How to make a Samadhan System
Step 1: Take a quadrangular piece of foam; density 40; 4x 6 inches. Apply Adhesive ; Fevicol SR 998. Roll it into a cylinder. The “Samadhan” – offloading device is ready
Step 2: Cut the cylinder to size, as per patient’s width of sole.
Step 3: Decide the place, where placement of the cylinder shall render offloading.
Step 4: Retain the cylinder in position by using a piece of elastocreppe bandage.
Step 5: The ulcer is offloaded with “Samadhan System,” while the patient walks back to his routine.
Unique features of Samadhan System:
- With Samadhan its possible to observe the wound and do regular dressings.
- Less application and removal time of the offloading device (compare with TCC – Gold standard)
- Less risk of injury during application and removal of the offloading device (compare with TCC – Gold standard)
- Less risk of secondary injuries (edge effect/new ulcers) while using Samadhan
- Economical for doctors – it costs about 20 USD to set up a new Samadhan offloading unit
- Economical for patients – Investment on offloading is just 1 USD per month (usually 1 Samadhan device lasts 35 to 40 days)
- Easy to manufacture – for doctors: doctors manufacture different size Samadhan devices and keep them ready for use as and when required.
- Easy to manufacture – for patients: patients can manufacture the device at home itself and need not rush to the doctor if they need another Samadhan
- Less alteration in gait – less risk of fall –imagine a patient walking down the stairs with TCC/Air Cast
- Most of the offloading devices only minimize pressure at the vulnerable area by redistribution of pressure while Samadhan System renders almost zero pressure at the vulnerable area
- It was a removable offloading device, can easily be made irremovable by using sealing wax.
- Even chemical sterilization with soap and detergent, was possible for the device which is usually not possible with most removable and certainly not with irremovable devices.
- It was so simple that any physician could make by mere training during a conference.
- Its ingredients are omnipresent and thus device could be useful for both rural and urban patients.
- It could be applied for most lesions of the plantar surface, which needed offloading.
- It needed no podiatrist, Orthotist and other fancy paramedical personnel.
This device was selected for presentation at a number of International medical conferences like EASD 2004 – Munich , DFCon 2005 – Hollywood , ADA 2005 – San Diego , DFSG 2005 – Athens and others. But the best thing I achieved through this invention was a field (Podiatry) I was looking for as career.