Systematic Innovation by User-centered Design: Case Study in Ampoule Opener Design

About 90.3% of nurses reported to have experienced the sharp injuries and about 37.6% of nurses occurred more than one time sharp injuries by opening the glass ampoules during recent 6 months. The sharp, jagged edges formed when the ampoule neck breaks incompletely pose a serious danger to medical professionals. Fingers and hands can be cut from the sharp jagged edge formed where the neck breaks. Ampoule related injuries are frequent and dangerous Thus, present study developed the new ampoule opener by systematic innovation of user-centered design to avoid painful and dangerous sharps injuries. User needs analysis have been conducted from district hospital, regional hospital and medical center medical center. A questionnaire was used to survey the behaviors (tasks of opening ampoule, types of ampoules, user requirements etc.) and sharp injuries while opening glass ampoules. After analyzing patents search, user needs analysis and results of questionnaire survey, present study designed and built the prototype of ampoule opener. Results of ergonomic evaluation showed that applied the ampoule opener had lower EMG activity of forearm and lower ulnar deviation on wrist. This easy-to-use multi-use ampoule opener avoids the unacceptable sharps injury rates seen when ampoules are opened by hand. The findings of this study could provide references to medical personnel in order to prevent and decrease sharp injuries as much as possible. In clinical effectiveness will be further assessed.
- Burke, S. and Madan, I. (1997). Contamination incidents among doctors and midwives: reasons for non-reporting and knowledge of risks. Occupational Medicine, 47, 357-360.
- Caron, P. L. (1983). U.S. Patent No. 4,405,067. Washington, DC: U.S. Patent and Trademark Office.
- Ching-Wen Lien, Po-Hsiang Liu / Int. J. Systematic Innovation, 5(2), 45-52 (2018)
- Cheung, K., Ho, S. C., Ching, S. S. and Chang, K. K. (2010). Analysis of needlestick injuries among nursing students in Hong Kong. Accident Analysis & Prevention, 42, 1744-1750.
- Chiu, T. C., Wu, S. C. and Su, Y. L. (2011). Investigation of sharps injury incidences among nursing personnel in a medical center. VGH Nursing, 8, 387-395.
- Hamory, B. H. (1983). Underreporting of needlestick injuries in a university hospital. American Journal of Infection Control, 11, 174-177.
- Lien, C. W., Liu, B. S., Chen, Y. J. and Yu, C. H. (2016). Ergonomic evaluation of new ampoule open design, the 2016 International Conference on Applied System Innovation, Okinawa, Japan.
- Liu, F., Huang, S., Huang, P. and Huang, U. (2015). U.S. Patent No. 8,973,800. Washington, DC: U.S. Patent and Trademark Office.
- Liu, P. H., Lien, C. W. and Lin, Y. J. (2014). Taiwan Patent No. M489643. Ministry of Economic Affairs: Intellectual Property Office.
- Shiao, J. S., McLaws, K. L., Huang, K. Y., Ko, W. C. and Guo, Y. L. (1999). Prevalence of nonreporting behavior of sharps injuries in Taiwanese health care workers. American Journal of Infection Control, 27, 254-257.
- Smith, D. R., Mihashi, M., Adachi, Y., Nakashima, Y. and Ishitake, T. (2006). Epidemiology of needlestick and sharps injuries among nurses in a Japanese teaching hospital. Journal of Hospital Infection, 64, 44-49.
- Stanton, N. (1998). Human factors in consumer products. London, UK: Taylor & Francis.
- Voide, C., Darling, K. E., Kenfak-Foguena, A, Erard, V., Cavassini, M. and Lazor-Blanchet, C. (2012). Underreporting of needlestick and sharps injuries among healthcare workers in a Swiss University Hospital. Swiss Medical Weekly, 142: w13523.
- Wang, H. Q., Zhang, M., Li, T. and Du, X. Y. (2009). A pooling analysis of occupational sharp injury on clinical nurses in China. Chinese Journal of Industrial Hygiene and Occupational Diseases, 27, 65-70.
- Wiley, J. L. and Halvorson, T. A. (2011). U.S. Patent No. 7,946,461. Washington, DC: U.S. Patent and Trademark Office.
- Yu, S., Li, W., Zou, Y. and Zhang, C. (2014). An analysis on the relationship between medical sharp injuries and job satisfaction among nursing staff. Journal of Xinjiang Medical University, 37, 635-639.
- Zhang, X., Tang, Y., Zheng, D. and Liao, J. (2014). Investigation of risk factors of nurse sharps injury in the department of sterile supply. Journal of Modern Clinical Medicine, 40, 379-381.