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Implementing the Biodesign Process for Medical Device Innovation in Head and Neck Surgery
Rena Dharmawan1,2, Henry Ho3,4, Harry Ho Man Ng1,5
1Department of Head and Neck Surgery, Division of Surgery and Surgical Oncology, 37581Singapore General Hospital and National Cancer Centre, Singapore.
Surgical Innovation
|July 31, 2020
Summary
The Stanford Biodesign process identified unmet needs in head and neck surgery. This led to the KLARO™ in vivo surgical lighting device, improving patient outcomes.
Area of Science:
- Medical Devices
- Surgical Innovation
- Biomedical Engineering
Background:
- The Stanford Biodesign process is a needs-driven innovation methodology originating in clinical settings.
- Practicing clinicians and surgeons champion this approach to identify and address unmet medical needs.
- Applying this process in head and neck surgery aims to foster targeted innovation.
Purpose of the Study:
- To apply the Stanford Biodesign process through clinical immersion in head and neck surgery.
- To identify unmet clinical needs within the specialty.
- To brainstorm, prototype, and develop a commercialized medical device addressing a key unmet need.
Main Methods:
- The study followed the three phases of the Biodesign process: identify, invent, and implement.
- Clinical immersion involved shadowing head and neck surgeons for one month.
- Identified needs were filtered, and a top need was selected for concept development and prototyping.
Main Results:
- A total of 111 unmet needs were identified during the immersion period.
- The process led to the design of an in vivo surgical lighting concept.
- This concept evolved into the KLARO™ in vivo surgical lighting device, developed with a commercial partner.
Conclusions:
- The Stanford Biodesign process offers a structured framework for translating clinical needs into viable solutions.
- The development of the KLARO™ device demonstrates the process's effectiveness in advancing head and neck surgery.
- This innovation has the potential to significantly improve patient outcomes in the field.

