Clinical trial NCT03505957: A Feasibility Study Evaluating the Use of SafeBreak Vascular in the Geriatric Trauma Population
Official title: A Feasibility Study Evaluating the Use of SafeBreak Vascular in the Geriatric Trauma Population
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: IV Dislodgement
Keywords: IV Dislodgement
Lead sponsor: Lineus Medical
Sponsor class: INDUSTRY
Collaborators: name: Washington University School of Medicine
name: Barnes-Jewish Hospital
First posted: 2018-04-23
Enrollment: 40
Sex: ALL
Minimum age (years): 55
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: SafeBreak Vascular works with all IVs. The study participants will have SafeBreak Vasculars installed in all of their existing IV lines or new IV lines that are installed during their enrollment in the study.
Primary purpose: SUPPORTIVE_CARE

Brief summary: SafeBreak Vascular is a medical device indicated for fluid flow control during the administration of IV fluids/medication to the patient's vascular system and to aid in the prevention of unintended disruption and dislodgment of IVs. SafeBreak Vascular may be used for any hospitalized patient with gravity tubing or IV pumps, for intermittent infusion or continuous infusion.The primary objective of this study is to determine if the delivery of IV medications and/or fluids with SafeBreak Vascular functions with the same reliability as current standard IV tubing.

Detailed description: Study participants will have a SafeBreak Vascular installed in each of their existing or newly installed IV lines. The clinical literature shows in prospective observational studies that a mean of 9.2% of patients dislodge their peripheral IVs. SafeBreak Vascular is a medical device designed to aid in the prevention of unintended disruption and dislodgement of IVs, such as peripheral IVs, peripherally inserted central lines, central lines, etc. SafeBreak IV will be installed in each IV line between the study participant's catheter and the IV tubing that goes to the IV bag or IV pump. When a harmful force is placed on the IV line, SafeBreak Vascular is designed to separate so that the harmful force is removed from the line and IV dislodgement is prevented. SafeBreak Vascular has a valve in each end of the device. Upon separation, each valves closes, stopping the flow of fluid. The primary objective of the study is to determine if the delivery of IV medications and/or fluids with SafeBreak Vascular functions with the same reliability as current standard IV tubing. The number of IV dislodgements and IV restarts will be recorded. The study will also collect data for analysis concerning the following:

* device design characteristics
* certain human factors (patient or operator) associated with the use of the device
* the impact of this device usage on clinician workflow
* any unknown safety concerns
* obtain preliminary data for use in designing a subsequent pivotal study of the device.

Eligibility criteria: Inclusion Criteria:

* Geriatric trauma patients (\> or equal to age 55)
* Participants able to provide informed consent or have a legally authorized representative (LAR) provide consent
* The patients must have IV access (existing central venous catheter, peripherally inserted central catheter, or peripheral IV's) or need IV access
* The patients must be at least 55 years of age.

Exclusion Criteria:

* Unable to obtain informed consent or without an available LAR to provide surrogate informed consent
* Age less than or equal to 54
* Patient on comfort care only
* Predicted to have less than 24 hours survival
* Patient enrolled in an investigational drug or device study at the time of enrollment
* Investigator discretion that patient is not suitable for the study

Primary outcomes:
measure: IV dislodgement rate
timeFrame: Up to 7 days
Secondary outcomes:
measure: IV restarts
timeFrame: Up to 7 days.
measure: Device related adverse events
timeFrame: Up to 7 days
Other outcomes:
Locations:
city: Saint Louis
country: United States
facility: Barnes-Jewish Hospital
state: Missouri
Study officials:
affiliation: Washington University School of Medicine
name: Kelly Bochicchio, RN, MS
role: STUDY_DIRECTOR
affiliation: Washington University of St. Louis
name: Stacey Reese, RN, MS
role: STUDY_DIRECTOR
References:
citation: Kornbau C, Lee KC, Hughes GD, Firstenberg MS. Central line complications. Int J Crit Illn Inj Sci. 2015 Jul-Sep;5(3):170-8. doi: 10.4103/2229-5151.164940.
citation: Helm RE, Klausner JD, Klemperer JD, Flint LM, Huang E. Accepted but unacceptable: peripheral IV catheter failure. J Infus Nurs. 2015 May-Jun;38(3):189-203. doi: 10.1097/NAN.0000000000000100.