Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case Study

BackgroundA successful innovative medical device is not only technically challenging to develop but must also be readily usable to be integrated into health care professionals’ daily practice. Through a user-centered design (UCD) approach, usability can be improved. However,...

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Main Authors: Christel Schwartz-Lasfargues, Camille Roux-Gendron, Pim Edomskis, Isabelle Marque, Yves Bayon, Johan F Lange, Jean Luc Faucheron, Bertrand Trilling
Format: Article
Language:English
Published: JMIR Publications 2022-07-01
Series:JMIR Human Factors
Online Access:https://humanfactors.jmir.org/2022/3/e31529
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author Christel Schwartz-Lasfargues
Camille Roux-Gendron
Pim Edomskis
Isabelle Marque
Yves Bayon
Johan F Lange
Jean Luc Faucheron
Bertrand Trilling
author_facet Christel Schwartz-Lasfargues
Camille Roux-Gendron
Pim Edomskis
Isabelle Marque
Yves Bayon
Johan F Lange
Jean Luc Faucheron
Bertrand Trilling
author_sort Christel Schwartz-Lasfargues
collection DOAJ
description BackgroundA successful innovative medical device is not only technically challenging to develop but must also be readily usable to be integrated into health care professionals’ daily practice. Through a user-centered design (UCD) approach, usability can be improved. However, this type of approach is not widely implemented from the early stages of medical device development. ObjectiveThe case study presented here shows how UCD may be applied at the very early stage of the design of a disruptive medical device used in a complex hospital environment, while no functional device is available yet. The device under study is a connected sensor system to detect colorectal anastomotic leakage, the most detrimental complication following colorectal surgery, which has a high medical cost. We also aimed to provide usability guidelines for the initial design of other innovative medical devices. MethodsUCD was implemented by actively involving health care professionals and all the industrial partners of the project. The methodology was conducted in 2 European hospitals: Grenoble-Alpes University Hospital (France) and Erasmus Medical Center Rotterdam (the Netherlands). A total of 6 elective colorectal procedures and 5 ward shifts were observed. In total, 4 workshops were conducted with project partners and clinicians. A formative evaluation was performed based on 5 usability tests using nonfunctional prototype systems. The case study was completed within 12 months. ResultsFunctional specifications were defined for the various components of the medical device: device weight, size, design, device attachment, and display module. These specifications consider the future integration of the medical device into current clinical practice (for use in an operating room and patient follow-up inside the hospital) and interactions between surgeons, nurses, nurse assistants, and patients. By avoiding irrelevant technical development, this approach helps to promote cost-effective design. ConclusionsThis paper presents the successful deployment over 12 months of a UCD methodology for the design of an innovative medical device during its early development phase. To help in reusing this methodology to design other innovative medical devices, we suggested best practices based on this case.
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spelling doaj.art-fd1ece2bbc1946b58f3b85529ca9546c2023-08-28T22:42:51ZengJMIR PublicationsJMIR Human Factors2292-94952022-07-0193e3152910.2196/31529Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case StudyChristel Schwartz-Lasfargueshttps://orcid.org/0000-0001-6146-0041Camille Roux-Gendronhttps://orcid.org/0000-0002-7450-8371Pim Edomskishttps://orcid.org/0000-0001-8995-4166Isabelle Marquehttps://orcid.org/0000-0002-0951-7298Yves Bayonhttps://orcid.org/0000-0002-0232-3079Johan F Langehttps://orcid.org/0000-0002-1987-3210Jean Luc Faucheronhttps://orcid.org/0000-0002-0837-2277Bertrand Trillinghttps://orcid.org/0000-0003-2403-462X BackgroundA successful innovative medical device is not only technically challenging to develop but must also be readily usable to be integrated into health care professionals’ daily practice. Through a user-centered design (UCD) approach, usability can be improved. However, this type of approach is not widely implemented from the early stages of medical device development. ObjectiveThe case study presented here shows how UCD may be applied at the very early stage of the design of a disruptive medical device used in a complex hospital environment, while no functional device is available yet. The device under study is a connected sensor system to detect colorectal anastomotic leakage, the most detrimental complication following colorectal surgery, which has a high medical cost. We also aimed to provide usability guidelines for the initial design of other innovative medical devices. MethodsUCD was implemented by actively involving health care professionals and all the industrial partners of the project. The methodology was conducted in 2 European hospitals: Grenoble-Alpes University Hospital (France) and Erasmus Medical Center Rotterdam (the Netherlands). A total of 6 elective colorectal procedures and 5 ward shifts were observed. In total, 4 workshops were conducted with project partners and clinicians. A formative evaluation was performed based on 5 usability tests using nonfunctional prototype systems. The case study was completed within 12 months. ResultsFunctional specifications were defined for the various components of the medical device: device weight, size, design, device attachment, and display module. These specifications consider the future integration of the medical device into current clinical practice (for use in an operating room and patient follow-up inside the hospital) and interactions between surgeons, nurses, nurse assistants, and patients. By avoiding irrelevant technical development, this approach helps to promote cost-effective design. ConclusionsThis paper presents the successful deployment over 12 months of a UCD methodology for the design of an innovative medical device during its early development phase. To help in reusing this methodology to design other innovative medical devices, we suggested best practices based on this case.https://humanfactors.jmir.org/2022/3/e31529
spellingShingle Christel Schwartz-Lasfargues
Camille Roux-Gendron
Pim Edomskis
Isabelle Marque
Yves Bayon
Johan F Lange
Jean Luc Faucheron
Bertrand Trilling
Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case Study
JMIR Human Factors
title Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case Study
title_full Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case Study
title_fullStr Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case Study
title_full_unstemmed Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case Study
title_short Development of a Connected Sensor System in Colorectal Surgery: User-Centered Design Case Study
title_sort development of a connected sensor system in colorectal surgery user centered design case study
url https://humanfactors.jmir.org/2022/3/e31529
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