Designing a Novel Support System for Feeding Pumps

A case study in user involvement in medical design

Masters Thesis - 2019

Background

child sits on couch while being fed by a feeding pump which is hanging from an IV pole

Prevalence of Tube Feeding

Feeding tubes are used in home settings by approximately 440,000 individuals in the United States. 53% of users are adults and 46% are pediatric. Feeding tubes are used for a variety of medical conditions such as neurological dysfunction, cancers, failure to thrive, gastrointestinal mobility disorders, and congenital heart defects.

Most Common Feeding Pumps

(based on a survey of 450 home users)

baby wearing an NG tube

Nasogastric Tube
Short-term use

baby's stomach with a G-tube

Gastrostomy Tube
Long-term use

The home use stuff all feels like an afterthought. It all feels like it’s designed for institutional use.
— Research participant

Participatory Research and Design Process

I visited the homes of feeding pump users to get their ideas for how the designs of the feeding pump hanging equipment could be improved. I then built functional prototypes based on the users’ suggestions. The users tested the prototypes in their homes for 1 week, and their feedback was incorporated into the final design.

Feeding pumps in daily life

Through my home visits, I found that caregivers must frequently transfer the pump between the IV pole, stroller, car, wheelchair, and feeding backpack, and sometimes use creative solutions to hang the pump.

IV pole with feeding pump in young girl's bedroom

IV pole a tripping hazard for kids in the bedroom

IV pole with feeding pump next to child in standing frame

Difficult to wheel IV pole and standing frame around the house together

Backpack hung from car handle with a coat hanger

Backpack hung from wheelchair because the user was non-ambulatory

A typical day for a young tube-fed child

Prototype designs were based on the participants’ ideas and were tested in their homes

I wish I could clip the pump to my child’s stroller, wheelchair, and other equipment.
— Research participant
I wish I could hang the pump from things in the house, like the bed or a doorknob.
— Research participant
I wish the equipment was more portable for both daily life and travel.
— Research participant

Final Design

The final design is a flexible system which can be used to hang or mount the pump in common daily situations

Accommodates both popular home feeding pump models

Storage spot for tubing cap

Quick-release clamp

Final prototype

The final prototype was made with a combination of aluminum and SLS 3D-printed nylon. I worked with a local fabricator who welded the aluminum frame with TIG welding.

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