Translating patient needs into medical device development: co-design of a photoprotection visor for Xeroderma Pigmentosum using qualitative interviews.

INTRODUCTION: People with Xeroderma Pigmentosum (XP) have a heightened sensitivity to ultraviolet radiation (UVR) and are advised to wear photoprotective clothing including a visor covering the face and neck. Photoprotective visors are homemade and predominately worn by children with decreasing frequency as age increases. To improve upon the current design and efficacy we were tasked with developing a prototype visor to meet patients' needs. METHODS: Adopting a codesign methodology, patients' experiences of wearing a visor and patient and carer views of emerging prototypes were explored during interviews. A thematic analysis was conducted in parallel with data collection and themes were interpreted into design cues; desirable attributes of a visor that would counteract the negative user experiences and meet the requirements described by patients and carers. The design cues guided the iterative development of prototypes by academic engineers. RESULTS: Twenty-four interviews were conducted with patients and carers. Thematic analysis resulted in the following five themes: Being safe from UVR exposure; self-consciousness; temperature effects; acoustic difficulties; and material properties. The following design cues were developed from the themes respectively; materials and design with high UVR protection; ability to customise with own headwear; ventilation to reduce steaming up; acoustic functionality to enable hearing and speech; foldable, portable, and easy to put on and take off. CONCLUSIONS: It is important to understand people's experiences of using medical devices to improve their safety, efficiency and user satisfaction. The user experience themes and design cues, informed the iterative development of low fidelity visor prototypes as part of a codesign process. These design cues and responses to the prototypes are guiding commercial manufacturing and regulatory approval. The visor can then be prescribed to patients, providing an equitable service of care.

A Curvature Sensor Utilizing the Matteucci Effect in Amorphous Wire.

The study of wearable sensors for human disease monitoring has developed into an important research area due to its potential for personalized health care. Various sensor types have been proposed for assessing the range of joint movement in patients with progressive diseases or following post-surgical treatments. Many of these methods suffer from poor accuracy, sensitivity, and linearity or are very expensive and complex to implement. To overcome some of these limitations, this paper reports on the development of a novel flexible sensor for the measurement of bending by utilizing the Matteucci effect in the amorphous wire. This paper describes a bend sensor that utilizes positive magnetostrictive amorphous wire to achieve a measurement sensitivity equal to 5.68 ± 0.02 mV/cm with a resolution of ±0.2° over a measuring range of 64 to 143°.

Quantitative Evaluation of the Effect of Temperature on Magnetic Barkhausen Noise.

The effect of temperature on magnetic Barkhausen noise (MBN) can be divided into two types: the direct effect of temperature itself and the indirect effect of thermally induced stress. The theoretical model is proposed in this paper to describe the effects of temperature on the MBN signal. For the case considering the direct effect of temperature only, the analytical model allows the prediction of the effect of temperature on MBN profile, and, based on the model, a simple linear calibration curve is presented to evaluate the effect of temperature on MBN amplitude quantitatively. While for the case where the indirect effect of thermal stress is taken into account in addition to the direct effect, the proposed theoretical model allows the deduction of parabolic function for quantitative evaluation of the combined effect on MBN. Both effects of temperature on MBN, i.e., the direct only and the combined one, have been studied experimentally on 0.5 mm thickness non-oriented (NO) electrical steel and the adhesive structure of NO steel and ceramic glass, respectively. The reciprocal of the measured MBN peak amplitude (1/MBNp) in the first case shows a linear function of temperature, which agrees with the proposed linear calibration curve. While in the experiments considering the combined effects, 1/MBNp shows parabolic dependence on temperature, which is further simplified as a piecewise function for the practical applications.

Comparison between Modelled and Measured Magnetic Field Scans of Different Planar Coil Topologies for Stress Sensor Applications.

The investigation of planar coils of differing topologies, when combined with a magnetostrictive amorphous ribbon to form a stress-sensitive self-inductor, is an active research area for applications as stress or pressure sensors. Four topologies of planar coil (Circular, Mesh, Meander, and Square) have been constructed using copper track on 30 mm wide PCB substrate. The coils are energized to draw 0.4 A and the resulting magnetic field distribution is observed with a newly developed three-dimensional magnetic field scanner. The system is based on a variably angled Micromagnetics® STJ-020 tunneling magneto-resistance sensor with a spatial resolution of 5-10 µm and sensitivity to fields of less than 10 A/m. These experimental results are compared with the fields computed by ANSYS Maxwell® finite element modelling of the same topologies. Measured field shape and strength correspond well with the results of modelling, including direct observation of corner and edge effects. Three-dimensional analysis of the field shape produced by the square coil, isolating the components H(x) and H(z), is compared with the three-dimensional field solutions from modelling. The finite element modelling is validated and the accuracy and utility of the new system for three-dimensional scanning of general stray fields is confirmed.

A Two-Axis Goniometric Sensor for Tracking Finger Motion.

The study of finger kinematics has developed into an important research area. Various hand tracking systems are currently available; however, they all have limited functionality. Generally, the most commonly adopted sensors are limited to measurements with one degree of freedom, i.e., flexion/extension of fingers. More advanced measurements including finger abduction, adduction, and circumduction are much more difficult to achieve. To overcome these limitations, we propose a two-axis 3D printed optical sensor with a compact configuration for tracking finger motion. Based on Malus' law, this sensor detects the angular changes by analyzing the attenuation of light transmitted through polarizing film. The sensor consists of two orthogonal axes each containing two pathways. The two readings from each axis are fused using a weighted average approach, enabling a measurement range up to 180 ∘ and an improvement in sensitivity. The sensor demonstrates high accuracy (±0.3 ∘ ), high repeatability, and low hysteresis error. Attaching the sensor to the index finger's metacarpophalangeal joint, real-time movements consisting of flexion/extension, abduction/adduction and circumduction have been successfully recorded. The proposed two-axis sensor has demonstrated its capability for measuring finger movements with two degrees of freedom and can be potentially used to monitor other types of body motion.