EPSRC-NIHR HTC Partnership Award 'Plus': Medical Devices and Vulnerable Skin: Intellegent sensing to promote self-management.

EPSRC-NIHR HTC 合作伙伴奖“Plus”：医疗设备和脆弱皮肤：促进自我管理的智能传感。

基本信息

批准号：
EP/N02723X/1
负责人：
Daniel Bader
金额：
$ 64.08万
依托单位：
University of Southampton
依托单位国家：
英国
项目类别：
Research Grant
财政年份：
2016
资助国家：
英国
起止时间：
2016 至无数据
项目状态：
已结题

来源：
https://gtr.ukri.org/projects?ref=EP%2FN02723X%2F1
关键词：
EPSRC NIHR HTC Partnership Award

项目摘要

Modern medicine has been transformed in recent decades, with advances leading to increased life expectancy and a significant number of individuals living with long term health conditions. This has, in part, been due to the development of advanced medical devices which provide a range of interventions, including respiratory support and mobility aids. Many of these devices have to interface with the body, which creates a mechanical force against the underlying skin and soft tissues. An individual ability to withstand these forces depends on the vulnerability of skin tissues, with factors such as age, vascularity and previous wounds contributing to their tolerance. Clinicians provide medical devices to match the patient needs at that time of fitting, ensuring the device is both functional and comfortable. Inevitably, circumstances and demands change with time for the individual, which can impair the effectiveness of the device and in some cases cause harm. Indeed, evidence has implicated medical devices in the development of over 30% of pressure ulcers acquired in hospitals. These pressure ulcers contribute to an NHS financial wound care burden of £4Bn/yr. Subsequently, many devices are discarded, thus compromising individual needs and costing the healthcare provider valuable resources.Medical Devices and Vulnerable Skin NetworkPlus (MDVSNplus) will integrate research expertise and motivate clinicians and industrialists to provide intelligent strategies to maintain medical device longevity and patient comfort in a range of clinical settings. It brings together leaders in the fields of sensing, imaging and computer simulation to provide the necessary expertise to evaluate the impact of new and existing medical devices which attach to vulnerable skin. We aim to use these capabilities to develop a series of intelligent mechanisms, for example sensors, which can monitor the functionality and safety of devices over time. MDVSNplus will also target methods of detecting when a device is causing harm to vulnerable skin and create an early warning system for patients and carers.MDVSNplus will encourage new research partners by offering funding for a series of feasibility projects which are aligned with our core aims. Each potential proposal will l be reviewed by an independent innovation panel and assessed based on the clinical need and feasibility to translate the research findings to practice. Funding to the MDVSNplus will also be used to host outreach events for clinicians and end users in order to provide evidence based guidance and education on the choice and application of medical devices. The MDVSNplus will also work closely with colleagues based in the healthcare sector, who specialise in medical devices and wound prevention, to bridge the gap between research findings and the application into clinical practice.Through these funded projects the MDVSNplus will provide innovation to improve quality of life in individuals who depend on the use of medical devices. This will also offer the opportunity for the NHS to reduce costs associated with treatment of medical-device related skin damage and their potential recurrence. It will also ensure that devices which are current being supplied can be optimised in terms of functionality and longevity, providing the best value for money. We also envisage that new medical devices and sensing technologies will attract interest from the healthcare industry to reinvest in novel medical device technologies. In order to sustain the impact of the research findings the applicants will lobby key agencies such as the MHRA (UK medical device regulator), to raise the awareness of medical device related injuries and inform legislation surrounding device design and application. Research output from the MDVSNplus will also contribute to clinical guidelines surrounding the application of medical devices and, where necessary, new standards of medical device testing.

近几十年来，现代医学已经发生了变化，进步导致预期寿命增加，并且有大量患有长期健康状况的人。这部分是由于开发了高级医疗设备，这些设备提供了一系列干预措施，包括呼吸支持和移动性辅助设备。这些设备中有许多必须与身体接口，这会产生针对下面皮肤和柔软尖端的机械力。承受这些力的个人能力取决于皮肤组织的脆弱性，其因素，例如年龄，血管性和先前的奖金，导致其耐受性。临床医生提供医疗设备，以适应患者的需求，以确保该设备既实用又舒适。不可避免地，环境和需求随着个人的时间而变化，这会损害设备的有效性，在某些情况下会造成伤害。确实，证据已经实施了医疗设备，以开发30％的医院获得压力溃疡。这些压力溃疡导致NHS金融伤口护理燃烧4亿英镑/年。随后，许多设备被丢弃，从而损害了个人需求并使医疗保健提供者的宝贵资源付出了宝贵的资源。Medical设备和脆弱的皮肤网络Plus（MDVSNPlus）将整合研究专业知识和动机临床医生和工业家，以提供智能策略，以维持医疗设备的寿命和患者舒适度，并在临床设施的范围内舒适。它汇集了传感器，成像和计算机模拟领域的领导者，以提供必要的专业知识，以评估与脆弱皮肤相关的新型医疗设备的影响。我们旨在使用这些功能来开发一系列智力机制，例如传感器，这些机制可以随着时间的流逝而监视设备的功能和安全性。 MDVSNPlus还将针对检测设备何时对脆弱的皮肤造成伤害的方法，并为患者和护理人员创建预警系统。MDVSNPLUS将通过为与我们的核心目标保持一致的一系列可行性项目的资金来鼓励新的研究合作伙伴。每个潜在的建议将由一个独立的创新面板审查，并根据临床需求和可行性进行评估，以将研究结果转化为实践。向MDVSNPLUS提供的资金也将用于为临床医生和最终用户举办外展活动，以便为医疗设备的选择和应用提供基于证据的指导和教育。 MDVSNPlus还将与专门从事医疗设备和伤口预防的医疗保健领域的同事紧密合作，以弥合研究发现与应用程序在临床实践中的应用之间的差距。通过这些资助的项目，MDVSNPLUS将提供依赖医疗设备使用的个人的创新来改善生活质量的创新。这也将为NHS提供机会，以减少与医疗设备相关的皮肤损伤及其潜在复发相关的成本。它还将确保可以通过功能和寿命来优化当前提供的设备，从而提供最佳价值。我们还设想新的医疗设备和传感技术将吸引医疗保健行业的兴趣，以重新投资新型的医疗设备技术。为了维持研究结果的影响，这些应用程序将通过关键机构（例如MHRA（英国医疗设备调节器））来提高对医疗设备相关伤害的认识并为围绕设备设计和应用的立法提供信息。 MDVSNPLUS的研究输出还将有助于围绕医疗设备应用以及必要的新标准医疗设备测试的临床指南。

项目成果

期刊论文数量（10）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Changes in Tissue Composition and Load Response After Transtibial Amputation Indicate Biomechanical Adaptation.

DOI：
10.1007/s10439-021-02858-0
发表时间：
2021-12
期刊：
Annals of biomedical engineering
影响因子：
3.8
作者：
Bramley JL;Worsley PR;Bader DL;Everitt C;Darekar A;King L;Dickinson AS
通讯作者：
Dickinson AS

Changes in tissue composition and load response after transtibial amputation indicate biomechanical adaptation

经胫骨截肢后组织成分和负荷反应的变化表明生物力学适应

DOI：
10.31224/osf.io/b3y4h
发表时间：
2021
期刊：
影响因子：
0
作者：
Bramley J
通讯作者：
Bramley J

Technologies to monitor the health of loaded skin tissues.

DOI：
10.1186/s12938-018-0470-z
发表时间：
2018-04-12
期刊：
Biomedical engineering online
影响因子：
3.9
作者：
Bader DL;Worsley PR
通讯作者：
Worsley PR

Personal protective equipment related skin reactions in healthcare professionals during COVID-19.

DOI：
10.1111/iwj.13534
发表时间：
2021-06
期刊：
International wound journal
影响因子：
3.1
作者：
Abiakam N;Worsley P;Jayabal H;Mitchell K;Jones M;Fletcher J;Spratt F;Bader D
通讯作者：
Bader D

Detection of posture and mobility in individuals at risk of developing pressure ulcers