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Prof. Deirdre Mc Namara, Assoc. Professor Gastroenterology & Director TAGG Research Centre, TCD
1. IMSTA’S 2015 ANNUAL CONFERENCE
making it happen enabling change in healthcare
Prof. Deirdre McNamara
Developing Medical Devices in a Healthcare Environment
25/03/2015
2. Trinity College Dublin, The University of Dublin
IMSTA’S 2015 ANNUAL CONFERENCE
“A new funding model, Implementing clinical
pathways, Integrating system wide care. Can
the MedTech Industry help make this happen?
“
Funding
Cost reduction / Cost effectiveness
Clinical Pathways
Optimal patient care / outcomes / development &
translation
System integration
Technology / eMedicine /
Developing Medical Devices in a Healthcare Environment
Industry enables health care system performance,
access, quality and sustainability
Collaboration and a partnership approach to
efficient healthcare solutions can make it happen
Here to help healthcare providers with the most
clinically and cost effective diagnostic and
therapeutic solutions. “Two way street”
3. Trinity College Dublin, The University of Dublin
Medicine and the Patient
Intuitive Medicine
•Highly trained
expensive
professional
•Intuitive
Experimentation
•Pattern
Recognition
Empirical Medicine
•Evidence Based
•Data shows one
way better than
the other
Precision Medicine
•Diagnosed
precisely
•Predict
treatment effect
Traditional Medicine Technological Enabler
IMSTA’S 2015 ANNUAL CONFERENCE
4. Trinity College Dublin, The University of Dublin
IMSTA’S 2015 ANNUAL CONFERENCE
The Focus In Medical Research
Heart Disease Cancer Immunology Neurosciences Molecular Medicine Genomics
Bench
Bedside Precision Medicine at the Point of Care
Medical
Technology
Understanding
Functional
Aspects to
Disease
5. Trinity College Dublin, The University of Dublin
Research and Development
Research & Development
SME
Successful Indigenous - Contract Manufacture & Design
Multinationals - Manufacture
FDI
IMSTA’S 2015 ANNUAL CONFERENCE
6. Trinity College Dublin, The University of Dublin
200
Companies
25,000
Jobs
€7.2 billion
Exports
Building Ireland’s Smart Economy
A Framework for Sustainable Economic Renewal
Trading and Investing in a Smart Economy
A Strategy and Action Plan for Irish Trade, Tourism and Investment
Commercial Success In Medical Technology In Ireland
2010
IMSTA’S 2015 ANNUAL CONFERENCE
7. Trinity College Dublin, The University of Dublin
Product Life Cycle
Clinical
&
Scientific Testing
Concept
Prototype
Preclinical
Clinical
Manufacturing
Marketing
Commercial
Use
Obsolescence
Involving
Clinicians
&
Other
Healthcare
Professionals
IMSTA’S 2015 ANNUAL CONFERENCE
8. Trinity College Dublin, The University of Dublin
Industry, Academia & Healthcare
Patient Driven
Innovation
Centres Where
Healthcare is
Delivered
Biotechnology
Sector
Universities and
College
Commercial
Entities
Hospitals
Patients Homes
Health Care
Centres
IMSTA’S 2015 ANNUAL CONFERENCE
9. Trinity College Dublin, The University of Dublin
Patient Driven Innovation in Gastroenterology
Clinicians
Bioengineers
Physicists
Other
Professionals
Gastroenterology
&
Endoscopy
•Identify needs
•Design
•Translating innovations
•High quality research programs
•Research hub for innovations from
outside group
•Opportunities to develop, adapt and
apply devices in a quality research
environment
IMSTA’S 2015 ANNUAL CONFERENCE
10. Trinity College Dublin, The University of Dublin
www.medicine.tcd.ie/tagg/
We are a multidisciplinary research and clinical team
comprising Gastroenterologists, Surgeons, Medical
Physicists, Nutritionists, Nurses, Engineers, Scientists
and Allied Health Professionals working
collaboratively at the Adelaide & Meath Hospital
incorporating the National Children’s Hospital
(AMNCH) and St James’s Hospital Dublin with Trinity
College Dublin.
The TAGG Research Centre is affiliated with Trinity
Health Ireland (THI).
Our vision is of excellence and innovation in service
delivery and research in gastroenterology.
11. Trinity College Dublin, The University of Dublin
– TAGG principal investigators (PIs) collaborate with
national and international colleagues across Europe,
North America, Canada and Ireland as well as with small
and medium sized enterprises (SMEs) and Industry
partners.
– Local Collaborations
• Life Sciences Interface, Tyndall National Institute – Dr.
Karen Twomey
• National Cancer Registry Ireland – Dr. Linda Sharp & Nick
Clarke
• BioInnovate Ireland – Dr. Mark Bruzzi
• EndoVe – Mitamed, Dr. Kevin Soden
• Endodex Ltd – Ms Katrina Bradley
• Vasorum Ltd – Dr. Jim Coleman
IMSTA’S 2015 ANNUAL CONFERENCE
TAGG Medical Device & Innovation Hub
12. Trinity College Dublin, The University of Dublin
Product Life Cycle
Concept
Prototype
Preclinical
Clinical
Manufacturing
Marketing
Commercial
Use
Obsolescence
Involving
Clinicians
&
Other
Healthcare
Professionals
IMSTA’S 2015 ANNUAL CONFERENCE
13. Trinity College Dublin, The University of Dublin
EndoFlip Discovery
IMSTA’S 2015 ANNUAL CONFERENCE
14. Trinity College Dublin, The University of Dublin
IMSTA’S 2015 ANNUAL CONFERENCE
New Applications: FLIP in UOS
15. Trinity College Dublin, The University of Dublin
IMSTA’S 2015 ANNUAL CONFERENCE
New Applications: FLIP in the Lower GI Tract
16. Trinity College Dublin, The University of Dublin
IMSTA’S 2015 ANNUAL CONFERENCE
New Applications: FLIP in the Lower GI Tract
Probe No. MODEL Catheter
Diameter
No. of CSA
Measurements
Maximum Bag
Diameter
CSA Measurement
Length
No. of
Patients
Studies
Bag Pressure
Probe 1 EMF-325N
(modified)
2.5mm 16 25mm 75mm 4 Yes
Probe 2 Custom ICV
Probe
2.29mm 12 19mm 55mm 2 Yes
17. Trinity College Dublin, The University of Dublin
IMSTA’S 2015 ANNUAL CONFERENCE
Medical Device Innovation
The shape we're in: 10
facts about Irish
obesity
“As a nation, we're
getting fatter to the
point of a crisis. It's
especially prevalent
among older people,
according to a new
report”
18. Trinity College Dublin, The University of Dublin
Obesity Endoscopic Management System
IMSTA’S 2015 ANNUAL CONFERENCE
19. Trinity College Dublin, The University of Dublin
Product Life Cycle
Clinical
&
Scientific Testing
Concept
Prototype
Preclinical
Clinical
Manufacturing
Marketing
Commercial
Use
Obsolescence
IMSTA’S 2015 ANNUAL CONFERENCE
20. Trinity College Dublin, The University of Dublin
HSE figures show lengthening hospital waiting lists
Leo Varadkar admits figures will get worse but promises hospital activity will be ramped up ‘subject to
finance being available’
HSE figures show delayed discharges, at 835, were a major problem back in November; the persistence
of high numbers of delayed discharges after Christmas was a major contributory factor behind the trolley
crisis
Health Care Innovation
IMSTA’S 2015 ANNUAL CONFERENCE
21. Trinity College Dublin, The University of Dublin
IMSTA’S 2015 ANNUAL CONFERENCE
Health Care Innovation
22. Trinity College Dublin, The University of Dublin
• Developing medical devices in a healthcare
environment is feasible and beneficial
• Involvement of teaching hospitals in trials of
devices and drugs is paramount to market
success
• Performing device trials in hospitals is not
straight forward and needs technical input
from engineers and scientists as well as
clinicians and other healthcare professionals
• TAGG model offers great opportunity as a
gateway to deliver better products for more
effective and economic patient care
• Industry and executive buy in “show me the
money”
Conclusions
IMSTA’S 2015 ANNUAL CONFERENCE
23. Trinity College Dublin, The University of Dublin
IMSTA’S 2015 ANNUAL CONFERENCE
Medical Device & Innovation Team Leaders
Barry McMahon
Stephen Bligh
Contact Details:
www.medicine.tcd.ie/tagg/
sbligh@tcd.ie
Conclusions