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适用于显微外科医生的个性化3D打印眼罩:新冠疫情期间及之后

Personalized 3D Printed Eye Gear for Microscopic Surgeons Amidst and beyond COVID-19.

作者信息

Singh Ramandeep, Singh Rajdeep, Suri Ashish

机构信息

Neuro-Engineering Laboratory, Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi 110029, India.

出版信息

Bioengineering (Basel). 2023 Sep 26;10(10):1129. doi: 10.3390/bioengineering10101129.

Abstract

The COVID-19 pandemic underscored the need for enhanced protective measures for healthcare workers, particularly surgeons, who face a heightened risk of exposure to infectious aerosols. However, conventional eye protection equipment such as face shields, goggles, or glasses often leads to ergonomic discomfort and a reduced field of view (FOV), impeding surgeons' ability to perform microsurgical procedures with precision and ease. To address these limitations, this study aimed to develop personalized 3D-printed eye gear for microscopic surgeons based on facial anthropometry data. 3D scanning was employed to obtain facial data from ten neurosurgery residents. Utilizing computer-aided designing, eye gears tailored to the unique facial features of each participant were developed. Finite element analysis-based contact simulation was used to assess the pressure exerted by the eye gear. Multi-material 3D printing was employed to fabricate the personalized eye gear. Participants, while donning the eye gear, engaged in simulation-based micro suturing tasks at various magnifications of the operating microscope, and marked the FOV range. They provided feedback scores (1-10) on the effectiveness of the eye gear through a Likert scale questionnaire (Q1-Q8). Finite element analysis demonstrated uniform strain distribution on the face, indicating that the edges of the customized eye gear fit exactly to the user's face. The average scores for the questionnaire Q1 to Q8 ranged from 6.8 to 8.5, with an overall mean score of 7.6. This indicates that the developed eye gear was simple to use and did not cause any discomfort. Additionally, the average reduction in the FOV was only 10.93% across the different operating microscope magnifications. These findings highlight eye gear's potential to alleviate discomfort and enhance precision in microscopic surgeries. Consequently, personalized 3D-printed eye gear offers a promising solution for providing surgeons with a safe environment while preserving the benefits of the operating microscope.

摘要

新冠疫情凸显了加强医护人员,尤其是外科医生防护措施的必要性,因为他们面临接触感染性气溶胶的更高风险。然而,传统的眼部防护设备,如面罩、护目镜或眼镜,常常会导致人体工程学上的不适,并缩小视野(FOV),阻碍外科医生精确、轻松地进行显微外科手术。为解决这些局限性,本研究旨在基于面部人体测量数据,为显微外科医生开发个性化的3D打印眼部装备。采用3D扫描从十名神经外科住院医师获取面部数据。利用计算机辅助设计,为每位参与者独特的面部特征定制眼部装备。基于有限元分析的接触模拟用于评估眼部装备施加的压力。采用多材料3D打印制造个性化眼部装备。参与者佩戴眼部装备时,在手术显微镜的不同放大倍数下进行基于模拟的显微缝合任务,并标记视野范围。他们通过李克特量表问卷(Q1-Q8)对眼部装备的有效性给出反馈评分(1-10)。有限元分析表明面部应变分布均匀,表明定制眼部装备的边缘与使用者面部精确贴合。问卷Q1至Q8的平均得分在6.8至8.5之间,总体平均得分为7.6。这表明所开发的眼部装备使用简便,不会引起任何不适。此外,在不同的手术显微镜放大倍数下,视野平均缩小仅10.93%。这些发现凸显了眼部装备在减轻显微手术不适并提高精度方面的潜力。因此,个性化3D打印眼部装备为为外科医生提供安全环境同时保留手术显微镜的优势提供了一个有前景的解决方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c347/10604268/b034700a86f0/bioengineering-10-01129-g001.jpg

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