Method for estimating a quantity of a blood component in a fluid receiver and corresponding error

• US 9,870,625 B2
• Filed: 04/15/2015
• Issued: 01/16/2018
• Est. Priority Date: 07/09/2011
• Status: Active Grant

• Current Assignee: Gauss Surgical, Inc. (Stryker Corporation)
• Original Assignee: Gauss Surgical, Inc. (Stryker Corporation)
• Inventors: Satish, Siddarth, Hosford, Andrew T., Miller, Kevin J., McColl, Milton, Aragon, Juan Carlos
• Primary Examiner(s): Bhatnagar, Anand
• Application Number:
  US14/687,860
• Publication Number:
  US 20150221088A1
• Time in Patent Office: 1,007 Days
• CPC Class Codes: A61B 5/02042 Determining blood loss or bleeding, e.g. during a surgical procedure
• CPC Class Codes: G06T 2207/10024 Color image
• CPC Class Codes: G06T 2207/30004 Biomedical image processing
• CPC Class Codes: G06T 7/62 of area, perimeter, diameter or volume
• CPC Class Codes: G06V 10/25 Determination of region of interest [ROI] or a volume of interest [VOI]
• CPC Class Codes: G06V 2201/03 Recognition of patterns in medical or anatomical images
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A method and system for communicating estimated blood loss parameters of a patient to a user, the method comprising: receiving data representative of an image, of a fluid receiver; automatically detecting a region within the image associated with a volume of fluid received at the fluid receiver, the volume of fluid including a blood component; calculating an estimated amount of the blood component present in the volume of fluid based upon a color parameter represented in the region, and determining a bias error associated with the estimated amount of the blood component; updating an analysis of an aggregate amount of the blood component and an aggregate bias error associated with blood loss of the patient, based upon the estimated amount of the blood component and the bias error; and providing information from the analysis of the aggregate amount of the blood component and the aggregate bias error, to the user.

Claims

1. A method for communicating estimated blood loss parameters of a patient to a user, comprising:

at a computing system in communication with an image acquisition device, receiving data representative of an image of a fluid receiver, wherein the image is generated by the image acquisition device;

at the computing system, detecting a region within the image associated with a volume of fluid received at the fluid receiver, the volume of fluid including a blood component associated with blood loss of the patient;

at the computing system, calculating an estimated amount of the blood component present in the volume of fluid based upon a parameter derived from the region, and determining an error associated with the estimated amount of the blood component;

at the computing system, updating an analysis of an aggregate amount of the blood component and an aggregate error associated with blood loss of the patient, based upon the estimated amount of the blood component and the error; and

at a user interface device in communication with the computing system, providing information derived from the analysis of the aggregate amount of the blood component and the aggregate error to the user.

2. The method of claim 1, wherein calculating the estimated amount of the blood component present in the volume of fluid comprises calculating an estimated mass of hemoglobin present in the volume of fluid, and wherein determining the error comprises determining a bias associated with the estimated mass of hemoglobin.

3. The method of claim 2, wherein determining the bias comprises:

generating a comparison between the estimated mass of hemoglobin and a set of ranges of hemoglobin masses, the set of ranges of hemoglobin masses determined from a set of fluid samples having a set of known hemoglobin masses paired with estimated hemoglobin masses derived from image analysis of each of the set of fluid samples within a version of the fluid receiver;

selecting a range of the set of ranges based upon the comparison; and

retrieving the bias and a standard deviation in the bias associated with the range.

4. The method of claim 3, wherein updating the analysis of the aggregate amount of the blood component and the aggregate error comprises adding the bias and the standard deviation of the bias to a running total of the aggregate error and an aggregate standard deviation associated with the aggregate error.

5. The method of claim 3, wherein determining the bias includes determining a demographic characteristic of the patient, and generating a comparison between the estimated mass of hemoglobin and a set of ranges of hemoglobin masses associated with the demographic characteristic of the patient in retrieving the bias.

6. The method of claim 1, wherein calculating the estimated amount of the blood component present in the volume of fluid comprises calculating an estimated blood loss volume within the fluid receiver, and wherein determining the error comprises determining a bias associated with the estimated blood loss volume and a standard deviation associated with the bias.

7. The method of claim 1, wherein the analysis of the aggregate amount of the blood component and the aggregate error is associated with a set of volumes of fluid received into a single fluid receiver.

8. The method of claim 7, wherein the single fluid receiver comprises one of a canister, a surgical textile, and a fluid receiving container.

9. The method of claim 1, wherein the analysis of the aggregate amount of the blood component and the aggregate error is associated with a set of volumes of fluid received at a set of fluid receivers, including the fluid receiver.

10. The method of claim 9, wherein the set of fluid receivers includes at least two of:

a canister, a test strip, an absorbent pad, a surgical textile, a sponge, a fluid receiving bag, a drape a cell salvage system, and a drain device.

11. The method of claim 1, further comprising detecting that the estimated amount of the blood component is outside of a threshold range.

12. The method of claim 1, wherein providing information derived from the analysis includes providing the aggregate amount of the blood component and a range derived from the aggregate error, wherein the range does not include the aggregate amount of the blood component.

13. The method of claim 1, wherein providing information derived from the analysis comprises providing a Bland-Altman Limits of Agreement generated from the aggregate amount of the blood component and the aggregate error.

14. The method of claim 1, wherein updating the aggregate error comprises updating the aggregate error with the error and a standard deviation in the error.

15. The method of claim 1, wherein providing information derived from the analysis comprises displaying the information on the user interface device.

16. The method of claim 15, wherein the method further comprises adjusting at least one of a type, combination, and position of the displayed information on the user interface device, in response to a user input at the user interface device.