Cardiology Archives

Beating “Heart-on-a-Chip” May Revolutionize In Vitro Cardiac Studies

06fg0g7yuu Beating Heart on a Chip May Revolutionize In Vitro Cardiac StudiesMuch of what we know about organ physiology can be traced back to in vitro studies of cells in a cultured environment. For example, we know about ion channels and how they control the contractions of the heart because of early “patch-clamp” studies on cardiomyocytes, grown in the lab. This enabled early pharmacological studies through which drugs and compounds, like dobutamine or epinephrine, could be tested prior to animal and clinical trials.

A significant limitation of these studies, however, is that they often do not reflect the complexity and emergent properties present in 3D tissues. Researchers have circumvented this by growing cells in more intricate environments more representative of in vivo tissue. Despite this, a remaining challenge for cardiac research is the difficulty in measuring both the electrophysiological and contractile properties of heart tissue in vitro.

Researchers at the Harvard School of Engineering and Applied Science have developed a “heart-on-a-chip” consisting of eight muscular thin filaments (MTFs) that can be measured simultaneously. According to the paper in this month’s Lab on a Chip, their platform offers “several key advances in screening technology, including the ability to measure contractile stress as a function of time, AP [action potential] propagation, and inter- and intracellular architecture.”  The team bases these claims off of contractility, dose-response, and optical mapping experiments, leading them to the following conclusion:

We reported the development of a novel chip design for in vitro cardiac contractility and pharmacological studies. Previous technologies are capable of providing correlations between single myocyte electrophysiological and contraction properties, but they cannot be used to garner tissue scale data. This need is addressed by the ‘‘heart on the chip’’ technology, which is used in conjunction with cell culture techniques that can recapitulate healthy, diseased, and developing cardiac tissues. Our technology is ideal to study the two factors that can contribute to the force produced by in vitro cardiac tissues: the alignment of the contractile apparatus and the gene expression profile, which is affected by the shape and deformation of cellular structures.48 In sum, we have demonstrated the chip to be a platform for quantification of stress, electrophysiology, and cellular architecture.

We corresponded with senior author on the study, Professor Kit Parker, to get more details on the current status of the “heart-on-a-chip:”
 
Shiv Gaglani, Medgadget: The paper mentions the limitation of maintaining cardiomyocyte viability while transferring the chip from one system to another. It then discusses the potential of building a microscope to circumvent this problem and collect contractility and electrophysiological data simultaneously. Can you comment on plans for enhancing the system in this, or another, way?                                                                                                                              
Dr. Parker: We are working on that now. Part of the issue is that the contractility assay can be viewed with the naked eye, but must be done from the top down. The electrophysiology (EP) experiments are generally done at higher magnification with either a fast, fluorescent CCD camera. Voltage sensitive dyes are generally cell-toxic, so we do the contractility experiments without them, then load for the EP studies. We could do a simultaneous contractility and EP study if we compromised fidelity on the EP studies and did a pseudo ECG along with the contractility study. However, that would be a generalized signal averaged over all the tissues…..not necessarily what we want.

 
Medgadget: What are the next steps for the heart-on-a-chip (e.g. additional research, commercialization, etc)?

Dr. Parker:  We are working with other materials for the polymer thin film, we have increased the number of films and put the whole system in a microfluidic system, and we are trying a variety of commercially available iPS or ES derived human cardiac myocytes. We have incorporated a new company, BioDais, that will use these, and other proprietary assays from my group, do assess candidate molecules and do safety pharmacology, as a CRO, in a variety of microtissues built to replicate the function of muscular organs….so now we are working on vascular, airway, gut, skeletal and soon bladder and uterine smooth muscle.

Additionally, we are working on a valve on a chip that will allow us to look at the toxicity of drugs like Phen-Phen or Parkinson’s Disease drugs….so we are developing an array of assays that exploit our ability to build tissues that replicate organ microenvironments (both in function and gene expression), use human cells, get lots of high quality data fast and cheaper than in tissues isolated from animals.

Also, check out this video of the Heart-on-a-Chip from The New Scientist:

Lab on a Chip paper: Ensembles of engineered cardiac tissues for physiological and pharmacological study: Heart on a chip

Flashback from same research team: Real Muscles for Artificial Machines

Drug-Eluting Stents Made Easy: Simpler Insertion and Enhanced Drug Delivery with New Amino-Acid Based System

Drug-Eluting Stents Made Easy: Simpler Insertion and Enhanced Drug Delivery with New Amino-Acid Based System

Conventional coronary artery stenting involves quite a few steps: advancing a guidewire, dilating the lesion with a balloon, removing the balloon catheter, then doing the actual stenting.  Svelte Medical Systems, Inc.’s All-in-One Drug-Eluting System is designed to make the process much more straightforward by incorporating the guidewire, balloon, and stent itself into one assembly that is advanced en bloc. The firm claims that this system can save 10 minutes and $500 per procedure, which really adds up in a busy cath lab.

In addition to the streamlined deployment process, this new product features a drug delivery system by DSM Biomedical that elutes sirolimus in a novel way. According to the company, by using enzyme-mediated “bioerosion,” the agent is degraded in a “controlled, biocompatible, natural and nontoxic” way.

Read More

Neovasc Reducer Gets European Clearance as Refractory Angina Treatment

Neovasc Reducer Gets European Clearance as Refractory Angina Treatment

Neovasc out of Richmond, British Columbia received the European CE Mark of approval for the Reducer stent for treatment of refractory angina. Unlike traditional stents that are designed to keep a vascular lumen open for efficient blood flow, the Reducer, as the name implies, reduces the cross section of the coronary sinus vein and thereby retrogradely increases the perfusion by oxygenated blood within the myocardium.

The device is implanted in the cath lab in a traditional minimally invasive procedure as any other stent.

Read More

SonoSite EDGE Portable Ultrasound Getting Debut in U.S.

SonoSite EDGE Portable Ultrasound Getting Debut in U.S.

SonoSite received FDA clearance for its EDGE ultrasound system that features new imaging algorithms and the largest high resolution LED screen of any SonoSite device.  The EDGE is built to be a durable ultrasound for regular use and can withstand three foot drops thanks to titanium outsides and aluminum insides.  The sealed silicone keypad keeps the liquid whatevers at bay from the electronics.

SonoSite is awaiting CE Marking to move forward with delivering the device worldwide.

Read More

Sunshine Heart’s C-Pulse Cardiac Pump Proves Itself in Clinical Trial

Sunshine Heart's C-Pulse Cardiac Pump Proves Itself in Clinical Trial

Sunshine Heart, a company with headquarters in Sydney, Australia and Eden Prairie, Minnesota, is touting results of an early clinical trial evaluating its C-Pulse System in patients with moderate to severe heart failure.

The device, an external aortic compression system, relies on balloon counter-pulsation technology to assist the left ventricle. As the balloon is inflated, it helps move blood to the coronary arteries; deflating it reduces the pumping power required from the heart.

Read More

Weil Mini Chest Compressor, a New Product from Resuscitation International

Weil Mini Chest Compressor, a New Product from Resuscitation International

The Weil Mini Chest Compressor, a portable mechanical CPR device by Resuscitation International, is a new product in the fight to battle sudden cardiac death.  It is a pneumatically driven piston device providing optimal chest compressions with adequate strength and depth. The device was developed to be small, easy to deploy, and lightweight. The easy to use design allows for attachment of the device to the patient within 10 seconds.

A torso restraint is placed around the body and easily connected to the piston device allowing for circumferential chest compressions, freeing medical personal to tend to other aspects of handling the patient.

Read More

OrbusNeich’s New Stent Combines Drug Elution with Agent to Promote Healing

OrbusNeich's New Stent Combines Drug Elution with Agent to Promote Healing

The Combo Dual Therapy device is hailed by OrbusNeich (Hoevelaken, Netherlands) as the first example of a dual therapy stent. The product combines abluminal sirolimus drug elution for the control of neointimal proliferation with the company’s proprietary Genous Pro-healing technology to promote endothelial coverage. On the luminal side of the stent are immobilized antibodies that capture circulating endothelial progenitor cells.

“The Combo Dual Therapy Stent is OrbusNeich’s latest innovation to leverage Genous, our proprietary pro-healing stent technology, to address the significant clinical risk of delayed or absent healing that faces drug eluting stents today,” explained Al Novak, OrbusNeich’s chairman of the board, president, and CEO in a statement.

Read More

Cardio Simulator – A Model of Your Heart

Cardio Simulator - A Model of Your Heart

Here’s an interesting product known as Cardio Simulator. CrossMedical, based out of Japan, has developed a method to create remarkably precise replicas of the heart using soft materials that reproduce an individual’s heart based on CT data sets.

Using laser fabrication and an epoxy resin a soft detailed model can be created. The company provides pre-made standard adults models or, for a price, one can custom design a model based on CT imaging of a particular patient.  The technology can be used as an educational tool or as part of a pre-op assessment for surgeons to determine which approach is best for the patient, particularly when dealing with congenitally malformed hearts. More information on the process can be found on their website.

Read More

Samaritan 500P Automated External Defibrillator with CPR Guidance

Samaritan 500P Automated External Defibrillator with CPR Guidance

Many are at risk for sudden cardiac death. Although survival from out of hospital arrest is dismal, it is greatly improved if the patient receives timely CPR and defibrillation (when the rhythm is appropriate).  This has led to a splurge of new Automated External Defibrillators (AEDs) that provide automated rhythm analysis and cardiac shock (defibrillation) when appropriate.  The automation of the devices has enabled minimally-trained and lay responders to effectively help save lives.

However, there are few products that combine external defibrillation with some aspects of CPR guidance for the minimally-trained or lay responders. One such product by HeartSine is known as the Samaritan PAD 500P.  This device, currently CE Marked, provides rhythm analysis and defibrillation when appropriate along with CPR guidance.  The device provides audible real-time CPR instructions, coaching the responder to adjust speed and depth accordingly (“Push Harder”, “Good Compressions”, “Push Slower”).  Per the company, using impedance technology, the device is able to direct the user on both depth and force by measuring the extent of blood pulsing in the chest cavity, enabling guidance to the responder to deliver potentially more effective chest compressions.

Read More