Low Cost Image Guidance for Improved Vessel Cannulation in Pediatric Patients

低成本图像指导改善儿科患者的血管插管

• 批准号: 9622489
• 负责人: Pezhman Foroughi
• 金额: $ 23.44万
• 依托单位: CLEAR GUIDE MEDICAL, INC.
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9622489
• 关键词: Address; Adult; Algorithms; Anesthesia procedures; Blood Vessels; Caliber; Cannulations; Catheterization; Central Vein; Characteristics; Child; Childhood; Clinical; Clinical Data; Clinical Research; Collaborations; Computer software; Critical Pathways; Detection; Development; Drops; Electronics; Ensure; Environment; Feasibility Studies; Feedback; Goals; Hand; Head; Health Services Accessibility; Hospital Costs; Image; Interventional radiology; Length; Lighting; Location; Medical; Monitor; Needles; Optics; Outcome; Parents; Participant; Patients; Phase; Population; Procedures; Psychological Stress; Public Health; Published Comment; Research; Resources; Running; Schedule; Site; Small Business Innovation Research Grant; Specialist; Speed; Standardization; System; Tablets; Techniques; Technology; Testing; Time; Training; Ultrasonography; Validation; Veins; Work; arm; base; computing resources; cost; design; experience; health disparity; image guided; imaging modality; improved; instrument; lens; miniaturize; pediatric patients; product development; prospective; skills; success; touchscreen

Clear Guide Medical, Inc. Summary The use of ultrasound for placement of many IVs in pediatric cases has significantly enhanced the success of Central Vein Catheterizations ("CVCs"), although ultrasound can often be hard for non- specialists to use. Although ultrasound guidance can certainly facilitate vascular access, it takes practice and experience to master the real-time ultrasound, free hand technique. The value of this SBIR project is to use technology to broaden the number of clinicians who can safely and quickly perform these important procedures, thereby also reducing hospital costs by freeing up Interventional Radiology or Anesthesia specialists. This application describes the technological research plan to address key technical product developments to adapt the FDA-cleared SCENERGY to the pediatric market for CVCs and to obtain clinical data to demonstrate that the addition of the needle-guidance technology increases the accuracy and speed of non-specialist in vessel cannulation. Public health implications of this proposal include reducing the number of attempts to cannulate children as well as the speed with which this is accomplished. This reduces the psychological stress of patients and their parents. More importantly, the number of needle insertions is correlated with complications, so a reduction in needle insertions/complications has both commercial and non-commercial importance. Finally, by broadening the number of clinicians able to successfully perform CVCs, this proposal ameliorates health disparities that arise from access to care limitations.

Clear Guide医疗公司 摘要 在儿科病例中使用超声波放置许多静脉输液已显著提高了 中心静脉插管(“CVCs”)的成功，尽管超声对非 专业人士可以使用。虽然超声引导当然可以促进血管通达，但它需要练习。 并有经验掌握实时超声、自由手技术。这个SBIR项目的价值 是使用技术来扩大临床医生的数量，他们可以安全和快速地进行这些 重要的程序，从而还通过释放介入放射学或 麻醉专家。 本申请描述了针对关键技术产品的技术研究计划 使FDA批准的SCENERGY适应CVC的儿科市场并获得 临床数据证明，导针技术的加入提高了精确度 和非血管插管专家的速度。 这项提议对公共卫生的影响包括减少给儿童插管的尝试次数 以及完成这一任务的速度。这减轻了患者的心理压力。 还有他们的父母。更重要的是，插入针头的次数与并发症有关，因此 减少针头插入/并发症具有商业和非商业两方面的重要性。 最后，通过扩大能够成功执行CVCS的临床医生的数量，这项提议 改善因获得医疗服务的限制而产生的健康差距。