Fellow: Maryanne Mariyaselvam
The WireSafe is an engineered solution to prevent the never event of retained central line guidewires. When a central line catheter is placed, a guidewire is used to correctly position the catheter in the vein, and then it should be removed. The error occurs when the clinician forgets to remove the guidewire. If this occurs, the guidewire can travel to the patient’s heart causing significant harm and requiring a further procedure to remove the guidewire at a tertiary centre. Retained guidewires have a reported mortality of up to 20%.
The WireSafe is a novel procedure pack which prevents the clinician completing the procedure without first removing the guidewire. The WireSafe has a locking mechansim and contains the equipment required to complete a central line insertion after the guidewire is removed: suture, suture holder, dressings and flush syringes. The only way to access the equipment is by unlocking the WireSafe with the guidewire. This forcing function ensures that clinicians always remove the guidewire.