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RFID System Tracks Surgical Instruments in Denmark

Four hospitals are testing Caretag's reading devices and software, as well as Xerafy's RFID tags, tracking surgical tools as they are packed, used in surgery, sterilized and maintained, and thereby reducing tool-management errors and labor.
By Claire Swedberg
Jul 10, 2013

Several Danish hospitals are conducting tests to determine whether an RFID solution provided by Caretag can improve efficiency in surgical tool management and reduce the incidence of lost instruments at health-care facilities. The test and subsequent evaluation, being conducted with funding from Danish government agency Markeds Modningsfonden (Market Maturation Fund), is expected to last for more than a year. Early results, however, indicate that the system can reduce labor costs and the potential for errors, such as misidentifying a tool or failing to notice a tool missing from a tray.

The goal of the testing is to help the hospitals determine how radio frequency identification technology could improve the tracking of tools before, during and after surgery, as well as identify when they require maintenance, such as sharpening or replacement. The tests will compare the amount of time that employees spend manually tracking tools against the time needed when using Caretag's surgical solution, which consists of Xerafy EPC Gen 2 passive ultrahigh-frequency (UHF) RFID tags on tools, as well as Caretag's patented readers used at the surgical and sterilization areas. Data collected from multiple tests conducted to date at the four Danish hospitals show that on average, confirming the presence of the correct tools in a typical tray requires 10 to 30 seconds with the Caretag solution, versus approximately five minutes when done manually, according to Sören Bilsöe, Caretag's cofounder and CTO.

Xerafy's Dot-On XS (left) and Dash-On XS passive UHF RFID tags are designed for attachment to metal surgical instruments.

Employing RFID technology to track surgical tools can be challenging, in part because most tags do not easily fit onto very small items, such as scissors, forceps and scalpels, and because few can sustain the autoclave sterilization process that takes place before the tools are used. Manually tracking tools, however, is a time-consuming and error-prone process—individuals could, for example, fail to notice that an item is missing. A surgical tray for a procedure, such as heart bypass surgery, must include specific tools, and if the set of tools is incomplete, the tray cannot be used for that procedure. What's more, tools occasionally end up missing at hospitals, resulting in an expense for the facility and a potential safety hazard for patients. Staff members spend considerable time inventorying the tools for each process—before and after surgery, as well as following autoclave sterilization or maintenance.

Caretag developed its solution for tracking surgical tools after testing Xerafy's XS tag, which can be attached to or embedded in tools and can withstand high temperatures, such as those related to autoclaving. Caretag developed software and readers to enable hospitals to read the tags and interpret the collected data. The system also alerts personnel in the event that a tool requires servicing, is missing from a tray or is placed in the wrong tray.

In 2012, Caretag demonstrated an RFID-based laundry-management solution at Rigshospitalet, located in Copenhagen. The company discussed the potential benefits of the surgical tool-tracking solution with that hospital's management over the past year, Bilsöe says, adding that management was interested, especially since the facility is currently building a new sanitization department in which an RFID system could prove useful in improving efficiency and reducing errors. Caretag then met with other Danish hospitals, which collaboratively campaigned to obtain funding so that Markeds Modningsfonden could test the solution.


Eris Blastar 2013-10-27 09:35:52 PM
Free and open source surgical sterilization software and database from 2002 can be found here at Mega: https://mega.co.nz/#!EMIUhYpZ!cOpFNHiB_dOxYY7E7rj8KzFnoGllylWhzS42XNLtdnM It did RFID and Barcode tracking.

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