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Development and Evaluation of an Ergonomic Pipette to
        Reduce Musculoskeletal Injuries in Laboratory Workers
                 Jeffrey Calhoun, VistaLab Technologies, Inc., Mt. Kisco, NY; Kevin Costello, Ergonomic Technologies
                                Corporation, Syosset, NY; Gary Natsume, frogdesign, New York, NY




Introduction
The use of manual pipettes has been associated with a high            • Mechanical assistance to reduce tip ejection effort
prevalence of upper extremity and neck cumulative trauma
                                                                      • A contoured body to properly support hand grip during
disorders (CTD’s) and work-related musculoskeletal disorders
                                                                       aspirating and dispensing of fluids, as well as tip
(WMSD’s) among laboratory workers. The primary risk factor
                                                                       acquisition and ejection
for these disorders are poor ergonomics in three specific areas:
posture, repetition and force.                                        • Minimized contact pressure on the hand and fingers
                                                                       throughout pipetting tasks
To address these concerns, VistaLab Technologies, Inc.
recognized that a significant departure from the decades old          • An adjustable grip support to minimize holding effort as
axial approach to pipette design was needed. Certified                 well as accommodate a wide range of user hand
professional ergonomists from Ergonomic Technologies                   anthropometry (size)
Corporation, a leading firm specializing in the field of
                                                                      • Improved operational functions such as volume
ergonomic science, and industrial designers from frogdesign,
                                                                       adjustment, storage and handling, contamination risks,
one of the world’s top design firms, were consulted. Together,
                                                                       and a simple user interface
the group studied the risk factors involved in manual
pipetting, and identified the critical design features affecting
user effort, comfort, preference and posture. Following            Design Process
lengthy research and extensive user interaction, several
                                                                   To validate the proposed design factors, interdisciplinary
concept prototypes were developed that incorporated
                                                                   teams from VistaLab Technologies, Ergonomic Technologies
desirable features into a new technical architecture based on
                                                                   Corporation, and frogdesign visited several hospitals and
the principles of ergonomic science. After additional testing
                                                                   research organizations to observe laboratorians in their
and feedback from a variety of user settings, the concepts
                                                                   work environments and conduct interviews. The cumulative
were narrowed to a specific design recommendation known
                                                                   data collection was used in a variety of brainstorming
as the Ovation BioNatural Pipette.
                                                                   sessions where the principles of ergonomic science, creative
                                                                   industrial design techniques, and decades of liquid handling

Objective                                                          technology and experience were combined into rough
                                                                   sketches, foam models and computer renderings. These
To develop, evaluate and validate an ergonomic pipette that
                                                                   concepts were then evaluated in focus groups with manual
would reduce the risks of musculoskeletal injuries in
                                                                   pipette users. By acquiring additional feedback and preference
laboratory workers who perform manual liquid transfer. A
                                                                   data from these sessions, the interdisciplinary teams were then
series of key design factors were identified that would
                                                                   able to construct several working prototype concepts for
improve user ergonomics and reduce risks from the process of
                                                                   further evaluation, ultimately leading to a single design
pipetting. These included:
                                                                   architecture that incorporated the most desirable attributes
  • Replacing the elongated (axial) design with a architecture     and features from the various concepts and addressed the
    that would enable the user to keep their arm/hand              major ergonomic concerns.
    elevation within 12”of the work surface and wrist in a
    neutral position

  • Providing tactile feedback to indicate when a disposable
    tip is properly seated to reduce the amount of excessive
    force often expended by users when compensating for the
    perception of a poor-fitting tip
Final Prototype Development
and Operation
The resulting design architecture represented a major departure
from traditional pipettes. Most significant is the non-axial design
which permits the user to perform pipetting operations at or
near neutral alignment with the body’s natural posture (see
comparisons at right). A series of prototype devices were built
and tested, incorporating a number of ergonomic features:
                                                                                   Comparison of forearm and wrist angles during aspirating and dispensing –
                                                                                                   axial design pipettes vs. prototype device




                                                       Tip Ejection                      Comparison of arm and wrist posture when applying tips –
                                                                                                axial design pipettes vs. prototype device

                                                      An energy-release button
                                                     releases the force captured
                                                 during acquisition to discard
                                              tip. Extremely low force is
                                              required to activate button.                                                   Aspirating & Dispensing

                                                                                                                             Aspirating and dispensing are
                                                                                                                           performed comfortably by a
                     Tip Acquisition
                                                                                                                         low-force, form-fitting plunger
                      The user inserts the                                                                           that minimizes force and pressure.
                       pipette’s nozzle into a
                      tip and lightly presses
                      down until an audible
                    “click” is heard. Unlike axial
                pipette designs, almost no grip
             pressure is required to apply a tip.
                                                                                                                                Non-Axial Design
                                                                                                                                Non-axial design allows
                                                                                                                                the wrist to remain in a
                                                                                                                                neutral range of motion
                                                                                                                                throughout all pipetting
                                                                                                                                operations.




                                                                                                                                     Grip

                                                                                                                                      When a user picks up
                                                                                                                                     the Ovation pipette,
                                                                                                                                    the pipette body
     Electronic Volume                                                                                                            follows the contour of
     Adjustments                                                                                                            their palm to provide secure
                                                                                                                 feedback. An adjustable hook can be
     Simple key pad relieves the
                                                                                                                 positioned to provide a custom fit for
     user from having to repeatedly                                                                              left or right-handed individuals.
     rotate a volume adjustment knob.
Design Validation
Ergonomic testing was performed using 10 laboratory workers                                Electrogoniometry
as study participants. Users were tested for dynamic postures
                                                                                           The dynamic postures of the wrist and shoulder joints
of upper extremity joints as well as range of motion for each
                                                                                           were measured using a series of electrogoniometers.
joint and maximum voluntary contraction (MVC) using an
                                                                                           The placement of the goniometers were as follows:
average muscle activity threshold level of 15% MVC as a
guideline to signal potential increases in muscle fatigue. The                             • Goniometer 1 was placed across the glenohumeral joint to
Rapid Upper Limb Assessment (RULA)1, a risk factor checklist,                                measure upper arm flexion/extension and adduction/
was used to establish thresholds for upper extremity deviation.                              abduction.
Testing was done over the complete pipette cycle and during
                                                                                           • Goniometer 2 was placed over the dorsal side of the wrist
each of the four phases: tipping, aspirating, dispensing and
                                                                                             joint to measure flexion/extension and ulnar/radial
detipping. A baseline assessment of effort associated with
                                                                                             deviation during pipetting tasks.
holding the device in a neutral position was also conducted.
Four commercially available, axially-designed pipettes were
included in the study as comparators. All testing was
                                                                                         Results
conducted from a seated position, and the location of tips,
                                                                                         The testing revealed that the Ovation pipette had significant
vials, and waste receptacle were standardized. Pipettes were
                                                                                         reductions in the ergonomic stress levels compared to
set to aspirate 200µL of fluid, and subjects were instructed
                                                                                         traditional, axial-design pipettes, consistently producing less
regarding the proper operation of each device. Subjects who
                                                                                         wrist flexion, less upper arm abduction and less arm flexion.
participated in the testing spent on average 22.9 hours per
                                                                                         Overall, the positions of the wrist and upper arm were
week performing manual pipetting. All participants were of
                                                                                         maintained in a more neutral, low stress position throughout
good heath and had reported no recent musculoskeletal
                                                                                         the entire pipette cycle (Figure 1). Each of the pipettes, except
injuries that affect pipetting.
                                                                                         the Ovation pipette, exceeded the threshold for wrist flexion.
     EMG Testing
     EMG (electromyogram)
     testing was used to
     measure the activity of
     five muscle groups. Each
     muscle group was
     calibrated to the
     individual’s maximum
     voluntary contraction
     (MVC), and signals
     collected during testing
     were then expressed as a                                                            During the tipping portion of the pipette cycle, the Ovation
     percentage of the MVC                                                               pipette required significantly less bending of the wrist toward
     (%MVC). Muscle groups                                                               the thumb (radial deviation) compared to the comparator
     tested were:                                                                        pipettes (Figure 2). This finding is attributed to the design of the
                                                                                         pipette that permits holding the hand in a horizontal position
     • Opponens Pollicis/Flexor Pollicis Brevis (OP/FPB)
                                                                                         and that minimizes side-to-side bending of the wrist.
     • Flexors

     • Extensors

     • Tricep

     • Deltoid Anterior/Middle


1
    McAtamney, L. and Corlett, E.N. (1993) RULA: A survey method for the investigation
    of work-related, upper limb disorders. Applied Ergonomics, 24 (2), 91-99.
During aspirating and dispensing, the study participants used
preferable forearm rotation angles with the Ovation pipette
compared to the axially-designed pipettes (Figure 3). On
average, they held the Ovation pipette at a forearm pronation
angle of 25˚ (palm in a downward facing position), whereas
they held the comparator pipettes with an average forearm
supination angle of 72˚ (palm in an upward facing position).
Wrist positions were likewise pronated with the Ovation
pipette, and supinated while using the comparators. All of
these findings suggest an increased risk of injury to the wrist
when using the axially-designed pipettes. Moreover, as with
the tipping results, significantly less upper arm and wrist
flexion and abduction was required during aspirating and
dispensing while using the Ovation pipette, indicating an
improvement in working posture (Figure 4).




                                                                    Conclusion
                                                                    The new Ovation® BioNatural Pipette developed by VistaLab
                                                                    Technologies is an entirely new pipette design that reduces
                                                                    ergonomic risk. Ergonomic studies show that the shape of the
                                                                    pipette encourages the hand, wrist, and arm of the user to
                                                                    adopt more neutral postures during all phases of the pipetting
                                                                    cycle. The Ovation pipette is particularly advantageous for
                                                                    women to use because of its powered tip ejection. The design
                                                                    of competitive pipettes require thumb muscle forces that are
                                                                    well above the recommended threshold for women and
                                                                    predisposes them to injury from detipping. Other features
                                                                    such as an adjustable grip support, a contoured grip and
                                                                    plunger, a digital volume adjustment, and a stand-up design
                                                                    make the Ovation pipette easier and more comfortable for
                                                                    everyone to use than its predecessors. All of these findings
The Ovation pipette was also more ergonomically favorable           suggest that users of the Ovation pipette are less likely to
during detipping. Study participants used 142% less wrist           develop WMSD’s.
flexion compared to the axially-designed pipettes. Significantly
less wrist flexor muscle effort (189%) was needed to operate
the prototype during detipping (Figure 5). Perhaps most             This document is a reprint from a scientific presentation made at The
                                                                    Pittsburgh Conference on March 18, 2002. It may not be copied or reprinted,
significant were the wrist and thumb muscle efforts required        in part or in whole, without the expressed permission of the authors.
for detipping when women used the axially-designed pipettes.
Measurements were above the recommended guidelines of
15% MVC, especially for the opponens pollicis (thumb muscle)
which is used for pushing the plunger or button during
                                                                    ©2002 VistaLab Technologies, Inc. All rights reserved.
detipping. Muscle efforts were less than the recommended
                                                                    Ovation® is a registered trademark of VistaLab Technologies, Inc.
limits when women used the Ovation pipette (Figure 6). These        Lit# 374013-0 KFD 03/02 Printed in USA

findings suggest that there is less risk of injury and discomfort   VistaLab Technologies, Inc.
                                                                    27 Radio Circle Drive
during detipping, especially for women.                             Mt. Kisco, NY 10549 USA
                                                                    (888) 652-6520
                                                                    www.vistalab.com

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Development and evaluation of an ergonomic pipette to reduce muscoskeletal injuries in laboratory workers

  • 1. Development and Evaluation of an Ergonomic Pipette to Reduce Musculoskeletal Injuries in Laboratory Workers Jeffrey Calhoun, VistaLab Technologies, Inc., Mt. Kisco, NY; Kevin Costello, Ergonomic Technologies Corporation, Syosset, NY; Gary Natsume, frogdesign, New York, NY Introduction The use of manual pipettes has been associated with a high • Mechanical assistance to reduce tip ejection effort prevalence of upper extremity and neck cumulative trauma • A contoured body to properly support hand grip during disorders (CTD’s) and work-related musculoskeletal disorders aspirating and dispensing of fluids, as well as tip (WMSD’s) among laboratory workers. The primary risk factor acquisition and ejection for these disorders are poor ergonomics in three specific areas: posture, repetition and force. • Minimized contact pressure on the hand and fingers throughout pipetting tasks To address these concerns, VistaLab Technologies, Inc. recognized that a significant departure from the decades old • An adjustable grip support to minimize holding effort as axial approach to pipette design was needed. Certified well as accommodate a wide range of user hand professional ergonomists from Ergonomic Technologies anthropometry (size) Corporation, a leading firm specializing in the field of • Improved operational functions such as volume ergonomic science, and industrial designers from frogdesign, adjustment, storage and handling, contamination risks, one of the world’s top design firms, were consulted. Together, and a simple user interface the group studied the risk factors involved in manual pipetting, and identified the critical design features affecting user effort, comfort, preference and posture. Following Design Process lengthy research and extensive user interaction, several To validate the proposed design factors, interdisciplinary concept prototypes were developed that incorporated teams from VistaLab Technologies, Ergonomic Technologies desirable features into a new technical architecture based on Corporation, and frogdesign visited several hospitals and the principles of ergonomic science. After additional testing research organizations to observe laboratorians in their and feedback from a variety of user settings, the concepts work environments and conduct interviews. The cumulative were narrowed to a specific design recommendation known data collection was used in a variety of brainstorming as the Ovation BioNatural Pipette. sessions where the principles of ergonomic science, creative industrial design techniques, and decades of liquid handling Objective technology and experience were combined into rough sketches, foam models and computer renderings. These To develop, evaluate and validate an ergonomic pipette that concepts were then evaluated in focus groups with manual would reduce the risks of musculoskeletal injuries in pipette users. By acquiring additional feedback and preference laboratory workers who perform manual liquid transfer. A data from these sessions, the interdisciplinary teams were then series of key design factors were identified that would able to construct several working prototype concepts for improve user ergonomics and reduce risks from the process of further evaluation, ultimately leading to a single design pipetting. These included: architecture that incorporated the most desirable attributes • Replacing the elongated (axial) design with a architecture and features from the various concepts and addressed the that would enable the user to keep their arm/hand major ergonomic concerns. elevation within 12”of the work surface and wrist in a neutral position • Providing tactile feedback to indicate when a disposable tip is properly seated to reduce the amount of excessive force often expended by users when compensating for the perception of a poor-fitting tip
  • 2. Final Prototype Development and Operation The resulting design architecture represented a major departure from traditional pipettes. Most significant is the non-axial design which permits the user to perform pipetting operations at or near neutral alignment with the body’s natural posture (see comparisons at right). A series of prototype devices were built and tested, incorporating a number of ergonomic features: Comparison of forearm and wrist angles during aspirating and dispensing – axial design pipettes vs. prototype device Tip Ejection Comparison of arm and wrist posture when applying tips – axial design pipettes vs. prototype device An energy-release button releases the force captured during acquisition to discard tip. Extremely low force is required to activate button. Aspirating & Dispensing Aspirating and dispensing are performed comfortably by a Tip Acquisition low-force, form-fitting plunger The user inserts the that minimizes force and pressure. pipette’s nozzle into a tip and lightly presses down until an audible “click” is heard. Unlike axial pipette designs, almost no grip pressure is required to apply a tip. Non-Axial Design Non-axial design allows the wrist to remain in a neutral range of motion throughout all pipetting operations. Grip When a user picks up the Ovation pipette, the pipette body Electronic Volume follows the contour of Adjustments their palm to provide secure feedback. An adjustable hook can be Simple key pad relieves the positioned to provide a custom fit for user from having to repeatedly left or right-handed individuals. rotate a volume adjustment knob.
  • 3. Design Validation Ergonomic testing was performed using 10 laboratory workers Electrogoniometry as study participants. Users were tested for dynamic postures The dynamic postures of the wrist and shoulder joints of upper extremity joints as well as range of motion for each were measured using a series of electrogoniometers. joint and maximum voluntary contraction (MVC) using an The placement of the goniometers were as follows: average muscle activity threshold level of 15% MVC as a guideline to signal potential increases in muscle fatigue. The • Goniometer 1 was placed across the glenohumeral joint to Rapid Upper Limb Assessment (RULA)1, a risk factor checklist, measure upper arm flexion/extension and adduction/ was used to establish thresholds for upper extremity deviation. abduction. Testing was done over the complete pipette cycle and during • Goniometer 2 was placed over the dorsal side of the wrist each of the four phases: tipping, aspirating, dispensing and joint to measure flexion/extension and ulnar/radial detipping. A baseline assessment of effort associated with deviation during pipetting tasks. holding the device in a neutral position was also conducted. Four commercially available, axially-designed pipettes were included in the study as comparators. All testing was Results conducted from a seated position, and the location of tips, The testing revealed that the Ovation pipette had significant vials, and waste receptacle were standardized. Pipettes were reductions in the ergonomic stress levels compared to set to aspirate 200µL of fluid, and subjects were instructed traditional, axial-design pipettes, consistently producing less regarding the proper operation of each device. Subjects who wrist flexion, less upper arm abduction and less arm flexion. participated in the testing spent on average 22.9 hours per Overall, the positions of the wrist and upper arm were week performing manual pipetting. All participants were of maintained in a more neutral, low stress position throughout good heath and had reported no recent musculoskeletal the entire pipette cycle (Figure 1). Each of the pipettes, except injuries that affect pipetting. the Ovation pipette, exceeded the threshold for wrist flexion. EMG Testing EMG (electromyogram) testing was used to measure the activity of five muscle groups. Each muscle group was calibrated to the individual’s maximum voluntary contraction (MVC), and signals collected during testing were then expressed as a During the tipping portion of the pipette cycle, the Ovation percentage of the MVC pipette required significantly less bending of the wrist toward (%MVC). Muscle groups the thumb (radial deviation) compared to the comparator tested were: pipettes (Figure 2). This finding is attributed to the design of the pipette that permits holding the hand in a horizontal position • Opponens Pollicis/Flexor Pollicis Brevis (OP/FPB) and that minimizes side-to-side bending of the wrist. • Flexors • Extensors • Tricep • Deltoid Anterior/Middle 1 McAtamney, L. and Corlett, E.N. (1993) RULA: A survey method for the investigation of work-related, upper limb disorders. Applied Ergonomics, 24 (2), 91-99.
  • 4. During aspirating and dispensing, the study participants used preferable forearm rotation angles with the Ovation pipette compared to the axially-designed pipettes (Figure 3). On average, they held the Ovation pipette at a forearm pronation angle of 25˚ (palm in a downward facing position), whereas they held the comparator pipettes with an average forearm supination angle of 72˚ (palm in an upward facing position). Wrist positions were likewise pronated with the Ovation pipette, and supinated while using the comparators. All of these findings suggest an increased risk of injury to the wrist when using the axially-designed pipettes. Moreover, as with the tipping results, significantly less upper arm and wrist flexion and abduction was required during aspirating and dispensing while using the Ovation pipette, indicating an improvement in working posture (Figure 4). Conclusion The new Ovation® BioNatural Pipette developed by VistaLab Technologies is an entirely new pipette design that reduces ergonomic risk. Ergonomic studies show that the shape of the pipette encourages the hand, wrist, and arm of the user to adopt more neutral postures during all phases of the pipetting cycle. The Ovation pipette is particularly advantageous for women to use because of its powered tip ejection. The design of competitive pipettes require thumb muscle forces that are well above the recommended threshold for women and predisposes them to injury from detipping. Other features such as an adjustable grip support, a contoured grip and plunger, a digital volume adjustment, and a stand-up design make the Ovation pipette easier and more comfortable for everyone to use than its predecessors. All of these findings The Ovation pipette was also more ergonomically favorable suggest that users of the Ovation pipette are less likely to during detipping. Study participants used 142% less wrist develop WMSD’s. flexion compared to the axially-designed pipettes. Significantly less wrist flexor muscle effort (189%) was needed to operate the prototype during detipping (Figure 5). Perhaps most This document is a reprint from a scientific presentation made at The Pittsburgh Conference on March 18, 2002. It may not be copied or reprinted, significant were the wrist and thumb muscle efforts required in part or in whole, without the expressed permission of the authors. for detipping when women used the axially-designed pipettes. Measurements were above the recommended guidelines of 15% MVC, especially for the opponens pollicis (thumb muscle) which is used for pushing the plunger or button during ©2002 VistaLab Technologies, Inc. All rights reserved. detipping. Muscle efforts were less than the recommended Ovation® is a registered trademark of VistaLab Technologies, Inc. limits when women used the Ovation pipette (Figure 6). These Lit# 374013-0 KFD 03/02 Printed in USA findings suggest that there is less risk of injury and discomfort VistaLab Technologies, Inc. 27 Radio Circle Drive during detipping, especially for women. Mt. Kisco, NY 10549 USA (888) 652-6520 www.vistalab.com