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Location & DateObservationProblemPrimary NeedScore (5 = most important)
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.According to the physician, aneurysms can be hidden behind bends in the vasculatureHidden aneurysms that are not diagnosed and fixed may rupture and have devastating consequences for the patientA device that allows physicians to better visualize and diagnose hidden aneurysms4.4
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.Operating on patients with bow hunter's syndrome requires them to be awake and cooperative during surgery.It is hard to operate on children with bow hunter's syndrome because some of them are not cooperative.A device that accurately allows physicians to take meaningful angiograms in children with bow hunter's syndrome while making sure the head is not overextended, and the head angle for each measurement is ideal4
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.Sometimes, the guide wire can nick the inside of an artery, leading to endothelial damage and blood clot formationThere is no way to measure the state of the retina during surgeryA device that can continuously measure the state of the retina during surgery3.9
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.During an angiogram, the technologist did not speak Spanish and had trouble communicating with the patientIf the patient does not understand what the technologist is saying, this may extend the time of their procedureA system that can give standard instructions to the patient in a variety of languages3.8
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.If one of many small vessels inside the brain is damaged (either through the rupture of an aneurysm, blunt trauma, etc.), a patient may lose sight, speech, etc.Surgeons cannot protect or replace small but important blood vesselsA device that allows physicians to protect or restore important, damaged blood vessels in the brain3.8
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.Many patients only discover their aneurysms by accident (in other words, when they come in for a different medical condition, such as a concussion or car accident)If many patients discover their aneurysms by accident, many others do not discover them at all until they burst and are extremely life-threateningA device that allows patients to discover an aneurysm early after formation, or monitor susceptible blood vessels3.6
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.Many patients were subjected to surgery simply to understand their pathologiesPhysicians lack effective non-invasive visualization toolsA device/technique to better visualize vasculature without resorting to surgery3.6
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.When entering an aneurysm, the wire "jumps" if there is no backwards pressure exerted on itThe physician must manipulate the wire in a specific way in order for certain procedures to go smoothlyA device that safely enters a patient's aneurysm without retracting quickly3.6
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.If an artery is scratched or nicked in the brain, it could rupture the blood vessel, and the patient could bleed out within minutesReaching aneurysms in the brain is more dangerous because the blood vessels are delicate and prone to rupture (rupture leads to high patient mortality rates)A device that allows physicians to reach aneurysms in the brain without the risk of rupturing cerebral blood vessels3.5
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The anesthesiologist had to halt a patient's breathing for several seconds at time (and several times during the procedure) in order to visualize the patientEven though the success of the procedure is contingent upon the patient not moving or breathing for small portions of time, there is a danger that the anesthesiologist will deprive the brain of oxygen for too long, resulting in damage.A device that ensures that a patient is not left without for oxygen for too long during a procedure.3.5
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.A member of the staff came into the angio suite after a procedure to ask where an implant had been addedIf the nurses and caregivers post-operation do not know all of the important details of the procedure, they may give unadvised or incorrect treatmentA device or system that allows the surgeon and staff to all be up to date on the critical details of the procedure and treatment3.4
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The anesthesiologist uses the blood pressure of the body to estimate the blood pressure of individual organsThe blood pressure of the body may not accurately represent the blood pressure of a particular organ, such as the liver and kidneysA device that is able to measure the blood pressure of any individual organ during surgery3.4
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The patient thought she was allergic to aspirin but she was not.Doctors have to take unnecessary measures when treating patients who give inaccurate or false informationA device that accurately checks a patient's allergies3.3
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.Patients had to remain still and refrain from breathing or swallowing for several seconds at a timePatients may have a hard time holding their breath or not moving for several seconds at a time, which can affect procedure outcomes, and lead to patient anxietyA device that allows visualization of the patient's vasculature that doesn't require the patient to take action3.2
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.It is difficult to maneuver the catheter during an angiogram because of the complex structure of the blood vessels.The surgeon has to spend a lot of time to direct the catheter to the right place.A device that guides the catheter through blood vessels easily.3.2
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The healthcare providers must wear radiation protection before entering into the ORCurrent visualization device (x-rays) emits radiation that is harmful to both patients and health providersA device that protects health providers and patients from harmful radiation3.1
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The physician had to use many different imaging methods in order to visualize a benign spine tumorMore imaging and tests results in higher costs and discomfort for the patient. It also requires more work for the doctorA device/technique that allows the physician to obtain the necessary information with minimal testing and imaging3.1
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.About a half hour after a patient was administered anesthesia, she unexpectedly starting to move. The anesthesiologist administered a paralyzing agent, but was surprised by the movement (she did not anticipate it)The anesthesiologist was not able to predict the movement of the patient after administering anesthesia.A device that allows an anesthesia to better anticipate a patient's movements3.1
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.With one patient's aneurysm repair, the physician had to use the coiling method in a different visit from the stent placement, because the stent was liable to moveThe patient must return several weeks later in order to finish their noninvasive surgery, leading to increased costs and recovery times for the patientA device that can keep the vascular passageway open without wiggling during the aneurysm repair3.1
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The physician has a difficult time moving the catheter in the opposite direction of blood flow - even if he is already up in the head/neck region of the patient, he has to reenter the patient's femoral artery in order to access certain areasTime is wasted while a physician re-threads a catheter in order to reach a side of the patient's body that is inaccessible due to opposing blood flowA device that allows physicians to access all parts of the patient's body without re-entering and/or re-threading3.1
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The physician spent a long time to fill in the electronic health recordThe more time a physician spends filling out paperwork, the less time (s)he is treating patientsA device that minimizes a physician's time spent filling out paperwork (or the time of other trained personnel)3
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.During the visualization of the aneurysm, the nurse or physician had to tell the anesthesiologist to induce apnea and breathing periodsThe anesthesiologist may not hear the nurse/physician or miss a part of the instructionA device that allows quick coordination of the breathing apnea and imaging process3
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.In one aneurysm repair case, the micro catheter was pulled back too far - the stent was pulled back with it, and physician had to go back through the leg over againRe-threading the guide wire added time to the surgery and wasted supplies (the stent could not be reused). There was no guarantee that teach time the physician removed the catheter from the patient that the stent would not come with itA device that ensures stents must be threaded into a patient only once3
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The physician reviewed the images and videos by handA physician's mistakes can lead to unnecessary (or even harmful) treatmentsA device/technique to allow physicians to be more certain of diagnoses2.9
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The resident had difficulty manipulating a wire around a specific part of the blood vessel in the brainIt was difficult for the resident to maneuver the wire around specific parts of vasculature, greatly lengthening the time spent performing the procedureA device that permits easy manipulation of the guide wire in the vasculature of the brain2.9
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.Dr. Hetts had difficulty fitting the catheter around the guide wire several times during an older patient's surgery, because his blood vessels had grown more convoluted with age. The patient had to take a deep breath in order to straighten out his blood vessels.Using excessive force when slipping the catheter over the guide wire can cause harm to the patient (and perhaps even lead to nicking of the blood vessels)A device that helps physicians to maneuver a catheter over the guide wire using minimal force2.9
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.After the surgery was over, the surgeon could not locate the patient because the nurse was not in the roomThe surgeon had to take extra time to find the patient and prolonged the time it took to verify the patient was able to seeA device or system that records the exact location of the patient as they are transported to different areas of the hospital2.9
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.Sometimes, the guide wire can nick the inside of an artery, leading to endothelial damage and blood clot formationHard-to-maneuver blood vessels are prone to getting nicked with guide wires, which can cause long-term patient consequencesA device that allows physicians to easily maneuver guide wires through the body to avoid nicking blood vessels2.8
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.Patients might move during the angiogram because they are uncomfortable and/or feel claustrophobicIt is dangerous for the patient to move during angiogram.A device that helps patients reach the position that would provide maximum comfort before the surgery.2.5
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The physician had to tap a syringe several times to ensure that all air bubbles had left before injecting fluids into the patientAccidently injecting air bubbles into a patient's brain can cause deathA device that ensures all air bubbles are eliminated from injectable substances used during neuro-interventional surgeries2.5
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The nurse had to cuff up the arms to make sure the x-ray dye was going primarily to the brainIt is not a pleasant experience for the patients to be repeatedly cuffed during an angiogram.An imaging technique that obtains good image of the blood vessels without requiring the patient to be restricted with cuffs around their arms2.4
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.A man with bow hunter's syndrome had previously received surgical treatment, but his symptoms still persistedThe surgical treatment for bow hunter's syndrome (removing bone from the neck) was not effectiveA device that allows patients with bow hunter's syndrome to be successfully treated in one visit2.3
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The surgeon was pricked by a used suturing needle left by a fellow during surgery.The used needle can infect the surgeon with HIV or hepatitis if the patient has such diseases.A standard protocol that regulates the way surgeons handle sharp objects.2.1
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UCSF Neuro Interventional Radiology. June 8th, June 13th, July 6th, 2018.The computer froze during a 3D angiogramIt is troublesome for the medical team to wait for a long time before the 3D graph comes out.A device that is more powerful and efficient when processing the 3D angiography.2
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