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A precision-designed gastrostomy button securement device.

Jenny Stevens¹, Marina L Reppucci¹, Tyler Mironuck²

¹Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA; Division of Pediatric Surgery, Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

Journal of Pediatric Surgery

|October 25, 2022

Summary

This summary is machine-generated.

A new securement device for gastrostomy buttons (g-buttons) simplifies gauze changes and reduces complications. This innovation aims to improve wound healing and lower healthcare costs for pediatric patients requiring g-buttons.

Keywords:

G-button Gastrostomy Securement device

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Area of Science:

Pediatric surgery
Biomedical engineering
Medical device innovation

Background:

Gastrostomy buttons (g-buttons) are vital for pediatric nutrition, hydration, and medication delivery.
Current methods using gauze and tape lead to g-button movement, delayed healing, and tract complications.
This highlights a need for improved g-button securement solutions.

Purpose of the Study:

To develop an innovative device for securing gastrostomy buttons.
To address challenges associated with traditional gauze and tape securement methods.
To reduce g-button tract-related complications and improve patient care.

Main Methods:

A collaborative effort between pediatric surgeons and engineering students initiated the design process in 2016.
Over 400 design iterations were explored, leading to multiple prototype generations.
Prototypes incorporated features like improved tubing connections, integrated gauze, and childproof hinges.

Main Results:

Early prototypes showed high caregiver satisfaction but usability issues with tubing connections.
Iterative design improvements addressed these challenges, enhancing ease of use.
The final design integrates a securement device with pre-cut sterile gauze pads.

Conclusions:

An intuitive gastrostomy button securement device has been developed.
The device is designed to simplify gauze replacement and minimize tract complications.
A randomized controlled trial is planned to compare the new device against traditional dressings.