Assessing the feasibility of handheld scanning technologies in neonatal intensive care: Trueness, acceptability, and suitability for personalised medical devices

IF 2.6 3区医学 Q2 CRITICAL CARE MEDICINE Australian Critical Care Pub Date : 2024-12-11 DOI:10.1016/j.aucc.2024.09.012

Deanne August RN, PhD , Isabel Byram BBus, BFA , David Forrestal BEng, PhD , Mathilde Desselle MEng, PhD , Nathan Stevenson BEng, PhD , Kartik Iyer BEng, PhD , Mark W. Davies MBBS, PhD , Katherine White MBBS , Linda Cobbald BN, PGCertNg , Lynette Chapple BN, GradDipNg , Kellie McGrory CN, CertAdvNg , Margaret McLean BN , Stephanie Hall Bn, MNursPrac , Brittany Schoenmaker BN, MClinNurs , Jackie Clement BN, GradDipNg , Melissa M. Lai MBBS, PhD

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Abstract

Background

Nasal continuous positive airway pressure (CPAP) injuries are common for premature infants. Clinical use of three-dimensional (3D) scanning is established in adult medicine, but the possibilities in neonatal care are still emerging. Custom printed CPAP devices have the potential to reduce injuries and disfigurement in this vulnerable population.

Aim

We sought to identify the most feasible portable 3D scanner for use in the neonatal intensive care environment towards the development of custom-fitting CPAP devices for premature infants.

Methods

Four handheld 3D scanners were assessed and compared, Artec Leo, Revopoint POP 2, iPad Pro/Metascan, and iPhone/Scandy Pro. Trained neonatal clinicians (medical and nursing) undertook mock scans in a simulated neonatal intensive care environment.

Results

Sixty scans were performed by 13 neonatal clinicians (four medical/nurse practitioners and nine nurses). The median mean absolute error was 0.21 mm (interquartile range [IQR]: 0.19–0.26), 0.17 mm (IQR: 0.15–0.21), and 1.08 mm (IQR: 1.0–1.63) for Artec Leo, Revopoint POP 2, and Scandy Pro, respectively. Scan times were the quickest for Artec Leo at 22.9 sec (IQR: 18.5–27), followed by Revopoint POP 2 at 25.2 sec (IQR: 22–34.4). Artec Leo was rated most expensive, but Revopoint POP 2 was rated more ergonomic. Both app-based 3D scanners (Metascan and Scandy Pro) presented data security issues.

Conclusions

Artec Leo and Revopoint POP 2 were identified as most feasible for use to perform 3D scans on premature infants in the neonatal intensive care environment.

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评估手持式扫描技术在新生儿重症监护中的可行性：个性化医疗设备的真实性、可接受性和适用性。

背景：鼻腔持续气道正压通气（CPAP）损伤在早产儿中很常见。临床使用三维（3D）扫描是建立在成人医学，但在新生儿护理的可能性仍在出现。定制打印CPAP设备有可能减少这一弱势群体的伤害和毁容。目的：我们试图确定最可行的便携式3D扫描仪用于新生儿重症监护环境，以开发适合早产儿的定制CPAP设备。方法：对Artec Leo、revpoint POP 2、iPad Pro/Metascan和iPhone/ scany Pro四种手持式3D扫描仪进行评估和比较。训练有素的新生儿临床医生（医疗和护理）在模拟的新生儿重症监护环境中进行模拟扫描。结果：由13名新生儿临床医生（4名医疗/护士从业人员和9名护士）进行了60次扫描。Artec Leo、Revopoint POP 2和scany Pro的平均绝对误差中位数分别为0.21 mm（四分位间距[IQR]: 0.19-0.26）、0.17 mm（四分位间距[IQR]: 0.15-0.21）和1.08 mm（四分位间距[IQR]: 1.0-1.63）。扫描时间最快的是Artec Leo，为22.9秒（IQR: 18.5-27），其次是revpoint POP 2，为25.2秒（IQR: 22-34.4）。Artec Leo被评为最昂贵的，但revpoint POP 2被评为更符合人体工程学。基于应用程序的3D扫描仪（Metascan和scany Pro）都存在数据安全问题。结论：在新生儿重症监护环境下，Artec Leo和revpoint POP 2被认为是对早产儿进行3D扫描最可行的。

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来源期刊

Australian Critical Care NURSING-NURSING

CiteScore

4.90

自引率

9.10%

发文量

148

审稿时长

>12 weeks

期刊介绍： Australian Critical Care is the official journal of the Australian College of Critical Care Nurses (ACCCN). It is a bi-monthly peer-reviewed journal, providing clinically relevant research, reviews and articles of interest to the critical care community. Australian Critical Care publishes peer-reviewed scholarly papers that report research findings, research-based reviews, discussion papers and commentaries which are of interest to an international readership of critical care practitioners, educators, administrators and researchers. Interprofessional articles are welcomed.