Use of 3D printing to create a bespoke repair of a Percutaneous Endoscopic Gastrostomy (PEG) tube in patient unfit for surgical replacement

Kevin J. O'Sullivan; Aidan G. O'Sullivan; Noelle Power; John Gillick; Colum P. Dunne; Leonard O'Sullivan; Barry Linnane

doi:10.1136/bmjinnov-2017-000246

Use of 3D printing to create a bespoke repair of a Percutaneous Endoscopic Gastrostomy (PEG) tube in patient unfit for surgical replacement

Kevin J. O'Sullivan
, Aidan G. O'Sullivan
, Noelle Power
, John Gillick
, Colum P. Dunne
, Leonard O'Sullivan
, Barry Linnane

School of Architecture & Product Design

University of Limerick
University Hospitals Limerick
Our Lady's Hospital for Sick Children
National Children’s Research Centre

Research output: Contribution to journal › Article › peer-review

Abstract

We report a case of three-dimensional (3D) printing being used to solve a difficult bedside clinical problem and avoidance of substantial risk associated with alternative solutions. A 15-year-old male with advanced cystic fibrosis developed a small (∼1mm) linear tear in his Percutaneous Endoscopic Gastrostomy (PEG) tube, approximately 40 mm from the skin surface. The patient's advanced condition precluded replacement of the PEG tube under general anaesthetic. Attempts to manage the tear with adhesive tapes yielded limited success. 3D printing was used to create a bespoke sealing device overnight, rectifying the leak and allowing enteral feeding to recommence unimpeded. The device is functioning well, several months post-discharge of the patient.

Original language	English
Pages (from-to)	29-31
Number of pages	3
Journal	BMJ Innovations
Volume	4
Issue number	1
DOIs	https://doi.org/10.1136/bmjinnov-2017-000246 https://doi.org/10.1136/bmjinnov-2017-000246
Publication status	Published - 1 Jan 2018

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

3d printing
inventions
palliative care

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O'Sullivan, K. J., O'Sullivan, A. G., Power, N., Gillick, J., Dunne, C. P., O'Sullivan, L., & Linnane, B. (2018). Use of 3D printing to create a bespoke repair of a Percutaneous Endoscopic Gastrostomy (PEG) tube in patient unfit for surgical replacement. BMJ Innovations, 4(1), 29-31. https://doi.org/10.1136/bmjinnov-2017-000246, https://doi.org/10.1136/bmjinnov-2017-000246

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title = "Use of 3D printing to create a bespoke repair of a Percutaneous Endoscopic Gastrostomy (PEG) tube in patient unfit for surgical replacement",

abstract = "We report a case of three-dimensional (3D) printing being used to solve a difficult bedside clinical problem and avoidance of substantial risk associated with alternative solutions. A 15-year-old male with advanced cystic fibrosis developed a small (∼1mm) linear tear in his Percutaneous Endoscopic Gastrostomy (PEG) tube, approximately 40 mm from the skin surface. The patient's advanced condition precluded replacement of the PEG tube under general anaesthetic. Attempts to manage the tear with adhesive tapes yielded limited success. 3D printing was used to create a bespoke sealing device overnight, rectifying the leak and allowing enteral feeding to recommence unimpeded. The device is functioning well, several months post-discharge of the patient.",

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O'Sullivan, KJ, O'Sullivan, AG, Power, N, Gillick, J, Dunne, CP , O'Sullivan, L & Linnane, B 2018, 'Use of 3D printing to create a bespoke repair of a Percutaneous Endoscopic Gastrostomy (PEG) tube in patient unfit for surgical replacement', BMJ Innovations, vol. 4, no. 1, pp. 29-31. https://doi.org/10.1136/bmjinnov-2017-000246, https://doi.org/10.1136/bmjinnov-2017-000246

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AB - We report a case of three-dimensional (3D) printing being used to solve a difficult bedside clinical problem and avoidance of substantial risk associated with alternative solutions. A 15-year-old male with advanced cystic fibrosis developed a small (∼1mm) linear tear in his Percutaneous Endoscopic Gastrostomy (PEG) tube, approximately 40 mm from the skin surface. The patient's advanced condition precluded replacement of the PEG tube under general anaesthetic. Attempts to manage the tear with adhesive tapes yielded limited success. 3D printing was used to create a bespoke sealing device overnight, rectifying the leak and allowing enteral feeding to recommence unimpeded. The device is functioning well, several months post-discharge of the patient.

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KW - inventions

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Use of 3D printing to create a bespoke repair of a Percutaneous Endoscopic Gastrostomy (PEG) tube in patient unfit for surgical replacement

Abstract

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Keywords

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