The University of Southampton
University of Southampton Institutional Repository
Warning ePrints Soton is experiencing an issue with some file downloads not being available. We are working hard to fix this. Please bear with us.

Bioengineering considerations in the prevention of medical device-related pressure ulcers

Bioengineering considerations in the prevention of medical device-related pressure ulcers
Bioengineering considerations in the prevention of medical device-related pressure ulcers
Background
In recent years, it has become increasingly apparent that medical device-related pressure ulcers represent a significant burden to both patients and healthcare providers. Medical devices can cause damage in a variety of patients from neonates to community based adults. To date, devices have typically incorporated generic designs with stiff polymer materials, which impinge on vulnerable soft tissues. As a result, medical devices that interact with the skin and underlying soft tissues can cause significant deformations due to high interface pressures caused by strapping or body weight.

Methods
This review provides a detailed analysis of the latest bioengineering tools to assess device related skin and soft tissue damage and future perspectives on the prevention of these chronic wounds. This includes measurement at the device-skin interface, imaging deformed tissues, and the early detection of damage through biochemical and biophysical marker detection. In addition, we assess the potential of computational modelling to provide a means for device design optimisation and material selection.

Interpretation
Future collaboration between academics, industrialists and clinicians should provide the basis to improve medical device design and prevent the formation of these potentially life altering wounds. Ensuring clinicians report devices that cause pressure ulcers to regulatory agencies will provide the opportunity to identify and improve devices, which are not fit for purpose.
0268-0033
70-77
Bader, D.L.
9884d4f6-2607-4d48-bf0c-62bdcc0d1dbf
Worsley, P.R.
6d33aee3-ef43-468d-aef6-86d190de6756
Gefen, A.
85d29654-5b34-472a-91ac-b2a31c590ea9
Bader, D.L.
9884d4f6-2607-4d48-bf0c-62bdcc0d1dbf
Worsley, P.R.
6d33aee3-ef43-468d-aef6-86d190de6756
Gefen, A.
85d29654-5b34-472a-91ac-b2a31c590ea9

Bader, D.L., Worsley, P.R. and Gefen, A. (2019) Bioengineering considerations in the prevention of medical device-related pressure ulcers. Clinical Biomechanics, 67, 70-77. (doi:10.1016/j.clinbiomech.2019.04.018).

Record type: Article

Abstract

Background
In recent years, it has become increasingly apparent that medical device-related pressure ulcers represent a significant burden to both patients and healthcare providers. Medical devices can cause damage in a variety of patients from neonates to community based adults. To date, devices have typically incorporated generic designs with stiff polymer materials, which impinge on vulnerable soft tissues. As a result, medical devices that interact with the skin and underlying soft tissues can cause significant deformations due to high interface pressures caused by strapping or body weight.

Methods
This review provides a detailed analysis of the latest bioengineering tools to assess device related skin and soft tissue damage and future perspectives on the prevention of these chronic wounds. This includes measurement at the device-skin interface, imaging deformed tissues, and the early detection of damage through biochemical and biophysical marker detection. In addition, we assess the potential of computational modelling to provide a means for device design optimisation and material selection.

Interpretation
Future collaboration between academics, industrialists and clinicians should provide the basis to improve medical device design and prevent the formation of these potentially life altering wounds. Ensuring clinicians report devices that cause pressure ulcers to regulatory agencies will provide the opportunity to identify and improve devices, which are not fit for purpose.

Text
Bioengineering considerations in the prevention of medical device-related pressure ulcers - Accepted Manuscript
Download (5MB)

More information

Accepted/In Press date: 26 April 2019
e-pub ahead of print date: 28 April 2019
Published date: July 2019

Identifiers

Local EPrints ID: 430914
URI: http://eprints.soton.ac.uk/id/eprint/430914
ISSN: 0268-0033
PURE UUID: 90a72e25-0841-4746-beb1-78784f1a85a0
ORCID for D.L. Bader: ORCID iD orcid.org/0000-0002-1208-3507
ORCID for P.R. Worsley: ORCID iD orcid.org/0000-0003-0145-5042

Catalogue record

Date deposited: 17 May 2019 16:30
Last modified: 22 Nov 2021 07:22

Export record

Altmetrics

Contributors

Author: D.L. Bader ORCID iD
Author: P.R. Worsley ORCID iD
Author: A. Gefen

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×