Our Publications

Dissertation
 

Towards increased global availability of surgical equipment -Dr.ir. Roos Oosting

This dissertation evaluates the current use of surgical equipment in low- and middle-income countries and the development context-specific surgical equipment to increase access to surgery. Using both

quantitative and qualitative research methods, current use, and barriers to use, of

surgical equipment in various hospitals in Sub-Saharan Africa, specifically in Kenya, were studied.

Additionally, a context-specific design framework to support including contextual factors during design projects on context-specific surgical equipment is presented. The final chapter of this dissertation describes the

multi-disciplinary project of the development of a context-specific electrosurgical unit and

accessories based on various context-studies in Africa.

Click here to find a PDF version of this dissertation and click here to read the story about this project

on the website of the Delft Global Initiative.

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Scientific publications

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2024 -Context-Driven Design of a Laparoscopic Instrument Cleaner for Use in Rural Low-Resource Hospitals
Journal of Medical Devices - D.Robertson, A.Kok, R.Oosting, J.Gnanaraj, S.Buzink, J.Dankelman

2024- A training phantom for a vesicovaginal fistula repair with the transvaginal approach

Current problems in surgery - T.Voskamp, W.Kisha, R.M.Oosting, T.Wiggers, J.D.Dankelman

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2023- The extent to which circular economy principles have been applied in the design of medical devices for low-resource settings in Sub-Saharan Africa. A systematic review.

Frontiers in Sustainability - Samenjo KT, Oosting RM, Bakker C, Diehl JC.

2022- A context-specific design of an electrosurgical unit and monopolar handheld to enhance global access to surgical care: a design approach based on contextual factors.
Journal of Medical Devices  - Oosting, R. M., Ouweltjes, K., Hoeboer, M. D., Hesselink, L., Madete, J. K., Diehl, J. C.,Dankelman, J. (2020).

In previous studies that we conducted a clear need to improve electrosurgery in LMICs was identified. This paper used our context-specific design method to detail the contextual factors that affect the design of surgical equipment for a global context. We collected data on these contextual factors during five field studies, mostly in Kenya. These contextual factors were translated into context-specific design requirements. Concepts for the prototypes of and affordable electrosurgical unit (that is compact, and battery powered) and a robust reusable handheld are presented. User acceptance of these prototypes were later assessed by 51 surgeons working in 12 African countries during a large surgical conference.

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2021- Assessment of laparoscopic instrument reprocessing in rural India: a mixed methods study.
Journal of Antimicrobial Resistance &Infection Control- Robertson D, Gnanaraj J, Wauben L, Huijs J, Samuel VM, Dankelman J, et al.

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2020- Availability, procurement, training, usage, maintenance and complications of electrosurgical units and laparoscopic equipment in 12 African countries.

BJS open- Oosting, R. M., Wauben, L. S. G. L., Madete, J. K., Groen, R. S., Dankelman, J.

2020- The Effect of Chemical Cleaning on Mechanical Properties of Three-Dimensional Printed Polylactic Acid.

Journal of Medical Devices- Fleischer JC, Diehl JC, Wauben LSGL, Dankelman J.

2019 - A systematic review and meta-analyses of thermal coagulation compared with cryotherapy

to treat precancerous cervical lesions in low- and middle-income countries.

International Journal of Gynecology and Obstetrics. de Fouw, M., Oosting, R. M., Rutgrink, A., Dekkers, O. M., Peters, A. A. W., Beltman, J. J.

2019 -Barriers to availability of surgical equipment in Kenya: a surgical equipment journey

approach.
Global Clinical Engineering Journal - Oosting, R. M., Wauben, L.S.G.L, Mwaura, S.W., Madete, J.K., Groen, R.S., Dankelman, J.

2018- Equipment for essential surgical care in 9 countries across Africa: availability, barriers and need for novel design.

Health and Technology  Oosting, R. M., Wauben, L. S. G. L., Groen, R. S., Dankelman, J.

2018- Roadmap for Design of Surgical Equipment for Safe Surgery Worldwide.

IEEE Global Humanitarian Technology Conference Paper -Oosting, R. M., Dankelman, J., Wauben, L. S. G. L., Madete, J., Groen, R. S.