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Salomez-Ihl C, Chapuis C, Albaladejo P, Picard M, Baron A, Garcia PP, Evain JN, Giai J, Barbado M, Moreau-Gaudry A, Bosson JL, Picard J, Bedouch P. [Construction of a methodology for clinical evaluation of medical devices using simulation tools and illustration through three studies]. ANNALES PHARMACEUTIQUES FRANÇAISES 2024:S0003-4509(24)00136-6. [PMID: 39276966 DOI: 10.1016/j.pharma.2024.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 08/30/2024] [Accepted: 09/09/2024] [Indexed: 09/17/2024]
Abstract
INTRODUCTION European regulations have recently moved towards more stringent requirements for demonstrating the safety and performance of medical devices (MDs). OBJECTIVE To apply an innovative testing method using medical simulation to the evaluation of three medical devices at different stages of their life cycle. METHOD The methodology for evaluating DMs using simulation is based on seven stages: definition of the context, training, construction of a scenario to test the DM, validation of the scenario, realization of the scenario, evaluation of the scenario by the players and validation and exploitation of the results. RESULTS Our evaluation methodology enabled us to assess three DMs at different stages of their development: a respiratory protection device at the initial stage (prototype definition), a respiratory protection mask (prototype optimization) and bottle adapters (post-marketing). CONCLUSION Simulation is a valuable tool for evaluating DM. The proposed methodology enables it to be used and adapted to different contexts. It responds to the specificities of clinical evaluation of this class of products, and helps to better anticipate certain risks.
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Affiliation(s)
- Cordélia Salomez-Ihl
- TIMC, UMR5525, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, University Grenoble Alpes, 38000 Grenoble, France; Department of Pharmacy, CHU Grenoble Alpes, University Grenoble Alpes, 38000 Grenoble, France.
| | - Claire Chapuis
- Department of Pharmacy, CHU Grenoble Alpes, University Grenoble Alpes, 38000 Grenoble, France
| | - Pierre Albaladejo
- TIMC, UMR5525, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, University Grenoble Alpes, 38000 Grenoble, France; Department of Anesthesia and Intensive Care, CHU Grenoble Alpes, 38000 Grenoble, France
| | - Marielle Picard
- Department of Anesthesia and Intensive Care, CHU Grenoble Alpes, 38000 Grenoble, France
| | - Aline Baron
- Department of Anesthesia and Intensive Care, CHU Grenoble Alpes, 38000 Grenoble, France
| | - Paz Pardo Garcia
- Department of Anesthesia and Intensive Care, CHU Grenoble Alpes, 38000 Grenoble, France
| | - Jean-Noël Evain
- TIMC, UMR5525, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, University Grenoble Alpes, 38000 Grenoble, France; Department of Anesthesia and Intensive Care, CHU Grenoble Alpes, 38000 Grenoble, France
| | - Joris Giai
- Inserm, CHU Grenoble Alpes, CIC1406, University Grenoble Alpes, 38000 Grenoble, France
| | - Maud Barbado
- Inserm, CHU Grenoble Alpes, CIC1406, University Grenoble Alpes, 38000 Grenoble, France
| | | | - Jean-Luc Bosson
- TIMC, UMR5525, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, University Grenoble Alpes, 38000 Grenoble, France; Inserm, CHU Grenoble Alpes, CIC1406, University Grenoble Alpes, 38000 Grenoble, France
| | - Julien Picard
- TIMC, UMR5525, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, University Grenoble Alpes, 38000 Grenoble, France; Department of Anesthesia and Intensive Care, CHU Grenoble Alpes, 38000 Grenoble, France
| | - Pierrick Bedouch
- TIMC, UMR5525, CNRS, UMR 5525, VetAgro Sup, Grenoble INP, CHU Grenoble Alpes, University Grenoble Alpes, 38000 Grenoble, France; Department of Pharmacy, CHU Grenoble Alpes, University Grenoble Alpes, 38000 Grenoble, France
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Marcilly R, Schiro J, Genin M, Somers S, Migaud MC, Mabile F, Pelayo S, Del Zotto M, Rochat J. Detectability of use errors in summative usability tests of medical devices: Impact of the test environment. APPLIED ERGONOMICS 2024; 118:104266. [PMID: 38479216 DOI: 10.1016/j.apergo.2024.104266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 02/20/2024] [Accepted: 03/05/2024] [Indexed: 05/03/2024]
Abstract
The regulations on summative usability evaluations of medical devices (MDs) emphasize that the test environment must have sufficient ecological validity for generalization to real-life use. Here, we examined the influence of environmental fidelity (a component of ecological validity) on the detectability of MD use errors. A total of 140 participants participated in a summative usability evaluation of an anaphylactic shock auto-injector device under either a high-fidelity condition or a condition acceptable from the manufacturer's perspective, lower-fidelity condition. The numbers of errors detected in each condition were compared by applying descriptive statistics and logistic and Poisson multivariate regressions. We found that the level of fidelity did not influence the overall number of use errors detected but did influence the detection of certain use errors. To optimize the test environment and increase the detection of use errors, each environmental feature's role in the test task should first be examined.
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Affiliation(s)
- Romaric Marcilly
- Univ. Lille, CHU Lille, ULR 2694, METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, F-59000, Lille, France; Inserm, CIC-IT 1403, F-59000, Lille, France.
| | - Jessica Schiro
- Univ. Lille, CHU Lille, ULR 2694, METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, F-59000, Lille, France; Inserm, CIC-IT 1403, F-59000, Lille, France
| | - Michael Genin
- Univ. Lille, CHU Lille, ULR 2694, METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, F-59000, Lille, France
| | - Stéphanie Somers
- Inserm, CIC 1403 - Centre d'investigation Clinique, Université de Lille, CHU de Lille, 59000, Lille, France
| | - Maria-Claire Migaud
- Inserm, CIC 1403 - Centre d'investigation Clinique, Université de Lille, CHU de Lille, 59000, Lille, France
| | | | - Sylvia Pelayo
- Univ. Lille, CHU Lille, ULR 2694, METRICS: Évaluation des Technologies de Santé et des Pratiques Médicales, F-59000, Lille, France; Inserm, CIC-IT 1403, F-59000, Lille, France
| | - Marzia Del Zotto
- Division of Medical Information Sciences, Geneva University Hospitals, Geneva, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland
| | - Jessica Rochat
- Division of Medical Information Sciences, Geneva University Hospitals, Geneva, Switzerland; Faculty of Medicine, University of Geneva, Geneva, Switzerland
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Baumann S, Stone RT, Abdelall E. Introducing a Remote Patient Monitoring Usability Impact Model to Overcome Challenges. SENSORS (BASEL, SWITZERLAND) 2024; 24:3977. [PMID: 38931760 PMCID: PMC11207983 DOI: 10.3390/s24123977] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2024] [Revised: 06/10/2024] [Accepted: 06/13/2024] [Indexed: 06/28/2024]
Abstract
Telehealth and remote patient monitoring (RPM), in particular, have been through a massive surge of adoption since 2020. This initiative has proven potential for the patient and the healthcare provider in areas such as reductions in the cost of care. While home-use medical devices or wearables have been shown to be beneficial, a literature review illustrates challenges with the data generated, driven by limited device usability. This could lead to inaccurate data when an exam is completed without clinical supervision, with the consequence that incorrect data lead to improper treatment. Upon further analysis of the existing literature, the RPM Usability Impact model is introduced. The goal is to guide researchers and device manufacturers to increase the usability of wearable and home-use medical devices in the future. The importance of this model is highlighted when the user-centered design process is integrated, which is needed to develop these types of devices to provide the proper user experience.
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Affiliation(s)
- Steffen Baumann
- Department of Industrial and Manufacturing Systems Engineering, Iowa State University, Ames, IA 50011, USA;
| | - Richard T. Stone
- Department of Industrial and Manufacturing Systems Engineering, Iowa State University, Ames, IA 50011, USA;
| | - Esraa Abdelall
- Department of Industrial Engineering, Jordan University of Science and Technology, Ar-Ramtha 3030, Jordan;
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Candidori S, Dozio N, Osouli K, Graziosi S, Zanini AA, Costantino ML, De Gaetano F. Improving maternal safety: Usability and performance assessment of a new medical device for the treatment of postpartum haemorrhage. APPLIED ERGONOMICS 2024; 117:104223. [PMID: 38219376 DOI: 10.1016/j.apergo.2023.104223] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/28/2023] [Revised: 12/18/2023] [Accepted: 12/28/2023] [Indexed: 01/16/2024]
Abstract
Postpartum haemorrhage (PPH) is an obstetric emergency causing nearly one-quarter of maternal deaths worldwide, 99% of these in low-resource settings (LRSs). Uterine balloon tamponade (UBT) devices are a non-surgical treatment to stop PPH. In LRSs, low-cost versions of UBT devices are based on the condom balloon tamponade (CBT) technique, but their effectiveness is limited. This paper discusses the experimental study to assess the usability and performance of a medical device, BAMBI, designed as an alternative to current CBT devices. The testing phase involved medical and non-medical personnel and was focused on testing BAMBI's usability and effectiveness compared to a standard CBT solution. We collected measures of the execution time and the procedure outcome. Different training procedures were also compared. Results show a significant preference for the BAMBI device. Besides, medical and non-medical subjects reached comparable outcomes. This aspect is highly relevant in LRSs where the availability of medical personnel could be limited.
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Affiliation(s)
- Sara Candidori
- Department of Mechanical Engineering, Politecnico di Milano, Via La Masa 1, 20156, Milan, Italy.
| | - Nicolò Dozio
- Department of Mechanical Engineering, Politecnico di Milano, Via La Masa 1, 20156, Milan, Italy.
| | - Kasra Osouli
- Department of Chemistry, Materials and Chemical Engineering "G. Natta", Politecnico di Milano, Piazza Leonardo da Vinci 31, 20133, Milan, Italy.
| | - Serena Graziosi
- Department of Mechanical Engineering, Politecnico di Milano, Via La Masa 1, 20156, Milan, Italy.
| | | | - Maria Laura Costantino
- Department of Chemistry, Materials and Chemical Engineering "G. Natta", Politecnico di Milano, Piazza Leonardo da Vinci 31, 20133, Milan, Italy.
| | - Francesco De Gaetano
- Department of Chemistry, Materials and Chemical Engineering "G. Natta", Politecnico di Milano, Piazza Leonardo da Vinci 31, 20133, Milan, Italy.
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Shah J, Vithalapara K, Malik S, Lavania A, Solanki S, Adhvaryu NS. Human factor engineering of point-of-care near infrared spectroscopy device for intracranial hemorrhage detection in Traumatic Brain Injury: A multi-center comparative study using a hybrid methodology. Int J Med Inform 2024; 184:105367. [PMID: 38325122 DOI: 10.1016/j.ijmedinf.2024.105367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Revised: 01/29/2024] [Accepted: 01/31/2024] [Indexed: 02/09/2024]
Abstract
OBJECTIVE This study assessed machine learning powered Near-infrared spectroscopy based (mNIRS) device's usability and human factor ergonomics in four distinct healthcare provider groups. BACKGROUND Traumatic Brain Injury (TBI) is a global concern with significant well-being implications. Timely intracranial hemorrhage (ICH) detection is crucial. mNIRS offers efficient non-invasive TBI screening. METHODS Two device utilization stages involved operators (N = 21) and TBI-suspected subjects (n = 120). A hybrid approach used qualitative and quantitative methods, utilizing a 57-item survey and task completion time. RESULTS All groups positively perceived user-interface, physical, cognitive, and organizational ergonomics. The device's ease of use, calibration, size, cognitive support, and integration gained appreciation. Training reduced task completion time from 16.5 to 13.2 s. CONCLUSION mNIRS-based CEREBO® proves usable for TBI point-of-care assessment. Positive feedback from diverse healthcare groups validates design and cost-effectiveness alignment. A hybrid approach, training, and practice scans enhance usage and experience.
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Affiliation(s)
- Jaimin Shah
- Civil Hospital, Asarwa, Department of Neurosurgery, Ahmedabad, Gujarat, India
| | | | - Shilpa Malik
- Bioscan Research Pvt. Ltd., Ahmedabad, Gujarat, India
| | | | - Shailendra Solanki
- Civil Hospital, Asarwa, Department of Neurosurgery, Ahmedabad, Gujarat, India
| | - Nilay S Adhvaryu
- Civil Hospital, Asarwa, Department of Neurosurgery, Ahmedabad, Gujarat, India
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Graham T, Sooriah S, Chang YS, Hashimdeen S, Meydan T, Grocott P. Translating patient needs into medical device development: co-design of a photoprotection visor for Xeroderma Pigmentosum using qualitative interviews. Orphanet J Rare Dis 2024; 19:64. [PMID: 38351060 PMCID: PMC10865654 DOI: 10.1186/s13023-023-03002-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 12/19/2023] [Indexed: 02/16/2024] Open
Abstract
INTRODUCTION People with Xeroderma Pigmentosum (XP) have a heightened sensitivity to ultraviolet radiation (UVR) and are advised to wear photoprotective clothing including a visor covering the face and neck. Photoprotective visors are homemade and predominately worn by children with decreasing frequency as age increases. To improve upon the current design and efficacy we were tasked with developing a prototype visor to meet patients' needs. METHODS Adopting a codesign methodology, patients' experiences of wearing a visor and patient and carer views of emerging prototypes were explored during interviews. A thematic analysis was conducted in parallel with data collection and themes were interpreted into design cues; desirable attributes of a visor that would counteract the negative user experiences and meet the requirements described by patients and carers. The design cues guided the iterative development of prototypes by academic engineers. RESULTS Twenty-four interviews were conducted with patients and carers. Thematic analysis resulted in the following five themes: Being safe from UVR exposure; self-consciousness; temperature effects; acoustic difficulties; and material properties. The following design cues were developed from the themes respectively; materials and design with high UVR protection; ability to customise with own headwear; ventilation to reduce steaming up; acoustic functionality to enable hearing and speech; foldable, portable, and easy to put on and take off. CONCLUSIONS It is important to understand people's experiences of using medical devices to improve their safety, efficiency and user satisfaction. The user experience themes and design cues, informed the iterative development of low fidelity visor prototypes as part of a codesign process. These design cues and responses to the prototypes are guiding commercial manufacturing and regulatory approval. The visor can then be prescribed to patients, providing an equitable service of care.
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Affiliation(s)
- Tanya Graham
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Kings College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK.
| | - Sangeeta Sooriah
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Kings College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK
- Healthwatch Camden, 85-87 Bayham Street, London, NW1 0AG, UK
| | - Yan-Shing Chang
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Kings College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK
| | - Shaikh Hashimdeen
- University of Wales Trinity Saint David, Centre for Advanced Batch Manufacture (CBM), Waterfront, Innovation Quarter Campus, Heol Ynys, Kings Road, Swansea, SA1 8EW, UK
- Cardiff School of Engineering, Cardiff University, Queen's Buildings, The Parade, Cardiff, CF24 3AA, UK
| | - Turgut Meydan
- Cardiff School of Engineering, Cardiff University, Queen's Buildings, The Parade, Cardiff, CF24 3AA, UK
| | - Patricia Grocott
- Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, Kings College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA, UK
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Tüshaus L, Kelly K, Siebert J, Kohl-Sobania M. About the Usage and Usability of Central Venous Catheters in Children with TPN: the Parents' Viewpoint. KLINISCHE PADIATRIE 2023. [PMID: 37972962 DOI: 10.1055/a-2196-8630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2023]
Abstract
BACKGROUND Medical devices are important components of medical care. Therefore, they must be safe and useful for patients. This study aimed to analyze the situation of children with central venous catheters (CVCs) for long-term parenteral nutrition from the parents' perspective with respect to patient safety and usefulness. METHODS An online cross-sectional survey was conducted using a quantitative research approach, with a German patient support group for children with chronic intestinal failure. RESULTS 61 responses were collected between November 202 and January 2021. Concerning the usability of the CVCs, the caregivers assessed overall satisfaction, patient safety, usability, learnability of handling, "self-explanatory ability, " and mental load. Furthermore, various suggestions for improvements have been documented. CONCLUSION Although CVCs can cause a variety of complications in the context of long-term use, the usage for parents in everyday life is feasible. Insufficient fixation and protection outside of the body have been identified as unmet clinical needs. In addition to the underlying disease of chronic intestinal failure, the catheter adds an extra mental burden to families' lives. Furthermore, parents articulated the need for further information and training.
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Affiliation(s)
- Ludger Tüshaus
- Department of Pediatric Surgery, University Medical Center Schleswig Holstein Lübeck Campus, Lubeck, Germany
| | - Kathrin Kelly
- Department of Pediatric Surgery, University Medical Center Schleswig Holstein Lübeck Campus, Lubeck, Germany
| | - Julia Siebert
- Department of Pediatric Surgery, University Medical Center Schleswig Holstein Lübeck Campus, Lubeck, Germany
| | - Martina Kohl-Sobania
- Department of Pediatrics and Adolescent Medicine, University Medical Center Schleswig Holstein Lübeck Campus, Lubeck, Germany
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Zhao L, Vora LK, Kelly SA, Li L, Larrañeta E, McCarthy HO, Donnelly RF. Hydrogel-forming microarray patch mediated transdermal delivery of tetracycline hydrochloride. J Control Release 2023; 356:196-204. [PMID: 36868520 DOI: 10.1016/j.jconrel.2023.02.031] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 02/20/2023] [Accepted: 02/22/2023] [Indexed: 03/05/2023]
Abstract
Antibiotic resistance is one of the most serious health problems today and is expected to worsen in the coming decades. It has been suggested that antibiotic administration routes that bypass the human gut could potentially tackle this problem. In this work, an antibiotic hydrogel-forming microarray patch (HF-MAP) system, which can be used as an alternative antibiotic delivery technology, has been fabricated. Specifically, poly(vinyl alcohol)/poly(vinylpyrrolidone) (PVA/PVP) microarray showed excellent swelling properties with >600% swelling in PBS over 24 h. The tips on the HF-MAP were proven to be able to penetrate a skin model which is thicker than stratum corneum. The antibiotic (tetracycline hydrochloride) drug reservoir was mechanically robust and dissolved completely in an aqueous medium within a few minutes. In vivo animal studies using a Sprague Dawley rat model showed antibiotic administration using HF-MAP achieved a sustained release profile, in comparison with animals receiving oral gavage and intravenous (IV) injection, with a transdermal bioavailability of 19.1% and an oral bioavailability of 33.5%. The maximum drug plasma concentration for HF-MAP group reached 7.40 ± 4.74 μg/mL at 24 h, whereas the drug plasma concentration for both oral (5.86 ± 1.48 μg/mL) and IV (8.86 ± 4.19 μg/mL) groups peaked soon after drug administration and had decreased to below the limit of detection at 24 h. The results demonstrated that antibiotics can be delivered by HF-MAP in a sustained manner.
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Affiliation(s)
- Li Zhao
- School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom
| | - Lalitkumar K Vora
- School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom
| | - Stephen A Kelly
- School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom
| | - Linlin Li
- School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom
| | - Eneko Larrañeta
- School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom
| | - Helen O McCarthy
- School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom
| | - Ryan F Donnelly
- School of Pharmacy, Queen's University Belfast, 97 Lisburn Road, Belfast BT9 7BL, United Kingdom.
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