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Abstract/Syllabus:
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Yannas, Ioannis, and Myron Spector, 2.782J Design of Medical Devices and Implants, Spring 2006. (Massachusetts Institute of Technology: MIT OpenCourseWare), http://ocw.mit.edu (Accessed 07 Jul, 2010). License: Creative Commons BY-NC-SA
Design of Medical Devices and Implants
Spring 2006
Two of the patents resulting from projects of 2.782J design teams in prior years: implantable bone strain telemetry sensing (Elvin et al, 1997) and a heart valve with rectangular orifice (Mazzucco et al, 2000). (Image by Prof. Myron Spector.)
Course Highlights
This course features extensive lecture notes.
Course Description
This design course targets the solution of clinical problems by use of implants and other medical devices. Topics include the systematic use of cell-matrix control volumes; the role of stress analysis in the design process; anatomic fit, shape and size of implants; selection of biomaterials; instrumentation for surgical implantation procedures; preclinical testing for safety and efficacy, including risk/benefit ratio assessment evaluation of clinical performance and design of clinical trials. Student project materials are drawn from orthopedic devices, soft tissue implants, artificial organs, and dental implants.
Syllabus
This design subject teaches rational approaches to the development of implantable medical devices. Students work in groups to develop the design for a medical device.
Prerequisites
2.79J or permission of instructor.
Topics
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Paradigm for design of medical devices/implants:
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Principles related to the permanent replacement and regeneration (tissue engineering) of tissues and organs; selected issues addressed through case studies
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Considerations of anatomy, histology, physiology, and pathology
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U.S. Food and Drug Administration regulations
Design Projects
Students will work in groups of 3 or 4 people. All individuals in the group will receive the same grade for the Oral Presentation and Term Paper. All students will be required to participate in the Oral Presentations.
The designs need be realistic, but the devices will not be fabricated. Professors Yannas and Spector will allocate a fixed amount of "consulting" time to each group.
Reading Materials
Assigned articles from the literature are listed on the readings page.
A textbook for the course, known as TORA, is:
Yannas, I. V. Tissue and Organ Regeneration in Adults. New York, NY: Springer, 2001. ISBN: 9780387952147.
Students may also wish to consult other reference works on anatomy, histology, physiology and pathology.
Grading
Course grading.
ACTIVITIES |
PERCENTAGES |
Quiz |
30% |
FDA Report |
10% |
Final Oral Presentation |
30% |
Term Paper |
30% |
Calendar
Course calendar.
LEC # |
TOPICS |
INSTRUCTORS |
KEY DATES |
I. Principles Of Implant Design (Working Paradigms) |
1 |
Clinical Problems Requiring Implants for Solution |
I. V. Yannas / M. Spector |
|
2 |
Principles of Implant Design / Design Parameters: Permanent versus Absorbable Devices |
I. V. Yannas / M. Spector |
|
3 |
The Missing Organ and its Replacement |
I. V. Yannas |
|
4 |
Criteria for Materials Selection
|
I. V. Yannas |
|
5 |
Tissue Engineering I: Scaffolds |
M. Spector |
|
6 |
Tissue Engineering II: Cells and Regulators |
M. Spector |
|
7 |
Case Study of Organ Regeneration |
I. V. Yannas |
|
II. Design Parameters |
8 |
Design Specifications: Biomaterials Survey |
M. Spector |
|
|
Quiz |
|
|
9 |
Biocompatibility: Local and Systemic Effects |
M. Spector |
Final composition of design team/final choice of topic |
10 |
Design Specifications: Tissue Bonding and Modulus Matching |
M. Spector |
|
11 |
Degradation of Devices: Natural and Synthetic Polymers |
I. V. Yannas |
|
12 |
Biocompatibility: Scar Formation and Contraction |
I. V. Yannas |
|
13 |
Degradation of Devices: Corrosion and Wear |
M. Spector |
|
14 |
Federal Regulation of Devices I |
M. Spector |
|
15 |
Oral Presentations of Proposals for Design II |
I. V. Yannas / M. Spector |
|
16 |
Federal Regulation of Devices II |
M. Spector |
|
III. Design Solution In-use |
17 |
Scaffolds for Cartilage Repair |
S. Vickers |
|
18 |
Implants for Bone |
M. Spector |
|
19 |
Implants for Plastic Surgery
|
Dr. D. P. Orgill |
FDA report due |
20 |
Cardiovascular Prostheses: Heart Valves and Blood Vessels |
Dr. F. Schoe |
|
21 |
Devices for Nerve Regeneration |
I. V. Yannas |
|
22 |
Musculoskeletal Soft Tissues: Meniscus, Intervertebral Disk |
M. Spector |
|
23 |
Dental and Otologic Implants |
M. Spector |
Design report due |
24 |
Other Devices: Spinal Cord, Heart Lung |
M. Spector |
|
25 |
Final Oral Presentation of Designs (Mock FDA Panel) |
|
|
|
|
Further Reading:
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Readings
This page presents various outlines, notes, textbook selections, and journal articles assigned for some class sessions.
TORA = Yannas, I. V. Tissue and Organ Regeneration in Adults. New York, NY: Springer-Verlag, 2001. ISBN: 9780387952147.
Readings table.
LEC # |
TOPICS |
READINGS |
I. Principles Of Implant Design (Working Paradigms) |
1 |
Clinical Problems Requiring Implants for Solution |
Chapter 1 Outline )
TORA. Chapter 1.
|
2 |
Principles of Implant Design / Design Parameters: Permanent versus Absorbable Devices |
Chapter 2 Outline |
3 |
The Missing Organ and its Replacement |
TORA. Chapter 1. |
4 |
Criteria for Materials Selection |
TORA. Chapter 1. |
5 |
Tissue Engineering I: Scaffolds |
Langer, Robert, and Joseph P. Vacanti. "Tissue Engineering." Science, New Series 260, no. 5110 (May 14, 1993): 920-926. |
6 |
Tissue Engineering II: Cells and Regulators |
|
7 |
Case Study of Organ Regeneration |
TORA. Chapters 6, 7, and 10.
Yannas, I. V., et al. "Wound Tissue Can Utilize a Polymeric Template to Synthesize a Functional Extension of Skin." Science, New Series 215, no. 4529 (January 8, 1982): 174-176.
|
II. Design Parameters |
8 |
Design Specifications: Biomaterials Survey |
|
|
Quiz |
|
9 |
Biocompatibility: Local and Systemic Effects |
|
10 |
Design Specifications: Tissue Bonding and Modulus Matching |
|
11 |
Degradation of Devices: Natural and Synthetic Polymers |
Spector, Myron. "Biomaterials." Chapter 19 in Plastic Surgery. Vol. 1. Edited by B. M. Achauer, et al. Mosby: St. Louis, 2000. ISBN: 9780815110194. |
12 |
Biocompatibility: Scar Formation and Contraction |
TORA. Chapters 1, 2, and 4. |
13 |
Degradation of Devices: Corrosion and Wear |
|
14 |
Federal Regulation of Devices I |
FDA Guidance for Industry documents:
E6 Good Clinical Practice: Consolidated Guidance
E10 Choice of Control Group and Related Issues in Clinical Trials
Tripartite Biocompatibility for Medical Devices
|
15 |
Oral Presentations of Proposals for Design II |
|
16 |
Federal Regulation of Devices II |
What is CE Marking? |
III. Design Solution In-use |
17 |
Scaffolds for Cartilage Repair |
|
18 |
Implants for Bone |
|
19 |
Implants for Plastic Surgery |
|
20 |
Cardiovascular Prostheses: Heart Valves and Blood Vessels |
Mitchell, L. Shannon, and Laura E. Niklason. "Requirements for Growing Tissue-Engineered Vascular Grafts." Cardiovascular Pathology 12 (2003): 59-64.
Niklason, L. E., J. Gao, W. M. Abbot, K. K. Hirschi, S. Houser, R. Marini, and R. Langer. "Functional Arteries Grown in Vitro." Science 284 (April 16, 1999): 489-493.
Schoen, Frederick J., and Robert J. Levy. "Tissue Heart Valves: Current Challenges and Future Research Perspectives." Founder's Award, 25th Annual Meeting of the Society for Biomaterials, Providence, RI, April 28-May 2, 1999.
Rabkin, Elena, and Frederick J. Schoen. "Cardiovascular Tissue Engineering." Cardiovascular Pathology II (2002): 305-317.
|
21 |
Devices for Nerve Regeneration |
TORA. Chapter 6. |
22 |
Musculoskeletal Soft Tissues: Meniscus, Intervertebral Disk |
|
23 |
Dental and Otologic Implants |
|
24 |
Other Devices: Spinal Cord, Heart Lung |
|
25 |
Final Oral Presentation of Designs (Mock FDA Panel) |
|
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