The EBOX was developed by Dr Ashley Roberts, Consultant Gastrointestinal Radiologist, University Hospital of Wales (UHW), and Mr Rob Mcleod, ENT surgeon and WCAT fellow, Cardiff University.
Since the COVID-19 pandemic, both Rob and Ashley had been independently working on developing physical barriers to protect staff during invasive procedures such as intubation, tracheotomy and upper GI endoscopy. The fusion of their ideas has resulted in the EBOX.
Neil Warren (Welsh Institute of Minimal Access Therapy) has been instrumental in evaluating the proof of concept in laboratory conditions, and Jason Callow (DIPEC Plastics Ltd) has also been advising the design process and manufacturing the EBOX.
We have had further support in evaluation of the original intubationbox.com by anaesthetic colleagues, particularly Dr Sharmila Cote. We have gained approval from the Medical Director of the Clinical Innovation Partnership between Cardiff University and Cardiff and Vale University Health Board, and the Executive Medical Director of Cardiff and Vale University Health Board, as well as advice from Infection Prevention and Control at UHW.
The Radiographic and Nursing teams at UHW have been critical, as they have embraced the concept and provided constructive feedback in finalising the current design-the EBOX.
Image showing evaluation of the eBox with a simulated cough. UV fluid was used from a small balloon exploding within a mannequins oral cavity to simulate a cough. UV fluid can be seen spead over the inside of the box.
Image showing UV fluid on the endoscopist after a simulated cough without eBox when wearing PPE