Disposable tourniquet could reduce spread of MRSA

A product designed by two entrepreneurial medical graduates could soon be helping to reduce the spread of hospital-acquired infections such as MRSA.

The pair have designed a disposable tourniquet which they believe will pose no infection risk and which they hope will provide a cheap, comfortable alternative to the tourniquets currently in use. They estimate that it will cost the same to manufacture as a rubber glove, which is frequently used as a make-shift tourniquet. They developed the product whilst studying at Imperial College London.

Tourniquets are essential in helping medical staff find a vein when they are taking blood samples or inserting a drip. They are wrapped around limbs and tightened, restricting blood flow so that the veins swell and become more visible.

The designers of the new product suggest that most of the tourniquets currently in use pose an infection risk because they are reusable and could therefore carry infective organisms from patient to patient. Disposable alternatives do exist but the pair believes these are largely expensive and lack ease of use. For expediency, many medical professionals currently use a rubber glove, but these are often uncomfortable and can cause problems such as latex allergies or trauma to the skin. Around 40 million procedures using a tourniquet are performed each year in the NHS alone.

The tourniquet invented by the Imperial students, which is named Tournistrip (TM), is a long band made of a form of plasticized paper with similar dimensions to a watch strap. It is fastened using a quick seal, quick release sticking mechanism and its origins are based on wrist bands used for security at large events such as concerts. This means that the team has been able to use existing production techniques for such bands to keep costs low.

Ryan Kerstein, one of the inventors of the device, who qualified as a doctor from Imperial College in 2006 said: "Throughout our training there was always a lot of emphasis on infection control and good clinical technique. Watching some of our colleagues in the hospital environment it struck us that even though their technique was stringent they were limited by the re-usable equipment available.”

Ryan's co-inventor Christian Fellowes, also a recently qualified doctor from Imperial, added: "We came up with the idea when on the wards, as medical students, we saw tourniquets being transferred from patient to patient, which we felt was unacceptable. The only available alternative was a rubber glove, which seemed unprofessional and uncomfortable. Looking into the problem, we realised there were no financially viable alternatives that had the benefits of re-usable tourniquets, without the drawbacks of the available disposable ones. We developed a product that is easy and comfortable for patients, as it does not pinch, is easy to fasten and release, and is cheap and brandable."

The graduates developed their idea after carrying out a small study on the infective organisms present in reusable tourniquets, with the help of Dr Berge Azadian from Imperial’s Division of Investigative Sciences. In an examination of 52 reusable tourniquets, they found that 30 grew methicillin-sensitive Staphylococcus aureus (MSSA) and three grew methicillin-resistant Staphylococcus aureus (MRSA).

The students were finalists in the Imperial Business Plan Competition in 2005 and won the Imperial College Innovation Competition in 2004.

The team have a patent pending on their design and prototypes of the tourniquet have been successfully tested in various London teaching hospitals. Imperial Innovations, the technology commercialisation company based at Imperial College London, is assisting the team in bringing their product to market. The most likely route for this is by a licence with a manufacturer of hospital supplies.

http://www.imperial.ac.uk/