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Jamaican Technology Impacting
the World: The story of the UWI
cardiac surgery simulator
Daniel Coore, PhD
daniel.coore@uwimona.edu.jm

University of the West Indies, Mona
Presented at
Caribbean Growth Forum Launch
The Vice Chancellory, UWI
Kingston, Jamaica
© Daniel Coore

June, 2012

1
The Cardiac Surgery Simulator


Training tool for cardiac surgeons
−





flight simulator analogue

Real pig's heart, inside a mock chest
cavity
Balloons inserted into the heart,
animated by a pneumatic pump,
controlled by a computer

Computer allows sophisticated
beating modes, which may be
sequenced arbitrarily. June, 2012
© Daniel Coore


2
The Inventors






Dr. Paul Ramphal, cardiac surgeon at UHWI up
to 2007
Dr. Michael Craven, Lecturer, Dept of Electrical
Engineering, U. Tech (up to 2004)
Dr. Daniel Coore, Snr. Lecturer, Dept.
Computing, UWI

© Daniel Coore

June, 2012

3
Contribution to Cardiac Surgery
Training
Without the UWI CSS:
●

Pig heart in a bowl

●

Cadaver

●

Live pig

●

Live patient

The UWI CSS is a 5th option, providing the realism
of the live patient, and the safety of the heart in a
bowl
© Daniel Coore

June, 2012

4
The UWI CSS in Context

© Daniel Coore

June, 2012

5
Cardiac Surgery Training with
the UWI CSS

© Daniel Coore

June, 2012

6
Advantages of Using the UWI
CSS
●

High fidelity: very realistic
–

●

Full control over training session
–

●

Helps suspension of disbelief
Live pig operations can go awry

Can reliably reproduce adverse situations
–
–

© Daniel Coore

Live patients not the time to learn about these
Provides practice for rare situations

June, 2012

7
The UWI CSS Today
●

●

UWI CSS is now
central simulator of
a study to examine
the efficacy of
simulation in
cardiac surgery
training.

© Daniel Coore

●

U. Rochester

●

MGH (Harvard)

●

Johns Hopkins

●

Vanderbilt
Mayo Clinic

●

U. Washington

●
June, 2012

UNC, Chapel Hill

●

Participants have
major influence in
US:

●

Stanford
8
Summary of Impact
●
●

●

●

Set the bar for cardiac surgery simulators
Inspired other hybrid (animated tissue)
simulators
Influenced the standards that will be set for
cardiac surgery training
Potential to change the way cardiac surgery
training will be done, worldwide

© Daniel Coore

June, 2012

9
Impediments that we overcame
●

Funding
–
–

●

Caribbean Cardiac Surgery Society
UWI

Logistics
–

●

University privileges

Recognition
–

© Daniel Coore

Serendipity

June, 2012

10
Progression: 2008 - 2011
2008-Jan: Dr. Richard Feins (ABTS) pays for
reconstruction at UNC. Shows it at STS2008
2008-Apr: Invited to CT Technology Symposium
●

Invited every year from 2008 – 2011

2008-Aug: Inspired Boot Camp
●

Running annually since, invited back each time

2009: Pilot study conceived: selected institutions
to receive CSS unit to participate, double as beta
testers. Provided reason to create version 2.0
© Daniel Coore

June, 2012

11
Evolution of the UWI CSS
2004 -2008:

2010:

© Daniel Coore

June, 2012

12
Impediments that we still face
●
●

Negotiating licensing agreements
Finding investors who understand the nature of
the innovation market

●

Performing valuations of discoveries / patents

●

Reporting new discoveries systematically

●

Lack of prototyping facilities

© Daniel Coore

June, 2012

13
Success Factors
●

Combination of creative and smart individuals

●

Cross-disciplinary team

●

Funding available for exploratory work

●

Work was driven by real need

●

Work was published

●

Serendipity

© Daniel Coore

June, 2012

14
Discussion: How to
institutionalise innovation
●

Attract creative problem solvers

●

Engage them with real problems

●

Reduce barriers to creative exploration
●

●

Reduce/Eliminate tariffs on raw materials

Create policy frameworks for capturing/exploiting IPR
●

Sensitisation to what can be protected and how

●

Standard forms for reporting new discoveries

●

Template agreements, valuation guidelines

●

Encourages investors to compete aggressively
© Daniel Coore

June, 2012

15

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Jamaican Technology Impacting the World: The story of the UWI cardiac surgery simulator :: Daniel Coore

  • 1. Jamaican Technology Impacting the World: The story of the UWI cardiac surgery simulator Daniel Coore, PhD daniel.coore@uwimona.edu.jm University of the West Indies, Mona Presented at Caribbean Growth Forum Launch The Vice Chancellory, UWI Kingston, Jamaica © Daniel Coore June, 2012 1
  • 2. The Cardiac Surgery Simulator  Training tool for cardiac surgeons −   flight simulator analogue Real pig's heart, inside a mock chest cavity Balloons inserted into the heart, animated by a pneumatic pump, controlled by a computer Computer allows sophisticated beating modes, which may be sequenced arbitrarily. June, 2012 © Daniel Coore  2
  • 3. The Inventors    Dr. Paul Ramphal, cardiac surgeon at UHWI up to 2007 Dr. Michael Craven, Lecturer, Dept of Electrical Engineering, U. Tech (up to 2004) Dr. Daniel Coore, Snr. Lecturer, Dept. Computing, UWI © Daniel Coore June, 2012 3
  • 4. Contribution to Cardiac Surgery Training Without the UWI CSS: ● Pig heart in a bowl ● Cadaver ● Live pig ● Live patient The UWI CSS is a 5th option, providing the realism of the live patient, and the safety of the heart in a bowl © Daniel Coore June, 2012 4
  • 5. The UWI CSS in Context © Daniel Coore June, 2012 5
  • 6. Cardiac Surgery Training with the UWI CSS © Daniel Coore June, 2012 6
  • 7. Advantages of Using the UWI CSS ● High fidelity: very realistic – ● Full control over training session – ● Helps suspension of disbelief Live pig operations can go awry Can reliably reproduce adverse situations – – © Daniel Coore Live patients not the time to learn about these Provides practice for rare situations June, 2012 7
  • 8. The UWI CSS Today ● ● UWI CSS is now central simulator of a study to examine the efficacy of simulation in cardiac surgery training. © Daniel Coore ● U. Rochester ● MGH (Harvard) ● Johns Hopkins ● Vanderbilt Mayo Clinic ● U. Washington ● June, 2012 UNC, Chapel Hill ● Participants have major influence in US: ● Stanford 8
  • 9. Summary of Impact ● ● ● ● Set the bar for cardiac surgery simulators Inspired other hybrid (animated tissue) simulators Influenced the standards that will be set for cardiac surgery training Potential to change the way cardiac surgery training will be done, worldwide © Daniel Coore June, 2012 9
  • 10. Impediments that we overcame ● Funding – – ● Caribbean Cardiac Surgery Society UWI Logistics – ● University privileges Recognition – © Daniel Coore Serendipity June, 2012 10
  • 11. Progression: 2008 - 2011 2008-Jan: Dr. Richard Feins (ABTS) pays for reconstruction at UNC. Shows it at STS2008 2008-Apr: Invited to CT Technology Symposium ● Invited every year from 2008 – 2011 2008-Aug: Inspired Boot Camp ● Running annually since, invited back each time 2009: Pilot study conceived: selected institutions to receive CSS unit to participate, double as beta testers. Provided reason to create version 2.0 © Daniel Coore June, 2012 11
  • 12. Evolution of the UWI CSS 2004 -2008: 2010: © Daniel Coore June, 2012 12
  • 13. Impediments that we still face ● ● Negotiating licensing agreements Finding investors who understand the nature of the innovation market ● Performing valuations of discoveries / patents ● Reporting new discoveries systematically ● Lack of prototyping facilities © Daniel Coore June, 2012 13
  • 14. Success Factors ● Combination of creative and smart individuals ● Cross-disciplinary team ● Funding available for exploratory work ● Work was driven by real need ● Work was published ● Serendipity © Daniel Coore June, 2012 14
  • 15. Discussion: How to institutionalise innovation ● Attract creative problem solvers ● Engage them with real problems ● Reduce barriers to creative exploration ● ● Reduce/Eliminate tariffs on raw materials Create policy frameworks for capturing/exploiting IPR ● Sensitisation to what can be protected and how ● Standard forms for reporting new discoveries ● Template agreements, valuation guidelines ● Encourages investors to compete aggressively © Daniel Coore June, 2012 15