Skip to content

Prospective Observational Study of the Power PICC Family of Devices and Accessories

Prospective Observational Study of the Power PICC Family of Devices and Accessories

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT04263649
Enrollment
450
Registered
2020-02-11
Start date
2020-06-18
Completion date
2022-01-05
Last updated
2024-08-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Peripherally Inserted Central Catheter

Brief summary

Post-market, observational study to collect prospective data related to the safety and performance of the Power PICC family of devices and its accessories in a real-world setting.

Detailed description

Single-arm, post-market, observational, prospective study to asses the safety and performance of the Power PICC Power PICC family of devices and its accessories in a real-world setting. The study will only enroll patients that need a Power PICC catheter as part of their medical care. Patients will be followed from insertion through removal, or up to 180 days (whichever comes first). Data collected will be gathered from the patient's medical chart.

Interventions

insertion of a Peripherally Inserted Central Catheter (PICC)

Sponsors

FGK Clinical Research GmbH
CollaboratorINDUSTRY
Becton, Dickinson and Company
Lead SponsorINDUSTRY

Study design

Observational model
CASE_ONLY
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Any patient, regardless of age or gender, for which the investigator has decided that one of the PowerPICC study devices for either short-or long-term venous access should be inserted as standard of care * Expected to be available for observation through the duration of PICC therapy (including outpatient therapy, if applicable) * Provision of signed and dated informed consent form (Note: Consent of guardian or parent may be required for patients under the age of 18 years; participant assent may be required as well.)

Exclusion criteria

* Presence of any device-related infection, bacteremia, or septicemia is known or suspected * Body size is insufficient to accommodate the size of implanted device * Known or suspected to be allergic to materials contained in the device * History of irradiation of prospective insertion site * Previous episode(s) of venous thrombosis or vascular surgical procedures at the prospective placement site * Local tissue factors which would prevent proper device stabilization and/or access

Design outcomes

Primary

MeasureTime frameDescription
Primary Performance: Percent of PICCs That Remain in Place Through the Required Therapy Time Period.from insertion though removal or 180 days, whichever comes firstPICCs remaining in place through the required therapy time period were defined as PICCs that were either still in place at the end of the 180-day observation or had been removed because the therapy was completed (end of useful medical use), changed or cancelled. Most patients who died during the study had the device still in place at the time of death and hence were considered as having completed the therapy.
Primary Safety: Incidence of Symptomatic Venous Thrombosis in Patients With a Device From the BD PowerPICC Family Used for Both Short- and Long-term Venous Access.from insertion though removal or 180 days, whichever comes firstIncidence of symptomatic venous thrombosis defined as any new occurrence of symptomatic venous thrombosis defined by thrombus presence by ultrasonography or other imaging.

Secondary

MeasureTime frameDescription
Secondary Safety: Incidence of Extravasationfrom insertion though removal or 180 days, whichever comes firstIncidence of extravasation where extravasation is defined as accidental infiltration of a vesicant or chemotherapeutic drug into the tissue around the catheter
Secondary Safety: Incidence of Local Infectionfrom insertion though removal or 180 days, whichever comes firstIncidence of any new occurrence of local infection
Secondary Safety: Incidence of Local Infection as Presence of Pus at the Exit Site and/or Culture Confirmed Site Infectionfrom insertion though removal or 180 days, whichever comes firstIncidence of local infection where local infection is defined as presence of pus at the exit site and/or culture confirmed site infection
Secondary Safety: Incidence of Catheter-related Bloodstream Infection.from insertion though removal or 180 days, whichever comes firstIncidence of Catheter-related bloodstream infection where Catheter-related bloodstream infection is defined as positive blood culture(s) with a microorganism not related to another source (e.g., UTI) OR positive blood culture(s) with microorganism matching catheter tip culture OR blood cultures from peripheral venous puncture and PICC positive with the same microorganism.
Secondary Safety: Incidence of Accidental Dislodgement.from insertion though removal or 180 days, whichever comes firstIncidence of Accidental dislodgement where Accidental dislodgement is defined as catheter accidentally dislodged the extent to which it requires replacement.
Secondary Safety: Incidence of Vessel Perforation.from insertion though removal or 180 days, whichever comes firstIncidence of vessel perforation where vessel perforation is defined as a hole formed in the vessel.
Secondary Performance: Percent of Patent Cathetersfrom insertion though removal or 180 days, whichever comes firstPercent of patent catheters defined as the number of functional catheters through therapy/total number of catheters.
Secondary Performance: Percent of Placement Success in Single Insertion Attemptduring the insertion procedurePercent of placement success in single insertion attempt defined as placement success defined as single insertion attempt, proper tip location, and patent catheter
Secondary Performance - Usability: Ease of Insertionduring the insertion procedureEase of insertion determined by composite score of guidewire/stylet performance based on post-insertion survey (5 point Likert scale)
Secondary Safety: Incidence of Vessel Laceration.from insertion though removal or 180 days, whichever comes firstIncidence of vessel laceration where vessel laceration is defined as a tear in the tissue of the vessel.
Secondary Safety: Incidence of Phlebitisfrom insertion though removal or 180 days, whichever comes firstIncidence of phlebitis where phlebitis is defined inflammation of the cannulated vessel identified by redness, swelling, warmth, tenderness, and/or cord formation

Other

MeasureTime frameDescription
Usability: Ease of Insertion When the Sherlock 3CG Pre-Loaded Stylet Usedduring the insertion procedureThe percentage of Sherlock 3CG Pre-Loaded Stylet that aided in guidance and placement of the catheter, when used

Countries

Austria, Belgium, Czechia, Denmark, Germany, Italy, Netherlands, Spain, Switzerland

Participant flow

Recruitment details

The study was conducted at 14 centers in 9 European countries. The first participant was enrolled on June 18, 2020 and the last participant had the last study visit on January 05, 2022. The choice of the specific device type, size, number of lumens, and length required for an individual patient was left to the discretion of the clinician.

Pre-assignment details

In this post market study, 450 patients, who were to receive a PICC from the PowerPICC family as per routine clinical practice, were observed for up to 180 days after device's insertion or until removal of the device because the therapy was completed, changed or cancelled. Patients, who died during the study and had the device in place at the time of death, were considered as having completed the therapy.

Participants by arm

ArmCount
All Subjects
Patients who received a device from the BD PowerPICC family according to the clinical practice.
450
Total450

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyAdverse Event53
Overall StudyDeath29
Overall StudyDevice deficiency19
Overall StudyLost to Follow-up3
Overall Studyother reasons11

Baseline characteristics

CharacteristicAll Subjects
Age, Continuous60 years
STANDARD_DEVIATION 14.8
Body Mass Index (BMI)26.30 kg/m²
STANDARD_DEVIATION 5.27
Catheter insertion - Catheter length trimmed
Catheter length not trimmed
150 Participants
Catheter insertion - Catheter length trimmed
Catheter length trimmed
300 Participants
Catheter insertion - Catheter tip repositioning
Catheter tip not repositioned
19 Participants
Catheter insertion - Catheter tip repositioning
Catheter tip repositioned
430 Participants
Catheter insertion - Catheter tip repositioning
Missing information - no study device placed
1 Participants
Catheter insertion - Device placement successful
Device placement successful
448 Participants
Catheter insertion - Device placement successful
Device placement unsuccessful
2 Participants
Catheter insertion - Dressing type
Gauze
10 Participants
Catheter insertion - Dressing type
Missing information - no study device placed
1 Participants
Catheter insertion - Dressing type
Other
29 Participants
Catheter insertion - Dressing type
Transparent semi-permeable membrane
410 Participants
Catheter insertion - Local anesthesia used
Local anesthesia not used
2 Participants
Catheter insertion - Local anesthesia used
Local anesthesia used
448 Participants
Catheter insertion - Location of procedure performance
Bedside
190 Participants
Catheter insertion - Location of procedure performance
Interventional radiology
108 Participants
Catheter insertion - Location of procedure performance
Other
152 Participants
Catheter insertion - Method to confirm catheter tip positioning
Other
91 Participants
Catheter insertion - Method to confirm catheter tip positioning
Sherlock 3CG
202 Participants
Catheter insertion - Method to confirm catheter tip positioning
X-ray
157 Participants
Catheter insertion - Number of insertion attempts
Number of insertion attempts=1
408 Participants
Catheter insertion - Number of insertion attempts
Number of insertion attempts=2
32 Participants
Catheter insertion - Number of insertion attempts
Number of insertion attempts=3
8 Participants
Catheter insertion - Number of insertion attempts
Number of insertion attempts=4
1 Participants
Catheter insertion - Number of insertion attempts
Number of insertion attempts=5
1 Participants
Catheter insertion - PICC insertion as per Instructions For Use (IFUs)
Missing information - no study device placed
1 Participants
Catheter insertion - PICC insertion as per Instructions For Use (IFUs)
PICC inserted as per the IFUs
449 Participants
Catheter insertion - Placement of catheter
Left arm
193 Participants
Catheter insertion - Placement of catheter
Right arm
257 Participants
Catheter insertion - presence of a second implanted line vascular access device
No presence of a second implanted line vascular access device
360 Participants
Catheter insertion - presence of a second implanted line vascular access device
Presence of a second implanted line vascular access device
90 Participants
Catheter insertion - Sherlock 3CG used
Sherlock 3CG not used
191 Participants
Catheter insertion - Sherlock 3CG used
Sherlock 3CG used
259 Participants
Catheter insertion - Sherlock TLS used
Sherlock TLS not used
450 Participants
Catheter insertion - Sherlock TLS used
Sherlock TLS used
0 Participants
Catheter insertion - Stabilization method
Missing information - no study device placed
1 Participants
Catheter insertion - Stabilization method
SecurAcath
59 Participants
Catheter insertion - Stabilization method
StatLock
390 Participants
Catheter insertion - Tunneling used
Tunneling not used
424 Participants
Catheter insertion - Tunneling used
Tunneling used
26 Participants
Catheter insertion - Vein accessed
Basilic
253 Participants
Catheter insertion - Vein accessed
Brachial
180 Participants
Catheter insertion - Vein accessed
Cephalic
15 Participants
Catheter insertion - Vein accessed
Other
2 Participants
Catheter insertion - Vessel/catheter ratio done prior to insertion
Vessel/catheter ratio done prior to insertion
272 Participants
Catheter insertion - Vessel/catheter ratio done prior to insertion
Vessel/catheter ratio not done prior to insertion
178 Participants
Intended access duration
Long-term (>=30 days)
353 Participants
Intended access duration
Short-term (<30 days)
97 Participants
Primary diagnosis for current admission
Cardiac
12 Participants
Primary diagnosis for current admission
Gastrointestinal
18 Participants
Primary diagnosis for current admission
Infection
42 Participants
Primary diagnosis for current admission
Neurological
8 Participants
Primary diagnosis for current admission
Oncological
328 Participants
Primary diagnosis for current admission
Other
7 Participants
Primary diagnosis for current admission
Surgical
29 Participants
Primary diagnosis for current admission
Trauma
2 Participants
Primary diagnosis for current admission
Vascular
4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
5 Participants
Race (NIH/OMB)
Black or African American
3 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
Race (NIH/OMB)
White
439 Participants
Reason for PICC placement
Central venous pressure monitoring
2 participants
Reason for PICC placement
Hydration support
20 participants
Reason for PICC placement
Intravenous therapy:antimicrobial/antifungal
79 participants
Reason for PICC placement
Intravenous therapy:blood product and transfusion
21 participants
Reason for PICC placement
Intravenous therapy: chemotherapy
313 participants
Reason for PICC placement
Intravenous therapy: immunoglobulins
2 participants
Reason for PICC placement
Intravenous therapy:pain management
30 participants
Reason for PICC placement
Intravenous therapy: total parenteral nutrition
50 participants
Reason for PICC placement
Intravenous therapy: vasopressors
4 participants
Reason for PICC placement
Limited peripheral access
125 participants
Reason for PICC placement
Nutritional support
15 participants
Reason for PICC placement
Other includes post covid pancreatytis therapy and hypertension IV pharmacotherapy
3 participants
Reason for PICC placement
Serial blood sampling
61 participants
Reason for PICC placement
Serial radiographic studies
3 participants
Reason for PICC placement
Thrombocytopenia or coagulopathy
3 participants
Region of Enrollment
Austria
16 participants
Region of Enrollment
Belgium
10 participants
Region of Enrollment
Czechia
59 participants
Region of Enrollment
Denmark
59 participants
Region of Enrollment
Germany
21 participants
Region of Enrollment
Italy
212 participants
Region of Enrollment
Netherlands
40 participants
Region of Enrollment
Spain
6 participants
Region of Enrollment
Switzerland
27 participants
Relevant medical history
Abnormalities of the arms
7 Participants
Relevant medical history
Abnormalities of the chest wall
5 Participants
Relevant medical history
Central venous access devices
93 Participants
Relevant medical history
Current treatment with anticoagulants
27 Participants
Relevant medical history
History of catheter related bloodstream inf.
4 Participants
Relevant medical history
History of coagulopathy
9 Participants
Relevant medical history
History of deep vein thrombosis
10 Participants
Relevant medical history
History of hypercoagulopathy
2 Participants
Relevant medical history
History of LN dissection/ lymphedema
49 Participants
Relevant medical history
History of phlebitis
7 Participants
Relevant medical history
History of venous thrombosis
13 Participants
Relevant medical history
Implantable devices
11 Participants
Relevant medical history
Known absence of a p-wave
6 Participants
Relevant medical history
Other relevant medical history
161 Participants
Relevant medical history
Past and/or current anatomical abnormalities of the central venous system
6 Participants
Relevant medical history
Past and/or current atrial fibrillation or other atrial arrhythmias that affects the p-wave
36 Participants
Relevant medical history
Renal impairment
4 Participants
Sex: Female, Male
Female
226 Participants
Sex: Female, Male
Male
224 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
32 / 450
other
Total, other adverse events
162 / 450
serious
Total, serious adverse events
58 / 450

Outcome results

Primary

Primary Performance: Percent of PICCs That Remain in Place Through the Required Therapy Time Period.

PICCs remaining in place through the required therapy time period were defined as PICCs that were either still in place at the end of the 180-day observation or had been removed because the therapy was completed (end of useful medical use), changed or cancelled. Most patients who died during the study had the device still in place at the time of death and hence were considered as having completed the therapy.

Time frame: from insertion though removal or 180 days, whichever comes first

Population: A total of 447 patients received treatment via the study device and were included in the evaluable set, used for the primary performance calculation.~The percentage of PICCs that remains in place through the completion of therapy (success) was calculated by dividing successful cases by the total number of devices with non-missing data on success/failure.Therefore, 2 subjects lost to follow-up were not included in the calculation of percentage.

ArmMeasureValue (NUMBER)
All SubjectsPrimary Performance: Percent of PICCs That Remain in Place Through the Required Therapy Time Period.81.8 % of subjects after PICC placement
Primary

Primary Safety: Incidence of Symptomatic Venous Thrombosis in Patients With a Device From the BD PowerPICC Family Used for Both Short- and Long-term Venous Access.

Incidence of symptomatic venous thrombosis defined as any new occurrence of symptomatic venous thrombosis defined by thrombus presence by ultrasonography or other imaging.

Time frame: from insertion though removal or 180 days, whichever comes first

Population: Since the study device could not be placed in 2 patients and in 1 patient the study device was placed but could not be used for the intended treatment, these 3 subjects were excluded from the denominator for safety variable. Therefore, 447 out of 450 subjects have been considered for denominator calculation.

ArmMeasureValue (NUMBER)
All SubjectsPrimary Safety: Incidence of Symptomatic Venous Thrombosis in Patients With a Device From the BD PowerPICC Family Used for Both Short- and Long-term Venous Access.1.6 % of subjects after PICC placement
Secondary

Secondary Performance: Percent of Patent Catheters

Percent of patent catheters defined as the number of functional catheters through therapy/total number of catheters.

Time frame: from insertion though removal or 180 days, whichever comes first

Population: A total of 447 subjects received treatment via the study device and were included in the evaluable set, used for the performance calculation. However, 2 subjects were lost to follow-up and were not included in the calculation of percentage.~Patent catheters are defined as functional catheters through therapy.

ArmMeasureValue (NUMBER)
All SubjectsSecondary Performance: Percent of Patent Catheters93.9 % of subjects after PICC placement
Secondary

Secondary Performance: Percent of Placement Success in Single Insertion Attempt

Percent of placement success in single insertion attempt defined as placement success defined as single insertion attempt, proper tip location, and patent catheter

Time frame: during the insertion procedure

ArmMeasureValue (NUMBER)
All SubjectsSecondary Performance: Percent of Placement Success in Single Insertion Attempt90.4 % of subjects after PICC placement
Secondary

Secondary Performance - Usability: Ease of Insertion

Ease of insertion determined by composite score of guidewire/stylet performance based on post-insertion survey (5 point Likert scale)

Time frame: during the insertion procedure

Population: The analysis is based on the investigators who completed the questionnaire and answer the respective question.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
All SubjectsSecondary Performance - Usability: Ease of InsertionGuidewire withdrawal/removal was easy or very easy425 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionInvestigators were agree or strongly agree with Stylet facilitated placement338 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionForce to advance the stylet acceptable352 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionGuidewire usage was easy or very easy419 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionForce to advance the guidewire acceptable448 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionForce to withdraw/remove the guidewire acceptable448 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionGuidewire integrity448 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionInvestigators were agree or strongly agree with Guidewire facilitated placement425 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionStylet usage was easy or very easy335 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionStylet withdrawal/removal was easy or very easy343 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionForce to withdraw/remove the stylet acceptable353 Participants
All SubjectsSecondary Performance - Usability: Ease of InsertionStylet integrity356 Participants
Secondary

Secondary Safety: Incidence of Accidental Dislodgement.

Incidence of Accidental dislodgement where Accidental dislodgement is defined as catheter accidentally dislodged the extent to which it requires replacement.

Time frame: from insertion though removal or 180 days, whichever comes first

Population: Since the study device could not be placed in 2 patients and in 1 patient the study device was placed but could not be used for the intended treatment, these 3 subjects were excluded from the denominator for safety variable. Therefore, 447 out of 450 subjects have been considered for denominator calculation.

ArmMeasureValue (NUMBER)
All SubjectsSecondary Safety: Incidence of Accidental Dislodgement.3.8 % of subjects after PICC placement
Secondary

Secondary Safety: Incidence of Catheter-related Bloodstream Infection.

Incidence of Catheter-related bloodstream infection where Catheter-related bloodstream infection is defined as positive blood culture(s) with a microorganism not related to another source (e.g., UTI) OR positive blood culture(s) with microorganism matching catheter tip culture OR blood cultures from peripheral venous puncture and PICC positive with the same microorganism.

Time frame: from insertion though removal or 180 days, whichever comes first

Population: Since the study device could not be placed in 2 patients and in 1 patient the study device was placed but could not be used for the intended treatment, these 3 subjects were excluded from the denominator for safety variable. Therefore, 447 out of 450 subjects have been considered for denominator calculation.

ArmMeasureValue (NUMBER)
All SubjectsSecondary Safety: Incidence of Catheter-related Bloodstream Infection.1.6 % of subjects after PICC placement
Secondary

Secondary Safety: Incidence of Extravasation

Incidence of extravasation where extravasation is defined as accidental infiltration of a vesicant or chemotherapeutic drug into the tissue around the catheter

Time frame: from insertion though removal or 180 days, whichever comes first

Population: Since the study device could not be placed in 2 patients and in 1 patient the study device was placed but could not be used for the intended treatment, these 3 subjects were excluded from the denominator for safety variable. Therefore, 447 out of 450 subjects have been considered for denominator calculation.

ArmMeasureValue (NUMBER)
All SubjectsSecondary Safety: Incidence of Extravasation0 % of subjects after PICC placement
Secondary

Secondary Safety: Incidence of Local Infection

Incidence of any new occurrence of local infection

Time frame: from insertion though removal or 180 days, whichever comes first

Population: Since the study device could not be placed in 2 patients and in 1 patient the study device was placed but could not be used for the intended treatment, these 3 subjects were excluded from the denominator for safety variable. Therefore, 447 out of 450 subjects have been considered for denominator calculation.

ArmMeasureValue (NUMBER)
All SubjectsSecondary Safety: Incidence of Local Infection4.5 % of subjects after PICC placement
Secondary

Secondary Safety: Incidence of Local Infection as Presence of Pus at the Exit Site and/or Culture Confirmed Site Infection

Incidence of local infection where local infection is defined as presence of pus at the exit site and/or culture confirmed site infection

Time frame: from insertion though removal or 180 days, whichever comes first

Population: Since the study device could not be placed in 2 patients and in 1 patient the study device was placed but could not be used for the intended treatment, these 3 subjects were excluded from the denominator for safety variable. Therefore, 447 out of 450 subjects have been considered for denominator calculation.

ArmMeasureValue (NUMBER)
All SubjectsSecondary Safety: Incidence of Local Infection as Presence of Pus at the Exit Site and/or Culture Confirmed Site Infection3.1 % of subjects after PICC placement
Secondary

Secondary Safety: Incidence of Phlebitis

Incidence of phlebitis where phlebitis is defined inflammation of the cannulated vessel identified by redness, swelling, warmth, tenderness, and/or cord formation

Time frame: from insertion though removal or 180 days, whichever comes first

Population: Since the study device could not be placed in 2 patients and in 1 patient the study device was placed but could not be used for the intended treatment, these 3 subjects were excluded from the denominator for safety variable. Therefore, 447 out of 450 subjects have been considered for denominator calculation.

ArmMeasureValue (NUMBER)
All SubjectsSecondary Safety: Incidence of Phlebitis0 % of subjects after PICC placement
Secondary

Secondary Safety: Incidence of Vessel Laceration.

Incidence of vessel laceration where vessel laceration is defined as a tear in the tissue of the vessel.

Time frame: from insertion though removal or 180 days, whichever comes first

ArmMeasureValue (NUMBER)
All SubjectsSecondary Safety: Incidence of Vessel Laceration.0.4 % of subjects after PICC placement
Secondary

Secondary Safety: Incidence of Vessel Perforation.

Incidence of vessel perforation where vessel perforation is defined as a hole formed in the vessel.

Time frame: from insertion though removal or 180 days, whichever comes first

ArmMeasureValue (NUMBER)
All SubjectsSecondary Safety: Incidence of Vessel Perforation.0.2 % of subjects after PICC placement
Post Hoc

Post-hoc Analysis: Device Lifetime

Post-hoc analysis: overall mean device lifetime

Time frame: from insertion though removal or 180 days, whichever comes first

Population: The overall mean device lifetime

ArmMeasureValue (MEAN)Dispersion
All SubjectsPost-hoc Analysis: Device Lifetime90.64 daysStandard Deviation 68.41
Other Pre-specified

Usability: Ease of Insertion When the Sherlock 3CG Pre-Loaded Stylet Used

The percentage of Sherlock 3CG Pre-Loaded Stylet that aided in guidance and placement of the catheter, when used

Time frame: during the insertion procedure

Population: The analysis is based on the investigators who completed the questionnaire and answer the respective question.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
All SubjectsUsability: Ease of Insertion When the Sherlock 3CG Pre-Loaded Stylet Used244 Participants

Source: ClinicalTrials.gov · Data processed: Feb 5, 2026