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research-article

Design, Development, and validation of an intraosseous needle placement guide

[+] Author and Article Information
Alexander H. Slocum Jr.

Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115; ASME Member Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, 1155 N. Mayfair Rd, Wauwatosa, WI 53226
ahslocum@gmail.com

Steven Reinitz

Thayer School of Engineering, Dartmouth College, 14 Engineering Drive, Hanover, NH 03755
steven.d.reinitz.09@dartmouth.edu

Shailly H. Jariwala

Thayer School of Engineering, Dartmouth College, 14 Engineering Drive, Hanover, NH 03755
shailly.jariwala@gmail.com

Douglas W. Van Citters

ASME Member Thayer School of Engineering, Dartmouth College, 14 Engineering Drive, Hanover, NH 03755
shailly.jariwala@gmail.com

1Corresponding author.

ASME doi:10.1115/1.4037442 History: Received February 03, 2017; Revised June 20, 2017

Abstract

Intra-osseous (IO) needles are an easy and reliable alternative to intravenous (IV) access in the pre-hospital and emergency settings for treating patients in shock. The advantage of utilizing an IO is that secure, non-collapsible peripheral venous access can be obtained rapidly in critically ill patients. Placement of IO needles in the proximal tibia, humerus, or sternum however, requires knowledge of human anatomy and the requisite skill to position, align, and place the device. In the developing world this is not always available, and in the chaos of an in-hospital code, pre-hospital trauma, or a mass-casualty incident, even trained providers can have trouble correctly placing IVs or IOs. The Tib-Finder™ is an intuitive drill guide that significantly improves efficiency with which IOs can be placed in the proximal tibia. Here, we present the conceptualization, design, and creation of an alpha-prototype Tib-Finder™ drill guide in less than 90 days; initial validation was achieved through analysis of anthropometric measurements of human skeletons, and usability studies were performed using untrained volunteers and mannequins. The Tib-Finder™ is intended to provide first responders and medical personnel, in the first world and the developing world, a way to accurately and repeatably locate the proximal tibia, and achieve safe, rapid intra-vascular access in critically ill patients. Further, it eliminates the need for direct contact between patients and caregivers and improves the ease-of-use of IO devices by first responders and healthcare providers.

Copyright (c) 2017 by ASME
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