Surgical needle and package counter

Abstract: A surgical needle package counter (10,12) is particularly constructed for receiving and snugly retaining an opened surgical needle package (20) sequentially in a number of slots (18) particularly configured and sized to receive such opened surgical needle packages (20). Each slot (18) for receiving an opened surgical needle package (20) is identified by a number with the numbers (24) being in sequence so that an immediate total number of opened surgical needle packages (20) stored in the counter (12) may be observed. The surgical needle package counter (12) may have an integral extension (28) in which a foam filler (32) or slab may be seated. The foam filler (32) or slab is particularly formed to receive used surgical needles. Preferably, each used surgical needle will be received in a needle receiving zone which corresponds with the slot (18) of the surgical needle package counter (12) so that the number of used surgical needles can be automatically identified by the numerals (24) which identify the surgical package slots (18). A suitable cover (26) is provided for retaining the used surgical needles for disposal or possible future recount.

Description: This invention relates in general to new and useful improvements in apparatus for counting surgical needles to make certain that all needles have been removed before closure, and more particularly to a surgical needle counter according to the generic part of the main claim which is disclosed in US-A-4 168 001. During surgery, it is important to keep track of how many needles have been used to ensure that all of them have been removed from a patient when the operation is completed. Counting devices are frequently used in surgery to keep track of the number of used needles. It is also useful to keep track of the number of packages from which the needles have been dispensed so that a quick check of how many needles should be accounted for will provide a simple verification of the needle count, thereby facilitating needle control. Typically, the scrub nurse will simply stack the used needle packages on a tray for later counting. However, the needle packages are prone to become dislodged and lost on the floor of the operating room so that occasionally miscounts occur. In the past, there have been developed suitable devices for counting used surgical needles. These are the subjects of US-A-4 586 614, US-A-3 727 658, US-A-3 944 069, US-A-4 008 802 and US-A-4 243 140. There remains a need for an effective verification of the needle count. The problem to be solved by the invention is to find an easy way of counting the used needle packages. The invention solves this problem by the features given in the independent claim. Advantageous further developments are specified in the dependent claims. In accordance with this invention, there has been developed a holder for used surgical needle packages, which holders are provided with means for receiving and retaining opened needle packages as an evidence of how many needles have been utilized. Such a holder is generally of a molded construction having a plurality of slots of a size and shape for tightly receiving an opened needle package. Each of the slots is numbered with the numbers being sequential so as to immediately identify the total number of needle packages utilized in a surgical procedure. Also, in accordance with this invention, it is envisioned to either utilize prior needle counters of the type described above, or form as an integral part of the needle package counter a needle counter. Most particularly, it is proposed to provide the needle counter with means for receiving individual used needles in needle receiving zones which include indicia corresponding to the slots of the needle package counter so that any discrepancy in the number of needle packages utilized and the number of needles reclaimed is immediately visible. With the above and other objects in view as will hereinafter appear, the nature of the invention will be more clearly understood by reference to the following detailed description, the appended claims, and the several views illustrated in the accompanying drawings. FIG. 1 is a plan view of a combined needle package counter and needle counter for surgical needles formed in accordance with this invention with a cover applied and portions of the cover being broken away so as to more specifically illustrate the use of the needle package counter; FIG. 2 is a front elevational view of the surgical needle package counter and surgical needle counter of FIG. 1 with parts broken away. Referring now to the drawings in detail, reference is made to the drawings wherein there is illustrated in FIG. 1 a combination surgical needle package counter and used surgical needle counter, generally identified by the numeral 10. The combined counter 10 includes a surgical needle package counter 12 and a surgical needle counter 14. It is to be understood that the surgical needle package counter 12 may be utilized independently of the used surgical needle counter 14 and that any suitable surgical needle counter may be utilized including those specifically identified above. The surgical needle package counter 12 is in the form of a molded base 16 which is provided with a plurality of transversely extending slots 18 of a size to have snugly received therein an opened surgical needle package 20 as is best shown in FIG. 2. In order to facilitate the entry of an opened surgical needle package into an associated one of the slots 18, it is preferred that one end 22 of each slot open through an edge of the base 16. At the opposite end of each of the slots 18, from the open end there is applied to the top of the base 16 numerals 24 which are first indicia arranged in sequence so as to immediately identify the total number of opened surgical needle packages and thus the total number of surgical needles utilized in a surgical procedure. The base 16 is provided at one end thereof with a molded extension 28 formed integrally with the base 16. The extension 28 defines a cavity 30 in which there is heated a foam insert 32. The foam insert 32 will be provided with suitable means for receiving used needles. If desired, the foam insert 32 may be of a construction similar to the above-identified U.S. Patent No. 4,008,802 and include a longitudinally extending, upstanding rib and a plurality of transversely extending slits or slots. The slits or slots will be of a size to snugly receive a used surgical needle, and each slit or slot may be aligned with one of the slots 18. Alternatively, the foam insert 32 can provide a simple flat surface, the foam being adapted to receive needles. Preferably, as shown in FIG. 1, the foam 32 is divided into needle receiving zones wherein second indicia 38 are provided which correspond numerically to the numerals 24 on the base 16. In this manner, an immediate count of surgical needles used or otherwise accounted for can be readily verified by comparison with the number of used packages. For those frequent situations where a single package contains multiple needles, third indicia 40 may correspond to each individual needle. It can be seen that if the number of used surgical needles accounted for does not correspond with the correct number of opened surgical needle packages, the difference in number will be immediately observable and appropriate steps taken to ensure patient care. A magnetic strip 42 is provided within the cavity 30 to receive and hold blades and sharps. The base 16 is provided with a suitable cover 26 so as to completely enclose the base 16 and thus prevent the loss of used surgical needles and blades. The cover can also facilitate easy disposal of the entire assembly and used needles and blades at the conclusion of surgery. It is proposed that the surgical needle package counter 12 and the surgical needle counter be readily removably mounted adjacent the operating table. Accordingly, the underside of the base 16 is provided with a layer of adhesive 27 which will preferably be of the pressure-sensitive type with a removable cover. Although only a preferred embodiment of the surgical needle package counter and the used surgical needle counter has been specifically illustrated and described herein, minor variations may be made in the construction thereof. For example, a magnetic insert may be substituted for the foam insert 32.

Claims: A surgical needle package counter (12) comprising a base (16) having an upper surface and an adjoining side surface, a plurality of slots (18) in the base (16), the slots (18) extending through the upper and side surfaces and having a size to have snugly received therein an opened surgical needle package (20), characterized by a visual indicium (24) on the upper surface adjacent to each slot (18) for counting and identifying needle packages (20) received in the slots (18). A surgical needle package counter (12) according to claim 1 wherein the visual indicia (24) are numbers disposed in numerical sequence from slot (18) to slot (18) to readily count and identify the total number of packages (20) used during surgery. A surgical needle package counter (12) according to claim 1 or 2 wherein the visual indicium (24) is disposed on the upper surface at a point remote from the side surface. A surgical needle package counter (12) according to any one of the foregoing claims wherein the base (16) has a bottom surface opposite the upper surface and there is an adhesive backing (27) on the bottom surface whereby the base (16) can be removably mounted to an adjacent surface. A surgical needle package counter (12,14) according to any one of the foregoing claims wherein the base (16) includes a needle counting extension (28) having means (32) for receiving used needles. A surgical needle package counter (12,14) according to claim 5 wherein the needle receiving means (32) comprises a foam insert disposed on the extension (28). A surgical needle package counter (12,14) according to claim 6 wherein the visual indicium (24) is a first visual indicium, the foam insert (32) has needle receiving zones, each zone having a second visual indicium (38) disposed thereon, and each zone corresponding to a slot (18) by an identity between the first and second visual indicia (24,38) so that needles received in each zone can be identified as coming from a used needle package (20) received in a slot (18) adjacent to the corresponding first visual indicium (24). A surgical needle package counter according to claim 7 wherein each needle receiving zone includes a third indicium (40) disposed thereon to identify each needle received in the zone. A surgical needle package counter according to any one of claims 5 to 8 wherein the needle counting extension (28) is integral with the base (16).

Inventors: JAIN KRISHNA M, JAIN, KRISHNA M.
Applicants: JAIN KRISHNA M, JAIN, KRISHNA M.
Application year: 1992
Main classification: A61B19
IPC codes: A61B19, A61B17