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376 Chapter 16

            16.4 Benchmarking with needs-metrics matrix

            Benchmarking is essential, as it assesses existing devices for comparison and device analysis.
            Thus the advantages and disadvantages of each device can be established and compared with
            that of P.A.T.S. The user needs are to allow a home-based, self-administered device for the
            surveillance of the nasopharynx region to monitor recurrence or detection of NPC. The
            current method of detecting NPC requires a clinician to operate an endoscope on the patients
            at the clinic. The standard devices include the ENTity LED NasoView nasopharyngoscope
            and the rigid sinuscope by Optim LLC, ENF-V2 video rhinolaryngoscope by Olympus, and
            the rigid endoscope by JEDMED. The ENTity LED NasoView and ENF-V2
            rhinolaryngoscope are flexible endoscopes that have the angle of articulation of about 130
            degrees up/down and a slim shaft diameter of 3.4 3.6 mm. The rigid endoscope by Optim
            and JEDMED are rigid tubes with zero degrees of articulation and fixed viewing angle.
            However, there are several different tubes available with different viewing angles ranging
            from 0 to 70 degrees. Although the mentioned devices serve the purpose of surveillance of
            the nasopharynx region, they require extensive setup and a trained clinician to operate.

            16.4.1 Needs table



                       Need no.  Device part          User need            Importance
                       1         Insertion tube of P.A.T.S  Stability of tube  1
                       2         Camera               Functionality (clear view)  1
                       3         P.A.T.S              Minimal discomfort   2
                       4         Control system/P.A.T.S  User-friendliness  2
                       5         P.A.T.S              Self-administrable   2
                       6         P.A.T.S              Wear/crack resistance  1
                       7         P.A.T.S              Sterile              1
                       8         P.A.T.S/camera       Wide viewing angle   2


            16.4.2 Metrics table


             Metric   Need     Metric                   Importance  Unit
             no.      no.
             1        8        Camera tilting angle     2           Degrees
             2        4, 5     User-friendliness        2           Number of buttons and steps to
                                                                    operate
             3        2        Image clarity            1           Yes/No
             4        1, 6     Yield strength           1           MPa
             5        1, 3     Small shaft diameter     1           mm
             6        3, 6     Stress strain curve of material  1   Pascal/ratio
                               used
             7        7        Sterility                1           SAL
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