Central Venous Catheter Clinical Trial
Official title:
Prospective SecurAcath Subcutaneous Securement Clinical Trial
To prospectively monitor the safety and performance of the catheter securement device in subjects whose catheter is secured with the Interrad Medical SecureAcath device.
Peripherally inserted central catheters (PICCs) and Central Venous Catheter (CVC) are widely
used to deliver fluids directly to the central venous system and can remain in place for as
short as a few days to as long as months. One of the highest risks in the use of these
catheters is infection, both local and systemic. Currently, these catheters are secured by
either sutures or adhesive patches. Sutures can create additional potential entry points for
bacteria whereas both sutures and adhesive securement patches hold the catheter hub to the
skin resulting in increased difficulty cleaning around the catheter entry site. Furthermore,
securing a catheter outside the skin away from the catheter entry point, as with sutures or
adhesive securement patches may potentiate pistoning of the catheter which is also believed
to possibly increase infection risks. A second risk of intravenous catheter use is
dislodgement during normal use and site maintenance. These catheters are often manipulated
multiple times a day for blood sampling or injection of fluids. During manipulation, the
catheter can be dislodged thus requiring an unplanned replacement of the catheter.
Interrad Medical has developed a means to secure indwelling catheters using a small
subcutaneous anchor. With this system, cleaning around the catheter entry site is made
easier and can be more thorough. The system is also designed to minimize the risk of
catheter dislodgement because once the anchor is deployed, the catheter remains secured.
This may simplify dressing changes compared to adhesive devices such as Statlock, which
requires the catheter be released from the device and therefore be unsecured during dressing
changes.
The objective of this post-market study is to monitor the safety and performance of the
SecurAcath when used to secure the catheter to the insertion site via a subcutaneous anchor.
The data collected may provide insight for future enhancements to improve the safety and
utility of the device. It also provides a means for an early warning of any identified
safety issues, and allows physicians to share their experiences thereby improve the quality
of care provided to the patients.
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Observational Model: Cohort, Time Perspective: Prospective
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