Retained Foreign Body in a Diabetic Patient’s Hand

Background: Diabetes management and treatment requires the use of many devices that frequently must puncture the skin, creating a risk of unintentional retention in the body as a retained diabetes device. In this article, we reviewed case studies about retained diabetes devices and presented analyses of the success rate of current imaging techniques in identifying retained devices and the success rate of device removal. Methods: PubMed and Google Scholar were searched for articles about retained diabetes devices. Relevant articles that included sufficient details about discovery and removal of the device were included. The success rate of identification and the success rate of removal of retained devices were both calculated as percentages. Results: Sixteen case studies of retained diabetes devices were identified. These devices included parts of continuous glucose monitors and infusion sets, a lancet, and various types of needles for insulin injection. Each case is presented with details about the year of publication, the retained diabetes device, the company that produced the device, the age and gender of the patient, the type of diabetes that the patient had, the location of the device, the reason for initial discovery of the retained device, the process of locating the device, the success rate for removal of the device, and the removal procedure of the device. Analysis revealed a 100% success rate for the use of imaging technology including X-rays and computed tomography to identify a retained diabetes device. The patients with retained diabetes devices had a 62.5% success rate for eventual removal of the device. Conclusions: With the increasing use of injected, inserted, and implanted diabetes wearables for digital health, it is likely that some of the devices will detach, break apart, or otherwise become retained in the body. It is important to be aware of available technologies to identify retained diabetes devices so that it will be possible in most cases to surgically remove these devices if they detach or become retained.

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“…Source: Adapted from Liaw et al 5 under the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0).…”

Section: Discussionmentioning

confidence: 99%

Retained Diabetes Devices—A Literature Review

Nguyen

Krouwer³

et al. 2022

J Diabetes Sci Technol

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“…Eingedrungene und ggf. verbliebene Fremdkörper können auch für die Entstehung einer Osteomyelitis ursächlich sein [4,8,21,22].…”

Section: Posttraumatische Osteomyelitisunclassified

“…Während eine Osteomyelitis der Endphalanx nicht immer mit einer knöchernen Rekonstruktion verbunden sein kann und bei Amputation auch eine einzeitige Sanierung möglich ist, sollte in allen anderen Regionen eine knöcherne Wiederherstellung angestrebt werden [21]. Ein zweizeitiges Vorgehen mit primärer Infektsanierung und sekundärer Rekonstruktion ist dabei meist notwendig.…”

Section: Operative Therapieunclassified

Osteitis/Osteomyelitis an Hand und Handgelenk

Lautenbach

Tenbrock

Böck

et al. 2021

Handchir Mikrochir Plast Chir

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ZusammenfassungDie Osteomyelitiden im Bereich von Handgelenk und Hand sind weniger häufig als die Knocheninfektionen der langen Röhrenknochen, aber nicht selten. Viele Fragen zur Klassifikation, Pathogenese, Diagnostik, zum Therapiemanagement sowie den erreichbaren Behandlungsergebnissen sind bisher nur wenig ausreichend wissenschaftlich kontrolliert. Die Pathogenese der Erkrankung kann in posttraumatische, postoperative, fortgeleitete und hämatogene Osteomyelitiden, unter Erfassung der patientenindividuellen Risiken, eingeteilt werden. Eine frühe Diagnose und eine adäquate Therapie sind notwendig, um die betroffenen knöchernen Strukturen sowie die Funktion der angrenzenden Gelenke zu erhalten. Ein mehrzeitiges operatives Vorgehen ist dabei häufig notwendig. Zufriedenstellende Raten der Infektionskontrolle und erfolgreiche knöcherne Rekonstruktionen können meist erreicht werden. Komplikationen, verbleibende Defizite und partielle Amputationen, auch bei angemessener Therapie der Osteomyelitiden, sind auf Grund der Schwere der Erkrankung aber nicht immer zu verhindern.

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“…Ultrasonic has been successfully been applied for freezing, cavitation, emulsification and thermosonication for many types of food products [5][6][7]. Several investigationson foreign body detection using ultrasonic sensor had been carried out as reported by Correia et al [8], Zhao et al [9], Pallav et al [10],Leemans and Destain [11], Tantray et al [12] and Polat et al [13], Mcclements [14],Hassler and Homayoon [15], Le Coz et al [16],Iuliano [17], Liu et al [18], Liaw et al [19], Makinde et al [20], Holmes et al [21], Melo et al [22], Khan et al [23], Prabhakar et al [24],Rodrigues et al [25], Franchini et al [26], Pandey [27], Aftab et al [28], Gounder and Tan [29], Sadaka et al [30], Fasina et al [31], Khan et al [32], Mitev et al [33], Roux et al [34], Nakib et al [35], Rathore [36], Singleton et al [37], Mahesh et al [38], Ezenwa [39], Natung [40] and Mustapha [41], In this paper, two common foreign bodies materials e.g. steel and rubber with different sizes were used to investigate the sensor voltage and voltage loss at the ultrasonic receiver.…”

Section: Introductionmentioning

confidence: 99%

Detection of foreign objects in milk using an ultrasonic system

Khairi

Ibrahim

Yunus

et al. 2019

IJEECS

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This paper presents the utilization of an ultrasonic sensing system to detect foreign objects in milk. The advantage of an ultrasonic system is that it is low cost and it can detect a wide range of materials. A foreign body is any contaminated object found in food. Because of the scale of multifarious food processing levels and distribution, the utilization of the food product are sometimes difficult to control, which will inevitably lead to some complaints by consumers. Milk is widely consumed in the world as it is considered as a healthy drink due to it is high nutrients levels. However, from time to time cases of milk contamination are reported. In this paper. the relationship between the foreign bodies in terms of their dimensions and the resultant amplitude are presented. Mathematical modelling were carried out based on two ultrasonic parameters i.e. acoustic impedance and wave amplitude utilizing several types of foreign bodies with different dimensions. Three types of foreign bodies which are steel, rubber and air were investigated to determine the voltage amplitude detected by the ultrasonic receiver when the foreign bodies obstructed the ultrasonic wave propagation path. The diameters of foreign bodies were in the range from 4 mm to 11 mm. The results showed good correlations between the receiver voltage and the size of foreign bodies with correlation coefficients greater than 0.95. Each foreign body also demonstrated different voltage amplitudes when several sizes of the foreign bodies were tested which showed the ability of the system to distinguish the size of each foreign body.

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Retained Foreign Body in a Diabetic Patient’s Hand

Cited by 4 publications

References 7 publications

Retained Diabetes Devices—A Literature Review

Retained Diabetes Devices—A Literature Review

Osteitis/Osteomyelitis an Hand und Handgelenk

Detection of foreign objects in milk using an ultrasonic system

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