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BACKGROUND OF THE INVENTIONThe invention is generally directed to a method and device for displaying and counting used surgical sponges. More specifically the present invention relates to a device which easily allows for visual recognition of a sum of sponges used during a medical procedure. The device helps keep track of the used sponges to prevent medical accidents caused by unaccounted sponges.
Medical accidents may occur during surgery when surgical sponges are inadvertently left in a patient. The patient may develop a life-threatening injury or infection when this type of accident occurs. It is therefore important to carefully count used surgical sponges.
Previously, others have counted used surgical sponges in a manner whereby used surgical sponges are passed from a surgeon to a scrub nurse who drops the used sponges in a kick bucket. A circulating nurse retrieves the used sponges from the kick bucket and either arranges them for final count or places them in a bag in sets of five sponges.
U.S. Pat. No. 3,613,899 to Schleicher discloses an apparatus for facilitating the counting and disposal of surgical sponges. In Schleicher, a plurality of disposable sponge-supporting trays includes a plurality of slits which facilitate the locating and holding of used sponges.
U.S. Pat. No. 4,478,332 to Wiestmiller discloses a sponge arraying and disposal receptacle that includes a transparent bag and a pair of slightly inclined chutes from which a plurality of prongs extend. Projections extend downwardly from the chutes and are rigidly attached to inside portions of the bag so that it may be suspended between the chutes for visual observation of its contents.
U.S. Pat. No. 4,966,595 to Meringola teaches a surgical sponge assembly comprising a plurality of multi-layer sponges. Each sponge includes a twill strip. A holder or rack includes a plurality of slots into which a respective twill strip is insertable.
U.S. Pat. No. 5,692,615 to Fischer discloses a surgical sponge monitor system including a monitor board with a tally board that includes a plurality of sites. Each side includes slits and is adapted to deform in response to application of a modest force such that a deposited sponge partially protrudes from the slits.
The aforementioned U.S. patents are illustrative of prior art devices. However, none of these patents disclose a device and counting method for use with a ring stand whereby a set of five surgically used sponges are grouped together in a set that is readily displayed on an exterior edge of a sponge counting apparatus that comprises a plurality of sets projections. Moreover, none of the prior art provides a sponge displaying device where used sponges are arranged in a vertical position and can be viewed in their entirety such that the sponge body and the x-ray loop are displayed. In this manner, used sponges may be easily viewed and counted from across an operating room.
BRIEF SUMMARY OF THE INVENTIONIf several hours of surgery have occurred, surgical stresses sometime lead to miscounting of the sponges using prior art counting techniques. The present invention aims to overcome this problem by visually grouping and prominently displaying a group of sets of used sponges in their entirety. The sets of sponges are staged and hung around a centralized area. The centralized area can be easily viewed and counted from across the room. In this manner, the sets of five used surgical sponges are grouped together such that large numbers of used surgical sponges may be easily counted. The user easily views the state of each projection or finger and determines whether a used surgical sponge is associated with that particular projection or finger. A total count of used surgical sponges may be easily determined by viewing and counting the number used sponges. Since the sponges are typically provided in sterile packaging in sets of five, the device allows for ease in counting used sponges. A user may view the full sets of projections multiply them by five, and then add the remaining number of projections of any partially full set of projections to easily arrive an at an accurate accounting.
In a first embodiment, the present invention includes a square center with four sides and is provided with two sets of five fingers or holders extending from each side. In this embodiment, the invention may be practiced by overlaying or intertwining two sets of five rods with another two sets of five rods at right angles. Thus, medical personnel can visually count the number of used sponges at a glance by viewing the sets of holders that have a sponge associated therewith.
In a second embodiment, the invention may be provided in a circular embodiment having an inner ring onto which a plurality of sets of five holders are fastened for securing used surgical sponges thereon.
In a further embodiment, ends of the overlapping rods of the first embodiment include upturned ends for accepting a used surgical sponge.
It is an object of the present invention to provide a method and device for easily accounting for all surgical sponges during a surgical operation. The device groups a plurality of used surgical sponges together in sets of five. A user can thereby easily look at the number of sets of sponges and quickly ascertain a number of used surgical sponges. This counting method may be facilitated by placing the device against a backdrop having a different color, such as a colored trash bag. The different colored backdrop aids in making the used sponges easier to view.
It is an object of the invention to provide a counting device for securing a plurality of used surgical sponges where the counting device includes sets of holders integrally formed apart from one another and extending from an exterior edge of the device.
It is a further object of the invention to provide a surgical sponge displaying and counting device that provides high visibility of used surgical sponges such that a total number of used surgical sponges may be easily viewed and counted from across a room against a colored backdrop.
It is further an object of the invention to provide a surgical sponge displaying and counting device that may is cost-effective and easy to produce. The device provides accessibility and viewing capability from all angles. Moreover, the device may be used with existing surgical assisting devices such as ring stands.
The above and further objects, details and advantages of the invention will become apparent from the following detailed description, when read in conjunction with the accompanying drawings.
BRIEF DESCRIPTION OF THE DRAWINGSFIG. 1 is a plan view of a first embodiment of the invention.
FIG. 2 is a plan view of a second embodiment of the invention formed in a circular shape.
FIG. 3 is a perspective view of the invention showing the first embodiment with upturned edges.
FIG. 4 is a perspective view of the invention showing the embodiment ofFIG. 3 arranged atop a disposable sheet.
FIG. 5 is an elevation view of a clamp for securing the present invention to a ring stand.
FIG. 6 is a perspective view of a prior art ring stand.
DETAILED DESCRIPTION OF THE INVENTIONFIG. 1 shows a plan view of a first embodiment of the invention shown in a square shape. In this embodiment, thesponge monitoring device1 comprises twenty rods5 arranged to provide a plurality of projections3. The twenty rods5 comprise a support structure for bearing the weight of used sponges. The rods5 are arranged insets10 and comprise a rigid material. Preferably, the rods5 are seventeen inches long to facilitate use of the device with a ring stand that is currently used in surgical procedures. Each set10 includes five rods5 that are arranged parallel to one another, as shown. Adjoining rods5 of aset10 are preferably separated by a one-inch gap, represented as20 in the Figures. In the preferably embodiment, each set of five rods5 are separated by two inches from the other set of parallel rods, represented by15 inFIG. 1. As shown, the device of the first embodiment comprises forty projections3 arranged about exterior edges of thedevice1. The projections are arranged in eight sets such that ten projections are provided on each of the four sides of the device as shown. Acentral area25 includes an opening that is preferably two inches by two inches squared. Each side of the device includes a reinforcingbar18 that attaches to each rod5 for providing stability to thedevice1. Each end of the reinforcingbar18 attaches to a connectingbar17 that attaches to another reinforcingbar18 as shown. The connectingbar17 also provides stability and adds to the rigidity of thedevice1.
The device may be provided in a re-usable manner. In this manner, the rods comprise stainless steel, metal or other material that may be placed in an autoclave for disinfecting. Otherwise, the device may be provided in a disposable form that is discarded after use. In the disposable form, the rods may comprise plastic or other rigid material.
FIG. 2 is a second embodiment of theinvention1. In this embodiment, thedevice1 includes acircular base member4 that encloses acircular opening30. Preferably, the diameter ofcircular opening30 is substantially fifteen inches. A plurality of sets ofprojections7 extend outwardly from thecircular opening30 and are substantially one inch in length. A first reinforcingrod21 intersects circular opening and divides it into two regions. A second reinforcingrod22 is perpendicular to reinforcingrod21 and connected at a center thereto. Preferably, the second reinforcingrod22 further divides thecircular opening30 into four equal quadrants. The reinforcingrods21,22 attach at opposite ends tocircular base member4 and comprise a support structure for bearing the weight of the used sponges. As mentioned previously, the device of the second embodiment may be provided in a variety of rigid materials, both reusable and disposable. Theprojections7 are provided in sets of five and extend from the ends of the device and are represented by6. The projections are connected together to provide thecircular base member4, as shown.
FIG. 3 is a further embodiment of the invention where the first embodiment is modified to include projections that comprise an up-turnedend16. This embodiment aids the user in attaching an end of a used sponge to the device via a projection.FIG. 4 shows the device ofFIG. 3 in use. Thedevice1 is arranged atop animpervious covering105 which sits over aring stand50, shown inFIG. 6. Theimpervious covering105 may comprise a plastic garbage bag. Theimpervious covering105 is draped across thering stand50 and arranged such that a raised edge ordam55 is created along the bottom of thering stand50. Thedam55 serves to prevent blood, water and other body fluids that have been absorbed by the usedsponges100 from flowing onto the floor of the operating room. In this manner, thedam55 may be pulled upward and the body fluids may be trapped inside theimpervious covering105. A plurality of usedsurgical sponges100 are displayed fromprojections16. In this manner, a user easily recognizes the number of used surgical sponges in separated sets of five. Aclamp120 may be provided on each of the four sides of thedevice1 for securing both the impervious covering110 and thedevice1 to thering stand120. Theclamp120 fits across an edge of the device and the top of thering stand50. In this manner, theimpervious covering105 is sandwiched between thedevice1 and thering stand50. As shown inFIG. 5, theclamp120 includes an arcuate region arranged between two extended regions that form opposite ends of the clamp. Theclamp120 may comprise plastic, metal or other such material.
In use, a user first realizes the size of the sponge holder and the number of sets of 5 projections on each side of the device. During an operation, an end of a surgical sponge is attached to or associated with a particular projection. A counting process is undertaken whereby the user views each projection within a set of projections to determine whether the entire set of projections have a sponge associated therewith. In this manner, the user can easily calculate the total number of used surgical sponges. If all the projections are associated with a surgical sponge then the tally of all used sponges is increased by the total number of projections. In a device ofFIG. 1, the total number of used sponges would be increased by 40.
In use, a looped end of a sponge is opened to receive an end of one of the projections. A first set of projections are each associated with a used sponge. The user then continues filling the sets of holders in a systematic manner until all projections are filled or the surgery is complete. Then a count is taken of the number of filled sets of projections is undertaken by viewing the entire amount of used sponges. Bagging sponges are responsible for most of the incorrect counts because once the bag is closed, the mistake is carried on the entire case. Hanging sponges by fives avoid most counting mistakes that occur by constantly viewing and continuously counting of the sponges in their entirety to lessen the possibility of a sponge being left in a patient.
While the invention has been described with respect to preferred embodiments, it is intended that all matter contained in the above description or shown in the accompanying drawings shall be interpreted as illustrative and not in limiting sense. From the above disclosure of the general principles of the present invention and the preceding detailed description, those skilled in the art will readily comprehend the various modifications to which the present invention is susceptible. Therefore, the scope of the invention should be limited only by the following claims and equivalents thereof.