1. Cybernetic Heart Concept Innovative technology has lead to
the creation of this ultra-small medical device: Scientists say
this, technique could lead to a new era in electronic medicine By
Doc. G Medsys Research Consultant Innovative medical research into
Bioengineering Heart plantation Evolution Health November 2014
2. Design Concept This innovative heart implant concept, was
not designed to extend the normal life cycle, but to transform the
lives of thousands of patients whose only hope has been a
transplantation. The main objective was to design a small intrusive
heart implant, that could be placed in position without the need
for intrusive open-heart surgery. This device will be inserted via
a small opening in the groin or chest, a catheter is inserted, then
skillfully maneuvered through blood vessels into the heart left
ventricle. This standalone device requires, no external support
equipment attached around the patients waist. It takeover 60% of
the patients heart functions. The device will incorporates
sophisticated software, that uses controls settings, allowing it to
adapt to the patients lifestyle. In the US and UK alone, there are
122,796 people waiting for a heart transplantation. The lack of
available donor organs is also contributing to the delaying in
heart transplantation. This tiny fourth generation device could
reduce waiting times, and transforms patients lives.
3. Reducing waiting times for lifesaving heart transplantation
Transplant Trends in US & UK In the US 123,393 people, need a
lifesaving organ transplant? (Total waiting list candidates.) Of
those 78,602 people are on the active waiting list. In the US 2,577
People receiving heart transplants. Whereas the number of donors is
only 1,257, so the gap continues to widen. In the UK, 261 people
are on the waiting lists for heart transplants. The UK performs 195
heart transplants last year. Whilst 35 people die waiting for a
heart organ transplant. Why do patients needed wait? The length
time patients needs wait is influenced by the body mess index
(BMI), blood group, and primary diagnosis. For example: patient
over 81 kg (BMI 28.7) waited an average of 271 days to get a
transplant, compared with those under 70 kg (BMI 24.6) who waited
95 days. Blood groups AB, have twice the chance of transplant
compared with group 0 patients; they waited an average of 93,97 and
230 days, respectively. The lack of available donor organs is also
contributing to the delaying in heart transplantation. Waiting
times Stress The waiting time causes physical stress for a patient,
also causes unnecessary strain on the Next of Kin; and their
always-high risk of some patients has another cardiac arrest. Heart
transplant costs US Breakdown of costs of single heart transplant:
Donor Heart $90,000, Evaluation fees $23,000, Doctor & Nursing
salaries $40,000, Hospital Care $383,000, Post-operative care
$93,000, Immunosuppressive, prescription medication $25,000. Total
cost per transplantation; $650,000.
4. Reducing waiting times for lifesaving heart transplantation
Benefits: Using the Cybernetic Heart implant option would be
considerable cut costs. As the insertion procedure is less
intrusive, with no need for open-heart surgery. Hospital care
costs, doctor and nursing salaries, and prescription medication
would be noticeably cheaper. Quickly reduce the number of patients
waiting for heart organ transplantation. Reduces the gap between
available donor organ and organ available for heart transplants.
Using the Cybernetic heart option will reduce time consuming to
search for suitable donors heart organ. The ability to provide
patients with an alternative; instead of wait months for donor
heart. Whilst utilizing the Cybernetic heart option the
waiting-time would be reduced to weeks. As the procedure is less
intrusive, patients physical stress levels are eases, which reduces
the recovery process. Thus allowing them to moved from hospital to
the comfort of home convalescence. This reduces time spent
occupying hospital beds and associated medical resources.
Continuous medication for organ tissues rejection is know longer
required, whereby making further reductions in hospital costs. Some
Restraints Patients must meet certain criteria: The size of the
patients left Ventricle Cavity (cavitas ventriculi sinistri) must
have fully developed. Otherwise there will be insufficient
maneuverability for Cybernetic Heart to be successfully implanted.
Older patients with a condition known as aortic stenosis are too
sick to withstand this procedure.
6. Blades attached to Aortic Valve heart beat 1.07 0.1-0.2
delay Single beat of blood flow This research is investigate
innovative bioengineering technics to control brain messages from
the brain nervous system to the (1) Sinoatrial & (2)
Atrioventricular nodes. The objective is to design an intelligent
algorithm that can activate the SN & AN nodes to provide an
electric pluses at will drive the rotation of the blades to get a
normal heart beat-to-beat and plus. Input nervous system output
Sinoatrial & Atrioventricular nodes Left Ventricle (cavity)
Make outer cover flexible enough to bend here Blood input Blades
rotate 1.07 per second anticlockwise -80 -70 -60 -50 -40 -30 -20
-10 0 0 2 4 6 8 10 12 Blade pitch Blade pitch Blood pressure drops
to allow aortic valve to close Pressure pushes Blood into the aorta
via aortic valve Impeller starts Pressure for the next heart
beat
7. Cardiac Conduction System Neurons firing off in real-time
Dorsal motor Nucleus of Vagus Relays information to SN & AN
Nodes The cardiac conduction system is a group of specialized
cardiac muscle cells in the walls of the heart that send signals to
the heart muscle causing it to contract. The main components of the
cardiac conduction system are the SA node, AV node, bundle of His,
bundle branches, and Purkinje fibers. The SA node (anatomical
pacemaker) starts the sequence by causing the atrial muscles to
contract. From there, the signal travels to the AV node, through
the bundle of His, down the bundle branches, and through the
Purkinje fibers, causing the ventricles to contract. This signal
creates an electrical current that can be seen on a graph called an
Electrocardiogram (EKG or ECG). Doctors use an EKG to monitor the
cardiac conduction systems electrical activity in the heart. The
different colors represent the different frequencies of electrical
energy in the brain as well as the paths by which that energy
moves.
8. Sinoatrial Node Human Brain Nucleus Cybernetic heart program
uses the generic code to controls the SN & AN nodes to activate
both atrial and ventricular chambers of the patient heart. Note:
From this basic ventricular on demand pacing mode is VVI or with
automatic rate adjustment for exercise VVIR. -this mode is suitable
when no synchronization with the atrial beat is required, as in
atrial fibrillation. Atrial beat is normal delay (0.1-0.2 seconds)
trigger a ventricular beat, unless it has already happed. DDDR mode
covers all the options through the Cybernetic heart, this require
separate atrial and ventricular leads & more complex, requiring
careful programing of their functions for optimal results. Dorsal
motor Nucleus of Vagus Relays information to SN & AN Nodes
NASPE/BPEG Generic code for antibradycardia pacing 1 2 3 4 5
Chambers Paced Chambers Sensed Response to sensing Rate Modulation
Multisite Pacing 0 = None 0 = None 0 = None 0 = None 0 = None A =
Atrium A = Atrium T =Triggered R = Rate Modulation A = Atrium V =
Ventricle V = Ventricle I = Inhibited V = Ventricle D = Dual (A+V)
D = Dual (A+V) D = Dual (T+I) D + Dual (A+V) Atrioventricular Node
Cybernetic heart motor is programed to rotate the blades at: 1.07
per second, anticlockwise then delay for 0.1-0.2. seconds. This
allows the blood pressure drop and Aortic Valve to close.
9. Hearts intelligence system Energy & communications
system Microprocessor Controls all the functions of the Cybernetic
heart: Pumps rotation impellers, blood pressure, heart rhythms,
pre-hypertension alarms, energy cells perpetual motion &
storage cycles. remote diagnostics, rapid response malfunction
reporting to the cardiac unit. Updating the implant system software
remotely from cardiac unit. Testing system software for any
security issues. Develops complex graphical images from the history
data stored within the data base: blood pressure, Beat-to-beat
heart rhythms any alarms warning. Energy cells Power supply source
& renewable energy storage via perpetual motion provided from
rotation impeller blades into energy cells for storage. Power
required 24/7. Data Base Stores all historical records of the
Cybernetic heart performance or any malfunctions throughout its
implanted life cycle. Bluetooth Sends and receives data from the
software management system and data base, to the communication
implanted inserted under the skin in the patients arm. Liquid
helium: contained within sealed ring Cools down the energy cells,
microprocessor, Cybernetic heart system, data base processor, &
Bluetooth. Cather Cather
10. Each joint moves 5% allowing the cardiologist to twist and
turn the implant through blood vessels in the heart. Movability The
Cybernetic heart is inserted via the patients groin and maneuver by
the surgical cardiologe team into the patients left ventricle. The
outer skin is covered in a layer of metal tantalum which is highly
corrosion- resistant. Kevlar is used to reinforce inner surface of
the Cybernetic heart, which in cooperates both strength and
flexibility. Once the Cybernetic heart is in position attached to
the aortic valve small magnets situated in each joint are
activated. The magnet field snaps and click each joint render them
immovable To ease the movability five flexible joints have been
designed to ease the movability from the groin to the left
ventricle. A single thickness of Bovine Pericardia tissue is used
to cover the inside walls, to stop an contamination of the patients
blood. Cather head is used to guild the Cybernetic heart from the
patients groin into the left ventricle. Joint moves 5%
11. Cybernetic Heart delivery system Flexible delivery Cather
is Inserted into a small opening in the groin Route of Cather It is
inserted through a vein via an small incision in the groin, leaving
no scars, and manipulated into the patients Heart left ventricle.
Its anchor in place by an aortic value which compresses the
patients value and replace it. Note: Older patients with a
condition know as aortic stenosis, are to sick to withstand
replacement of a diseased aortic value. Therefore this procedure
would not be recommended. This innovation will help eliminate
complications caused by traditional organ transplantation, Aside
from being an easier procedure, their no need search organ tissue
match. This procedure reduces the need for intrusive open-heart
surgery, decreases bruising to the heart organ, stopping infections
and clots. Its anchor in place using a Valve in Valve procedure. A
Sapien Valve (Edwards) aortic value which compresses the patients
value and replace it. Perimount Bovine Valve Valve is Compressed to
maneuvered into place. Each joint moves 5% allowing the
cardiologist to twist and turn the implant through blood vessels in
the heart. Kevla r Pericardia Tissue
12. Wireless mobile 5G SIM card has an unique security
authentication for each patient and ciphering information related
to the patient heart implant. This information is access by the
cardiac monitoring unit via patient identification code in order to
unlock the PIN. Bluetooth is a Wireless technology for exchanging
data over short distances (using short-wavelength radio waves in
the ISM band from 2.4 to 2.485 GHz[2]). It transmitters data from
the heart device to the arm capsule implant, overcoming problems of
synchronization. Cybernetic Heart monitoring & diverter system
Software Mgr. Sys Data Base Energy Cell Bluetooth Hearts
intelligence system Operating System Motor System Capsule inserted
into patients arm
13. Downloads patients historic device records to GP surgery
for analysis. On Call Cardiology 24/7 monitoring Unit. General
practitioner surgery Blood LevelsDIVERTER inserted under the skin
of the patients arm Far Field Near field Monitor in real-time:
Energy cells status heath status Blood pressure levels stability
Patients rhythmic pulse CHECK blades rotation is function correctly
heart rhythm strength of Bluetooth signal Duel SIM procedure
Emergency alarm system Recharged energy cell wirelessly as required
On-Call Monitoring Services Cybernetic Heart diagnostic system
accesses data from the implant which transmits data to the cardiac
monitoring unit. Cardiac unit receives any alarms from the implant
and they can update the heart rhythm via the communication implant.
Energy cell Software Mgr. Data Base Bluetooth Wireless Local GP get
patients briefing notes on their smartphone iPad or PC using a App
provided by cardiac monitoring unit.. 5G technology will allow a
patient history file of 800mb to download in one second.
14. Cybernetic Heart system The rotating impellers drag
oxygenated blood from the right ventricle into the interior blades
of the Cybernetic Heart Impellers pitch is designed to push the
blood up into the aortic valve at a normal beat-to-beat heart
rhythm Programmable Motor System & drive shift Microprocessor
& Heart management & remote diagnostics patients systems
Data Base: Stores all historical records of the Cybernetic heart
performance or any malfunctions throughout its implanted life
cycle. Renewable energy cells power cells storage system Bluetooth:
Sends and receives data from the software management system and
data base, to the communication implanted inserted under the skin
in the patients arm.
15. Cybernetic Heart system The rotating impellers drag
oxygenated blood from the right ventricle into the interior blades
of the Cybernetic Heart Impellers pitch is designed to push the
blood up into the aortic valve at a normal beat-to-beat heart
rhythm Microprocessor & Heart management & remote
diagnostics patients systems Data Base: Stores all historical
records of the Cybernetic heart performance or any malfunctions
throughout its implanted life cycle. Renewable energy cells power
cells storage system Bluetooth: Sends and receives data from the
software management system and data base, to the communication
implanted inserted under the skin in the patients arm. Programmable
Motor System & drive shift
16. Cybernetic Heart implanted into the left ventricle This is
an innovative heart implant concept, designed to assist patients
with a life expectancy which is threatened, due to lack of
available donor Hearts. The main objective was to design a small
intrusive device, without the need for open-heart surgery
Cybernetic heart implant
17. Cybernetic Heart implanted into the left ventricle This is
an innovative heart implant concept, designed to assist patients
with a life expectancy which is threatened, due to lack of
available donor Hearts. The main objective was to design a small
intrusive device, without the need for open-heart surgery This
device will be inserted via a small opening in the groin or chest,
a catheter is inserted, then skillfully maneuvered through blood
vessels into the heart left ventricle. This standalone device can
takeover 60% of the patients heart functions, without requiring
auxiliary support equipment. The patients malfunctioning heart will
be place into hibernation, and given time to recuperate. Cybernetic
heart implant
18. Heart implantation alternative benefits Searching for
suitable donors heart organ isnt necessary. Quickly reduce the
number of patients waiting for heart organ transplantation.
Incision opening of the chest is a thing of the past. No intrusive
open-heart surgery is needed for this implant procedure. This
intrusive procedure will speed up the patient recuperation. No
continuous medication for organ rejection is required. Increase
younger patients Life Expectancy. Research has lead to the creation
of this ultra-small medical device: My peers say this, technique
could lead to a new era in electronic medicine Note: The objective
is to give; Patients a Better Quality of Life
19. The Bibliography First reference. Stanford University: A
mm-Sized wirelessly power & remotely controlled locomotive
implant paper written by Ada Poon. Pro. Additional references.
Imperial collage London: They designed a device to read the
chemical signature of appetite in the vagus nerve. The work is
being led by Prof Chris Toumazou and Prof Sir Stephen Bloom. New
York-Presbyterian/Columbia University Medical Center, & The
Cleveland Clinic Foundation, Cleveland, Ohio. Sapien valve that
utilizes Retro-Flex transfemoral delivery system, designed by
Edwards. University of Louisville and the University of California,
team have been pioneering electrical stimulation of the spinal cord
below the injury. Paper written by: Dr. Claudia Angeli. Stanford
University developed a ultra-small power source, known as
'electroceuticals, this device be an alternative for drugs, such as
those affecting specific regions of the brain. Paper written by Dr.
Ada Poon. University of Michigans computer science, Professor David
Blaauw, developed the M^3 is a computer smaller than a grain of
rice. Despite its small size, the gizmo. The Michigan Micro Mote
contains solar cells that power the battery with ambient light,
including indoor rooms with no natural sunlight, allowing the
computers to run perpetually. University of Tokyo: Professor Akira
Furusawa is the latest achievement enables us to perform the
perfect quantum teleportation with a photonic chip. The next step
is to integrate whole the system of quantum teleportation.
20. I am appreciative to you for your indulgence. Get more
facts about is Cybernetic Heart implant; connect Doc. G. e-mail:
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