• Wellington Alves Filho, Tulio Sampaio Pontes Grangeiro Teles, Márcio Ribeiro Studart da Fonseca, Francisco Januário Farias Pereira Filho, Glebert Monteiro Pereira, Alan Breno Moura Pontes, Eliane Maria da Silva de Paula, Andre Alencar Araripe Nunes, and Luis Alberto Albano Ferreira.
• Department of Head and Neck Surgery, Walter Cantidio University Hospital of Universidade Federal do Ceara Medical School, Fortaleza, Ceara, Brazil. Electronic address: wellington.alves@ebserh.gov.br.
• Auris Nasus Larynx. 2020 Aug 1; 47 (4): 692-696.

ObjectiveTo present a low-cost prototype for a barrier enclosure device which can be used during open surgeries such as tracheotomy.MethodsWe provide detailed description of a novel device called COVID-Box, developed by The Surgical Airway Team for COVID-19 Pandemic, a temporary task force formed by Walter Cantídio University Hospital. Safety guidelines for performing tracheotomies in COVID-19 patients are also stated.ResultsOur prototype device provides greater hand mobility than previous barrier devices reported, making it more suitable for airway surgical procedures, such as tracheotomy. The curved shaped format and the customizable access ports provides ergonomics, without compromising safety.ConclusionThe COVID-Box appears to be an efficient, reproduceable, low-cost barrier enclosure device that can be used for open tracheotomies in ICU patients during the COVID-19 pandemic.© 2020 Oto-Rhino-Laryngological Society of Japan Inc. Published by Elsevier B.V. All rights reserved.

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