Archives: 5/2009

percdp Minimally Invasive Aortic Valve Replacement With the Lotus System
Sadra Medical out of Campbell, California just won $30 million in financing to move forward the company’s system for transcatheter replacement of aortic valves. Currently under a feasibility study in Europe, the Lotus device has already been used successfully on a 93 year old patient in Germany.

The Lotus™ Valve System is the first fully repositionable technology designed to specifically address both the disease etiology of the aortic valve and the unique requirements of a transcatheter aortic valve replacement procedure. In addition to its repositioning and self-centering features which facilitate optimal positioning of the valve, the device’s unique ability to be resheathed and retrieved provides physicians with more control over the procedure.
The Lotus™ Valve System consists of the Lotus™ Valve, a bovine tissue tri-leaflet bioprosthetic aortic valve supported by a self-expanding nitinol stent structure, and the Lotus™ Delivery Catheter, a delivery system for guidance and placement of the Lotus Valve. The device is introduced endovascularly via the femoral artery using conventional catheterization techniques. The Lotus™ Delivery Catheter balances flexibility and support to facilitate smooth tracking through potentially challenging diseased anatomy and it is easily guided into the aortic root using a retrograde approach. The valve is intended for placement in the aortic annulus overlying the native aortic valve. The system is engineered to enable placement in a beating heart, and the valve begins to function early in the release process, minimizing systolic ejection forces.
The Lotus™ Valve does not require balloon inflation or rapid pacing of heart. The fine operator control over valve unsheathing, seating and deployment is an essential feature that aids in precision placement and helps the operator to avoid coronary obstruction and minimize contact with the mitral valve. Further, this comprehensive control of the valve until deployment provides confidence in achieving a first-time fit. Prior to releasing the Lotus Valve into its final position, the valve may be retracted into the sheath of the delivery system for repositioning and redeployment or removal if it cannot be satisfactorily positioned. The Lotus Valve features the Adaptive™ Seal, which is designed to conform to irregular surfaces of the native anatomy to minimize perivalvular leakage.

Here’s an animation demonstrating the Lotus system:


Product page: Lotus™ Valve System …
Press release: Sadra Medical Raises $30 Million Will Take Next-generation Percutaneous Aortic Valve Replacement System to Commercial Viability …

090504161706 Structured Illumination Speeds Up Fluorescence MicroscopyFluorescence microscopy has opened a whole new world of research for life scientists. Yet one of the biggest drawbacks of the technology has been its inability to visualize fast biochemical interactions. Now a team from University of Georgia in Athens and the University of California in San Francisco developed a method to substantially improve the visualization process, allowing for “100-nm resolution at frame rates up to 11 Hz for several hundred time points”.

Here’s a video page
at Nature with clips showing the capabilities of the new technique…
Press release: A guide to the invisible: UGA biomedical engineer publishes on “super-resolution” video imaging …
Abstract in Nature Methods
Image: GFP-labeled microtubules. Top: the conventional image. Bottom: at 100nm resolution with structured illumination. (Credit: Image courtesy of University of Georgia)

daanbox Smart Nanobox Built Out of DNA Origami
Danish scientists at the Aarhus University Center for DNA Nanotechnology created a three dimensional box made out of DNA that features a lid that can be opened when a specific DNA strand is introduced as a key. The technology may allow for targeted drug delivery, with the lid opening when sensing the presence of a particular pathogen.
dnabox x220 Smart Nanobox Built Out of DNA OrigamiMIT Technology Review reports:

To design the box, the Aarhus team developed a computer program to generate a continuous single-stranded DNA sequence that, along with smaller DNA fragments that act as staples, would self-assemble into the desired shape.
The sequence was devised with many complementary regions so that it would automatically fold into six roughly square accordion-like sheets–the sides of the box–based on DNA’s natural tendency to pair into double strands. The DNA staples, also driven by the pairing of complementary sequences, stitched the sheets’ edges together to form a hollow cube with a hinged lid.
To make the lid lockable, Kjems and his colleagues fashioned two tiny DNA latches with sticky ends. Under normal circumstances, the latches adhere to the box, holding it shut. But when the two corresponding DNA keys are added, the latches bind to those instead, allowing the lid to swing open. A pair of dye molecules, one affixed to the box’s rim and another to its lid, glow red when close together and green when far apart, providing an easy way to detect whether a box is closed or open.

Abstract in Nature

medsp23232 Occipitocervical Fusion Module from MedtronicMedtronic has announced the US launch of the VERTEX SELECT Reconstruction System Occipitocervical Module. The system, which includes implants and tools, is designed for posterior fusions that require the skull to be stabilized to the neck.
More from Medtronic:

Conditions of the spine, such as degenerative disease, can lead to instability and pain for patients. To treat the instability, surgeons perform a spinal fusion, which involves joining two bones together, such as the occiput and vertebrae. Nearly 40,000 posterior cervical fusions are performed each year, of which approximately 10 percent involve occipitocervical fusions.
Used with the existing VERTEX® Reconstruction System, the VERTEX SELECT Occipitocervical Module offers adjustability through multiple plate designs, rods, screws, and hooks that gives surgeons more options during surgery, enabling them to tailor the procedure to each patient’s needs. Additional enhancements to the VERTEX SELECT Reconstruction System will be released in the near future to further expand the system.

Press release: Medtronic Introduces the VERTEX SELECT™ Reconstruction System Occipitocervical Module …

 Robotic Hand Powered by Compressed Air and Rubber BandsThere’s a new robotic arm in town, charming people with its 60psi powered movements, surprising dexterity, and lack of motors. It’s name is RAPHaEL (Robotic Air Powered Hand with Elastic Ligaments), and it was built by four Virginia Tech mechanical engineering students as part of a larger project to create a humanoid robot. The arm alone, having no motors, and a safe, inexpensive design with adjustable grip, has potential for use as a prosthesis. Its four creators have already won a slew of engineering awards – here’s hoping their next trophy is for turning it into a medical device.
From the press release:

The Robotics and Mechanisms Laboratory (RoMeLa) of the College of Engineering at Virginia Tech has developed a unique robotic hand that can firmly hold objects as heavy as a can of food or as delicate as a raw egg, while dexterous enough to gesture for sign language.
Named RAPHaEL (Robotic Air Powered Hand with Elastic Ligaments), the fully articulated robotic hand is powered by a compressor air tank at 60 psi and a novel accordion type tube actuator. Microcontroller commands operate the movement to coordinate the motion of the fingers…
The grip derives from the extent of pressure of the air. A low pressure is used for a lighter grip, while a higher pressure allows for a sturdier grip. The compliance of compressed air also aids in the grasping as the fingers can naturally follow the contour of the grasped object.

Here’s a video of the hand in action:


Press Release: Virginia Tech’s RoMeLa develops a low cost, dexterous robotic hand operated by compressed air
(hat tip: Engadget)

lactatetest Lactate Monitoring May Become As Common As Heartbeat in SportsMeasuring lactate levels in the blood is a common activity among athletes that closely monitor their condition. The process usually requires visiting a clinic, but now German researchers claim to have developed a scaled down version of the monitoring device that may soon find itself in over the counter lactate testers.
Fraunhofer-Gesellschaft reports:

“We have found a way of miniaturizing the measurement system so that it can be accommodated in an ear clip. The results could be radioed by the ear clip to a training wristwatch or a cellphone,” says Thomas van den Boom, group manager at the Fraunhofer Institute for Microelectronic Circuits and Systems IMS in Duisburg. An electrochemical method is used to measure the lactate value. In a chemical reaction, an enzyme triggers a redox flow from the lactate which can be measured using electrodes. The measurement system, which could be installed for example in an ear clip, consists of two microchips: the innovative nanopotentiostat fits on a chip measuring just two by three millimeters and costs less than one euro. “The second chip incorporates microelectrodes which we have developed for this purpose and which we can couple with the nanopotentiostat,” explains van den Boom. One of the microelectrodes is coated with a thin layer of gel containing the enzyme. There are altogether three microelectrodes on the chip, which are activated by the nanopotentiostat. Two serve the purpose of electrochemical measurement while the third keeps the electrochemical potential constant end thus ensures a stable voltage.
The engineers can coat the electrode with different enzymes so that, apart from lactate measurement, various other analyses can be performed in the blood or other electrolytes. The advantage is that the electrodes are very small and cheap – and the analyses can be carried out in a mobile environment. A first demonstrator of the nanopotentiostat for lactate measurement (without earclip) has already been produced.

Press release: Lactate test made easy …

wheler134 Wheelchairs For Disabled That Refuse To Be Handicapped
Designer Jairo da Costa Junior is envisioning a set of wheelchairs for handicapped folks inspired by Mark Zupan, the captain of America’s quad rugby team. Clearly these are not your granddaddy’s wheelchairs, and if developed into a product, would be used by intense athletes that can not be slowed by any disability.
From Yanko Design:
wheeler3232 Wheelchairs For Disabled That Refuse To Be Handicapped

The built of the HERO Zupan is such that it makes it easy to navigate the chair on beaches and indulge in games like Frisbee and beach volleyball.
The HERO Daredevil traverses over land and sand with ease and hence is apt for beach and parks and is built for hard sports like beach rugby. This model has been inspired by the fictional character Daredevil.
HERO Xavier takes inspiration from the Marvel Comics’ character Charles Francis Xavier (Professor X). This chair is ideal for land sports and can be used in games like basketball, tennis etc.

More from Yanko Design

top220002 SimMan 3G Patient Simulator Gets a Serious Upgrade
Laerdal Medical (Stavanger, Norway), the maker of the original, and now famous, Resusci Anne CPR training simulator, has recently released a new, much more advanced version of the robot. The SimMan 3G can cry, bleed, convulse, go into cardiac arrest, and have all sorts of medical conditions that are better practiced at first without a human subject.
side22211212 SimMan 3G Patient Simulator Gets a Serious UpgradeHere’s a very partial list of features of the SimMan 3G:

Quality CPR Feedback
Laerdal™s Q-CPR technology measures the quality of CPR providing real time feedback on compression rate, depth, release, and hands-off time as well as generating palpable pulses , blood pressure wave forms and ECG artefacts.
Convulsions
Degrees of seizures and convulsions can be created from minor effect through to a full convulsion through the Instructor Mode.
Bleeding and Wounds
Wound models can be connected to an internal blood reservoir which will bleed both from arterial and venous vessels. Connected to the simulator’s physiological modelling, SimMan 3G will react appropriately according to treatment.
Wireless Monitor
Part of the complete wireless simulation solution, the wireless monitor enables you to observe the patient simulator™s vital signs while moving around freely during training.
Secretions
The new eye secretions feature has multiple scenario applications such as responsive reactions to chemical, biological, radiological and nuclear agents.
Drug & Event Recognition
The new and advanced Drug Recognition System allows students to administer drugs simultaneously. It registers the amount, speed and type of drug automatically and applies the appropriate physiological responses, saving the instructor time and improving the overall intelligent debrief.
Eye Signs
Include pupillary responses to light, blinks at slow, normal and fast rates, winks and open, partially open and closed reactions.
Vascular Access
In addition to the standard vascular access in the right arm, the new intraosseous access via the tibia and sternum allows for procedure accuracy
Chest Decompression & Chest Drain
Students can now perform a needle Thoracentesis and insert a chest drain bi-laterally.

Here’s a BBC report showing off the SimMan 3G:


Product page: SimMan 3G …

45345jk2 Gold Nanoparticles Recruited to Destroy Difficult to Reach TumorsMIT researchers have developed a group of gold nanoparticles that may soon be used by oncologists to find, locate, and kill tumors. By resonating when near-infrared light is introduced, the nanoparticles can heat up enough to cook surrounding tumor cells out of existence.
From MIT news office:

Gold nanoparticles can absorb different frequencies of light, depending on their shape. Rod-shaped particles, such as those used by von Maltzahn and Bhatia [Geoffrey von Maltzahn and Sangeeta Bhatia, graduate student and MIT professor respectively], absorb light at near-infrared frequency; this light heats the rods but passes harmlessly through human tissue.
In a study reported in the team’s Cancer Research paper, tumors in mice that received an intravenous injection of nanorods plus near-infrared laser treatment disappeared within 15 days. Those mice survived for three months with no evidence of reoccurrence, until the end of the study, while mice that received no treatment or only the nanorods or laser, did not.
Once the nanorods are injected, they disperse uniformly throughout the bloodstream. Bhatia’s team developed a polymer coating for the particles that allows them to survive in the bloodstream longer than any other gold nanoparticles (the half-life is greater than 17 hours).
In designing the particles, the researchers took advantage of the fact that blood vessels located near tumors have tiny pores just large enough for the nanorods to enter. Nanorods accumulate in the tumors, and within three days, the liver and spleen clear any that don’t reach the tumor.
During a single exposure to a near-infrared laser, the nanorods heat up to 70 degree Celsius, hot enough to kill tumor cells. Additionally, heating them to a lower temperature weakens tumor cells enough to enhance the effectiveness of existing chemotherapy treatments, raising the possibility of using the nanorods as a supplement to those treatments.
The nanorods could also be used to kill tumor cells left behind after surgery. The nanorods can be more than 1,000 times more precise than a surgeon’s scalpel, says von Maltzahn, so they could potentially remove residual cells the surgeon can’t get.
The nanorods’ homing abilities also make them a promising tool for diagnosing tumors. After the particles are injected, they can be imaged using a technique known as Raman scattering. Any tissue that lights up, other than the liver or spleen, could harbor an invasive tumor.
In the Advanced Materials paper, the researchers showed they could enhance the nanorods’ imaging abilities by adding molecules that absorb near-infrared light to their surface. Because of this surface-enhanced Raman scattering, very low concentrations of nanorods – to only a few parts per trillion in water [gf1]- can be detected.
Another advantage of the nanorods is that by coating them with different types of light-scattering molecules, they can be designed to simultaneously gather multiple types of information – not only whether there is a tumor, but whether it is at risk of invading other tissues, whether it’s a primary or secondary tumor, or where it originated.

Press release: Targeting tumors using tiny gold particles …
Abstract in Cancer Research: Computationally Guided Photothermal Tumor Therapy Using Long-Circulating Gold Nanorod Antennas
Abstract in Advanced Materials: SERS-Coded Gold Nanorods as a Multifunctional Platform for Densely Multiplexed Near-Infrared Imaging and Photothermal Heating