating room. Specially trained caregivers may see little or no preparation prior to surgery before operating these surgical instruments.

The preparation process has two goals. Firstly, it is ensured that all necessary instruments are available, and secondly it is demonstrated that the number of instruments to be counted at the end of the procedure is the same as the number counted at the beginning. This process can be time consuming and introduces potential risks into the procedure.

The advantages of the invention include that one possible cause of delay in emergency intervention is eliminated, since the surgical operating room can be provided with one or more packages according to the invention. Because the instruments in the package are already sterilized, no personnel are required to sterilize or prepare the surgical instruments. The only action to be taken is to check whether at least one seal on the package is intact.

In some embodiments, the tray may form one or more tray compartments for housing one or more surgical instruments. Advantages of having one or more tray compartments include that instruments can be arranged in the tray compartments in a manner that is compatible with the logic of the operation.

It should be understood here that a tamper-evident seal is a seal that cannot be opened without destroying the elements of the seal, so that evidence of tampering is evident. In some embodiments, at least one of the seals may be a lid clip seal such that a seal is provided where the lid is secured to the container or tray. In some embodiments, at least one of the seals may be transparent. In some embodiments, at least one of the seals may comprise a transparent inner seal. The advantage of having a transparent inner seal is that the cover of the pack can be removed prior to surgery so that the surgical instruments can be seen and counted without breaking the final seal. A package with an internal seal that is still intact can be used within a few hours of breaking the other seals.

Caesarean delivery is an indispensable surgical operation in obstetrical care for pregnant women and delivery women. This procedure has been developed for over 200 years, increasing from less than 1% of the labor incidence to around 20% of the current. The main indications for such interventions range from last desperate measures to deal with obstructive childbirth to emergency procedures to save fetal or maternal life. Examples of these special cases include caesarean section, fetal distress or premature placental peeling, or maternal hemorrhage.

Emergency caesarean delivery occurs when there is an urgent need in some cases to perform this procedure immediately. This urgency is not always reflected in the speed at which the program is started. Slow or long-term lags between decision making and starting operation are well recognized. This is generally considered an unavoidable delay. Prompting the health personnel to perform these emergency procedures within 30 minutes. Professional institutions use 30 minutes as a medical or legal parameter to gauge patient care quality in emergency situations. A caesarian section starting 30 minutes after making the decision (i.e. scraping the knife onto the skin) is considered to be an emergency procedure.

Considering that most patients requiring such emergency surgery are already epidural, a 30 minute lag is not reasonable. This means that the delay is not necessarily a function of the start of anaesthesia. The vast majority of patients requiring this surgery have undergone epidural analgesia or spinal anesthesia, often enough to undergo immediate surgery.

There are many factors that contribute to this "inevitable delay". These factors include such factors as transferring the patient to the operating room and summoning a skilled clean (scrub) nurse to the operating table. However, the skilled clean nurse prepares the surgical instruments for the main cause of such delay.

In some embodiments, the one or more surgical instruments may be single use or disposable surgical instruments. In some embodiments, one or more surgical instruments may be made of a plastic material and/or a metallic material (e.g., tungsten, graphite, titanium, and/or aluminum), such as recycled aluminum.

An advantage of a single-use surgical instrument is that it provides uniformity in preparing the surgical instrument prior to surgery, thus reducing the time to prepare, clean, and dispose of the instrument. This uniformity is a desirable function that will result in reduced service, minimized risk, and savings in workload and time for the following reasons:

previously, most interventions used a combination of the two, for example, in CS almost all instruments are reusable and made of stainless steel. Some disposable articles are provided in an open or unsealed state and added to standard reusable instruments. As an example of CS, and any other similar procedures that require suction to remove fluids, the suction tube is provided separately as a disposable item. The reason is that the suction tube or cord cannot be cleaned sufficiently in the central sterilization apparatus. The rope requires personnel handling and direct water injection into it to clean it. Today, most instruments are cleaned by immersion in a cleaning liquid, and machines cannot clean tubes of this nature. Such tubes are used for abortion to aspirate the conception product and for laparotomy or intra-abdominal surgery to aspirate the blood. During cesarean section, the uterine cavity must be dissected to aspirate the gushing amniotic fluid with a suction tube.

Another example is laparoscopic surgery, where many disposable instruments exist but they never cover the entire surgical field, reusable instruments are added in the form of scissors, polar diathermy (polar diathermy), etc.;

increased awareness of the spread of blood borne diseases such as hepatitis B, C and CDJ requires increased vigilance in disinfecting surgical instruments, and cross-contamination between patients may occur despite disinfection. This underscores the importance of the traceability concept of reusable instruments. Complex bar code based systems and software are provided to track multiple uses of any surgical instrument. This adds cost, which can be avoided by making the surgical instrument disposable.

There are many obstacles to changing the method of preparing the instrument for surgery. This is so because the instruments must be sterilized and must be purchased from a central sterilization facility. Any changes in the properties of the instruments remain sporadic or specific to one or both instruments, focusing primarily on improving the technique of use of the instruments rather than use of the instruments. Single use devices are critical to circumvent these problems as they will bypass the CSST effect.

In some embodiments, the package may comprise a tray. In some embodiments, the tray may include one or more tray compartments for housing one or more surgical instruments. In some embodiments, the tray compartment may be in the form of a groove or slot. In some embodiments, one or more tray compartments may be color coded according to the purpose or use of one or more surgical instruments. An advantage of color coding the surgical instrument or its tray compartment is that it can assist surgical operating room support personnel in handling the surgical instrument and enable well-trained support personnel to assist in intervention for the following reasons:

during surgery, the surgeon is not allowed to carry or remove surgical instruments from the tray. Thus, there is a need for a trained nurse to attend the training and to be exposed to action exercises (e.g., CS) during the intervention. The nurse of cleansing should be familiar with what happens during surgery and the anatomy of the relevant parts of the body (e.g. abdomen, uterus and pelvis in the CS). The purge nurse should be able to predict and anticipate the steps of the procedure and anticipate the surgeon's needs for surgical instruments and give them the needed surgical instruments before they are required. He/she should spontaneously give the surgical instrument to the surgeon according to the step or tissue layer he/she is to treat. This is part of the training of surgical cleanup nurses, who can perform this function in the operating room. Recently, due to cost effectiveness, sometimes midwives (in the case of CS) are required to play the role of nurses on the operating table. They are often trained briefly and quickly to provide this activity. Therefore, they must be less familiar with these drills or instruments. Thus, the role of the depuration nurse and/or midwife in the treatment of the appropriate apparatus is simplified.

No previous efforts have been made in common to create a kit or tray with inherent anatomical logic for a specific use and to meet the needs of surgeons from a to Z in a simple structured way. Revolutionary efforts are needed to speed up the process. This can only be achieved by one package containing all the vital instruments, all color coded so that counting can be done easily before and after the operation.

In some embodiments, a package according to the present invention may include a majority of the surgical instruments required for a predetermined surgical intervention. For example, the package may contain 50%, e.g., 55%, 60%, 65%, or 70% to 75%, 80%, 85%, 90%, 95%, or 99% of the desired surgical instruments. Advantages of providing a package containing most of the surgical instruments required for a scheduled surgical procedure include that the preparation of the intervention can be simplified due to the simplified counting time of the surgical instruments, and the following problems can be alleviated:

the CS surgical instrument trays provided to the ward are typically filled with instruments, which can cause problems. The reason for this is to accommodate the changes in technology and to accommodate the different needs of different surgeons. This is a historical problem that has not been solved seriously or methodically. A package containing 60% of these instruments is sufficient for 95% of the cases and simplifies the process;

the instruments are sterilized in a Central Sterile Storage (CSST). They are usually delivered to the delivery area in a metal tray containing all "necessary" instruments. As shown in table 1, there were a total of 54 instruments. The number of instruments and/or types may vary from hospital to hospital. The surgical instruments used in the CS can be safely reduced to the set of instruments shown in table 2 below, thereby improving the efficiency of use for the surgeon and operating room.

Table 1: current Caesarean set of instruments

Content providing method and apparatus	Number of instruments contained on the tray
		Allis tissue forceps	2
Green Armitage bending clamp	2
		Green Armitage straight pliers	5
Criles artery curved forceps	10
		Spencer Wells artery 7 inch straight forceps	5
8-inch straight Kocher artery forceps	2
		Mayo7 inch needle holder	2
Thread scissors	1
		Dressing scissors	1
Mayo direct shear	1
		Mayo curved scissors	1
Mclndoe cut, bend	1
		Rampley sponge holding forceps	5
Bonney toothed dissecting forceps	1
		7 inch toothless dissecting forceps	1
Waugh toothless dissecting forceps	1
		Waugh toothed dissecting forceps	1
Bard Parker No. 4 handle	2
		Wrigley obstetric forceps (L)&R pair	1
Doyen manual retractor	2
		Langenbeck retractor Medium size	2
Morris retractor	2
		Mono pole diathermy cable	1
Towel clip	1
		8-inch diathermy dissecting forceps	1
Total number of	54

In some embodiments, the package may contain one or more lists that list the names of one or more surgical instruments in the package. Before starting the surgery, two support staff in the surgery room (e.g. a nurse or midwife) will check the surgical instruments by counting them. One worker would speak the name of each instrument aloud, and another would indicate that he/she agrees to the presence of each particular instrument. The manifest facilitates this process. This process was repeated 3 times. Three checklists may be included in the package, or a single checklist may have at least three checkboxes for each instrument name so that the checklist can be used at least three times. Thus, in general, all instruments should be counted before the start of the procedure, after the patient's body is closed, and at the end of the procedure.

In some embodiments, the tray may be formed of a disposable, resilient and sterilizable material, such as a plastic material. In some embodiments, the tray may have a lid. In some embodiments, the lid may be hinged to the tray. In some embodiments, the lid and/or tray may be formed of a resilient, sterilizable, disposable transparent material, such as a transparent plastic material. Advantages of having a transparent cover and/or tray include the ability for the nurse to count surgical instruments before starting a surgical procedure without opening the packaging.

In some embodiments, the one or more surgical instruments may include one or more of the following surgical instruments: graspers (e.g., pliers); clamps and/or obturators (suitable for use with blood vessels and/or other organs); retractors (suitable for stretching skin, ribs, and/or other tissue); a retractor, positioner, and/or stereotactic device; mechanical cutters (e.g., scalpels, lancets, drills, rasps, trocars, vascular occlusive devices, harmonic scalpels, surgical scissors, water jets, rongeurs); dilators and/or specula (adapted to allow access to a narrow channel or incision); a tip and/or a pipette (suitable for removing body fluids); sealing devices (e.g., surgical staplers or electrocautery); irrigation and/or injection needles, including their tips and/or tubes (suitable for introducing liquids); electrically powered devices (e.g., electric drills and/or leather products); a scope and/or probe (including an endoscope and/or a tactile probe); carriers and applicators (suitable for optical, electronic and mechanical devices); tissue disruptors (e.g., ultrasonic tissue disruptors, microtomes, cryomicrotomes, cutting lasers); and/or a measuring device, such as a scale and/or a caliper.

In some embodiments, the predetermined surgical intervention may be one or more of the following: decompression craniectomy, hemibulbectomy, anterior temporal lobectomy, prolapsectomy, amygdaloidectomy, ventriculostomy, craniotomy, globotomy, thalamotomy, lobulotomy, lobeliectomy, lobectomy, bilateral meningotomy, umbilical cord dissection, rhizotomy, neurosurgery, psychosurgical procedure, brain biopsy, ganglionectomy, sympathotomy, endoscopic sympathotomy, neuroendoscopy, prolapsey, thyroidectomy, parathyroidectomy, adrenal resection, pineal resection, punctiform plasty, trabeculoplasty, iridotomy, vitrectomy, dacryocystorhinostomy, radial keratotomy, small asymmetric radial keratotomy (MARK), corneal transplantation, podiatum, podoplasia, rhinoplasty, craniectomy, and rhinoplasty, etc, Laryngectomy, pulmoniectomy, tracheotomy, sinus nastomy, tracheotomy, cerulotomy, annulotomy, thoracotomy, bronchiotomy, thoracotomy, thyroidectomy, tracheotomy, pleurotomy, lung transplant, angioplasty, valvulotomy, pericardiotomy, cardiac transplant, tonsillectomy, adenoidectomy, thoracotomy, splenectomy, lymphadenectomy, thymus transplant, spleen transplant, splenectomy, lymph node biopsy, ultrasonic abdominoplasty, apoplasty, gingivitis, tonsurectomy, esophagectomy, gastrectomy, colectomy, pancreatectomy, pancreatomy, gastroduodenal surgery, gastrostomy (e.g., percutaneous endoscopic surgery), gastroduodenal surgery, and the like, Gastroenterostomy, ileostomy, jejunostomy, colostomy, cholecystostomy, hepatogastrostomy, sigmoidostomy, ureterotomy, colectomy, nisen fundoplication, herniotomy, omentuomy, liver biopsy, urethroplasty, pyeloplasty, nephrotomy, cystectomy, nephrostomy, ureterostomy, cystostomy (e.g., suprapubic cystostomy), ureterostomy, nephrostomy, urostomy, urethral fistulization transplantation, renal biopsy, penile plasty, scrouloplasty, vasectomy, pentectomy, orchiectomy, prostatectomy, post-operative resection, gonadectommy, gonastomy, salpingostomy, hematopoiesis, keratotomy, cystotomy, urotomy, cystectomy, circumcision, foreskin repair, orchiectomy, prostate biopsy, colpoplasty, vulvoplasty, clitoral plasty, salpingectomy, hysterectomy, colpectomy, scrotomy, salpingostomy, amnotomy, cliotomy, hysterectomy, perineotomy, conjunctive incision, tubal ligation, retrograde tubal progression, pyeloplasty, caesarean section, transvaginal cystectomy, trans-endometrioplasty, endometriectomy, joint replacement, rotational arthroplasty, osteotomy (e.g., femoral head osteotomy, vertebrectomy, caudal vertebrectomy, or astragalus resection), corporeal resection, facet resection, surgical procedure, cervical resection, laminectomy (hemilaminectomy), synovectomy, discectomy, osteotomy, arthrotomy, laminotomy, discectomy, tubercectomy, joint lateral membrane, corneal ligation, arthrodesis reconstruction, capsulotomy, amputation (e.g., hemiterectomy or hemisectomy), myotomy, tendotomy, fasciotomy, muscle biopsy, amputation, tendon transfer, mastectomy, lumpectomy, mastectomy, breast implant, malposition, breast reconstruction, mammoplasty, V-shaped, VY-shaping, W-shaping, Z-shaping, ultrasonography, skin biopsy, abdominal shaping, hernia shaping, salpingy, Z-shaping, diverticulectomy, vasectomy, hemorrhoidectomy, mastoidectomy, cystectomy, sclerotomy, myotomy, and capsulotomy, Thrombectomy, embolectomy, gangliectomy, lobectomy, hysteromyomectomy, pannier resection, craniotomy, sphincterotomy, commissural surgery, abdominal surgery, inguinal hernia surgery, biopsy, brewster's surgery, cautery, transplantation, hypnosis, laparoscopy, and/or nuss surgery.

Drawings

The present invention will now be described with reference to the following drawings, which are not intended to limit the scope of the claimed invention:

fig. 1 shows a schematic front view of a sealed package according to a first embodiment of the invention.

Fig. 2 shows a schematic view of a first embodiment of a container for use in a sealed package according to a first embodiment of the present invention.

Fig. 3 shows a schematic front view of a sealed package according to a second embodiment of the invention.

Fig. 4 shows a schematic plan view of a second embodiment of a container for use in a sealed package according to the second embodiment of the present invention.

Fig. 5 shows a schematic cross-sectional view of a second embodiment of a container for use in a sealed package according to the second embodiment of the present invention.

Fig. 6 shows a schematic plan view of a third embodiment of a container for use in a sealed package according to the second embodiment of the present invention.

Detailed Description

A package according to a first embodiment of the present invention is generally indicated at 10 in fig. 1 and 2. The package 10 includes a container 30, a container support crate (crate)80, a container support lid 20, and seals 50, 60, 70. As shown in fig. 2, the container 30 is in the form of a bag or pouch having a container aperture 28 such that the contents 40 of the container 30 are accessible. The container 30 has a container collar 35 surrounding the container aperture 28 and a tamper evident transparent container seal 50 to cover and protect the container aperture 28 while still allowing inspection of the contents 40 of the container 30. In alternative embodiments, container 30 may be formed of a transparent material and container seal 50 may be translucent or opaque.

As shown in fig. 1, the container support 80 is in the form of a crate formed from a rectangular parallelepiped lattice having sides forming an opening 86 to allow inspection of the container 30, an open bottom, and a container support top closed by the container support lid 20. The side 86 has edges defined by the horizontal slats 82 and the vertical slats 84. The receptacle support top forms a receptacle support aperture (not shown) defined by a receptacle support aperture plate (not shown) shaped such that the receptacle 30 can be shaped. The container support 80 is inserted through the container support hole. The container support aperture plate supports the container collar 35 such that the container 30 is suspended in the container support 80. The shape of the container support 80 causes the container 30 to be spaced from the sides 86 of the support 80 such that the support 80 protects the container 30 and its contents. In an alternative embodiment, container support 80 may be in the form of a box having solid sides. In an alternative embodiment, the container support 80 may support a plurality of containers 30. In an alternative embodiment, the container support 80 may not have a container support aperture strip, such that the container support 80 may be used with one or more containers 30, each in the form of a tray or box.

As shown in fig. 1, the container support cap 20 is made of a resilient plastic material and has a shape corresponding to the top of the container support such that the cap 20 can be used to seal the container 30. The lid 20 has a clip 26 for securing the closure 24 of the lid 20 and the container support 80. The lid 20 is connected to the container support 80 by a hinge (not shown) such that the lid 20 can move relative to the container support 80. The container support lid 20 has a lid clip seal to close and secure the lid on the support 80. The lid 20 forms a recess shaped to receive the container seal 50 and the container collar 35 such that the closure 24 and the container support 80 of the lid 20 support the container 30.

The seals 50, 60,70 include an inner tamper resistant container seal 50, an outer tamper resistant lid clip seal 60 and an outer tamper resistant film seal 70. In addition, the cap 20 provides an external tamper-proof seal. The container seal 50 is an internal seal in that it is internally disposed within the package 10 between the container 30 and the lid 20. The container seal 50 is in the form of a removable film seal and is used by the consumer or recipient of the container 30 so that the consumer or recipient has evidence that the contents of the container 30 are safe. The outer film seal 70 is an external tamper-evident seal formed from a layer of plastic material wrapped over the package 10 such that the lid 20 cannot be opened without removal of the film seal 70, and is shown disposed on the outer surface of the package, as shown in fig. 10, particularly on the closure 24 where the lid 24 engages the support 80.

The lid clip seal 60 is another external tamper-evident seal on the clip 26 that secures the lid 20 to the container 30 and enables the lid 20 to serve as another seal for the container 30. The integrity of the lid 20 and the seals 60 and 70 ensures that the support 80 is secure and its contents are not tampered with during transport to the carrier.

A package according to a second embodiment of the present invention is generally indicated at 110 in fig. 3, 4 and 5. Features of the second embodiment of the package 110 are similar to those of the first embodiment of the package 10 and are indicated by similar reference numerals. The package 110 includes a container 130, a correspondingly shaped cap 20, a set of disposable sterile surgical instruments 40 and seals 50, 60, 70.

As shown in fig. 4 and 5, the container 130 is in the form of a tray and is made of a resilient plastic material to protect and support the surgical instrument 40. Receptacle 130 has an aperture 28 through which surgical instrument 40 may be accessed. The aperture 28 of the container 130 is sealed by an inner transparent film seal 50. In alternative embodiments, the container 130 may be formed of a transparent resilient plastic material and the inner film seal 50 may be opaque or translucent. In an alternative embodiment, the container 130 may be used to protect and support food.

As shown in fig. 1, the lid 20 has a hinge 22 and a clip 26. The cover 20 is formed of a resilient transparent material, such as a transparent plastic material, and has a shape corresponding to the container 130, so that the cover 20 can be used to seal the contents of the container 130. The lid 20 is connected to the container 130 by a hinge 22 so that the lid 20 can move relative to the container 130, as shown in fig. 2. The lid 20 may be secured in the closed position of the container 130 by a clip 26. In alternative embodiments, the cover 20 may be formed of an opaque or translucent material, such as where the inner film seal 50 is opaque or translucent.

As shown in fig. 1, the seals 50, 60,70 comprise an inner tamper evident film seal 50, an outer tamper evident lid clip seal 60 and an outer tamper evident film seal 70. The outer membrane seal 70 is a tamper-evident seal that is disposed across the closure 24 at the location where the lid 20 engages the container 130. The lid clip seal 60 is another tamper evident seal on the clip 26 that secures the lid 20 to the container 130 and enables the lid 20 to serve as an additional seal for the container 130. Inner membrane seal 50 is a tamper-proof seal provided across aperture 28 of container 130 such that surgical instrument 40 cannot be removed from container 130 without removing inner membrane seal 50.

As shown in fig. 4 and 5, the set of surgical instruments 40 includes a surgical clip 42, a swab 43, a knife 44, a first pair of forceps 46, and a second pair of forceps 48. The container 130 forms a plurality of tray compartments 32, 34, 36, 38 as shown in fig. 4 or a plurality of tray compartments 32, 33, 34, 35, 36, 38 as shown in fig. 5. Each tray compartment 32, 33, 34, 35, 36, 38 receives a respective surgical instrument 42,43, 44, 46, 48 of a set of surgical instruments 40. In an alternative embodiment, each tray compartment 32, 33, 34, 35, 36, 38 may be shaped to house its respective surgical instrument 42,43, 44, 46, 48. In alternative embodiments where the respective surgical instrument 42,43, 44, 46, 48 is formed of a suitable metal, its respective tray compartment 32, 33, 34, 35, 36, 38 may have a magnet to help retain the respective surgical instrument 42,43, 44, 46, 48 in its tray compartment 32, 33, 34, 35, 36, 38. In alternative embodiments, the plurality of tray compartments 32, 34, 36, 38 of the container 130 may be used to receive different types of food, such as different elements of a meal. Such as the first, second or third food of a meal.

In an alternative embodiment, the lid 20 may not have a hinge 22, and the lid 20 may be mounted on the container 130 such that it can be moved by sliding to an open position relative to the container 130. In an alternative embodiment, the set of surgical instruments 40 may include the disposable sterile surgical instruments 40 listed in tables 2A, 4, 8, 10, 12A, or 12B.

Fig. 6 shows a container 230 according to a third embodiment of the invention for use with a package according to a second embodiment of the invention. The containers 230 form a plurality of sections 82, 83, 84, 85, 86, 88 of the tray compartment 32, wherein the sections 82, 83, 84, 85, 86, 88 are color coded such that there are six color coded tray compartment groups, see fig. 32, wherein each color coded group contains a set of surgical instruments having a predetermined function, as shown in table 2B. For example, for surgical instruments for a caesarian section, the first region 82 may include the tray compartment 32 and surgical instruments 40 in set 1, where 30 is pink, and may include surgical instruments 40 for cleaning and preparing the skin for intervention; second region 84 may include tray compartment 32 and surgical instruments 40 in group 2, which are blue in color, and may include surgical instruments 40 for cutting skin (e.g., abdomen); third region 83 may include tray compartments 32 and surgical instruments 40 in group 3, which are colored yellow and may include surgical instruments 40 for treating tissue; the fourth area 85 may include the tray compartments 32 and surgical instruments 40 in group 4, which are labeled green with green, and may include surgical instruments for delivering the baby; fifth region 86 may include tray compartment 32 and surgical instruments 40 in group 5, which are color-coded brown, and may include instruments for closing the uterus; the sixth area 88 may include the tray compartments 32 and surgical instruments 40 in group 6, which are marked with red color, and may be used to close the abdomen and skin.

Table 2A: simplified surgical instrument 40 for cesarean section

Content providing method and apparatus	Number of instruments
		Allis tissue forceps
Green Armitage bending clamp	0
		Green Armitage straight pliers	2
Criles artery curved forceps	0
		Spencer Wells artery 7 inch straight forceps	2
8-inch straight Kocher artery forceps	2
		Mayo7 inch needle holder	2
Cord scissors
		Dressing scissors	0
Mayo direct shear	1
		Mayo curved scissors	0
Mclndoe cut, bend	0
		Rampley sponge holding forceps	3
Bonney toothed dissecting forceps	1
		7 inch toothless dissecting forceps	1
Waugh toothless dissecting forceps	0
		Waugh toothed dissecting forceps	0
Bard Parker No. 4 handle	2
		Wrigley obstetric forceps (L)&R pair	1
Doyen manual retractor	1
		Langenbeck retractor middle (middle)	1
Morris retractor	0
		Mono pole diathermy cable	1
Towel clip	1
		8-inch diathermy dissecting forceps	1
Bichlorophenylbiguanide hexane sprayer + + ++	1
		Razor	1
Total number of	25

Table 2B: color coded simplified surgical instrument 40 for cesarean section

In an alternative embodiment, the set of surgical instruments 40 may include a reduced set of disposable sterile surgical instruments listed in table 4 for vaginal hysterectomy and repair. Tables 3A and 3B list the complete set of surgical instruments used for these interventions.

Table 3A: complete set of surgical instruments for vaginal hysterectomy

Table 3B: complete set of surgical instruments for vagina/peritoneum repair

Table 4: simplified instrument kit for vaginal hysterectomy and repair

Content providing method and apparatus	Number of instruments contained in storage array
		Sims sight glass	2
Double-claw pliers	2
		Knife with cutting edge	1
Mayos scissors	1
		Suture scissors	1
Needle holder	1
		Sponge pincers	1
Kochers	1
		Ellis tissue forceps	1
Littlewoods	1
		Catheter tube	1
Total number of	13

In another alternative embodiment, the set of surgical instruments may include a reduced set of disposable sterile surgical instruments for abdominal surgery listed in table 6. Tables 5A and 5B list the complete set of surgical instruments used for this intervention.

Table 5A: current abdominal hysterectomy instruments

Table 5B: current laparotomy surgical instruments

Content providing method and apparatus	Current number of instruments
		Simms sight glass	1
Double-claw tissue forceps	2
		Curved Mayo scissors	1
A Hegar dialer 3-18 is arranged	1
		Small size scraper	1
Medium size scraper	1
		Large scraper	1
Polypectomy forceps	1
		Ovum forceps	1
Rampley sponge pincers	2
		Uterus	1
Bonney dissecting forceps toothless	1
		Medium receiver	1
Blue Gallipot	1
		137x137 internal winding belt	1
Transport wrapping tape	1
		Total number of	18

Table 6: simplified surgical instrument kit 40 for abdominal hysterectomy and laparotomy

Content providing method and apparatus	Number of instruments contained in storage array
		Knife with cutting edge	1
Lange beck	1
		Doyens retractor	1
Self-retaining retractor	1
		Retractor	1
Bowel	1
		Suture scissors	1
Mayos	1
		Kochers	2
Maingot	2
		Gwellim	2
Ellis	4
		Spencer Wells	4
Total number of	22

In another alternative embodiment, the set of surgical instruments may include a reduced set of disposable sterile surgical instruments listed in table 8 for terminating a pregnancy. Table 7 lists the complete set of surgical instruments used for such interventions.

Table 7: surgical instrument kit 40 for terminating a pregnancy

Content providing method and apparatus	Number of instruments contained in storage array
		Sponge holder	2
Scissors suture	1
		Mclinotock for clamping ovum	1
Pliers polyp Bonney	1
		Dual-claw pliers Teals	2
Scraper Evans	4
		Small size with sharp single end of scraper	1
Uterine sound bar	1
		Hawkins Ambler 11 pieces per set (3 to 13)	1
Sims sight glass	1
		Syringe with a needle	1
Total number of	16

Table 8: simplified surgical instrument kit 40 for terminating a pregnancy

In another alternative embodiment, the set of surgical instruments may include a reduced set of disposable sterile surgical instruments listed in table 10 for tracheotomy procedures. Table 9 lists the complete set of surgical instruments used for such interventions.

Table 9: current tracheotomy instruments

Content providing method and apparatus	No.
		Retractor West is self-retaining	2
Rampley sponge holding forceps	2
		Bachaus towel clip	5
Lahey pliers	1
		Needle holder stills	1
Gillies needle holder	1
		Tissue forceps Allis	2
Artery forceps Cairns, bend	5
		Halstead mosquito, curve of artery forceps	5
Scissor Iris, sharp, straight	1
		Scissors Strabissmus, blunt, straight	1
Scissors Strabissmus, blunt, bent	1
		Scissors McIndoe, curve	1
Trachea dilator	1
		Dissecting forceps McIndo, toothless	1
Dissecting forceps Gillies, toothed	1
		Magil sucker 3Number (C)	2
Leather hook Gillies	2
		Leather hook Kilner	1
Retractor Kilner catspaw	2
		Double-hook blunt retractor	2
Retractor single hook, blunt	1
		Circular hook, sharp	1
Probe dissector Watson Cheyne	1
		Bar parker handle No. 3	1
Bard parker handle no 4	1
		Retractor Langenbeck, Small size&Medium size	2ea
Total number of	72

Table 10: simplified surgical instrument kit 40 for tracheotomy

Content providing method and apparatus	Number of instruments contained in storage array
		Surgical knife	1
Pliers with teeth	1
		Dissecting scissors	1
Surgical retractor s	1
		Ring-shaped hook	1
Bipolar heat transmission therapeutic device	1
		Cuff-type and non-cuff-type tracheotomy tube	1
Dressing material	1
		Total number of	8

In another alternative embodiment, the set of surgical instruments may include a reduced set of disposable sterile surgical instruments listed in Table 12A or 12B for use in tonsillar and adenoid surgery. Table 11 lists the complete set of surgical instruments used for such interventions.

Table 11: current tonsil and adenoid group instruments

Content providing method and apparatus	Current number of instruments
		Negus tonsil artery clamp, large-size bend	1
Negus tonsil artery clamp, small-size bend	1
		Birkett straight artery clamp	1
Birkett curved artery forceps	1
		Denis Brown tonsil holding forceps	1
Luc tonsil holding forceps	1
		McIndo scissors	1
Wilson's scissors	1
		Mollisons tonsil dissector/retractor	1
Gwynne Evans tonsil dissector	1
		Negus ligation pusher	1
Adenoid scraper and spike housing (cage)	1
		Adenoid scraper	4
Waughs dissecting forceps toothless	1
		Waughs dissecting forceps with teeth	1
Boyle Davis cloth for plugging	1
		Cutting blades of different sizes	4
Draffin two-foot bracket	2
		Yankauer aspirator	1
Towel clip ball and socket	2
		Bipolar forceps&Conducting wire	1ea
Total number of	18

Table 12A: first suite of reduced surgical instruments 40 for tonsil and adenoid surgery

Table 12B: second suite of reduced surgical instruments 40 for tonsillar and adenoid surgery

Content providing method and apparatus	Number of instruments contained in storage array
		Bipolar dissection for tonsillectomy	1
Diathermy by suction apparatus	1
		Cloth for covering mouth and tongue depressor	1
Tonsillectomy stent	1
		Yanker suction apparatus	1
Total number of	5