SPOT GRADE SBSS Bleeding Scale
The Only Surgical Hemostat Proven Effective using a Quantitative and Qualitative Bleeding Scale.
Dilon developed the SPOT GRADETM scale, also known as the Surface Bleeding Severity Scale (SBSSTM), to quantitatively and qualitatively determine the amount of bleeding from a surgical wound and standardize bleeding definitions across surgical specialties and procedures. HEMOBLAST Bellows met its endpoints and received indications for the control of SPOT GRADETM bleed levels 1 through 3, covering oozing to flowing bleeding.1
| SPOT GRADETM SCALE | HEMOBLAST Bellows1 Effective hemostasis on SPOT GRADETM levels 1 through 3: minimal, mild, and moderate bleeding.1 | |||||
| SPOT GRADETM | 0 | 1 | 2 | 3 | 4 | 5 |
| Maximum Expected ACS-ATLS* Shock Risk Class |
1 | 1 | 1 | 2 | 3 | 4 |
| Verbal Descriptor | None | Minimal | Mild | Moderate | Severe; not immediately Life-threatening |
Extreme; immediately Life-threatening |
| Visual Descriptor | Dry | Oozing | Pooling | Flowing | Streaming | Gushing |
| Expected Intervention(s) |
None | Manual pressure, cautery, adjuvant hemostat(s) | Manual pressure, cautery, suture, adjuvant hemostat(s) | Manual pressure, cautery, suture, adjuvant hemostat(s) | Manual pressure, cautery, suture, staples, tissue repair | Manual pressure, cautery, suture, staples, tissue repair |
| Flow Rate (mL/min) Ranges for Target Bleeding Site18 | ||||||
| 1 (cm2) | 0 | [0;4.8] | [4.8;12.0] | [12.0;25.3] | [25.3;102.0] | [102.0;+∞] |
| 10 (cm2) | 0 | [0;9.1] | [9.1;20.0] | [20.0;71.3] | [71.3;147.4] | [147.4;+∞] |
| 50 (cm2) | 0 | [0;13.5] | [13.5;28.0] | [28.0;117.3] | [117.3;192.7] | [192.7;+∞] |
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