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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.

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