The purpose of the study is to evaluate differences in the time and costs between Sherlock 3CG® TCS and Chest X-ray to confirm the location of a Peripherally Inserted Central Catheter (PICC).
The study is a cross-sectional, observational design, characterized as a time and motion study. The study will observe subjects and specific outcomes from the time a PICC insertion procedure begins until the subject is cleared for administration of their prescribed therapy. It will compare two approaches for PICC line placement and confirmation of PICC tip placement. The two methods for placing and confirming PICC lines to be examined in this study are: 1) Standard of Care, defined as PICC line placement with Chest X-ray tip confirmation, and 2) Sherlock 3CG® TCS magnetic tracking PICC placement and ECG-based tip confirmation. These two approaches are currently in use, and are not investigational. The study will evaluate the time elapsed from the beginning of PICC line placement procedure through the catheter tip confirmation (subject released for IV therapy). A researcher will observe from the time the catheter kit is opened until your catheter is cleared for administration of treatment. Limited subject follow-up includes review of subject medical records related to the PICC line placement. Subjects will be followed only up to the point at which the PICC line tip has been confirmed and the subject has been released to receive IV therapy. For most subjects, all study data will be collected on Day 1. The study is expected to include 120 subjects, 60 subjects will have confirmed PICC line placement using Chest X-ray, and 60 will have confirmed PICC line placement using Sherlock 3CG® TCS. Each group of subjects will be from two clinical sites using either tip confirmation method, for a total of 4 study sites.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
120
A Chest X-ray will be taken after healthcare providers have inserted the PICC to make sure it is in the correct location. The X-ray can tell your healthcare providers where the PICC is and whether is has been inserted correctly.
The Sherlock 3CG® TCS is a device that is placed on the subject during the PICC insertion procedure, which helps your healthcare providers know where the PICC is as the healthcare providers are inserting it. It uses magnets and measures electrical activity of the heart to determine the location of the catheter in your body.
A peripherally inserted central catheter (PICC) is a form of intravenous access that can be used for a prolonged period of time (e.g., for chemotherapy, antibiotics, total parenteral nutrition)
Florida Hospital
Maitland, Florida, United States
University of Maryland - Baltimore
Baltimore, Maryland, United States
Peninsula Regional Medical Center
Salisbury, Maryland, United States
Unity Hospital
Rochester, New York, United States
Time From Initiation of Procedure (Opening of PICC Kit) to Catheter Tip Confirmation (Release for IV Therapy).
Time frame: Usually ranges from 0 to 300 minutes from initiation of procedure
Total Number of Chest X-rays Performed Per Subject
Time frame: Measured from initiation to completion of procedure (usually from 0 to 300 minutes)
Number of Participants With Malpositions
Time frame: Measured from initiation to completion of procedure (usually from 0 to 300 minutes)
Number of Subsequent Malposition Attempts
This is the number of remaining malpositions following the first malposition adjustment attempt. All PICCs were inserted properly after the second malposition adjustment attempt.
Time frame: Measured from initiation to completion of procedure (usually from 0 to 300 minutes)
Health Care Professional (HCP) Procedural Satisfaction (Overall)
HCPs were asked to rate satisfaction with the procedure (overall) on a scale from 0 to 10 with 0 meaning "not at all satisfied" and 10 meaning "extremely satisfied".
Time frame: Measured immediately after the procedure completion (usually ranges from 0 to 300 minutes following procedure initiation).
Number of Additional Venous Access Devices (VADs) Required Due to PICC Not Being Ready for Use
Time frame: Measured from initiation to completion of procedure (usually from 0 to 300 minutes)
Number of Medication Doses Missed Due to PICC Not Being Ready for Use
Time frame: Measured from initiation to completion of procedure (usually from 0 to 300 minutes)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Number of Lab Draws Missed Due to PICC Not Being Ready for Use
Time frame: Measured from initiation to completion of procedure (usually from 0 to 300 minutes)
Number of Overtime Hours Worked Per PICC Placement Procedure
Time frame: Measured from initiation to completion of procedure (usually from 0 to 5 hours)