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DEVELOPMENT OF OPEN ABDOMEN DEVICE BASED ON BIODESIGN METHODOLOGY

Published online by Cambridge University Press:  27 July 2021

Manuela Sierra ,
Salín Pereira ,
Juan Felipe Isaza ,
Iván Darío Montoya ,
Christian Andrés Diaz ,
Diego Velásquez  and
Carolina Londoño
Manuela Sierra*
Affiliation:
Eafit University
Salín Pereira
Affiliation:
Hospital Pablo Tobón Uribe
Juan Felipe Isaza
Affiliation:
Eafit University
Iván Darío Montoya
Affiliation:
Eafit University
Christian Andrés Diaz
Affiliation:
Eafit University
Diego Velásquez
Affiliation:
CES University
Carolina Londoño
Affiliation:
CES University
*
Sierra, Manuela, Eafit university, Product Design Engineering, Colombia, [email protected]

Abstract

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Open Abdomen (OA) therapy, is purposely leaving the fascial edges of the abdomen un-approximated after a laparotomy. During the OA therapy, there must be a temporary abdominal closure (TAC) device installed in the patient to achieve abdominal closure gradually without affecting its safety. However, the actual TAC devices have some gaps in terms of functionality or usability, therefore a new device is proposed. Intending to design a usable and functional technique for patients all over the world, the BioDesign Innovation Process was used. This iterative methodology focuses on healthcare needs, invention, and concept development with three main phases: Identify, Invent and Implement. At the end of these phases, the team successfully developed two new abdominal closure techniques that fill in the gaps of functionality and usability, using a simulator that realistically mimicked the physical and mechanical properties of an open abdomen. In terms of functionality, the novel techniques showed safe installation, operational security, secure grip, low invasiveness and control of intra-abdominal pressure. In terms of usability, the devices showed better results in efficiency, effectiveness and easy re-exploration than the control group.

Keywords

New product developmentDesign methodologyBiomedical design3D printingResearch methodologies and methods
Type
Article
Information
Proceedings of the Design Society , Volume 1: ICED21 , August 2021 , pp. 1253 - 1262
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
The Author(s), 2021. Published by Cambridge University Press

References

Augustin, D.A., Chertow, G.M. and Azagury, D.E. (2020), “Innovation in hemodialysis: Using the Biodesign process to identify unmet needs”, Journal of Vascular Access, pp. 1–6.Google Scholar
Beswick, D.M., Kaushik, A. and Beinart, D. (2017), “Biomedical device innovation methodology: applications Bjarnason, T. (2014), Open Abdomen Therapy with Vacuum-Assisted Wound Closure and Mesh-Mediated Fascial Traction, available at: http://lup.lub.lu.se/record/4221708.Google Scholar
Cheatham, M.L. and Safcsak, K. (2008), “Longterm Impact of Abdominal Decompression: A Prospective Comparative Analysis”, available at:https://doi.org/10.1016/j.jamcollsurg.2008.05.008.CrossRefGoogle Scholar
Coccolini, F., Montori, G., Ceresoli, M., Catena, F., Ivatury, R., Sugrue, M., Sartelli, M., et al. (2017), “IROA: International Register of Open Abdomen, preliminary results”, World Journal of Emergency Surgery, BioMed Central, Vol. 12 No. 1, p. 10.CrossRefGoogle ScholarPubMed
Cristaudo, A. (2017), “Complications and Mortality Associated with Temporary Abdominal Closure Techniques: A Systematic Review and Meta-Analysis”, No. May.CrossRefGoogle Scholar
Karakose, O., Fatih Benzin, M., Pülat, H., Zafer Sabuncuoglu, M., Eken, H., Zihni, I. and Barut, I. (2016), “Bogota Bag Use in Planned Re-Laparotomies.”, Medical Science Monitor: International Medical Journal of Experimental and Clinical Research, International Scientific Information, Inc., Vol. 22, pp. 2900–2904.CrossRefGoogle ScholarPubMed
Kılıç, E., Uğur, M., Yetim, İ. and Temiz, M. (2018), “Effects of temporary abdominal closure methods on mortality and morbidity in patients with open abdomen”, Ulusal Travma ve Acil Cerrahi Dergisi, Vol. 24 No. 4, pp. 321–326.Google ScholarPubMed
Schwartz, J.G., Kumar, U.N., Azagury, D.E., Brinton, T.J. and Yock, P.G. (2016), “Needs-Based Innovation in Cardiovascular Medicine: The Stanford Biodesign Process”, JACC: Basic to Translational Science, Elsevier, Vol. 1 No. 6, pp. 541–547.Google ScholarPubMed
Sridhar, S., Madhuri, K. R., Shah, S., Chaturvedi, J., Vijayarajan, A. and Appaji, A.M. (2016), “A biodesign based study on chronic tinnitus and evaluation of adaptive noise cancellation technology in its management”, 2016 8th International Conference on Communication Systems and Networks (COMSNETS), IEEE, pp. 1–6.CrossRefGoogle Scholar
Steinberger, J.D., Denend, L., Azagury, D.E., Brinton, T.J., Makower, J. and Yock, P.G. (2017), “Needs-Based Innovation in Interventional Radiology: The Biodesign Process”, Techniques in Vascular and Interventional Radiology, Vol. 20 No. 2, pp. 84–89.CrossRefGoogle ScholarPubMed
Wall, J., Wynne, E. and Krummel, T. (2015), “Biodesign process and culture to enable pediatric medical technology innovation”, Seminars in Pediatric Surgery, Elsevier, Vol. 24 No. 3, pp. 102–106.CrossRefGoogle ScholarPubMed