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Prof. Navalesi also contributed to the development of the patented \u2018helmet Next\u2019, the royalties for which are paid to Intersurgical Spa. Prof. Navalesi contributed to the development of a device not discussed in the present study with patent application number: EP20170199831. The other Authors declares no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The present investigation was approved by Ethical Committee of Azienda Ospedaliero-Universitaria \u201cMaggiore della Carit\u00e0\u201d- Novara, Italy (protocol No. CE 110\/18).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}}]}}