Low Cost Image Guidance for Improved Vessel Cannulation in Pediatric Patients

在儿科病例中使用超声放置许多IV显著增强了 中心静脉导管插入术（“CVC”）的成功，虽然超声通常很难用于非中心静脉导管插入术（“CVC”）。 专家使用。虽然超声引导确实可以促进血管通路，但它需要练习 掌握实时超声、徒手技术。这个SBIR项目的价值 是利用技术来扩大临床医生的数量， 重要的程序，从而也降低了医院的成本，解放了介入放射学或 麻醉专家。 本申请描述了解决关键技术产品的技术研究计划 发展，以适应FDA批准的SCENERGY儿科市场的CVC，并获得 临床数据证明，增加针引导技术可提高准确性 和非专业血管插管的速度。 这一建议对公共卫生的影响包括减少对儿童插管的尝试次数 以及实现这一点的速度。这样就减轻了病人的心理压力 还有他们的父母更重要的是，针插入的数量与并发症相关， 针插入/并发症的减少具有商业和非商业的重要性。 最后，通过扩大能够成功执行CVC的临床医生的数量， 改善因获得护理的机会有限而造成的健康差距。

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.