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Homemade 3D-Printed Affordable and Practical Alternative Videolaryngoscope: First Step

Year 2024, , 1 - 4, 05.07.2024
https://doi.org/10.69601/meandrosmdj.1491677

Abstract

Objective: Changing economic conditions make it difficult for clinics to access the medical devices they need. Videolaryngoscope is one of the devices needed in many units such as operating rooms, intensive care and emergency services. Our study aims to design a low-cost videolaryngoscope (VL) using three-dimensional printing technology and offer clinics a cost-effective alternative to traditional VLs.

Materials and Methods: Initially, three-dimensional images were obtained from the website www.thingeverse.com to form the basis of the videolaryngoscope blade. The Ultimaker Cura 4.0 program (Ultimaker B.V. Netherlands, Utrecht) was used to create three-dimensional drawings of the handle and blade prints. This drawing was produced on a 3D printer using polylactic acid as raw material. Finally, the wireless camera with 1080p HD resolution was positioned on the handle and blade. 3DPVL was tested on an intubation mannequin by a group of 30 anesthesiologists, each with at least 4 years of experience. The intubation times of the participants and their satisfaction with this process were recorded.

Results: In the study, the intubation times performed by 30 anesthesiologists on a mannequin were recorded. It was determined that the average intubation time for 3DPVL was 24.3 seconds. 90% of participants rated the experience as good or excellent. Similarly, satisfaction levels were rated as good or excellent by 60% of participants.

Conclusion: The affordable and practical of production associated with 3DPVL make it a potentially viable alternative to traditional VLs for clinicians. In the second step, a case series focusing on easy airways is planned regarding our device. In later steps, randomized controlled studies are planned between our device and traditional VL in easy and difficult airways.

References

  • Pieters BM, Eindhoven GB, Acott C, van Zundert AAJ. Pioneers of laryngoscopy: indirect, direct and video laryngoscopy. Anaesthesia and Intensive Care. 2015;43(1_suppl):4–11.
  • Zaouter C, Calderon J, Hemmerling TM. Videolaryngoscopy as a new standard of care. Br J Anaesth. 2015;114(2):181–183.
  • Hamal PK, Chaurasia RB, Pokhrel N, et al. An affordable videolaryngoscope for use during the COVID-19 pandemic. Lancet Glob Health. 2020;8(7):e893-e894.
  • Di Prima M, Coburn J, Hwang D, et al. Additively manufactured medical products – the FDA perspective. 3D Print Med 2;2016. p 1.
  • U.S. Department of Health and Human Services: ‘Reprocessing medical devices in healthcare settings: validation methods and labeling.’ https:// www.fda.gov/media/80265/download. [Accessed 1 september 2023].
  • Ataman AK, Altıntas E. Comparison of a commercial 3D fabricated laryngoscope (Airangel®) with a widely-used video laryngoscope (Glidescope®): randomized controlled cross-over study. Trends in Anaesthesia and Critical Care. 2021;40:e35- e40.
  • Terrani A, Bassi E, Ornaghi A, et al. The key role of 3D printing and the new medical sterilizable threads in the development of the translaryngeal Tracheostomy Needle Introducer. 3D Print Med 7;2021. p 14.
  • https://www.weerg.com/guides/how-much-does-3d-printing-cost [Accessed 1 September 2023].
  • Nyrhinen E, Lipnick M, Nyrhinen A. 3D-printed, low-cost videolaryngoscope designed for resource-constrained settings (Poster).
  • https://anesthesia.ucsf.edu/sites/anesthesia.ucsf.edu/files/wysiwyg/pdfs/2_Eve_glyde_2015.pdf. [Accessed 1 September 2023].
  • Lambert CT, John SC, John AV. Development and performance testing of the low-cost, 3D-printed, smartphone-compatible ‘Tansen Videolaryngoscope’vs. Pentax-AWS videolaryngoscope vs. direct Macintosh laryngoscope: a manikin study. European Journal of Anaesthesiology| EJA. 2020;37(11), 992-998.
Year 2024, , 1 - 4, 05.07.2024
https://doi.org/10.69601/meandrosmdj.1491677

Abstract

References

  • Pieters BM, Eindhoven GB, Acott C, van Zundert AAJ. Pioneers of laryngoscopy: indirect, direct and video laryngoscopy. Anaesthesia and Intensive Care. 2015;43(1_suppl):4–11.
  • Zaouter C, Calderon J, Hemmerling TM. Videolaryngoscopy as a new standard of care. Br J Anaesth. 2015;114(2):181–183.
  • Hamal PK, Chaurasia RB, Pokhrel N, et al. An affordable videolaryngoscope for use during the COVID-19 pandemic. Lancet Glob Health. 2020;8(7):e893-e894.
  • Di Prima M, Coburn J, Hwang D, et al. Additively manufactured medical products – the FDA perspective. 3D Print Med 2;2016. p 1.
  • U.S. Department of Health and Human Services: ‘Reprocessing medical devices in healthcare settings: validation methods and labeling.’ https:// www.fda.gov/media/80265/download. [Accessed 1 september 2023].
  • Ataman AK, Altıntas E. Comparison of a commercial 3D fabricated laryngoscope (Airangel®) with a widely-used video laryngoscope (Glidescope®): randomized controlled cross-over study. Trends in Anaesthesia and Critical Care. 2021;40:e35- e40.
  • Terrani A, Bassi E, Ornaghi A, et al. The key role of 3D printing and the new medical sterilizable threads in the development of the translaryngeal Tracheostomy Needle Introducer. 3D Print Med 7;2021. p 14.
  • https://www.weerg.com/guides/how-much-does-3d-printing-cost [Accessed 1 September 2023].
  • Nyrhinen E, Lipnick M, Nyrhinen A. 3D-printed, low-cost videolaryngoscope designed for resource-constrained settings (Poster).
  • https://anesthesia.ucsf.edu/sites/anesthesia.ucsf.edu/files/wysiwyg/pdfs/2_Eve_glyde_2015.pdf. [Accessed 1 September 2023].
  • Lambert CT, John SC, John AV. Development and performance testing of the low-cost, 3D-printed, smartphone-compatible ‘Tansen Videolaryngoscope’vs. Pentax-AWS videolaryngoscope vs. direct Macintosh laryngoscope: a manikin study. European Journal of Anaesthesiology| EJA. 2020;37(11), 992-998.
There are 11 citations in total.

Details

Primary Language English
Subjects Anaesthesiology
Journal Section Research Article
Authors

Varlık K Erel

Pelin Dilsiz Eker This is me 0000-0001-9996-1757

Berke Can Erel This is me

Early Pub Date June 30, 2024
Publication Date July 5, 2024
Submission Date October 25, 2023
Acceptance Date December 25, 2023
Published in Issue Year 2024

Cite

EndNote Erel VK, Dilsiz Eker P, Erel BC (July 1, 2024) Homemade 3D-Printed Affordable and Practical Alternative Videolaryngoscope: First Step. Meandros Medical And Dental Journal 25 1 1–4.