987 Braidlock - The Evolution of a Novel Drain Securing Device

Abstract

Abstract Introduction The use of drains in Oral and Maxillofacial Surgery is widespread and the securing method using a silk suture laddering along the drain in a standard ‘roman sandal’ pattern is well established. Other methods include tie-lock with sutures and adhesive dressings. We describe the use of a braided device (Braidlock®) without using sutures, based on the concept of a Chinese finger trap, to secure the drain onto patients' skin using tissue adhesive. We report the evolutionary changes of Braidlock. Device Evolution Braidlock® is a Class I non-invasive disposable medical device which provides securement of lines, drains and catheters to a patient using tubing from 3.5Fr to 36Fr. The diameter of the Braidlock® expands when the device is compressed, similar to a ‘Chinese finger trap’. A line can then be inserted through the device and into the body. When decompressed, the Braidlock® squeezes the line tightly and securely. The initial Braidlock® device was hook & loop which required suturing to secure onto skin. Integrated adhesive is a recent invention. Advancement With advances in adhesive dressing and ultrasonic wielding between the plastic casing and adhesive pads, Braidlock® drain securing device appears to be a safe medical device that enables successful securement of drains. Braidlock® may represent a cost saving relative to the conventional suture pack for drain securement. Conclusions This new drain securing device offers a cost effective and reliable alternative to the standard suture fixation. This will eliminate the risk of sharps injury and allow shortening of the drain by ward staff with minimal training.