Development and evaluation of a non-invasive engineered securement device for patient drains

每年，全世界有数千万患者接受医疗保健程序，导致在其体内放置排水管。它们可用于治疗危及生命的疾病，或作为手术后安全排出内容物的一种手段，以促进愈合。根据病情的不同，患者可能会持续数天、数周或数月。由于日常使用中遇到的一系列推力或拉力，高达40%的引流管患者会出现意外移动、移位或拔出引流管的情况。当引流管移动时，会给病人带来相当大的疼痛，这降低了他们的恢复速度。排水管移位或不小心被移除会导致危及生命的并发症。患者必须接受影像学检查（如CT扫描），更换引流管或再次手术。这影响患者安全和他们的护理体验；而且对医院来说成本很高。目前确保患者引流的标准做法包括皮肤缝合和粘连屏障敷料。缝合线可能会划破皮肤，在反复拉扯引流管后可能会松动。医疗器械公司出售旨在减少排水管排出的替代产品；然而，没有单一的解决方案在临床环境中取得成功。Javelo Health是一家总部位于苏格兰的英国医疗技术公司。该公司开发了一种创新的机械装置，旨在保护患者的排水管，防止移位或意外移除。它将改善患者的安全和护理，并使医院避免代价高昂的并发症和浪费。这项创新英国生物医学催化剂项目将通过在PPI小组的支持下进行机械和临床测试，将Javelo Health的技术从实验室推进到床边，从而确保它满足患者的需求，并降低临床使用的风险。

Each year, tens of millions of patients worldwide undergo procedures in healthcare that result in the placement of drains in their body. They may be inserted to treat life threatening conditions or as a means to safely drain away contents after an operation in order to promote healing. Patients may have drains for days, weeks or months depending on the condition.Up to 40% of patients with drains experience unintended movement, dislodgement or removal of their drains due to a range of push or pull forces encountered through everyday use. When a drain moves it causes patients considerable pain, this reduces their speed of recovery. A dislodged or accidentally removed drain can lead to life threatening complications. Patients must undergo imaging (e.g. CT scans), drain replacement or reoperation. This affects patient safety and their experience of care; and is costly for hospitals.Current standard practice to secure patient drains involves skin stitches and adhesive barrier dressings. Sutures can cut into the skin and may come loose after repeated tugging on the drain. Medical device companies sell alternative products designed to reduce drain dislodgement; however, no single solution has demonstrated success in the clinical setting.Javelo Health is a British MedTech started based in Scotland. The company has developed an innovative mechanical device designed to secure patient drains and prevent dislodgement or accidental removal. It will improve patient safety, care and save hospitals in costly complications and waste.This Innovate UK Biomedical Catalyst project will progress Javelo Health's technology from bench to bedside by carrying out mechanical and clinical testing supported by a PPI group, thus ensuring it meets the needs of patients and is de-risked for clinical use.