Laser Frenectomy May Ease Breastfeeding Frustrations for Tongue-tied Babies

New mothers know that breastfeeding is often not as easy or natural as it looks; it takes a while to figure out positioning and how to properly latch the baby onto the breast. Once you figure it out though, breastfeeding can be a wonderful way to bond with your baby. But for some newborns, that proper “latching-on” just never happens, leaving moms and infants frustrated. There can be many reasons, but for four to 10 percent of newborns, this improper latch is due to tongue-tie, a condition that can now be quickly and easily resolved with a laser frenectomy procedure.

What is Tongue-Tie?

Ankyloglossia, or tongue-tie, is a condition where the frenulum, the soft tissue connecting the underside of the infant’s tongue to the bottom of the mouth, is too short or thick, limiting movement. For about half of the babies with this condition, this makes it difficult for the infant to latch properly and breastfeeding becomes complicated.

How Does Tongue-Tie Affect Breastfeeding?

Without a proper seal babies aren’t able to nurse efficiently and this leads to slow growth and improper nutrition. For mothers, this uneven latching means that the milk ducts aren’t being emptied properly, causing a decrease in milk production, sore nipples and often mastitis (breast infection). Though sometimes the frenulum stretches and some infants are able to breastfeed even though they have this tongue-tie condition, more severe cases often require a laser frenectomy procedure to correct the problem, allowing a better latch and proper suction.

How Can Laser Frenectomy Help?

In the past, ankyloglossia surgery involved anesthesia, scalpels and stitches, but with the advancement of laser technology, trained professionals within a pediatric dental group can now use a laser to loosen the frenulum with little pain in a matter of minutes. There are a few side effects to a laser frenectomy procedure and recovery is very fast. Infants who undergo this procedure are usually able to breastfeed immediately afterward. Professionals debate about how soon ankyloglossia surgery should be done. Some think it should be done even before the newborn leaves the hospital, while others prefer to see how much the condition will affect breastfeeding.

The benefits of breastfeeding abound. For babies, breastmilk provides the perfect nutrition, bonding time with mom and an added dose of antibodies. For mothers, breastfeeding increases bone mass, decreases cancer risks, releases oxytocin and saves money. With all these benefits, it may be worth the effort to consult with professionals about a laser frenectomy procedures on babies to see this may help your tongue-tied infant.

Progressive Die Stamping Has Not Changed Much in 20 Years

You can see the impact of metal stamping using progressive dies in the building trades, consumer products, automobiles and the equipment we use to manufacture “things”. From everyday appliances in our homes to heavy machinery for large-scale industry, die stamped parts are in most every metal part in use today. While innovations continue to lead the metal forming industry forward, the foundation of progressive metal stamping remains the same, set in place in the early and mid-20th century. In the decades since, little has change because progressive die stamping methods of metal forming are basic; even cutting-edge manufacturers still follow the guidelines set in the 50s, and they still serve well today.

Early History of Progressive Die Stamping

The 1896 treatise titled The Press Working of Metals by Oberlin Smith, together with J.L. Lewis’s Dies and Die Making a year later, discussed “follow-on” tooling and the use of “successive gang cutting” techniques.These were the early beginnings of progressive dies. At its onset in the early 20th century, progressive dies saw fairly limited usage among companies in need of in-house manufacturing. Contract tool and die makers still relied on single-operation presses and workers loading and unloading materials by hand to transfer them between dies – a slow and often dangerous task, as hand-feeding strips and parts meant exposing unprotected hands to moving parts. The post-WWII metal manufacturing industry pushed production demands too increase outputs, and worker injuries on these single function hand transfer presses were becoming increasingly commonplace.

The Start of Modern Metal-Stamping Tradition

In 1953, design engineer Ed Stouten started a die design business called the Capitol Engineering Company in Grand Rapids, MI. He proposed an alternative: a multi-station progressive die where parts remained on the strip between operations and scrap material was reused. Sheet metal bending, cutting, punching and forming became a continuous process with little manual input between stages. Impressed, tool and die makers spread the word, and everyone wanted to try this new progressive die stamping process. Stouten developed an official manual and training course, Progressive Dies for Designers, Engineers and Manufacturers, and spent the next 50 years traveling the world along with leading die designer Arnold Miedema, giving seminars to share these new ideas.

The Legacy of Progressive Die Stamping

The fundamentals of progressive metal stamping remain the same not because of stagnation, but because of how significant the development was, and is, to the sheet metal bending industry. Stouten and Miedema’s seminars and designs remain vital for most tool and die makers in Pennsylvania and those outside our region. Manufacturers and customers everywhere owe it to Stouten’s work for the production of high-quality, reliable and safe die-stamped metal parts.

Moving Your Concept Past The FDA Requires Documentation

There is always a market for innovative medical equipment that advances healthcare, no matter how small the application. Maybe you have an idea that would improve an already existing device or a diagnostic apparatus that would revolutionize the patient experience. If you’re ready to transform your idea into a tangible product, you are at the beginning of possibly a long and sometimes complicated process of acquiring regulatory approval. Documenting every step of the way in a design history file (DHF) is an essential part of creating a new product that will meet with regulatory requirements.

What Is a Design History File?

The DHF is required by the U.S. Food and Drug Administration (FDA). It is a document that details every step of the development process and their guidelines are laid out in this FDA Code Title 21, section 820.30. The FDA requires this document to verify that you and your team’s methods fall in line with regulations for every component of the design control process, which includes the following:

  • Design and development planning
  • Design input
  • Design output
  • Design review
  • Design verification
  • Design validation
  • Design transfer
  • Design changes
  • Design history file

This recording process should generate a veritable mountain of documentation that is compiled into the DHF. The final file should be gathered into one document, that should also include an index for the researcher to follow easily.

How Will It Enhance the Development Process?

As a medical device designer, we know how complex the development process can be for most inventors. A DHF will help you keep everything organized. Knowing that this thorough documentation is required will remind you to keep meticulous notes. These notes can help to overcome obstacles that arise future along in the process by allowing you to backtrack and make adjustments where needed. Also, as you prepare to submit your medical device to the FDA, you can use the DHF to double check your methods. While the FDA requires this file for their own work, it is equally useful on your end.

How Will It Help Meet FDA Requirements?

When the FDA reviews your device, a lead reviewer follows and acceptance checklist that is very comprehensive and includes a review of the digital history file. An agent will review your DHF to make sure your product design & development process was properly documented and every medical device designer involved complied with applicable regulations. One of the main reasons for developing history files is to ensure that product designers for healthcare devices follow a strict code of ethics and product safety is of paramount importance during the engineering design process.

Designing Your Kitchen With Clean, Modern Lines

Farmhouse kitchens are known for their well-loved clutter and antique paraphernalia. Tuscan kitchens are filled with scattered bottles of vinegars and olive oil, and hanging bundles of dried herbs. What do these two kitchen styles have in common? The cabinets may have more details in the trim, woodwork and hardware. Often there is wallpaper, window treatments or tile patterns that include traditional flourishes for style. There may be an island that is likely to be a focal point in the kitchen. The overall look of these kitchens these types of kitchens is comfortable and lived-in. There is nothing wrong with such a style, but there is a more modern movement of homeowners that are designing with clean lines in mind.

Simple and Clean

Just what does a modern kitchen without the traditional flourishes offer that would appeal to those wanting to design a new kitchen? How about a neat, well ordered, lower maintenance kitchen where food preparation and the people in it are the main event. Modern kitchen design is especially attractive to working couples or singles that like the feel of a spacious and orderly kitchen.Light color cabinetry with clean lines, unpretentious finishes and simple hardware can set the stage for a wonderful evening of cooking or entertaining.

Streamlined Design

Modern cabinetry is easier on the eye and to keep clean. A single, straight run of cabinets and sleek stainless steel appliances are popular modern kitchen design features. Or, for a more streamlined look, you may be interested in press-and-release cabinets and drawers, which require no handles at all. Good kitchen island design incorporates not just a place to cook, but also an attractive place for guests and family to gather while you cook, and may be one of the most important areas your design. Sometimes the kitchen island can double as the dining table for couples on the go.

Sophisticated Neutral Tones

Waterfall countertops on the island are a trendy design element. Natural surfaces are more monochromatic in a modern kitchen and we are seeing homeowners opting for slate, concrete, soapstone or simple quartz patterns instead of busily patterned granite or marble. Smart appliances can be common elements for some kitchen designers in central New Jersey. Just as with your kitchen island design, light color cabinetry and countertops can keep the look airy and polished. A run of travertine, single color glass tile, natural stone or continuing the countertop material creates a backsplash that complements the cool steel of built-in stainless appliances for a sophisticated, modern look, but don’t be afraid to ground the room with a hardwood floor in complementary warm tones. Ideas for designing with clean lines in mind are endless. Be open and explore a few modern kitchen design photos to see if this style appeals to you.