Surgical Endoscopy

, Volume 21, Issue 7, pp 1235–1237 | Cite as

Radio frequency identification (RFID) applied to surgical sponges

New Technology

Abstract

Use of gauze sponges that have been embedded with passive radio frequency identification (RFID) tags presents a high probability of reducing or eliminating instances of gossypiboma, or retained surgical sponge. The use of human counts during surgical operations, especially during instances where unexpected or emergency events occur, can result in errors where surgical instruments, most often gauze sponges, are retained within the patient’s body, leading to complications at a later date. Implementation of an automatic inventory record system, for instance, RFID, may greatly reduce these incidences by removing the human factor and would improve patient safety by eliminating the current sponge count protocol. Experiments performed by placing RFID-labeled sponges within an animal and removing them have demonstrated that tags are at least partially readable inside the body cavity and fully readable once removed, suggesting the possibility of an automated sponge count system pending further development of this technology.

Keywords

Laparotic sponge Gossypiboma RFID Automated inventory 

References

  1. 1.
    Christian CK, Gustafson ML, Roth EM, Sheridan TB, Gandhi TK, Dwyer K, Zinner MJ, Dierks MM (2006) A prospective study of patient safety in the operating room. Surgery 139:159–173PubMedCrossRefGoogle Scholar
  2. 2.
    Gawande AA, Studdert DM, Orav EJ, Brennan TA, Zinner MJ (2003) Risk factors for retained instruments and sponges after surgery. N Engl J Med 348:229–235PubMedCrossRefGoogle Scholar
  3. 3.
    Zbar AP, Agrawal A, Saeed IT, Utidjian MR (1998) Gossypiboma revisited: a case report and review of the literature. J R Coll Surg Edinb 43:417–418PubMedGoogle Scholar
  4. 4.
    Kaiser CW, Friedman S, Spurling KP, Slowick T, Kaiser HA (1996) The retained surgical sponge. Ann Surg 224:79–84PubMedCrossRefGoogle Scholar
  5. 5.
    Clampitt HG, Jones EC (eds) (2006) RFID Certification Textbook. PWD Group Inc., Houston, TXGoogle Scholar
  6. 6.
    Bhuptani M, Moradpour S (2005) RFID Field Guide: Deploying Radio Frequency Identification Systems. Sun Microsystems, Santa Clara, CAGoogle Scholar
  7. 7.
    Shepard S (2005) RFID: Radio Frequency Identification. McGraw-Hill, New YorkGoogle Scholar
  8. 8.
    Macario A, Morris D, Morris S (2006) Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Arch Surg 141:659–662PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.Department of Biological SciencesUniversity of NebraskaLincolnUSA
  2. 2.Department of Industrial EngineeringUniversity of NebraskaLincolnUSA
  3. 3.Department of SurgeryUniversity of Nebraska Medical CenterOmaha, LincolnUSA

Personalised recommendations