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Objective  To test performance of SurgiSafe ® , a radiofrequency electronic device to detect surgical textiles during operations as compared to manual counting.    Methods  Surgical sponges with radiofrequency TAGs were placed in the abdominal cavity of a pig submitted to laparotomy, in randomly distributed sites. The TAGs were counted manually and also using SurgiSafe ® . Positive and negative predictive values, sensitivity, specificity and time required for counting were analyzed for both methods.    Results  Through the analysis of 35 surgical cycles, SurgiSafe ®  immediately identified all sponges, with specificity, sensitivity, positive and negative predictive values of 100%. Although not statistically significant, the manual count had sensitivity of 99.72% and specificity of 99.90%.    Conclusion  SurgiSafe ®  proved to be an effective device to identify surgical sponges  in vivo,  in real time; and its use as an adjuvant to manual counting is very helpful to increase patient's safety.

Evaluation of radiofrequency electronic system in intraoperative monitoring of surgical textiles