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Medical Device Design & Equipment Development

7 Posts tagged with the measurement tag
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Image that was controlled via Kinect during operation. (via Microsoft)

 

The Kinect imaging sensor has been used in some technically innovative projects such as Queen’s University’s 3D video conferencing system to Microsoft’s own augmented reality MirageTable. It’s even found its way into the medical field with a recent successful operation involving the repair of an aneurism at Guy’s and St Thomas’ hospital in London.

 

Surgeons involved in complex operations occasionally need to refer to reference material to help them through certain procedures. This is typically done by using an assistant to bring up the materials on a laptop so the doctor can remain at the operating table without having to waste time re-scrubbing because of contamination. This is where a new 3D imaging system that was developed by Microsoft Research Cambridge with Guy’s and St Thomas’ hospital can be invaluable as it was used for the first time by assistant surgeon Tom Carrell to perform heart surgery.

 

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Promotional image of the Kinect during surgery. (via Microsoft & St. Thomas' Hospital)

 

The system was used to compare a 3D model of an aorta with a live-feed 2D image of the patient's by using a fluoroscopic x-ray camera to help Carrell navigate through the delicate procedure. The 3D model could also be manipulated through a series of minimal gestures that include the ability to rotate the image using the palm of your hand and placing a marker simply by pointing and using a voice command. These simple gestures can be performed using only one hand leaving the other to continue the surgery while others, such as panning, rotating or zooming in/out need the use of both hands. Not only can the system be used in confined spaces commonly found in operating theaters, it also saves valuable time in eliminating the need to take a break to consult reference material.

 

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Bionic Vision, At Last

Posted by Cabe Atwell May 9, 2012

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Bionic Eye concept (via Bionic Vision Australia)

 

Most of us go our days taking for granted our sense of vision, but loss of this sense changes everything. Even though vision loss can occur for many different reasons, there is little medical science can do to fix most cases of blindness. However, technology is catching up. Retinal implants are already here, and next year a computer aided “bionic” eye will be tested on a human patient.

 

 

An Australian company, Bionic Vision Australia is teaming up with scientists from a new $2.5 million facility, the Rs.12.76 Crore Fabrication Facility, found at the University of New South Wales to develop prototype bionic eyes. These first prototypes will be helpful to patients with degenerative retinal conditions. To benefit from one of these bionic eyes, patients need to have a complete and functioning visual pathway from the retina to the brain and some intact retinal cells.

 

 

These prototypes are intended to give patients limited visual capabilities. This will be accomplished by use of a chip inside the transplant, which is connected to the nerve cells in the retina that send signals to the visual cortex. Impressively, the signal is captured via a video camera found on a pair of glasses worn by the patient that wirelessly relay it to a processing computer, and even a smartphone could do the job. After processing, it is sent to the bionic eye’s chip connected to retinal cells.

 

 

The sensor is made of biocompatible material and includes 98 electrodes that stimulate surviving nerve cells. Development and manufacture of the bionic eye will be greatly accelerated at the Rs.12.76 Fabrication Facility where the two prototypes are in development. This facility is stacked with state of the art equipment including laser cutters, plasma reactors, high temperature presses, probing machines and even a “clean room” for manufacturing electrical components.

 

 

The first prototype is a “wide-view” device that will help some visually impaired to easily detect between light and dark and allow them to see outlines of big objects for easier navigation around their environment. The second prototype is a “high-acuity” bionic eye that will provide a higher definition and will allow patients to read large fonts and recognize faces. They hope to have the second prototype ready for testing in four years.

 

 

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(Left) Implant behind eye. (Right) Retinal scan showing the sensor chip in place. (via University of Oxford)

 

Diagnosed with retinitis pigmentosa, the first symptom was night blindness. A few years later, vision was drastically reduced. Finally, another disease brought complete blindness in the left eye and the inability to distinguish light on the right. Chris James, a fifty-four year old council worker in Wiltshire U.K., had his life completely changed by his complications. He said, "It’s something you have to come to terms with and make the best of what you’ve got."

 

Chris James's new eye was switched on for the first time. The digital circuits flood with electricity. James could see light against a black background for the first time in decades. The retinal implants were a success. "As soon as I had this flash in my eye, this confirmed that my optic nerves are functioning properly which is a really promising sign. It was like someone taking a photo with a flashbulb, a pulsating light, I recognized it instantly."

 

Chris James was one of the first patients (along with Robin Millar, a 60 year old music producer) suffering from retinitis pigmentosa to receive retinal implanted circuitry to detect light and images from a collaboration between the University of Oxford (UO) and the company "Retina Implants" form Germany. A team led by ophthalmology professor Robert MacLaren were able to help the patients regain some semblance of vision. As the patients continue to use the implants, their vision continues to improve. Currently, the patients can see light differences and basic shapes.

 

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X-ray image of the complete system installed into Chris James. (via University of Oxford)

 

The implant is a 3mm square chip containing 1,500 light sensitive diodes. The chip is attached to the back of the eye where a signal can be sent between electrodes and the patient's optical nerves. The system is powered by an implanted power supply buried behind the ear, similar to some cochlear devices. Professor MacLaren explained that the sensor will "stimulate the overlying nerves to create a pixellated image." He continued, "Apart from a hearing aid like device behind the ear, you would not know a patient had one implanted.  We are all delighted with these initial results. The vision is different to normal , and it requires a different type of brain processing. We hope, however, that the electronic chips will provide independence for many people who are blind from retinitis pigmentosa."

 

The U.K based trials will continue with 12 patients overall thanks to funding from the National Institute of Health Research and the Oxford Biomedical Research Centre.

 

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Cochlear implant concept (via University of Utah)

 

Cochlear implants have improved the hearing for over 220,000 deaf people around the globe, but they have their drawbacks. Not being able to swim or wear helmets comfortably due to the delicate microphone and related electronics worn on the outside of the ear are just some of the tip of the limitation. A team of engineers, led by Associate Professor Darrin Young from the University of Utah, are looking to fix those issues by implanting the cochlear microphone inside the ear itself, giving the user an increased level of freedom in otherwise damaging environments.

 

Typical implants house the microphone, signal processor and transmitter coil in a plastic shroud worn behind the ear. The mic picks up sound and sends it to an internal receiver-stimulator attached to bone under the skin by the microphone housing. From there, sound is sent to electrodes attached to cochlea which in-turn stimulates auditory nerves making it possible for the user to hear. Young’s design places all the external components normally worn outside the ear inside by placing an accelerometer sensor that’s attached to a chip on the ears umbo part of the tympanic membrane to detect vibration. This converts sound into electrical signals that are then sent to the electrodes attached to the cochlea which is powered by an implanted battery enabling the user to hear.

 

Recharging the battery is done at night while the user sleeps using a charger located behind the user’s ear in much the same fashion as wearing a typical cochlear implant. Successful testing was done using several cadavers (yes, you read that right) implanted with the new cochlear system. A laser was then used to measure the vibration on bones inside the ear to see which one was more efficient at picking up normal-level sound after which it was found that the umbo was the most successful. In order to test this device, the implanted microphone was wired to speakers with Beethoven’s Ninth Symphony acting as the test medium. While the sound was ‘muffled,’ Young states that ‘the muffling can be filtered out’. The team hopes to improve the overall sound quality in future versions so clinical trials are still a few years away but anything that can assist the disabled is still a hopeful future.

 

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(repost)

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(Left) Concept of the system (Right) Drawing of the MEMS generator (Via Purdue University)

 

A new medical pressure sensitive implant, microelectromechanical system (MEMS), is out that uses sound as a power source. This MEMS device is a sensor that monitors the pressure of the urinary ladder and in the sack of blood vessel damages by an aneurism. Purdue University researches invented the MEMS to one day treat people with aneurism or incontinence due to paralysis patients.

 

The MEMS device uses a vibrating cantilever that is connected to the bottom of the heart by a thin. The cantilever vibrates when music is within the range of frequencies of 200-500 hertz. When the cantilever vibrates it generates electricity, and that charge is stored in a small onboard supercapacitor. When the frequency falls out of the useful range, the cantilever stops vibrating and will automatically send the electrical charge to the sensor. At the same time, the system will take the pressure readings and transmits the data wirelessly.

 

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MEMS generator (via Purdue University)

 

The cantilever beam is a ceramic based lead zirconate titante material, a piezoelectric (PZT)element. The sensor is about two centimeters long. Researcher even tested the device in a water-filled balloon to see if still worked, and the test was a success. To get this device powered you can use batteries or an external transmitter.

 

The four genres tested with the MEMS were rap, blues, jazz, and rock. Among the four genres of music tested, rap rise above all when being the most effective. "Rap is the best because it contains a lot of low frequency sound, notably the bass," Purdue professor Babak Ziaie said. In rap, the vulgar words and the deep bass are put together for the listener to understand the true power of the message, which does not give the rap genre the best reputation. Soon, doctors using the device will understand the true power of Tupac songs.

 

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DNA nanorobot from Wyss Institute on Vimeo

 

 

Star Trek's "Borg" use nano-probes for cell-repair and to fight unwanted intrusion inside their human/robot bodies. It sounds like an effective way of fighting damaged cells, but it is science fiction. However, this Star Treks technology may be brought into reality for fighting off diseased cells (cancer) with the help of DNA origami. Designed by Paul Rothemund at CIT (California Institute of Technology), DNA origami is the folding of a single DNA strand into various two and three dimensional shapes.

 

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Programmable DNA nanorobot concept model. (via Wyss Institute & Campbell Strong, Shawn Douglas, and Gaël McGill using Molecular Maya and cadnano)

 

These can be made into a different number of things such as miniature images or even a programmable robot. Harvard University's Wyss Institute researcher Shawn Douglas, and his team, have created a barrel-like nano-robot that can deliver a dose of medicine to diseased cells. The ‘barrel’ is held shut by two DNA ‘latches’ that only release and introduce the medicine when they encounter specific cell proteins found in cancer. The team has tested this application with both leukemia and lymphoma cells that were mixed in with non-diseased cells. The nano-robots were programmed to seek out and deliver their payload known to kill those disease cells respectively. After a three day test period, the robots effectively killed around half of the cancerous cells without harming the healthy ones. Think of it as a super-mechanical white blood cell that homes in on cells that are in distress and targets them for termination.

 

This method is by no means and end-all to the cancer problem as it is still in the development stage and has not been run through clinical trials. The team has encountered some challenges along the way as to programming, shape of the nano-robot, method of medicine delivery and a host of other problems. However, any hope for an effective treatment for battling cancer is excellent news and should be viewed as such.

 

Cabe

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The biological logic gate Via Professor Kitney

 

This is a Re-Post from the DIT Blog.

 

An AND logic gate made from Escherichia Coli (E.Coli) and DNA was made at the Imperial College London, demonstrating the much hypothesized concept of the biological computer. The experiment also showed how several of these gates can be connected to for other more complex forms, such as a NAND. The foundation is set, in-body biological computing is close.

 

Co-author of the paper, Professor Richard Kitney explained the concept further, "Logic gates are the fundamental building blocks in silicon circuitry that our entire digital age is based on. Without them, we could not process digital information. Now that we have demonstrated that we can replicate these parts using bacteria and DNA, we hope that our work could lead to a new generation of biological processors, whose applications in information processing could be as important as their electronic equivalents.”

 

The development team stated that their vision will lead such biological computers to searching out the body's ailments and handling them accordingly. For example, using a bio-circuit to find cancer cells and destroy them. In the meantime, the group is looking into building more complex organizations of the gates. 

 

I can only imagine a 1-trillion gate biological processor would be too large to move through the blood stream. I am more curious about how the team will tackle that obstacle. 

 

Eavesdropper