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IMOVE-An Intuitive Concept Mobility Systems for Perioperative Transfer and Induction of Anaesthesia for Special Needs

Hwan Ing Hee1, Kiang Loong Ng2, Manolo Sta Cruz2

  • 1KK Women's and Children's Hospital, Department of Paediatric Anaesthesia, Duke-NUS Medical School, The Anaesthesiology and Perioperative Sciences, Singapore 169857, Singapore.

Sensors (Basel, Switzerland)
|September 3, 2020
PubMed

Insights

A novel robotic device, IMOVE-II, significantly improves patient safety and ease of use for children with autistic spectrum disorder (ASD) during operating room transfers. This innovation enhances the transfer process for both children and healthcare staff.

Area of Science:

  • Medical Devices
  • Robotics in Healthcare
  • Pediatric Anesthesia

Background:

  • Children with autistic spectrum disorder (ASD) often experience disruptive behavior during operating room (OR) transfers and anesthesia induction.
  • Current transfer methods involve physical restraint, increasing fall risks for children and musculoskeletal injuries for staff.
  • Developing specialized equipment is crucial to improve safety and reduce stress for ASD children in perioperative settings.

Purpose of the Study:

  • To introduce and evaluate two concept mobility devices, IMOVE-I and IMOVE-II, designed to assist in the safe transfer and anesthesia induction of ASD children.
  • To assess the feasibility and user satisfaction of robotic mobility devices for managing ASD children in the OR.
  • To compare the effectiveness and usability of two distinct robotic device designs.

Main Methods:

  • Development of two robotic mobility devices (IMOVE-I and IMOVE-II) with integrated restraint and multi-positional capabilities.
  • IMOVE-I utilizes a dual-arm restraint activated by staff; IMOVE-II encourages self-application of restraints in a seated position.
  • Gathering qualitative and quantitative feedback from 21 operating theatre staff and parents of ASD children.

Main Results:

  • IMOVE-II received significantly higher mean satisfaction ratings (8.10) compared to IMOVE-I (5.62) (p < 0.001).
  • Participants favored IMOVE-II for its superior system operation, safety, ease of use, and module functionality.
  • The study highlights a preference for user-centered design in robotic assistive devices for pediatric care.

Conclusions:

  • IMOVE-II represents a promising advancement in safely managing ASD children during OR transfers and anesthesia induction.
  • The self-application feature of IMOVE-II enhances user experience and perceived safety for both patients and staff.
  • Robotic mobility devices have the potential to revolutionize perioperative care for vulnerable pediatric populations.

Keywords:
autistic spectrum disorderhealthcare workplace safetymobility assistancesensor and actuatorspecial needs children

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