Page 152 - IJB-8-1
P. 152

3D Printed Hand Splints
           F.  Is the splint causing pain?                        Did you therefore have to take the splint off ? O Yes
                                                                  O No
                                                               N.  How many times did your splint had to be adjusted?
           a.  If yes, where? ______________________________      O not once
           G.  Is the splint itchy?                                          O ___ times
                                                               a.  If yes:    Why?  __________________________
                                                                  _________________________________
           a.  If yes, where? ______________________________   O.  How many times did your splint had to be replaced?
              _______________________                             O never
           H.  Do you sweat under the splint?                  O ___ times

                                                               a.  If yes:   Why?  __________________________
           I.  Is the splint smelly?                              _______________________
                                                               P.  What final grade would you give to your splint over
                                                                  the entire duration of the therapy?
           J.  How easy is it to clean the splint?

                                                               _____________________________________________
           K.  How do you clean the splint? __________________  _____________________________________________
              __________________________________
                                                               Place and date:             Patient signature:
           L.  Have skin changes occurred under the splint?
                                                               _____________________________________________
              O Yes O No                                          __________________________________________

           a.  If yes:    How?  O Rash                         Assessment 3 (by investigator)
                                                               Patient ID:
              O Pressure point                                 A.  Satisfied with fit?      yes / no

              O Open wound                                     a.  If no, why not?   ______________________

              O ______________________                         B.  Any adverse events? yes / no
              Where?  ___________________________________      a.  If yes, which?   ______________________
              _______________________
                                                               C.  End of therapy?         yes / no
              When?
                                                               a.  If no, why not?   ______________________
           Did you have to change the splint because of it?
                                                               D.  Splint returned?        yes / no
              O Yes O No
                                                               E.  General satisfaction with splint performance over the
           M.  Are there mechanical or material issues of the splint?   whole treatment period:
              O Yes O No
                                                               O bad O ok O good O very good
           a.  If yes:    What?  O Splint broke
                                                               _____________________________________________
                  O Cracks                                     __________________________________________
                  O The splint was deformed
                                                               Place and date:              Investigator signature:
                  O ______________________                     Publisher’s note
              Where? ___________________________________
                                                               Whioce  Publishing  remains  neutral  with  regard  to
              When? ____________________________________       jurisdictional claims in published maps and institutional
              ______________________                           affiliations.

           138                         International Journal of Bioprinting (2022)–Volume 8, Issue 1
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