Surgical object and fluid monitoring system having highly sensitive and reliable detection of objects being placed in a container

• US 8,963,025 B2
• Filed: 04/07/2014
• Issued: 02/24/2015
• Est. Priority Date: 03/15/2013
• Status: Active Grant

• Current Assignee: Surgitrac Corporation
• Original Assignee: Surgitrac Corporation
• Inventors: Pollock, Richard A., Kassam, Mahmood S.
• Primary Examiner(s): Gibson, Randy W
• Application Number:
  US14/247,166
• Publication Number:
  US 20140262553A1
• Time in Patent Office: 323 Days
• Field of Search: 177/15, 177/25.13, 177/25.19, 177/126, 177/238, 177/244, 604/317, 604/318, 604/403, 604/404
• US Class Current: 177/15
• CPC Class Codes: A61B 2090/0804 Counting number of instruments used; Instrument detectors
• CPC Class Codes: A61B 2090/0805 automatically, e.g. by means of magnetic, optical or photoelectric detectors
• CPC Class Codes: A61B 2217/005 with suction drainage system
• CPC Class Codes: A61B 2217/007 with irrigation system
• CPC Class Codes: A61B 5/02042 Determining blood loss or bleeding, e.g. during a surgical procedure
• CPC Class Codes: A61B 50/13 Trolleys, e.g. carts
• CPC Class Codes: A61B 50/37 for absorbent articles, e.g. bandages, garments, swabs or towels
• CPC Class Codes: A61B 90/00 Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges protective face masks A41D13/11; surgeon's or patient's gowns or dresses A41D13/12; devices for carrying-off, for treatment of, or for carrying-over, body liquids A61M1/00
• CPC Class Codes: A61B 90/90 Identification means for patients or instruments, e.g. tags
• CPC Class Codes: A61B 90/98 using electromagnetic means, e.g. transponders
• 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: B62B 2203/02 suspended
• CPC Class Codes: B62B 2203/50 comprising weighing means
• CPC Class Codes: B62B 3/106 the objects being bags
• CPC Class Codes: B65F 1/1415 for flexible receptables, e.g. bags, sacks
• CPC Class Codes: B65F 1/1473 Receptacles having wheels
• CPC Class Codes: B65F 1/1607 with filling openings
• CPC Class Codes: B65F 2210/124 Counting means
• CPC Class Codes: B65F 2210/168 Sensing means
• CPC Class Codes: B65F 2210/184 Weighing means
• CPC Class Codes: G01G 17/04 : for weighing fluids, e.g. gases, pastes
• CPC Class Codes: G01G 19/387 : for combinatorial weighing, i.e. selecting a combination of articles whose total weight or number is closest to a desired value
• CPC Class Codes: G01G 19/40 : with provisions for indicating, recording, or computing price or other quantities dependent on the weight indicating means for weighing apparatus G01G23/18; recording means for weighing apparatus G01G23/18; computers in general G06
• CPC Class Codes: G01G 19/414 : using electronic computing means only
• CPC Class Codes: G01G 19/42 : for counting by weighing G01G19/387 takes precedence

Abstract

A surgical sponge and fluid monitoring system and method are provided. The system (100) includes a support ring (104) for securely supporting a container (101) with at least one port opening (206) for placing sponges (204) into the container through the at least one port opening. The support ring includes RFID communication circuitries (305, 307) that interrogate an RFID device (205) in the sponge (204) and an RFID device in the container. The support ring is mechanically linked to a load cell (706, 1329) in the system. The processor (1302) reliably detects when a sponge is placed into the container through the at least one port opening, identifies the type of sponge placed into the container, counts the number of sponges in the container, sorts the types of sponges, and calculates fluid loss for a patient in a surgical procedure. A user interface (1308, 114) keeps the medical professionals informed.

Claims

1. A surgical object and fluid monitoring system, comprising:

a support ring for securely supporting a container with at least one port opening of the container being disposed for receiving surgical objects placed into the container through the at least one port opening with the aid of gravity;

a hollow spine structure vertically oriented and comprising a channel with channel walls along the length of the hollow spine structure;

a rod movably disposed in the channel within the hollow spine structure, the rod moveable along the channel;

a weight force sensing device mechanically coupled to the rod, the support ring mechanically coupled to the rod, and the rod being in a moving arrangement that transfers weight force from the support ring to the weight force sensing device;

a flexure mechanically coupled with the rod and the hollow spine structure, the flexure adding very little if any downward force onto the rod and thereby onto the weight force sensing device while maintaining the rod vertically aligned in the channel with a gap separating the length of the rod from the channel walls, the gap allowing the rod to move vertically without friction from contact with the channel walls while the rod in the channel is protected from impact by the channel walls; and

a processor communicatively coupled with the weight force sensing device, wherein the processor, responsive to executing computer instructions, performs operations comprising;

detecting, with one or more RFID communication circuitries communicatively coupled with the processor, placement of a surgical object including at least one RFID device into the container through one of the at least one port opening with the aid of gravity by the one or more RFID communication circuitries interrogating the at least one RFID device of the surgical object being placed into the container;

determining an incremental weight of the contents of the container from the surgical object placed into the container through the port opening, based at least on an information signal received from the weight force sensing device indicating a change in weight force sensed by the weight force sensing device contemporaneous with the placement of the surgical object into the container through the at least one port opening with the aid of gravity.

2. The system of claim 1, further comprising:

one or more RFID communication circuitries communicatively coupled with the processor, arranged proximate to the support ring and to at least one port opening of a container that is supported by the support ring; and

wherein

the processor, responsive to executing computer instructions, performs operations comprising;

detecting placement of a surgical object into the container through the at least one port opening by monitoring at least one RFID device of the surgical object being located in a detection region proximate to the one or more RFID communication circuitries; and

contemporaneous with the detecting, receiving the information signal from the weight force sensing device.

3. The system of claim 2, wherein the one or more RFID communication circuitries comprise a first RFID communication circuitry located at a back portion of the support ring and a second RFID communication circuitry located at a front portion of the support ring.

4. The system of claim 2, further comprising:

a plurality of pairs of emitter matched to sensor devices, arranged about the support ring to blanket the at least one port opening with one or more beams from the plurality of pairs; and

wherein

the processor, responsive to executing computer instructions, performs operations comprising;

detecting placement of a surgical object into the container through the at least one port opening by monitoring at least one of;

at least a break in one of the one or more beams that blanket the at least one port opening; and

at least one RFID device of the surgical object being located in a detection region proximate to the one or more RFID communication circuitries; and

contemporaneous with the detecting, receiving the information signal from the weight force sensing device.

5. The system of claim 4, wherein the plurality of pairs of emitter matched to sensor devices are arranged about the support ring such that the one or more beams are oriented in a detection region spanning across, and just below, the at least one port opening of the container.

6. The system of claim 4, wherein the plurality of pairs of emitter matched to sensor devices are optical emitters matched to optical sensor devices;

and

wherein the plurality of pairs of optical emitter matched to optical sensor devices are arranged about the support ring to blanket the at least one port opening with one or more optical beams from the plurality of pairs.

7. The system of claim 1, further comprising:

one or more RFID communication circuitries communicatively coupled with the processor, arranged proximate to the support ring and to a container that is supported by the support ring, wherein the container includes at least one RFID device that at least identifies container profile information of the particular container supported by the support ring; and

wherein

the processor, responsive to executing computer instructions, performs operations comprising;

detecting placement of the container in proximity to the support ring; and

interrogating the at least one RFID device and wirelessly receiving and collecting container profile information of the particular container; and

determining from the collected container profile information whether the particular container is identified by container profile information stored in a container profile data base of the surgical object and fluid monitoring system.

10. The system of claim 1,

wherein the flexure is mechanically coupled with a top of the rod and the hollow spine structure.

11. The system of claim 10, wherein:

the flexure provides tensioning spring force on the rod keeping the rod aligned in the channel and in mechanical contact with the weight force sensing device.

12. The system of claim 1, wherein:

the weight force sensing device comprises a load cell that is communicatively coupled with the processor.

13. The system of claim 1, further comprising:

a base structure that supports the hollow spine structure; and

wherein the weight force sensing device comprises a load cell that is located inside the base and is communicatively coupled with the processor.

14. The system of claim 1, wherein the support ring comprising one or more RFID communication circuitries communicatively coupled with the processor, and arranged proximate to the support ring and to at least one port opening of a container that is supported by the support ring;

and wherein

the processor, responsive to executing computer instructions, performs operations comprising;

detecting placement of a surgical object into the container through the at least one port opening by monitoring at least one RFID device of the surgical object being located in a detection region in the container and proximate to the one or more RFID communication circuitries;

identifying a type of the surgical object from information received by the one or more RFID communication circuitries from the at least one RFID device of the surgical object being located in the container and proximate to the one or more RFID communication circuitries;

counting the numbers and sorting the type of the surgical object placed into the container through the at least one port opening;

contemporaneous with the detecting, receiving an information signal from the weight force sensing device; and

determining an incremental weight of the contents of the container from the surgical object placed into the container through the at least one port opening, based at least on the information signal received from the weight force sensing device indicating a change in weight force sensed by the weight force sensing device contemporaneous with the placement of the surgical object into the container through the one port opening with the aid of gravity.

15. The system of claim 14, wherein the processor, responsive to executing computer instructions, performs operations comprising:

determining that the received information signal from the weight force sensing device indicates a valid change in weight force sensed, within a tolerance limit, for an expected type of surgical object to place into the container through the at least one port opening with the aid of gravity.

16. The system of claim 14, wherein the at least one port opening comprises a plurality of port openings, and each of the plurality of port openings being sized and dimensioned for receiving a type of surgical object different from respective types of surgical objects received through each of the other port openings of the plurality of port openings, and wherein the support ring comprising a plurality of pairs of emitter matched to sensor devices arranged about the support ring to blanket each of the plurality of port openings with one or more beams from the plurality of pairs of emitter matched to sensor devices;

and wherein

the processor, responsive to executing computer instructions, performs operations comprising;

detecting placement of a surgical object into the container through one port opening of the plurality of port openings by at least one of;

monitoring at least a break in one of the one or more beams that blanket the one port opening, and

monitoring at least one RFID device of the surgical object being located in a detection region in the container and proximate to the one or more RFID communication circuitries; and

identifying a type of the surgical object by at least one of;

a) determining a type of the surgical object from information received by the one or more RFID communication circuitries from the at least one RFID device of the surgical object being located in the container and proximate to the one or more RFID communication circuitries;

b) determining a type of the surgical object from the detected one port opening of the plurality of port openings through which the surgical object was placed in the container; and

c) determining a type of the surgical object from at least one of a) and b) combined with the determined incremental weight of the contents of the container from the surgical object placed into the container through the one port opening, based at least on the information signal received from the weight force sensing device indicating a change in weight force sensed by the weight force sensing device contemporaneous with the placement of the surgical object into the container through the one port opening with the aid of gravity.

17. The system of claim 14, wherein the surgical object comprises a sponge;

and wherein the processor, responsive to executing computer instructions, performs operations comprising;

determining a fluid weight of the sponge placed into the container through the at least one port opening by at least comparing the determined incremental weight of the contents of the container from the sponge placed into the container to an expected “

dry”

(non-fluid-filled) weight value for the identified type of the sponge.

18. The system of claim 17, wherein the processor, responsive to executing computer instructions, performs operations comprising:

accumulating a total amount of estimated fluid loss for a patient over a time period, based at least on the determined fluid weight of the sponge placed into the container being accumulated with a determined fluid weight of one or more sponges placed into the container through the at least one port opening with the aid of gravity.

8. A surgical object and fluid monitoring system, comprising:

a support ring for securely supporting a container with at least one port opening of the container being disposed for receiving surgical objects placed into the container through the at least one port opening with the aid of gravity;

a hollow spine structure vertically oriented and comprising a channel with channel walls along the length of the hollow spine structure;

a rod movably disposed in the channel within the hollow spine structure, the rod moveable along the channel;

a weight force sensing device mechanically coupled to the rod, the support ring mechanically coupled to the rod, and the rod being in a moving arrangement that transfers weight force from the support ring to the weight force sensing device;

a flexure mechanically coupled with the rod and the hollow spine structure, the flexure adding very little if any downward force onto the rod and thereby onto the weight force sensing device while maintaining the rod vertically aligned in the channel with a gap separating the length of the rod from the channel walls, the gap allowing the rod to move vertically without friction from contact with the channel walls while the rod in the channel is protected from impact by the channel walls; and

a processor communicatively coupled with the weight force sensing device, wherein the processor, responsive to executing computer instructions, performs operations comprising;

determining an incremental weight of the contents of the container from a surgical object placed into the container through the port opening, based at least on an information signal received from the weight force sensing device indicating a change in weight force sensed by the weight force sensing device contemporaneous with the placement of the surgical object into the container through the at least one port opening with the aid of gravity, wherein the gap in at least a portion of the length of the channel comprises a non-air gas separating the rod from the channel walls in the at least a portion of the channel, the gap comprising the non-air gas allowing the rod to move vertically without friction from contact with the channel walls in the at least a portion of the channel while the rod in the channel is protected from impact by the channel walls.

9. A surgical object and fluid monitoring system, comprising:

a support ring for securely supporting a container with at least one port opening of the container being disposed for receiving surgical objects placed into the container through the at least one port opening with the aid of gravity;

a hollow spine structure vertically oriented and comprising a channel with channel walls along the length of the hollow spine structure;

a rod movably disposed in the channel within the hollow spine structure, the rod moveable along the channel;

a weight force sensing device mechanically coupled to the rod, the support ring mechanically coupled to the rod, and the rod being in a moving arrangement that transfers weight force from the support ring to the weight force sensing device;

a flexure mechanically coupled with the rod and the hollow spine structure, the flexure adding very little if any downward force onto the rod and thereby onto the weight force sensing device while maintaining the rod vertically aligned in the channel with a gap separating the length of the rod from the channel walls, the gap allowing the rod to move vertically without friction from contact with the channel walls while the rod in the channel is protected from impact by the channel walls; and

a processor communicatively coupled with the weight force sensing device, wherein the processor, responsive to executing computer instructions, performs operations comprising;

determining an incremental weight of the contents of the container from a surgical object placed into the container through the port opening, based at least on an information signal received from the weight force sensing device indicating a change in weight force sensed by the weight force sensing device contemporaneous with the placement of the surgical object into the container through the at least one port opening with the aid of gravity, wherein the gap in at least a portion of the length of the channel comprises a fluid separating the rod from the channel walls in the at least a portion of the channel, the gap comprising the fluid allowing the rod to move vertically without friction from contact with the channel walls in the at least a portion of the channel while the rod in the channel is protected from impact by the channel walls.

19. A method, with a processor of an information processing system, for monitoring at least one surgical object placed into a container, the method comprising:

securely supporting a container having at least one port opening, the container supported with a rod vertically aligned and moveably disposed in a channel of a vertically oriented hollow spine structure with a gap separating the length of the rod from the channel walls, the gap allowing the rod to move vertically without friction from contact with the channel walls, the rod transferring a weight force from the supported container to a weight force sensing device mechanically coupled to the rod;

detecting, with one or more RFID communication circuitries communicatively coupled with a processor, placement of a surgical object including at least one RFID device into the container through one of the at least one port opening with the aid of gravity by the one or more RFID communication circuitries interrogating the at least one RFID device of the surgical object being placed into the container;

identifying a type of the surgical object from at least information received by the one or more RFID communication circuitries from the at least one RFID device of the surgical object being located in the container and proximate to the one or more RFID communication circuitries;

contemporaneous with the detecting, receiving an information signal that indicates an incremental weight force of the container; and

determining, with the processor, an incremental weight of the contents of the container from the surgical object placed into the container through the one port opening, based at least on the received information signal indicating a valid incremental change in weight of the contents of the container from the surgical object placed into the container through the one port opening with the aid of gravity.

20. The method of claim 19, wherein the detecting placement comprises:

detecting placement of the surgical object into the container through the one port opening of the plurality of port openings by at least monitoring a break in one of a plurality of beams that blanket the one port opening.

21. The method of claim 20, further comprising:

counting in real time, with the processor, the number of surgical objects placed into the container through the one port opening, based at least on the detecting placement.

22. The method of claim 19, further comprising:

determining a fluid weight of the surgical object placed into the container through the one port opening by at least comparing the determined incremental weight of the contents of the container from the surgical object placed into the container to an expected “

dry”

(non-fluid-filled) weight value for the identified type of the surgical object.

23. The method of claim 22, further comprising:

accumulating a total amount of estimated fluid loss for a patient over a time period, based at least on the determined fluid weight of the surgical object placed into the container being accumulated with a determined fluid weight of one or more surgical objects placed into the container through the at least one port opening with the aid of gravity.