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Table 6 Summary of field evaluations by product category

From: Avoid equipment graveyards: rigorous process to improve identification and procurement of effective, affordable, and usable newborn devices in low-resource hospital settings

Product category

Reported device failures

Response and resolution

Syringe Pump

No accumulated data, devices introduced in 2022

Bilirubinometer

No accumulated data, devices introduced in 2022

Phototherapy

10 devices reported low irradiance

Manufacturer provided repair guide to clean, eliminate loose terminal connections

Haemoglobinometer

No accumulated data, devices introduced in 2022

CPAP

Flowmeter oxygen tubing dislodging under pressure if connected when flowmeter partially closed

Bottle straw deteriorating, forming cracks

Flowmeter oxygen tube secured with a zip tie, manufacturer provided spare zip ties with new devices

Manufacturer redesigned bottle straws and sent replacement parts

Flow Splitter

No flow outlet, crashed bobbin, damaged flowmeter control knob

Replacement parts stocked to replace broken or damaged parts. User training to reinforce gentle handling of the device, as most breakages are user errors

Oxygen Concentrator

Zeolite leakage from sieve beds

Manufacturer provided filter papers for sieve beds to prevent Zeolite leakages

Pulse Oximeter (Continuous)

SpO2 board, charging port had durability issues

Manufacturer sent replacement parts for devices under warranty and strengthened future device board connections

Suction Pump

Overflow valve often lost during device cleaning

Instead of replacing entire suction bottle, lid alone can be stocked as a replacement part

Radiant Warmer

Alarm batteries completely discharged during long-term storage

Manufacturer advised to pack alarm batteries separately and install alarm batteries during device installation

Temperature Monitor (Continuous)

None in field due to no qualified technology available at time of publishing

Conductive Warmer

None in field due to no qualified technology available at time of publishing

Respiratory Rate/Apnoea Monitor

None in field due to no qualified technology available at time of publishing

  1. Abbreviations: CPAP Continuous positive airway pressure, SpO2 Oxygen saturation