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BME COC2019 BME EDUCATION SUMMIT
MIKE HESS
VP & GENERAL MANAGER
MEDTRONIC MCS
2
USING OUR EXPERTISE
Information based on Medtronic FY2016 reporting.
88,000+EMPLOYEES
9,000+SCIENTISTS AND ENGINEERS
4,800+PATENTS
400CLINICALTRIALS
65MILLIONLIVES IMPROVEDLAST YEAR
TO IMPROVE LIVES
3
MEETING THE NEEDS OF PATIENTS AND PARTNERS AROUND THE GLOBE
~160 COUNTRIES
89MANUFACTURING FACILITIES
480+ LOCATIONS
Americas
Europe, Middle East, & Africa
Asia Pacific
Greater China
Headquarter Locations
Medtronic Operational Headquarters Minneapolis, Minnesota
Medtronic Principal Executive Office Dublin, Ireland
WHAT ARE PEOPLE WONDERING ABOUT?
?
WHAT DO WE WANT TO TALK ABOUT
Why do I think BME is different than other engineering disciplines
How should we think about education of BME students to reflect their unique role?
Examples from the real world of applying BME skills to important problems
THE DIFFERENCES IN BME START WITH THE FUNDAMENTALS
BME Departmental Vision Statement (School A)To educate leaders who will integrate principles of both engineering and medicine to create knowledge and discoveries that advance human health and well-being. Our faculty and students play leading roles ranging from basic science discovery to the creation, clinical evolution, and commercialization of new technologies, devices, and therapies. In short, we are “Engineering Better Health.”
Mechanical Engineering Vision Statement (School B)The mission of the Department of Mechanical and Aerospace Engineering is the education of professionals in mechanical, aerospace, and nuclear engineering, the dissemination of knowledge and technology, and the development of innovative solutions to problems in these fields.
WHAT DO YOU TELL THE WORLD ABOUT BME?
OUR MISSION ALLEVIATE PAIN. RESTORE HEALTH. EXTEND LIVES.
Medtronic Mission: To contribute to human welfare by application of biomedical engineering in the research, design, manufacture, and sale of instruments or appliances that alleviate pain, restore health, and extend life.
8
INTL1135 MCS Slide Deck | May 2017
Leaders Engineering and Medicine
Human Health
WE WORK IN THE MOST ELEGANT CLOSED LOOP “SYSTEM OF SYSTEMS” MOST OF OUR EFFORTS INVOLVE RESTORING/MAINTAINING THIS BALANCE
Good BME always remember the way their system fits into the systems of the patient and never assume they know too much
WE WORK IN THE MOST ELEGANT CLOSED LOOP “SYSTEM OF SYSTEMS” SYSTEMS ENGINEERS FOR THE HUMAN BODY
Circulatory System
Support
RepairCatheter
ValvesDefibrillator
BMES INTEGRATE ACROSS ENGINEERING DISCIPLINESFOCUS ON THE APPLICATION, NOT THE TECHNOLOGY
Example: How can we help with advanced heart failure?
SensorsTeleHealth
LV Assist
BMES INTEGRATE ACROSS ENGINEERING DISCIPLINESFOCUS ON THE APPLICATION, NOT THE TECHNOLOGY
Many disciplines to be included in any solution
Electrical Engineering
Materials Science
Software Engineering
Biochemistry
Mechanical Engineering
Modeling
Tissue Engineering
Chemical Engineering
Embedded Systems
Clinical Engineering
Information Technology
Anatomy and Physiology
BMES INTEGRATE ACROSS ENGINEERING DISCIPLINESFOCUS ON THE APPLICATION, NOT THE TECHNOLOGY
So are we engineers….. Or more like architects?
I nterface of Technology with Human needs Uses general building blocks of technology Requires multidisciplinary team Regulated High demands for quality Societal Impact Solution is focused, but may take different forms
ALWAYS BE LOOKING FOR THAT NEXT INNOVATION YOU CAN USEADAPTING DESIGNS TO THE LATEST TECHNICAL BUILDING BLOCKS
BETTER REAL-WORLD EXAMPLES OF ADAPTING TO TECHNOLOGY!
Architect doesn’t need to become an expert in HVAD design and operation, but they have to know how to use the new technology to bring forward better designs that meet their clients needs
KEYS FOR BME SUCCESSWHAT SETS A GOOD BME APART AND MAXIMIZES THEIR EFFECTIVENESS
Defining the Unmet NeedEthnography in the field, with clinicians
and patients
The technical liaison to marketing
Separate want from need, go past described solutions
Build the value proposition
Champion for innovation
“Research is about turning money into knowledge. Innovation is about turning knowledge into money”
WE WORK IN THE MOST ELEGANT CLOSED LOOP “SYSTEM OF SYSTEMS” MOST OF OUR EFFORTS INVOLVE RESTORING/MAINTAINING THIS BALANCE
Technology Scouting
Known enough about the relevant disciplines to be dangerous
Aware of advances in other areas that could apply to the project
Good a defining risk/readiness for different program approaches
Leverage, leverage, leverage the work of others. R&D= replicate and duplicate
WE WORK IN THE MOST ELEGANT CLOSED LOOP “SYSTEM OF SYSTEMS” MOST OF OUR EFFORTS INVOLVE RESTORING/MAINTAINING THIS BALANCE
Collaborative Leadership
Partition the system requirements out efficiently
Work at the interface of technology, marketing, clinical and regulatory
Step up to problem solve at the program level
Respect technical depth of the team leads but know when to push
WE WORK IN THE MOST ELEGANT CLOSED LOOP “SYSTEM OF SYSTEMS” MOST OF OUR EFFORTS INVOLVE RESTORING/MAINTAINING THIS BALANCE
Curiosity and Flexibility
Connect the dots between projects, therapies, industries
Career ambitions into different disciplines
Get to true underlying unmet needs
Be willing to move off your last solution/technology if something better is an option
REAL WORLD EXAMPLE – TELEMETRY FOR IMPLANTED DEVICESBASIC REQUIREMENTS
Telemetry is required for clinicians to change the settings of the implanted device, and to retrieve diagnostic data either in the clinic, or while the patient is at home
The standard is access from about 10 feet away with no direct patient interaction required
The radios are custom as is the hardware and the frequency is reserved
REAL WORLD EXAMPLE – TELEMETRY FOR IMPLANTED DEVICESPLATFORM FOR CHANGE
• Ease of Use – monitors in the home are in fixed location, a pain to transport
• Reliability – changing telecommunications landscape is a challenge
• Cost – custom monitoring equipment (and clinic instruments) are very expensive, and for the home see relatively little use (2-3 transmissions a year)
• Future platform flexibility - we are not setup to interact with patients, only inform them everything is “ok” or not
Option 1 – make a smaller, cheaper home monitor, with a bigger display so we can change the interface
Option 2 – abandon the monitor model and move to smartphone monitoring
REAL WORLD EXAMPLE – TELEMETRY FOR IMPLANTED DEVICESMEDTRONIC TRANSITION
Defining the Unmet NeedMobility – not just bedside monitor
Ease of use
“Setup and forget”
Familiar for patients who may have infrequent use
Forward compatible with everyday technology
Create new patient benefit
REAL WORLD EXAMPLE – TELEMETRY FOR IMPLANTED DEVICESMEDTRONIC TRANSITION
Technology Scouting
White paper on advances in Bluetooth, specifically BT LELow costLow current drainDeveloped security and co-
existence protocols
Vendors willing to work with us
Other technologies (NFC) evaluated and discarded
REAL WORLD EXAMPLE – TELEMETRY FOR IMPLANTED DEVICESMEDTRONIC TRANSITION
Collaborative Leadership
Tackle regulatory challenges head on
Proof of concept for security
Engaging outside partners in app design and development, building new internal competencies
Excite marketing about the potential of the smartphone platform
REAL WORLD EXAMPLE – TELEMETRY FOR IMPLANTED DEVICESMEDTRONIC TRANSITION
Curiosity and Flexibility
Relax “de facto” requirements
Discovering new potential patient benefit of the solution we chose
Iterate on the design based on early patient feedback
Declare when things are good enough to move ahead
Learn from other businesses and sectors what can apply here
REAL WORLD EXAMPLE – TELEMETRY FOR IMPLANTED DEVICESMEDTRONIC TRANSITION
CareLink™Network
Not experts in BT protocol design – but experts at the application and the cross-functional work to make it successful
Knowing the use conditions and user requirements is the key to success for a BME
BMES CAN LEVERAGE THEIR TRAINING INTO MANY DIFFERENT CAREERSNATURALLY SETUP TO WORK CROSS-FUNCTIONALLY
Quick search of Medtronic – “Biomedical Engineer”
Biomedical Engineer
Systems Engineering
Quality/Ops Engineering
Manager Titles (various, Mgr up to VP)
Strategy and BD
Clinical
Sales
Regulatory
Field Service/Education
Risk Management
Medical Writer
Marketing Roles (Various)
This was not seen with “Electrical Engineer”
SO WHAT’S THE BIG TAKE-AWAY?
Not “Junior” engineers who learned some core engineering and traded off other
engineering to get some physiology courses under their belts
Biomedical Engineers are integrators who understand physiology and bring core engineering principles to bear to solve
important problems.
MY ASK OF YOU
Team projects – lots of them – application focused problem solving. Define unmet needs
Observational research. Doesn’t need to be in a hospital!
Ensure BMEs Work with students from other engineering degree programsThank You