Vanderbilt University BME 272 NCIIA Grant Proposal Ultrasound Probe Stabilization Arm Team Members: Brian Moraguez Ashley Morgan Ryan Murphy Rajnish Gupta (Advisor) Eric Briggs (Advisor) Abstract Currently, in the Anesthesia department at Vanderbilt Hospital localized pain surgery is performed with the help of ultrasound imaging. The problem is that the surgery requires two physician hands, and the only thing available to hold the ultrasound in place is another physician or technician. This can get in the way and waste the resources of an employee whose services could be better allocated elsewhere. In order to fix this problem, we wish to create a mechanical arm to aid in ultrasound guided surgery which would allow for free range of motion when the physician is finding the location to place the ultrasound, which would then lock into place and become rigid once the ideal position has been located. Every clinic or hospital that does pain management or anesthesia will need one of these stabilization arms. This overall goal can be accomplished by achieving the following objectives: Objective One: To research existing technologies in flexible stabilization arms and adapt a new idea around these existing one. Objective Two: To design a flexible arm with interlocking and flexible joints for use with ultrasound probes to aid in surgery Objective Three: To produce a working prototype for future modification and development Narrative I. Introduction When physicians perform localized pain management surgeries for patients with nerve block, they require the use of three hands: one to insert a needle next to the nerve, one to hold an ultrasound probe, and one to thread the catheter. Therefore, this procedure requires the use of an additional assistant or technician to suit up and lend the extra hand. This increases the risk of contamination and the costs of the procedure. We propose to create a rigid stabilization arm to hold the ultrasound probe and eliminate the need for a second person. Current stabilization arms do exist on the market; however, they do not lock exactly in place or provide fine enough motion. The arm will need to have a free range of motion when the physician needs adjust the ultrasound probe's location, while still having the ability to perfectly lock in place. II. History and context Thus far, our team has met with our mentors on two occasions, first to introduce us to the project and start brainstorming, and second to narrow down ideas. We started with a few main ideas from our mentors, and then did some research on our own to see what was already on the market and where patent infringement could occur. We found the following patents of similar design: US 6,405,451 and US 6,730,030. We produced sketches of major and minor specifications as well as brainstormed material choices (Figures 3 and 4). Our target customers will be ultrasound companies, hospitals, and small therapy clinics. III. Team A team of three senior biomedical engineers from Vanderbilt University will be conducting this ultrasound stabilization probe. The student team consists of Brian Moraguez, Ashley Morgan, and Ryan Murphy. Brian Moraguez will bring to the group knowledge of good business practices and teamwork skills with his background in engineering management. He will also play a crucial role in the technical drawing and visualization of the designs. Ashley Morgan will use her organization skills to keep the team on track and do the majority of the administrative work, in addition to researching for the design process. Ryan Murphy will use his background in mechanical work to help create and visualize the designs. Our advisors, Eric Briggs and Rajnish Gupta, from the Vanderbilt Department of Anesthesiology will provide insight into the medical needs and specifications of the design based on their experience working with pain management surgeries. They will provide the physician prospective as well as aide in the grant writing process and fund procurement. IV. Work plan and outcomes Figure 1: Gantt chart of work plan *Note actual start and end dates 8/26/2010 and 4/27/2011 respectively. Program would not allow for date range more than 32 weeks. Possible profit from design or selling of working product would be directed toward hospitals. If the project is successful, we hope to produce multiple models and prototypes for the possibility of retail and research as well as use in the medical field. The process we plan to follow for design is shown in figure 1. The project should succeed because we have valid ideas that have a real chance of working. If it does work, it will be the only type of this device in the medical field. V. Evaluation and Sustainability Plan Our project would be considered a success if a functional protocol for a device is created. This protocol will to mimic how the real device will work and would demonstrate that the design is feasible. The mechanical arm protocol will need to have full range of motion while the physician is trying to position the ultrasound and then be able to lock into place once that position is found. The device has to be stable enough when locked so that the ultrasound would not move during surgery. If all of these conditions are met, then the protocol would be considered a valid design for an actual model to be built after. Internal measures of success would be how well we work as team. We will set goals for ourselves and judge success based on the timely completion of those goals. Group cooperation and equal division of the work will be important over the course of the year. VI. Basic Criteria Weight – Lightweight and less than five pounds. Size – Two feet long flexible arm plus length of supports. Pressure - TBD Expected cost - $899 Appendices Figure 2: Budget Table Budget -PVC Piping -Fishing Line -Plastic Pulleys -Screws/Nails -PVC cement -Rubber Caulking Raw Materials Total Prototyping Costs -Drill -Drill Bits -Machine Shop* Equipment Total Total Costs Reimbursement (Grant Money) Net Costs -$50 -$10 -$10 -$15 -$5 -$15 $105 $500 -$70-100 -$15 -N/A $85-115 $615 $2000 (+)$1385 Ashley Morgan Resume EDUCATION Undergraduate at Vanderbilt University (cumulative GPA of 3.449/4.00) Biomedical Engineering May 2011 Medicine, Health and Society Minor May 2011 HONORS AND AWARDS Early Acceptance Program- Vanderbilt Medical School University of Cincinnati Medical School ROSE Early Acceptance 2009 Global Summer Fellows Scholarship Paul Harrawood Honors Undergraduate Scholarship Dean’s List Fall 2007 and Spring 2008 Grant from the school of engineering for the 2007-2008 school year American Youth Foundation “I Dare You Scholarship” RESEARCH EXPERIENCE SUMMER UNDERGRADUATE RESEARCH FELLOWSHIP Cincinnati Children's Hospital Medical Center UNDERGRADUATE RESEARCH Vanderbilt University School of Medicine in the division of Clinical Pharmacology (2008-2009 school year). Research Aid. Cell culture of HL-1 cells and protein concentrating for use of western blotting later. Real Time PCR About 5 hours a week. Transcriptional remodeling of rapidly stimulated HL-1 atrial myocytes exhibits concordance with human atrial fibrillation. J Mol Cell Cardiol. 2009 Oct;47(4):485-92. Epub 2009 Jul 15. UNDERGRADUATE RESEARCH Cincinnati Children’s Hospital Medical Center in the department of Molecular Cardiovascular Biology. Research Aid for the 2008 summer. HL-1 cell characterization project. Learned real time PCR, western blotting, cell culture, harvesting of RNA and protein. About 35 hours a week UNDERGRADUATE RESEARCH FELLOWSHIP. Summer Undergraduate Research Program in Molecular Cardiology, Cincinnati Children’s Hospital Medical Center, (Summer 2007) Performed genotyping PCR to correctly indentify rabbits used in experiments. Also, observed and assisted in rabbit aortic banding surgeries. AFLLIATIONS Alpha Epsilon Delta- Webmaster ('08-'09), President-elect ('09-'10), President ('10-'11) Alpha Chi Omega- Mystagogue Chair ('08-'09), Social Chair ('10-'11) Society of Women Engineers- Engineering Council Representative ('08-'09) Club Tennis Circle K Engineers Without Borders – Membership Chair (’07-’08) WORK EXPERIENCE PAINT AND PLAY (2006) Coordinated children’s birthday parties and worked the floor of the store. ABERCROMBIE AND FITCH (2007) Model/general employee COMMUNITY SERVICE Ronald McDonald House (2007-present) Sunrise Nursing Home (2004-2006) Community Service Leadership Board (2006-2007) Relay For Life Red Coat Volunteering at Vanderbilt University Medical Center (2008-2009) Medical Mission trip to Jaumave, Mexico (2009) Medical Mission trip to Puerto Jimenez, Costa Rica (2010) Tennis Masters Tournament Cincinnati (2010) Brian Moraguez Resume EDUCATION Vanderbilt University Nashville, TN Biomedical Engineering Major, Engineering Management Minor GPA: 3.254/4.0, May 2011 SELECTED Engineering Management, Applied Behavioral Science, Biomechanics, COURSEWORK Biomaterials, Biological Sciences/labs, Circuits I&II, Systems Physiology, Physiological Transport Phenomena, Analysis of Biomedical Data, Chemistry/labs, Computer Science, Physics I&II. EXPERIENCE Gordon CenSSIS Research Experience for Undergraduates Boston, MA Radiation Researcher, Summer of 2010 Worked at Massachusetts General Hospital in a team of 3 and tracked the motion of 25 liver tumor cases using 4D CT treatment planning software for proton radiotherapy. Analyzed the use of swine lung as a biological phantom for lung cancer treatment. Project C.U.R.E Nashville, TN Service Learning Volunteer, fall of 2010 Fixed ventilators and other biomedical devices that were then shipped to third world countries. Café Tex Mex Miami, FL Shift Manager, Waiter, Bus Boy, 2005-Present Oversaw 10 employees and kitchen operations. Waited tables and provided customer services. ACTIVITIES Vice President, BMES Student Society, 2010-Present Mentored seven first year biomedical engineers. Worked with faculty to organize meetings and tours. Managed the 100 person roster and scheduled guest speakers. Member, Society of Hispanic Professional Engineers, 2010-Present One of 15 members who helped restart SHPE at Vanderbilt. Organized guest speakers and events. Co-Founder, Act on a DREAM Incorporated, 2007-Present Started Dream Act campaign at Vanderbilt to get students involved in immigration legislation. Over a hundred & fifty Vanderbilt Students are now advocates in supporting the DREAM Act. SKILLS & LANGUAGES Rush & Social Chair Committee, Lambda Chi Alpha, 2008 - Present Designed and implemented recruitment operations, activities for potential members. Organized social events for potential members. Matlab, Mathematica, Windows (XP, Vista & 7), Microsoft & Adobe Products, Labview, ImageJ, Knowledge of CT Imaging, Statistical and Data Analysis Techniques, Proficient in Spanish. RYAN MURPHY RESUME 2000 Grand Avenue | Nashville, TN 37212 | 713-907-4274 | Ryan.a.Murphy@vanderbilt.edu OBJECTIVE An Engineering Job or Medical School EDUCATION Bachelor of Engineering Biomedical Engineering Vanderbilt University, Nashville TN. Major: Biomedical Engineering (3.4/4.0 GPA) May 2011 Select Courses: Biomechanics, Biomaterials, Systems Physiology, Biomedical Instrumentation, Circuit Design, Physiological Transport Phenomena, Bio-nanotechnology SKILLS & ABILITIES Research University of Texas Health Science Center under Dr. David McPherson Worked with air encapsulated liposomes for use as ultrasound contrast agents. Researched new drug and gene delivery methods using echogenic lipososmes for enhanced targeting Designed protocol for testing air encapsulation efficiency of liposomes. Intern Experience University of Texas Health Science Center Houston, TX Worked on numerous research tasks varying from lab bench work to small rodent and animal surgeries. EXPERIENCE V-Squared Engineering Mentor Biomedical Engineering Rep. Hosted panel discussion for incoming freshman as well as mentored incoming freshman engineering students in the Biomedical Engineering Curriculum. Project Cure Fixed used medical equipment to ship around the world to countries in need Biomedical Engineering Society Vanderbilt University Member since August 2007 Chair of Educational outreach Program (Aug 2009- May 2010) 2009 to 2010 Figure 3: Flexible arm design Figure 4: Handle grip design References Shimamura, Y., T. Takemura, K. Agematsu, and T. Yamazaki. "A New End Graft Holder for Coronary Artery Bypass Grafting." Ann Thorac Cardiovasc Surg 11.5 (2005): 350-51. Pub Med. Web. 10 Nov. 2010. <http://www.ncbi.nlm.nih.gov/pubmed/16299467>.