1. March 6 th,2009 Katie Pollock – Leader Becca Clayman - Communicator Kim Safarik - BWIG Paul Fossum – BSAC Advisor – Paul Thompson Client – Dr. Timothy McCulloch

2.  Background  Strap Connections  Back Pressure system  Materials  Final Design  Future Work  Questions

3.  Emergency/Non- emergency procedures  Tube placed in trachea to allow patient to breathe  Semi- permanent/permanent opening http://www.kevinmd.com/blog/hello/51/959/640/tra chdiag.jpg

4.  Airway obstruction  Windpipe blocked by swelling  Foreign objects  Paralysis of throat  Tumor  Lung disease http://www.deepspace4.com/pages/prophecy/fatima/images/tracheotomy.jpg

5.  Ulcers and Banding ◦ Caused by excess pressure ◦ Loose strap = loose tube  Accidental Decannulation  Readily absorbs moisture  Neck Dependant http://www.southwestmedical.com/images/products/images/RT K101-201.jpg http://www.medicdirect.co.uk/images/tracheostomy _large.jpg

6.  Wider, comfortable strap  Adjustment monitoring system  Increase comfort and adjustability of pressure  Easy to maintain  Last for 5-7 days http://www.marpacinc.com/Images/bariatricart.jpg http://www.istockphoto.com/file_thumbview_approve/4032641/2/i stockphoto_4032641-tracheotomy.jpg

7.  Velcro  Redesigned hat snaps  1-way self locking mechanism – similar to a cable tie  Redesigned belt

10.  Air  Gel  Water  Foam http://www.ergo4me.com/chairbuilder/option_images/foam- memory.jpg http://en.wikipedia.org/wiki/File:Hairgel.JPG

13.  Hardware one way check valve  Plastic one way valve – similar to a no mess ketchup bottle

16.  Plastics – malleable  Cotton  Backpack mesh  Fleece

18.  Redesigned hat snaps  Water filled  Plastic one way pressure valve  Backpack mesh

19.  Continue discussion with client  Order Materials  Fabricate Prototype  Testing  Fabricate final prototype

20.  Timothy McCulloch, M.D. ◦ Chairmen of Otolaryngology, University of Wisconsin School of Medicine of Public Health  Anna Krupp, Clinical Nurse Specialist  www.tracheostomy.com www.tracheostomy.com