A standardised comparison of chest and percutaneous drainage catheters to evaluate the applicability of the ‘French’ sizing units

Percutaneous drainage is a potentially organ and/or life saving procedure for accumulation of pus in infection, fluid caused by cancer or organ obstruction such as the kidney or the liver. The fallacy across medical specialties is assuming that catheters of the same size have the same performance.
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The understanding of the basic properties of medical devices by the operators using them is often poor.

Equally industry standards for devices are underdeveloped and not uniformly applied across the manufacturing industry. As a consequence the performance of devices seemingly manufactured to the same standard may vary significantly and choosing the best device for the job has a direct effect on the outcome of minimally invasive procedures.

Minnova Medical Foundation CIC is a not-for-profit company specialising in research and teaching around medical devices and aiming to improve their understanding and their further development.

In this article we illustrate how the historical way of sizing drainage tubes is misleading in terms of their performance. The measurement relating to catheter size relates to their out diameter in 1/3rd of a millimeter, but the actual functional lumen is dependent on the wall thickness of the tube. Lumen size and resultant flow rate vary dramatically.

  Descriptors of tube performance should be included in the product description and on the product labels in order to allow physicians to choose the best device for their patient. 

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Biomedical Engineering and Bioengineering
Technology and Engineering > Biological and Physical Engineering > Biomedical Engineering and Bioengineering
Biomedical Research
Life Sciences > Health Sciences > Biomedical Research
Biomaterials
Physical Sciences > Materials Science > Biomaterials

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