Patent Application
20150025349
The present disclosure relates generally to the measurement of blood loss.
Post-Partum hemorrhage is the world's leading cause of maternal mortality, occurring in 13,795,000 births and remaining responsible for 140,000 maternal deaths yearly. Accurate measurement of blood loss, needed to diagnose and treat the condition, is extremely difficult. The most common method of measuring blood loss is visual estimation, but this approach has repeatedly proven to be scientifically inaccurate.
A summary of certain embodiments disclosed herein is set forth below. It should be understood that these aspects are presented merely to provide the reader with a brief summary of these certain embodiments and that these aspects are not intended to limit the scope of this disclosure. Indeed, this disclosure may encompass a variety of aspects that may not be set forth below.
An absorbent pad is provided that guides visual estimation of blood loss. In one implementation, the pad is divided into a grid of uniformly sized squares that each contain a fixed amount of fixed amount of super-absorbent polymer. An example of one such suitable polymer is the polymer typically employed in disposable diapers.
In one example of a use for such a pad, the pad is placed under a woman after she has delivered a baby but before she delivers the placenta. As the woman loses blood, each square of the pad will become saturated, indicated by an easily identifiable color change and the swelling or expansion of the respective square. The number of squares that are saturated may then be counted and this number may be converted into, or used to estimate, the volume of blood lost. The volume of lost blood may then be used to make an informed diagnosis.
These and other features, aspects, and advantages of the present invention will become better understood when the following detailed description is read with reference to the accompanying drawings in which like characters represent like parts throughout the drawings, wherein:
One or more specific embodiments of the present techniques will be described below. In an effort to provide a concise description of these embodiments, not all features of an actual implementation are described in the specification. It should be appreciated that in the development of any such actual implementation, as in any engineering or design project, numerous implementation-specific decisions must be made to achieve the developers' specific goals, such as compliance with system-related and business-related constraints, which may vary from one implementation to another. Moreover, it should be appreciated that such a development effort might be complex and time consuming, but would nevertheless be a routine undertaking of design, fabrication, and manufacture for those of ordinary skill having the benefit of this disclosure.
Further, any calculations, correlations, and/or measurements discussed herein may be performed using one or more suitable computer-implemented algorithms, such as may be stored on a computer-readable memory or medium for execution by a suitable processing component in communication with the medium or memory. In addition, previously determined constants or correlations may be stored on the computer-readable memory or medium and accessed by the processing component during execution of the algorithms. The processor may also receive inputs or measurements from a measurement device or from personnel. Such inputs may be processed used as inputs to the algorithms during execution of the algorithms. Examples of devices having suitable processing components, memory components, user interface circuitry, and/or circuitry for accessing local or remote media include, but are not limited to, desktop, notebook, and tablet computers, personal digital assistants, cellular telephones, media players, and so forth.
As discussed herein, a pad is provided that will absorb blood loss in a uniform pattern that allows a birth attendant to easily estimate blood loss volumes. In one embodiment, the pad is based on a rectangular absorbent pad. In one such implementation, the pad 10 has three inch squares 12 in a five-by-five grid 14, as depicted in
Immediately after a baby is delivered, the birth attendant will place the pad 10 under the woman so that the blood lost will be collected on the pad 10. As the woman loses blood, each square 12 would absorb blood until it has reached its known capacity. By counting the number of squares 12 that have become saturated, the birth attendant would be able to calculate the total blood loss. For example, if each square 12 absorbs 50 mL and the woman's blood loss saturates five squares 12, the birth attendant would know that that woman has lost 250 mL of blood. It is possible that some squares 12 would be only partially saturated, in which case they could be counted as a half-square or some other suitable fraction of a square 12. In one such embodiment, the pad 10 is capable of measuring blood loss volume with a 100 mL resolution.
With respect to the construction of the pad 10, in one embodiment, the pad 10 is constructed using fabric, super-absorbent polymer, and thread. In one such construction process, 3-inch squares 12 of fabric are cut. Two or four of these fabric squares 12 are layered (layers 16) and sewn together on three of the four sides. A fixed amount of super absorbent polymer is placed into each square 12 and the squares are sewn closed. Twenty-five such squares are sewn together to make a quilt-like grid 14. The resulting five-by-five grid 14 is sewn to a matted cotton layer 22 and plastic layer 20.
A pad 10 as described herein will allow a health care worker to measure blood loss, such as to diagnose postpartum hemorrhage. While the above-described pad 10 has been discussed in the context of assessing postpartum hemorrhage, it should be appreciated that the pad 10 may be used to assess or measure blood loss in other contexts, may be used to assess or measure the loss of fluids other than blood, and/or may be used in other contexts, medical or non-medical in nature.
With the foregoing discussion in mind, various tests were performed to determine the efficacy of a pad as described herein for measuring blood loss. In one such test, the accuracy of blood loss estimation was assessed using a pad, as discussed herein, compared to a Chux pad commonly used in a medical environment for absorbing bodily fluids and which does not include features (i.e., guides) for visual estimation of absorbed fluids.
In this test, participants estimated blood loss volumes by looking at photos, shown in an online survey, of pads as discussed herein. Participants included undergraduate students, graduate students, and healthcare professionals. Photos of known volumes were taken at the increments of 200 mL, 350 mL, 400 mL, 500 mL, 650 mL, of blood. Participants were instructed to estimate the blood loss shown in the picture and the estimates were collected. In addition, participants also estimated blood loss volumes shown on a Chux pad, an absorbent pad without any guided visual estimation, as a control. Photos were taken of known volumes of blood at increments of 200 mL, 350 mL, 400 mL, 500 mL, and 650 mL of blood. Data was also collected on the subjective assessment of the participants with respect to the ease of use of both the pad as disclosed herein and the Chux pads for estimating fluid loss.
Based on this test, participant estimates made using the pad as disclosed herein underestimated blood loss by an average of 29.8 mL and were within 100 mL of the actual blood loss volume 78.8% of the time. Conversely, participant estimates made using the Chux pads overestimated blood loss by an average of 60.6 mL and were within 100 mL of the actual blood loss volume 75.1% of the time. Further, estimates made using the pad as disclosed herein followed a more consistent pattern than Chux pad estimates, suggesting that calibration would further increase the accuracy of the present pad. In addition, the pad as disclosed herein was found to be significantly more accurate than the Chux pad (p=0.07). Lastly, participants rated the pad as disclosed herein significantly easier to use than the Chux pad (p<0.001), Test results are summarized in Tables 1 and 2 below, as well as in
In a subsequent test, the accuracy of the pad as disclosed herein for estimating blood loss was assessed in person by participants, rather than via the intermediary of photographs. For the purpose of this test, accuracy was defined as being within 100 mL of the actual volume, which was deemed to be an acceptable range of error for clinical diagnosis.
In this test, participants viewed pads as disclosed herein in a laboratory setting. The pads had absorbed predetermined blood volumes in the range of 200 mL to 900 mL, in increments of 100 mL. After receiving instructions, participants estimated the volume of blood on each pad and recorded estimations on a data collection sheet. Participants included undergraduate students, graduate students, and university faculty. Based on this test regime, 82.3% of estimates of blood “loss” using the pad as discussed herein, were within 100 mL of actual blood sample volumes. Results of this test are presented in Table 3 and
With the foregoing examples and results in mind, the above-described pad 10 and process will allow health-care workers in both the developing and the developed world to measure blood loss, identify postpartum hemorrhage, and subsequently manage the condition. The disclosed system provides an inexpensive approach for measuring blood loss during delivery or during other medical procedures. Health care providers in the developing world lack access to blood measurement devices due to cost and power constraints, and even hospitals in the developed world do not consistently measure blood loss due to the expense of currently available diagnostic tests. Thus the pad disclosed herein would offer accuracy in measurement and cost savings in hospitals in all corners of the world.
This written description uses examples to disclose the invention, including the best mode, and also to enable any person skilled in the art to practice the invention, including making and using any devices or systems and performing any incorporated methods. The patentable scope of the invention is defined by the claims, and may include other examples that occur to those skilled in the art, including combinations of aspects or features of the embodiments and examples disclosed herein. Such other examples are intended to be within the scope of the claims if they have structural elements that do not differ from the literal language of the claims, or if they include equivalent structural elements with insubstantial differences from the literal languages of the claims. The specific embodiments described above have been shown by way of example, and it should be understood that these embodiments may be susceptible to various modifications and alternative forms, including combinations of various features and aspects of the examples or embodiments discussed herein. It should be further understood that the claims are not intended to be limited to the particular forms disclosed, but rather to cover all modifications, equivalents, and alternatives falling within the spirit and scope of this disclosure.
This application claims priority to and the benefit of a Provisional Patent Application No. 61/598,232, entitled “PAD FOR MEASURING BLOOD LOSS” and filed Feb. 13, 2012 and PCT Application No. PCT/US2013/025781, entitled “PAD FOR MEASURING BLOOD LOSS” and filed Feb. 12, 2013, which is herein incorporated by reference in its entirety for all purposes.
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/US2013/025781 | 2/12/2013 | WO | 00 |
| Number | Date | Country | |
|---|---|---|---|
| 61598232 | Feb 2012 | US |
