System and method for managing surgical sponges

Abstract

This invention provides a system and method for managing surgical sponges. [Solution] A distributor assembly 16 coupled to a main support 24 includes an internal or first storage location for removably receiving cartons 58 of sponge classifiers 52 and an external or second storage location for removably supporting cartons of surgical drapings. At least one arm 54 can be supported on the housing, and at least one arm can be movable between an undeployed position and a deployed position. The arm may include weighing means for measuring the weight of surgical sponges placed in the sponge classifier supported by the arm. The arm may be cantilevered, and a beam-type load cell may be placed in a channel of the beam.

Description

Technical Field

[0001] Claim of Priority This application claims the priority and all benefits of U.S. Provisional Patent Application No. 63 / 154,147, filed on February 26, 2021, the entire content of which is incorporated herein by reference.

Background Art

[0002] Managing surgical sponges is a prevalent and important area in modern operating rooms, and it is of utmost importance to ensure that surgical sponges (or other objects) are not inadvertently left inside the patient or otherwise forgotten. Surgical sponges are an example of such surgical items, and thus healthcare providers (HCPs) must follow procedures for accounting for any surgical sponges used during surgery in view of the obvious problems associated with surgical items being inadvertently left inside the patient.

[0003] In the past, HCPs relied on manual sorting and counting of surgical sponges. Manual sorting and counting of sponges requires handling and exposure to soiled sponges and is prone to human error. To facilitate the manual sorting and counting of surgical sponges, known devices can provide a stand from which a sponge sorter is removably suspended. One such stand and sponge sorter are disclosed in U.S. Patent No. 6,607,170, issued on August 19, 2003, which is incorporated herein by reference in its entirety. ​​​​​​​​​​​​​Sponge classification with a pouch or pocket to hold one of the sponges. A wire basket is positioned on a stand that has conventional hooks for supporting the container. For example, all the pockets in a sponge classifier are being used, but they are not being counted. For several reasons, such as when there is still some sponge left, you should replace the sponge classifier. Instructions may be given. Another example is replacing a sponge classifier during a surgical procedure. Hmm. In such cases, HCP can place spare parts for unused sponge classifiers next to them. Leaving the adjacent area untouched is inconvenient, or alternatively, unused items can be used immediately. Consuming valuable table space in adjacent areas to position it more conveniently in that state. It is inefficient.

[0004] More recently, surgical sponge management systems have been developed to assist in counting surgical sponges. It utilizes electronic devices. One such system, as a whole, is made clear by reference. The document includes U.S. Patent Application Publication No. 201, published on April 11, 2013. Disclosed in document 3 / 0088354, the radio frequency identification (RFID) reader is used in surgical surgery Detects RFID tags on sponges. Electronic devices are typically sterilized. For example, it is impossible to autoclave it, and therefore R in surgical draping You may be instructed to cover the FID reader, for example, during surgical procedures. Replacing the draping in this case also means that HCP will use unused spare surgical draping. It is not necessary to arrange them, or alternatively, to consume table space. It is correct.

[0005] Furthermore, an increasingly noteworthy area of ​​development is the estimation or quantification of blood loss. Yes. It is used to determine blood loss during surgery, and to identify excessive blood loss that indicates surgical complications. Therefore, it is possible to monitor the patient's health. Of particular note is obstetric hemorrhage during childbirth. Earlier detection can significantly reduce maternal incidence. Visual inspection of other fluid-absorbing items (e.g., surgical gowns, bedding, or drapes) It is known that blood loss during surgery can be estimated, but this is inherently subjective, and Therefore, it is prone to human error. Also, weighing surgical sponges together on a scale. It is also known that this can be used to estimate blood loss during surgery. User interface In cases where a selection of surgical sponge types can be provided for weighing, memory The fluid weight of the surgical sponge can be calculated based on its dry weight, and this can be used to estimate blood fluid weight. It can be converted into liquid loss. Weighing surgical sponges is more accurate than visual evaluation. However, this significantly hinders the workflow within the operating room. In particular, users of surgical equipment... Transport the sponges to the surgical sponge management system for checkout or countout. Before doing so, the surgical sponge must be transported to a scale and weighed, or vice versa. be.

[0006] Therefore, an improved surgical sponge that overcomes one or more of the aforementioned shortcomings Providing a data management system is required in this field. [Overview of the Initiative]

[0007] A system for managing surgical sponges, and a surgical sponge management system. A method for estimating blood loss is provided. The system disclosed herein can be modified to manage items such as fluid absorbent articles other than surgical sponges, and / or surgical devices and other disposable or reusable instruments or objects. The surgical sponge management system includes a stand, an electronic subsystem, and a dispenser assembly. The stand can include a main support coupled to a base and extending upwardly from the base. The main support can be at least partially hollow to accommodate power and / or data cables. The electronic subsystem includes a module base, a display, and a data reader. The module base can include a processor, memory, a communication device, and / or other hardware. The electronic subsystem can be coupled to the main support between a handle and the dispenser assembly. The data reader is configured to detect tags associated with surgical sponges. The dispenser assembly is attached to the main support and can be positioned above the stand. The dispenser assembly provides storage and ergonomic dispensing of surgical sponges from a carton of sponge sorters and surgical drapes from a carton of surgical drapes. The housing of the dispenser assembly can include an upper shell coupled to a lower shell. The lower shell can include a lower sidewall extending upwardly from a lower wall. The lower wall can slope downwardly from the rear to the front. The dispenser assembly includes at least one mounting bracket for coupling an arm to the housing. 品物を管理するように修正することができる。手術 用スポンジ管理システムは、スタンド、電子サブシステム、および分配器アセンブリを含 む。スタンドは、ベースに結合されてベースから上方へ延びる主支持体を含むことができ る。主支持体は、電源および / またはデータケーブルを収容するために、少なくとも部分 的に中空とすることができる。電子サブシステムは、モジュールベース、ディスプレイ、 およびデータリーダを含む。モジュールベースは、プロセッサ、メモリ、通信デバイス、 および / または他のハードウェアを含むことができる。電子サブシステムは、ハンドルと 分配器アセンブリとの間で主支持体に結合することができる。データリーダは、手術用ス ポンジに関連付けられたタグを検出するように構成される。

[0008] 分配器アセンブリは、主支持体に取り付けられており、分配器アセンブリは、スタンド の上に位置することができる。分配器アセンブリは、スポンジ分類器のカートンからのス ポンジ分類器、および手術用ドレーピングのカートンからの手術用ドレーピングの貯蔵お よび人間工学的分配を提供する。分配器アセンブリのハウジングは、下部シェルに結合さ れた上部シェルを含むことができる。下部シェルは、下壁から上方へ延びる下部側壁を含 むことができる。下壁は、後面から前面に向かって下方へ傾斜することができる。分配器 アセンブリは、ハウジングにアームを結合する少なくとも1つの取付けブラケットを含む The arm can be positioned within a recess defined by a flange wall and a lower side wall in the stowed position. The arm is pivotally coupled to the mounting bracket so as to be movable from the stowed position to the deployed position and can extend rearwardly from the mounting bracket and, in the deployed position, the arm extends outwardly beyond the side wall of the housing. The sorter coupler coupled to the arm is configured to support a sponge sorter. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton.

[0009] The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell includes a front wall, an upper wall, and upper side walls that define an internal or first storage location. With the upper side walls of the upper shell fixed to the lower side walls of the lower shell, the first storage location is formed between the front wall, the upper wall, and the side walls. The first storage location is sized to receive a carton of the sponge sorter. The housing defines a rear opening that communicates with the first storage location and a front opening that communicates with the first storage location. The dispensing opening of the carton is accessible through the front opening. An external or second storage location provides storage and ergonomic dispensing of surgical drapes. The second storage location can generally be defined by a recess within the upper wall of the upper shell. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. The second storage location can be further formed by a third retaining shape and a fourth retaining shape. The third retaining shape and the fourth retaining shape inhibit lateral movement of the carton. The upper shell can include a first retaining shape and a second retaining shape that at least partially form the second storage location. The first retaining shape and the second retaining shape can be frames that extend transversely across the housing and are spaced apart from each other to inhibit forward and rearward movement of the carton. To control this, frames are made that extend in the depth direction along the upper side walls and are spaced apart from each other. This is possible. The third or fourth holding shape is a portion of the surgical draping carton. The slots aligned with the placement openings can be defined.

[0010] The arm includes weighing means such as load cells, particularly bending beam type load cells. This is possible. The arm can be supported by the main support in a cantilevered manner. The unit may further include a beam and a loading bar. The beam is a distributor assembly. The classifier coupler is coupled to the loading bar, which is connected to the housing of the breech. The load bar connects to the beam. The first part or end of the load cell is connected to the beam. It can be fixed to the frame, and the second part or end of the load cell is attached to the loading bar. It can be fixed. The beam can define the channel, and the load cell can define the channel. It can be placed inside the fuselage. Alternatively, the load cell can be coupled to the underside of the beam. This is possible. The arm may include a load limiting plate fixed to the mounting block. A gap adjustment screw can be screwed onto the load limiting plate. The gap adjustment screw can be positioned as desired. It can be selectively adjusted. A stopper is used to fix the gap adjustment screw in the desired position. It can provide the metering means communicating with the processor. Alternatively, metering The means can communicate wirelessly with a remote processor, and thus perform processing steps remotely. It is possible. The weighing means senses the weight of the object supported by the arm. It is configured in such a way.

[0011] An exemplary method for estimating blood loss is to have a data reader detect tags, This may include counting surgical sponges. The tags contain identification data. The processor is configured to determine the type of surgical sponge from the identification data. The type of surgical sponge is associated with the dry weight stored in memory. Based on the reader's detection of the tag, the processor should be used during the surgical procedure. The number of surgical sponges can be indexed using a counter. The counter is displayed on a screen. It can be displayed above. The surgical sponge tag is also used during the surgical procedure in this case. To identify surgical sponges as those that have been counted out so that they will no longer be used, It is positioned so that it can be detected by the data reader. The processor indexes the counter. It can be attached and a counter can be displayed on the display. The weighing means changes in the measured weight. It can automatically detect or sense changes. The processor is controlled by the data reader. Based on the measured weight and dry weight of surgical sponges identified as unpacked. The system is configured to determine the fluid weight of the fluid absorbed by the surgical sponge. Subtracting the dry weight from the measured weight gives the flow rate to the counted surgical sponge. The quantity will be equal. The state and fluid weight for each surgical sponge will be determined in a later investigation and Input can be logged and stored in memory. The processor is based on fluid weight. Next, the blood loss associated with the surgical sponge is estimated. The processor displays It transmits data that should be displayed on the ray. Another exemplary method is to use two or more types of hands. This includes the use of surgical sponges in surgical procedures.

[0012] This method involves weighing the tare weight and compensating for the tare weight of the sponge classifier. The weighing means can sense that the tare weight is equal to or less than a predetermined size. It can be known. In addition or by alternative means, the user provides input to the display. The tare weight of the weighing device can be measured while the sponge classifier is supported by the arm. The processor calculates the difference between the measured weight and the dry weight and tare weight. The fluid weight of the surgical sponge is determined.

[0013] This method correlates the change in measured weight with the counting out of the surgical sponge. This may include determining whether or not the surgical sponge was counted out. If the change in measured weight does not correlate with the change in weight, a warning can be displayed on the screen. The processor can determine whether detection before or after the tag has occurred. In addition or by alternative means, the processor detects the tags on the surgical sponge and measures the weight changes. Between the two, the measured duration and the maximum duration can be compared. Alternatively, the processor can detect changes in measured weight and pre-set sponges saturated with blood. It can be compared to the specified maximum sponge weight. Finally, the processor measures the weight The change in measured weight can be compared with a preset minimum sponge weight. If it falls below a preset minimum, the processor will use the measured weight to estimate blood loss. The changes cannot be correlated. The processor counts out the surgical sponge. When the change in measured weight is correlated with this, the processor uses the measured weight and dry weight as a basis. The next step is to determine the fluid weight of the surgical sponge, and based on the fluid weight, the surgical sponge Steps to estimate blood loss associated with the pulse and to facilitate the display of estimated blood loss. You can proceed step by step.

[0014] A graphical user interface (GUI) can be displayed on the screen. The display provides a touchscreen user interface for user input. It can be a clean display. The GUI contains various tiles and information. This can be done. The tile is used to collect fluids from the surgical procedure, such as surgical sponges or other materials. The net fluid volume not absorbed by the fluid-absorbing material can be displayed. It can display the number of counting bags (e.g., sponge sorters) and the date and time of recording. The tiles can display data associated with the compatible surgical sponge. The counter can be displayed in a list field.

[0015] Based on the total weight sensed by the weighing means and the tare weight of the counting bag, it is suitable. The fluid weight of the surgical sponge is determined and displayed within the tile. Estimated blood loss is calculated. Alternatively, it can be recalculated and displayed within the tile. Suitable surgical s For fluid-absorbing articles other than pongee, alternative tiles can be provided. Measurement If the weight change does not correlate with the countout of the suitable surgical sponge, the processor will In the cases determined, the user identified the fluid-absorbing item from the item list field. The tiles can be changed so that they are selected. The GUI is for net fluid volume, metering. The breakdown of the type and amount of fluid represented in each of the measured item volume and estimated blood loss, and It can also provide a summary field. The GUI also supports fluids other than blood. Or, to exclude surgical sponges that have been determined to absorb only fluids other than blood. Options can be provided. The surgical sponge can be detected by the data reader. It is possible to implement an exclusion sponge field, and surgery can be selected to be excluded. You can list the sponges you use.

[0016] Therefore, according to a first aspect of this disclosure, a system for managing surgical sponges It includes a main support extending from a base and a distributor assembly supported on the main support. The distributor assembly includes a housing, and the housing is located inside the housing, and the sponge A first storage area configured to receive the cartons of the sorter in a removable manner, and a house Located on the outside of the drape, it is configured to removably support the carton of surgical draping. The housing of the distributor assembly includes a second storage area. The upper wall includes the first retaining shape and the second retaining shape define the second storage location. They are separated from each other. The third and fourth holding shapes are located in the second storage area. They are spaced apart from each other so as to define the third or fourth retaining shape. The set can be defined. The upper shell has a front opening that communicates with the first storage area. It may include a defining front wall. The bottom wall may be inclined downward toward the front wall. .

[0017] According to a second aspect of this disclosure, a system for managing surgical sponges is based on or It includes an extending main support and a distributor assembly supported on the main support. The Nbri has a first storage location for receiving the cartons of sponge sorters in a removable manner, This includes a second storage area for removably receiving cartons of surgical drapings. The electronic subsystem is supported on a main support, and consists of a module base and a module base A display detachably coupled to the case and a module detachably coupled to the module base Includes a data reader. The electronic subsystem primarily connects the base and the distributor assembly. It can be supported on a support. A second aspect of the present disclosure includes an electronic subassembly. The system can be provided on a system according to the first embodiment.

[0018] According to a third aspect of this disclosure, a system for managing surgical sponges is based on It includes a main support that is thus supported, and an arm supported by the main support. The arm is Including an unsupported distal end to provide a cantilever beam. The load cell is supported by an arm. The total of the sponge classifier supported by the sponge classifier and the surgical sponges placed inside the sponge classifier It is connected to a cantilever beam to sense the weight. The arm provides the cantilever beam. It can extend from the distributor assembly. The proximal end of the arm swivels to the distributor assembly. They can be coupled together. The arm may include a beam that defines the channel. The load cell can be placed within the underside of the beam, or coupled to the underside of the beam. This is possible. A system of a third aspect of this disclosure, including an arm and a load cell, is first and It can be provided on a system of the second embodiment.

[0019] According to a fourth aspect of this disclosure, a system for managing surgical sponges is based on It includes a main support that is thus supported, and an arm supported by the main support. The arm is A beam, a loading bar, and a sponge classifier and sponge supported by an arm. Includes a load cell for sensing the total weight of surgical sponges placed inside the classifier. The first end or portion of the load cell is fixed to the beam, and the second end of the load cell is fixed to the beam. The part is fixed to the loading bar. The arm is connected to the loading bar. This includes at least one classifier coupler configured to directly support a sponge classifier. This is possible. The arm is fixed to the loading bar and the second end or part of the load cell. This includes a load limiting plate fixed near the minute mark and a gap adjustment screw screwed to the load limiting plate. This is possible. The adjustment stop screw can be screwed to the load limiting plate, and the gap adjustment screw can be fixed. It can be configured to selectively lock at a specific position. Includes an arm and load cell. The system of the fourth aspect of this disclosure provides on the system of the first and / or second aspect. It is possible.

[0020] According to a fifth aspect of this disclosure, a method for estimating blood loss is, by a data reader, The tags on the surgical sponges are detected and counted in for use during surgical procedures. This includes identifying the surgical sponge as such. The type of surgical sponge is stored in memory. It has a stored dry weight. In this case as well, the data reader will determine the surgical sponge The tags are detected and counted out so that they will no longer be used during surgical procedures. The surgical sponge is identified by the weighing means. It is detected when it is placed inside the sponge classifier or while it is placed inside the sponge classifier. The fluid weight of the fluid on the surgical sponge was counted out by the processor. Based on the measured weight and dry weight of the surgical sponge identified by the data reader. The blood loss associated with the surgical sponge is determined by the processor. Estimated based on body weight. Estimated blood loss is displayed on the screen. Sponge The tare weight of the classifier can be sensed by a weighing device. Flow rate of surgical sponge The quantity is determined by the processor based on the measured weight, dry weight, and tare weight. It is possible.

[0021] According to a sixth aspect of this disclosure, a method for estimating blood loss is, by a data reader, The tags on type 1 surgical sponges and the tags on type 2 surgical sponges are examined. This includes dispensing. The first type has a first dry weight stored in memory, The second type has a second dry weight stored in memory. The counter is professional The first one counted in by Sessa for use during surgical procedures These are indexed to identify Type 1 and Type 2 surgical sponges. At least one of the tags is detected again by the data reader. The counter is Those that were counted out by Rossessa to no longer be used during surgical procedures and at least one of the first type of surgical sponge and / or the second type Further indexing is used to identify at least one of the surgical sponges. Changes in constant weight are determined by the weighing means, based on the state in which the surgical sponge is placed within the sponge classifier. It is sensed in state. The fluid weight of the surgical sponge is detected by a processor and a counter. The measured weight and dry weight of the surgical sponges identified as counted out The determination is based on the fluid weight of the surgical sponge, determined by the processor. It is estimated based on this. The estimated blood loss is displayed on the screen. The display also , the first type and the second type that are counted out and / or counted in A counter can be displayed showing the number of each surgical sponge.

[0022] According to a seventh aspect of this disclosure, a method for estimating blood loss is, by a data reader, The tags on the surgical sponges are detected and counted in for use during surgical procedures. This includes identifying the surgical sponge as such. The type of surgical sponge is stored in memory. It has a stored dry weight. Changes in measured weight are sensed by the weighing device. Rossessa asks whether the change in measured weight correlates with the counting out of surgical sponges. Determine whether or not. The change in measured weight correlates with the counting out of the surgical sponge. If not, a warning will be displayed on the screen. The processor is a surgical sponge tag. Comparing the measured duration with the maximum duration between detection and the change in measured weight. The processor can handle changes in measured weight and presets indicating a blood-saturated sponge. It can be compared with the maximum sponge weight measured. The processor measures the change in weight and It can be compared to a pre-set minimum sponge weight. The system can receive user input in response to a warning indicating the type of fluid-absorbing material that has been used. Upon receiving another user input identifying the surgical sponge as saturated with a fluid other than blood, It can be obtained. The processor subtracts the weight of the surgical sponge from the measured weight. Based on this, the corrected measured weight can be determined. Blood loss is processed by the processor. This can be estimated based on the corrected measured weight.

[0023] The following diagram provides a detailed example. While the diagram represents a schematic, These drawings are not necessarily proportional to the actual size, and the innovative aspects of the examples shown are not necessarily accurate. Certain features may be emphasized for illustrative and explanatory purposes. Furthermore, this specification... The illustrative diagrams provided are not intended to be exhaustive, nor are they intended to be otherwise illustrative. Not limited to or restricted to the exact form and configuration shown on the surface and disclosed in the following detailed description. It wasn't intended to be that way. [Brief explanation of the drawing]

[0024] [Figure 1] This diagram shows a system for managing surgical sponges. The module base, data reader, and display are shown detached from the mobile stand. The cartons for the sponge classifier and surgical draping are shown separated from their respective storage locations on the distributor assembly. The surgical draping covers the data reader. [Figure 2] This figure shows a system in which at least one arm is positioned outward from the housing of the distributor assembly, and a sponge classifier is hung from the arm. [Figure 3] This is a top perspective view of the distributor assembly. [Figure 4] This is a rear view of the distributor assembly. [Figure 5]This is an exploded view of a distributor assembly, with the upper housing separated from the lower housing. [Figure 6] One of the arms is shown in a disassembled state, and this is a perspective view of a portion of the system, including the beam, the loading bar, and the load cell for detecting the measured weight of the sponge classifier and surgical sponge. [Figure 7] Figure 6 is a top perspective view of the arm, where the beam is shown as transparent to illustrate the load cell and other dependent components of the arm positioned within the beam. [Figure 8] This is a top perspective view of another implementation example of the arm, where the load cell is positioned outside the beam. [Figure 9] This is a diagram illustrating a method for estimating blood loss using a system. [Figure 10] This is a diagram illustrating another method for estimating blood loss using a system. [Figure 11] This is a diagram illustrating yet another method of estimating blood loss using a system. [Figure 12] This is a perspective view of a portion of the system where a warning is provided on the display. The warning may indicate that a change in measured weight detected by the weighing means does not correlate with the counted-out surgical sponge. [Figure 13A] This is a screenshot of the graphical user interface (GUI) of the workflow for estimating blood loss using the system. [Figure 13B] This is a screenshot of the graphical user interface (GUI) of the workflow for estimating blood loss using the system. [Figure 14A] This is a GUI screenshot of the workflow in which the system estimates blood loss, with additional fluid-absorbing materials used in addition to the suitable surgical sponge. [Figure 14B] This is a GUI screenshot of the workflow in which the system estimates blood loss, with additional fluid-absorbing materials used in addition to the suitable surgical sponge. [Figure 14C] This is a GUI screenshot of the workflow in which the system estimates blood loss, with additional fluid-absorbing materials used in addition to the suitable surgical sponge. [Figure 14D] This is a GUI screenshot of the workflow in which the system estimates blood loss, with additional fluid-absorbing materials used in addition to the suitable surgical sponge. [Figure 15A] This is a GUI screenshot of a workflow in which the system estimates blood loss, allowing one or more surgical sponges to be excluded from the measured volume of the item. [Figure 15B] This is a GUI screenshot of a workflow in which the system estimates blood loss, allowing one or more surgical sponges to be excluded from the measured volume of the item. [Figure 15C] This is a GUI screenshot of a workflow in which the system estimates blood loss, allowing one or more surgical sponges to be excluded from the measured volume of the item. [Figure 15D] This is a GUI screenshot of a workflow in which the system estimates blood loss, allowing one or more surgical sponges to be excluded from the measured volume of the item. [Figure 16A] This is a GUI screenshot of a workflow where a weighing device detects a reduction in measured weight, and the system estimates blood loss. [Figure 16B] This is a GUI screenshot of a workflow where a weighing device detects a reduction in measured weight, and the system estimates blood loss. [Figure 16C] This is a GUI screenshot of a workflow where a weighing device detects a reduction in measured weight, and the system estimates blood loss. [Modes for carrying out the invention]

[0025] This disclosure relates to a system for managing surgical sponges during surgical procedures, and by This prevents surgical sponges from being left inside the patient's body. The system is described below in an uninterrupted manner. This workflow makes it even easier to estimate blood loss associated with surgical items. It is possible. Referring to Figures 1 and 2, the surgical sponge management system 10 is Includes stand 12, electronic subsystem 14, and distributor assembly 16. Stand 12 A wheeled base for moving the surgical sponge management system 10 within a medical facility. Includes 18. The wheel can be a caster 20 coupled to the base 18, and the caster At least one of the 20 is configured to selectively lock the caster 20. Includes rake 22. Stand 12 is coupled to base 18 and extends upward from base 18. It may include a main support 24. The main support 24 can be a cylindrical pole. , or to facilitate improved mounting of the electronic subsystem 14, in an axial cross-section It can be square or rectangular. In particular, the main support 24 is a pair of relatively wide It may include both bilateral sides 26, 28, and one of the pair of bilateral sides 26 is for surgical use The front of the sponge management system 10, and the other side 28 of the pair of side surfaces is for surgical use This is the rear view of the sponge management system 10. The main support 24 extends through the main support 24. To accommodate the power and / or data cable 30, it is made at least partially hollow. This is possible. The example shown shows a front surface 26 defining the opening 32. The power connector 34 is positioned inside or adjacent to the opening 32. Power cable 3 0 extends through the main support 24 and through another opening (not shown) in the rear surface 28 of the main support 24 It passes through and exits. As shown in Figure 2, the electronic subsystem 14 is coupled to the main support 24. Then, in order to power the surgical sponge management system 10, the power cable 30 is connected to an external power source. They can be combined. One or more of the components of the electronic subsystem 14 can be re It can include a rechargeable battery, and the connection of the power cable 30 to an external power source is further rechargeable. It can charge rechargeable batteries and, in many cases, simultaneously manage surgical sponges. Please understand that power can be supplied to system 10. For example, power cable 30 To neatly store it in the stand 12, the rear surface 28 near the opening from which the power cable 30 exits The cord wrap 36 can be connected to the main support 24. For example, in a medical facility, To facilitate the movement of the surgical sponge management system 10, a handle is placed on the front surface 26. Dollar 38 can be coupled to the main support 24.

[0026] Continuing to refer to Figures 1 and 2, the electronic subsystem 14 is module-based 4 It includes a 0, a display 42, and a data reader 44. The module base 40 is a stand It can be fixed to the band 12, and more specifically, it engages with the front surface 26 of the main support 24. This is possible. The power connector 34 is a complementary power port on the rear surface of the module base 40. It is electrically coupled to (not shown). The module base 40 is connected to the housing 46 and the housing It may include a mount 48 coupled to the ring 46. The module base 40 is a This may further include a processor, memory, communication devices, and / or other hardware. It is understood what can be done. Mount 48 displays a graphical user interface. It is configured to be detachably coupled to a display 42 such as a tablet. Thus, the housing 46 is configured to be removably coupled to the data reader 44. The cradle 50 can be defined. The implementation example shown is that the cradle 50 is data This indicates a recess for receiving and supporting the Tallyda 44. In many cases, HCP is When the display 42 and data reader 44 are fitted, the electronic subsystem 14 is favorable. The components are coupled to the main support 24 at an optimal height. For example, the electronic subsystem 14 is The handle 38 and the distributor assembly 16 can be coupled to the main support 24, Therefore, the display 42 is at eye level for most adults of average height. Close. In another example, display 42 is at a height of 4 to 6 feet from floor level. It can be positioned. Furthermore, the joint between the mount 48 and the module base 40 The unit provides selective adjustment of the display 42 with one, two, or three or more degrees of freedom. It is possible. The joint is designed to accommodate users of various heights, with a modular base of 40. This can be a pivot axis that provides vertical adjustment of the display 42 relative to the swivel axis.

[0027] The data reader 44 is used as a handheld device or is supported by the cradle 50. It is used as a component and is configured to allow seamless transitions between these components. In detail, when supported by the cradle 50, the data reader 44 is placed on the surgical sponge. To detect the unique identifier associated with the associated tag, surgical sponge The surgical sponge can be brought closer to the data reader 44. If it is not feasible to move or otherwise operate as desired, Data Reader 4 Remove 4 efficiently from cradle 50, near the tag associated with the surgical sponge. It can be operated. In the exemplary implementation, the data reader 44 is, as a whole, The rights holder of the present application, published on March 4, 2021, which is incorporated herein by reference, Owned by International Publication WO2021 / 041795, and published on May 20, 2021 As described in International Publication WO2021 / 097197 owned by the rights holder of this application RFID controllers configured to detect RFID tags associated with surgical sponges This is a tag. Illustrative tags other than RFID tags are incorporated herein by reference as a whole. The internationally published WO, owned by the rights holder of this application, was published on June 29, 2017. It was disclosed on 2017 / 11 / 2051.

[0028] The distributor assembly 16 is positioned opposite the base 18 of the stand 12, and the main support 24 It can be mounted on the stand 12. In other words, the distributor assembly 16 can be mounted on the stand 12. It can be located in these. The distributor assembly 16 and its components described are these The ability to selectively limit the area occupied by the surgical sponge management system 10, but not limited to this, is also possible. Storage and ergonomics of sponge sorters 52 from cartons 56 To provide distribution, surgical draping 53 from carton 58 To provide storage and ergonomic distribution for 53, and to be placed within the sponge sorter 52 At least one arm 5 having a dependent component for weighing the surgical sponge It offers several advantageous features, including supporting 4. In this specification, carton 5 6, 58 can be a semi-rigid or rigid container, for example, a box defining an opening. Alternatively, it can be a flexible container such as a bag that defines the opening. The sorter 52 can be stacked inside the carton 56 and rolled up together. They can be bundled in other ways, and are also referred to as counting bags in this specification. Furthermore, in this specification, the surgical draping 53 is a single surgical drape or multiple surgical drapes. It can refer to a number of surgical drapes. A carton of 53 surgical drapes 58 is the most Initially, it may include one, two, three, four, or five or more surgical drapes. These surgical drapes can be stacked in carton 58 and rolled up together. This can be done, or it can be put together in another way.

[0029] Referring next to Figures 3 to 5, the distributor assembly 16 includes the housing 60, The 60 can consist of an upper shell 62 coupled to a lower shell 64. The shell 64 is attached to a complementary mounting flange (not shown) located at the upper end of the main support 24. It can be installed. Figure 5 shows how to install the distributor assembly 16 on the main support 24. The lower wall 66 of the lower shell 64 defines four holes for receiving the fasteners. 64 may include a lower side wall 68 extending upward from the lower wall 66. As can be understood from its shape, the lower wall 66, when attached to the main support 24, is on the rear It can be sloped downwards toward the front. As will be explained further, below the lower wall 66 The inclination toward the front wall 70 of the sponge classifier 52 carton 56 of the distributor assembly 16 To facilitate lowering to the fixed position inside, thereby for ergonomic distribution, the distributor The opening of the carton 56 is positioned to communicate adjacent to the front opening 72 of the assembly 16. do.

[0030] The distributor assembly 16 is coupled to the housing 60 with at least one mounting bracket Includes part 74. The mounting bracket 74 connects the arm 54 to the housing 60. As best shown in 5, the mounting bracket 74 is attached to the lower side wall of the lower shell 64. It is joined to each of the outer surfaces of 68. The lower shell 64 extends outward from each of the lower side walls 68. The flange wall 76 may further include a mounting bracket 74 on the flange wall 76. Further connections can be made. The resulting configuration consists of a flange wall 76 and a lower side wall Includes an arm 54 positioned within a recess 78 defined by 68. More specifically, The arm 54 is swivelably coupled to the mounting bracket 74, and the mounting bracket 74 It can extend rearward. The arm 54 is positioned within the recess 78. Undeployed position (see Figures 1 and 3-5) and when arm 54 crosses the side wall of housing 60 It is independently and selectively movable between the outward-extending deployment position (see Figure 2). Arm 5 The classifier coupler 79, which is coupled to 4, is configured to support the sponge classifier 52. The classifier-coupler 79 has at least one hook, which is best shown in Figure 4. It can be attached with two hooks, or other suitable retaining mechanisms such as clasps, hook-and-eye connections. Each arm 54 is configured to cooperate in supporting the two sponge classifiers. It may include at least two classifier couplers 79. In an alternative implementation example, M54 can be configured to perform rotational motion, linear translation, or expansion / contraction displacement. can.

[0031] The upper shell 62 includes a front wall 70, an upper wall 80, and upper side walls 82. Walls 70, 80, 82 generally forms an L-shape along the contour of the lower shell 64 and is therefore joined to one another. When this occurs, the interior or first storage area 84 is defined. In particular, the upper side wall of the upper shell 62 82 is fixed to the lower side wall 68 of the lower shell 64, for example by fasteners, and housing Forming 60. Alternatively, suitable manufacturing methods include blow molding, injection molding, and 3D printing. The process allows the upper shell 62 and the lower shell 64 to be formed as a single unit, Therefore, it is intended that housing 60 will be structurally monolithic. This allows access to the first storage area 84 by rotating the upper shell 62 for cleaning, etc. To make this possible, for example, by a hinge, the upper shell 62 and the lower shell 64 They can be connected in a way that allows them to pivot relative to each other. The housing 60 has a front wall 70 and an upper wall 80 and A first storage area 84 is defined between the side walls 68 and 82.

[0032] The first storage area 84 is sized to receive cartons 56 of sponge sorters 52. It is determined. More specifically, the housing 60 has a rear opening that communicates with the first storage area 84. The opening 86 and the front opening 72 which communicates with the first storage area 84 are defined. Rear opening 86 The rear opening 86 is larger than the front opening 72. As best shown in Figure 4, the rear opening 86 is rectangular. It can take on a specific shape, which is often the case with the carton 56 of the sponge classifier 52. It has a typical shape. The rear opening 86 allows the user to pass the carton 56 through the rear opening 86. Slightly larger than carton 56 so that it can be guided into storage area 84 The size should be set. The user should use the carton 56 distributor opening as the distributor assembly. The carton 56 is loaded into the first storage area 84 so that it faces the front opening 72 of 16. It should be. As mentioned above, the lower wall 66 is inclined downwards, and therefore the user is spoiled To facilitate the complete loading of the cartons 56 of the sorter 52 into the first storage location 84. The distribution opening of the carton 56 is accessible through the front opening 72.

[0033] Referring again to Figure 2, the sponge classifier 52 is moved from the arm 54 of the distributor assembly 16. The method of suspension is to support the carton within the first storage location 84 of the distributor assembly 16. This includes retrieving the sponge classifier 52 from 56. HCP removes the surgical sponge from the front. Approaching the management system 10, and passing through the front opening 72 to the carton 56 of the sponge sorter 52 HCP can be accessed through the front opening 72 of the sponge classifier 52. One can be pulled out from carton 56. The ergonomics of the placement are advantageous. This means that the HCP retrieves an object from, for example, a wire basket supported on a stand. This is not necessary. The distributor assembly 16 is likely to be located above head level. Therefore, safety is further enhanced. The sponge sorter 52 can be folded up, Or it can be unfolded once removed from carton 56. The sponge sorter 52 is unfolded. When this is done, it can take on the configuration shown in Figure 2. The distributor assembly 16 is a sponge classifier. To prevent or minimize contamination of the carton 56 of container 52, the height of the arm 54, that is, The sponge classifier 52 can be positioned above its hanging height. Furthermore, the distributor A The location of the Swertia japonica 16 is centrally located on the main support 24, which allows the sponge classifier 52 to Avoid blocking the upper and lower pockets. The location of the distributor assembly 16 of this disclosure The configuration improves upon known devices, and when the positioning of the storage unit is low, the spon The classifier needs to be suspended at a lower height, and in many cases, HCP is You have to bend down to near the floor to access the low pocket. Distributor Assembly 1 Option 6 accommodates a wide range of heights in the HCP while avoiding the aforementioned drawbacks.

[0034] The HCP hangs or suspends the sponge classifier 52 from one of the arms 54. The sponge classifier 52 is guided onto the hook of the classifier coupler 79. This may include small holes configured in this way. This step involves moving the arm 54 from an undeployed position to a deployed position. It can be performed before or after moving to the designated position. In other words, HCP is a housing. With the arm 54 positioned in the recess 78 adjacent to the side of the g 60, The sponge classifier 52 can be suspended from the housing 60. The arm 54 is installed in the housing 60. This prevents movement away from the HCP, as the HCP has small holes and hooks. If both hands must be used to support and position it, it can be ergonomic. Alternatively, the HCP can, for example, rotate arm 54 outward, and Next, the HCP suspends the sponge classifier 52 from the arm 54.

[0035] After the sponge classifier 52 is suspended from the arm 54, it can be used at any time throughout the medical facility. It is desirable that the surgical sponge management system 10 can be operated. However, With the 54 deployed, the wingspan of the surgical sponge management system 10 is quite large. Navigating obstacles within medical facilities is becoming increasingly difficult. Surgical sponge management system 1 0 is advantageous in deploying an arm 54 to which one or more sponge classifiers are already attached. This enables the movement from a designated position to an undeployed position, thereby enabling the surgical sponge management system 1 Reduce the wingspan to 0. The reduction in wingspan reduces the original occupied area of ​​the surgical sponge management system 10. It can be equal to or smaller than that. In other words, Arm 5 in the undeployed position The sponge classifier 52 suspended from 4 is attached to the protruding outer circumference of the base 18 (i.e., the original It is within the range of the occupied area. As a result, the surgical sponge management system 10 is one or Multiple sponge classifiers 52 are already suspended and ready for immediate use. It can be done in the same way as when it is mobile and in a state where it is possible. HCP will, as needed. Then, by gripping the handle 38, the surgical sponge management system 10 can be moved.

[0036] As already discussed, the surgical sponge management system 10 includes an electronic subsystem 14. In many cases, the components of the electronic subsystem 14 are surgical dressings that maintain a sterile barrier. It needs to be covered with ping 53. As with the internal or first storage location 84, the distributor asse The Nbri 16 is advantageous for the mounting storage and ergonomic distribution of surgical draping 53. Provides an external or second storage location 88. Refer again to Figures 1, 3, and 5. The second storage area 88 is generally defined by a recess in the upper wall 80 of the upper shell 62. This is possible. In other words, the upper shell 62 contains at least a portion of the second storage area 88. It may include a first retaining shape 90 and a second retaining shape 92 formed as shown. In the implementation example shown, the first retaining shape 90 and the second retaining shape 92 hold the housing 60. This is a frame that extends across in the width direction. First retaining shape 90 and second retaining shape 92 Preferably, the distance is only slightly greater than the width of the carton 58 of the surgical draping 53. , separated from each other. As a result, the cartons supported within the second storage area 88 are generally... The movement of 58 in the forward and backward directions can be suppressed. The second retaining shape 92 is The rear surface of the housing 60 can be contoured, and the first retaining shape 90 is the housing 6 It can be positioned at any suitable location along the depth of 0.

[0037] The upper shell 62 further forms a third retaining shape 94 and a second storage area 88. It may further include four retaining shapes 96. In the shown implementation example, a third retaining shape 94 is a frame that extends in the depth direction along one of the upper side walls 82 of the housing 60. The fourth retaining shape 96 is located deep along the other of the upper side walls 82 of the housing 60. It is a frame that extends in the direction. The third retaining shape 94 and the fourth retaining shape 96 are preferred Alternatively, a distance slightly greater than the length of the carton 58 of surgical draping 58, between them. It is separated from the carton 58 supported within the second storage area 88. Generally, the carton 58 supported within the second storage area 88 moves laterally. This can suppress the process.

[0038] The third retaining shape 94 and / or the fourth retaining shape 96 define the slot 98. This is possible. Slot 98 is ergonomically designed for surgical draping from carton 58 to 53. To facilitate distribution. A suitable cart, as best shown in Figures 1 and 2. The distributor opening can be defined on the shortest side of the lower surface. The distributor opening is for surgical use. When the carton 58 of the raping 53 is supported in the second storage place 88, slot 98 It is then aligned. For example, a small portion of the surgical draping passes through the distributor opening. With the HCP exposed (due to the removal of the previous surgical draping), To distribute the surgical draping 53, simply pull or remove it outward (and downward). It can be released. The carton 58 of surgical draping 53 is in the third retaining shape 94 or The fourth retaining shape 96 prevents it from leaving the second storage location 88. Similar to location 84, the ergonomics of the second storage location 88 are advantageous, for example, that the HCP is upward It does not require pulling. The surgical draping 53 can be spread or opened as needed. Therefore, it can cover the electronic subsystem 14 and / or other components. For example, Figure 1 shows a surgical draping 53 covering a data reader 44 with a closure device. This indicates that it is.

[0039] The first storage area 84 and the second storage area 88 are for the handling of cartons 56 and 58 respectively. It is further understood that this facilitates ease of removal and replacement. (Sponge sorter 52 car) After ton 56 is empty, the rear opening 86 allows for easy removal and replacement of another carton 56. To promote the process. Similarly, after the carton 58 of surgical draping 53 is empty, You can simply lift the 58 a short distance to remove it, and then another carton 58 The first storage area 84 can be positioned within the second storage area 88. The second storage location 88 is associated with carton 58 of the 53 packings, and the second storage location 88 is associated with sponge sorter 52 The reverse configuration, associated with carton 56, is also intended.

[0040] The distributor assembly 16 of this disclosure is advantageously attached to the surgical sponge management system 10. Place most or all of the items near the display 42 or data reader 44. It facilitates compact and spatially conscious placement. Compactness is the first storage location 84 The second storage location 88 is located "inside" the housing 60 of the distributor assembly 16. This is achieved by being "outside" of the Zing 60. Inside is that the majority of the carton is It can be considered that the woozing does not extend beyond 60, and the outside is the large carton. I believe that the part extends beyond the housing or is exposed without being obstructed. This is possible. Naturally, it involves fine adjustments to the geometric shape of the carton relative to the housing 60. Minor changes in configuration and arrangement can be considered within the scope of this disclosure. One alternative In an implementation example, for instance, the housing 60 of the distributor assembly 16 defines a rear opening 86. It is not necessary, and the upper wall 80 of the upper shell 62 is positioned in front of the second storage area 88. An opening communicating with the first storage location 84 can be defined. Sponge sorter 5 Two cartons 56 are made accessible through the front opening 72, through the opening. It can be guided into storage location 84.

[0041] As described above, the surgical sponge management system 10 provides a seamless workflow. For more details, see the uninterrupted work process for checking out or counting out surgical sponges. Lowe makes it easier to estimate blood loss associated with surgical sponges. In other words, the user uses the data reader 44 to count the surgical sponges. Take it out and place the surgical sponge (S) into one of the pockets of the sponge classifier 52. This is possible (see Figure 2). The surgery can be performed without requiring any further action from the user. The sponge management system 10 weighs the surgical sponges (and sponge classifier 52) Correlating the weight change to the counted surgical sponge, the ties of the surgical sponge Subtracting the dry weight associated with the stool, estimate the blood absorbed by the surgical sponge. The estimated blood loss can be configured to be updated on the display 42. To facilitate weighing the range, arm 54 may include weighing means. The additional advantages achieved by integrating the metric means on 4 will also be explained in further detail. I will reveal it.

[0042] Referring next to Figures 6 and 7, the arm 54 is a metering means, a beam 102, and Includes a weighing bar 104. The weighing means can be a load cell 100 and an arm Other suitable means for weighing the object supported from 54 are also considered. Beam 102 is The housing 60 of the distributor assembly 16 is connected by a mounting bracket 74. The load cell coupler 79 is coupled to the loading bar 104. The load cell 100 is connected to the Rohde The mass applied to the wing bar 104 can be measured by the load cell 100. The loading bar 104 is coupled to the beam 102. In other words, the loading bar 1 04 and beam 102 were supported by arm 54, except for load cell 100. The entire mass can be measured by load cell 100, even if they are not coupled to each other. In most cases, the mass is multiplied by the sponge classifier 52 from the arm 54, and This is any surgical sponge or object received into the sponge classifier 52.

[0043] Arm 54 enables the above-mentioned functions to be movable between the undeployed position and the deployed position. It is rotatably coupled to the housing 60. As a result, the arm 54 is a cantilever. It can be expressed as follows: one end or near it is supported by the mounting bracket 74. It can be supported at one end and left unsupported at the other. (Cantilever beam structure) Through mechanics, the load cell 100 can be made into a bending beam type load cell. The bending beam load cell is advantageous because it can be concealed within the arm 54. Kana form factor enables accurate and repeatable measurements. Load cell 100 These include bending beam type load cells, double bending beam type load cells, and shear load cells. Beam-type load cell, S-shaped load cell, canister-type load cell, torsion load cell Load cells, spoke-type load cells, ring torsion load cells, load pins, and distortion gauges. A selection can be made from the group consisting of the following. One exemplary double-bending beam type The DF2SR- trademark is issued by HBK Inc. (Marlborough, Massachusetts). It is available commercially in 3.

[0044] Continuing to refer to Figures 6 and 7, beam 102 defines channel 106. This allows the load cell 100 to be placed within channel 106. In one example, The beam 102 is extruded to define a channel 106 with a square or rectangular cross-section. It is formed by molding, but other suitable shapes are also envisioned. Channel 106 is load cell 1 To accommodate other dependent components of the arm 54, such as the mounting block 108 and 00. The size can be set. The first part or end 110 of the load cell 100 is B It can be fixed to the 102, and the second part or end 112 of the load cell 100 is It can be fixed to the leading bar 104. As best shown in Figure 7, The first end 110 of the cord cell 100 is fixed to the upper surface of the beam 102 by fasteners. The second end 112 of the load cell 100 is fixed to the mounting block 108, and the mounting block The block 108 itself is fixed to the loading bar 104. The mounting block 108 is a cable. The loading bar 104 can be placed inside the channel 106, and outside the channel 106. It can be placed in the following location. The opening 114 of the load cell 100 is a first part 110 and a second part It can be drawn between part 112. The object is supported by the loading bar 104. As a result, a downward force is applied to the mounting block 108 and the second end 112 of the load cell 100. A downward force is applied. This downward force causes the load cell 100 to deflect, and this deflection is measured by the strain gauge. Alternatively, it can be measured by other suitable transducers. Dimensions of load cell 100 The measured deflection indicates the load, depending on the properties of the material and the opening 114. This deflection is electrically It is converted into an electrical signal and transmitted to the processor of the electronic subsystem 14. Cover 116 and An end cap 118 is provided to seal the subordinate components of the arm 54 within the beam 102. Or it can be hidden. Therefore, by being placed within channel 106, The design of arm 102 itself protects load cell 100. Alternatively, Figure 8 shows arm 54 An implementation example is shown where a specific dependent component is placed within channel 106, but load cell 10 0 is located outside beam 102. The implementation example in Figure 8 shows the first end of load cell 100. This shows that 110 is coupled to the underside of the lower surface of beam 102. Such an arrangement is Designs requiring larger weighing means, i.e., load cell 100 is located within channel 106 This can be particularly suitable for designs that are too large to place in a conventional location. Load cell 100, beam 1 A suitable cover can be provided to accommodate items such as 02.

[0045] To further ensure accurate measurements and avoid damage to load cell 100, arm 54 This may include a load limiting plate 120 fixed to the mounting block 108. Gap adjustment The screw 122 is screw-connected to the load limiting plate 120. The gap adjustment screw 122 has a stop end (not shown). It has (but does not) and is selectively movable relative to the load limiting plate 120. The gap adjustment screw 122 is If the weight on the loading bar 104 exceeds a predetermined maximum weight, the load cell 10 The stop end can be adjusted to a position that prevents further load from being applied to 0. For example, the gap adjustment screw 122 adjusts the load applied to the load cell 100 to a predetermined maximum. If the weight is exceeded, the lowest position on the lower inner surface of beam 102 (or other designated structure) It can be selectively adjusted to come into place at the desired position corresponding to a predetermined maximum weight. A set screw 124 can be provided to fix the gap adjustment screw 122. In other words, Then, the load limiting plate 120, the gap adjustment screw 122, and the load cell 100 are set to a predetermined weight. It can be calibrated. During calibration, an object of known weight (for example, 20 pounds) is used. The mounting bar 104 can be attached, and the gap adjustment screw 122 is below the beam 102. It can be adjusted to contact the inner surface of the part. The object is removed and the set screw 124 is tightened. It can be done. If 20 pounds are supported by arm 54 during the subsequent operation, It can be assumed that the gap adjustment screw 122 will return to its lowest position.

[0046] The weighing means is a processor (not identified) that can be placed within the module base 40. It is in communication with. Alternatively, the measuring means can communicate wirelessly with a remote processor, Therefore, the processing steps described later are executed remotely and the results are returned wirelessly and displayed on the display 42. The processor is executed to carry out the method disclosed herein. This may include a non-temporary computer-readable medium that stores instructions configured in this way. These instructions can be provided on a computer program product. The measuring means is A Objects supported by the sponge classifier 52 and sponge The classifier 52 is configured to detect the measured weight of a surgical sponge placed in its pocket. The measured weight, or the corresponding signal or data indicating the measured weight, is transmitted to the processor. It will be sent.

[0047] In typical surgical procedures where surgical sponges are used, the surgical sponge is used in the surgical procedure. Surgical sponge: Checked in or counted as an item to be used during the procedure. This may include tags such as the aforementioned RFID tags. See Figure 9 for an example. Method 130 involves causing the data reader 44 to detect the tag, thereby allowing the surgical sponge to be used. This may include inputting data (step 132). The RFID tag will contain the identification data. The processor is configured to determine the type of surgical sponge from the identification data. In that case, the surgical sponge is considered to be a suitable surgical sponge as described later. It is possible. Exemplary types of surgical sponges are 4x4 gauze and 18x18 It is a sponge made of plastic wrap. The surgical sponge management system 10 features also include tag-based Considering that some articles may not be automatically identified, the following will define such articles as fluid-absorbing articles. It is called a suitable surgical sponge, fluid absorbent article, sponge classifier 52, and other Objects can be collectively called "items." The type of surgical sponge is in memory. It is associated with the stored dry weight. The dry weight is associated with the type of surgical sponge. This can be an average weight based on experience, manufacturing, or other data. Based on the reader 44 detecting the tag, the processor will be used during the surgical procedure. The counter can index the number of surgical sponges. It can be displayed on Ray 42 (see Figure 13B). The processor is used and Then, add the dry weight to the previously counted dry weight of the surgical sponge. It is possible. Based on the expected or actual need for a sponge in the surgical procedure, the necessary This can be repeated as many times as needed. Surgical procedures should be initiated or continued as planned.

[0048] During or after a surgical procedure, used and unused surgical sponges are checked. It will be counted out or removed. The tag on the surgical sponge will also be used in this case. Identify surgical sponges that have been counted out to no longer be used during storage. To that end, it is positioned so that it can be detected by the data reader 44 (step 134) The processor then indexes the counter accordingly (for example, by subtracting 1 from the previous number). ), the number of surgical sponges that remain counted in is displayed on the display 42. It can be displayed (see Figure 13B). In practice, typically, the user is a surgical sponge. After confirming on display 42 that the countout has been reached, the sponge classifier 52 Immediately place a surgical sponge into one of the pockets (see Figure 2).

[0049] By integrating the weighing means with the arm 54 of the surgical sponge management system 10, The placement of a surgical sponge inside the sponge classifier 52 was measured as a change in weight, which was then measured by the weighing means. Automatically detected or sensed by (step 136). Measuring weight and / or measuring Changes in constant weight are transmitted to the processor. The processor then counts out and The measured weight (or change in measured weight) of the surgical sponge identified by the data reader. Based on the weight and dry weight, the fluid weight of the fluid absorbed by the surgical sponge is determined. It is configured to do so. In other words, the processor is detected by the data reader 44 Based on the tags, the type of surgical sponge counted out is recognized, and its type Correlating the dry weight of the surgical sponge with the measured weight from memory. Subtracting the weight gives the fluid weight relative to the counted-out surgical sponge ( Step 138). The fluid weight for each surgical sponge was used for subsequent investigation and input. It can be logged and stored in memory. 0.994 grams of fluid is 1 milliliter By an approximation transformation (or another suitable approximation) that is equivalent to Toru's blood, the processor, Based on fluid weight, estimate the blood loss associated with the surgical sponge (Step 1) 40). The processor transmits the data and displays it on the display 42 (STE). (See Figure 13A) The above-mentioned function is advantageous in determining estimated blood loss. The number of surgical sponges of each type that have been counted out until this can be done is determined by the user. It will be easy to understand how to eliminate the need to judge, recall, and / or manually enter information. Similarly, it eliminates the need to transport surgical sponges to a separate scale for weighing. Furthermore, the surgical sponge management system 10 does not increase the area occupied in the operating room. Provides an estimated blood loss. The steps described above involve counting in and caking the surgical sponge. The HCP requires users to change their familiar workflow, which involves turning off the device. It can be executed automatically in real time without any manual intervention. In the alternative implementation example described later, Spray 42 is a type of surgical sponge with count-in and count-out functions. You can provide users with the option to input or edit dynamically, in which case, Rossessa automatically updates estimated blood loss based on entered or edited inputs. The aim is to enable the following. Display 42 shows fluids other than blood (for example, amniotic fluid) Manually enter or edit the estimation and / or surgical stool containing only fluids other than blood. It is also intended to provide users with options to exclude Ponzi schemes. It can be done.

[0050] Another exemplary method 150 involves using two or more types of surgical sponges in a surgical procedure. This includes the following. Referring to Figure 10, the data reader 44 is a first type of surgical sponge Detect the tag on the second type of surgical sponge (Step 1) 52). The first type has a first dry weight stored in memory, and the second type The first type has a second dry weight stored in memory. For example, the first type has 4 The first type can be made with 4x4 gauze, and the second type can be made with 18x18 wrap sponge. It can be done, and the wrap sponge is heavier than gauze. The processor is used during surgical procedures. The first and second types of surgical sponges were counted as being included in the count. Index the counters to identify them (step 154). In other words, process S tracks how many gauze or wrap sponges have been counted.

[0051] After the surgical procedure, the data reader 44 counts out the tags that should be counted out. Detect at least one of them again. The processor is designed to be used during surgical procedures. At least one of the first type of surgical sponges is counted out as: To identify at least one of the two or second types of surgical sponges, Further index the entries (step 156). For example, the eight entries that were counted in Six of them may have been counted out afterwards, and the eight that were counted in Three may have been counted out from the wrap sponge afterwards. Surgical sponge With the rangefinder placed inside the sponge classifier 52, the weighing means senses the weight to be measured (s Step 158). The processor identifies it as counted out by the counter. Based on the measured weight and dry weight of the surgical sponge, the fluid weight of the surgical sponge was determined. Determines the following. In this example, the processor determines from the measured weight six times the dry weight of the gauze and Subtract three times the dry weight of the wrap sponge. The processor is based on the fluid weight of the surgical sponge. Then, blood loss is estimated (step 164), and the data is transmitted to the display 42. Display constant blood loss (step 166). In this case as well, the user uses a well-known method. All that's needed is to count out the surgical sponges, and the estimated blood loss is updated in real time. This is possible. Furthermore, for example, gauze and plastic wrap sponges can be processed by the processor accordingly. To index the counter, it counts out in a specific order or group. It's not necessary.

[0052] The weighing means includes a sponge sorter 52 containing surgical sponges, in addition to the sponge sorting mechanism. The weight of the object supported by the arm 54, including the container 52 itself, is sensed. Therefore, This method includes weighing the tare weight and compensating for the tare weight of the sponge classifier 52. This is possible. For example, the weighing means can determine if the tare weight is equal to or less than a predetermined size. It can detect rotation. In other words, the tare weight of an empty sponge classifier is predetermined. The size is less than the specified size, and the used and unused surgical sponges are larger than the specified size. This can be established empirically. The user suspends the sponge classifier 52 from the arm 54. In response to this, the weighing means senses a change in the measured weight. If the size is equal to or less than the size, the processor will determine what caused the change in measured weight. The body is determined to be a sponge classifier 52. In another example, the user sees the display 42. Provide input, and the sponge classifier 52 is supported by the arm 54 and the weighing means It can measure the tare weight. The processor converts the measured weight to the tare weight the moment user input is received. Associate it in this way. After performing the steps after the method described above, the processor measures the weight Based on the calculated difference between volume and dry weight and tare weight, the flow rate of the surgical sponge is determined. Determine the quantity.

[0053] As described above, by integrating the weighing means into the surgical sponge management system 10, blood In addition to real-time estimation of losses, surgical losses that are counted out, but are not limited to these. The sponge (not another surgical sponge) is actually placed inside the sponge classifier 52. To ensure that, and that no objects other than sponges are placed inside the sponge classifier 52. This offers several advantages, including avoiding [the aforementioned problem]. See Figure 11 for an illustrative method. 170 detects the tag on the surgical sponge by the data reader 44 during the surgical procedure. This includes identifying surgical sponges as being counted in for use in the medical field. (Step 172). The weighing means senses the change in the measured weight in the manner described above (Step 172). 174). The processor measured the change in weight when the surgical sponge was counted out. Determine whether there is a correlation (step 176). The surgical sponge is counted out. If the change in measured weight does not correlate with the result, a warning 126 will appear on the display 42 (Figure 12 (Reference) can be provided (step 178).

[0054] To determine whether the change in measured weight correlates with the counting out of the surgical sponge. To determine this, the processor identifies whether detection before or after the tag has occurred. It is possible. In other words, the weighing means counts out the surgical sponges. It senses the change in measured weight when it is not present. In such a situation, the surgical sponge is used as a sponge. If the user forgets to have the data reader 44 detect the tag before placing it in the classifier 52 This may occur in combination. As an additional or alternative method, the processor may use surgical sponge tags. Comparing the measured duration with the maximum duration between detection and the change in measured weight. This is possible. As mentioned above, typically the user counts out the surgical sponge. After that, the surgical sponge is immediately placed in the sponge classifier 52. The weighing means measures the weight. The maximum duration, for example 10, 20, or 30 seconds, elapsed before the change was detected. In this case, the processor detects the weight change in the tag that was most recently detected by the data reader 44. It can be configured so that there is no correlation. Simply put, it is placed inside the sponge classifier 52. The surgical sponge that was used is the same as the surgical sponge that was counted out 60 seconds ago, for example. It is unlikely that this is the case. Instead, the processor will have the user verify the surgical sponge again. To count out, or to provide confirmation user input to the display 42, etc. As such, warning 126 can be provided on display 42. In addition or by alternative means The processor then displays the changes in measured weight and the preset sponge saturated with blood. It can be compared with the maximum sponge weight. In other words, the memory stores empirical data indicating the maximum weight achievable by a surgical sponge fully saturated with blood or a fluid other than blood. If the measured weight change is greater than a pre-set maximum sponge weight, it can indicate that an item other than the sponge has been received into the sponge sorter. In this case, the processor cannot use the measured weight for estimating blood loss. For example, FIG. 2 shows that an object (O) other than the sponge is placed in one of the pockets of the sponge sorter 52. Furthermore, this specific warning, represented in FIG. 11, can provide a warning 126 on the display 42. Finally, the processor can compare the change in the measured weight with a pre-set minimum sponge weight. If the change in the measured weight is less than the pre-set minimum value, the processor cannot correlate the change in the measured weight for estimating blood loss. A change in the measured weight being less than the pre-set minimum sponge weight can indicate, for example, (i) that an item other than a small sponge has been received into the sponge sorter, (ii) that a sponge type smaller than the counted-out surgical sponge has been received into the sponge sorter 52, (iii) that a surgical sponge or item has been removed from the sponge sorter 52 and another surgical sponge or item has been added, and (iv) that the sponge sorter 52 has been inadvertently moved or supported, such as being partially supported by a surgical stand. In contrast, if the processor correlates the change in the measured weight to the surgical sponge being counted out, the processor proceeds with the remaining steps of the method described herein. ​ The fluid weight of a surgical sponge is determined based on its measured weight and dry weight. Step and a step that estimates blood loss associated with the surgical sponge based on fluid weight. This allows for the step of easily displaying estimated blood loss.

[0055] In certain implementations, the processor also measures the weight and a preset maximum load weight. In other words, the arm 54 ensures the precise operation of the surgical sponge management system 10. It can be configured to compare with the maximum weight that is configured to be safely supported. The pre-set maximum load weight avoids damage to load cell 100 and / or surgery. The sponge management system 10 can be selectively adjusted to prevent tilting. The weight measured by the weighing device is determined by the processor to be a preset maximum If the load weight is exceeded, a warning 126 can be displayed on the display 42.

[0056] By integrating the weighing means with the surgical sponge management system 10, the display 42 shows On the displayed software-based graphical user interface (GUI), This provides an even more efficient sponge management workflow. Ray 42 is a touchscreen that provides a user interface for user input. It can be used as a display. Figures 13A and 13B show the GUI screen of the workflow. Represents a lean shot, count-in, count-out, and weighed surgical sponge The surgical sponge management system 10 is known to be a suitable hand. The tag associated with the surgical sponge contains identification data, and the processor uses that identification data. Then, the dry weight stored in memory is automatically determined to determine the type of surgical sponge. An example of a suitable surgical sponge is provided by Stryker Corporation. From Kalamazoo, Shigan Province, to the trademark SurgiCount Safety Sponges Alternatively, it is available commercially as SurgiCount Sponges. Conversely, as will be discussed later, These workflows lack tags, are unreadable, or are not compatible. Sponges and / or other fluid-absorbing articles having tags associated with surgical sponges It is possible to further compensate for this.

[0057] GUI screenshots are intuitively arranged on display 42, as described below. Includes tiles and information. GUI screenshots, the specific information displayed there These will be explained in the context of numerical values ​​and item types, but these are for explanatory purposes only. Figure 13A shows absorption by a surgical sponge or other fluid-absorbing material. Includes tile 180 showing the net fluid volume of fluid collected during a surgical procedure. The net fluid volume can be entered manually or captured by other means. The net fluid volume can include irrigation fluid, amniotic fluid, etc., which are mixed with blood. Sometimes, the net fluid volume is measured on the display of the surgical suction system during postpartum V-drape. It can be observed visually by looking at the piping or by other means. Net flow Body volume is measured by Gauss Surgical Inc. (Menlo Park, California). This can be obtained by using a system that is commercially available under the trademark Triton. Cut.

[0058] The GUI screenshot includes tiles 182 that display the number of counting bags (e.g., sponge sorter 52) and the recording date and time. The tare weight associated with the counting bag can be stored on the memory. As described above, the processor can be configured to automatically determine that the counting bag is supported on the arm 54 based on the weight matching or not exceeding a predetermined size of the counting bag. The GUI screenshot also includes a tile 184 that displays data associated with the surgical sponges that are compliant. Referring also to FIG. 13B, the GUI screenshot includes a count status field 188 that includes counters for each type of surgical sponge that has been used or is in use during a surgical procedure. FIG. 13B shows that each of five 18×18 lap sponges and each of ten 4×4 gauzes were previously counted in and then counted out by the data reader 44. The fact that the count status is automatically updated by the tag being detected by the data reader 44 indicates that the surgical sponge is a surgical sponge that is compliant. The count status is also reflected in tile 184 of FIG. 13A. Specifically, tile 184 includes the type and number of surgical sponges and a mark indicating that all of the surgical sponges have been

[0059] counted out. Based on the total weight sensed by the weighing means and the tare weight of the counting bag, the fluid weight of the surgical sponges that are compliant is determined. Based on the fluid weight of the surgical sponges that are compliant, an estimated blood loss associated with the surgical sponges is determined, and based on the fluid weight of the surgical sponges that are compliant, an estimated blood loss It will be displayed within tile 184. The information displayed within tile 186 will be displayed more prominently. This can be done, or it can be visually emphasized. In the examples in Figures 13A and 13B... The surgical sponge that is suitable is the only object to be weighed, and therefore tile 18 The estimated blood loss displayed in tile 6 matches the estimated blood loss displayed in tile 184. After the user completes the process, or if otherwise desired, the estimated blood loss is measured. It can be calculated or recalculated and displayed within tile 190. Tiles 180, 186, 1 The arrangement of 90 cylindrical shapes is intuitively presented as a mathematical problem format that is easily recognizable to the user. It can be done.

[0060] As mentioned above, there are surgical sponges that are suitable, but other This represents a workflow that also includes fluid-absorbing items. In this case as well, these items are data readers. 44 may not have a detectable tag, or the tag may not be suitable. They are not predefined in memory as such. For example, these items are blue towels, blue These items can be considered "off-the-shelf" items such as rush, peripads, etc. The product type is automatically determined by the surgical sponge management system 10 from the data reader 44. Although it may not be recognizable, the memory stores the dry weight for each of these items. It can have a quantity. The dry weight may have been previously entered into the database.

[0061] In this workflow, the user can place the fluid-absorbing material into a counting bag. The fluid-absorbing article may not contain a tag detectable by the data reader 44. Therefore, the processor measures changes in weight, and is particularly suitable for surgical sponges. It is determined that there is no correlation with the countout. Figure 13A shows the values ​​of the weighed items. Furthermore, tile 186 in Figure 13B is changed to tile 192 which generally represents a warning. Il194 can be visually highlighted, or made selectable by the user. It can be changed. Tiles 192 and 194 are surgical tiles that accommodate changes in measured weight. Based on the fact that it does not correlate with the countout of sponges, the "unknown item" is in the software. Therefore, it is intended to show the user what is expected. The user can select tile 194. Next, the item list field 196 in Figure 14B is displayed. The user enters the item list One or more fluid-absorbing articles can be selected from the Tofield 196. After saving, a GUI screenshot of Figure 14C can be provided, and tile 18 2 displays the counting bag, and tile 184 displays the fitting surgical sponge. Furthermore, tile 198 displays the fluid-absorbing article. Tile 198 shows the date of recording of the fluid-absorbing article. Includes time, type and number. In this case, the items are 3 blue towels and 1 This is a peripade. Here, the user considers the change in measured weight detected by the weighing means. Therefore, the warning tile 192 returns to tile 186, and the volume of the weighed item is displayed. In this case, the measured volume of the suitable surgical sponge and other fluid-absorbing articles The sum of the measured item volume is displayed. After the user completes the process, or If desired otherwise, calculate the total estimated blood loss and place it within tile 190 as shown in Figure 14D. It can be displayed in the summary. Furthermore, the GUI screenshot in Figure 14D is a summary. Gold 200 can be further offered, and the type of fluid represented for each net fluid volume The breakdown of the quantities is displayed in tile 180, and the volume of the weighed items is displayed in tile 186. The estimated blood loss is shown within tile 190.

[0062] As mentioned above, it was determined that the fluid absorbed was almost entirely non-blood fluid or only non-blood fluid. The user can be provided with the option to remove the surgical sponge. For workflows like this, please refer to the GUI screenshots in Figures 15A to 15D. Let's explain. Figure 15A, like Figure 13A, is associated with a suitable surgical sponge. Tiles 180, 182, and 182 display information about each item, including the measured volume. This includes 4, 186, and 190. However, in this example, 3 of the suitable surgical sponges However, if it absorbs an excessive amount of fluid other than blood, such as amniotic fluid, it can be visually determined by the user. Therefore, users should estimate the weight associated with those surgical sponges. We would like to exclude it from the determination of constant blood loss. However, the measured weight sensed by the weighing device Unverified reduction of further functionality (see Figures 16A-16C as described herein) Because they can be designed to limit or prevent, users can simply use those surgical sponges The item cannot be removed from the counting bag. Similarly, the aforementioned "unknown item" item Since it should be generated, the user can simply put the surgical sponge into the counting bag. It is not possible. Therefore, by excluding surgical sponges, the association with those surgical sponges is eliminated. Subtract the attached measured weight, but place the surgical sponge into the counting bag without any problems. The processor is instructed to allow the items to be returned to the counting bag. For this purpose, see Figure 15. A includes a virtual button or tile 202, and by selecting tile 202, Figure 15B Here is a GUI screenshot (initially not implemented). Excluding surgical sponges is a small It can be done in two ways, even without it. Firstly, the GUI screenshot in Figure 15B With the tag displayed, the data reader 44 detects the tag on the surgical sponge. This is possible. By implementing the exclusion sponge field 204, the excluded surgical sponges can be removed. It can be stopped. If the tag is not detectable, or for other reasons, the user Select button or tile 206 to enable it on the GUI screenshot in Figure 15C. You can see sponge field 208. Effective sponge field 208 is cow List all remaining surgical sponges that have been packed. Users should submit them on the tags. The indicated sponge identification code is presented in the corresponding field within the valid sponge field 208. The sponge identification code can be visually correlated. After completion, the GUI screen in Figure 15D Lean shots can be displayed, and the excluded sponge subfield 210 is tile 1 It appears as part of 84 or as the tile itself. In this example, two 18x18 tiles The top sponge and one 4x4 gauze were listed as excluded items. Accordingly, tile 186, which displays the volume of the measured item, and the estimated blood loss are displayed. The number of tiles displayed has also been reduced by 190.

[0063] In the case of an unsuitable fluid absorbent article saturated with a fluid other than blood, the article will be counted beforehand. Because it may not be included, the user can simply choose not to put it in the counting bag. This is possible. If a fluid-absorbing item was previously counted in, it can be counted out or removed. An option to remove it can be provided on the GUI.

[0064] The GUI screenshots in Figures 16A to 16C show the weighing device detecting a decrease in the measured weight. This illustrates an example where the measured weight decreases due to the use of surgical sponges or fluid absorbent materials in the counting bag. The fact that it was removed from, or that the counting bag was detached from arm 54, It can be shown that it has been moved to a different position on arm 54. Figure 16A shows that by the weighing means Includes tile 212 that displays the reduction in the measured weight that is detected. In one example, the counting bag By simply putting the removed arm 54 back in place, it is possible to remove tile 212 itself. Yes, it is possible. However, in another example, the user placed one surgical sponge in a counting bag into another surgical sponge. Replace the sponge with a surgical sponge, or put additional surgical sponges in the counting bag, etc. The items that are returned may be changed to support 54. Figure 16B and Figure 16C shows a GUI screenshot of such an example, with the counting bag on arm 54. Before returning to support, the peripad is added to the counting bag. Arm 54 The reintroduced weight does not match the reduction in measured weight shown on tile 212, Tile 192 is implemented (tile 212 remains as presented). See Figures 14A to 14D. Similar to the previous example explained in light, tile 194 can also be visually emphasized, Alternatively, it can be changed so that it can be selected by the user. The user can choose tile 19 You can select 4, and then the item list field 196 will be displayed (Figure 14B). (See also). The user selects one of the fluid-absorbing articles from the article list field 196. You can select one or more. After saving, the GUI screenshot in Figure 16C will appear. It can provide a set, tile 182 displays the counting bag, and tile 184 is compatible. In addition to displaying surgical sponges, tile 198 displays fluid-absorbing articles. Tile 198 in Figure 16A contains three blue towels, but tile 198 in Figure 16C contains additional This includes the peripheral pad. Here, the user considers the change in measured weight perceived by the weighing means. Because of this consideration, warning tile 192 reverts to tile 186, and the volume of the weighed item is displayed. The total estimated blood is collected after the user completes the process, or if otherwise desired. Losses can be calculated or recalculated and displayed.

[0065] Refer to the following illustrative clauses for specific embodiments of the surgical sponge management system invention. Further disclosure will be made.

[0066] Clause 1 - Estimate blood loss during surgical procedures using a surgical sponge management system. A method in which the surgical sponge management system communicates with a processor A display, a data reader communicating with the processor, and a device communicating with the processor The sponge classifier includes a memory and a weighing means that communicates with the processor, and the weighing means It is configured to be detachably coupled to, and this method is used by the weighing means to measure the weight A step that senses change, and a processor, determine which surgical sponge is suitable. The steps include determining whether the change in measured weight correlates with the out-of-body state, and The change in measured weight correlated with the counting out of surgical sponges during play. If not, a method including a step to provide a warning.

[0067] Clause 2 - Steps to receive user input in response to a warning, and including fluid-absorbing articles The item list field is displayed on the screen, and the type of surgical sponge is , a step of displaying the dry weight stored in memory, and inside the sponge classifier The system receives another user input of one selection of fluid-absorbing articles corresponding to the placed items. The processor then calculates the flow on the fluid-absorbing article based on the measured weight and dry weight. The steps include determining the fluid weight of the body, and a processor determining the fluid absorption based on the fluid weight. A step to estimate blood loss associated with the contents and surgical sponge, and a display The method according to Clause 1, further comprising the step of displaying the estimated blood loss by Ray.

[0068] Clause 3 - Estimate blood loss during surgical procedures using a surgical sponge management system. A method in which the surgical sponge management system communicates with a processor The display includes a user interface, and the data server communicates with the processor. Includes a memory communicating with the processor and a measuring means communicating with the processor. The sponge classifier is detachably attached to the weighing means, and each includes a tag for surgical sponges. It is configured to receive data, and this method is used by the data reader to receive data from the surgical sponge. The device is detected and counted as being used during surgical procedures. This is the step of identifying the sponge, and each type of surgical sponge is stored in memory. The surgical sponge is identified by a weighing means, which has a dry weight. A step that senses changes in the measured weight of a surgical sponge while it is placed inside a range classifier. And, to facilitate the removal of surgical sponges saturated with fluids other than blood, - The step of receiving user input to the interface, and one surgery that should be excluded. The process involves identifying the sponge and then using a processor to measure the weight of other surgical sponges. And a step to determine the fluid weight of the fluid on other surgical sponges based on the dry weight. Then, the processor, based on the fluid weight, determines the blood associated with other surgical sponges. The steps include: estimating fluid loss, and displaying the estimated blood loss on a display. Methods that include...

[0069] Clause 4 - The step of identifying one surgical sponge to be excluded, in this case as well The data reader further includes the step of detecting a tag on one surgical sponge, The method described in Article 3.

[0070] Clause 5 - The step of identifying one surgical sponge to be excluded is counted Display a list of selected surgical sponges from the available sponges field. Steps to receive additional user input to the user interface for selecting a pongee. The method described in Clause 3, further including the method described in Clause 3.

[0071] Clause 6 - Estimate blood loss during surgical procedures using a surgical sponge management system. A method comprising a surgical sponge management system, the base and the main supported by the base. A support, a processor, a display communicating with the processor, and a communication between the processor and the display. The data reader that communicates with the processor, the memory that communicates with the processor The sponge classifier includes a weighing means and is configured to be detachably coupled to the weighing means. This method involves a step in which a measuring means senses a decrease in the measured weight, and a display A method comprising the step of providing a warning to indicate a decrease in measured weight by Ray.

[0072] Clause 7 - A step in which a measuring means senses an increase in the measured weight, and the increase decreases The steps of sensing, which are equivalent to a small number of steps, and removing the warning from the display are further... Including the method described in Clause 6.

[0073] Clause 8 - A step in which a measuring means senses an increase in the measured weight, and the increase decreases Steps that detect smaller or larger objects, and steps that provide a different warning via a display. This is a step in which the user receives user input in response to a warning, and the user input is classified as sponge The selection of fluid-absorbing articles corresponding to the items placed inside the container, the receiving step, and the professional The fluid weight of the fluid on the fluid-absorbing article is determined by the Sessa based on the measured weight and dry weight. The step of determining the fluid absorbent article and the processor based on the fluid weight. A step to estimate blood loss associated with other surgical sponges, and a display The method according to Clause 6, further comprising the step of displaying the estimated blood loss.

[0074] Clause 9 - In order to carry out the steps set out in any one of Clauses 1 through 8, A computer program product containing instructions configured to run on a server.

[0075] Clause 10 - An order to carry out the steps set out in any one of Clauses 1 through 8 A surgical sponge management system equipped with a processor configured to perform the operation.

[0076] Clause 11 - Distributor assembly for surgical sponge management system, with main support A lower wall adapted to be supported on the body, an upper wall located opposite the lower wall, and the lower wall and upper It comprises a side wall extending between the wall and a front wall extending between the side walls and defining a front opening, and a lower wall, an upper wall The side walls and front wall are configured to removably receive the cartons of the sponge classifier. A first storage area is defined, and the upper wall supports the carton of surgical draping in a removable manner. The first storage is configured to at least partially define a second storage location which is configured to hold A distributor assembly including a holding shape and a second holding shape separated from the first holding shape.

[0077] Clause 12 - Connected to one of the side walls and separated from one of the side walls at an undeployed position The distributor described in Clause 11 comprises an arm configured to move from to the deployment position. Swertia japonica.

[0078] Clause 13 - Further comprising a flange wall extending outward from the side wall and defining a recess, arm The distributor assembly described in Clause 12, wherein the undeployed part is located within the recess.

[0079] Clause 14 - The arm shall move from an undeployed position to a deployed position by rotational motion, linear motion. A part that is movable and supported for translational or expansion / contraction displacement, as described in Clause 12 or 13. Equipment assembly.

[0080] Clause 15 - The upper wall is configured to pivot relative to the lower wall, as per Clauses 11 to 14. A distributor assembly as described in any one of the items.

[0081] Clause 16 - The upper wall is integrally formed with the front wall, and the front wall is pivotable to the lower wall by a hinge. The distributor assembly described in Clause 15 is to be combined.

[0082] Clause 17 - The upper wall, lower wall, and side wall define a rear opening, and the first storage area is a rear opening A distributor assembly accessible through the mouth, as described in any one of clauses 11 to 16. Yellowtail.

[0083] Clause 18 - The lower wall slopes downward toward the front wall, as per any of Clauses 11 through 17. The distributor assembly described in item 1.

[0084] Clause 19 - Distributor assembly for surgical sponge management system, front An upper shell that defines the opening, and a lower shell configured to be attached to the main support of the stand. It comprises a lower shell, the upper shell being connected to the lower shell, and the rear opening being opposite to the front opening. A section opening is defined, and a first storage area is further defined between the upper shell and the lower shell, and the rear The opening is larger than the front opening and accessible through the rear opening. This allows for the insertion and removal of sponge classifiers or surgical draping cartons. A distributor assembly.

[0085] Clause 21 - The upper shell shall define a second storage area outside the upper shell, Clause 20 includes a first retaining shape and a second retaining shape separated from the first retaining shape. The distributor assembly described.

[0086] Clause 22 - Further comprising arms rotatably coupled to the lower shell adjacent to both side walls L, the distributor assembly as described in clause 20 or 21.

[0087] Clause 23 - The side walls of the lower shell define recesses, and each of the arms is recessed in the undeployed position. A distributor assembly as described in Clause 22, positioned in one of the parts.

[0088] Clause 24 - The upper shell further defines the second storage location, the third retaining form The distributor according to Clause 23, including a shape and a fourth retaining shape separated from the third retaining shape. assembly.

[0089] Clause 25 - The third retaining shape or the fourth retaining shape defines the frame of the slot. The distributor assembly described in Clause 24.

[0090] The foregoing disclosures are not intended to be exhaustive or to limit this disclosure to any particular form. It is not that. The terminology used is essentially descriptive rather than restrictive. In light of the above instructions, many modified and transformed forms are possible, and this is intended. The procedure can also be carried out by methods other than those specifically described. See one of the arms. The structure and function described above are incorporated by reference so that they are also implemented on the other side of the arm. Please understand that this is possible.

Claims

1. A system for managing surgical sponges, Bass and, A main support extending from the base, A distributor assembly supported on the main support, Equipped with, The distributor assembly comprises a housing, and the housing is located inside the housing. A first storage unit located there, configured to removably receive cartons of sponge sorters. Location and outside the housing, providing a removable support for the surgical draping carton. A system that defines a second storage location configured to hold a second storage location.

2. The housing further comprises an arm that is rotatably coupled to the housing, wherein the arm is the The arm is positioned in an unplaced position within the recess of the housing, and the arm is positioned within the housing The claim states that the housing is rotatable between the deployment position extending beyond the side wall and the housing. The system described in 1.

3. The arm is rotatably connected to the housing and further includes a mounting bracket, The system according to claim 2, wherein the arm is of the cantilever type.

4. The arm is configured to sense changes in the measured weight of the object supported by the arm. The system according to claim 3, comprising a configured load cell.

5. The arm further comprises a beam defining a channel, and the load cell comprises the channel The system according to claim 4, which is arranged within a flannel and coupled to the beam.

6. The arm further comprises a loading bar, and the loading bar is the beam The end or portion opposite to the load cell, as described in claim 5. The system.

7. The housing of the distributor assembly comprises an upper wall defining the second storage location. The system according to any one of claims 1 to 6.

8. The housing of the distributor assembly defines the second storage location. It comprises a first retaining shape and a second retaining shape separated from the first retaining shape, The holding shape and the second holding shape are in front of the carton of the surgical draping. and configured to prevent backward movement, according to any one of claims 1 to 7 system.

9. The housing of the distributor assembly further defines the second storage location. It comprises a third retaining shape and a fourth retaining shape separated from the third retaining shape, The third holding shape and the fourth holding shape are the carton of the surgical draping. The system according to claim 8, configured to prevent lateral movement of the device.

10. At least one of the third and fourth holding shapes is for the surgical Slots sized to be positioned near the distributor opening of the carton of the draping The system according to claim 9, which defines a set.

11. The housing comprises an upper shell and a lower shell coupled to the upper shell. The upper shell comprises a front wall defining a front opening that communicates with the first storage area. The system according to any one of claims 1 to 10.

12. The lower shell comprises a lower wall that slopes downward toward the front wall, as described in claim 11. The system.

13. The housing defines a rear opening that communicates with the first storage location, and the rear opening The system according to claim 11 or 12, wherein the opening is larger than the front opening.

14. A handle coupled to the main support, The main support is coupled to the handle and positioned between the distributor assembly. A module-based system, An electronic subassembly arranged within the module base, The system according to claim 4, further comprising:

15. The electronic subassembly includes a processor that communicates with the load cell, and the The stem is detachably coupled to the module base and communicates with the processor. The system further comprises a display, the display being sensed by the load cell Based on the measured weight, the estimated blood loss determined by the processor will be displayed. The system according to claim 14, configured as follows.

16. A system for managing surgical sponges, Bass and, A main support extending from the base, Supported on the main support, and for removably receiving the carton of the sponge classifier The first storage location, and for receiving cartons of surgical draping in a removable manner. A distributor assembly having a second storage location, An electronic subsystem supported on the main support, Equipped with, The electronic counting system comprises a module base and a module that is removable from the module base. A coupled display and a datareel detachably coupled to the module base. A system equipped with [something].

17. The electronic subsystem is located between the base and the distributor assembly on the main support. The system according to claim 16, supported by [the relevant authority].

18. The main support is hollow and configured to accommodate a power cable, and the main support On the front, to facilitate electrical connection between the power cable and the electronic subsystem. The system according to claim 17 for defining an opening.

19. The main support defines a second opening on the rear surface of the main support, and the power cable is located outside The system according to claim 18, extending from the second opening so as to be coupled to a power supply.

20. The claim states that the main support comprises a cord wrap positioned near the second opening. The system described in 19.

21. The main support further comprises a handle supported on the main support, wherein the handle is the electronic sub-support. Positioned between the stem and the base, according to any one of claims 16 to 20 system.

22. The distribution assembly further comprises an arm coupled to the arm, wherein the arm is Therefore, it includes a load cell configured to detect changes in the measured weight of the supported item. The system according to any one of claims 16 to 21.

23. The arm further comprises a beam defining a channel, and the load cell comprises the channel The system according to claim 22, which is arranged in a flannel and coupled to the beam.

24. The arm further comprises a loading bar, and the loading bar is the beam The end or portion opposite to that, which is coupled to the load cell, as described in claim 23. The system.

25. The system according to any one of claims 22 to 24, wherein the arm is of the cantilever type.

26. A system for managing surgical sponges, Bass and, The main support is supported by the aforementioned base, An arm supported by the main support, Equipped with, The arm has a distal end that is not supported in order to provide a cantilever beam, and the arm A sponge classifier supported by the same and the surgical sponge placed inside the sponge classifier A load cell connected to the cantilever beam is provided to sense the total weight of the range. Stem.

27. The distribution assembly is further coupled to the main support, and the arm is the cantilever The system according to claim 26, extending from the distributor assembly to provide a beam.

28. The arm further comprises a proximal end that is rotatably coupled to the distributor assembly. The system according to claim 27.

29. The arm further comprises a beam defining a channel, and the load cell comprises the beam The system according to any one of claims 26 to 28, which is disposed within the channel of the m.

30. The arm further comprises a beam, and the load cell is coupled to the lower surface of the beam. The system according to any one of claims 26 to 28.

31. The first end or portion of the load cell is fixed to the beam, and the arm is in front The load cell further comprises a loading bar fixed to a second end or portion thereof. The system described in item 29 or 30.

32. A system for managing surgical sponges, Bass and, The main support is supported by the aforementioned base, An arm supported by the main support, Equipped with, The arm comprises a beam, a loading bar, and a sponge supported by the arm. The total weight of the surgical sponges placed in the classifier and the sponge classifier is sensed. A load cell for the purpose of, wherein the first end or portion of the load cell is the B The load cell is fixed to the loading bar, and the second end or portion of the load cell is fixed to the loading bar. A system that is implemented.

33. The arm is connected to the loading bar and directly supports the sponge classifier. The C classifier coupler according to claim 32 further comprises at least one classifier coupler configured in such a manner. Stem.

34. The aforementioned arm, Fixed to the loading bar, near the second end or portion of the load cell A fixed load limiting plate, A gap adjustment screw screw screwed to the load limiting plate, Furthermore, The gap adjustment screw is activated when the total weight exceeds a predetermined maximum value in the load cell. Claim 32, comprising an adjustable and positionable stopper for limiting the applied load. Or the system described in 33.

35. The arm further comprises an adjustment stop screw screwed to the load limiting plate, and the adjustment The set screw is configured to selectively lock the gap adjustment screw in a fixed position, claim. The system described in 34.

36. An electronic system comprising a processor supported on the main support and communicating with the load cell Bra assembly and, A display supported on the main support and communicating with the processor, Furthermore, The display, based on the measured weight sensed by the load cell, It is configured to display the estimated blood loss determined by the examiner. The system according to any one of claims 32 to 35.

37. It communicates with the aforementioned processor and has a memory that stores the dry weight of the surgical sponge, A data reader supported on the main support and communicating with the processor, Furthermore, Each of the data readers is associated with one of the surgical sponges. Configured to detect tags, The processor determines the measured weight and dry weight of the surgical sponge based on the above. , configured to determine the estimated blood loss, The system according to claim 36.

38. The load cell is a bending beam type load cell, a double bending beam type load cell, Load cells, shear beam type load cells, S-shaped load cells, canister type load cells, Torsion load cell, spoke-type load cell, ring torsion load cell, load pin A selection from the group consisting of, and strain gauges, as described in any one of claims 33 to 37. The system.

39. A method for estimating blood loss during a surgical procedure using a surgical sponge management system. The surgical sponge management system communicates with a processor. A supported display, a data reader communicating with the processor, and the processor A memory that communicates with the processor, and a main support that communicates with the processor The sponge classifier includes a weighing means, and the sponge classifier is removably supported by the weighing means. The method is configured to receive a surgical sponge including a tag, The data reader detects the tag on the surgical sponge and the surgical procedure The surgical sponge is identified as being counted in for use during placement. The type of surgical sponge is the dry weight stored in the memory. The steps include: The data reader then detects the tag on the surgical sponge again, and the surgical The surgical sponges are counted out so that they are no longer used during the procedure. Identification step, The state in which the surgical sponge is placed in the sponge classifier by the weighing means So, there's a step to sense the change in the measured weight, The aforementioned processor counts out the data reader Based on the measured weight and dry weight of the identified surgical sponge, the surgery A step of determining the fluid weight of the fluid on the sponge, The processor associates the surgical sponge with the fluid weight based on the fluid weight. Steps to estimate the blood loss, The steps include displaying the estimated blood loss on the aforementioned display, Methods that include...

40. The sponge classifier has a tare weight, and the method is The step involves sensing the tare weight of the sponge classifier using the weighing means. , a step of sensing whether the tare weight is equal to or less than a predetermined size, The processor uses the measured weight, the dry weight, and the tare weight to perform the following calculations: The steps include determining the fluid weight of the surgical sponge, The method according to claim 39, further comprising:

41. The sponge classifier has a tare weight, and the method is The tare weight of the weighing means is used to weigh the tare weight so that the tare weight is equal to the measured weight. - The step of receiving the input, The processor uses the measured weight, the dry weight, and the tare weight to perform the following calculations: The steps include determining the fluid weight of the surgical sponge, The method according to claim 39, further comprising:

42. The steps of determining the fluid weight, estimating the blood loss, and The step of displaying the estimated blood loss without requiring further user input. When the weighing means detects a change in the measured weight, it is automatically executed in real time. The method according to any one of claims 39 to 41.

43. The weighing means provides a second step of sensing the change in the measured weight, The processor indicates that the second surgical sponge has been counted out. A step of determining whether the second change in constant weight is correlated, The display indicates that the second surgical sponge has been counted out. If the second change in the measured weight does not correlate, a warning is provided. The method according to any one of claims 39 to 41, further comprising:

44. To take into account the second change in the measured weight, the sponge classifier is The claim 43 further includes the step of receiving an input indicating the type of fluid-absorbing article. method.

45. To identify one of the surgical sponges as being saturated with a fluid other than blood, The next step is to receive another input, The processor subtracts the weight of the one surgical sponge from the measured weight. The steps include determining the corrected measured weight based on the value, The processor estimates the blood loss based on the corrected measured weight. The steps, The method according to claim 43 or 44, further comprising:

46. The second surgical sponge was counted out, and the second measurement weight changed. The step of determining whether the transformation is correlated is, The processor detects the second tag of the second surgical sponge. A step to determine whether or not it exists. The processor detects the second tag of the second surgical sponge and The measured duration and the maximum duration are compared with the second change in the measured weight. Step, The processor indicates the change in the measured weight and the sponge saturated with blood. The steps include comparing it to a pre-set maximum sponge weight, and The processor determines the second change in the measured weight and the preset minimum spoilage. Steps to compare with the range weight, The method according to claim 43, further comprising at least one of the following.

47. The second surgical sponge was counted out, and the second measurement weight changed. If the chemicals do not correlate, the fluid weight is determined for the second surgical sponge. Steps: the step of estimating the blood loss, and before displaying the estimated blood loss. The method according to claim 46, further comprising the step of not repeating the steps described above.

48. The second surgical sponge was counted out, and the second measurement weight changed. If the correlation is not observed, the step further includes not displaying the updated estimate of blood loss. The method according to any one of claims 43 to 47.

49. A method for estimating blood loss during a surgical procedure using a surgical sponge management system. The surgical sponge management system communicates with a processor. A supported display, a data reader communicating with the processor, and the processor A memory that communicates with the processor, and a main support that communicates with the processor The sponge classifier includes a weighing means, and the sponge classifier is removably supported by the weighing means. Each is configured to receive a surgical sponge containing a tag, and the method The data reader then reads the tags on the first type of surgical sponge and the The step is to detect the tag on the surgical sponge of type 2, and the first tag The type has a first dry weight stored on the memory, and the second type is the A step of detecting a second dry weight stored in memory, The processor counts in to be used during the surgical procedure. To identify the first type and the second type of surgical sponge, The steps include indexing the counter and The data reader then detects at least one of the tags again. and, The aforementioned processor counts out so that it will no longer be used during the surgical procedure. As a result, at least one of the first type surgical sponges and and / or identify at least one of the second type of surgical sponge The steps include further indexing the aforementioned counter, The state in which the surgical sponge is placed in the sponge classifier by the weighing means So, there's a step to sense the change in the measured weight, The processor identifies it as having been counted out by the counter. Based on the measured weight and dry weight of the surgical sponge, the surgical sponge A step to determine the fluid weight of the sponge, The processor determines blood loss based on the fluid weight of the surgical sponge. The estimation step, The steps include displaying the estimated blood loss on the aforementioned display, Methods that include...

50. The display, which counts out and / or counts in The counter shows the number of surgical sponges of type 1 and type 2. The method according to claim 49, further comprising the steps shown.

51. The weighing means provides a second step of sensing the change in the measured weight, The display indicates that the data reader has detected another surgical sponge. The steps include providing a warning indicating that the second change in the measured weight is not correlated, The method according to claim 49 or 50, further comprising:

52. A user interface indicating the type of fluid-absorbing article placed inside the sponge classifier. The method according to claim 51, further comprising the step of receiving user input to a device.

53. The U for identifying surgical sponges saturated with fluids other than blood The step of receiving another user input to the interface, The processor calculates the weight of the one surgical sponge by subtracting it from the measured weight. Based on this, the steps include determining the corrected measured weight, The processor estimates the blood loss based on the corrected measured weight. The steps, The method according to claim 52, further comprising:

54. A method for estimating blood loss during a surgical procedure using a surgical sponge management system. The surgical sponge management system communicates with a processor. A supported display, a data reader communicating with the processor, and the processor A memory that communicates with the processor, and a main support that communicates with the processor The sponge classifier includes a weighing means, and the sponge classifier is removably supported by the weighing means. The method is configured to receive a surgical sponge including a tag, The data reader detects the tag on the surgical sponge and the surgical procedure The surgical sponge is identified as being counted in for use during placement. The type of surgical sponge is the dry weight stored in the memory. The steps include: The weighing means provides a step of sensing a change in the measured weight, The measurement was performed by the processor when the surgical sponge was counted out. A step of determining whether the aforementioned changes in weight are correlated, The display indicates that the surgical sponge has been counted out. If the aforementioned changes in a constant weight do not correlate, a step of providing a warning, Methods that include...

55. The change in the measured weight correlates with the counting out of the surgical sponge. The step of determining whether or not is The processor detects the tag of the surgical sponge and measures its weight. A step of comparing the measured duration with the maximum duration between the aforementioned changes, The processor indicates the change in the measured weight and the sponge saturated with blood. The steps include comparing it to a pre-set maximum sponge weight, and The processor determines the change in the measured weight and the preset minimum sponge weight. Steps to compare with quantity, The method according to claim 54, further comprising at least one of the following.

56. The change in the measured weight correlates with the counting out of the surgical sponge. case, The processor, based on the measured weight and the dry weight, determines the surgical s A step to determine the fluid weight of the sponge, The processor associates the surgical sponge with the fluid weight based on the fluid weight. Steps to estimate the blood loss, The steps include displaying the estimated blood loss on the aforementioned display, The method according to claim 54 or 55, further comprising:

57. In response to the warning indicating the type of fluid-absorbing article placed in the sponge classifier, The claim according to any one of claims 54 to 56, further comprising the step of receiving user input. method.

58. To identify one of the surgical sponges as being saturated with a fluid other than blood, The next step is to receive another user input, The processor subtracts the weight of the one surgical sponge from the measured weight. The steps include determining the corrected measured weight based on the value, The processor estimates blood loss based on the corrected measured weight. Step and, The steps include displaying the estimated blood loss on the display, The method according to claim 57, further comprising:

59. The steps include comparing the measured weight with a preset maximum load weight, The display indicates that the measured weight exceeds the preset maximum load weight. If so, the step of providing a load warning, The method according to any one of claims 39 to 58, further comprising:

60. To carry out the steps described in any one of claims 39 to 59, the processor implements A computer program product that contains instructions configured to be executed.

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