Archives: 9/2006

876789vent Versajet Hydrosurgery SystemSmith & Nephew‘s Versajet Hydrosurgery System was just recognized by the Wall Street Journal’s 2006 Technology Innovation Awards. The innovative wound debridement system is in essence a Venturi effect based instrument:

  • A high velocity stream of sterile saline jets across the operating window and into an evacuation collector.
  • Because of the Venturi effect, a localised vacuum is created across the operating window.
  • This holds and cuts targeted tissue while aspirating debris from the site.
  • Versajet’s unique properties enable clinicians to debride traumatic wounds, chronic wounds, or other soft tissue lesions or remove contaminants from a wound quickly and efficiently.
    876788vent Versajet Hydrosurgery SystemThe system is highly controllable:

  • At the lowest power levels, Versajet will function mainly as a vacuum and remove little or no tissue with each pass.
  • As the power is increased, tissue ablation increases, as does the ability to remove harder, tougher tissue types.
  • At the highest power levels, the Versajet system will remove nonviable tissue very rapidly and cut all but the hardest tissues.
  • Product page at Smith & Nephew

    Art

    7654678quil The Museum of Scientifically Accurate Fabric Brain Art
    Care to see “quilting, applique, embroidery, beadwork, knitting, and crotcheting,” and all about the central nervous system? Here’s the link

    video quest sm A List Award for GCQThe Global Care Quest system (GCQ), a mobile, wireless patient information retrieval technology that was covered here before, has received Qualcomm’s 2006 3G A-List™ Award.

    GCQ was awarded the Best In Show for its mobile Integrated Clinical Information System (ICIS Mobile™), which gives physicians access to a wide range of realtime patient data over high speed wireless and mobile phone networks.
    ICIS Mobile allows doctors to use their smartphones to access hospital patient data over 3G CDMA wireless networks. With the system, a physician can review his patient’s clinical notes, x-rays, CT scans, labs and even realtime feeds from bedside monitoring equipment without having to go into the hospital. Mobile access to this critical data slashes patient response times, reduces errors and improves overall quality of care.

    Congratulations to the company for the recognition, and for such an innovative product! If you are still not familiar with the system, a bane of all hospital administrators that hate cell phones passionately, check out the video link above, or our archives.
    The press release

    2342243perd1 Portable Device to Monitor Tiny Earthquakes of Stress FracturesInvestigators at Purdue University and the University of Toledo, utilizing an already existing technology that monitors the state of materials under stress, are developing a monitor that might warn patients and prevent bone stress fractures:

    “The goal is to create a wearable device that would alert the person when a stress fracture was imminent so that they could stop rigorous physical activity long enough for the bone to heal,” said Ozan Akkus (pronounced Ah-Koosh), an associate professor in Purdue’s Weldon School of Biomedical Engineering.
    The system records “acoustic emission data,” or sound waves created by the tiny bone fissures. The same sorts of acoustic emissions are used to monitor the integrity of bridges, other structures and mechanical parts like helicopter turbine blades…
    Akkus is working with researchers at the University of Toledo to develop a wearable prototype that will record crack-formation data, which could be downloaded to a portable digital assistant, or PDA, for review by medical professionals. Such a device could immediately alert the person by sounding an alarm, and the data could then be scrutinized by a doctor.
    “All of the technology is available, and the sensors exist off the shelf,” he said. “We just have to modify them to work with our system.”
    Sensors made of a “piezoceramic” material generate electricity when compressed by a force, such as the vibration created by seismic waves resulting from crack formation.
    “Recently, flexible polymer-based sensors have appeared on the market, and these could be incorporated into athletic apparel, such as running shoes and exercise tights to monitor areas most susceptible to fractures,” Akkus said. “Ultimately, we would like to do real-time monitoring of damage activity and learn how to distinguish between a small crack and a more structurally threatening defect.
    “There are different types of cracks that occur, and it’s important to be able to distinguish among them so that we can determine how serious the damage is.”
    To distinguish the difference between the various types of cracks, researchers are integrating “pattern recognition” software and earthquake models, working with Robert Nowak, a Purdue professor of earth and atmospheric sciences. The multidisciplinary research involves biomedical and electrical engineering, veterinary medicine, and earth and atmospheric sciences.
    “One challenge will be to learn when damage is serious enough that you should stop exercising,” Akkus said. “You don’t want to give a professional athlete a premature warning.”

    Link

    Peter Fairley over at the MIT’s Technology Review takes a look at the current state of development of a bioengineered artificial kidney, particularly at work done by a group from the University of Michigan. Interesting read.

    243514cel Cellular Sculptures and Their Uses

    Schwann cells: left is real; right is a replica, middle is a mold

    Dr. Hoffman-Kim and colleagues at Brown University have created a novel molding process to make replicas of real cells. Their two step molding technique has been described in the latest Langmuir. And what would you use plastic fake cells for? Apparently, there are plenty of possible applications:

    A description of the replicas, their ability to support cell growth, and their possible applications in science and medicine are published in Langmuir, a journal of the American Chemical Society.
    The main cells used in the experiments were Schwann cells, which protect peripheral nerves by wrapping around their axons to create insulating myelin sheaths. Schwann cells also direct axon growth during cell development and repair.
    Hoffman-Kim, an assistant professor in the Department of Molecular Pharmacology, Physiology and Biotechnology and the Division of Engineering, said the realistic replicas could be used in laboratories to help scientists understand how these critical support cells sustain and direct nerve growth.
    The replicas could also, eventually, be used in hospitals to help doctors regenerate nerves. If a patient’s nerves are severed during an auto accident or other injury, a device coated with the imitation cells — a contraption called a nerve guidance channel — could be implanted into the injured area to help stimulate nerve growth and repair damaged tissue…
    But the cell duplication technique could have all sorts of applications. In the Langmuir article, Hoffman-Kim and her team also show results from experiments in which smooth muscle cells were reproduced. Researchers plan to experiment with other cell types.
    “What’s exciting about the approach is that it could be broadly applied in both bench science and in tissue engineering,” she said. “Researchers are always trying to get cells to grow well outside the body. A lot of factors affect that growth, like air temperature or the carbon dioxide supply in the lab incubator. Topography, or the surfaces cells grow on, also plays a role.”
    Jan Bruder, a graduate student in Brown’s Artificial Organs, Biomaterials and Cellular Technology program, is the lead author of the journal article. With Hoffman-Kim, Bruder came up with the idea for the two-step molding process — one akin to making sculpture.
    Cells were grown in the lab then preserved in chemicals for stiffening. Next, researchers poured liquid silicon over the cells and let the mixture harden. Now for the tricky part — peeling the thin, transparent membrane off without tearing it. The result: An impression. To make a relief, which would show shapes rising up from the surface, the pour-and-peel process was repeated.
    To see if the cells looked authentic, the team had to pinpoint cells on the original model and find those same cells on the replica. Then, using four kinds of microscopes, they measured the cells’ length and height for comparison. The fakes were the same size — and they looked arrestingly real, right down to tiny bumps in the nucleus. The team then used the replicas to grow neurons taken from rats. The experiments worked.

    Link

    It’s been a while since we’ve heard from our friendly blood-sucking medgadget, the leech. Armed with its mysterious powers, the leech has a place in technological jumble of modern medicine. We missed the little guy, so we decided to dig up a little research and found some interesting info on treatment for osteoarthritis.
    Osteoarthritis of the knee is a painful inflammatory disease that can severely limit a patient’s mobility. Leeches to the rescue! Here’s an excerpt from a study in the Annals of Internal Medicine:

    …4 to 6 medicinal leeches (Hirudo medicinalis, ZAUG GmbH, Biebertal, Germany) were applied once to the periarticular soft tissue of the affected knee, with preference to maximally painful points during examination and palpation. Leeches were left in place until they detached by themselves, after a mean of 70 minutes. The patient’s knee was then bandaged, and the patient was cautioned not to be physically active for the next 12 hours. The patient returned the next day (study day 1) for a change of dressing and a repeated blood count. Control group patients were given 300 g of diclofenac gel (diclofenac-natrium 10 mg- 1 g gel, Pharmacia, Erlangen, Germany), and the proper use was demonstrated. Patients were instructed to apply the gel at least twice daily for days 0 through 28 and to discontinue application thereafter. Adherence to diclofenac gel treatment was assessed from the diaries and crosschecked by counting used gel tubes and interviewing the patients.
    …In summary, traditional leech therapy seems to be an effective symptomatic treatment for osteoarthritis of the knee.

    If only other blood-sucking monsters could be so useful… Yeah, I’m talking to you mosquitoes!
    Read the article here


    (click to play video)

    This video, produced for Abiomed Inc., shows how AbioCor, a recently approved self-contained artificial heart, works.

    The AbioCor’s bio-compatible pump is able to mimic the function of a human heart. Just as remarkable, it allows the blood to circulate through it and not get rejected. The mechanism gives the body a pulse and propels blood throughout the body in a fashion that is identical to the human body.
    The AbioCor is made of titanium and advanced forms of medical polymers. It contains two blood pumping chambers separated by an active self-contained artificial septum which converts electricity into fluid motion by means of a miniaturized rotary pump driven by an electric motor.

    7657289arc1 The Arctic Sun®The Arctic Sun®, Medivance Inc’s Patient Cooling System, was recognized by the Wall Street Journal’s 2006 Technology Innovation Awards. The system–and some of us here have the experience of using it–is extremely helpful for induction of therapeutic hypothermia (for example, for aortic arch or descending aorta surgery) or for the rapidly reducing temperature in febrile patients.
    Medivance, a Louisville, CO company, explains its system’s cooling pads that are applied directly to the patient’s skin:

    The Arctic Sun provides a highly efficient non-invasive method of warming or cooling patients. The combination of the Arctic Sun Control Module and Arctic Sun Energy Transfer Pads were designed to simulate water immersion.
    The Arctic Sun Energy Transfer Pads have a three layer construction:
    7657289arc2 The Arctic Sun®Inner Hydrogel Layer: Hydrogel is a biocompatible material, which is a 50% water polymer matrix, provides uniform skin contact for high thermal conduction.
    Middle Ultra-thin Film Layer: The ultra thin film seals the fluid channels and allows efficient energy transfer from water through the hydrogel.
    Outer Foam Layer: Insulating foam prevents heat loss into the environment. Raised dimples create even flow distribution throughout the pad.
    The Arctic Sun Energy Transfer Pads offer an entirely different approach to surface cooling.
    With conventional water blankets or wraps, air is trapped between the cooling source and the skin. The patient is then cooled by cold air (convection).
    The Energy Transfer Pads are applied directly to the patient skin to provide direct thermal conduction through the skin.

    7657289arc3 The Arctic Sun®
    Company’s site