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| Name | Class |
|---|---|
| Phoenix Children's Hospital | OTHER |
| Stanford University | OTHER |
| University of Utah | OTHER |
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Gastrostomy button (G-button) complications, such as granulation tissue formation, tube dislodgements, leakage, skin irritation or infection are frequent causes of post-operative clinic and emergency department visits. The investigators have developed a G-button securement device that they believe will have a significant reduction in the complications listed above. The investigators plan to randomized 200 patients to either the new securement device (treatment group) or the standard dressing (control group).
Gastrostomy button (G-button) is a small tube inserted into the stomach that is used to feed and provide medication to children who can not eat or take medication on their own. G-buttons are commonly placed through surgery. While G-buttons give access for caregivers to provide adequate nutrition, they also can have complications associated with them; including, but not limited to leakage, skin irritation or infection, and dislodgement. These complications can be a big burden for caregivers and medical providers causing extra clinic, ED visits, and increased cost. The investigators have designed a securement device for the gastrostomy button and want to compare the device to the standard securement method, which is tape and gauze dressing. The investigators believe that they will show a significant reduction in the complications listed above. The investigators plan to randomized 200 patients to either the new securement device (treatment group) or the standard dressing (control group). The investigators plan to get feedback from caregivers at 4, 8, and 12 weeks. The G-button securement device that is a Class II, 510(k) exempt medical device, subject to General Controls under Product Code PLI, regulated by 21 CFR 876.5980.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| G-button Securement Device | Other | Subjects will be provided instructions and a 12-week supply of test devices, sufficient to change the gauze dressing at least once per day. |
|
| Standard Dressing | No Intervention | Subjects will be provided instructions and a 12-week supply of tape and gauze (current standard of care), sufficient to change the gauze dressing at least once per day. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Button Huggie | Device | low profile, external securement device for G-buttons |
|
| Measure | Description | Time Frame |
|---|---|---|
| Reduction in G-button complications | leakage, dislodgment, granulation tissue formation, and skin infection/irriation | entire study (3 months after placement) |
| Measure | Description | Time Frame |
|---|---|---|
| Caregiver Strain Index | Obtain feedback from parents and patients at four, eight, and twelve weeks on various aspects of the securement device Comfort, quality of materials, adhesiveness, ease of use, types and number of interactions with healthcare providers (phone calls, ED, and clinic visits) | entire study (3 months after placement) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Steve Moulton, MD | University of Colorado, Denver | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Phoenix Children's | Phoenix | Arizona | 85016 | United States | ||
| Stanford Lucile Packard Children's Hospital |
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| Label | URL |
|---|---|
| Related Info | View source |
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| Palo Alto |
| California |
| 94304 |
| United States |
| Children's Hospital Colorado | Aurora | Colorado | 80045 | United States |
| University of Utah | Salt Lake City | Utah | 84113 | United States |