Value of a novel Y-Z magnetic totally implantable venous access port in improving the success rate of one-time needle insertion
Background and objectivesA totally implantable venous access port (TIVAP) is a commonly used intravenous infusion device for patients receiving chemotherapy or long-term infusion therapy. To improve the success rate of one-time insertion of the Huber needle, we developed a novel Y-Z magnetic TIVAP (...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1241780/full |
| _version_ | 1797674093873463296 |
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| author | Miaomiao Zhang Miaomiao Zhang Xin Lyu Juanjuan Wang Juanjuan Wang Aihua Shi Yunyun Zheng Yi Lyu Yi Lyu Xiaopeng Yan Xiaopeng Yan |
| author_facet | Miaomiao Zhang Miaomiao Zhang Xin Lyu Juanjuan Wang Juanjuan Wang Aihua Shi Yunyun Zheng Yi Lyu Yi Lyu Xiaopeng Yan Xiaopeng Yan |
| author_sort | Miaomiao Zhang |
| collection | DOAJ |
| description | Background and objectivesA totally implantable venous access port (TIVAP) is a commonly used intravenous infusion device for patients receiving chemotherapy or long-term infusion therapy. To improve the success rate of one-time insertion of the Huber needle, we developed a novel Y-Z magnetic TIVAP (Y-Z MTIVAP), which we produced using three-dimensional printing technology.Materials and methodsThe Y-Z MTIVAP includes a magnetic port body and a magnetic positioning device. For testing, we established four venous port implantation models using the two types of TIVAPs and two implantation depth ranges (≤5 mm and >5 mm). Twenty nurses performed Huber needle puncture with the four models, and we recorded the number of attempts required for successful needle insertion, the operation time, and the operator's satisfaction.ResultsThe success rate for one-time needle insertion with the Y-Z MTIVAP was significantly higher than that with the traditional TIVAP at either depth range (100% vs. 75% at ≤5 mm, p = 0.047; 95% vs. 35% at >5 mm, p < 0.001). With increasing implantation depth, the success rate for one-time insertion was significantly reduced with the traditional TIVAP (75% at ≤5 mm vs. 35% vs. >5 mm, p = 0.025), but the success rate with the Y-Z MTIVAP was not significantly affected (100% vs. 95%, p = 1.000). The operation time with the Y-Z MTIVAP was significantly shorter than that with the traditional TIVAP at either depth range (both p < 0.001), and 90% of operators reported that the Y-Z MTIVAP was superior to the traditional TIVAP.ConclusionsThe theoretical design of Y-Z MTIVAP is feasible, and the preliminary in vitro simulation experiment shows that it can significantly improve puncture success rate and shortened operation time. |
| first_indexed | 2024-03-11T21:55:10Z |
| format | Article |
| id | doaj.art-d5c7abede93e4fc189f046303d55fc3c |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-03-11T21:55:10Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-d5c7abede93e4fc189f046303d55fc3c2023-09-26T04:45:40ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-09-011010.3389/fsurg.2023.12417801241780Value of a novel Y-Z magnetic totally implantable venous access port in improving the success rate of one-time needle insertionMiaomiao Zhang0Miaomiao Zhang1Xin Lyu2Juanjuan Wang3Juanjuan Wang4Aihua Shi5Yunyun Zheng6Yi Lyu7Yi Lyu8Xiaopeng Yan9Xiaopeng Yan10Department of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, ChinaNational Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, ChinaDepartment of Pulmonary and Critical Care Medicine, Second Affiliated Hospital, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, ChinaNational Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, ChinaNational Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, ChinaZonglian College, Xi’an Jiaotong University, Xi’an, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, ChinaNational Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, ChinaDepartment of Hepatobiliary Surgery, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, ChinaNational Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine, The First Affiliated Hospital of Xi’an Jiaotong University, Xi’an, ChinaBackground and objectivesA totally implantable venous access port (TIVAP) is a commonly used intravenous infusion device for patients receiving chemotherapy or long-term infusion therapy. To improve the success rate of one-time insertion of the Huber needle, we developed a novel Y-Z magnetic TIVAP (Y-Z MTIVAP), which we produced using three-dimensional printing technology.Materials and methodsThe Y-Z MTIVAP includes a magnetic port body and a magnetic positioning device. For testing, we established four venous port implantation models using the two types of TIVAPs and two implantation depth ranges (≤5 mm and >5 mm). Twenty nurses performed Huber needle puncture with the four models, and we recorded the number of attempts required for successful needle insertion, the operation time, and the operator's satisfaction.ResultsThe success rate for one-time needle insertion with the Y-Z MTIVAP was significantly higher than that with the traditional TIVAP at either depth range (100% vs. 75% at ≤5 mm, p = 0.047; 95% vs. 35% at >5 mm, p < 0.001). With increasing implantation depth, the success rate for one-time insertion was significantly reduced with the traditional TIVAP (75% at ≤5 mm vs. 35% vs. >5 mm, p = 0.025), but the success rate with the Y-Z MTIVAP was not significantly affected (100% vs. 95%, p = 1.000). The operation time with the Y-Z MTIVAP was significantly shorter than that with the traditional TIVAP at either depth range (both p < 0.001), and 90% of operators reported that the Y-Z MTIVAP was superior to the traditional TIVAP.ConclusionsThe theoretical design of Y-Z MTIVAP is feasible, and the preliminary in vitro simulation experiment shows that it can significantly improve puncture success rate and shortened operation time.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1241780/fullmagnetic anchor techniquemagnetosurgerytotal implantable venous access portHuber needlemagnet |
| spellingShingle | Miaomiao Zhang Miaomiao Zhang Xin Lyu Juanjuan Wang Juanjuan Wang Aihua Shi Yunyun Zheng Yi Lyu Yi Lyu Xiaopeng Yan Xiaopeng Yan Value of a novel Y-Z magnetic totally implantable venous access port in improving the success rate of one-time needle insertion Frontiers in Surgery magnetic anchor technique magnetosurgery total implantable venous access port Huber needle magnet |
| title | Value of a novel Y-Z magnetic totally implantable venous access port in improving the success rate of one-time needle insertion |
| title_full | Value of a novel Y-Z magnetic totally implantable venous access port in improving the success rate of one-time needle insertion |
| title_fullStr | Value of a novel Y-Z magnetic totally implantable venous access port in improving the success rate of one-time needle insertion |
| title_full_unstemmed | Value of a novel Y-Z magnetic totally implantable venous access port in improving the success rate of one-time needle insertion |
| title_short | Value of a novel Y-Z magnetic totally implantable venous access port in improving the success rate of one-time needle insertion |
| title_sort | value of a novel y z magnetic totally implantable venous access port in improving the success rate of one time needle insertion |
| topic | magnetic anchor technique magnetosurgery total implantable venous access port Huber needle magnet |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1241780/full |
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