Custom-made 3D printed masks for children using non-invasive ventilation: a feasibility study of production method and testing of outcomes in adult volunteers

Willox, Matt; Metherall, Peter; Jeays-Ward, Katherine; McCarthy, Avril D.; Barker, Nicki; Reed, Heath; Elphick, Heather

doi:10.1080/03091902.2020.1769759

Cited by 17 publications

(33 citation statements)

References 6 publications

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“…Among several other groups ( 7 , 8 ), we are currently developing a research platform to personalize NIV masks using ultrarapid 3D scanning and printing techniques, which may in the future be exploited also in the acute phase of critical illness in the PICU. Wu et al have reported the development of custom-fitted masks for long-term NIV in adult patients with sleep apnoea or neuromuscular disease using stereolithography 3D printing and magnetic resonance imaging (MRI) data ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

“…Wu et al have reported the development of custom-fitted masks for long-term NIV in adult patients with sleep apnoea or neuromuscular disease using stereolithography 3D printing and magnetic resonance imaging (MRI) data ( 7 ). In addition, Willox et al workers have tested the feasibility of different designs of 3D printed, customized masks in adult volunteers, to inform future development and implementation in pediatric patients ( 8 ). Since such personalized treatment strategies have not yet become clinically available, and in particularly not for application in the PICU, in the current case we used an in-house 3D printed adaptor to connect a simple anesthetic mask for its use as an alternative interface for NIV.…”

Section: Discussionmentioning

confidence: 99%

“…The need for personalized NIV masks is currently widely recognized, although potential strategies have mostly focused on long-term use in adults or children in home settings (7)(8)(9)(10)(11). Commercially available non-vented pediatric NIV masks are limited in their range of dimensions.…”

Section: Discussionmentioning

confidence: 99%

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Non-invasive Ventilation for Pediatric Hypoxic Acute Respiratory Failure Using a Simple Anesthetic Mask With 3D Printed Adaptor: A Case Report

et al. 2021

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Non-invasive ventilation (NIV) is increasingly used in the supportive treatment of acute respiratory failure in children in the pediatric intensive care unit (PICU). However, finding an optimal fitting commercial available NIV face mask is one of the major challenges in daily practice, in particular for young children and those with specific facial features. Large air leaks and pressure-related skin injury due to suboptimal fit are important complications associated with NIV failure. Here, we describe a case of a 4-year old boy with cardiofaciocutaneous syndrome and rhinovirus-associated hypoxic acute respiratory failure who was successfully supported with NIV delivered by a simple anesthetic mask connected to a headgear by an in-house developed and 3D printed adaptor. This case is an example of the clinical challenge related to pediatric NIV masks in the PICU, but also shows the potential of alternative NIV interfaces e.g., by using a widely available and relatively cheap simple anesthetic mask. Further personalized strategies (e.g., by using 3D scanning and printing techniques) that optimize NIV mask fitting in children are warranted.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Non-invasive Ventilation for Pediatric Hypoxic Acute Respiratory Failure Using a Simple Anesthetic Mask With 3D Printed Adaptor: A Case Report

et al. 2021

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“…Changes in anatomy will mean that versatility in device development should play an integral part in addressing the needs of the pediatric population. In this respect, technology approaches such as 3D body or facial scanning and 3D printing have led to the development of medical devices that can be adapted as anatomical changes occur with growth [8][9][10].…”

Section: The Complexities In the Development Of Medical Devices For Childrenmentioning

confidence: 99%

Medical Device Development for Children and Young People—Reviewing the Challenges and Opportunities

et al. 2021

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Development of specific medical devices (MDs) is required to meet the healthcare needs of children and young people (CYP). In this context, MD development should address changes in growth and psychosocial maturation, physiology, and pathophysiology, and avoid inappropriate repurposing of adult technologies. Underpinning the development of MD for CYP is the need to ensure MD safety and effectiveness through pediatric MD-specific regulations. Contrary to current perceptions of limited market potential, the global pediatric healthcare market is expected to generate around USD 15,984 million by 2025. There are 1.8 billion young people in the world today; 40% of the global population is under 24, creating significant future healthcare market opportunities. This review highlights a number of technology areas that have led to successful pediatric MD, including 3D printing, advanced materials, drug delivery, and diagnostic imaging. To ensure the targeted development of MD for CYP, collaboration across multiple professional disciplines is required, facilitated by a platform to foster collaboration and drive innovation. The European Pediatric Translational Research Infrastructure (EPTRI) will be established as the European platform to support collaboration, including the life sciences industrial sector, to identify unmet needs in child health and support the development, adoption, and commercialization of pediatric MDs.

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“…These interfaces are described as more comfortable, leading to less skin lesions and having the potential to increase ventilation efficacy (22)(23)(24). The growing availability of 3D medical printing leads to the development of 3D-printed custom masks for adults and children (25,26).…”

Section: Interfacesmentioning

confidence: 99%

Interfaces, Circuits and Humidifiers

Ferreira

2020

Front. Pediatr.

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Long-term non-invasive ventilation (LTNIV) has been increasingly used in children to manage chronic respiratory failure and airway obstruction. Interfaces are of paramount importance for non-invasive ventilation (NIV) effectiveness and patient compliance. However, historically, the choice of pediatric mask has been limited by the scarce availability of commercial interfaces. In recent years, an increasing number of different masks have been commercialized for children, allowing to increase the number of patients who could benefit from LTNIV. Factors such as the age of the child, disease, craniofacial conformation, type of ventilator and mode of ventilation, and children's and family's preferences should be taken into account when selecting the appropriate mask. Adverse events such as skin lesions, facial growth impairment, and leaks must be prevented and promptly corrected. Humidification is a controversial issue on NIV, but it may be useful in certain circumstances. Regular cleaning and disinfection of interfaces and equipment must be addressed. During follow-up, educational programs, close supervision, and continuous support to children and families are crucial to the success of LTNIV therapy.

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Custom-made 3D printed masks for children using non-invasive ventilation: a feasibility study of production method and testing of outcomes in adult volunteers

Cited by 17 publications

References 6 publications

Non-invasive Ventilation for Pediatric Hypoxic Acute Respiratory Failure Using a Simple Anesthetic Mask With 3D Printed Adaptor: A Case Report

Non-invasive Ventilation for Pediatric Hypoxic Acute Respiratory Failure Using a Simple Anesthetic Mask With 3D Printed Adaptor: A Case Report

Medical Device Development for Children and Young People—Reviewing the Challenges and Opportunities

Interfaces, Circuits and Humidifiers

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