Literature DB >> 32292800

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

Josh M Leipheimer1, Max L Balter1, Alvin I Chen1, Enrique J Pantin2, Alexander E Davidovich3, Kristen S Labazzo1, Martin L Yarmush1.   

Abstract

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.

Entities:  

Keywords:  Computer Vision; Image-Guidance; Machine Learning; Medical Device; Robotics; Ultrasound; Vascular Access

Year:  2020        PMID: 32292800      PMCID: PMC7156113          DOI: 10.1142/S2339547819500067

Source DB:  PubMed          Journal:  Technology (Singap World Sci)


  33 in total

1.  IV access difficulty: incidence and delays in an urban emergency department.

Authors:  Michael D Witting
Journal:  J Emerg Med       Date:  2011-12-02       Impact factor: 1.484

2.  Preventing needlestick injuries among healthcare workers: a WHO-ICN collaboration.

Authors:  Susan Q Wilburn; Gerry Eijkemans
Journal:  Int J Occup Environ Health       Date:  2004 Oct-Dec

3.  Limitations in ultrasound imaging techniques in anesthesia: obesity and muscle atrophy?

Authors:  Theodosios Saranteas
Journal:  Anesth Analg       Date:  2009-09       Impact factor: 5.108

4.  Risk factors for peripheral intravenous catheter failure: a multivariate analysis of data from a randomized controlled trial.

Authors:  Marianne C Wallis; Matthew McGrail; Joan Webster; Nicole Marsh; John Gowardman; E Geoffrey Playford; Claire M Rickard
Journal:  Infect Control Hosp Epidemiol       Date:  2013-12-02       Impact factor: 3.254

5.  Portable robot for autonomous venipuncture using 3D near infrared image guidance.

Authors:  Alvin Chen; Kevin Nikitczuk; Jason Nikitczuk; Tim Maguire; Martin Yarmush
Journal:  Technology (Singap World Sci)       Date:  2013-09

6.  Emergency nurses' utilization of ultrasound guidance for placement of peripheral intravenous lines in difficult-access patients.

Authors:  Larry Brannam; Michael Blaivas; Matthew Lyon; Michael Flake
Journal:  Acad Emerg Med       Date:  2004-12       Impact factor: 3.451

Review 7.  Factors Associated with Needlestick Injuries in Health Care Occupations: A Systematic Review.

Authors:  Hossein Motaarefi; Hosein Mahmoudi; Eesa Mohammadi; Ali Hasanpour-Dehkordi
Journal:  J Clin Diagn Res       Date:  2016-08-01

8.  Predictors of success in nurse-performed ultrasound-guided cannulation.

Authors:  Brian Chinnock; Stephen Thornton; Gregory W Hendey
Journal:  J Emerg Med       Date:  2007-07-05       Impact factor: 1.484

9.  Predicting peripheral venous access difficulty in the emergency department using body mass index and a clinical evaluation of venous accessibility.

Authors:  Mustapha Sebbane; Pierre-Géraud Claret; Sophie Lefebvre; Grégoire Mercier; Josh Rubenovitch; Riad Jreige; Jean-Jacques Eledjam; Jean-Emmanuel de La Coussaye
Journal:  J Emerg Med       Date:  2012-09-13       Impact factor: 1.484

10.  Insertion of peripheral intravenous cannulae in the Emergency Department: factors associated with first-time insertion success.

Authors:  Peter J Carr; James C R Rippey; Charley A Budgeon; Marie L Cooke; Niall Higgins; Claire M Rickard
Journal:  J Vasc Access       Date:  2015-12-04       Impact factor: 2.283

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  6 in total

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Authors:  Josh Leipheimer; Max Balter; Alvin Chen; Martin Yarmush
Journal:  J Med Device       Date:  2022-03-02       Impact factor: 0.743

2.  Ultrasound-guided peripheral intravenous cannulation for patients requiring dental surgery under intravenous dental sedation.

Authors:  Ishfaq Khan
Journal:  Br Dent J       Date:  2022-04-08       Impact factor: 2.727

Review 3.  Toilet-based continuous health monitoring using urine.

Authors:  Savas Tasoglu
Journal:  Nat Rev Urol       Date:  2022-01-21       Impact factor: 14.432

Review 4.  Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): update and insights into current practices and future directions for research and implementation.

Authors:  Marianne A Thrailkill; Kevin H Gladin; Catherine R Thorpe; Teryn R Roberts; Jae H Choi; Kevin K Chung; Corina N Necsoiu; Todd E Rasmussen; Leopoldo C Cancio; Andriy I Batchinsky
Journal:  Scand J Trauma Resusc Emerg Med       Date:  2021-01-06       Impact factor: 2.953

Review 5.  New Ways to Manage Pandemics: Using Technologies in the Era of COVID-19: A Narrative Review.

Authors:  Ali Khaleghi; Mohammad Reza Mohammadi; Gila Pirzad Jahromi; Hadi Zarafshan
Journal:  Iran J Psychiatry       Date:  2020-07

6.  AI-Enabled, Ultrasound-Guided Handheld Robotic Device for Femoral Vascular Access.

Authors:  Laura J Brattain; Theodore T Pierce; Lars A Gjesteby; Matthew R Johnson; Nancy D DeLosa; Joshua S Werblin; Jay F Gupta; Arinc Ozturk; Xiaohong Wang; Qian Li; Brian A Telfer; Anthony E Samir
Journal:  Biosensors (Basel)       Date:  2021-12-18
  6 in total

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