Diabetic Foot Therapy
A bad leg is a common, if not the most
common, cause of hospital admission for diabetic patients over age
40. Of the 246 million
diabetics currently diagnosed globally, nearly 45% are expected to
suffer from atherosclerosis after 20 years duration of the
disease. In addition,
limb ischemia is observed in nearly 30% of all patients. Revascularization is one
surgical treatment method to stave off amputation. This procedure uses the
autologous vein to bypass the arterial blockage. Although limb salvage rates
are greater than 80% (depending on location of occlusion), the
therapy also carries considerable risks as patients are immobile
after the operation and mortality rates range from 0.97-2.0%.
The lack of a popular non-invasive
treatment method which could restore sufficient blood flow with
minimal risk was the primary motivation of this research
project. Because of the
paucity of health coverage for disease treatments, we also sought an
affordable therapy for all classes of patients. A review of alternative
treatment methods which satisfied these criteria led to selection of
Intermittent Pneumatic Compression (IPC) therapy. In this therapy, a patient’s
leg is placed in a boot insulated with air pockets that rapidly
inflate and deflate, the purpose being to relax hardened arteries
and improve leg blood inflow.
The aim of this project was to design and
prototype a portable, user-friendly, cost-effective IPC delivery
system.
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