Blood-loss measurement apparatus

• US 4,562,842 A
• Filed: 02/21/1984
• Issued: 01/07/1986
• Est. Priority Date: 02/21/1984
• Status: Expired due to Term

• Current Assignee: Diane E. Morfeld
• Original Assignee: Diane E. Morfeld
• Inventors: Charmasson, Henri J. A., Morfeld, Diane E.
• Primary Examiner(s): Cohen, Lee S.
• Assistant Examiner(s): Falk, Steven
• Application Number:
  US06/581,792
• Time in Patent Office: 686 Days
• Field of Search: 128/771, 128/766, 128/638, 604/35, 604/65, 604/260, 604/246, 73/434, 73/863.21, 73/863.71, 73/864.81, 177/25, 177/15, 177/31
• US Class Current: 600/371
• CPC Class Codes: A61B 5/02042 Determining blood loss or bleeding, e.g. during a surgical procedure
• CPC Class Codes: A61J 1/12 with means for holding samples of contents
• CPC Class Codes: A61M 1/02 Blood transfusion apparatus blood infusion by syringes A61M5/14
• CPC Class Codes: A61M 1/77 Suction-irrigation systems aspiration tips supplying fluids A61M1/85; specific for negative pressure wound therapy A61M1/92; combined with tracheal tubes A61M16/0463
• CPC Class Codes: A61M 1/777 Determination of loss or gain of body fluids due to suction-irrigation, e.g. during surgery
• CPC Class Codes: A61M 2205/3393 by weighing the reservoir
• CPC Class Codes: A61M 2205/8206 battery-operated
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00

Abstract

Apparatus for continuously monitoring the loss of blood suffered by a patient in the course of a surgical operation. The apparatus provides a means for sucking the combination of blood and irrigating solution gathered about the incision, and for sequentially measuring the volumes and densities of small samplings of the solution-and-blood mixture being drawn through the conduit leading from the incision area to the suction device. The apparatus relies on the difference between the respective densities of the blood and of the irrigating solution in order to calculate the exact volume of blood contained in each sampling. The blood loss is continuously accumulated and displayed on a visual read-out, so that a corresponding amount of blood can be transfused to the patient in order to maintain his blood pressure throughout the operation.

The apparatus can be operated in a calibration mode, under which blood, then solution, are measured separately to determine their respective densities which will be used in the quantitative analysis of the mixture.

A scale is also provided to weigh sponges, linen etc. which have absorbed blood or some of the blood-and-solution mixture during the surgery. The corresponding calculated volume of blood which they carry is automatically added to the cumulative figure of lost blood.

Claims

1. An apparatus for continuously accumulating the volume of a first fluid having a known density and being part of a mixture flowing intermittently through a conduit, the remaining part of the mixture being substantially comprised of a variable quantity of a second fluid having a known but different density than the density of the first fluid, which comprises:

means for drawing the mixture of the first and second fluids through said conduit;

means for measuring the volume of repetitive samplings of the mixture intermittently held within a predetermined section of the conduit;

means for measuring the weight of said samplings;

means, responsive to both of said means for measuring, for calculating the corresponding volume of the first fluid in each said sampling from the respective known densities of the first and second fluids in said mixture.

2. The apparatus claimed in claim 1 which further comprises:

means for intermittently interrupting the circulation of the mixture through said section, and for trapping said samplings therein during said various measurings.

3. The apparatus claimed in claim 2 wherein said means for interrupting comprises clamping valves shaped and dimensioned to close the beginning and end of said predetermined section of the conduit.

4. The apparatus claimed in claim 3 wherein said means for measuring the volume comprise a fluid-level detector.

5. The apparatus claimed in claim 4 wherein said fluid level detector comprises a plurality of optical sensors located along a portion of said section.

6. The apparatus claimed in claim 3 wherein said means for measuring the weight comprise a scale having a panel supporting said section of conduit.

7. The apparatus claimed in claim 3 wherein said means for calculating comprises:

means for determining the density of the mixture in each sampling;

means for comparing said density to the respective densities of the first and second fluids;

means for computing the volume of first fluid as a function of said densities and the weight of each said sampling.

8. The apparatus claimed in claim 2 which further comprises manual means for entering the known densities of said first and second fluids into said means for calculating.

9. The apparatus claimed in claim 3 which further comprises automatic means for varifying the density of each fluid in the absence of the other.

10. The apparatus claimed in claim 7 wherein said predetermined section of the conduit comprises a U-shaped tubular element having closable venting means.

11. The apparatus claimed in claim 7 wherein said means for measuring both the volume and the weight of each said samplings, means for calculating, means for determining, means for comparing and means for computing comprise:

a programmable processor; and

manual means for controlling the operation of said processor.

12. The apparatus claimed in claim 11 which further comprises:

a scale; and

means responsive to said scale for determining the volume of the first fluid corresponding to the weight derived from said scale.