脊柱外科患者定制的剧院床垫支架:一项新的工程虚拟设计和制造技术的初步研究

IF 0.8 4区 医学 Q4 ENGINEERING, BIOMEDICAL
J. P. Little, D. Green, M. Izatt, Gregory Moloney, G. Askin
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引用次数: 0

摘要

脊柱手术患者的最佳体位对手术成功和减少术中/术后并发症至关重要。对于有复杂合并症的患者,市售的手术定位设备是不够的。为了克服这一问题,研究人员开发了一种新方法,为接受脊柱手术的患者定制适合患者的剧院床垫。创新的数字工作流程包括3D表面扫描、3D模拟和计算机辅助设计,以制造符合患者特定要求的定制手术室支架。这些支撑为外科医生提供了一种增强的能力,可以减轻突出解剖特征上的负荷,或者在需要的地方,根据患者的解剖结构定制支撑表面,以进行长时间的手术。通过支持是否导致无并发症的手术来评估定制的剧院床垫。利用这一新的工作流程,描述了两例复杂合并症患者的病例。脊柱外科医生和麻醉师报告说,患者定制的床垫符合要求的设计,在解剖突起和需要卸载的区域周围提供足够的间隙,为麻醉方法和插管提供足够的间隙,在手术过程中提供良好的手术通路和稳定性,术后没有软组织超载在骨突起和植入装置上。在成功的长时间手术干预后,积极的患者结果与这些患者特定的、轮廓的床垫支撑有关。未来的项目将寻求将这项技术用于其他类型的手术和术中定位要求,并用于儿科和成人环境中更广泛的患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Patient-Customised Theatre Mattress Supports for Spinal Surgery: A Pilot Study Presenting a Novel Engineering Virtual Design and Manufacturing Technique
Optimal patient positioning for spine surgery is vital for surgical success and the minimisation of complications intra-/post-operatively. In patients with complex co-morbidities, commercially available surgical positioning equipment is inadequate. To overcome this, a novel method was developed to create custom-fit patient-specific theatre mattresses for patients undergoing spine surgery. An innovative digital workflow involving 3D surface scanning, 3D simulation and computer aided design was developed to manufacture customised theatre supports with patient-specific requirements. These supports offered the surgeon an enhanced ability to relieve load bearing on prominent anatomical features or where desired, to tailor the support surface to the patient's anatomy for lengthy surgery. The bespoke theatre mattress was evaluated by whether the support resulted in a complication-free surgery. Using this new workflow, case examples for two patients with complex co-morbidities were described. The spine surgeon and anaesthetist reported the patient-specific custom mattresses were fit as per the required design, provided sufficient clearance around anatomical prominences and areas that required to be unloaded, had sufficient clearance for the anaesthetic method and cannulation, provided excellent surgical access and stability during surgery, and postoperatively no soft tissue overload over bony prominence and implanted devices. Positive patient outcomes after successful lengthy surgical interventions were associated with these patient-specific, contoured mattress supports. Future projects will seek to utilise this technology for other types of surgeries and intra-operative positioning requirements, and for a broader demographic of patients in both the paediatric and adult setting.
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来源期刊
CiteScore
1.80
自引率
11.10%
发文量
56
审稿时长
6-12 weeks
期刊介绍: The Journal of Medical Devices presents papers on medical devices that improve diagnostic, interventional and therapeutic treatments focusing on applied research and the development of new medical devices or instrumentation. It provides special coverage of novel devices that allow new surgical strategies, new methods of drug delivery, or possible reductions in the complexity, cost, or adverse results of health care. The Design Innovation category features papers focusing on novel devices, including papers with limited clinical or engineering results. The Medical Device News section provides coverage of advances, trends, and events.
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