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US2345294A - Method of scrubbing - Google Patents

Method of scrubbing Download PDF

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US2345294A
US2345294A US304034A US30403439A US2345294A US 2345294 A US2345294 A US 2345294A US 304034 A US304034 A US 304034A US 30403439 A US30403439 A US 30403439A US 2345294 A US2345294 A US 2345294A
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brushes
scrubbing
hands
brush
hand
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US304034A
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Goodrich C Schauffler
Robert C Shoemaker
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    • AHUMAN NECESSITIES
    • A47FURNITURE; DOMESTIC ARTICLES OR APPLIANCES; COFFEE MILLS; SPICE MILLS; SUCTION CLEANERS IN GENERAL
    • A47KSANITARY EQUIPMENT NOT OTHERWISE PROVIDED FOR; TOILET ACCESSORIES
    • A47K7/00Body washing or cleaning implements
    • A47K7/04Mechanical washing or cleaning devices, hand or mechanically, i.e. power operated

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  • This invention relates to a method of cleansing or scrubbing, and has special reference to the washing of the hands and arms.
  • the invention is of special utility in hospital scrub rooms and bacteriological research laboratories, and has utility wherever there is a necessity to clean or sterilize the hands and arms, as in kitchens and other places where food products are handled or treated, and in machine shops and similar places where the hands and arms are particularly soiled.
  • maining on the hands is shocking when revealed by test.
  • the object in general, therefore, of the present invention is to provide a method whereby a better controlled and more uniform result than heretofore obtainable may-be accomplished in washing and scrubbing thehands, through accurate control. and standardization of the speed of the bristle movement, the pressure exerted upon the skin by the bristles, and the extent of the surface covered by the stroke.
  • the present invention not only facilitates clinical procedure, but also offers ameans of standand in many cases the amount of bacteria reardizing methods of study and achieving accu,
  • FIG. 1 is an elevation chine embodying the principles of the present invention.
  • Figure 2 is a plan view of the machine shown in Figure 1. a
  • Figure 3 is a perspective view of the machinev modified form the line chineemploying revolving brushes. Upon a. base.
  • I are.supported'thewertical. columns 2' and Fixedly secured to the lower portions of columns 2 and 3 are bearings 4, inwhich is journalledthe lower shaft or mandrel 5. Keyed to the mandrel or shaft 5 are brushes-such as illustrated at 5, 6, 6. The brushes may be retained on the mandrel by means of a knurled nut i. The. opposite end of shaft 5 carries a spiral gear 8 keyed thereto. Slidably mounted on, the vertical columns 2 and 3 above the fixed bearingsl are bearings .9v joined by; the web ID. Thebearings 9 carry the. upper shaft or. mandrel H, on which are mounted brushes 6, 6', 6 etc., in a manner similar.- to the. brushes on thelower shaft.
  • shaft ll carries spiralv gear 12 keyed thereto.
  • Means is provided for vertically adjusting the upper shaft II to vary the spacing between the opposed brushes 6 and 6".
  • Various means may be employed to provide this vertical adjustment,
  • cylinder 20 carried by the bridge" 2-5, having therein a piston (not shown) and a piston rod 2
  • Suitable fluid pressure means may be employed to operate the piston within the cylinder 20 in response to pedal movement or other convenient manipulating device.
  • bracket 22 Extending upwardly from the bridge 25 is the. bracket 22 carrying. a spray pipe 231 for dispensing Water, soap solution, or other liquid conveyed by the tube 24.
  • the pipe 23 may be provided with orifices in any suitable arrangement above the brushes 6. and 6.. Hot. and cold water and a soap. solution may be fed selectively into the single tube 24, under the control of foot or knee operated valves (not shown), or separate tubes may be provided.
  • the water valves should provide an. increased flow for rinsing the hands and brushes.
  • the drive is such as. to produce counter-clockwise rotation of both sets of brushes, 6. and 6', when viewed from the rig-ht hand ends of the. shafts 5 and II. It has been found. desirable to make both sets of brushes revolve in. the. same direction so that the frictional forces tending to. pull the hand.- or arm, further into. the brushes balance the other frictional forces, tending to thrustv the hand or arm. out from between the brushes. With the brushes rotating in the direction described, theupper brushes 6' will tend to. pull the hand inwardly while the lower brushes 6' will. tendto thrust the hand outwardly, thus relieving. the operator of effort in holding his hand in the desired position, or of moving it from one position to another.
  • the speed of rotation should be sufficient tokeep the brushes saturated with water entirely around their peripheries, but insufficient to spin the water off by centrifugal force.
  • the liquid will distribute itself annularly in a substantially uniform layer nearthe ends of the revolving bristles, and will not tend to collect at the bottom side of the brush,'nor to drip therefrom.
  • the water and soap will be carried around with the brush until it contacts some foreign object such as the hand or arm to be washed.
  • a portion of the .liquid will thereupon be transferred from the revolving brush tothe hand, or arm, andthewater flow from spray pipe 23 should be adjusted to supplyv only the rate of flow desired for washing.
  • the hands may be inserted fiatwise between the brushes and the relative spacing of brushes 6 and 6' adjusted by means of fluid pressure in the cylinder 20 to give the desired scrubbing effect.
  • the hands or arms are progressively subjected to scrubbing action and the thicker parts of the forearm are inserted between brushes 6 and 6', greater spacing will be required to develop the same scrubbing action without undue abrasion to the skin.
  • Cleansing of the finger nails and the adjacent surfaces of the fingers can be accomplished by appropriate technique with the particular kinds of brushes employed, the pressure against the brushes being controlled by the operator either by applying the fin-- ger directly to one of the brushes alone, or by means of the cylinder 20, if the hands are between the two brushes. 6 and 6', so as to obtain a satisfactory scrubbing operation.
  • a dynamometer To determine and measure theamount'of work being done in the scrubbing operation, a dynamometer is provided.
  • the dynamometer will in dicate when the scrubbing is being conducted sufilciently vigorously and will also givereadings which may be compared with a standard of satisfactory operation.
  • Thedynamcmeter may be of any type'kncwn in the art, and may be either an electrical ora mechanical type.
  • the dynamometer in addition to indicating continuously the work being done in the scrubbing operation, should also preferably make a graph or record of such work or energy output. These records would be especially valuable in bacteriological research in establishing definite basis of comparison of the cleanliness, or freedom from bacteria, of the hands, as a fundamental starting point for experiments.
  • an electrical dynamometer 26 of the recording type is connected into the electrical supply for the motor 20.
  • the movable arm 21 responds to the power input for the motor 20, tracing a power curve on the graph 28, which revolves at a speed such that divisions thereon may be calibrated in minutes.
  • Power may be indicated in any suitable units. The units of work expended in any scrubbing operation will then be represented by the area under. the power curve, a datum line being established to'represent the amount of power required to run the machine when no scrubbing is taking place.
  • Bar 36 is slidably supported in the bearings 34* and 35 for limited horizontalmovement.
  • Bar 36 carries on one extremity the removable brush 31 attached by wing nut or other suitable clamping means, as indicated at 38., Depending from the bar 36 is the projection 39 for purposes presently to be described.
  • the rod 36 is provided with an eye or Scotch yoke 40 to receive a crank 4
  • Motor 43 may conveniently be bolted to the base 3
  • Bar 36 carries at its other extremity the rack 44 offset in the manner shown.
  • the upright columns 32 and 33 also carry the slidable bearing blocks 45 and 46.
  • Bar is mounted for limited horizontal sliding movement in the bearing blocks 45 and 46, said bearing blocks being held in alignment by the integral web 48.
  • Bar 41 carries a brush 49 at one extremity thereof detachably secured in any suitable manner,- as is the lower brush just described.
  • the upper brush 49 may be provided with bristles on both faces as illustrated, if desired, or may consist of two brushes, back to back.
  • the contour of the bristles on either or both faces of the brush 49, as well as the bristles on the brush 3'l,' may be either flat or curved as best suits the requirements of the objects to be scrubbed thereby.
  • Bar 41 terminates at the end opposite the brush in a rack 50 similar to the rack '44, but ofiset in the opposite direction.
  • is carried by lower and upper bearings 52 and 53, respectively. and .carries the gear'sector 54 fixed thereto.
  • Gear sector 54 engages the rack 44 so that reciprocation of the bar 36 will oscillate the shaft 5
  • Gear sector 55 rotates with gear sector 54 to impart a reciprocating motion to bar 41- simultaneously with. and in a direction opposite to the reciprocating motion of bar 38.
  • the fluid cylinder 59 is provided, having a piston rod 50 operatively controlling the height of web 48- as described in the species shown in Figure 1.
  • a bracket Bl extends above them-achine to support one or more pipes 62. which may be drilled tosupply liquid from the hose 63 as in Figure 1.
  • an additional set of brushes is provided having a spiral movement, these being particularly advantageous in scrubbing between the fingers.
  • the spiral scrubbing brushes are shown at 64 and may be removable. from their mandrel's as were the brushes described in Figure 1.
  • Knurled nuts 65 are illustrative of one means for retaining the brushes. fixed on their respective mandrels.
  • Brushes. are rotatably carriedby bearings 66 in the. depending projection 3-9 in such a manner that there is noaxial or lengthwise movement of the brushes with respect to member 5d.
  • the shafts or mandrels for the brushes 64 extend through and. beyond the bearings 66- and are provided on said extensions: with spiral threads or grooves 61.
  • Anupstanding member 68 is rigidly secured to the base 3
  • a removable guard 69 may be provided to steady the hand of the operator.
  • the machine illustrated in Figure 4 performs a scrubbing operation basically in the same manner as the machine in Figure 1, except that the scrubbing motion on the: hands is imparted by reciprocating brushes instead of revolving brushes.
  • the motor 43 operates through the reduction gear, crank, gear sectors and racks, illustrated and described, to move the brush 3T horizontally to the right as the brush 49 is simultaneously moved horizontally to the left, and vice versa., Freedom of access to the brushes 3! and 49 may be obtained either from the front or from the right of. the machine as viewed in Figure 5.
  • the hands may be inserted between, the opposed brushes, and the opposite surfaces scrubbed,v thereupon advancing, the hands to presentthe forearms on the various surfaces to the brushing action progressively.
  • the spacing b tween the brushes 3! and 49 may be varied continuallyduri-ng the scrubbing. operation by the fluid pressure cylinder 59 to maintain the desired application of pressure. on the skin.
  • the small brushes 64- are especially eflicacious for cleaning between the fingers and for cleaning under the finger nails.
  • the reciprocating, movement. of the lower brush causes a combined reciprocating and oscillating movement of brushes, 64. If the operators hand is steadied against the guard 69 to hold the hand stationary, adjacent surfaces of the fingers inserted between the brushes will be subjected to a reversing, spiral scrubbing action. While the brushes B4 are illustrated as beingv cylindrical, other, shapes may be used if desired.
  • the main brushes 31 and 49 may be made to oscillate-as they reciprocate, in the same manner as brushes 64, to give a' spiral scrubbing motion. Cylindrical brushes might then be used, similar to the brushes 6, 6 of Figure 1. Other types of scrubbing motions, and other types of scrubbing members may be used in carrying out the spirit of applicants invention.
  • the scrubbing members may be carried on juxtaposed endless belts, as illustrated at 8
  • the scrubbing members he bristle brushes as rubber projections may be substituted for animal bristles, or the scrubbing surfaces may be formed of sponge or crepe rubber, or other material suitable for producing the desired scrubbing action.
  • the sterilization requirements will constitute a major consideration in the choice of suitable scrubbing members.
  • a dynamometer device may be applied to the machine of Figure 4 as described in connection with the revolving brush machine of Figure 1. It is desired to indicate and record thework performed in the brushing operation in the same manner as described in connection with the machine employing revolving brushes.
  • a routine laboratory procedure may be developed to establish a standard of cleanliness, or freedom from bacteria.
  • This standard may be used not only as a guide for minimum scrubbing time for surgeons and interns about to enter the operating room, but is also of the greatest utility in forming a basis for statistical comparison in the performance of bacteriological research.
  • the method of this invention will materially assist in reducing to a constant one of the annoying variables in hand sterilization for surgery.
  • This procedure also serves as a basis of comparison for the various hand washing techniques of different individuals using the, conventional scrubbing brush method, as a basis for comparison of the machine method versus the conventional method, and as a basis of comparison between various antiseptic solu- Percent reduction Time scrubbed in minutes Manual Machine method method
  • the standardized method of cleansing a part of the human body which comprises applying a scrubbing action to said part and applyin pressure to said part by said scrubbing action, continuously measuring the energy applied during said scrubbing action, varying said pressure to obtain a, predetermined application of energy in said scrubbing action and continuing said action until said measurement indicates the xpenditure of energy of a predetermined value.
  • the standardized method of cleansing a part of the body which comprises simultaneously applying a scrubbing action with pressure against opposite sides of said part, continuously measuring the total energy applied to said scrubbing action, varying said pressure to obtain a predetermined application of energy and continuing said action until said measurement indicates the expenditure of energy of a predetermined value.
  • the method of cleansing the hands and forearms which comprises providing a pair of complementary scrubbing elements, supplyin cleansing material to said elements, inserting said parts between said elements, adjusting the pressure of said elements against said parts until the therefrom by centrifugal force, inserting the hands and forearms between said brushes, ad-

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  • Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Mechanical Engineering (AREA)
  • Epidemiology (AREA)
  • General Health & Medical Sciences (AREA)
  • Brushes (AREA)

Description

M r 8, 1944- G. c. SCHAUFFLER ETAL 2,345,294
' METHOD OF SCRUBBING Filed Nov. 13, 1939 3 Sheets-Sheet l INVENTORS: GOODRICHC'SCHHUFFLER BY DBERT OSHOEMA F? M r h 28, 1944. 6.2;. Sal-MUFFLER Em 2,345 294 METHOD OF SCRUBBING Filed Nov. 13, 1939 3 Sheets-Sheet 2 F IG. 7 INVENTORS; GOODPICH C SCH/7UFFLER w w w w. w m u m zetuamut kzwumum 56 75 1101! 1213 MINUTES SCPUBBED March 1944- v G. c. SCHAUFFLER ETAL 2,345,294
METHOD OF SCRUBBING Filed Nov. 13, 1939 *3 Sheets-Sheet 3 n-u CF-555.,
- INVENTORS; GoomlcHC. SCH/IUFFLER Patented Mar. 28, 1944 METHOD OF SCRUBBTNG Goodrich C. Schaufller and Robert C. Shoemaker, Portland, Oreg.
Application November 13, 1939, Serial No. 304,034
6 Claims.
This invention relates to a method of cleansing or scrubbing, and has special reference to the washing of the hands and arms.
The invention is of special utility in hospital scrub rooms and bacteriological research laboratories, and has utility wherever there is a necessity to clean or sterilize the hands and arms, as in kitchens and other places where food products are handled or treated, and in machine shops and similar places where the hands and arms are particularly soiled.
The conventional practice in washing the hands, where the operation is to be done thoroughly, is to scrub them alternately, using one hand to scrub the other. In the case of surgeons it is generally necessary to cleanse the hands thoroughly by scrubbing at least once every day and, on occasion, many times a day. Accepted practice demands that this scrub be not less than seven nor more than ten minutes in duration, which process is time consuming, fatiguing, nerve wracking and often damaging to the hands. It is the custom to hold a brush in one hand and scrub as much of the surface of the back of the other hand as can be contacted at one time. Eventually the entire area of the back of the hand is covered. The hand is then turned and the palm scrubbed in the same manner. Interstices between the fingers are thereupon carefully scrubbed individually, then the under surface of each nail is carefully scrubbed. The wrists and each surface of the forearm are then scrubbed, a small portion at a time. When one hand and arm have thus been completely cleansed by scrubbing, the brush is shifted to the clean hand and the process is repeated on the other hand and arm.
No attempt is made to allot given time intervals to particular surface areas, and each operator carries out the procedure according to his own concept of effectiveness. For example, surgeons of long experience, as well as relatively inexperienced interns, scrub their hands without any definite or accepted standard of effectiveness. A muscular, nervous, high strung individual tends to scrub at high speed under great tension, moving rapidly, covering large surfaces with each stroke of the brush and using high pressure. Languid, lethargic individuals daub small areas of either hand with a disinterested and ineffective touch. As a result of this lack of uniform procedure, a uniform standard of cleanliness, or freedom from bacteria, is not ordinarily attained,
maining on the hands is shocking when revealed by test.
The necessity of prolonged scrubbing by the conventional method Just described is not established upon a scientific basis, although considerable fairly well controlled scientific research indicates that the ten minute period leaves some margin of safety for everyone. How much less than ten minutes might safely be used for scrubbing by the conventional method has not previously been established. A study of the lack ofuniformity, and the many uncontrolled variable factors in the conventional method indicate why there is little or no dependable background of scientific research. The reason is that the lack of standardization of variables in the present scrubbing practice is so manifest that its use to establish scientific results is grossly unsatisfactory and unreliable. In other words, present methods are so unreliable that bacteriological studies based upon them must be considered unsound.
Analysis indicates that the important variable factors are: (a) speed of bristle movement; (b) pressure exerted upon the skin by the bristles; (c) extent of surface covered by each stroke; (d) scrubbing time. The gross irregularity of these factors in various individuals is at once obvious. Because of these many variables it is diilicult .to use the present method to evaluate itself to actually determine its own effectiveness.
The object in general, therefore, of the present invention is to provide a method whereby a better controlled and more uniform result than heretofore obtainable may-be accomplished in washing and scrubbing thehands, through accurate control. and standardization of the speed of the bristle movement, the pressure exerted upon the skin by the bristles, and the extent of the surface covered by the stroke.
- Particular objects are: (1) to improve the final hand sterilization result; (2) to decrease the time and effort involved in obtaining the desired result; (3) to achieve uniformity of result in different individuals; (4) to indicate and record the amount of effort and thus the relative effectiveness of each individual scrub; (5)- to establish a reliable means of studying methods of hand sterilization; and (6) to facilitate the preparation of standards whereby individuals may be catalogued as to relative contamination by dangerous hand bacteria.
- The present invention not only facilitates clinical procedure, but also offers ameans of standand in many cases the amount of bacteria reardizing methods of study and achieving accu,
rateness in the study of hand sterilization. Instead of wasting valuable nervous energy in actual scrubbing, standing and bending prior to entering the surgery, an operator using the machine of the present invention will be comfortably seated in a chair facing the scrubbing device. Above the machine is framed a simple, diagrammatic, illustrated instruction chart. On this chart the scrubber is shown successive positions of the hands .and arms, and the precise amount of energy to be applied in each of those positions. Bristle pressure is registered indirectly in the form of applied energy on a recording dynamometer. A clock or special timing. device, or the time indicator on the recording dynamometer, may be used to'time each position. The operator accomplishes at complete ease, without any concentrated attention on this part, the following functions: Instead of one small surface of one hand, there is scrubbed simultaneously both surfacesof both hands. interdigital space or one or two nail beds, there are scrubbed several, 01'' all, at the sametime,
all being treated with a uniform bristle speed and.
pressure. Regardless of the operators experience in scrubbing, and irrespective of his individual temperament, the scrubbing will be accomplished on all operators by a scientific, almost identical, process. The standard of cleanliness willbe substantially the same for the experienced surgeon, the inexperienced interne, and the-listless. or .conscienceless operator.
These and other advantages of the invention will becomeapparent to one skilled in the art as the disclosure proceeds in connection with the drawings, in which:
Figure 1 is an elevation chine embodying the principles of the present invention. I
Figure 2 is a plan view of the machine shown in Figure 1. a
Figure 3 is a perspective view of the machinev modified form the line chineemploying revolving brushes. Upon a. base.
I are.supported'thewertical. columns 2' and Fixedly secured to the lower portions of columns 2 and 3 are bearings 4, inwhich is journalledthe lower shaft or mandrel 5. Keyed to the mandrel or shaft 5 are brushes-such as illustrated at 5, 6, 6. The brushes may be retained on the mandrel by means of a knurled nut i. The. opposite end of shaft 5 carries a spiral gear 8 keyed thereto. Slidably mounted on, the vertical columns 2 and 3 above the fixed bearingsl are bearings .9v joined by; the web ID. Thebearings 9 carry the. upper shaft or. mandrel H, on which are mounted brushes 6, 6', 6 etc., in a manner similar.- to the. brushes on thelower shaft. Likewise, the opposite end of shaft ll carries spiralv gear 12 keyed thereto. A bearing l3 on the base, and a bearing 14. supported and heldv in. alignment by the columns 2 and}. hold the shaft [5 forv rotation. Fixed to thetlowenportion of said shaft l5, seas Instead of one view of a scrubbing ma-;
to rotate therewith, is the spiral gear l6 in engagement with the spiral gear 8. Keyed to the shaft l5 and free for longitudinal movement thereon is the upper spiral gear I! retained between fingers I8 and [9 on an extension of the web I0. An electric motor 29 secured to the base I furnishes the motive power, driving the shaft 5 through the reduction gear 2|.
Means is provided for vertically adjusting the upper shaft II to vary the spacing between the opposed brushes 6 and 6". Various means may be employed to provide this vertical adjustment,
' and other suitable means will occur to persons skilled in the art, but in the illustrated embodiment there is shown the cylinder 20, carried by the bridge" 2-5, having therein a piston (not shown) and a piston rod 2| connected at its lower end to the web l0. Suitable fluid pressure means may be employed to operate the piston within the cylinder 20 in response to pedal movement or other convenient manipulating device.
Extending upwardly from the bridge 25 is the. bracket 22 carrying. a spray pipe 231 for dispensing Water, soap solution, or other liquid conveyed by the tube 24. The pipe 23 may be provided with orifices in any suitable arrangement above the brushes 6. and 6.. Hot. and cold water and a soap. solution may be fed selectively into the single tube 24, under the control of foot or knee operated valves (not shown), or separate tubes may be provided. The water valves should provide an. increased flow for rinsing the hands and brushes.
In the machine illustrated in Figure 1, the drive is such as. to produce counter-clockwise rotation of both sets of brushes, 6. and 6', when viewed from the rig-ht hand ends of the. shafts 5 and II. It has been found. desirable to make both sets of brushes revolve in. the. same direction so that the frictional forces tending to. pull the hand.- or arm, further into. the brushes balance the other frictional forces, tending to thrustv the hand or arm. out from between the brushes. With the brushes rotating in the direction described, theupper brushes 6' will tend to. pull the hand inwardly while the lower brushes 6' will. tendto thrust the hand outwardly, thus relieving. the operator of effort in holding his hand in the desired position, or of moving it from one position to another. In addition to having both sets of brushes rotate in the same direction, it is desirable that the upper brush rotate away from the operator on its under side. If the upper brush rotated toward the operator on its under side, the rotating bristles would snap water droplets onto the operator in anobjection-able manher. With counterclockwise rotation the revolving bristles on the lower brushes will snap water droplets in the direction of the operator, but a shield may conveniently bearranged to protect the operator from Water coming from the lower brush. Suitable means should be provided beneath the brushes to catch or carry away excess soap and water. a
It may be found convenient to provide brushes of variou shapes and contours for cleaning different parts of the hands and arms, as for instance, small, stiff brushes for cleaning around the-finger nails, thin brushes for cleaning between the fingers, and perhaps specially grooved brushes to allow complete insertion of the hand and forearm. However, the arm may be inserted between the cylindrical brushes illustrated by appropriately raising the. upper brush.
The speed of rotation should be sufficient tokeep the brushes saturated with water entirely around their peripheries, but insufficient to spin the water off by centrifugal force. Experimentation shows that at speeds above a certain minimum, the liquid will distribute itself annularly in a substantially uniform layer nearthe ends of the revolving bristles, and will not tend to collect at the bottom side of the brush,'nor to drip therefrom. When the brush is revolving at the proper speed, the water and soap will be carried around with the brush until it contacts some foreign object such as the hand or arm to be washed. A portion of the .liquid will thereupon be transferred from the revolving brush tothe hand, or arm, andthewater flow from spray pipe 23 should be adjusted to supplyv only the rate of flow desired for washing. When the hand or arm is not in contact with the revolving brush, the water will remain therein, unless the flow from pipe 23 is allowed to continue, causing an excess over the capacity of the brush. It is intended that a foot valve or'the like be allowed to close, stopping the water flow from pipe 23, when the hands are removed from the brushes. When the brushes are idling at the proper speed, the water will be retained as described, and if the rotational speed should be reduced, or the brushes stopped entirely, it will be noted that a considerable quantity of water will flow from the under sides thereof. Also, if the brush speed be increased, centrifugal force will overcome capillary attraction, and the water will spin off tangentially in all directions. Neither of these last mentioned conditions is desired for performing a satisfactory washing or scrubbing operation.
Proper control of speed prevents wasting of the soap, in that the brushes can be kept continuously saturated with soap and water by adding through the spray bar only the quantity required for use on the hands. The actual optimum speed for a given installation depends upon the above-discussed considerations, and it is held within the scope of this invention to vary the diameter of the brushes as desired, as well as to vary their form, in order to best satisfy the requirements of various scrubbing conditions.
In using the machine of Figure 1 the hands may be inserted fiatwise between the brushes and the relative spacing of brushes 6 and 6' adjusted by means of fluid pressure in the cylinder 20 to give the desired scrubbing effect. As the hands or arms are progressively subjected to scrubbing action and the thicker parts of the forearm are inserted between brushes 6 and 6', greater spacing will be required to develop the same scrubbing action without undue abrasion to the skin. Cleansing of the finger nails and the adjacent surfaces of the fingers can be accomplished by appropriate technique with the particular kinds of brushes employed, the pressure against the brushes being controlled by the operator either by applying the fin-- ger directly to one of the brushes alone, or by means of the cylinder 20, if the hands are between the two brushes. 6 and 6', so as to obtain a satisfactory scrubbing operation.
To determine and measure theamount'of work being done in the scrubbing operation, a dynamometer is provided. The dynamometer will in dicate when the scrubbing is being conducted sufilciently vigorously and will also givereadings which may be compared with a standard of satisfactory operation. Thedynamcmeter may be of any type'kncwn in the art, and may be either an electrical ora mechanical type. In conducting experimental work, the dynamometer, in addition to indicating continuously the work being done in the scrubbing operation, should also preferably make a graph or record of such work or energy output. These records would be especially valuable in bacteriological research in establishing definite basis of comparison of the cleanliness, or freedom from bacteria, of the hands, as a fundamental starting point for experiments.
In the preferred embodiment, an electrical dynamometer 26 of the recording type is connected into the electrical supply for the motor 20. The movable arm 21 responds to the power input for the motor 20, tracing a power curve on the graph 28, which revolves at a speed such that divisions thereon may be calibrated in minutes. Power may be indicated in any suitable units. The units of work expended in any scrubbing operation will then be represented by the area under. the power curve, a datum line being established to'represent the amount of power required to run the machine when no scrubbing is taking place.
The embodiment shown in Figures 4 and- 5 Bar 36 is slidably supported in the bearings 34* and 35 for limited horizontalmovement. Bar 36 carries on one extremity the removable brush 31 attached by wing nut or other suitable clamping means, as indicated at 38., Depending from the bar 36 is the projection 39 for purposes presently to be described. Between the bearings 34 and '35 the rod 36 is provided with an eye or Scotch yoke 40 to receive a crank 4| extending upwardly from the gear reduction box 42 on the motor 43. Motor 43 may conveniently be bolted to the base 3|. Bar 36 carries at its other extremity the rack 44 offset in the manner shown.
The upright columns 32 and 33 also carry the slidable bearing blocks 45 and 46. Bar is mounted for limited horizontal sliding movement in the bearing blocks 45 and 46, said bearing blocks being held in alignment by the integral web 48. Bar 41 carries a brush 49 at one extremity thereof detachably secured in any suitable manner,- as is the lower brush just described. The upper brush 49 may be provided with bristles on both faces as illustrated, if desired, or may consist of two brushes, back to back. The contour of the bristles on either or both faces of the brush 49, as well as the bristles on the brush 3'l,'may be either flat or curved as best suits the requirements of the objects to be scrubbed thereby. It is also within the scope of this invention to substitute for each of the brushes 31 and 49 a plurality of small brushes of a size readily obtainable at small cost, and the brush holding means should be adapted to receive either the small or the large brushes. Bar 41 terminates at the end opposite the brush in a rack 50 similar to the rack '44, but ofiset in the opposite direction.
, A vertical shaft 5| is carried by lower and upper bearings 52 and 53, respectively. and .carries the gear'sector 54 fixed thereto. Gear sector 54 engages the rack 44 so that reciprocation of the bar 36 will oscillate the shaft 5|. Slidably keyed, on the upper part of the shaft 5!, as by the keyor spline 56, is the gear sector 55 retained between the fingers 51 and 58 extending from .web 48.
21h g g s 5? an a omi r m F re for cl'earness. Gear sector 55 rotates with gear sector 54 to impart a reciprocating motion to bar 41- simultaneously with. and in a direction opposite to the reciprocating motion of bar 38. To adjust the spacing between the brushes 3'! and 49 the fluid cylinder 59 is provided, having a piston rod 50 operatively controlling the height of web 48- as described in the species shown in Figure 1.
A bracket Bl extends above them-achine to support one or more pipes 62. which may be drilled tosupply liquid from the hose 63 as in Figure 1.
In the embodiment shown in Figures 4 and 5- an additional set of brushes is provided having a spiral movement, these being particularly advantageous in scrubbing between the fingers. The spiral scrubbing brushes are shown at 64 and may be removable. from their mandrel's as were the brushes described in Figure 1. Knurled nuts 65 are illustrative of one means for retaining the brushes. fixed on their respective mandrels. Brushes. are rotatably carriedby bearings 66 in the. depending projection 3-9 in such a manner that there is noaxial or lengthwise movement of the brushes with respect to member 5d. The shafts or mandrels for the brushes 64 extend through and. beyond the bearings 66- and are provided on said extensions: with spiral threads or grooves 61. Anupstanding member 68 is rigidly secured to the base 3| and contains a threaded opening to cooperate with each threaded spiral 61; In this manner, reciprocation of the projection 39 on the bar 36 will impart a lengthwise reciprocating movement to the brushes 54 and atthe same. time. cause them to oscillate so as to produce a spiral scrubbing or brushing motion. A removable guard 69 may be provided to steady the hand of the operator.
The machine illustrated in Figure 4 performs a scrubbing operation basically in the same manner as the machine in Figure 1, except that the scrubbing motion on the: hands is imparted by reciprocating brushes instead of revolving brushes. The motor 43 operates through the reduction gear, crank, gear sectors and racks, illustrated and described, to move the brush 3T horizontally to the right as the brush 49 is simultaneously moved horizontally to the left, and vice versa., Freedom of access to the brushes 3! and 49 may be obtained either from the front or from the right of. the machine as viewed in Figure 5. As in the case of the revolving brushes of Figure 1, the hands, may be inserted between, the opposed brushes, and the opposite surfaces scrubbed,v thereupon advancing, the hands to presentthe forearms on the various surfaces to the brushing action progressively. The spacing b tween the brushes 3! and 49 may be varied continuallyduri-ng the scrubbing. operation by the fluid pressure cylinder 59 to maintain the desired application of pressure. on the skin.
In Figure 4 the small brushes 64- are especially eflicacious for cleaning between the fingers and for cleaning under the finger nails. As described, the reciprocating, movement. of the lower brush causes a combined reciprocating and oscillating movement of brushes, 64. If the operators hand is steadied against the guard 69 to hold the hand stationary, adjacent surfaces of the fingers inserted between the brushes will be subjected to a reversing, spiral scrubbing action. While the brushes B4 are illustrated as beingv cylindrical, other, shapes may be used if desired.
If desired, the main brushes 31 and 49 may be made to oscillate-as they reciprocate, in the same manner as brushes 64, to give a' spiral scrubbing motion. Cylindrical brushes might then be used, similar to the brushes 6, 6 of Figure 1. Other types of scrubbing motions, and other types of scrubbing members may be used in carrying out the spirit of applicants invention. For instance, the scrubbing members may be carried on juxtaposed endless belts, as illustrated at 8|, in Figure 6', or revolving discs, adjustably spaced so that a part of the body, such as a hand, may be scrubbed simultaneously on both sides. It is not necessary that the scrubbing members he bristle brushes as rubber projections may be substituted for animal bristles, or the scrubbing surfaces may be formed of sponge or crepe rubber, or other material suitable for producing the desired scrubbing action. In practice, the sterilization requirements will constitute a major consideration in the choice of suitable scrubbing members. a
A dynamometer device may be applied to the machine of Figure 4 as described in connection with the revolving brush machine of Figure 1. It is desired to indicate and record thework performed in the brushing operation in the same manner as described in connection with the machine employing revolving brushes.
With either typeof machine a routine laboratory procedure may be developed to establish a standard of cleanliness, or freedom from bacteria. This standard may be used not only as a guide for minimum scrubbing time for surgeons and interns about to enter the operating room, but is also of the greatest utility in forming a basis for statistical comparison in the performance of bacteriological research. The method of this invention will materially assist in reducing to a constant one of the annoying variables in hand sterilization for surgery.
For the purpose of obtaining a quantitative analysis, the following procedure was prescribed by and the Work carried out under th direction of the University of Oregon Medical School, Department of Bacteriology.
(a) Scrub hands and forearms vigorously for one minute with sterile brush in sterile water and sterile basin using no soap.
(b Scrub same areas immediately thereafter in prescribed method to be tested (i. e., manually for n minutes or with machin for 11. minutes).
(0) Repeat (a) for one minute with new sterile brush and water.
(d) Plate out samples of Water from (a) and (c) in usual manner prescribed by bacteriological practice and count for organisms after fortyeight hours incubation.
(6) Using difference between count from (a) and (c*)' as numerator and count from (a) as denominator calculate reduction in percent. This result is referred to below as "Percent Reduction.
This quotient appears to represent the nearest possible approach to an index of scrubbing efficiency as it is not possible to actually count the bacterial flora on the hands at any given time, i. e., before or after scrubbing in accordance with the method to be tested. In this way the minimum of time required to reduce thev bacteria count to a satisfactory figure may be determined, and a standard established. This procedure also serves as a basis of comparison for the various hand washing techniques of different individuals using the, conventional scrubbing brush method, as a basis for comparison of the machine method versus the conventional method, and as a basis of comparison between various antiseptic solu- Percent reduction Time scrubbed in minutes Manual Machine method method Whereas from a scientific point of view we do not contend that the obvious conclusions from these tests are absolute, we submit that they have been conducted in a scientific and impartial manner and that claims have been presented in a manner actually more conservative than the general indications. Considering the large number of tests conducted, it can be stated categorically that the improvement of the machine over the hand method is established. Further tests will be necessary to establish beyond question the degree of improvement.
It will be seen from the tabulation above, and. from the curves in Figure 7, that the machine method of removing bacteria from the hands is consistently superior to the manual method, within the time limits tested. The advantage is of diminishing magnitude as the time increases, and would probably vanish at about twelve or thirteen minutes. The advantage of the machine method is very marked when the scrubbing time is brief, and would appear even more striking if the manual method curve had been made to pass through the two minute and three minute points. The flattening out of both curves as the time increases indicates that in ten or twelve minutes the greater part of the bacteria that can be removed have been removed. Therefore, if time is not considered, it cannot be contended that the machine does a more thorough job, but it is evident that in any given reasonable time the machine will do a better job, or, will attain a given result in less time.
The saving in time appears to average 33% of the manual time, varying from 42% at 30% reduction in bacteria count, to 28% at 70% reduction in bacteria count. This is demonstrated by the following tabulation prepared by taking values from the smooth curves of Figure 7:
An important conclusion to be drawn from Figure 7 is that the present machine method'described herein appears to produce more uniform results than the conventional manual method. ihis is evident from the fact that a smooth curve is easily drawn through, or very hear, all the points plotting "machine results, whereas the curve for manual results is a compromise throughoutmost of its range. It is assumed that both curves should be smooth lines by the nature of the experiment, and thata curve that-attempted to'. include allthe points of themanual results would not be as near the'truth as the curve drawn.
The advantages of this invention have been pointed out with particular reference to the requirements of surgeons and laboratory technicians, but they are present in varying degrees to other classes of persons who are required to vigorously and efficiently scrub their hands at frequent intervals, and it is to be understood that this invention is not limited to use in the surgery or laboratory, but that it may be used wherever a scrubbing operation is to be performed.
Having now described the principles and method of our invention and in what manner the same be used, what we claim as new and desire to protect by Letters Patent is:
1. The standardized method of cleansing a part of the human body which comprises applying a scrubbing action to said part and applyin pressure to said part by said scrubbing action, continuously measuring the energy applied during said scrubbing action, varying said pressure to obtain a, predetermined application of energy in said scrubbing action and continuing said action until said measurement indicates the xpenditure of energy of a predetermined value.
2. The standardized method of cleansing a part of the human body which comprises subjecting said part to a scrubbing action, measuring the rate of expenditure of energy in said scrubbing action, continuing said action until said measurement indicates the expenditure of energy of a predetermined value, and simultaneously making a graphic record of said rate of expenditure of energy and also of the amount of work done in said scrubbing action.
3. The standardized method of cleansing a part of the body which comprises simultaneously applying a scrubbing action with pressure against opposite sides of said part, continuously measuring the total energy applied to said scrubbing action, varying said pressure to obtain a predetermined application of energy and continuing said action until said measurement indicates the expenditure of energy of a predetermined value.
4. The method of cleansing the hands and forearms which comprises subjecting said parts to the scrubbing action of complementar scrubbing means, pressing the said parts between said scrubbing means until the rate of energy expenditure due to frictional resistance between said means and said parts reaches a predetermined value, measuring the amount of energy expended in the scrubbing action, and continuing said action until said measurement indicates the expenditure of energy of a predetermined value.
5. The method of cleansing the hands and forearms which comprises providing a pair of complementary scrubbing elements, supplyin cleansing material to said elements, inserting said parts between said elements, adjusting the pressure of said elements against said parts until the therefrom by centrifugal force, inserting the hands and forearms between said brushes, ad-
justing the pressure of said brushes against the I hands and forearms until the rate of energy expenditure due to frictional resistance therebetween reaches a predetermined value, measuring the amount of energy expended in the scrubbing action, and continuing said action until said measurement indicates the expenditure of energy 19 of a predetermined value.
GOODRICH C. SCI-IAUFFLER. l ROBERT C. SHOEMAKER.
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Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2685753A (en) * 1950-07-28 1954-08-10 Anna C Reschke Pottery transfer brushing machine
US2866212A (en) * 1955-04-22 1958-12-30 White Maurice William Rotatable cleaning tool
US2952859A (en) * 1958-03-19 1960-09-20 John H Alcamo Surgeons' pre-operating scrubbing machine
US2961672A (en) * 1958-07-03 1960-11-29 John H Alcamo Scrubbing brush for surgeons
US3014232A (en) * 1955-01-17 1961-12-26 Anderson Co Apparatus for wiping a curved windshield
EP0940111A1 (en) * 1998-03-05 1999-09-08 Giovanni Alfano Automatic machine for the cleaning especially of the extremities of human limbs
US6481040B1 (en) * 1999-08-31 2002-11-19 Mcintyre Jonathan L. Modular surgical prep sponge holder
US20040040575A1 (en) * 2002-08-28 2004-03-04 Alexander Tregub Brush for cleaning/scrubbing a substrate
US10660484B1 (en) * 2017-05-03 2020-05-26 ScrubTech LLC Scrubbing device

Cited By (9)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2685753A (en) * 1950-07-28 1954-08-10 Anna C Reschke Pottery transfer brushing machine
US3014232A (en) * 1955-01-17 1961-12-26 Anderson Co Apparatus for wiping a curved windshield
US2866212A (en) * 1955-04-22 1958-12-30 White Maurice William Rotatable cleaning tool
US2952859A (en) * 1958-03-19 1960-09-20 John H Alcamo Surgeons' pre-operating scrubbing machine
US2961672A (en) * 1958-07-03 1960-11-29 John H Alcamo Scrubbing brush for surgeons
EP0940111A1 (en) * 1998-03-05 1999-09-08 Giovanni Alfano Automatic machine for the cleaning especially of the extremities of human limbs
US6481040B1 (en) * 1999-08-31 2002-11-19 Mcintyre Jonathan L. Modular surgical prep sponge holder
US20040040575A1 (en) * 2002-08-28 2004-03-04 Alexander Tregub Brush for cleaning/scrubbing a substrate
US10660484B1 (en) * 2017-05-03 2020-05-26 ScrubTech LLC Scrubbing device

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