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Technical Brief

Cervical Spine Immobilization Device for Emergency Response1

[+] Author and Article Information
Alperen Degirmenci, Benjamin Goldberg, Lukas Bielskis, Shanna Wiggins

Harvard School of Engineering and
Applied Sciences,
Cambridge, MA 02138

Panagiotis Polygerinos

Harvard School of Engineering and
Applied Sciences,
Cambridge, MA 02138;
Wyss Institute for Biologically Inspired
Engineering,
Cambridge, MA 02138

Dónal Holland

Harvard School of Engineering and
Applied Sciences,
Cambridge, MA 02138;
Trinity College Dublin,
Dublin 2, Ireland

Sophia Dyer

Boston EMS,
Boston Medical Center,
Boston, MA 02118

Conor J. Walsh

Harvard School of Engineering and
Applied Sciences
Cambridge, MA 02138;
Wyss Institute for Biologically Inspired
Engineering,
Cambridge, MA 02138

Accepted and presented at the Design of Medical Devices Conference (DMD2014), Minneapolis, MN, April 7–10, 2014.

Manuscript received February 21, 2014; final manuscript received March 3, 2014; published online April 28, 2014. Editor: Arthur G. Erdman.

J. Med. Devices 8(2), 020936 (Apr 28, 2014) (3 pages) Paper No: MED-14-1027; doi: 10.1115/1.4026998 History: Received February 21, 2014; Revised March 03, 2014

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References

Alker, G., Jr., Oh, Y. S., and Leslie, E. V., 1978, “High Cervical Spine and Craniocervical Junction Injuries in Fatal Traffic Accidents: A Radiological Study,” Orth. Clin. N. Am., 9(4), pp. 1003–1010.
Chandler, D. R., Nemejc, C., Adkins, R. H., and Waters, R. L., 1992, “Emergency Cervical-Spine Immobilization,” Ann. Emerg. Med., 21(10), pp. 1185–1188. [CrossRef]
Dehner, C., Hartwig, E., Strobel, P., Scheich, M., Schneider, F., Elbel, M., Kinzl, L., and Kramer, M., 2006, “Comparison of the Relative Benefits of 2 Versus 10 Days of Soft Cervical Collar Immobilization After Acute Whiplash Injury,” Arch. Phys. Med. Rehabil., 87(11), pp. 1423–1427. [CrossRef]
Mobbs, R. J., Stoodley, M. A., and Fuller, J., 2002, “Effect of Cervical Hard Collar on Intracranial Pressure After Head Injury,” ANZ J. Surg., 72(6), pp. 389–391. [CrossRef]
Ben-Galim, P., Dreiangel, N., Mattox, K. L., Reitman, C. A., Kalantar, S. B., and Hipp, J. A., 2010, “Extrication Collars Can Result in Abnormal Separation Between Vertebrae in the Presence of a Dissociative Injury,” J. Trauma, 69(2), pp. 447–450. [CrossRef]
Dyer, S., 2013, personal interview, February 7.

Figures

Grahic Jump Location
Fig. 1

(a) Cervical spine immobilization device; (b) “finger” elements; (c) sliding mechanism

Grahic Jump Location
Fig. 2

Device applied to a patient

Grahic Jump Location
Fig. 3

(left) Experimental setup for measuring head deflection in the pitch direction, (right) images showing head analogues in the neutral position (top), and deflected in response to 3 kg of force (bottom)

Grahic Jump Location
Fig. 4

Comparison of the amount of neck movement allowed with each device in the three rotational degrees of freedom

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