Blood loss measurement

• US 4,773,423 A
• Filed: 04/17/1987
• Issued: 09/27/1988
• Est. Priority Date: 04/18/1986
• Status: Expired due to Fees

• Current Assignee: Northstar Research Institute Limited Philadelphia PA
• Original Assignee: Northstar Research Institute, Ltd.
• Inventors: Hakky, Said I.
• Primary Examiner(s): NOT, DEFINED
• Application Number:
  US07/040,518
• Time in Patent Office: 529 Days
• Field of Search: 128/632, 128/637, 128/633, 128/638
• US Class Current: 600/309
• CPC Class Codes: A61B 5/02042 Determining blood loss or bleeding, e.g. during a surgical procedure
• CPC Class Codes: A61M 1/3678 Separation of cells using wave pressure; Manipulation of individual corpuscles

Abstract

Apparatus and method for measuring blood loss by collecting a blood sample from a patient prior to a surgical procedure, measuring the level of hemoglobin in that blood sample, collecting blood and pathological fluid removed from the patient during the surgical procedure; measuring the level of hemoglobin in the blood collected from the surgical procedure; comparing the level of hemoglobin in the blood collected prior to the surgical procedure with the level of hemoglobin in the blood after the surgical procedure and employing that comparison to determine the volume of blood lost during the surgical procedure.

Claims

1. A method of measuring loss of blood suffered by a patient during a surgical procedure including the steps of:

(a) measuring the level of hemoglobin in the blood of the patient prior to the surgical procedure;

(b) collecting the blood and other matter from a surgical wound during the surgical procedure;

(c) measuring the level of hemoglobin in the blood collected from the surgical wound;

(d) comparing the level of hemoglobin in the blood of the patient prior to the surgical procedure with the hemoglobin level in the blood collected from the surgical wound during the surgical procedure; and

(e) determining the volume of collected blood from the comparison.

2. The method of claim 1 wherein the step of measuring the level of hemoglobin in the blood is carried out by measuring the content of iron in the red blood corpuscles.

3. The method according to claim 1 wherein the step of measuring the level of hemoglobin is carried out by measuring the content of porphyrin in the red blood corpuscles.

4. The method according to claim 1 wherein the red blood corpuscles in the collected blood are hemolyzed prior to measuring the level of hemoglobin therein.

5. The method according to claim 2 wherein the iron content is determined by hemolyzing the red blood corpuscles in a hemolyzing fluid and measuring the color of the hemolyzed red corpuscles, said color being representative of the level of iron in the hemolyzed solution.

6. The method of claim 2 including the step of measuring the content of ferrous iron in the red corpuscles by nuclear magnetic resonance, analytic atomic spectroscopy or precipitation in chelate form followed by spectroscopic measurment of the precipitate.

7. The method of claim 3 wherein the step of determining the level of prophyrin is carried out by measuring the fluorescence or luminescence of said porphyrin.

8. The method according to claim 4 wherein the level of hemoglobin is determined by measuring either the specific gravity or refractive index of hemolyzed collected red blood corpuscles.

9. The method according to claim 1 wherein the step of collecting blood from the surgical procedure is carried out by collecting blood directly from the surgical wound and also from swabs employed in the surgical procedure.

10. The method according to claim 9 wherein the swabs used in the surgical procedure are placed in a chamber from which the blood is extracted, said chamber communicating with a second chamber in which blood directly from the surgical wound is directed, the level of hemoglobin in the collected blood being determined after the blood from the swabs has been combined with the blood received directly from the surgical wound.

11. An apparatus for measuring loss of blood suffered by a patient during a surgical procedure, said apparatus comprising:

(a) a first chamber for receiving a sample of blood of the patient prior to performance of the surgical procedure;

(b) a second chamber for receiving blood from a surgical wound of the patient;

(c) a third chamber for receiving used swabs employed in the surgical procedure, said third chamber including means for extracting blood from said swabs;

(d) means for measuring the level of hemoglobin in the blood collected from the patient prior to the surgical procedure;

(e) means for measuring the level of hemoglobin in the blood collected from the surgical wound and from the swabs; and

(f) means for comparing the level of hemoglobin in the blood collected from the patient prior to the surgical procedure with the level of hemoglobin in the blood collected from both the surgical wound and the swabs for determining the amount of blood loss resulting from the surgical procedure.

12. The apparatus of claim 11 including passage means for communicating the third chamber with said second chamber for permitting the blood extracted from the swabs in the third chamber to be directed into said second chamber;

said means for measuring the level of hemoglobin in the blood obtained from the surgical procedure and from the swabs being employed to measure the level of hemoglobin in the blood in the second chamber, after the blood from the swabs has been transmitted to the second chamber from said third chamber.

13. The apparatus of claim 11 further including means for counting the swabs received in the third chamber to permit a comparison of the number of swabs placed in the third chamber with the number of swabs used in the surgical procedure.

14. The apparatus of claim 11 including a digital read-out for displaying the quantity of blood lost by a patient during the surgical procedure.