The Sherlock 3CG Tip Confirmation System for placement of peripherally inserted central catheters

3 Summary of NICE recommendations

NICE medical technologies guidance on the Sherlock 3CG TCS assessed the device to help the NHS decide whether to use this technology for placement of PICCs.

The case for adoption is supported by the evidence. The Sherlock 3CG TCS usually avoids the need for a confirmatory chest X‑ray in people who would otherwise have blind insertion, minimizing patient discomfort and delays. Using the device also increases staff confidence during catheter insertion.

The Sherlock 3CG TCS should be considered as an option for placement of PICCs in adults. For people whose electrocardiogram does not show a P wave (for example those in atrial fibrillation), a chest X‑ray will still be needed to confirm tip location of the PICC.