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Special headgear helps veterans with ear irregularities breathe easier

BREATHECOVER
Veteran patient Alan Yak has been pleased with the 3D-printed silicone band from the Design-on-Demand team that now secures his oxygen delivery tubes.
Department of Veterans Affairs

Department of Veterans Affairs healthcare providers encounter a wide range of veteran patient injuries and conditions that routinely present opportunities for innovations that will improve patients’ quality of life.

One such innovation, developed recently by the VA Northeast Ohio Healthcare System’s Design-on-Demand innovation team is a special silicone band, which will hold oxygen cannula tubes for individuals who have lost cartilage around one or both ears.


Traditional oxygen cannula tubing typically rests over a patient's ears to create a secure fit and free oxygen flow to the nose fitting. For patients without one or both ears, tubing will not stay in place and oxygen flow is not reliably delivered. Patients have the option to wear a full facemask, but many patients find this to be both obtrusive and uncomfortable, and it often interferes with clear speech.

The innovative molded silicone band addresses this challenge cleverly by securely holding the tubing to enable effective oxygen delivery without resorting to facemask use.

This situation was faced by Air Force veteran Alan Yak.

Yak, who served during the Vietnam War, expressed concern about his ability to wear his oxygen correctly and comfortably. Eager to help resolve his need and find a solution, Yak’s occupational therapist Chelsey Meader contacted VANEOHS innovation specialist Gina Green for ideas.

The Louis Stokes Cleveland VA Medical Center Design-on-Demand team then got to work.

Through discussions with Yak and internal team meetings, biomedical engineer Zachary Thumser was inspired to refine a prototype originally created during the Covid-19 pandemic. The new silicone band incorporated special lobes to use friction to fasten tubes in place and accomplish the intended objective. The new device is effective, comfortable, washable and can be worn 24 hours a day.

After a few weeks at home with the device, Yak was asked if he’s still using the band: “Yes, I do! It’s been great. I use it every day — even in the shower.”

“Sometimes the simplest solution is the best," Green said. "This band can be created on demand, on site, by our 3D printing service. The silicone band can be printed within 24 hours, and it’s ready for use by the patient quickly and with minimal training.”

Green said this device has generated ideas for multiple new healthcare applications by the innovation team.

"In the future, we could adapt the band to help patients with skin breakdown, or facial deformities that make standard oxygen delivery difficult,” she said.