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The purpose of this research is to evaluate how well a novel surgical site drain tube clearing device works, and how easy it is for care staff to use.
The purpose of this research is to gather information on the ease of use, effectiveness, and potential ability to reduce post-surgical drain complications of a drain stripping device which was developed and made here at the Mayo Clinic. The device has been patented and has been tested in laboratory conditions, but it has not yet been evaluated by the FDA or cleared for marketing yet since it is a device that poses minimal risk to patients. The device is a plastic clamp which is used to move fluid through the drain tubing to keep the tubing clear and free flowing. The current method (standard of care) for doing this simply involves running fingers down the tubing to drain the fluid, which can be inadequate and sometimes physically challenging. The primary goal of the study is to get feedback from nurses using the device in a clinical setting. There are approximately 80 nurses working the hospital unit which cares for patients who may have a post-surgical drain emplaced. We will gather their feedback via an anonymous survey which will be available to the nurses on the Mayo Clinic Intranet. Secondary goals of the study attempt to ascertain the potential effect of device use upon patient outcomes. Inadequate draining of surgical site fluid can sometimes create the need for additional interventions, including surgical revisions. The drain stripping device used in this study, has been developed to address these issues. Preliminary bench testing in laboratory conditions has not indicated any reason to believe that use of the device to clear surgical drain tubing poses any greater (or even different) risk to patients than the current standard of care (using bare fingers). Patients are routinely sent home with one or more surgical drains which are cleared by the patient using the current standard of care. Therefore, there is no safety related need to start with a small number of study subjects as is typical for an initial trial; and since this is not a device or drug which would be likely to show obvious benefit within a small cohort, we are seeking data regarding potential effect of study device upon patient outcomes from 420 study subject encounters (210 in each arm - device use versus current standard of care), as opposed to the small numbers of subjects usually seen in initial clinical trials.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Drain device user(s) | Experimental | Study participants whose caregivers are utilizing the drain device to clear surgical drain tubing. |
|
| Control | Other | Study participants whose caregivers use the current standard of care for surgical drain tube stripping. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Surgical drain stripping device | Device | We have developed a device to fully compress the surgical drain tubing without compromising the integrity of the tubing to clear the drain fluid/debris more effectively than the current standard of care. |
| Measure | Description | Time Frame |
|---|---|---|
| Assess Ease of Use and Device Functionality Via Anonymous Survey | Gather and analyze feedback from nurses regarding the ease of device use and the ability of the device to clear surgical drain tubing in the clinical setting via an anonymous survey which nurses may access within the Mayo Clinic intranet. | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Assess Effect Study Device May Have Upon Duration of Surgical Drain Placement | Compare device use and standard of care group of study subjects for the amount of time their surgical drains remain in place to assess the potential ability of the surgical drain stripping device to reduce the time needed for a surgical drain to remain in place (in situ). | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Robert Hill, APRN,CNP,MSN | Mayo Clinic | Principal Investigator |
| Michael Thorn, APRN,CNP,MSN | Mayo Clinic | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mayo Clinic | Rochester | Minnesota | 55902 | United States |
The primary study goal involves collecting device use feedback via an anonymous survey, and the secondary goals involve collecting and analyzing collective data. There would be no benefit to anyone to share individual study subject data, and we would not want to consider adding a patient privacy risk factor without obvious benefit.
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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We are comparing single group device user(s) to standard of care model
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| Standard of Care (Investigator Choice) | Other | Current standard of care for surgical drain tube stripping involves running fingertips down the length of the tubing compressing the drain tubing to clear fluid/debris. |
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| Assess Whether Device Reduces Surgical Drain Complications | Compare clinical outcomes between device use and standard of care study subjects to assess whether or not the surgical drain tube stripping device leads to fewer drain associated post operative complications. | 1 year |