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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...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
American Society of Mechanical Engineers
2010
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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 |
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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 |
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