Incorporating a Hands-On Device-Based Activity in a Human Factors Biomedical Engineering Course in Sub-Saharan Africa.

A challenge in building the biomedical engineering human factors course at Malawi University of Business and Applied Sciences was integrating meaningful direct experiences with medical products. The instructor also noticed a significant gap between the topics in the course and their surrounding clinical context, a low-income setting. Recognizing that devices should be designed and evaluated in the context of the local users' needs and situations, new hands-on modules were created and implemented in this BME human factors course.

Design and Development of a Novel System for Remote Control of Stationary Oxygen Concentrator Flow Rate.

Purpose: Long-term oxygen therapy involves utilizing stationary oxygen concentrators to allow patients with respiratory illnesses to attain sufficient blood oxygenation via supplemental oxygen. Disadvantages of these devices include their lack of remote adjustability and domiciliary accessibility. To adjust oxygen flow, patients typically walk across their homes - a physically taxing activity - to manually rotate the knob of the concentrator flowmeter.

KeyLoop retractor for global gasless laparoscopy: evaluation of safety and feasibility in a porcine model.

Background: Many surgeons in low- and middle-income countries have described performing surgery using gasless (lift) laparoscopy due to inaccessibility of carbon dioxide and reliable electricity, but the safety and feasibility of the technique has not been well documented. We describe preclinical testing of the in vivo safety and utility of KeyLoop, a laparoscopic retractor system to enable gasless laparoscopy.

Methods: Experienced laparoscopic surgeons completed a series of four laparoscopic tasks in a porcine model: laparoscopic exposure, small bowel resection, intracorporeal suturing with knot tying, and cholecystectomy.

Simulation device for shoulder reductions: overview of prototyping, testing, and design instructions.

Background: Shoulder dislocations are common occurrences, yet there are few simulation devices to train medical personnel on how to reduce these dislocations. Reductions require a familiarity with the shoulder and a nuanced motion against strong muscle tension. The goal of this work is to describe the design of an easily replicated, low-cost simulator for training shoulder reductions.

Low Cost Gastroschisis Silo for Sub-Saharan Africa: Testing in a Porcine Model.

Background: Gastroschisis mortality in sub-Saharan Africa (SSA) remains high at 59-100%. Silo inaccessibility contributes to this disparity. Standard of care (SOC) silos cost $240, while median monthly incomes in SSA are < $200.