首次对用于快速静脉抽血的手持式自动静脉穿刺装置进行人体评估。

TECHNOLOGY Pub Date : 2019-09-01 Epub Date: 2020-01-22 DOI:10.1142/S2339547819500067
Josh M Leipheimer, Max L Balter, Alvin I Chen, Enrique J Pantin, Alexander E Davidovich, Kristen S Labazzo, Martin L Yarmush
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引用次数: 0

摘要

获取静脉通路进行血液采样或静脉输液是患者护理中必不可少的第一步。然而,成功率在很大程度上取决于临床医生的经验和患者的生理状况。获取静脉通路时遇到的困难会导致漏扎和对患者造成伤害,通常还需要其他通路和额外的人员,从而延长了手术时间,给医疗机构带来不必要的成本。在此,我们首次对自动机器人静脉穿刺设备进行了人体评估,该设备专为在外周前臂静脉上安全地进行抽血而设计。该设备结合了超声成像和微型机器人技术,可识别适合插管的血管,并以机器人方式引导附着的针头向管腔中心移动。该设备取得了与临床标准相当或更高的效果,所有参与者的成功率为 87%(n = 31),非困难静脉通路参与者的成功率为 97%(n = 25),平均手术时间为 93 ± 30 秒(n = 31)。未来,该设备还可扩展到其他血管通路领域,如静脉导管插入、中心静脉通路、透析和动脉置管。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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First-in-human evaluation of a hand-held automated venipuncture device for rapid venous blood draws.

Obtaining venous access for blood sampling or intravenous (IV) fluid delivery is an essential first step in patient care. However, success rates rely heavily on clinician experience and patient physiology. Difficulties in obtaining venous access result in missed sticks and injury to patients, and typically require alternative access pathways and additional personnel that lengthen procedure times, thereby creating unnecessary costs to healthcare facilities. Here, we present the first-in-human assessment of an automated robotic venipuncture device designed to safely perform blood draws on peripheral forearm veins. The device combines ultrasound imaging and miniaturized robotics to identify suitable vessels for cannulation and robotically guide an attached needle toward the lumen center. The device demonstrated results comparable to or exceeding that of clinical standards, with a success rate of 87% on all participants (n = 31), a 97% success rate on nondifficult venous access participants (n = 25), and an average procedure time of 93 ± 30 s (n = 31). In the future, this device can be extended to other areas of vascular access such as IV catheterization, central venous access, dialysis, and arterial line placement.

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TECHNOLOGY
TECHNOLOGY ENGINEERING, MULTIDISCIPLINARY-
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