Needs Assessment
Posted by malikza on Sunday, October 23, 2016 in News.
Patient Perspective
- Designed monitoring system must be able to detect shunt failure before patient develops neurological symptoms by reducing time spent at elevated intracranial pressure
- Design must conduct noninvasive, continuous monitoring of intracranial conditions to understand shunt function even when it is not failing
- Design must incorporate a remote communication system that is able to inform patient/parents and doctors of shunt function and intracranial conditions with minimal error
- Design must not hinder shunt flow
- Design must be safe, and should not introduce new side effects
- Design must be biocompatible
- Shunt/monitor must be painless beyond postop recovery period
- Design must be resistant to physiological environment variability
- Must have an inconspicuous design that allows normal childhood activities
- Design should be able to predict/warn of impending failure before the shunt actually fails
Provider Perspective
- Providers must be willing to switch to this technology due to proven clinical benefit over the current design
- Means to detect shunt function should be straightforward without need for manual computation
- Design must be easily autoclavable/sterilizable
- Design must not enable transmission of infection from abdomen to brain or introduce other complications
- Design should be easily integrated into surgical flow and be easily removable
- Monitoring system should provide a way to determine or screen out false
- positives
System Perspective
- Design must be compliant with FDA regulations
- Design must be profitable with significant margin (profit/revenue) in order to bolster acceptance by physicians and insurers
- Manufacturing system should be scalable to mass production in order to improve its cost effectiveness
- The monitoring system and the procedure associated with its installation should be reimbursable by insurance of all types
- Implementation and use of the new technology should decrease future cost to the system associated with shunt failure symptoms via earlier failure detection
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