Medical devices play an essential role in the prevention, diagnosis and treatment of diseases and in the delivery of high quality health care. The Cardiovascular Devices Research Laboratory is actively involved in the research and development of innovative medical devices and in training the next generation of medical device professionals for Canada.
Key areas of focus include heart failure, mechanical circulatory support, less invasive surgical and medical instruments, and wireless patient and device monitoring. The group is also actively involved in the development of new education programs.
The group is also actively involved at the national and international level in the development and promotion of use of standards in the medical device field. The Director, Tofy Mussivand, serves as the chair of the Canadian Advisory Committee (Implants for Surgery) with the International Standardization Organization (ISO). In addition, he serves on Health Canada’s Scientific Advisory Committee on medical devices used in the cardiovascular system.
Most recently, the group was selected by the Government of India to review their new regulatory framework legislation for medical device safety.
An initial mandate of the group was to identify and develop a cluster of medical device expertise from across faculties, departments and institutions, with the goals of establishing degree granting programs in Biomedical Engineering and developing the infrastructure required for advanced medical device research, development and training.
After studying with the group many former students have gone to pursue their MD/PhD, and a wide variety of careers including prominent positions in industry, government and academia. Many of these great successes can be attributed to our exceptional mentoring and the unique learning opportunities which arose from time spent with the group.
We offer opportunities to summer students, masters, PhD and MD/PhD students as well as post doctoral fellows wishing to gain experience. For more information, see Cardiovascular Devices Educational Programs.
The group also periodically holds major conferences and events of interest.
American Medical Writers Association (AMWA): A professional development symposium was hosted at the University of Ottawa Heart Institute in April 2008. The AMWA certificate programs are extensive continuing education programs for professional communicators in the medical and allied scientific field. The 2008 workshops held in Ottawa included “Writing and Designing Material for Patient Education”, “Principles of Pharmacoeconomics”, and “Reporting Randomized Trials in Science Journals”.
World Society of Cardio-Thoracic Surgeons (WSCTS): In August 2006, the 16th World Congress of the WSCTS took place in Ottawa. Led by Tofy Mussivand, the multidisciplinary congress focused on some of the fastest-evolving areas in cardio-thoracic healthcare, including medical devices, interventional procedures, pharmaceutical agents and surgical approaches. Recognizing the importance of interaction between disciplines, congress organizers shaped the program to “cut across traditional discipline boundaries” and involve the entire cardio-thoracic healthcare delivery team. This also included other important stakeholders such as industry and government representatives and the community. Delegates also had the opportunity to honour medicine’s “Living Legends”.
International Standardization Organization (ISO): In September 2004, Tofy Mussivand hosted the 22nd International Organization for Standards Technical Committee in Vancouver, Canada. The “Implants for Surgery” meeting attracted over 125 delegates, including many leading international scientists dedicated to developing international standards for medical implants.
World Artificial-Organ, Immunology and Transplantation Society (WAITS): The 6th symposium for WAITS, was held in 2001 in Ottawa, Canada. The symposium brought together scholars in sciences related to organ transplantation, immunology and artificial organs, together in one room for exchange and exploration of innovative ideas by integrating updated information and the experience of different nations.
Current projects underway include a reusable carbon dioxide adsorbent device for use during surgery, an interventional cardiology device for delivering coronary stents, an electronic nose for differential diagnosis of heart failure in the emergency room, and many others.
Examining the test set-up for the jointly funded (CIHR/NSERC) research project to develop a reusable carbon dioxide adsorbent device during surgery.
This project is investigating the use of intermittent heat to treat heart failure patients. The goal is to develop a simple, cost-effective and non-invasive method that can be widely utilized, including in developing nations where heart failure is now a leading cause of death.
Mussivand T, Alshaer H, Haddad H, Beanlands DS, Beanlands R, Chan KL et al. Thermal Therapy: A viable adjunct in the treatment of heart failure? Congest Heart Fail 2008;14:180-86.
This research initiative involves a novel process developed in the laboratory that allows sampling and rapid extraction of DNA from non-invasive samples such as fingerprints. This method for rapid extraction of DNA from non-invasive samples has significant potential for commercialization. In July of 2003, UPI (United Press International) Science News wrote a story on the research that was then carried in a number of publications including the Washington Times and the National Post.
Enose is a project that is examining the potential to utilize existing electronic nose technology to develop a non-invasive diagnosis of heart failure in patients experiencing shortness of breath. Rather than diagnosis via blood sample, which can take up to 15 minutes, Enose will use advanced nonlinear algorithms modelled after the body's own neural network methods to analyze breath samples. This will enable hospital emergency staff to quickly diagnose or exclude congestive heart failure as the cause of shortness of breath, allowing patients to receive treatment much sooner.
H. Chen, R.A. Goubran and T. Mussivand, Improving the classification accuracy in electronic noses using multi-dimensional combining (MDC), Proc. IEEE Sens. 2 (2004), pp. 587–590.
H. Chen, R.A. Goubran and T. Mussivand, “Multi-Dimension Combining (MDC) in abstract Level and Hierarchical MDC (HMDC) to Improve the Classification Accuracy of Enoses”, Proceedings of the IEEE Instrumentation and Measurement Technology Conference, vol. 1, May 16-19, 2005, pp. 683-686.
For patients with end-stage heart failure, mechanical circulatory support devices can be used to aid the failing heart by taking on some of the heart's pumping functions. Research and development activities related to the artificial heart field began in the late 1980s. This work has already brought significant international prestige and acclaim to Canada and the Heart Institute. The research also led to the Institute's first spin off company in 1996 (World Heart Corporation).
Mussivand T, Hasle DA, Holmes KS. Is Center specific implantation volume a predictor of clinical outcomes with mechanical circulatory support? ASAIO J 2004;50:33-36.
Mussivand T, Carrier M, Chiu RCJ, Davies RA, Delgado DH, Deng MC et al. Under-Utilization of mechanical circulatory support inCanada. Why and what can be done? Artif Organs 2004;28:278-86.
Mathematical Modeling is a series of projects jointly supervised by the Chair, Tofy Mussivand, and Donald Russell from Carleton University. This area is designed to adapt advanced techniques to the medical devices field, specifically developing mathematical models for the cardiovascular system.
Conlon MJ, Russell DL, Mussivand T. Development of a mathematical model of the human circulatory system. Ann Biomed Eng.2006;2006 September:1400-13.
In situ sterilization is an innovative new project which has researchers investigating methods of treating bacterial biofilm infections related to implanted medical devices. The project's goal is to reduce or eliminate the biofilm infections associated with medical device implants.
Biofilms are populations of bacteria which have a special ability to attach themselves to the surface of implanted medical devices. Unlike non-adherent forms of bacteria, biofilms can be extremely resistant to antibiotics, creating significant clinical issues for doctors and patients alike.
Medical device biofilm grown in the lab for assessment of the in situ sterilization device.
A great deal of information about the body's state can be learned from a patient's blood sample and the concentrations of various electrolytes, such as potassium found within it. Research has shown that consistent and elevated concentrations of potassium can offer early warning signs of heart failure. While the mineral is necessary for healthy muscle and heart contraction, in larger concentrations it is known to inhibit the effective transmission of nerve impulses, influencing the strength of muscle contraction and subsequently weakening the heart. The objective of this study is to design and test a non-invasive optical sensor to determine electrolyte concentrations in blood.
As the need for implantable assist devices grows, so does the demand for non-invasive methods of powering them. Utilizing a pair of internal and external coils, the Transcutaneous Energy Transfer system allows energy transfer through intact skin and tissue to power implantable assist devices such as pacemakers and artificial hearts.
The internal coil is implanted subcutaneously (under the skin) and connected to the pump, while the external coil is connected to the power source and controller and is placed on the surface of the skin. Energy is transmitted through the skin from the external coil to the internal coil, thus reducing chance for infection.
After a ventricular assist device implantation, patients require regular monitoring by hospital clinical staff. Due to recent advancements in technology, portable ventricular assist devices allow for patients to be discharged from the hospital sooner, but once home their condition still needs to be monitored. Biotelemetry is a system designed to control and check implanted medical devices using telecommunications.
Devices to monitor and control implanted devices via a remote transmitter system from the patient's implanted device to the closest medical facility have been developed. By allowing doctors to access the patients remotely, health care costs could be significantly reduced while accessibility to quality medical care would be improved.
The group also conducted the first transatlantic demonstration of remote monitoring of medical devices using this unique technology.
A National Medical Devices Strategy for Canada. Medical devices Innovation Institute. 2012.
Medical Devices Challenges and Opportunities for Enhancing the Health and Wealth of Canadians. Medical Devices Innovation Institute. 2011.
Mussivand T. Guest Editor: Selected Contributions from the 16th World Congress of the World Society of Cardio-Thoracic Surgeons, Artificial Organs, November 2008;32(11).
Mussivand T. Editorial: Neurological dysfunction associated with mechanical circulatory support: complications that still need attention. Artificial Organs 2008;32:831-834.
Mussivand T, Alshaer H, Haddad H, Beanlands DS, Beanlands R, Chan KL et al. Thermal therapy: a viable adjunct in the treatment of heart failure? Congest Heart Fail 2008;14:180-186.
Mussivand T. Editorial: Mechanical circulatory support devices: is it time to focus on the complications, instead of building another new pump? Artificial Organs 2008;32:1-4.
Mussivand T. Communications: Honouring living legends II. Artificial Organs 2007;31:586-595.
The faculty, advisory board, students and staff comprise the backbone of the Cardiovascular Devices/Medical Devices Centre group. The combined and dedicated efforts and contributions of these people have helped to make the centre what it is today; a team of highly qualified, innovative and motivated professionals, including professors, doctors, scientists and engineers whom all share a common vision of bettering society through the research and development of medical devices.