This review aims to characterize the current landscape of exoskeletons designed to promote medical care and occupational safety in industrial settings. Extensive exploration of scientific databases spanning industries, health, and medicine informs the classification of exoskeletons according to their distinctive attributes and specific footholds on the human physique. Within the scope of this review, a comprehensive analysis is presented, contextualizing the integration of exoskeletons based on different work activities. The reviewers extracted the most relevant articles published between 2008 and 2023 from IEEE, Proquest, PubMed, Science Direct, Scopus, Web of Science, and other databases. In this review, the PRISMA-ScR checklist was used, and a Cohen’s kappa coefficient of 0.642 was applied, implying moderate agreement among the reviewers; 75 primary studies were extracted from a total of 344. The future of exoskeletons in contributing to occupational health and safety will depend on continued collaboration between researchers, designers, healthcare professionals, and industries. With the continued development of technologies and an increasing understanding of how these devices interact with the human body, exoskeletons will likely remain valuable for improving working conditions and safety in various work environments.

Technological advancements have allowed for the design and development of multiple intelligent devices that monitor the health and safety status of workers in the industry in general. This paper reviews and describes the alternative technologies and their potential for monitoring risk situations, vital signs, physical variables, worker positions, and behavioral trends of workers in their work activities in the workplace. A scoping review was conducted using PRISMA ScR in which information was extracted from 99 scientific articles related to these technological advances. The operational characteristics and utilities of devices whose primary function is to control better and monitor worker safety and health were identified. It was concluded that technology strongly improves the acquisition and sending of information. This information can be used to provide alerts and feedback to workers so that they act more safely and protect their health. In addition, technological developments have resulted in devices that eliminate operational risks by replacing manual activities with automated and autonomous tasks.

Fused deposition modeling (FDM), the most widely used additive manufacturing (AM) technology, is gaining considerable interest in the surgical sector for the production of single-use surgical devices that can be tailor-made according to specific requirements (e.g., type of patient surgery, specific shapes, etc.) due to its low cost, ease of access to materials (3D-printing filament), and the relatively low complexity. However, surgical 3D-printing parts should resist sterilization treatments without losing structural, mechanical, and dimensional accuracy. Thus, in this work, 3D-filaments based on poly(lactic acid) (PLA), poly(ethylene glycol-co-1,4-cyclohexanedimethanol terephthalate) (PETG), and a modified PETG material (CPE) were used to produce 3D-printed parts and further subjected to moist heat (MH) and dry heat (DH) sterilization processes as affordable and widely used sterilization processes in the medical field. The effect of MH and DH was evaluated by performing a complete mechanical, structural, thermal, and morphological characterization before and after both treatments. In general, the moist heat treatment produced a higher degradation of the polymeric matrix of PETG and CPE due to hydrolytic and thermal degradation, particularly affecting the tensile test and flexural properties. For instance, the linear coefficient of thermal expansion (LCTE) before glass transition temperature (T_g) increased 47% and 31% in PETG samples due to the MH and DH, respectively, while it increased 31% in CPE due to MH and was mainly maintained after the DH process. Nevertheless, in PLA, the MH produced an increase of 20% in LCTE value and the DH showed an increase of 33%. Dry heat treatment resulted in being more suitable for medical applications in which dimensional accuracy is not a key factor and there are no great mechanical demands (e.g., surgical guides).

Polymers such as PLA, PLA reinforced with carbon fiber (PLA + CF), and PETG are widely employed in utensils, structural components, and biomedical device housings where load-bearing capability and chemical resistance are desirable. This is particularly relevant for reusable applications in which sterilization with hydrogen peroxide (HP) or ethylene oxide (EO) is often required. In this study, the impact of HP and EO sterilization processes on the mechanical, thermal, and structural properties of PLA, PLA + CF, and PETG was evaluated. The mechanical properties assessed included elongation at break, elastic modulus, and tensile strength after sterilization. The thermal properties examined comprised thermal stability and the coefficient of thermal expansion (CTE). Additionally, Fourier Transform Infrared Spectroscopy (FTIR) was performed to detect potential alterations in functional groups. For PLA, sterilization with HP and EO resulted in a 22% increase in ultimate tensile strength (UTS) and a 21% increase in elastic modulus, accompanied by a noticeable reduction in ductility and the appearance of more brittle fracture surfaces. PLA + CF exhibited greater stability under both sterilization methods due to the reinforcing effect of carbon fibers. In the case of PETG, tensile strength and stiffness remained stable; however, HP sterilization led to a remarkable increase in elongation at break (294%), whereas EO sterilization reduced it. Regarding thermal properties, glass transition temperature (Tg) showed variations: PLA presented either an increase or decrease in Tg depending on the sterilization treatment, PLA + CF displayed a Tg reduction after EO sterilization, while PETG exhibited a moderate Tg increase under HP sterilization. CTE decreased at lower temperatures but increased after EO treatment. FTIR analysis revealed only minor chemical modifications induced by sterilization. Overall, HP and EO sterilization can be safely applied to additively manufactured medical components based on these polymers, provided that the structures are not subjected to high mechanical loads and do not require strict dimensional tolerances.

This paper presents the fundamentals; criteria; and mechanical, electrical, and electronic aspects required to properly operate and control emerging mechanical ventilators. We present the basis for their design and manufacture as a contribution to implementing this type of equipment at low cost for intensive care units. In particular, we describe the materials and the mechanical, electrical, and electronic aspects used to implement the SURKAN mechanical ventilator, which was developed in Ecuador during the COVID-19 pandemic for some health centers in the country. The proposed mechanical ventilator provides a functional and reliable design that can be considered a reference for future developments and new implementations.

In this chapter, the viscoelastic model of Maxwell and Kevin-Voigt and the rheological model are described. The operation and characteristic equations of a capillary rheometer are explained, as well as the Bagley and Rabinowitch corrections. Next, the method used to determine the viscosity of semicrystalline polymer is explained, using the capillary rheometer. Finally, the Rabinowitch is explained to define a rheological model that determines the viscosity of materials using a capillary rheometer.