Double Rotating Pods Surgical Caddy

A New Device to Improve Ergonomics and Reduce the Risk of Bloodstream Infections

Student Team: Darren Liu, Jon Redenius, Tyler Scott-Okerblom Faculty Mentor: Professor Cristina Davis Sponsor: Dr. David Price, UC Davis Medical Center

Department of Mechanical and Aerospace Engineering, University of California, Davis, CA 95616

INTRODUCTION
We designed and developed a new surgical apparatus to compliment the Central Venous Catheter procedure. This operation can be performed multiple times a day and potentially subjects the individual to severe bacterial infections. During the procedure, a doctor must insert up to 3 tubes directly into a large vein in the neck, chest, or thigh. The CVC is used to transmit both short and long term medications, introduce fluids, take blood samples and obtain cardiovascular measurements. The current process involves placing the kit on unsafe, unsanitary, and/or troublesome surfaces that could cause the tools to fall onto the floor or patient and out of the sterile field. This undoubtedly puts the patient at a greater, and unneeded, risk. Our Double Rotating Pods (D.R.P.) Surgical Caddy will drastically improve the functionality of the entire procedure and make it more ergonomic. By doing this, the sterility of the procedure is insured which can prevent possible infections. We have incorporated two swiveling turntables, adjustable pod connections, a hydraulic gas spring, and a linear track guide to securely hold the tools and make them more accessible to the doctor. The caddy is adjustable to meet all hospital bed heights and room orientations to increase the flexibility and ergonomics of the system. Our design will help limit bacterial infections and physician fatigue while potentially saving patient lives.
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MATERIAL SELECTION & FABRICATION

Materials:
T-6 6061 Aluminum (tubes, bushing, and sheet) 1040 Steel (rod, track, and x-supports) SAE 863 Bronze (lubricated bushing) 122 alloy Copper (tubing)

INNOVATION & SOLUTIONS

Tray Design

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Fabrication:
CNC Bridgeport mill -Used to make slots on various base components Harrison Lathe -Used to turn down Rods and bore out cylinders Plasma Cutter -Programmed to cut tray and x-bar attachments
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The trays pockets and grooves allow the tools to be very easily accessible to the surgeon.

I-Base Stability
The I-base adds extra support by lowering the center of gravity and minimizing the moment arm of the tray.

CADDY IN ACTION
1. Comparison with current set-up (Mayo table)

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Cannibalized GorillaPods Add Mobility

DESIGN & CALCULATIONS

System Requirements:
- Wheelbase that can fully support load - Hydraulic system that can move track up and down 15 inches - Linear track that can slide tray back and forth - Turntables for 360 motion of track and tray - Ergonomic tray for procedure-friendly set up

TESTING
2. Integration with Catheter Kit

Doing the procedure without hurting

your back is one-thousand times better. The convenience of having what I want, when I need it, will make the procedure better for the patient.
3. Use During Surgery

Two of the main design concerns were establishing and maintaining a base with a low center of gravity and having a caddy where the large moment arm of the track wouldnt tip the whole caddy over.

- Dr. David Price

The center of gravity was calculated in Autodesk Inventor (screenshot shown to the right) to be 0.33 meters from the ground. This number is very acceptable knowing our total standing height can be 1.5 meters.

The moment analysis is as follows: The 10 kg tray/turntable combo is at its furthest point from the base at .5 meters. The 20 kg base center of gravity is 0.75 meters from the track. Simple moment math concludes that the 148 Nm moment of the base fully counterbalances the 49 Nm moment of the tray/turntable at its most extended position.

ACKNOWLEDGMENTS
Wed like to thank Dr. David Price for his continued medical guidance and steady feedback on the caddy, Dr. Cristina Davis for her constant support and advice, and TA Cambrie Starkel for keeping us organized and always ready for the next steps in this design project. Special thanks as well to Mike Akahori and Shawn Malone for all their machining expertise and guidance.