2020年4月30日 星期四

台灣醫師賴賢勇設計的「插管防疫箱」獲30多國改良採用

(中央社記者張茗喧台北30日電)武漢肺炎延燒,台灣醫師賴賢勇設計的「插管防疫箱」獲30多國改良採用,波士頓醫學中心更以此進行實驗證實有效,並發表專文、拍攝影片發表在頂尖的新英格蘭醫學期刊。
武漢肺炎(2019冠狀病毒疾病,COVID-19)全球肆虐,花蓮門諾醫院麻醉科醫師賴賢勇設計透明壓克力板「插管防疫箱」,直接罩在患者頭部執行插管治療,降低醫療人員遭患者飛沫噴濺風險,至今已獲30多國改良採用,作為防疫時醫師防護裝備缺乏的設備。
賴賢勇的母校陽明大學今天發布新聞稿指出,賴賢勇的「插管防疫箱」公開設計後,至今已經有30多國改良採用,這個看似不起眼的透明壓克力板,讓醫師執行插管治療時,能降低遭患者咳嗽飛沫噴濺的風險。
台灣醫師賴賢勇設計「插管防疫箱」,至今已獲30多國改良採用,美國波士頓醫學中心更以此進行實測並發表專文、拍攝影片,發表在國際醫學期刊「新英格蘭醫學雜誌」。(陽明大學提供)中央社記者張茗喧傳真 109年4月30日
台灣醫師賴賢勇設計「插管防疫箱」,至今已獲30多國改良採用,美國波士頓醫學中心更以此進行實測並發表專文、拍攝影片,發表在國際醫學期刊「新英格蘭醫學雜誌」。(陽明大學提供)中央社記者張茗喧傳真 109年4月30日
陽明大學表示,這項設計經過波士頓醫學中心實際試驗後,特地發表專文並拍攝影片發表在新英格蘭醫學期刊(the New England Journal of Medicine),讓台灣的巧思成為國際醫學期刊以及知名醫學機構推薦醫護使用的配備。
在波士頓醫學中心的實驗中,實驗團隊將含有10毫升螢光染劑的氣球安置於人體模型中,並將氣球充氣爆破,模擬插管咳嗽時飛沫噴濺的狀態。
在實驗組與對照組的比較下,沒有使用防疫箱醫護人員,即使穿上個人防護裝備,病患的飛沫仍會汙染防護衣、面罩、手套、頸部、耳朵、鞋子等,甚至是醫院地板都能發現飛沫;但有了賴賢勇的防疫箱,模擬的飛沫只汙染了防疫箱內層以及醫師手套、防護衣前臂,其餘地方都沒有肉眼可見的汙染。
這個簡單的實驗雖然無法模擬真實咳嗽飛沫噴出的方向、速度、規模,大小等,但波士頓醫學中心仍認為可提供額外保護、作為臨時性屏障,並建議可以作為標準個人防護裝備的配件。
對於「插管防疫箱」經過實測登上知名醫學期刊,並獲得多國採用,陽明大學校長郭旭崧表示,這證明愛心不需要很花俏的科技,只要有心,每個人都能替世界盡一份心力。(編輯:陳清芳)1090430

2020年4月28日 星期二

Taiwan doctor's easy-to-make Aerosol Box embraced in Japan




Taiwan doctor's easy-to-make Aerosol Box embraced in Japan

KYODO
A creative solution to protect health care providers at high risk of contracting the coronavirus amid the global shortage of personal protective equipment is attracting interest throughout the world, including in Japan.
The Aerosol Box, created and shared online by Lai Hsien-yung, an anesthesiologist from Taiwan, is a transparent box shielding a provider’s face from aerosol particles contaminated by the virus while intubating an infected patient, many of whom develop respiratory failure.
“I felt that I was protected,” said Takahiro Kusume, 32, a doctor on the front line of an anti-coronavirus team at a university hospital in Tokyo.
This month he asked his brother, who owns a design studio in Kobe, to make the product based on the design shared online by Lai.
“I feel safe even when my face has to come close to a patient during my work,” said a male doctor in his 50s at a medical facility in Osaka who is developing measures to prevent infections among staff and patients at the institution. “We bought two of them to prepare for an increase in the number of patients.”
The Aerosol Box is a transparent boxlike structure that can be cheaply made using acrylic or transparent polycarbonate sheet, according to the website, which gives design specifications.
It covers the head of the patient lying on the bed, with the health care provider sticking his or her arms in two holes on one side of the box.
The box “effectively shields a provider’s face from a patient’s airway, while allowing the provider to move his/her arms freely to perform all necessary tasks during endotracheal intubation,” the website explains, adding that the box can be cleaned thoroughly with a solution of 70 percent alcohol or bleach to be reused for the next patient.
Lai, 52, who works at the Mennonite Christian Hospital in Hualien, eastern Taiwan, said he was inspired by baby incubators.
As hospitals, overwhelmed by the rising numbers of coronavirus patients, are running out of N95 masks and other protective equipment, Lai didn’t submit a patent application, preferring to put it online at the end of March to deploy it rapidly across the globe.
“I made this box to protect the doctors who are fighting on the front line,” Lai explained. He said he hopes “people (all) over the world can build and modify (them) by themselves.”
Medical teams from countries that have been hit hard by the virus, including the United States and Spain, have tested and reported their experiences with the simple contraption as they adapt it in the field.
One adaptation is an Aerosol Box that can be folded and shipped easily to be reassembled at its destination within a minute.
A Japanese acrylic company in Osaka named Act started receiving orders for the Aerosol Box in mid-March and is producing around 40 a day.
The company says it takes around 30 minutes to produce one, with a wholesale price of less than ¥10,000.
“We can make the product on the day we receive the order,” said Act President Tetsuo Taniguchi, 70.
The company, which has around 10 employees, also make face shields for face-to-face meetings.