MP68-20 RELIABLE INSTRUMENT COUNTER (RIC) FOR UROLOGIC PROCEDURES

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP68-20 RELIABLE INSTRUMENT COUNTER (RIC) FOR UROLOGIC PROCEDURES Catherine Nguyen, Michael Fink, Cayman Myers, Kayla Dunch, Daniel Aguilar, Jack Gibbs, Shelby McCoy, Hannah Bachtel, Chester Koh, and Charles Peak Catherine NguyenCatherine Nguyen More articles by this author , Michael FinkMichael Fink More articles by this author , Cayman MyersCayman Myers More articles by this author , Kayla DunchKayla Dunch More articles by this author , Daniel AguilarDaniel Aguilar More articles by this author , Jack GibbsJack Gibbs More articles by this author , Shelby McCoyShelby McCoy More articles by this author , Hannah BachtelHannah Bachtel More articles by this author , Chester KohChester Koh More articles by this author , and Charles PeakCharles Peak More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003331.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Retained sponges and surgical instruments with urologic procedures can have significant consequences on patient outcomes such as increased morbidity, long term disabilities, as well as medicolegal ramifications. The traditional method of ensuring accurate counts for sponges and surgical instruments is manual counting by surgical assistants (i.e. nurses and surgical technicians). However, this method is time-consuming and prone to systemic and human errors which can lead to unidentified retention of instruments. Current technologies for sponge and instrument tracking are limited by cost and accuracy issues. In collaboration with the engineering teams at local engineering schools, we sought to develop an automated surgical instrument counter to increase the accuracy of surgical equipment counts. METHODS: We developed a prototype for the Reliable Instrument Counter (RIC) which performs continuous and automatic counting of surgical instruments using RFID technology. The device consists of a hard polymer tabletop for RFID transparency with three RFID antennas and one multichannel RFID reader. RFID tags were placed on each surgical instrument (7.8mm x 6.8mm x 2.7mm) that were compatible with all methods of instrument sterilization Figure 1). Java-based software was used to automate the count of surgical instruments with a user-friendly interface. Benchtop testing was performed to identify the number of tags needed per instrument and the accuracy of the RIC to count the instruments. RESULTS: The prototype table was developed with the surface divided into zones. The accuracy of detecting tagged instruments averaged 99.03% readability across all zones with only three small areas on the edges of the table that had less than 100% accuracy. Further modifications will involve adjust the mounted location of the RFID reader for improved accuracy. CONCLUSIONS: The RIC can accurately track surgical instruments in real time for urologic procedures, thereby reducing overall OR time and risk of miscounts which translates into reducing overall cost and increasing the safety of patients undergoing urologic surgeries. Source of Funding: FDA grant #1p50FD006428 © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e961 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Catherine Nguyen More articles by this author Michael Fink More articles by this author Cayman Myers More articles by this author Kayla Dunch More articles by this author Daniel Aguilar More articles by this author Jack Gibbs More articles by this author Shelby McCoy More articles by this author Hannah Bachtel More articles by this author Chester Koh More articles by this author Charles Peak More articles by this author Expand All Advertisement PDF downloadLoading ...