References

  1. Autorino, R. MD (2021, April 3). Incidence and OR team awareness of “near-miss” and retained surgical sharps: a national survey on United States operating rooms. Retrieved from Patient Safety in Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8019169/
  2. Palese, M. MD (2014, Oct-Dec). A Protocol to Recover Needles Lost During Minimally Invasive Surgery.  Retrieved from Journal of The Society of Laparoscopic & Robotic Surgeons: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254476/
  3. Verna, G. MD (2010). Prevention of Retained Surgical Needles. Retrieved from NoThing Left Behind: https://s3.amazonaws.com/tld-documents.llnassets.com/0018000/18023/nothing%20left%20behind,%20the%20prevention%20of%20retained%20surgical%20items%20multi-stakeholder%20policy%20%E2%80%93%20job%20aid-re.pdf
  4. Goodwin, B. JD, RN (2018, March 1). Retained surgical lawsuits will cost you. Retrieved from Urology Times: https://www.urologytimes.com/view/retained-surgical-item-lawsuits-will-cost-you
  5. See Needle Algorithm, https://s3.amazonaws.com/tld-documents.llnassets.com/0018000/18023/nothing%20left%20behind,%20the%20prevention%20of%20retained%20surgical%20items%20multi-stakeholder%20policy%20%E2%80%93%20job%20aid-re.pdf, Dr. Verna Gibbs, Surgeon/Clinical Affairs Prof. UCSF/San Francisco Veterans Affairs Medical Center.
  6.   Needle sizes should be referred to in mm and not as a suture size since many different sized needles can be wedged onto the same size suture.
  7.   Out of the box 13mm, 17mm, and 26mm needles are detected at 95% reliability with 95% confidence, 9mm and 11mm needles with greater than 80% reliability @ 90% confidence, and 6mm needles with 70% reliability @ 90% confidence. Additionally, when magnetized by placing an individual needle on a magnetic instrument mat for 1 second (verified using Key Surgical MG-300-400R instrument mat ) all the previously listed needle groups: 6mm, 9mm, 11mm, 13mm, 17mm and 26mm are detected at 95% reliability with 95% confidence.
  8. Dr. Kan Hae Sung, Dr. Autorino, et al (2023, April 26) Multiphase Preclinical Assessment of a Novel Device to Locate Surgical Sharps. Patient Safety in Surgery https://pssjournal.biomedcentral.com/articles/10.1186/s13037-023-00359-8
  9. J, Adams, Ph.D..,J Noel, Ph.D. (2022) Needle Size and Detectability Study. (Available Upon Request)
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