A thin-film piezoelectric element has a substrate, a lower electrode, a piezoelectric portion, and an upper electrode that are sequentially formed on the substrate. The system and method are of particular utility in the manufacture of lamps having a coating formed on the hermetically sealed light emitting chamber of the lamp. The wall also includes a pair of opposing inwardly curved gripping surfaces for facilitating gripping by a user’s fingers, the gripping surfaces including ribs or grooves. However, there are two sources of damage: in vivo and in vitro. The embodiment also allows one to enter information into a patient database at the same time that one is entering clinical information for the purposes of clinical care documentation.