title: Simplified Negative Pressure Wound Therapy Device for Application in Low-Resource Settings.
abstract: Negative pressure wound therapy (NPWT) provides proven wound healing benefits and is often a desirable wound treatment methodology. Unfortunately, NPWT devices are not widely available in low-resource settings. To overcome the identified NPWT barriers, a simplified NPWT (sNPWT) system was designed and iteratively improved during field-based testing. The sNPWT technology, our device design iterations, and the design-based results of our field tests are described in this article. The sNPWT system includes a bellows hand pump, an occlusive drape, and a tube with tube connectors, connecting the drape to the pump. The most critical property of an sNPWT system is that it must be airtight. The details of the design iterations, which are needed to achieve an occlusive system, are explained. During the design process, the sNPWT system was tested during the earthquake relief in Haiti. This testing found that a liquid sealant was necessary to seal the drape to the periwound skin. A study conducted in Rwanda verified that a liquid latex sealant was safe to use, and that the tube connector must be connected to the drape with an airtight method during the manufacturing process. This work has shown that sNPWT is feasible in low-resource settings. Since the completion of the clinical testing, the design has been further evolved, and the developers are working with contract manufacturers to produce the final design and preparing for regulatory approval applications.
authors.affiliation: *Worldwide Innovative Healthcare, Inc, Cambridge, MA; †Department of General Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA; and ‡Department of Mechanical Engineering, Massachusetts Institute of Technology, Cambridge, MA.
authors.forename: Danielle R
authors.initials: DR
authors.lastname: Zurovcik
authors.forename: Gita N
authors.initials: GN
authors.lastname: Mody
authors.forename: Robert
authors.initials: R
authors.lastname: Riviello
authors.forename: Alex
authors.initials: A
authors.lastname: Slocum
mesh_terms: D017321:Clinical Trials, Phase I as Topic; D003906:Developing Countries; D004867:Equipment Design / Q000191:economics; D004869:Equipment Safety; D005260:Female; D006295:Health Resources / Q000191:economics*; D006801:Humans; D007391:International Cooperation; D008297:Male; D054843:Negative-Pressure Wound Therapy / Q000295:instrumentation* / Q000379:methods; D011203:Poverty; D018570:Risk Assessment; D012432:Rwanda; D014454:Uganda; D014481:United States; D014947:Wounds and Injuries / Q000601:surgery*