Ideation Process Project name: Wound Healing System Development Project timeline: Dec - Research and design brainstorming Jan - Feb - Detailed design/prototype March - Primary design testing April - Redesign and device improvement Project team: Cary Berdy: Ian Sando: cary.s.berdy@vanderbilt.edu ian.c.sando@vanderbilt.edu Melissa Kopacz: Marybeth Jewell: melissa.a.kopacz@vanderbilt.edu marybeth.m.jewell@vanderbilt.edu Innovation Situation Questionnaire Brief description of the situation The wound healing system needs to apply negative pressure to the wound so that the wound is ensured to heal from the bottom up. Optimal negative pressure will not only remove infectious material, so as to decrease the chances of forming an abcissa, but it will ensure a speedy wound closure without further damage to the tissue. The device promotes granulation tissue formation through the promotion of wound healing, and uniformly draws wounds closed by applying controlled, localized negative pressure. Most importantly, the device is to be more cost effective than those of the competitors. Detailed description of the situation Supersystem - System – Subsystems: System name: Vacuum Assisted Closure (V.A.C.) Therapy. System structure: The device should consist of: large canister adhesive V.A.C. drape V.A.C. Y-connector versatile, micro-porous, polyvinyle alchohol foam dressing catheter tubing Vacuum system Supersystems and environment: Home or hosiptal environment Should be kept sterile Applied to open wounds Medium humidity/ room temp Near other electrical appliances High pressure area Fragile skin Infectious material Systems with similar problems: This device maybe applied to a variety of wounds: - Chronic open wounds (diabetic and pressure ulcers) - Acute and traumatic wounds - Meshed grafts - Subacute wounds (i.e. dehisced incisions) - Flaps - Burns There is only one such system on the market that applied negative pressure to assist in wound closure. An analogy to this system is the space bag that applies negative pressure to remove air from storage bags so that the bags will collapse to a smaller size. Input - Process – Output: Functioning of the system: The foam dressing is placed into the wound. One end of the tube is connected to the foam, the other end to a canister that connects to the V.A.C. control unit. The wound area is sealed with the clear V.A.C. drape. The V.A.C. system pulls infectious materials and other fluids from the wound through the tube and collects them inside the canister. The system provides a moist wound-healing environment that hastens wound closure and proper healing without infection. System inputs: - wound - electric power - negative pressure System outputs: - noise - fast wound closure - infectious material - abscissa prevention - environmentally safe Cause - Problem – Effect: - immediate causes: wound trauma which causes excessive bleeding. May lead to infection. Pain/discomfort. - wounds can be inflicted by a variety ways Problem to be resolved: - closure of wound - remove blood or serous fluid from a wound or operation site Mechanism causing the problem: - trauma - infectious material Undesirable consequences if the problem is not resolved: - infection - long hospital stay/ recovery - amputation of limb - prolonged bleeding - abscissa Other problems to be solved: - wound sterilization - eliminate serous buildup - close wound from bottom up Past - Present – Future: History of the problem: N/A Pre-process time: December break: study, investigate, and observe a KIC vacuum therapy device determine costs of manufacture and materials Post-process time: April: System improvement Hopefully we will be able to design a more cost effective device that will reduce costs for patients and hospitals when implementing V.A.C. therapy. Resources, constraints and limitations: Available resources: - foam - plastic - rubber - air - Grant funding - Pre-existing V.A.C. devices - Sponsor and medical staff Allowable changes to the system: - drastic changes in design are allowed - alteration of negative pressure - material changes to minimize costs - extra catheter tubing is allowed Constraints and limitations: - financial limitations - must explore the constraits of V.A.C. therapy theory to explore cost minimization for a competitive design - healing efficiency should be maximized - safety to patient and operator cannot be lessened Criteria for selecting solution concepts: -at least 90% as effective as current devices -much less expensive -biologically safe - FDA approval Problem Formulation and Brainstorming: Diagram 1: Power Loss Expensive Wound Healing System Development Cheaper Material Wound Closure Sutures Removes infectious material Clogging of the Device Wound Healing System Development produces Wound Closure and Removes infectious material counteracts Power Loss and Clogging of the Device produces Expensive. Wound Closure produces Sutures is produced by Wound Healing System Development. Removes infectious material is produced by Wound Healing System Development. Power Loss. Clogging of the Device. Expensive is produced by Wound Healing System Development. Sutures is produced by Wound Closure. Cheaper Material is counteracted by Expensive. References http://www.kci1.com/products/vac/vac/index.asp http://64.233.167.104/search?q=cache:GuzsoyZXpbQJ:www.health.gov.on.ca/englis/pro viders/program/mas/reviews/docs/recommend_vac_121604.pdf+V.A.C.+Therapy+costs &hl=en http://64.233.167.104/search?q=cache:STFs2zxPvUJ:www.plasticsurgery.org/PSF/PSFH OME/educate/abstracts/Wednesday/B/10571103.htm+V.A.C.+Therapy+ costs&hl=en http://www.nursing.uiowa.edu/sites/chronicwound/index.htm