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Article Dans Une Revue Medical Devices: Evidence and Research Année : 2023

Extracorporeal Artificial Lungs: Co-Creating Future Technology – A Qualitative Analysis

Julia Dormann
Sebastian Wendt
  • Fonction : Auteur
Michael Dreher
  • Fonction : Auteur
Kelly Ansems
  • Fonction : Auteur
Carole Rolland
  • Fonction : Auteur
Jan Spillner
  • Fonction : Auteur
Agnieszka Szafran
  • Fonction : Auteur
Thomas Breuer
  • Fonction : Auteur
Tom Verbelen
  • Fonction : Auteur
Carina Benstoem
  • Fonction : Auteur

Résumé

Background: Terminal lung diseases such as chronic obstructive pulmonary disease (COPD) and pulmonary hypertension (PH) in progression cause a large reduction in quality of life and may lead to bilateral lung transplantation (bLTx). An artificial portable lung could provide a bridge to lung transplantation, allowing patients to remain at home and mobile for longer. To advance the development of such an artificial lung, patient feedback is essential. The aim of this study is to analyze patient acceptance about an extracorporeal artificial lung and to implement these findings into the development. Methods: In collaboration with a medical device developer, we presented a portable dummy oxygenator to patients with advanced lung disease, as potential end users. Data collection in Germany and France was based on two different methods: an online questionnaire and face-to-face interviews (F2F). Results: A total of 604 participants answered the online questionnaire and 17 participants were included in the F2F interviews. The majority of participants (COPD n=140, PH n=17) were able to walk more than 1 km with a mean suffering pressure of 2.87 and 3, respectively. Six of the 17 F2F participants who could walk <1 km were interested in an assistive device. The statistical value of Fisher's exact test for suffering pressure and desire for a portable oxygenator was 0.45. Conclusion: In patients with advanced lung disease, there is no statistically significant association between subjectively increased suffering pressure and desire for a portable oxygenator, so market introduction may be difficult. Potential end users should be implemented early in device development. Data collection via an online questionnaire combined with personal interviews has proven to be a successful approach here.

Dates et versions

hal-04550054 , version 1 (17-04-2024)

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Citer

Julia Dormann, Sebastian Wendt, Michael Dreher, Kelly Ansems, Carole Rolland, et al.. Extracorporeal Artificial Lungs: Co-Creating Future Technology – A Qualitative Analysis. Medical Devices: Evidence and Research, 2023, Volume 16, pp.201-210. ⟨10.2147/MDER.S415258⟩. ⟨hal-04550054⟩

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