Cargando…

Preliminary Development and Engineering Evaluation of a Novel Cricothyrotomy Device

Cricothyrotomy is one of the procedures used to ventilate patients with upper airway blockage. This paper examines the most regularly used and preferred cricothyrotomy devices on the market, suggests critical design specifications for improving cricothyrotomy devices, introduces a new cricothyrotomy...

Descripción completa

Detalles Bibliográficos
Autores principales: Carey, Jason P., Gwin, Morgan, Kan, Andrew, Toogood, Roger, Finegan, Barry
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Society of Mechanical Engineers 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164494/
https://www.ncbi.nlm.nih.gov/pubmed/32328215
http://dx.doi.org/10.1115/1.4002237
_version_ 1783523306006118400
author Carey, Jason P.
Gwin, Morgan
Kan, Andrew
Toogood, Roger
Finegan, Barry
author_facet Carey, Jason P.
Gwin, Morgan
Kan, Andrew
Toogood, Roger
Finegan, Barry
author_sort Carey, Jason P.
collection PubMed
description Cricothyrotomy is one of the procedures used to ventilate patients with upper airway blockage. This paper examines the most regularly used and preferred cricothyrotomy devices on the market, suggests critical design specifications for improving cricothyrotomy devices, introduces a new cricothyrotomy device, and performs an engineering evaluation of the device’s critical components. Through a review of literature, manufacturer products, and patents, four principal cricothyrotomy devices currently in clinical use were identified. From the review, the Cook™ Melker device is the preferred method of clinicians but the device has acknowledged problems. A new emergency needle cricothyrotomy device (ENCD) was developed to address all design specifications identified in literature. Engineering, theoretical, and experimental assessments were performed. In situ evaluations of a prototype of the new device using porcine specimens to assess insertion, extraction, and cyclic force capabilities were performed. The device was very successful in its evaluation. Further discussion focuses on these aspects and a comparison of the new device with established devices. The proposed emergency needle cricothyrotomy device performed very well. Further work will be pursued in the future with in-vitro and in-vivo with canine models demonstrates the capabilities of the ENCD.
format Online
Article
Text
id pubmed-7164494
institution National Center for Biotechnology Information
language English
publishDate 2010
publisher American Society of Mechanical Engineers
record_format MEDLINE/PubMed
spelling pubmed-71644942020-04-20 Preliminary Development and Engineering Evaluation of a Novel Cricothyrotomy Device Carey, Jason P. Gwin, Morgan Kan, Andrew Toogood, Roger Finegan, Barry J Med Device Research Papers Cricothyrotomy is one of the procedures used to ventilate patients with upper airway blockage. This paper examines the most regularly used and preferred cricothyrotomy devices on the market, suggests critical design specifications for improving cricothyrotomy devices, introduces a new cricothyrotomy device, and performs an engineering evaluation of the device’s critical components. Through a review of literature, manufacturer products, and patents, four principal cricothyrotomy devices currently in clinical use were identified. From the review, the Cook™ Melker device is the preferred method of clinicians but the device has acknowledged problems. A new emergency needle cricothyrotomy device (ENCD) was developed to address all design specifications identified in literature. Engineering, theoretical, and experimental assessments were performed. In situ evaluations of a prototype of the new device using porcine specimens to assess insertion, extraction, and cyclic force capabilities were performed. The device was very successful in its evaluation. Further discussion focuses on these aspects and a comparison of the new device with established devices. The proposed emergency needle cricothyrotomy device performed very well. Further work will be pursued in the future with in-vitro and in-vivo with canine models demonstrates the capabilities of the ENCD. American Society of Mechanical Engineers 2010-09-01 2010-09-09 /pmc/articles/PMC7164494/ /pubmed/32328215 http://dx.doi.org/10.1115/1.4002237 Text en This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.
spellingShingle Research Papers
Carey, Jason P.
Gwin, Morgan
Kan, Andrew
Toogood, Roger
Finegan, Barry
Preliminary Development and Engineering Evaluation of a Novel Cricothyrotomy Device
title Preliminary Development and Engineering Evaluation of a Novel Cricothyrotomy Device
title_full Preliminary Development and Engineering Evaluation of a Novel Cricothyrotomy Device
title_fullStr Preliminary Development and Engineering Evaluation of a Novel Cricothyrotomy Device
title_full_unstemmed Preliminary Development and Engineering Evaluation of a Novel Cricothyrotomy Device
title_short Preliminary Development and Engineering Evaluation of a Novel Cricothyrotomy Device
title_sort preliminary development and engineering evaluation of a novel cricothyrotomy device
topic Research Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164494/
https://www.ncbi.nlm.nih.gov/pubmed/32328215
http://dx.doi.org/10.1115/1.4002237
work_keys_str_mv AT careyjasonp preliminarydevelopmentandengineeringevaluationofanovelcricothyrotomydevice
AT gwinmorgan preliminarydevelopmentandengineeringevaluationofanovelcricothyrotomydevice
AT kanandrew preliminarydevelopmentandengineeringevaluationofanovelcricothyrotomydevice
AT toogoodroger preliminarydevelopmentandengineeringevaluationofanovelcricothyrotomydevice
AT fineganbarry preliminarydevelopmentandengineeringevaluationofanovelcricothyrotomydevice