A system and method for collecting distending medium or other fluids discharged during surgical procedures is shown. Also shown is a method for reducing the risk of hyponatremia. The apparatus makes it practical to determine the amount of distending medium retained by a patient during hysteroscopic
A system and method for collecting distending medium or other fluids discharged during surgical procedures is shown. Also shown is a method for reducing the risk of hyponatremia. The apparatus makes it practical to determine the amount of distending medium retained by a patient during hysteroscopic or other surgical procedures, particularly procedures using non-isotonic distending medium during monopolar electrosurgery. The apparatus and methods are also useful during a variety of laparoscopic, obstetric, cardiovascular, liposuction, plastic, orthopedic, restorative, and other procedures.
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1. A disposable fluid control island for selectably collecting, retaining and draining fluids received from patients during surgery comprising:a generally broad, shallow, impermeable vessel removably positioned on an operating room floor, the vessel having a generally horizontal, floor-contacting, b
1. A disposable fluid control island for selectably collecting, retaining and draining fluids received from patients during surgery comprising:a generally broad, shallow, impermeable vessel removably positioned on an operating room floor, the vessel having a generally horizontal, floor-contacting, bottom portion that is shaped to direct fluids from a patient that enter the vessel toward a drain portion that extends through the vessel, the drain being adapted for connection to a fluid collection container, a generally vertical peripheral portion, and a non-absorbent, non-woven, mesh pad portion fitted within the peripheral portion of the vessel and overlying the bottom portion of the vessel. 2. The apparatus defined in claim 1 wherein the drain portion is further comprised of a tubular portion communicating between the vessel and a means of conveying fluids that enter the vessel to at least one collection canister for measurement of the volume of fluids that are received by the vessel.3. The apparatus defined in claim 1 wherein the bottom portion is inclined toward the drain.4. The apparatus defined in claim 1 wherein the bottom portion has channels formed therein, the channels being inclined toward the drain.5. The apparatus of claim 1 wherein a surgical drape is attached proximate the periphery of the vessel so as to convey fluids from an operating table to the vessel.6. The apparatus of claim 2 wherein a surgical drape is attached proximate the periphery of the vessel so as to convey fluids from an operating table to the vessel.7. The apparatus of claim 3 wherein a surgical drape is attached proximate the periphery of the vessel so as to convey fluids from an operating table to the vessel.8. The apparatus of claim 4 wherein a surgical drape is attached proximate the periphery of the vessel so as to convey fluids from an operating table to the vessel.9. The apparatus of claim 8 wherein the surgical drape is fitted with adhesive elements that permit the drape to be attached to an operating table.10. The apparatus of claim 8 wherein the surgical drape is fitted with adhesive elements that permit the drape to be attached to other surgical drapes.11. A disposable fluid control island for selectably collecting, retaining and draining fluids received from patients during surgery comprising:a generally broad, shallow, impermeable vessel to be placed on an operating room floor, the vessel having a generally horizontal, floor-contacting, bottom portion that is sloped to direct fluids from a patient that enter the vessel toward, a drain portion that extends through the vessel, the drain being adapted for connection to a tubular portion communicating between the vessel and a means of conveying fluids that enter the vessel to at least one collection canister for measurement of the volume of fluids that are received by the vessel, a generally vertical peripheral portion, and a non-absorbent, non-woven, mesh pad portion fitted within the peripheral portion of the vessel and overlying the bottom portion of the vessel. 12. The apparatus of claim 11 wherein a surgical drape is attached proximate the periphery of the vessel so as to convey fluids from an operating table to the vessel.13. A method for making a disposable fluid control island for selectably collecting, retaining and measuring the volume of fluids received from surgical patients during surgical procedures comprising the steps of:forming a generally broad, shallow, impermeable vessel that is removably positioned on an operating room floor, the vessel having a generally horizontal, floor-contacting, bottom portion that is inclined toward a drain, and a generally vertical peripheral portion, fitting a non-absorbent, non-woven, mesh pad portion within the peripheral portion of the vessel and overlying the bottom portion of the vessel, fitting a fluid-conducting drain through the vessel, the drain being equipped with means for connection to a conduit intermediate the drain and at least one fluid collection container, connecting a fluid conduit between the drain and a fluid collection container, the fluid collection container being fitted with means for measuring the volume of fluid contained therein, and conveying fluid collected in the vessel from a patient through the conduit to the fluid collection vessel. 14. The method of claim 13 further comprising the step of affixing a surgical drape to the vessel proximate the vertical peripheral portion.15. The method of claim 14 further comprising means for measuring the volume of fluid infused into a patient during a surgical procedure.16. A system for continuously determining the volume of distending medium present within a surgical patient during a surgical procedure comprised of:a disposable fluid control island for selectably collecting, retaining and draining fluids received from surgical patients, the island having a generally broad, shallow, impermeable vessel, the vessel having a generally horizontal, floor-contacting, bottom portion that is sloped to direct fluids that enter the vessel toward, a drain portion that extends through the vessel, the drain being adapted for connection to a tubular portion communicating between the vessel and a means of conveying fluids that enter the vessel to at least one collection canister for measurement of the volume of fluids that are received by the vessel, a generally vertical peripheral portion, a non-absorbent, non-woven, mesh pad portion fitted within the peripheral portion of the vessel and overlying the bottom portion of the vessel, a surgical drape affixed to the vessel proximate the vertical peripheral portion, means for conveying fluids from the vessel to fluid collection containers and for measuring the volume of fluid collected therein, and means for measuring the volume of distending medium infused into a surgical patient during surgery. 17. The apparatus defined in claim 16 further comprising means for comparing the volume of fluid received from a surgical patient to the volume of distending medium infused into the patient.18. A method for continuously determining the volume of distending medium present within a surgical patient during a surgical procedure comprised the steps of:positioning a surgical drape below and around a patient to direct fluids discharged from the patient to a disposable fluid control island for selectably collecting, retaining and draining fluids received from surgical patients, the island having a generally broad, shallow, impermeable vessel, the vessel having a generally horizontal, floor-contacting, bottom portion that is sloped to direct fluids that enter the vessel toward, a drain portion that extends through the vessel, the drain being adapted for connection to a tubular portion communicating between the vessel and a means of conveying fluids that enter the vessel to at least one collection canister for measurement of the volume of fluids that are received by the vessel, a generally vertical peripheral portion, a non-absorbent, non-woven, mesh pad portion fitted within the peripheral portion of the vessel and overlying the bottom portion of the vessel, a surgical drape affixed to the vessel proximate the vertical peripheral portion, introducing measured amounts of distending medium into a patient during a surgical procedure, collecting fluids discharged from the patient in the vessel, conveying fluids from the vessel to fluid collection containers, measuring the amount of fluid collected in the fluid collection containers, measuring the difference between in the amount of distending medium infused into a surgical patient during surgery and the amount of fluid recovered from the patient. 19. A disposable fluid control island for selectably collecting, retaining and draining fluids received from patients during hysterocopic surgery comprising:a foam wedge base having a laterally elongated, floor-contacting planar face and a laterally elongated planar upper face formed at an acute angle to the floor-contacting face; a generally moisture-impermeable, flexible, sheet-material surgical drape extension having a top side and a bottom side, a first end portion bottom side being affixed generally coplanar to the wedge base upper face and a second end portion extendible toward a surgical operating table; a non-absorbent, non-woven, mesh pad portion having an upper side and a lower side, the lower side being affixed generally coplanar to the top side of the surgical drape extension first end; means for operatively interconnecting the surgical drape extension second end portion with an operating table surgical drape, and; means for evacuating fluids from the surgical drape extension top side. 20. The apparatus of claim 19 further comprising:a drain affixed to the surgical drape extension proximate the acute angle of the foam wedge, the drain being adapted for connection to a tubular portion communicating between the surgical drape extension top side and a means of conveying fluids that contact the surgical drape top side to at least one collection canister for the measurement of the volume of fluids that are received by the surgical drape extension. 21. Apparatus, comprising:a non-absorbent splash-arresting pad formed of macro porous material to receive spilled fluid passing there through during a surgical procedure while providing a substantially dry and non slip support surface for surgical personnel; a fluid impervious base having a floor and a raised peripheral edge providing an inner wall to define fluid collecting vessel to support the pad and to collect fluid passing through the pad; and a fitting projecting through the peripheral edge of the base to allow fluid collected by the vessel to be extracted. 22. The apparatus of claim 21, wherein the floor of the base is angled to move fluid collected thereon to a collection location.23. The apparatus of claim 22, wherein the collection location is closely adjacent the fitting.24. The apparatus of claim 22, wherein the collection location is positioned substantially the center of the floor.25. The apparatus of claim 21 wherein tubing is coupled to the fitting and positioned on the floor of the base to convey fluid from the collection location to the fitting.26. The apparatus of claim 21, wherein a channel is formed in the floor of the base to convey fluid from the collection location to the fitting.27. The apparatus of claim 21, wherein a means for conveying fluid is provided to move fluid from the floor of the base toward the fitting.28. The apparatus of claim 27, wherein the means for conveying fluid is tubing coupled to the fitting and positioned on the floor of the base to convey fluid from the collection location to the fitting.29. The apparatus of claim 27, wherein the means for conveying fluid is a channel formed in the floor of the base to convey fluid from the collection location to the fitting.30. The apparatus of claim 21, wherein the floor has depressions providing fluid flow channels.31. The apparatus of claim 30, wherein ridges are formed on the floor generally aligned with and adjacent to some of the fluid flow channels.32. The apparatus of claim 21, wherein the base is formed of pliable material and the apparatus is foldable for shipping and disposal.33. The apparatus of claim 32, wherein the pliable material is closed cell low density polyethylene foam.34. The apparatus of claim 32, wherein the pliable material is foamed polyurethane.35. The apparatus of claim 21, wherein the base is hinged to facilitate folding the apparatus.36. The apparatus of claim 35, wherein the base is hinged at multiple points to facilitate folding the apparatus.37. The apparatus of claim 21, wherein the raised peripheral edge has a top surface having a gentle slope from the outer edge to the inner wall.38. The apparatus of claim 37, wherein the top surface of the raised peripheral edge has insets formed therein to stiffen the base to better support the pad.39. The apparatus of claim 21, wherein the base and pad are formed of pliable material sufficiently resilient to partially collapse under the weight of person standing on the apparatus.40. The apparatus of claim 21, wherein at least two fittings are provided for connection to a Y connector to couple the fitting to a vacuum connection to remove fluid form the apparatus.41. The apparatus of claim 21, also comprising a surgical drape having one end adjacent a surgical site and another end to attach to the inner wall to channel spilled fluid into the apparatus.42. The apparatus of claim 41, wherein the surgical drape is taped to the inner wall of the base.43. The apparatus of claim 21, also comprising a surgical drape positioned to channel spilled fluid from an operating site into the apparatus.44. The apparatus of claim 21, also comprising an intermediate frame structure to receive the pad prior to its assembly with the base.
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이 특허에 인용된 특허 (13)
Thompson Joseph F. (Lindenhurst IL) Coyne Mary (Redwood CA), Adjustable fluid control pouch.
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