Sherlock 3CG® Tip Confirmation System for Placement of Peripherally Inserted Central Catheters: A NICE Medical Technology Guidance

• DOI: 10.1007/s40258-015-0192-3
• Publication Date: 2015-08-20T07:17:01Z
• Authors: Megan Dale; Ailish Higgins; Grace Carolan-Rees
• Keywords: Nice; Excellence; Health administration; Interventional radiology

In current clinical practice, peripherally inserted central catheters (PICCs) are typically using external anatomical measurements and a confirmatory chest X-ray, or fluoroscopy. The Sherlock 3CG(®) Tip Confirmation System (TCS) allows magnetic tracking of the PICC tip during insertion confirmation final location ECG, meaning that most patients will not require X-ray TCS was evaluated in 2014 by UK National Institute for Health Care Excellence (NICE) as part Medical Technologies Evaluation Programme. company (C.R. Bard Ltd) identified four abstracts, one paper pending publication questionnaire data from NHS users TCS. None evidence included comparator arm. Placement accuracy PICCs where also used ranged 79.5 to 100 %. reported 9 out 16 centres were no longer X-rays routinely confirm location. did report need catheter repositioning, re-insertion, staff time savings, treatment delays, length stay, quality life outcomes complications. company's model found cost saving GBP25.67 per patient compared blind bedside insertion. External Assessment Centre (EAC) adapted test alternative assumptions nurse time, theatre cost, malposition rate reinsertion method, incurring GBP9.37 use appears hover around being neutral. Staff key drivers model: these is sparse reality vary different situations. If became available after initial insertion, such replacement, complications adverse events, implications may change. direction this potential change known. NICE published guidance MTG24 March 2015 recommending case adoption supported evidence.