Background: This is a proof-of-concept study to show that simple instrumentation problems encountered in surgery can be solved by fabricating devices using a three-dimensional printer. The device used in the study is a simple tubing connector fashioned to connect two segments of suction tubing used in a surgical procedure where no commercially available product for this use is available through our usual suppliers in New Zealand.
Materials And Methods: A cylindrical tubing connector was designed using three-dimensional printing design software. The tubing connector was fabricated using the Makerbot Replicator 2X three-dimensional printer. The connector was used in 15 second-trimester dilation and evacuation procedures. Data forms were completed by the primary operating surgeon. Descriptive statistics were used with the expectation that the device would function as intended in all cases.
Experience: The three-dimensional printed tubing connector functioned as intended in all 15 instances.
Conclusion: Commercially available three-dimensional printing technology can be used to overcome simple instrumentation problems encountered during gynecologic surgical procedures.
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http://dx.doi.org/10.1097/AOG.0000000000001237 | DOI Listing |
J Stroke Cerebrovasc Dis
January 2025
UCHealth Memorial Hospital Colorado Springs, Colorado, USA. Electronic address:
Introduction: During a cerebrovascular procedure, diligent care is made to ensure no air is present in lines and connectors. Should air enter the cerebral vasculature, cerebral air emboli can cause worsening neurological outcome or death. This communication outlines how a process change of refrigerating mixed heparin for storage lead to the presence of unintentional air, or off-gassing of the fluid.
View Article and Find Full Text PDFA A Pract
November 2024
From the Department of Anesthesiology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Transporting spontaneously ventilating adults with tracheostomies from the operating room (OR) or other anesthetizing locations to the intensive care unit (ICU) or other recovery locations presents significant challenges, as traditional T-pieces may not be readily available. This article describes a novel modification to the Ayre's T-piece, designed to address this gap by using readily available equipment. The modification integrates a 3-mL syringe, a size 7.
View Article and Find Full Text PDFBiofabrication
August 2024
Light Activated Biomaterials (LAB) Group, University of Otago, Christchurch 8011, New Zealand.
Nutr Clin Pract
October 2024
McWilliams School of Biomedical Informatics, UTHealth Houston, Houston, Texas, USA.
In 2011, "Tubing Misconnections: Normalization of Deviance" reported >100 cases of enteral tubing misconnections leading to patient harm. Despite development of safer enteral device connectors, 96 new cases of enteral misconnections have been published since 2011. Publication and safety databases were searched for reports from 2011 to 2023.
View Article and Find Full Text PDFClin Ophthalmol
July 2024
Department of Ophthalmology and Visual Sciences, Federal University of São Paulo (UNIFESP), São Paulo, São Paulo, Brazil.
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