Feasibility of a low-cost magnet tracking device in confirming nasogastric tube placement at point of care, a clinical trial
Abstract An affordable and reliable way of confirming the placement of nasogastric tube (NGT) at point-of-care is an unmet need. Using a novel algorithm and few sensors, we developed a low-cost magnet tracking device and showed its potential to localize the NGT preclinically. Here, we embark on a fi...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2024-03-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-024-57455-7 |
| _version_ | 1797233613237911552 |
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| author | Hao Li Kon Voi Tay Jiajun Liu Chern Yue Glen Ong Hau Wei Khoo Aijin Zhou Muneaki Miyasaka Soo Jay Phee |
| author_facet | Hao Li Kon Voi Tay Jiajun Liu Chern Yue Glen Ong Hau Wei Khoo Aijin Zhou Muneaki Miyasaka Soo Jay Phee |
| author_sort | Hao Li |
| collection | DOAJ |
| description | Abstract An affordable and reliable way of confirming the placement of nasogastric tube (NGT) at point-of-care is an unmet need. Using a novel algorithm and few sensors, we developed a low-cost magnet tracking device and showed its potential to localize the NGT preclinically. Here, we embark on a first-in-human trial. Six male and 4 female patients with NGT from the general ward of an urban hospital were recruited. We used the device to localize the NGT and compared that against chest X-ray (CXR). In 5 patients, with the sensors placed on the sternal angle, the trajectory of the NGT was reproduced by the tracking device. The tracked location of the NGT deviated from CXR by 0.55 to 1.63 cm, and a downward tracking range of 17 to 22 cm from the sternal angle was achieved. Placing the sensors on the xiphisternum, however, resulted in overt discordance between the device’s localization and that on CXR. Short distance between the sternal angle and the xiphisternum, and lower body weight were observed in patients in whom tracking was feasible. Tracking was quick and well tolerated. No adverse event occurred. This device feasibly localized the NGT in 50% of patients when appropriately placed. Further refinement is anticipated. ClinicalTrials.gov identifier: NCT05204901. |
| first_indexed | 2024-04-24T16:18:57Z |
| format | Article |
| id | doaj.art-aca17854d5d04091b1aad4e8b029591f |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-24T16:18:57Z |
| publishDate | 2024-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-aca17854d5d04091b1aad4e8b029591f2024-03-31T11:19:05ZengNature PortfolioScientific Reports2045-23222024-03-0114111310.1038/s41598-024-57455-7Feasibility of a low-cost magnet tracking device in confirming nasogastric tube placement at point of care, a clinical trialHao Li0Kon Voi Tay1Jiajun Liu2Chern Yue Glen Ong3Hau Wei Khoo4Aijin Zhou5Muneaki Miyasaka6Soo Jay Phee7Department of Otorhinolaryngology, Tan Tock Seng HospitalDepartment of General Surgery, Woodlands HealthSchool of Mechanical and Aerospace Engineering, Nanyang Technological UniversityDepartment of Diagnostic Radiology, Tan Tock Seng HospitalDepartment of Diagnostic Radiology, Tan Tock Seng HospitalDepartment of Nursing, Tan Tock Seng HospitalSchool of Mechanical and Aerospace Engineering, Nanyang Technological UniversitySchool of Mechanical and Aerospace Engineering, Nanyang Technological UniversityAbstract An affordable and reliable way of confirming the placement of nasogastric tube (NGT) at point-of-care is an unmet need. Using a novel algorithm and few sensors, we developed a low-cost magnet tracking device and showed its potential to localize the NGT preclinically. Here, we embark on a first-in-human trial. Six male and 4 female patients with NGT from the general ward of an urban hospital were recruited. We used the device to localize the NGT and compared that against chest X-ray (CXR). In 5 patients, with the sensors placed on the sternal angle, the trajectory of the NGT was reproduced by the tracking device. The tracked location of the NGT deviated from CXR by 0.55 to 1.63 cm, and a downward tracking range of 17 to 22 cm from the sternal angle was achieved. Placing the sensors on the xiphisternum, however, resulted in overt discordance between the device’s localization and that on CXR. Short distance between the sternal angle and the xiphisternum, and lower body weight were observed in patients in whom tracking was feasible. Tracking was quick and well tolerated. No adverse event occurred. This device feasibly localized the NGT in 50% of patients when appropriately placed. Further refinement is anticipated. ClinicalTrials.gov identifier: NCT05204901.https://doi.org/10.1038/s41598-024-57455-7 |
| spellingShingle | Hao Li Kon Voi Tay Jiajun Liu Chern Yue Glen Ong Hau Wei Khoo Aijin Zhou Muneaki Miyasaka Soo Jay Phee Feasibility of a low-cost magnet tracking device in confirming nasogastric tube placement at point of care, a clinical trial Scientific Reports |
| title | Feasibility of a low-cost magnet tracking device in confirming nasogastric tube placement at point of care, a clinical trial |
| title_full | Feasibility of a low-cost magnet tracking device in confirming nasogastric tube placement at point of care, a clinical trial |
| title_fullStr | Feasibility of a low-cost magnet tracking device in confirming nasogastric tube placement at point of care, a clinical trial |
| title_full_unstemmed | Feasibility of a low-cost magnet tracking device in confirming nasogastric tube placement at point of care, a clinical trial |
| title_short | Feasibility of a low-cost magnet tracking device in confirming nasogastric tube placement at point of care, a clinical trial |
| title_sort | feasibility of a low cost magnet tracking device in confirming nasogastric tube placement at point of care a clinical trial |
| url | https://doi.org/10.1038/s41598-024-57455-7 |
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