A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy

Cardiovascular, orthopedic, and interventional radiology procedures using fluoroscopy require healthcare professionals to wear heavy lead garments for radiation protection, which can lead to musculoskeletal injuries, discomfort, and fatigue. A mobile lead garment frame, MobiLead, was designed to mit...

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Main Authors: Johnson, Hilary Anna, Miller, Sally A., Cervantes, Thomas Michael, Teo, Tat Joo, Mehta, Nishaki, Slocum, Alexander H
Other Authors: Massachusetts Institute of Technology. Department of Mechanical Engineering
Format: Article
Language:English
Published: ASME International 2020
Online Access:https://hdl.handle.net/1721.1/126842
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author Johnson, Hilary Anna
Miller, Sally A.
Cervantes, Thomas Michael
Teo, Tat Joo
Mehta, Nishaki
Slocum, Alexander H
author2 Massachusetts Institute of Technology. Department of Mechanical Engineering
author_facet Massachusetts Institute of Technology. Department of Mechanical Engineering
Johnson, Hilary Anna
Miller, Sally A.
Cervantes, Thomas Michael
Teo, Tat Joo
Mehta, Nishaki
Slocum, Alexander H
author_sort Johnson, Hilary Anna
collection MIT
description Cardiovascular, orthopedic, and interventional radiology procedures using fluoroscopy require healthcare professionals to wear heavy lead garments for radiation protection, which can lead to musculoskeletal injuries, discomfort, and fatigue. A mobile lead garment frame, MobiLead, was designed to mitigate these issues by moving the lower garment load off body to a structural frame and redistributing the load of the upper garment from the shoulders to the hips through a torso frame. The frame was designed to be compact with a minimal footprint for maneuverability in operating rooms with limited space, while still giving the surgeon adequate mobility for various emergency procedures. Preliminary analysis of device efficacy was conducted using electromyography (EMG) of load-bearing muscles during use and qualitative surgeon user feedback surveys. Nonparametric permutation tests showed that the MobiLead device mean activation was significantly lower than the standard lead garment (p<0.001). Surgeon feedback and use testing showed that the device fits under a sterile gown and is maneuverable in an operating room (OR).
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spelling mit-1721.1/1268422022-09-30T10:00:48Z A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy Johnson, Hilary Anna Miller, Sally A. Cervantes, Thomas Michael Teo, Tat Joo Mehta, Nishaki Slocum, Alexander H Massachusetts Institute of Technology. Department of Mechanical Engineering Cardiovascular, orthopedic, and interventional radiology procedures using fluoroscopy require healthcare professionals to wear heavy lead garments for radiation protection, which can lead to musculoskeletal injuries, discomfort, and fatigue. A mobile lead garment frame, MobiLead, was designed to mitigate these issues by moving the lower garment load off body to a structural frame and redistributing the load of the upper garment from the shoulders to the hips through a torso frame. The frame was designed to be compact with a minimal footprint for maneuverability in operating rooms with limited space, while still giving the surgeon adequate mobility for various emergency procedures. Preliminary analysis of device efficacy was conducted using electromyography (EMG) of load-bearing muscles during use and qualitative surgeon user feedback surveys. Nonparametric permutation tests showed that the MobiLead device mean activation was significantly lower than the standard lead garment (p<0.001). Surgeon feedback and use testing showed that the device fits under a sterile gown and is maneuverable in an operating room (OR). 2020-08-28T14:03:51Z 2020-08-28T14:03:51Z 2019-09 2019-01 2020-08-07T14:54:58Z Article http://purl.org/eprint/type/JournalArticle 1932-6181 1932-619X https://hdl.handle.net/1721.1/126842 Johnson, Hilary A. et al. "A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy." Journal of Medical Devices 13, 4 (December 2019): 045001 © 2019 ASME en http://dx.doi.org/10.1115/1.4042703 Journal of Medical Devices Article is made available in accordance with the publisher's policy and may be subject to US copyright law. Please refer to the publisher's site for terms of use. application/pdf ASME International ASME
spellingShingle Johnson, Hilary Anna
Miller, Sally A.
Cervantes, Thomas Michael
Teo, Tat Joo
Mehta, Nishaki
Slocum, Alexander H
A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy
title A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy
title_full A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy
title_fullStr A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy
title_full_unstemmed A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy
title_short A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy
title_sort lead garment structural system to reduce musculoskeletal stress during fluoroscopy
url https://hdl.handle.net/1721.1/126842
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