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Mechanical and morphological characterisation of porcine urethras for the  assessment of paediatric urinary catheter safety

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posted on 2023-06-09, 09:38 authored by Eoghan CunnaneEoghan Cunnane, Connor CunnaneConnor Cunnane, JOANNA ALLARDYCEJOANNA ALLARDYCE, Stefanie M. Croghan, Michael WalshMichael Walsh, Niall F. Davis, Hugh D. Flood, John J.E. Mulvihill

Paediatric urinary catheters are often necessary in critical care settings or to address congenital anomalies  affecting the urogenital system. Iatrogenic injuries can occur during the placement of such catheters, highlighting  the need for a safety device that can function in paediatric settings. Despite successful efforts to develop devices  that improve the safety of adult urinary catheters, no such devices are available for use with paediatric catheters.  This study investigates the potential for utilising a pressure-controlled safety mechanism to limit the trauma  experienced by paediatric patients during inadvertent inflation of a urinary catheter anchoring balloon in the  urethra. Firstly, we establish a paediatric model of the human urethra using porcine tissue by characterising the  mechanical and morphological properties of porcine tissue at increasing postnatal timepoints (8, 12, 16 and 30  weeks). We identified that porcine urethras harvested from pigs at postnatal week 8 and 12 exhibit morpho?logical properties (diameter and thickness) that are statistically distinct from adult porcine urethras (postnatal  week 30). We therefore utilise urethra tissue from postnatal week 8 and 12 pigs as a model to evaluate a pressure-controlled approach to paediatric urinary catheter balloon inflation intended to limit tissue trauma during  inadvertent inflation in the urethra. Our results show that limiting catheter system pressure to 150 kPa avoided  trauma in all tissue samples. Conversely, all of the tissue samples that underwent traditional uncontrolled urinary  catheter inflation experienced complete rupture. The findings of this study pave the way for the development of a  safety device for use with paediatric catheters, thereby alleviating the burden of catastrophic trauma and life  changing injuries in children due to a preventable iatrogenic urogenital event.  

Funding

IP-2019-0798 Enterprise Ireland

History

Publication

Journal of the Mechanical Behavior of Biomedical Materials 143, 105923

Publisher

Elsevier

Also affiliated with

  • Health Research Institute (HRI)

Department or School

  • Allied Health
  • School of Engineering

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