The Barrow Innovation Center Case Series: A Novel 3-Dimensional-Printed Retractor for Use with Electromagnetic Neuronavigation Systems.
OBJECTIVE: The Barrow Innovation Center consists of an educational program that promotes interdisciplinary collaboration among neurosurgery, legal, and engineering professionals to foster the development of new medical devices. This report describes a common issue faced during the placement of ventricular shunts for the treatment of hydrocephalus and the solution to this problem that was developed through the Barrow Innovation Center.
METHODS: Neurosurgery residents involved in the Barrow Innovation Center presented the problem of ferromagnetic retractors interfering with pinless image-guidance systems at a monthly meeting. Potential solutions were openly discussed by an interdisciplinary committee of neurosurgeons, patent lawyers, and biomedical engineers. The committee decided to pursue development of a novel self-retaining retractor made of nonferromagnetic material as a solution to the problem.
RESULTS: Each retractor design was tested in the cadaver laboratory for size and functionality. A final design was chosen and used in a surgical case requiring ventriculoperitoneal shunt placement. The new retractor successfully retracted the scalp without interfering with the electromagnetic image-guidance system.
CONCLUSIONS: Through the interdisciplinary Barrow Innovation Center program, a newly designed, 3-dimensional-printed skin and soft-tissue retractor was created, along with an innovative universal shunt retainer. Through this integrated program dedicated to surgical innovation (i.e., the Barrow Innovation Center), the process of developing and implementing new technology at our institution has been streamlined, creating a culture of innovation within the neurosurgery training program.
Medical Subject Headings
Aged, 80 and over; Clinical Competence; Electromagnetic Fields; Humans; Hydrocephalus, Normal Pressure; Male; Neuronavigation; Printing, Three-Dimensional; Ventriculoperitoneal Shunt
Digital Object Identifier (DOI)
Bohl, Michael A; Xu, David S; Cavallo, Claudio; Paisan, Gabriella M; Smith, Kris A; and Nakaji, Peter, "The Barrow Innovation Center Case Series: A Novel 3-Dimensional-Printed Retractor for Use with Electromagnetic Neuronavigation Systems." (2018). Neurosurgery Articles. 775.