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Updated: Dec 20, 2025

The Rigid Tube as an Alternative in Controlling the Problematic Airway
Published on: June 6, 2020
Barrier device prototype for open tracheotomy during COVID-19 pandemic.
Wellington Alves Filho1, Tulio Sampaio Pontes Grangeiro Teles1, Márcio Ribeiro Studart da Fonseca1
1Department of Head and Neck Surgery, Walter Cantidio University Hospital of Universidade Federal do Ceara Medical School, Fortaleza, Ceara, Brazil.
A low-cost barrier enclosure, the COVID-Box, enhances safety and mobility during open surgical procedures like tracheotomy. This reproducible device is ideal for intensive care unit (ICU) patients during pandemics.
Area of Science:
- Surgical innovation
- Medical device engineering
- Infectious disease control
Background:
- Open surgical procedures, particularly tracheotomies, pose infection risks to healthcare workers, especially during pandemics like COVID-19.
- Existing barrier devices may limit surgical dexterity and ergonomics.
Purpose of the Study:
- To present a novel, low-cost barrier enclosure prototype named COVID-Box.
- To detail the design and application of the COVID-Box for open airway surgeries.
Main Methods:
- The COVID-Box was developed by a dedicated surgical team during the COVID-19 pandemic.
- Detailed design specifications and safety guidelines for its use in tracheotomies are provided.
Main Results:
- The COVID-Box offers enhanced hand mobility compared to existing devices.
- Its ergonomic, curved design with customizable ports ensures safety without compromising surgical access.
Conclusions:
- The COVID-Box is an efficient, reproducible, and cost-effective barrier enclosure.
- It is suitable for open tracheotomies in intensive care unit (ICU) patients, particularly during infectious disease outbreaks.
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