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A Lead Garment Structural System to Reduce Musculoskeletal Stress During Fluoroscopy

Author(s)
Johnson, Hilary Anna; Miller, Sally A.; Cervantes, Thomas Michael; Teo, Tat Joo; Mehta, Nishaki; Slocum, Alexander H; ... Show more Show less
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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.
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Abstract
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).
Date issued
2019-09
URI
https://hdl.handle.net/1721.1/126842
Department
Massachusetts Institute of Technology. Department of Mechanical Engineering
Journal
Journal of Medical Devices
Publisher
ASME International
Citation
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
Version: Final published version
ISSN
1932-6181
1932-619X

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