A Handheld Robot for Pediatric PIVC: Device Design and Preclinical Trial

Peripheral Intravenous Catheterization (PIVC) is often required in hospitals to fulfill urgent needs for blood sampling or fluid/medication administration. Although PIVC is often easy and successful in adults, it is a very difficult procedure for young pediatric patients. Multiple attempts of catheter insertion are typically needed before a successful placement, especially for clinical personnel lacking specific expertise on this task. The risks of such multiple attempts can be severe and life-threatening as they can cause serious extravasation injuries. Given the levels of precision and controllability needed for PIVC, robotic systems have large potential to effectively assist the operation and improve its success rate. Therefore, this research aims to provide such robotic assistance by focusing on the most challenging part of the operation: the insertion depth control to precisely access the target vein. A handheld robot for controlling the insertion and detecting venipuncture is introduced and evaluate...

[1]  Sung Phil Chung,et al.  Efficacy of VeinViewer in pediatric peripheral intravenous access: a randomized controlled trial , 2012, European Journal of Pediatrics.

[2]  Jason Brinkley,et al.  Pediatric Peripheral Intravenous Access: Does Nursing Experience and Competence Really Make a Difference? , 2010, Journal of infusion nursing : the official publication of the Infusion Nurses Society.

[3]  Finn Kensing,et al.  Participatory Design: Issues and Concerns , 2004, Computer Supported Cooperative Work (CSCW).

[4]  J. Brinkley,et al.  Resource utilization and cost of inserting peripheral intravenous catheters in hospitalized children. , 2013, Hospital pediatrics.

[6]  O. Linderkamp,et al.  Systolic blood pressure and blood volume in preterm infants. , 1993, Archives of disease in childhood.

[7]  L. Gorski Infusion nursing standards of practice. , 2007, Journal of infusion nursing : the official publication of the Infusion Nurses Society.

[8]  C. Lohse,et al.  Prehospital Peripheral Intravenous Vascular Access Success Rates in Children , 2013, Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors.

[9]  Antonio Riera,et al.  Remember the Saphenous: Ultrasound Evaluation and Intravenous Site Selection of Peripheral Veins in Young Children , 2011, Pediatric emergency care.

[10]  Brian L. Davies,et al.  The hands-on orthopaedic robot "acrobot": Early clinical trials of total knee replacement surgery , 2003, IEEE Trans. Robotics Autom..

[11]  Rae Ann Lininger Pediatric peripheral i.v. insertion success rates. , 2003, Pediatric nursing.

[12]  R. Holleran,et al.  Difficult venous access in children: taking control. , 2009, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[13]  C. Moore Ultrasound-Guided Procedures in Emergency Medicine , 2011 .

[14]  U-Xuan Tan,et al.  Compact Sensing Design of a Handheld Active Tremor Compensation Instrument , 2009, IEEE Sensors Journal.

[15]  Xinli Du,et al.  Feasibility Study of a Hand Guided Robotic Drill for Cochleostomy , 2014, BioMed research international.

[16]  Brian L. Davies,et al.  Robotic surgery: from autonomous systems to intelligent tools , 2010, Robotica.

[17]  S. Reeves,et al.  Special articles: guidelines for performing ultrasound guided vascular cannulation: recommendations of the American Society of Echocardiography and the Society Of Cardiovascular Anesthesiologists. , 2012, Anesthesia and analgesia.

[18]  Eliahu Simhi,et al.  A Vein Entry Indicator Device for Facilitating Peripheral Intravenous Cannulation in Children: A Prospective, Randomized, Controlled Trial , 2008, Anesthesia and analgesia.

[19]  E. Winslow,et al.  Variables influencing intravenous catheter insertion difficulty and failure: an analysis of 339 intravenous catheter insertions. , 2005, Heart & lung : the journal of critical care.

[20]  Guang-Zhong Yang,et al.  A Hand-held Instrument to Maintain Steady Tissue Contact during Probe-Based Confocal Laser Endomicroscopy , 2011, IEEE Transactions on Biomedical Engineering.

[21]  M. Balicki,et al.  The robotic ENT microsurgery system: A novel robotic platform for microvascular surgery , 2017, The Laryngoscope.

[22]  F. B. Chiao,et al.  Vein visualization: patient characteristic factors and efficacy of a new infrared vein finder technology. , 2013, British journal of anaesthesia.

[23]  Brian L. Davies,et al.  A robotic system for blood sampling , 2000, IEEE Transactions on Information Technology in Biomedicine.

[24]  Robert Rohling,et al.  Hand-held steerable needle device , 2005 .

[25]  C. Nikendei,et al.  Effectiveness of IV Cannulation Skills Laboratory Training and Its Transfer into Clinical Practice: A Randomized, Controlled Trial , 2012, PloS one.