Preventing inadvertent drain removal using a novel catheter securement device

Mario Russo; John Di Capua; April Anlage; Hersh Bendre; Jon Kusner; Graham Lieberman; Sean Jang; Zubin Irani; Ronald S Arellano; Patrick D Sutphin; Sara Smolinski-Zhao; Dania Daye; Sanjeeva P Kalva; Marc D Succi; Avik Som; Ashraf Thabet

doi:10.1038/s41598-023-37850-2

Preventing inadvertent drain removal using a novel catheter securement device

Sci Rep. 2023 Sep 26;13(1):16130. doi: 10.1038/s41598-023-37850-2.

Authors

Mario Russo^#^{1

2

3}, John Di Capua^#^{2

3}, April Anlage^{4

3}, Hersh Bendre^{2

3}, Jon Kusner^{5

3}, Graham Lieberman^{2

3}, Sean Jang⁶, Zubin Irani^{2

3}, Ronald S Arellano^{2

3}, Patrick D Sutphin^{2

3}, Sara Smolinski-Zhao^{2

3}, Dania Daye^{2

3}, Sanjeeva P Kalva^{1

2

3}, Marc D Succi^{2

3}, Avik Som^#^{7

8

9}, Ashraf Thabet^#^{10

11}

Affiliations

¹ Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
² Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA.
³ Device Division, Massachusetts General Hospital, Medically Engineered Solutions in Healthcare Incubator (MESH), Boston, MA, USA.
⁴ Massachusetts Institute of Technology, 77 Massachusetts Ave, Cambridge, MA, 02139, USA.
⁵ Duke University, 2301 Erwin Rd, Durham, NC, 27710, USA.
⁶ Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
⁷ Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. avik.som@mgh.harvard.edu.
⁸ Massachusetts Institute of Technology, 77 Massachusetts Ave, Cambridge, MA, 02139, USA. avik.som@mgh.harvard.edu.
⁹ Device Division, Massachusetts General Hospital, Medically Engineered Solutions in Healthcare Incubator (MESH), Boston, MA, USA. avik.som@mgh.harvard.edu.
¹⁰ Massachusetts General Hospital, 55 Fruit Street, Boston, MA, 02114, USA. athabet@mgh.harvard.edu.
¹¹ Device Division, Massachusetts General Hospital, Medically Engineered Solutions in Healthcare Incubator (MESH), Boston, MA, USA. athabet@mgh.harvard.edu.

^# Contributed equally.

Abstract

Percutaneous drains have provided a minimally invasive way to treat a wide range of disorders from abscess drainage to enteral feeding solutions to treating hydronephrosis. These drains suffer from a high rate of dislodgement of up to 30% resulting in emergency room visits, repeat hospitalizations, and catheter repositioning/replacement procedures, which incur significant morbidity and mortality. Using ex vivo and in vivo models, a force body diagram was utilized to determine the forces experienced by a drainage catheter during dislodgement events, and the individual components which contribute to drainage catheter securement were empirically collected. Prototypes of a skin level catheter securement and valved quick release system were then developed. The system was inspired by capstans used in boating for increasing friction of a line around a central spool and quick release mechanisms used in electronics such as the Apple MagSafe computer charger. The device was tested in a porcine suprapubic model, which demonstrated the effectiveness of the device to prevent drain dislodgement. The prototype demonstrated that the miniaturized versions of technologies used in boating and electronics industries were able to meet the needs of preventing dislodgement of patient drainage catheters.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Animals
Catheters*
Device Removal*
Drainage
Electric Power Supplies
Electronics
Humans
Swine