Page 7 - Moving Forward 2020: Harold and Inge Marcus Department of Industrial and Manufacturing Engineering magazine

1in3
patients experience complications
Decreasing complications
of catheter procedures
by Samantha Chavanic
Each year more than five million central venous catheters (CVC) are placed in in in in a a a a a a a a a a a large vein in in in in the the neck chest or or or groin to to to provide patients with fluids blood or or or medications The thin flexible tubes empty their contents into or or close to to to the the the heart providing almost immediate treatment Of these five million million patients close to to 1 7 million million experience some sort of complication related to to the the catheter insertion—that is one in in every three patients A Penn State-led multidisciplinary and
multi-institutional research team aims to to develop an an innovative robotic training system to to reduce the number of complications
associated with CVC placement Through a a a a a a a a a a a five-year $2 233 411 grant recently awarded by the National National Institutes of Health’s (NIH) National National Heart Lung and
and
Blood Institute Institute principal investigators Jason Moore associate associate professor professor of of of of mechanical engineering engineering and
and
and
Scarlett Miller associate associate professor professor of of of of of engineering engineering engineering design and
and
industrial engineering engineering will lead a a a a a a a a a a a a team of of of of engineers medical professionals and
graduate students to build upon their previous dynamic haptic CVC work supported by the the NIH The new project will use the team’s innovative concept of dynamic haptic robotic training (DHRT) where a a a a a a a a a a a a programmable robot robot is used to to to to apply force to to to to a a a a a a a a a a a a a surgical resident’s hand to to to to replicate the feeling of inserting a a a a a a a a needle into a a a a a a a a patient’s body to develop and
implement an an entire CVC procedural training system system The new DHRT+ system system will integrate a a a a a a a a a a a a a mixed-reality smart tray advanced testing surface high-functional fidelity virtual ultrasound imaging and
real-time adaptive feedback assessment “We can make it [training] be much more effective for the the user and
help eliminate some some of the the the patient complications
that we we see ” Moore said “If somebody is is trained with the the the DHRT+ we we we hypothesize this will have a a a a a a a a strong impact on on patient well-being at the the the end of the the the day ” Miller explained that by focusing on on the the process from beginning to end the the team will decrease not only mechanical complications
complications
but also infectious complications
complications
Infections can happen from not using appropriate sterile techniques both before and
after the central line placement “As engineers and
engineering designers we are constantly trying to create innovations ” she said “We always say ‘It could be you in in in in in in in in the hospital setting having this procedure done ’ The training of that that person leading up to that that moment is is really important It’s not just you—it could be be your family member
or or or close friend having this this done done The reason that that drives me me to improve our health care system for this this procedure that that that is is is is done done so commonly but has such a a a a a a a a a a a high complication rate is is is that that that opportunity to have that impact on on on people’s lives ” IME NEWSLETTER • VOLUME 5 2020
7 Led by Scarlett Miller and
and
Jason Moore a a a a a a a a a a a a multidisciplinary and
and
multi-institutional research team aims to to develop an an an innovative robotic training system to to reduce the the number of complications
associated with central venous catheter placement Research