In Vivo Biomechanical Analysis of the Practitioner's Motion During a Peripheral Venous Catheter Insertion

Hospices Civils de Lyon31 enrolled

Overview

The aim of this study is to analyze the palpation and perforation motion performed by the practitioner during the insertion of a catheter while measuring the loads applied on the skin and the veins. These experimental measures will be used for the design of a more realistic peripheral venous catheter insertion simulator in order to better prepare healthcare students for their first in vivo venous puncture.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Healthy

Interventions

insertion of a catheterPROCEDURE

Analysis the palpation and perforation motion performed by the practitioner during the insertion of a catheter while measuring the loads applied on the skin and the veins

Eligibility

Sex: ALLMin age: 18 YearsMax age: 75 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Healthy adult volunteer * Aged between 18-25 yo or 60-75 yo * IBM between 18,5-25 or superior or equal to 30 * Cognitive level compatible with oral communication, respect of safety instructions and understanding of realized acts * Signed the study agreement Exclusion Criteria: * Individuals displaying coagulation disorders * Individuals displaying skin lesions, scars or areteriovenous fistula on the ventral side of the forearm * Individuals displaying a high infection risk * Women that have been subject to a lymph node dissection on a malignant breast tumor * Individuals not able to express their consent * Individuals having a hierarchical link with the persons conducting this study * Individuals currently participating to another research which includes an exclusion period

Locations (1)

Laboratory of Biomechanics and Impact Mechanics - Centre Hospitalier Lyon Sud

Pierre-Bénite, France

Outcomes

Primary Outcomes

Punctures forces of the skin and veins measured by an instrumented syringue

According to the literature, puncture forces of soft tissues are decomposed as a summation of stiffness forces, friction forces and cutting forces. In the case of this study, an instrumented syringe has been designed to measure the puncture force in function of time. This device includes a miniature1-axis load sensor. The catheters can be easily removed thanks to a conical fitting which is directly connected to the load sensor to obtain the forces when inserting and withdrawing the catheter. The primary sought measures are the peak force occurring when penetrating the skin and the vein as well as the friction forces when withdrawing the catheter from the vein.

Time frame: Day 0 (at intervention)

Needle velocity during perforation measured by a flexible piezoresistive sensor

In order to obtain the load applied by the practitioner to locate the vein to puncture, a flexible piezoresistive sensor is placed to the practitioner's fingertip with double side tape The sensor is linked to its acquisition module which is connected via Wi-Fi to a computer. In order to not disturb the motion of the practitioner, the module if fixed with a sport armband to the forearm. The primary sought measure is the curve force in function of time.

Time frame: Day 0

Needle insertion angle during perforation measured by digital image correlation

obtained thanks to digital image correlation which consists of tracking sights with two high speed cameras. Thus, sights will be placed on the side of the palpating finger and instrumented syringe.

Time frame: Day 0

Loads applied by the palpating finger to locate the vein to puncture, measured by digital image correlation

obtained thanks to digital image correlation which consists of tracking sights with two high speed cameras. Thus, sights will be placed on the side of the palpating finger and instrumented syringe.

Time frame: Day 0

Spatial displacement of the palpating finger measured by digital image correlation

Data from ClinicalTrials.gov

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In Vivo Biomechanical Analysis of the Practitioner's Motion During a Peripheral Venous Catheter Insertion

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes