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Tracheostomy Tube S ecurity D evice. March 6 th ,2009 Katie Pollock – Leader Becca Clayman - Communicator Kim Safarik - BWIG Paul Fossum – BSAC Advisor – Paul Thompson Client – Dr. Timothy McCulloch. Outline. Background Strap Connections Back Pressure system Materials Final Design
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Tracheostomy Tube Security Device March 6th,2009 Katie Pollock – Leader Becca Clayman - Communicator Kim Safarik - BWIG Paul Fossum – BSAC Advisor – Paul Thompson Client – Dr. Timothy McCulloch
Outline • Background • Strap Connections • Back Pressure system • Materials • Final Design • Future Work • Questions
What is a Tracheostomy • Emergency/Non-emergency procedures • Tube placed in trachea to allow patient to breathe • Semi-permanent/permanent opening http://www.kevinmd.com/blog/hello/51/959/640/trachdiag.jpg
Why is a Tracheotomy Performed? • Airway obstruction • Windpipe blocked by swelling • Foreign objects • Paralysis of throat • Tumor • Lung disease http://www.deepspace4.com/pages/prophecy/fatima/images/tracheotomy.jpg
Problems With Current Straps • Ulcers and Banding • Caused by excess pressure • Loose strap = loose tube Accidental Decannulation • Readily absorbs moisture • Neck Dependant http://www.medicdirect.co.uk/images/tracheostomy_large.jpg http://www.southwestmedical.com/images/products/images/RTK101-201.jpg
Client Requirements • Wider, comfortable strap • Adjustment monitoring system • Increase comfort and adjustability of pressure • Easy to maintain • Last for 5-7 days http://www.marpacinc.com/Images/bariatricart.jpg http://www.istockphoto.com/file_thumbview_approve/4032641/2/istockphoto_4032641-tracheotomy.jpg
Strap Attachment • Velcro • Redesigned hat snaps • 1-way self locking mechanism – similar to a cable tie • Redesigned belt
Back Design • Air • Gel • Water • Foam http://www.ergo4me.com/chairbuilder/option_images/foam-memory.jpg http://en.wikipedia.org/wiki/File:Hairgel.JPG
Self Adjusting Pressure Design • Hardware one way check valve • Plastic one way valve – similar to a no mess ketchup bottle
Strap Material Design • Plastics – malleable • Cotton • Backpack mesh • Fleece
Final Design • Redesigned hat snaps • Water filled • Plastic one way pressure valve • Backpack mesh
Future Work • Continue discussion with client • Order Materials • Fabricate Prototype • Testing • Fabricate final prototype
Sources • Timothy McCulloch, M.D. • Chairmen of Otolaryngology, University of Wisconsin School of Medicine of Public Health • Anna Krupp, Clinical Nurse Specialist • www.tracheostomy.com