A method of protecting sensitive tissue from damage during a surgical procedure using at least one medical tool having a rotatable bit capable of removing tissue, including selecting a multilayer sponge having (i) a tissue-compatible layer with a tissue contact surface capable of being placed against the sensitive tissue, and (ii) a low-friction layer having a lower coefficient of friction than that of the tissue-compatible layer, being affixed to the tissue-compatible layer, and having an outward-facing surface including biocompatible material not easily worn away by brief contact with the rotatable bit during the surgical procedure. The method further includes placing the tissue contact surface of the biocompatible layer against sensitive tissue such that the outward-facing surface of the low-friction layer is positioned between the sensitive tissue and the rotatable bit to protect the sensitive tissue from damage and prevent the sponge from being drawn around the bit when it rotates.
