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Organizational structures promoting research, training, And Technology Transfer in mobility. Michael Boninger, Rachel Cowan, B.J. Fregly. Outline. Needs What we saw / What worked Research Training Technology Transfer Gap Analysis - What was missing. Need.
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Organizational structures promoting research, training, And Technology Transfer in mobility Michael Boninger, Rachel Cowan, B.J. Fregly
Outline • Needs • What we saw / What worked • Research • Training • Technology Transfer • Gap Analysis - What was missing
Need Over 40 million Americans live with a disability Disability in the form of limited activities and restricted participation in social life is not an unavoidable result of injury and chronic disease. It results, in part, from choices society makes about working conditions, health care, transportation, housing, and other aspects of our environment. IOM Report - 2007
Need • To ameliorate disability we must • Conduct high quality research • Transfer the research to clinical practice • Barriers • Lack of well trained researchers • Technology transfer • Changing clinical practice • Small populations with low income
Novel educationalapproach Etienne Burdet, Imperial College
ARTS ET METIERS PARISTECH BIOMECHANICS LABORATORY Director : Wafa SKALLI
Education Laboratories • LBM Education: Msc, PhD • Areas: Musculoskeletal, Modeling and clinical evaluation, Biomechanics: Sport, health and safety, Biomechanics and nervous system: motion analysis and restoration • International masters degree program in Biomedical Engineering • Collaboration between ParisTech and Paris Descartes Medical University • Admits half of students with engineering background and half with clinical background
PBL Education at HST EDUCATIONS • Medicine 2010 • KVT - Clinical Science and Technology (2008) • Sports candidate (2008) • Sports bachellor (2007) • Medicine with indus. specialis. (2006) • BSc+MSc. in BME (2000) • Master in health informatics (1995) • Ph.d. i Biomedical Science and Engineering (1993) • Medicoteknik: BME MSc (1978) Problem Based Learning (PBL) Tell me and I will forget, Show me and I will remember, Involve me and I will understand, Old proverb Step back and I will act.
Education Summary • Structure to support the highest quality education • Multidisciplinary • Clinicians & Engineers • Proximity • Experiential • Problem based learning • Critical Mass
University of Twente Enschede, The Netherlands
MIRA • MIRA cuts across all departments, gathering expertise from many organizations and assisting them in bringing technology to market • MIRA currently has 250 researchers and will likely add 150 more in the next few years. • 8 spin off companies to date and plan to have 3-5/year moving forward. • Researchers may obtain stake in these companies, that are primarily funded by outside investors • MIRA’s role is helping bring research to a marketable point and connecting investors with researchers.
Demcon – advanced mechatronics • University of Twente spin off company (1993) • Incubator company • Brings products to market – up to first run series • Typically, a small or medium sized company has a problem and contracts with Demcon to provide a product solution.
RoboNED • Internal Dutch industry/academic/consumer innovation partnership supported by the Dutch government • Develop a strategic robotic research agenda for the Netherlands. • identify existing robotic research themes and research themes to pursue • ultimate goal of commercially viable products. Cowan
LEO – Center for Service Robotics - notes • The Leo Center for Service Robotics is a newly formed collaborative offshoot of RoboNED. The LEO Center is located at University of Twente and includes a physical collaborative space. LEO has identified three service robotic themes: Medical (surgical, rehabilitation, prosthetics, etc…); • http://www.leo-robotics.eu/index.html Cowan
Structural Hocoma - Advanced functional movement therapy Peter Hostettler, PhD & CEO, and team, Zurich
Commission for Technology and Innovation • Joint projects between Swiss universities and companies, funded by Swiss government, to support the commercialization of new technologies. • Hocoma projects funded and realized through CTI: • Lokomat • Assessment Tools for Lokomat • Backtrainer: Augmented Feedback based Therapy for Low Back Pain • Hocoma has multiple relationships with Universities and rehabilitation centers
Structural HANDICOM – New technologies for independence Prof. MounirMokhtari, Paris
Reciprocal Patent Relationship • Telecom SudParis and Virginia Tech have a reciprocal relationship whereby: • Virginia Tech showcases Telecom SudParis patents in the United States. • Telecom SudParis showcases Virginia Tech patents in France. • Goal is to increase patent exposure to other countries so as to maximize the likelihood of product development for improved healthcare. • Current focus is on development of wearable systems to improve patient monitoring and safety in the field.
Technology Transfer - Summary • Structure to support technology transfer • Industry, research partnerships • Government support • Regulatory and business expertise • Proximity • Gap • Conflict of interest/solid research
Restorationof human motor function J.L. Pons fromNeurorobotsto Motor Neuroprostheses
European co-operation Rehab. Centres: RRD Rehab. Robotics: UoR EMG: AAU & U. Maribor EEG: TUGraz & EKUT FES: U. Belgrade Robotics: TUDelft Motionanalysis: URT • Industries: • Prosthetics: Ossur • Textiles: Smartex • FES: UNA Sistemi • EEG: gTec • EMG: OT Bioelec • Hospitals: • H. Erasme • FSL
INSTITUT FOR SUNDHEDSVIDENSKAB OG TEKNOLOGIAalborg Universityaalborg, DenmarK DEPT. OF HEALTH SCIENCE AND TECHNOLOGY
Innovation Research Dissemination – External Relations Entrepeneurship Incubator at HST Innovation office at HST Spinn Out’s from HST Judex Datasystemer Neurodan – Otto Boch Ditens A/S Nemomed Mermaid Care ”AalQTeq /GE-Healthcare” TKS Cardiosound Networking Mediconet Handiatek VCHI BioMedCom CHAT Center for ST V-CenTAH DMTS DSMI IDA-Sund Collaborations Novo Nordisk RTX Coloplast Lundbeck Pfitzer Radiometer WM-Data Systematic ….. Your name here
Sensory-Motor Systems lab, ETH, Zurich Prof., Dr. Robert Reiner
MIMICS • Multimodal Immersive Motion rehabilitation with interactive Cognitive Systems • Funded by European Union – Seventh Framework Program • Lokomat multimodal project observed at ETH http://www.mimics.ethz.ch/index.php?page_id=0
MIMICS • Key structural/organizational property • Technical, Clinical, and Industry partners involved • Expected to end in a commercial product • Pathway from technical development through clinical evaluation and commercialization is well defined • 40% non-competitive internal, a part of his faculty package • Allows pilot development which translates into external funding • Goal is REAL products, so a balance must occur b/t discovery based learning & having to become competent in the multiple fields
Cooperation – summary • Cooperation Needed for • Effective clinical trials • Specialized expertise • Feeds • Education • Research • Technology Transfer • Forced by EU funding mechanisms
Cooperation - Gap • Balance of Cooperation and Competition • Forced versus real
ORTHOPAEDIC SURGERY AND REHABILITATION Maria Benedetti, M.D. and Alberto Leardini, Ph.D., Bologna
Rizzoli Institute Overview • Surgeon, physiatrist, and biomedical engineer all working in same lab and sharing one office space. • Research activities span from before surgery to rehabilitation activities following surgery. • Focus on movement analysis of the lower limb and more recently on the trunk for low back pain. • Surgeon does a combination of research and clinical duties (50-50). • Hospital sees over 150,000 patients per year.
TRIL Centre • Looks at the physical, social and cognitive consequences of ageing and develops technologies to address them. • Collaboration between researchers in academic, clinical and industry settings (ethnographers, clinicians, and designers). • Novel bio-psycho-social cohort data-set & technology platforms. • Ethnographers spend extended time understanding end users day-to-day lives. Helps to identify opportunities to put technologies. • Learn from our users – committed to a user-centered approach to technology development.
Research Summary • Infrastructure to support the highest quality research • Multidisciplinary • Clinicians & Engineers • Proximity • We need to think of additional disciplines. • Gap • Multiple groups repeating work
What was missing End user input End user as investigator End user as student Many labs were not truly accessible