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Inside the
OEM: Baxter
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www.medicaldesignbriefs.com September 2022

Inside the
OEM: Baxter
Cybersecurity:
Networked Medical
Devices
Using Cobots for
Biomedical Testing
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n COLUMN n APPLICATIONS
4 From the Editor 38 Why Cleanroom Assembly of Plastic Medical and Electronic
Devices Requires Ultrasonic Welding
n FEATURES
n DEPARTMENTS
6 Inside the OEM: Baxter
12 Cobots Offer Advantages for Biomedical Testing 25 R&D Roundup
Applications 40 New Products & Services
16 BIOMEDevice Boston Show Preview 42 Advertisers Index

n TECH BRIEFS n ON THE COVER


27 Tiny Robots Bring Healthcare Closer to Precisely Targeted For developers and manufacturers of networked
Drug Delivery medical devices, IT security is increasingly becom-
28 Surface Mount Technology for PCB Assembly Use Case ing a challenge. While the number of cyber threats
and SMT in Healthcare Systems is growing significantly, companies often lack expe-
rience and clear guidelines for medical security.
30 Helmet Made of Magnetic Metamaterials Could Improve Read the article on page 31 to learn why a compre-
Brain Scans hensive and complete security risk management
31 Risk Management for Cybersecure Networked Medical plan helps meet existing requirements in the best
Devices possible way and learn how to develop efficient
32 Medical Packaging: Automation of Thermoforming countermeasures to protect these devices.
Processes (Credit: Shutterstock/LuckyStep)
34 Researchers Develop Rapid Lab-on-a-Chip for Cancer,
COVID Diagnostics
36 How RFID Can Help Healthcare Maintain an Effective
Working Environment

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M edtech M&A volume continued at


a rapid pace in early 2022 with 17
transactions announced or completed
However, while medtech companies
are taking the opportunity to enhance
their portfolios and add capabilities,
“Financial buyers have accounted for
15 out of 17 2022 transactions, with sev-
eral familiar names adding onto existing
— outpacing the year-to-date (YTD) to- the report, “Medical Device Outsourc- platform investments. Private equity
tal from 2021, according to a report ing Update,” indicates that private eq- firms have capitalized on healthy valua-
from Capstone Partners, a middle mar- uity buyers are “unquestionably driv- tions, which has been evidenced by suc-
ket investment banking firm. ing deal activity.” cessful exits of their portfolio compa-
nies,” Capstone says.
The analysts point to several notable
deals, including Altaris Capital Partners
sale of Paramit, a developer and manu-
facturer of complex electronic medical
devices. The company sold for $1 billion
equating to ~20x EBITDA in June 2021.
“Altaris has continued to deploy capital
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To meet your medical device needs an enterprise value of $221.1 million and
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The latest addition to our global footprint has been reflected in robust valuations.
The report says that “strategics and pri-
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assembly and light manufacturing. quality assets.”
The report finds that supply chain dis-
This recently added piece of the puzzle will ruptions, labor constraints, and surgical
procedure delays have severely challenged
continue to allow us to fulfill our Vision:
medical device OEMs through early 2022.
It notes that healthcare delivery organiza-
"To Help Our Customers Save Lives"
tions continue to combat significant work-
force shortages that have impacted the
scheduling of elective procedures, a key
revenue driver for OEMs.
Underlying dynamics such as an ag-
ing U.S. population, increasing preva-
lence of chronic diseases, and medical
technological advancements have creat-
ed a robust backdrop of demand for the
medical device and diagnostics seg-
ments. The stringent regulatory land-
scape created a significant incentive for
OEMs to outsource device manufactur-
ing and commercialization to organiza-
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Sherrie Trigg
Contact us today to discuss your next project: sales@micro-co.com
Editor and Director of Medical Content
FDA Registered • ISO 13485 • ISO 9001 • ISO 14001
MICRO 140 Belmont Drive, Somerset, NJ 08873 USA • Tel: 732 302 0800 • www.micro-co.com
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4 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
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E L E C T R O N I C S C O R P.
Inside the
OEM:
Baxter

H
ow does a 100-year-old med- Baxter. That acquisition was extremely
tech company evolve yet still important to Baxter. We closed in De-
retain its focus on the compa- cember [2021], and it is pushing the
ny’s original mission? Baxter company forward, creating innovation
has gone through many dif- opportunities to expand the markets that
ferent phases and transformations. Now it were in. That created the new Baxter.”
is looking forward to its next phase. He said the new Baxter welcomed
“If we think about the phases of trans- 10,000–12,000 employees from Hillrom to
formation of Baxter — how did we get make the company 60,000 people strong.
here ­ — it is worthwhile looking back- But, he said, “our mission is so strong. It is
wards to think about how we transformed one of the things that I did not change at
Baxter to the Baxter of today,” said José Baxter. I spent a lot of time reflecting on
(Joe) E. Almeida, chairman, president, what the mission of the company should
and chief executive officer, at the compa- be. The mission of the company was well
ny’s shareholder conference in May. established for many decades, and that
When Almeida joined the company in mission is to save and sustain lives.”
2016, Baxter examined the strength of José (Joe) E. Almeida, Chairman, President and With the pivoting of the company into
the financial operations of the company. Chief Executive Officer, Baxter more connected care and understanding
“We went after free cash flow, we went af- where the markets were going, though,
ter expenses, we went after cost reduc- To do that, Baxter created an ecosystem Baxter had to restate its vision, he said.
tions. We started to put the foundation in and put in place medical affairs, clinical “Our vision now says that we’re going to
the most important thing: patient safety trials, and regulatory affairs teams focused ‘transform healthcare with a customer
and quality. That became our number on developing new products. focus in improving patient outcomes and
one tenant in the company,” he said. “The company was very focused on enhancing workflow efficiency.’ That’s
pharmaceutical [products], but prior to very important because we must create
The New Baxter 2016, very few products were launched the future by not only connecting devices
To strengthen its financial position, Bax- on the market,” said Almeida. “Today, we but also by creating intelligence behind
ter invested in operations and innovation. have a cadence of new products.” them, enabling cost-effective care. And
That phase of the transformation set the Almeida said the next step was to de- cost-effective care is two very specific vec-
company up for the second phase in 2018– termine how to get there. “And that was tors: The first one is the ability to provide
2021, which was to execute on innovation. when we decided to bring Hillrom into effective clinical outcomes; the second is
6 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
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Inside the OEM: Baxter

[to do that] cost effectively. So that com-


bination becomes more and more im-
Innovation Market Operational Capital
portant as we go forward and pivot the
Expansion Efficiency Allocation
company in a new direction.”
Another way that Baxter broadened its
markets was through the development of
care sites (see Figure 2). Almeida said
Baxter was always strong in both the Connected Care Revenue Synergies Cost Synergies Portfolio Management
acute care market and the home care Core Therapies Geographic Expansion Digital Transformation Debt Repayment
market with peritoneal dialysis and par- Channel Expansion Quality, Safety, and Dividends
enteral nutrition therapies. “We are now Market Development Supply Chain Share Repurchases
Resilience
becoming more present with other busi-
ness such as PSS [patient support sys-
tems] and GSS [global surgical solutions]
and frontline care, which are the legacy Delivering Enhanced Value For All Stakeholders
Hillrom businesses.”
Fig. 1 – Broadened presence across the care continuum. (Source: Baxter 2022 Investor Conference)
The Effect of COVID-19
on Healthcare
“Once we went through COVID-19, we
found that a significant amount of care Hospital Home Alternate
Care Care Site Care
has moved away from the hospital,” said
Almeida, noting that this change will take Emergency, Surgical,
Primary Care, Dialysis Clinic,
Acute & Chronic Ambulatory Surgery Centers,
hold in the next 5–10 years. “You’re going Med Surg, Critical Care,
Home Care Immediate Care, Outpatient
Pharmacy, Care Comms
to see those changes, and Baxter wants to Cardiology, Infusion Clinics

be present. And to be present there, Renal Care


[we’ve] got to have products and innova- Pharmaceuticals & BPS
tion that create that opportunity for us to Medication Delivery
be a participant in those markets.”
PSS & GSS
When setting the strategy for the compa-
ny, he said, “The first thing we do is to look Frontline Care
at the trends that are currently in front of Advanced Surgery
us.” Because of the number of more com- Clinical Nutrition
plex disorders, he said, will accelerate the Acute Therapies
digital health transformation post
COVID-19. “I’m not saying that COVID-19 Fig. 2 – Compelling strategy for value creation. (Source: Baxter 2022 Investor Conference)
is gone, but looking at the transformation
took place, the circumstances of how care supply chain to deliver patient safety and some transportation issues. You always have
is delivered today is very different. The era quality first and then addressed the this fragility that you as a company cannot
of 2018–2019 and how healthcare was de- cost-effectiveness in making products to avoid, so how you prevent that is by maxi-
livered is pretty much behind us. We’ve got “get the right product at the right cost at mizing the locations versus putting the
to look forward at the factors that are driv- the right time.” plants [in locations] that may be the most
ing better healthcare and better access. “Things have probably most radically advantageous for labor or tax rates.”
How things are reimbursed are changing changed in this area more than any-
significantly as well as shifting from hospi- where else. We grew up with putting Four Strategic Pillars for Growth
tals to lower cost [care] settings. Access to manufacturing locations [in areas] to Baxter’s strategies for value creation
healthcare is not equal across the globe, drive lower costs and taxes effectively. are innovation, market expansion, oper-
and Baxter is driving to create products When you look at the trend going for- ational efficiency, and capital allocation.
and technologies that are more accessible ward, it’s that you’ve got to put the plants Its innovation will focus on connected
in many more countries in the world so where you sell the product,” said Almei- care and core therapies (see Figure 1).
people can get treated more effectively.” da. “And you’ve got to buy the compo- Market expansion will encompass reve-
nents where you have your plants be- nue synergies, geographic expansion,
Supply Chain: Putting the Plants cause of the supply chain cost of moving channel expansion, and market develop-
Where the Products Are Sold things around the world. ment, while operational efficiency will
One significant change that Almeida During Goldman Sachs’ annual global involve cost synergies and digital trans-
said the company never spoke about in healthcare conference in June, Almeida formation, as well as quality, safety, and
the past was implementing an integrated noted Baxter’s philosophy is to “make supply chain resilience. Finally, its capi-
supply chain and how supply chain plays where you sell.” tal allocation will entail portfolio man-
a role in product development. In the “That [philosophy] will guide us in the agement, debt repayment, dividends,
past, the company always looked at the future on where to locate plants to alleviate and share repurchases (see Figure 4).
8 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
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Inside the OEM: Baxter

fied a good M&A target (see Figure 5).


“We have done this in the past when we
Sites of Care:
Hospital Home Alternate found that Hillrom and Baxter would
Care Care Site Care make a powerful combination. If you think
about these strategies derived from our
Innovation Connected Care Core Therapies market dynamics, how does that affect our
Focus: market growth and what markets we are in?
Devices or software that can connect, Core therapies and essential products
communicate, and/or analyze data to help designed to address patient and provider
What we found in the acquisition of Hill-
transform healthcare needs rom is an uptick of our weighted average
market growth rates (WAMGR). So today
we have a sustainable market growth of 3–4
Analytics
percent,” said Almeida. “The opportunities
“Smart” Devices Communications

and the CAGR [compound annual growth


rate] growth of our businesses are dispro-
Generating ~$800M In Anticipated Incremental New Product Revenue By 2025
Generating ~$1 In Anticipated New Product Revenue Through 2025
1 portionately allocated to the Hillrom busi-
Fig. 3 – Innovating with connected care and core therapies. (Source: Baxter 2022 Investor Conference) nesses that came into Baxter because the
markets are shifting into more connected
health rather than solely capital products.
In the total market of $130 billion, we have
a WAMGR of 3–4 percent in each our busi-
nesses today. In every single market, Baxter
Revenue Synergies Geographic Expansion Channel Expansion Market Development growth is above or at market growth.”
To achieve this growth, Almeida says
✓ Utilizing Baxter ✓ Prioritizing targeted ✓ Broadening access to ✓ Increasing adoption the company will focus on connected
geographic footprint geographies new customers of underpenetrated care and then core therapies (see Figure
to introduce Hillrom therapies
portfolio
✓ Introducing products ✓ Furthering expansion 3). But connected care is not just jargon, he
into attractive with connected ✓ Providing education says. “It is an enablement for better in-
✓ Expanding value- markets devices and advocacy to
added services improve access sight. So how are we going to create
smart devices? We’re planning to con-
nect devices — smart devices and the
Contributing ~$300M Incremental Sales Through Market Expansion Efforts By 2025 ability to communicate and integrate
Fig. 4 – Executing market expansion through focused initiatives. (Source: Baxter 2022 Investor with hospital systems and integrate
Conference) amongst themselves to create sites.”
He says that although there is an advan-
Enterprise-Wide M&A Themes tage to connecting devices and moving
Hospital Automation & Hospital & Remote Point-of-Care (POC) & Home & Alternate Site
data around, the ultimate goal, the aspira-
Connectivity Monitoring Companion Diagnostics Therapies tion, is to create intelligence behind them
with algorithms that help clinicians in
Cardiology such a tough market, particularly as hos-
Workflow
• Prioritizing investments in key adjacencies Optimization Clinical pitals and clinics struggle in terms of hu-
Decision Suppor t
man resources. “The resources in hospi-
• Supplementing the core portfolio with
POC Diagnostics
tals are difficult to come by. Nursing is
strategic bolt-ons & Monitoring Smar t Medication expensive, technicians are expensive.
Management
There is significant overload on nursing
• Investing in transformative technology
through Baxter Ventures portfolio staff. So we’ve got to create a pathway —
Acute POC Acute
Diagnostics Monitoring the opportunity for them to do their jobs
in a more effective way. And that [path-
Fig. 5 – Optimizing Baxter’s profile with strategic portfolio management. (Source: Baxter 2022 Inves- way] is to create alternate site care. It’s
tor Conference)
more so than just connecting devices.”
“We have a phenomenal lineup of new
“Bringing Hillrom into Baxter will give our responsibility and obligation as a mar- products. We will primarily grow with
us really good leverage on synergies. Some- ket leader in healthcare,” Almeida said. revenue synergies, geographic expan-
thing that we do understand is how capital Almeida said the company will allocate sion, channel expansion, and market de-
allocation will drive growth in the future. internally to businesses that are growing velopment — these four driving tenants
The first thing that we think about for cap- faster — businesses that can provide for will create $300 million in incremental
ital allocation is that patient safety and the future and also return money to sales through market expansion efforts
quality are our number one priority when shareholders via dividends. He notes that by 2025,” said Almeida. “You will see an
we allocate capital. We will continue to in- M&A is Baxter’s preferred way to deploy uptick in our R&D expenses because
vest money in facilities where we are the cash and that share repurchasing will be we’re allocating more money to busi-
single source to a market. We will fulfill used only if the company has not identi- nesses that are growing faster.”
10 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
BardyDx was part of the Hillrom acquisition. The
BardyDx CAM patch results in improved ECG
resolution. (Credit: Baxter)

Social Responsibility
While social responsibility has become
increasingly important in the medtech
market, Almeida says that Baxter has
been committed to social responsibility
for many years. The company has pro-
grams to support and protect the planet,
its patients, and its people and communi-
ties. “Our commitment is to carbon foot-
print neutrality, clean water, to being not
only environmentally conscious but envi-
ronmentally protective of what we do,
Plastic Material Changes
and to making sure that the communities Require Latest Plastic Welding
that we work in are protected.”
Also important, he said, is empowering Technologies
patients to understand the best therapies
available and improving the company’s Market pressures are driving medical device
capabilities and quality core products, designers away from PVC and PC, yet replacements
noting that Baxter is “championing our like PE and PP do not respond well to traditional
people and creating an environment plastic joining methods. Reliable assembly requires
where people want to come to work.”
advanced BransonTM ultrasonic and laser welding
The Future for Baxter systems from Emerson. They produce ultra-clean,
“We are going to grow through inno- aesthetically superior welds for today’s preferred
vation. We are increasing our spending NBUFSJBMTXIJMFBMTPEFMJWFSJOHEFTJHO¼FYJCJMJUZ 
in innovation. We want to have the best QSPDFTTFG»DJFODZ FOFSHZTBWJOHBOETVTUBJOBCJMJUZ
place to work. We want employees to advantages.
feel that this company socially responsi-
ble, that this is an inclusive company Learn more at: Emerson.com/Branson
that values diversity and equality, that
[employees say] ‘Baxter has all the in- $PNFBOETQFBLXJUIBOFYQFSUBU
gredients to make this a place that I K-Show, Hall 11 Booth F55, 19-26th Oct 2022.
want to go to work.’ If we do those things
right, if we fulfill our mission with ethics
and compliance, we will deliver on the
results — and the results are conse-
quences. The results are a consequence
of a good company with 60,000 great
The Emerson logo is a trademark and a service mark of Emerson Electric Co. © 2022 Emerson Electric Co.
employees that wake up every day with
one mission: save and sustain lives.”
This article was written by Sherrie
Trigg, Editor and Director of Content
for MDB. Contact: sherrie.trigg@
saemediagroup.com.
Medical Design Briefs, September 2022 11
Cobots Offer
Advantages
for Biomedical
Testing
Applications

A
collaborative robot, or cobot, is an automation tool that can be adapted for use in
mechanical testing laboratories. Cobots are robotic arms designed to work alongside
humans and are adaptable to a variety of applications. They are intended to bridge
the gap between manual system operation and full industrial automation, offering
the benefits of automation without the additional complexity of a fully robotic test-
ing system. Cobots are particularly suited for use in the biomedical industry, where full-scale
automation is often not possible but where lab efficiency, safety, and data integrity are critical.
Cobots and robots can perform very similar tasks: Both are designed to remove a system
operator from a task or operation by automating part or all of the testing process.
Because of the overlap in functions, both options can be appropriate for a given
application; however, there are some key differences that make one solu-
tion preferable over the other in certain circumstances.
Robot systems are best suited for repeating the same task at
a high speed for 24/7 operation. These systems are not
Name/Shutterstock.com

always equipped with force control features and


struggle with tasks that require varying degrees of
sensitivity. Because these robots are designed for high
speed, the possibility for damage or injury is high if

12 www.medicaldesignbriefs.com Medical Design Briefs, September 2022


these ­systems are not properly im- changes to movements and tasks easy. The cobot’s light weight makes it
plemented. Making changes to the Anyone with basic programming ex- easy to transport or relocate within a
movements of the robot or adding a perience will be able to make chang- facility. In terms of safety, the force-­
new task requires someone with a ro- es quickly and efficiently, and the controlling sensors greatly reduce the
botics or software engineering back- learning curve to make changes to risk to operators or devices, and de-
ground to implement. the software is much less steep than pending on the risk of the particular
Cobots are generally more flexible it is with the average task, a cobot may be able to operate
and easier to use than robots. The robot. with no physical guarding.
average cobot will operate at a lower
speed with a smaller reach and lesser Lab Efficiency
payload than an average robot. It will Most mechanical testing —
also typically have a smaller footprint particularly biomedical and
and be more lightweight than a ro- medical device testing — is
botic system. performed manually. A lab em-
Cobots come equipped ployee sets up the initial test and
with software that makes then loads and unloads individ-
ual specimens until the sample
batch is completed. In this
time-consuming process, many
tests take between 3 and 5
minutes to complete while
only requiring about 30

Custom specimen racks can


be 3D printed and mounted
to the workstation for the
cobot to pick from.
(Credit: Instron)
Name/Shutterstock.com

Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 13


Cobots

Many medical device companies could


benefit from automation but are not a
good fit for a fully automated robotic sys-
tem. Companies might not need a fully
automated system if, for example, their
test volume isn’t high enough to warrant
a robotic system because they require
a system with more flexibility. For labs
where fully automated testing is not pos-
sible or desirable, cobots offer a promis-
ing new solution.

Safety and Ergonomics


When using a cobot, the operator is not
required to load and unload specimens
by hand into the frame, greatly improv-
ing ergonomics by reducing repetitive
movement. When testing high-risk items
such as syringes with needles, cobots also
improve safety by reducing sharps han-
dling by the system operator. In order
to completely eliminate the need for the
operator to handle sharps, systems can be
Cobots can be added to a new or existing universal testing system to automate the loading and un- configured with a tap removal.
loading of specimens while the system performs tests without the operator present. (Credit: Instron) Cobots also have an advanced control
system designed to reduce the risk of in-
jury to the test operator and damage to
the cobot or its surroundings. The force
on each axis is constantly monitored,
and the cobot will stop if it comes in con-
tact with an unexpected object. Guard-
ing, or protective shielding, for the co-
bot is dependent on the application and
the specific risks associated with moving
and testing the specimen. For example, a
cobot testing syringes with exposed nee-
dles will likely require different guarding
than a system performing residual seal
force testing on vials.

Data Variance and Integrity


Data spread between operators is a
common issue in medical testing. Each
person loads specimens into the test sys-
tem in a slightly different way, which lim-
its repeatability. Adding alignment devic-
es can improve this issue but cannot fully
eliminate it. The cobot removes any vari-
A cobot mounted on an autoinjector testing system capable of performing all required testing of in- ance in specimen loading. Most cobots
jection devices in a single test. (Credit: Instron) are repeatable to within a fraction of a
millimeter, which yields results that are
seconds worth of operator interaction utes. This inefficient process presents vastly more repeatable than those from
per test. For example, if a test takes 3.5 an enormous opportunity to recoup a system being manually loaded. Addi-
minutes to complete, a test frame can lost time, especially as high-value, ex- tionally, any time an operator is manu-
run a batch of 30 specimens in 2 hours. pensive labor resources are frequently ally transferring data between a testing
A technician is required to be pres- responsible for running the testing in system and a production database pres-
ent for this entire period, while only many biomedical testing labs. Freeing ents the possibility for errors to be made.
needing to interact with the system for up the operator to perform other valu- By using a cobot system to automate that
a total of 15 minutes in order to load able tasks would bring significant bene- transfer, human error can be removed.
and unload specimens every 3.5 min- fits to the lab.
14 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
Test Applications use that isn’t possible with traditional umes to justify the purchase of a fully ro-
Autoinjector Testing. Manufacturers robotic automation systems. For the bio- botic system. These devices are also suit-
of autoinjectors and other needle-based medical industry, a cobot installed on a able for labs that see a high changeover
injection systems are ramping up pro- mechanical testing system can greatly in testing needs and fixturing.
duction to meet the rising global de- improve lab efficiency, operator safety, This article was written by Richard Spie-
mand for safe and convenient forms of and data variance and integrity. Cobots gel, Product Manager, Instron, Norwood,
drug delivery. Bringing these devices are particularly well suited for test labs MA. For more information, visit www.
from development to production is a that are looking to improve efficiency instron.com. Contact: richard_spiegel@
long process with strict requirements for but do not have high enough testing vol- instron.com.
both functional and usability testing of
the devices at each of stage of product
development. A test frame with cobot au-
tomation is ideal for testing various de-
sign iterations of a product with minimal
changeover time, reducing the burden
on highly technical design engineers to
stand in front of a system. Technicians
can simply place the test specimens in
the system’s production tray and the co-
bot will load and unload them while the
machine runs the necessary tests.
Syringe Testing. Break-loose and glide-
force testing constitutes the bulk of sy-
ringe testing and is used to determine the
real-world forces required to operate the
syringe. Pre-filled syringes are combina-
tion devices requiring device verification
testing before a New Drug Application
can be submitted. For syringe testing
applications, cobots can be placed sepa-
rately or in-line to improve throughput
and efficiency. Fully integrated manu-
facturing systems can even use measured
break/loose glide force data to modify
production settings in real time to correct
for any out-of-tolerance values.
Luer Connector Testing. ISO 80369 is
the global standard used by device man-
ufacturers to evaluate the mechanical
and pressure-related properties of the
connections. When used in conjunction
with a torsion-enabled universal testing
system, a cobot can be extremely benefi-
cial for lab productivity, essentially func-
tioning as a pick-and-place operation to
reduce operator influence.
The repeatability of automated speci-
men insertion is also ideal for improving
device alignment, a significant contrib-
utor to data spread. Since luer connec-
tions can be found on a wide array of
devices, the sample racking can be cus-
tomized to accommodate all potential
device geometry.

Bridging the Automation Gap


Cobots present new automation solu-
tions in a variety of potential applica-
tions. They offer flexibility and ease of

Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 15

MDB maxon Digital Ad 0922.indd 1 8/4/22 1:11 PM


SHOW PREVIEW
BIOMEDevice Boston 2022
www.biomedboston.com • Boston Convention & Exhibition Center, Boston, MA
BIOMEDevice Boston 2022: Bringing Innovation to Life
BIOMEDevice Boston brings engineers, business leaders, disruptive companies, and innovative thinkers from the region’s top
startups and medical device OEMs together to inspire the next life-changing medical devices. BIOMEDevice bridges the gap be-
tween the present and the future. The event is designed so that attendees can source the solutions needed today, and also gain
access to medtech technology changing the trajectory of the industry.
CONFERENCE SCHEDULE, SEPTEMBER 28–29 (all times EDT)
WEDNESDAY, SEPTEMBER 28
TIME SESSION
9:15 AM–10:15 AM KEYNOTE
Erika Cheung, Theranos whistleblower and executive director of Ethics in Entrepreneurship, empowers future tech leaders
to recognize and act when ethical problems arise within the industry. Hear from a medical researcher, turned technology
and innovation ecosystem builder, on her experience at Theranos and how we, as an industry, can use it as a cautionary
tale to improve ethics in entrepreneurship.
10:30 AM–11:00 AM Q&A with Erika Cheung in the Start-up Stadium
10:30 AM–11:15 AM Robots
Extending Surgical Robotics into Microsurgery
Galen Robotics is developing a single-platform solution to aid surgeons across several disciplines with minimal distur-
bance to existing workflows.
Speakers: Dave Saunders, Chief Technology Officer & Taylor Leverage, Product Manager, Galen Robotics
11:30 AM–12:15 PM Digital Health
Medtech Insights Podcast — Live at BIOMEDevice Boston!
Enabling New Virtual Care Models by Creating the Clinical Grade Digital Health Tools They Demand
Healthcare delivery has dramatically changed over the last three years, with telemedicine, remote patient monitoring,
hospital at home, asynchronous care, and even virtual first. But the digital health tools like the Fitbit and Apple Watch,
have not kept up, being initially designed for the consumer market. These new healthcare care models need more clinical-
grade tools to meet the digital health demands that have the same rigor of quality, reliability, and trust as typical clinical-­
grade medtech. Be sure to join us with some leaders in new care models and digital tools to discuss this urgent market
need for clinical-grade digital health tools.
Speaker: Jennifer Joe, MD, CEO, AMPLIFY for Healthcare CMO, BrightMarbles US Digital Health Researcher, VA Bedford
Hospital
12:30 PM–1:15 PM KEYNOTE
Dean Kamen, inventor and cofounder of the Segway, is an innovation expert. Hear from Dean as he recounts his experience
bringing inventions to market and the steps he took to overcome challenges along the way. From working with large indus-
try partners to securing over 1,000 patents, receiving FDA approval and building companies from the ground up, Dean
will share how the path to market is far from linear but can result in a commercialized product that can revolutionize the
industry.
1:30 PM–2:15 PM Materials
MedTech Materials Selection for Better Sustainability
Join Vipul Dave, leading industry expert and Fellow/Head of Materials at Johnson & Johnson, as he talks about the latest
materials transforming medical devices into commercial products. He’ll share the latest innovations in new materials, and
how they can improve product life cycle, hospital, and home waste streams, and offer better end use sustainability. In this
session, we’ll look at material trends in polymers, adhesives, plastics, and soft materials, so you can keep up with the
latest.
4:00 PM–5:00 PM Welcome Reception with special guest, Erika Cheung

16 www.medicaldesignbriefs.com Medical Design Briefs, September 2022


THURSDAY, SEPTEMBER 29
TIME SESSION
9:15 AM–10:15 AM KEYNOTE At the Cutting Edge of Digital Health (Sponsored by MedExec Women)
Digital health solutions are entering clinical practice, and while they may have shorter development cycles than physical medical
devices, the path to adoption can be just as arduous and long. Our panel of experts, all brought together by the MedExecWomen
organization, will discuss the keys to driving adoption of SaMD and digital solutions into medical practice.
Moderator:
Maria Shepherd – President of Medi-Vantage and Co-Founder of MedExecWomen
Panelists:
Jill Dooling, VP Strategic Accounts, Vapotherm
Sara Kehoe, Senior Director, Clinical Insights, Danaher Diagnostics
Teresa Prego, Chief Commercial Officer, Nile
Mira Sahney, President, Pelvic Health, Medtronic
Jill Schiaparelli, CEO, Avation Medical
10:30 AM–11:15 AM Materials
. Panel: Next-Gen Surgical Implants – Improved Design with Novel Materials & Manufacturing Methods
There are numerous novel materials, to include alloys and polymers, being considered that offer a range of properties in terms of
performance attributes for surgical implants like coronary stents and joint replacement. These materials help design teams man-
age expectations for demographic characteristics and provide for personalized solutions for patients. This panel will discuss de-
velopments arising in both the material domains, as well as the flexibility provided by additive manufacturing for creativity in design
and structure for increased functionality and superior performance
12:30 PM–2:15 PM Start-ups
Panel: What Entrepreneurs Need to Know About Investment Funding for the Medtech Sector
All start-ups require financing, and the sources of that financing vary depending on the need, stage, and type of enterprise. This
panel brings together a spectrum of investors including angels, traditional VC and corporate VC to discuss the challenges and
opportunities unique to the medical device space.
Panelists:
Bruce Lichorowic, President, Galen Robotics
Salvatore Viscomi, MD, Chief Medical Officer, Goodcell
David Voge, Managing Partner, Kayon Partners
1:30 PM–2:15 PM KEYNOTE
Christopher Gates, Cybersecurity: Unworkable Today, Hope for Tomorrow
The current process of including cybersecurity in a medical device system is broken. This is mostly due to the huge shortfall of
embedded cybersecurity experts. So manufacturers are left with staff engineers making mistaken assumptions about secure
designs that don’t align with regulatory expectations, standards, project goals, or attackers’ capabilities. Christopher will present
one approach for abandoning this current broken model for secure design and adopt a new approach to designing security into
your next medical device. This new approach aligns with the intent of regulatory standards, doesn’t require staffing up with expen-
sive and hard-to-find embedded cybersecurity experts, and improves the overall speed of the development process

MASTER CLASS START-UP SERIES


SEPTEMBER 28–29
TIME SESSION
11:15 AM–12:00 PM State of Medtech Investments
The last few years saw a tremendous influx in available capital and investments into medtech startups. As the market corrects
and investments become more competitive, what does this mean for available capital? This session will examine today’s shifting
fundraising marketplace with an eye for trends to be aware of and how best to prepare for the year ahead.
12:00 PM–1:00 PM Lunch & Learn Session: The State of M&A – Partnering with Strategics
As the market corrects, how does this impact the way larger medtech companies think about capital allocation to M&A and licens-
ing? Do short term dynamics matter in these initiatives? This session will feature the heads of M&A from leading industry OEMs
who will discuss their companies’ perspectives on investments today and in the next 18 months.
1:00 PM–1:15 PM BREAK
1:15 PM–2:00 PM Fundraising: Planning Your Attack
Successful entrepreneurs know the value of a well-coordinated effort when fundraising. From timing and messaging to prepping
documents to lining up contacts, strong planning is key to strong results. In this session, attendees will hear from leaders of
emerging companies who have recently closed successful funding rounds and will share lessons learned and tips for success.
2:00 PM–2:15 PM BREAK
2:15 PM–3:00 PM Fundraising: Thinking Outside the Box
The finance industry is growing in dynamism. As such, vehicles and players that are sometimes less prominently advertised may
be attractive avenues for companies in various circumstances. In this session, we’ll discuss debt financing, family offices, and
online investment platforms, and the pros and cons of each.
3:00 PM–3:15 PM BREAK
3:15 PM–4:00 PM Fundraising: Raising with VCs
Venture capital financing is all about return on investment. In this session, we’ll hear from VCs who will share how they develop
valuations and how today’s marketplace is impacting what they do and how they do it. We’ll also dive into the differences between
independent financial VCs and those who sit in-house at strategics to understand what each may be looking for to better prepare
you to create the right profile for your next pitch.

Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 17


BIOMEDevice Boston 2022

BUILD YOUR KNOWLEDGE


BIOMEDevice features three areas located on the expo floor where attendees can learn from industry thought leaders, watch
demonstrations, ask questions, and get answers from leading subject matter experts. Join the MedTech community looking for
new technology, inspiration, and innovation. Explore the content offerings taking place on the show floor including, Center
Stage, Tech Theater, and Start-Up Stadium.

Center Stage Tech Theater


Center Stage will feature educational sessions focused on Gain a deeper technical insight from the experts in 30-minute
high-growth areas in medtech, including: supplier-hosted sessions on the latest industry topics and trends.
• Robotics
• Digital Health Start-Up Stadium
• Materials Featuring live pitches from MassMEDIC’s 2022 IGNITE co-
• AI & Machine Learning hort of medtech innovators, an exclusive Q&A session with
• Start-ups BIOMEDevice’s keynote speaker, Erika Cheung, and podcasts
• Device Cybersecurity recorded live, hosted by Project Medtech and Medical Device
Success.

MASTER CLASS START-UP SERIES


BIOMEDevice is teaming up with MassMEDIC to bring attendees the Master Class Start-up Series. This
conference program will feature finance focused content tailored to what growing companies need to know
in this evolving marketplace. Join us in the Master Class Start-up Series to receive an overview of the med-
tech investment landscape, an inside look at various funding vehicles – from strategics, to venture capital –
and everything in between, and connect with those who have done it to hear their tips for success.

KEYNOTE SPEAKERS
Erika Cheung He promotes the “secure development lifecycle,” the
Erika Cheung is the Executive Di- industry-­leading approach that ultimately eases the burden on
rector of Ethics in Entrepreneurship, developers and ensures high-quality products that work as in-
a nonprofit organization with the mis- tended to save and improve lives.
sion to embed ethical questioning, cul- He joined Velentium in 2017 because he had previously
ture, and systems in start-up ecosystems collaborated with the company as a contractor and had seen
worldwide. firsthand that its values are exemplified by its founders. “In a
Cheung began her career working world where most companies are only motivated by financial
as a medical researcher in the bio- interest, Velentium routinely has moral discussions about the
technology industry and is most famously known for being a best approach for its clients, its staff, and the world. Every em-
key whistle-­blower reporting the medical-diagnostic company ployee engages each project with the mindset that the equip-
Theranos to health regulators. ment we’re designing might one day be used to save our own
Cheung went on to help launch a technology accelerator loved ones.”
in Hong Kong supporting early-stage technology investments This motivation is not a mere thought exercise. When his first
across the Asia-Pacific (APAC) region. She continues to advise grandchild was born prematurely, before the baby’s lungs could
and support the development of biotechnology and healthcare fully close, Christopher visited him in the NICU. There, he no-
initiatives across the APAC region. ticed that a handful of the machines allowing his grandson to
breathe were among the devices he himself had helped design.
Christopher Gates
Christopher Gates is director of Dean Kamen
product security for Velentium, a pro- Dean Kamen is an inventor, an en-
fessional engineering specializing in trepreneur, and a tireless advocate for
the end-to-end design, development, science and technology. His roles as
and manufacturing of therapeutic and inventor and advocate are intertwined
diagnostic active medical devices. — his own passion for technology and
Gates has over 30 years of experi- its practical uses has driven his person-
ence developing and securing med- al determination to spread the word
ical devices and works with numerous industry-leading about technology’s virtues and by so doing to change the cul-
device manufacturers. He frequently collaborates with reg- ture of the United States.
ulatory and standard bodies including the NTIA, MITRE, As an inventor, he holds more than 1000 U.S. and foreign
Bluetooth SIG, IEEE, the U.S. Department of Commerce, patents, many of them for innovative medical devices that have
and the FDA to present, define, and codify tools, tech- expanded the frontiers of health care worldwide. While still
niques, and processes that enable the creation of secure a college undergraduate, he invented the first wearable infu-
medical devices. sion pump, which rapidly gained acceptance from such diverse
18 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
medical specialties as oncology, neonatology, and endocrinolo- lows patients to be dialyzed in the privacy and comfort of their
gy. In 1976, he founded his first medical device company, Auto­ home. It quickly became the worldwide market leader. Kamen
Syringe, Inc., to manufacture and market the pumps. Then, also led the development of technology to improve slide prepa-
working with leading diabetes researchers, Dean pioneered ration for the CYTYC (now Hologic Inc.) ThinPrep® Pap Test.
the design and adoption of the first portable insulin pump. It Kamen-led DEKA teams have also developed critical compo-
was quickly demonstrated that using a pump could much more nents of the UVARTM XTSTM System, an extra­corporeal pho-
effectively control patients’ blood glucose levels. At age 30, he tophereisis device marketed by Therakos, a unit of Johnson
sold AutoSyringe to Baxter Healthcare Corporation. & Johnson, for treatment of T-Cell lymphoma. An advanced
Following the sale of AutoSyringe, Inc., he founded DEKA prosthetic arm in development for DARPA should advance the
Research & Development Corporation to develop internally quality of life for returning injured soldiers. Other notable de-
generated inventions as well as to provide research and de- velopments include the Hydroflex™ surgical irrigation pump
velopment for major corporate clients. Kamen led DEKA’s for C.R. Bard, the Crown™ stent, an improvement to the orig-
development of the HomeChoice™ peritoneal dialysis system inal Palmaz-Schatz stent, for Johnson & Johnson, the iBOTTM
for Baxter International Inc. The HomeChoice™ system al- mobility device, and the Segway® Human Transporter.

The medical device and biomaterials


industries undergo continual
innovation and change. Instron® test
systems are available in both
standard and custom configurations
to help ensure that every new design
can be fully evaluated.

TO LEARN MORE VISIT


go.instron.com/bio
or scan the QR CODE

Medical Design Briefs, September 2022


MDB Instron Ad 0922.indd 1
www.medicaldesignbriefs.com 19
8/11/22 12:03 PM
Sponsored Content

Medbio
5346 36th St., SE
Grand Rapids, MI 49506
Phone: 616-245-0214
Fax: 616-245-0244
E-mail: Info@medbiollc.com
www.medbiollc.com

About Our Company Products/Services Offered

Located in Michigan, Medbio is an ISO 13485:2016-certified The Medbio management team averages over 25 years of
contract manufacturer offering innovative man­ufacturing solu- experience in the medical device industry. We have experience
tions for the medical device and biotech industries. We special- with most medical-grade thermoplastics and im­plantable-grade
ize in precision injection molding, as­sembly, packaging, proto- resins. We currently mold products for the major OEMs in
typing, and design support. Building strategic partnerships and Orthopedics, Cardio­vascular, Ophthalmology, Neurological
conducting business with integrity allows Medbio and our cus- Surgery, General Surgery, Wound Care, Biotech (Diagnostics &
tomers to achieve growth, success, and profitability. cell growth), and Dental. From components to full assemblies,
Medbio will tailor our manufacturing services to meet your
needs, taking your medical device from design to completion.
We have the knowledge, passion, and experience to solve your
most difficult manufacturing challenges.

Target Markets BIOMEDevice Boston Booth 921

Medical

20 www.medicaldesignbriefs.com Medical Design Briefs, September 2022


Sponsored Content

Target Markets

Component, subassembly, or full assembly of catheters, deliv-


ery systems, access systems in cardiovascular, peripheral,
Filmecc USA, Inc. neuro, abdominal, endoscopic, orthopedic, ENT specialties.
3002 Dow Avenue, Suite 216 Non-medical inquiries welcome.
Tustin, CA 92780
Phone: 949-756-8252
Fax: 949-756-8165 Products/Services Offered
E-mail: davidz@filmecc-us.com
www.asahi-inteccusa.com • Cable Tube OD 0.008 ~ 0.1539"
• Flat Wire Torque Coils and
Flexible Shafts to 6mm
About Our Company • PTFE SPC MANDRELS from
0.45mm to 2.30mm. PTFE wall
Filmecc USA, Inc. thickness (one side can range
ISO 9001/13485- cer- from 0.008mm to 0.012mm)
tified manufactur­er of • OEM/ODM Guidewire: Guidewire, Diagnostic catheter, PTCA
stainless, tungsten, guiding catheter, PTCA balloon catheter, etc
nitinol components, • Stainless Steel Cables and Assemblies: 0.002" to 3mm ~ 4mm.
ACTONE cable tube, • Miniature Coil: round wire OD from .0039”, flat wire OD from .0055"
TORQUE HYPO­TUBES, • Torque Transmission Wire: 1x3, 1x7, 1x19 OD from .012” to 0.078"
drive cables, torque • Torque Transmission Coil: OD from 0.012” to 0.1563”, 2–3 lay-
coils, round or flat wire ers rotational fidelity/motor, NURD
coils, single or multi • Variable Durometer Tubes
lumen or variable flex-
ibility polymer extrusions in PU, PEBAX, PFA, PTFE or coatings in-
side/outside hollow stainless shafts or braids. BIOMEDevice Boston Booth 643

Target Markets

Medical, Industrial Automation, Aero­space, and e-Mobility

maxon
125 Dever Dr. Products/Services Offered
Taunton, MA 02780
Phone: 508-677-0520 Offering solutions that fit your ­cus­­tomized needs
E-mail: info.us@maxongroup.com maxon’s line of
www.maxongroup.us products include
DC brushed and
brushless motors,
About Our Company gearheads, encod-
ers and controllers
maxon develops and builds high-­precision electric drive systems — these products
that are among the best in the world. Specialists in combining electric are easily com-
motors, gears, and DC motor controls into high-precision, intelligent bined into com-
drive systems that can be custom-made to fit the specific needs of plete mechatronic
customer applications. maxon helps provide innovative so­lutions at drive systems. As a global leader in the design, manufacturing,
com­petitive prices for numerous applications in various markets. and engineering services of high precision drive systems, maxon
works closely with you to develop innovative product solutions
that precisely meet the unique operating parameters of your indi-
vidual system in your industry. But, did you know that we also
offer contract manufacturing services? Consider partnering
with us on your next project. We have the experience and
industry-­specific solutions that will get your product to market
faster.

BIOMEDevice Boston Booth 620

Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 21


Sponsored Content

Products/Services Offered

Full-service con-
tract manufacturer
MICRO of medical devices
140 Belmont Drive and subassemblies
Somerset, NJ 08873 — including injec-
Phone: 732-302-0800 tion/insert mold-
E-mail: sales@micro-co.com ing, MIMs, and fab-
www.micro-co.com ricated tube as-
semblies. We offer
About Our Company pro­duct develop-
ment and design
Established in 1945, MICRO is a contract manufacturer that assistance — from prototyping and validation to full-scale
draws on 75 years of manufacturing expertise to deliver the production.
highest quality products to customers in the medical device Our modern facility is cGMP-QSR compliant and ISO-9001,
marketplace. A truly global company, with three locations, we ISO-13485, and ISO-14001 certified. Staffed by highly trained
manufacture and distribute our products to customers around individuals, we maintain an ISO Class 8 environmentally con-
the world. trolled cleanroom for surgical instrument assembly.
We also produce a wide variety of scissors, stapling and
biopsy devices, as well as laparoscopic and arthroscopic min-
imally invasive surgical instruments. MICRO is the world’s
Target Markets
largest manufacturer of titanium and stainless steel ligation
clips — class-critical implant devices shipped directly to
• General Surgery
­inventory.
• Orthopedics
• Cardiology
• Urology
• Women’s Health BIOMEDevice Boston Booth 215
• Diabetes Management

Products/Services Offered

Technical Services:
• Skillful proprietary processing
Microspec Corporation • In-house tool design and fabrication
327 Jaffrey Road • Exceptional customer service
Peterborough, NH 03458 • Product validation services
Phone: 603-924-4300 • Raw material and product testing
Fax: 603-924-4310 • Annealing services
E-mail: info@microspecorporation.com
www.microspecorporation.com Most Thermoplastic Elastomers Extruded:
• Polyurethanes • Fluoropolymers: FEP, EFEP,
• Nylons and PFA
About Our Company • High Heat Polymers: PEEK, • Bioabsorbable resins
Polysulfone and PEI • Custom formulations
For 30 years, medical
device companies the Extrusion Capabilities:
world over have turned • New Concepts • Over-Extrusions
to Microspec for medical • Single-lumen Extrusions • Fully-Encapsulated Stripes
tubing that challenges • Multi-lumen Tubing • Coated Wire
the limits of extrusion • Bump Tubing • Profile Extrusions
technology. From con- • Co- and Tri-Extrusions • Balloon Tubing
cept to commercializa- • Multi-Durometer Extrusions • Ribbon Extrusions
tion, Microspec has built a global reputation for extruding some • Multi-layered Extrusions
of the smallest, most complex, and tightest toleranced medical • Micro-Extrusions
parts in the industry.
Microspec’s mission is to supply innovative extrusion technol-
ogy to the technologically advancing and changing medical de- BIOMEDevice Boston Booth 515
vice market and to deliver high quality parts on time.

22 www.medicaldesignbriefs.com Medical Design Briefs, September 2022


Sponsored Content

Products/Services Offered

Research & Development


• Process Validation
Nelson Laboratories, LLC • Material Assessment
6280 South Redwood Rd.
Sterilization Validation
Salt Lake City, UT 84123
• Radiation
Phone: 801-290-7500
• Ethylene Oxide
Fax: 801-290-7998
• Steam
E-mail: sales@nelsonlabs.com
• VHP
www.nelsonlabs.com
• STERRAD
• Filtration Product Validation
• Cleaning
About Our Company Packaging Validation ISO • Disinfection
11607 • Barrier Tests
Nelson Labs is a leading provider of global lab testing and • Stability • Physical Tests
expert advisory services. We perform over 800 microbiological • Distribution • Environmental
and analytical laboratory tests for the medical device and phar- • Container Closure • Microbiologic
maceutical industries. Nelson Labs is regarded as a best-in-class • Physical
partner with a strong track record of collaborating with custom- • Aging Lot Release (QC Tests)
ers to solve complex issues. • Microbial • Bioburden
• Sterility
Target Markets Biocompatibility ISO 10993 • Particulates
• In Vitro and In Vivo • Bacterial Endotoxin
• Orthopedics • Wound Management • Chemical Characterization • EO Residuals
• Endoscopy • Tissue • Toxicological Assessments • BI Sterility
• Hospital Consumables • Pharmaceuticals
• Cardiovascular • Personal Protective
BIOMEDevice Boston Booth 442
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Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 23


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WebinarsMedical Device Biofilms: Slimy, Sticky,


Stubborn, and Serious
Tuesday, September 13, 2022 at 1:00 pm U.S. EDT
Major advances in medical devices have been made over the last few decades, keeping thousands of people alive and improving the quality
of life for others. At the same time, these devices (e.g., implants, catheters, in-dwelling devices, and contact lenses) can be the source of
serious or life-threatening infections caused by the adherence and establishment of biofilms on the surface of the device.
Due to the unique nature of a biofilm’s structure and its resistance to antimicrobial agents, minimizing the risk of biofilm formation poses
great challenges. This 60-minute Webinar explores current perspectives on and testing methods of biofilms.
Speakers:
Margaret Butler, Ph.D. Russell Griggs
Department Scientist, Study Director,
Nelson Laboratories Bozeman Nelson Laboratories Bozeman

Please visit www.techbriefs.com/webinar313

24 MDB Webinar Half Page Ad 0922.indd 1


www.medicaldesignbriefs.com Medical Design Briefs, September 2022
8/17/22 10:10 AM
n Breath-Driven Concept n ‘Smart’ Necklace May
Could Transform Track Health Through Sweat
Prosthetics A team of researchers has
Researchers have devel- demonstrated a battery-free, wire-
oped a hand prosthesis pow- less biochemical sensor that detect-
ered and controlled by the ed the blood sugar — or glucose
user’s breathing. The sim- — humans excrete from their skin
Researchers have developed a new ple, lightweight device offers when they exercise.
breath-driven concept set to trans- Participants rode on stationary
form access to hand prosthetics. an alternative to Bowden The team fabricated a smart
bikes to produce enough sweat
(Credit: University of Oxford) cable-driven body-powered for the study’s sensor to ana- necklace — complete with a
prosthetics initially devel- lyze. (Credit: Getty Images) functional clasp and pendant —
oped in the early 19th century — particularly for those too which, once placed around their
young or anatomically unsuited to an uncomfortable har- necks, was used to monitor the glucose level of study partici-
ness and cable system. pants as they exercised.
The new approach provides an alternative body-powered Instead of a battery, it works using a resonance circuit, which
device for users in situations where cost, maintenance, com- reflects radiofrequency signals sent out by an external reader sys-
fort, and ease of use are primary considerations. By regulat- tem. After engaging in indoor cycling for 30 minutes, participants
ing their breathing, users power a small purpose-built Tes- took a 15-minute break, during which they drank sugar-sweetened
la turbine that can accurately control the prosthetic finger beverages, before resuming cycling.
movements. The volume of air needed to power the unit can The results showed the sensor tracked the glucose levels suc-
be achieved by young children, and the gearing in the unit cessfully, which suggests it will work to monitor other important
determines the speed of the grasping action. chemicals in sweat. Additionally, the smart necklace requires only
Cable and harness free, the device is suitable for children a minimum amount of sweat for the interface to work due to the
and adolescents who are still growing. Minimal maintenance miniaturized structure of the sensing interface.
and training are needed for ease of use in comparison to For more information, visit www.medicaldesignbriefs.com/
other prosthetic options. roundup/0922/necklace.
For more information, visit www.medicaldesignbriefs.com/
roundup/0922/prosthetics. n Electrospinning Advantages
for Wearable Technology
n Copper Nanowires Researchers have shown that
Combat Spread of electrospun materials have many
Diseases advantages over conventional bulk
An ancient metal used materials for the development of
for its microbial prop- wearables. Electrospun materials’
erties is the basis for a high surface-to-volume ratio endows
materials-­based solu- Electrospun nanofibers boast them with enhanced porosity and
tion to disinfection. A numerous advantages over breathability, which is important for
Left: Scanning electron microscopy im- conventional bulk materials
age of the network on a copper-sprayed
team of scientists has long-term wearability. Also, with the
for the development of
surface. Right: Up-close image of nano­ developed an antimi- wearables. (Credit: Sameer appropriate blend of polymers, they
wire. (Credit: Ames National Laboratory) crobial spray that de- Sonkusale) can achieve superior biocompatibility.
posits a layer of copper Conductive electrospun nanofibers
nanowires onto high-touch surfaces in public spaces. provide high surface area electrodes, enabling both flexibility and
The spray contains copper nanowires (CuNWs) or copper-­ performance improvements, including rapid charging and high
zinc nanowires (CuZnNWs) and can form an antimicrobial energy storage capacities. Also, their nanoscale features mean
coating on a variety of surfaces. This research was initiat- they adhere well to the skin without need for chemical adhesives.
ed by the COVID-19 pandemic, but the findings have wid- Electrospinning is considerably less expensive and more user-­
er-reaching applications. friendly than photolithography for realizing nanoscale transistor
First the surface needs to be cleaned and disinfected, morphologies with superior electronic transport. The researchers
then the reformulated copper ink solution can be applied. are confident that electrospinning will further establish its claim
The ideal coating should be thin enough to be transparent. as a versatile, feasible, and inexpensive technique for the fabrica-
The ink can be diluted with water or alcohol to make it tion of wearable devices in the coming years.
sprayable, and it works on plastic, glass, and stainless-steel They note that there are areas for improvement to be consid-
surfaces. ered, including broadening the choice for materials and improv-
The team tested two types of copper ink: CuNW and CuZn- ing the ease of integration with human physiology. They suggest
NW. Compared to a plain copper disk, both inks were just as the aesthetics of wearables may be improved by making them
effective at disabling the virus. The nanowires worked faster smaller and, perhaps, with the incorporation of transparent ma-
because of their greater surface area. terials, almost invisible.
For more information, visit www.medicaldesignbriefs.com/ For more information, visit www.medicaldesignbriefs.com/
roundup/0922/nanowires. roundup/0922/wearables.

Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 25


n Device Measures Vitals n Smartphone Clip-On
from Ear Canal Detects Zika in Blood
A new device, called MedSENS, Researchers have devel-
measures various vital parameters oped an instrument that can
from the ear canal. The instru- be clipped on to a smart-
ment consists of a probe about the phone to rapidly test for
size of an ear plug, which contains Zika virus in a single droplet
innovative measuring sensors. It is of blood.
MedSENS consists of a probe The development team holding the
pushed it into a victim’s ear, then instrument and the cartridge. (Cred- A cartridge that contains
about the size of an ear plug.
(Credit: Eurac Research/Mar- covered with an outer ear pad that it: University of Illinois) reagents required to detect
tina Jaider) insulates against heat and cold. the virus is inserted into the
The device incorporates a small instrument to perform the test while the instrument is clipped
screen that shows the measured values in real time. In addition to onto a smartphone. Once the patient adds a drop of blood,
body temperature, it also measures heart rate and oxygen satura- one set of chemicals break open the viruses and the blood
tion and gives a complete picture of essential vital parameters. The cells within five minutes. A heater below the cartridge heats it
data can then be sent wirelessly to any other connected device. up to 65 °C. A second set of chemicals then amplifies the viral
It is designed for emergency situations, such as when the vic- genetic material, and the liquid inside the cartridge fluoresc-
tim is suspected to be hypothermic, knowing their core tempera- es bright green if the blood sample contains the Zika virus.
ture as accurately as possible is essential for proper triage. During The entire process takes 25 minutes.
simulations of interventions between –10° and 20 °C, rescue The clip-on device uses the smartphone’s rear camera, which
workers had to apply the device. The “victims” were monitored looks at the cartridge while the amplification occurs. When
both through the MedSENS device and a traditional esophageal there’s a positive reaction, little green blooms of fluorescence
probe, which had previously been inserted in the clinic. eventually fill up the entire cartridge with green light.
For more information, visit www.medicaldesignbriefs.com/ For more information, visit www.medicaldesignbriefs.com/
roundup/0922/vitals. roundup/0922/zika.
MDB DA Pro Rubber Ad 0621.qxp_1/2 Page Horizontal 5/24/21 2:25 PM Page 1

26 www.medicaldesignbriefs.com Medical Design Briefs, September 2022


Tiny Robots Bring Healthcare Closer to Precisely
Targeted Drug Delivery
The multifunctional
wireless robots maximize
health outcomes and
minimize invasiveness of
procedures.
Stanford University
Stanford, CA
If you’ve ever swallowed the same round
tablet in hopes of curing everything from
stomach cramps to headaches, you already
know that medicines aren’t always de-
signed to treat precise pain points. While
over-the-counter pills have cured many ail-
ments for decades, biomedical researchers
have only recently begun exploring ways to
improve targeted drug delivery when treat-
ing more complicated medical conditions,
like cardiovascular disease or cancer. Origami millirobot with spinning-enabled propulsion. (Credit: Zhao Lab)
A promising innovation within this
burgeoning area of biomedicine is the This new “spinning-enabled wireless lowed the researchers to get more use
millirobot. These fingertip-sized robots amphibious origami millirobot” is as mul- out of the materials without adding bulk
are poised to become medicine’s future tifunctional as its name implies. It’s an el- — and in Zhao’s world, the more func-
lifesavers — to crawl, spin, and swim to egantly conceived single unit that’s able tionality achieved from a single structure
enter narrow spaces on their mission to to speedily travel over an organ’s slick, within the robot’s design, the less inva-
investigate inner workings or dispense uneven surfaces and swim through body sive the medical procedure is.
medicines. fluids, propelling itself wirelessly while Another unique aspect of the design of
Leading research in this field, Stan- transporting liquid medicines. Unlike the robot is the combination of certain
ford University mechanical engineer Re- pills swallowed or liquids injected, this ro- geometrical features. A longitudinal hole
nee Zhao is working on many millirobot bot withholds medicine until “it reaches into the robot’s center and lateral slits an-
designs at once — including a magnetic the target, and then releases a high-­ gled up the sides reduced water resistance
crawling robot, which was recently seen concentration drug,” says Zhao, who is an and helped the robot swim better. “This
worming its way through a stomach on assistant professor of mechanical engi- design induces a negative pressure in the
the cover of Science Advances. Powered by neering. “That is how our robot achieves robot for fast swimming and meanwhile
magnetic fields — which allow for con- targeted drug delivery.” provides suction for cargo pickup and
tinuous motion and can be instantly ap- transportation,” Zhao says. “We take full
plied to generate torque and change the n Reshaping Drug Delivery advantage of the geometric features of this
way the robots move — her robots can What’s groundbreaking about this par- small robot and explore that single struc-
self-select different locomotive states ticular amphibious robot, according to ture for different applications and for dif-
and overcome obstacles in the body. Just Zhao, is that it goes beyond the designs of ferent functions.”
by shifting the strength and orientation most origami-based robots, which only Based on conversations with Stanford
of the magnetic field, Zhao’s team can utilize origami’s foldability to control how Department of Medicine experts, the
send the robot sailing across the body at a robot morphs and moves. Zhao Lab is considering how to improve
distances in a single leap that are 10 On top of looking at how folding upon current treatments and proce-
times the robot’s length. could enable the robot to perform cer- dures by building new technologies. If
A key aspect of her research, the mag- tain actions — imagine an accordion this work goes Zhao’s way, her robots
netic actuation also provides untethered fold that squeezes out medicine — won’t just provide a handy way to effec-
control for noninvasive operation and Zhao’s team also considered how the di- tively dispense medicine but could also
separates the control unit from the de- mensions of each fold’s exact shape in- be used to carry instruments or cameras
vice to allow for miniaturization. Zhao fluenced the robot’s rigid motion when into the body, changing how doctors ex-
says their most recent robot, featured in it was not folded. As a result, the robot’s amine patients. The team is also working
Nature Communications, is “the most ro- unfolded form inherently lends itself to on using ultrasound imaging to track
bust and multifunctional untethered ro- propulsion through the environment. where robots go, eliminating any need to
bot we have ever developed.” Such broad-minded considerations al- cut open organs.
Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 27
n The Smaller, Simpler, the Better functionality. Her amphibious robot ex- versity. Iaccarino is also a member of Stan-
While we won’t see millirobots like emplifies that mission, as it inspired her ford Bio-X and an affiliate of the Precourt
Zhao’s in real healthcare settings until team to more fully consider geometric Institute for Energy and the Stanford
more is known about optimal design and features not yet commonly prioritized by Woods Institute for the Environment.
imaging best practices, the lab’s first-of- other origami robot researchers. “We Yang is also a member of Stanford Bio-X,
its-kind swimmer highlighted in Nature started looking at how all these work in the Cardiovascular Institute, and the Wu
Communications is among their robots parallel,” Zhao says. “This is a very Tsai Human Performance Alliance. Zhao
that are furthest along. It’s currently in unique point of this work, and it also has is also a member of Stanford Bio-X, the
the trial stages that come before any live broad potential application in the bio- Cardiovascular Institute, the Wu Tsai Hu-
animal testing that proceeds human clin- medical field.” man Performance Alliance, and the Wu
ical trials. Additional Stanford co-authors of this Tsai Neurosciences Institute.
In the meantime, Zhao’s team contin- paper include postdoctoral scholars Qiji This research was funded by the Na-
ues combining a variety of novel smart Ze and Gentaro Ikeda; doctoral student tional Science Foundation and the Amer-
materials and structures into unique de- Shuai Wu; Phillip C. Yang, who is a profes- ican Heart Association.
signs that ultimately form new biomedical sor of medicine in the School of Medi- This article was written by Ashley Be-
devices. She also plans to continue scaling cine; and Gianluca Iaccarino, who is a langer, Stanford. Contact: Jill Wu, Stan-
down her robots to further biomedical professor of mechanical engineering and ford University School of Engineering:
research at the microscale. director of the Institute for Computation- 386-383-6061, jillwu@stanford.edu. For
As an engineer, Zhao strives to devel- al and Mathematical Engineering. Other more information, visit https://news.
op the simplest structures with the most co-authors are from The Ohio State Uni- stanford.edu.

Surface Mount Technology for PCB Assembly Use Case


and SMT in Healthcare Systems
SMT assembly eases the merits. To understand the wide usage of mount devices (SMDs). They are smaller
constraints of the board SMT in printed circuit board (PCB) as- in size compared to through-hole devices
space. sembly, this article discusses the SMT pro- and are suitable for high-routing density
cess, benefits of SMT assembly, major dif- and compact designs.
TechnoTronix ferences compared with the through-hole SMT benefits include:
Anaheim, CA technology (THT) method, and suitable • Supports assembly automation and
applications in the electronics industry. helps in quicker bulk production.
Surface mount technology (SMT) is While the THT process involves mount- • Reduces manufacturing costs due to
widely accepted as the ideal process for ing electronic components by inserting smaller PCBs. SMDs have smaller foot-
electronic products that are compact, their leads in the holes drilled on the prints, and a small board can offer
lightweight, and high speed. Both PCB, the SMT process directly solders more functionalities as well.
through-hole and surface mount assembly the components onto the surface of the • Supports high-speed design because it
techniques have their own merits and de- PCB. These components are called surface can produce densely packed PCBs.
• Produces fewer assembly defects be-
cause the SMT process easily adapts to
SURFACE MOUNT TECHNOLOGY required modifications and upgrades.
FOR PCB ASSEMBLY • Improves signal integrity and reduces
electromagnetic interference because
the traces become shorter between
closely placed components.
• Increases the reliability of SMT assem-
bled PCBs. The application of solder
paste instead of molten solder highly
reduces the possibility of component
failure due to false solder joints.
• Offers flexibility because combining
SMT with THT assembly methods pro-
vides greater functionality.
There are several differences between
through-hole and surface-mount technol-
ogies that make each suitable for some
A secure product requires effective security measures and a clear set of requirements. (Credit: Pix- specific applications. SMT, however, has
abay/VIN JD) penetrated almost all the electronics do-
28 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
mains and will continue to add more fea- cess. The THT method is best suited for Although SMT assembly offers multi-
tures to the PCB assembly process. applications where the final product is ple advantages in the PCB manufactur-
SMT assembly eases the constraints of exposed to continuous vibration or peri- ing process, there are few disadvantages
the board space when compared to the odic mechanical stress. also. Surface mounting is not recom-
THT assembly method. Through-hole In applications where high-speed cir- mended for harsh environment applica-
components require preparations such cuits are required, SMT PCBs are the best tions. SMDs can easily get damaged in
as lead bending and trimming before in- choice. Stray capacitance and inductance high-thermal operations. Due to the
serting in the holes. These steps increase issues are reduced in SMT PCBs because dense component placement on an
the assembly cost of the PCB. SMDs do there are fewer holes drilled on the PCB. SMT PCB, there may be insufficient
not have leads and are directly soldered The automation of the SMT assembly space for a detailed silkscreen. Manual
on the surface of the PCB. Higher pin method drastically reduces the cost, and a debugging and identifying components
count packages are also available. How- compact design provides small, light- for any rework may become complex in
ever, SMDs do require advanced assem- weight PCBs. Thus, SMT PCBs are used such PCBs.
bly skills and experienced staff to handle extensively in applications such as wear- To decide which assembly technology
the production line. able consumer products and implantable is suitable for a given application, it is
SMT assembly is capable of mounting medical devices. essential to consider factors such as the
fine-pitch components, which is not pos- SMT assembly has made it possible to product usage, the environmental con-
sible using the THT method. In applica- choose flexible substrates for PCB fabri- ditions and stress applied, power re-
tions where space is premium, this SMT cation. Flex and rigid-flex PCBs are in- quirements with associated heat dissipa-
feature is surely the front-runner. With troduced only because of the SMT as- tion, performance based on the
the SMT assembly process, PCBs that re- sembly process. The improved efficien- com­ponent’s package, assembly quality
quire a mixed build of both through- cy of PCB assembly is attributable to the and ease of rework, price benefits, and
hole and surface-mount components automation of the entire process, which component lead time. In most of the
can be attained. Although SMT reduces eliminates the scope of manual errors. conditions, SMT will be the best option
production costs, the capital investment Pick-and-place equipment speeds up as- for PCB assembly.
required on machinery is quite high sembly of the PCB and reduces process- SMT assembly is widely used in appli-
compared with the through-hole pro- ing time significantly. cations like consumer electronics, medi-

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Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 29


cal devices, telecom applications, auto- like smartphones and smartwatches are tronic design automation tools have
motive, etc. Rapid production, higher driving growth in the telecom industry. improved the design for manufacturabili-
circuit speed, assembly automation, low- Compact and flexible products are also ty (DfM) software that helps PCB design-
er cost, higher density, design flexibility, possible because of the development of ers to build industry-standard products.
and improved performance are the im- the SMT PCB assembly process. The PCB assembly process of complex
portant features of the SMT assembly Several growing trends in the SMT pro- circuits has become faster and easier due
process that support the extensive usage cess include building fast and flexible as- to the automated SMT assembly lines.
of SMT PCBs in electronic applications. sembly lines, efficient and easily upgrad- Customer satisfaction has been achieved
able assembly setup, etc. But assembly by consistent and high-quality SMT PCB
SMT Assembly for Healthcare service providers are also focusing on de- manufacturing, and contract manufac-
Systems veloping environmentally friendly PCB turers have built cutting-edge assembly
Healthcare systems have grown tre- manufacturing units. There are compli- units to capture the growing market of
mendously in the field of patient care. ance requirements included in the SMT SMT PCB products.
Monitoring devices like blood pressure assembly process to develop a green line This article was written by Ken Ghad-
monitors and pulse oximeters are com- for PCB assembly. ia, Senior Sales Engineer, TechnoTronix
pact and lightweight because SMT PCBs SMT for PCB assembly makes miniatur- Inc., Anaheim, CA. For more informa-
are used in such medical equipment. In- ization, versatility, and extended opera- tion, visit www.technotronix.us. Contact:
creasing demand for consumer products tions possible in the PCB industry. Elec- keng@technotronix.us.

Helmet Made of Magnetic Metamaterials Could


Improve Brain Scans
The wearable Now, Zhang and her team have
metamaterial could help taken their work a step further with
make MRI scans crisper, the wearable metamaterial. The
dome-shaped device, which fits over
faster, and cheaper. a person’s head and can be worn
Boston University during a brain scan, boosts MRI per-
Boston, MA formance, creating crisper images
that can be captured at twice the
It may look like a bizarre bike helmet, normal speed.
or a piece of equipment found in Doc The helmet is fashioned from a se-
Brown’s lab in Back to the Future, yet this ries of magnetic metamaterial reso-
gadget made of plastic and copper wire is nators, which are made from 3D
a technological breakthrough with the printed plastic tubes wrapped in
potential to revolutionize medical imag- copper wiring, grouped on an array,
ing. Despite its playful look, the device is and precisely arranged to channel
actually a metamaterial, packing in a ton Ke Wu, a PhD student in BU’s department of me- the magnetic field of the MRI ma-
of physics, engineering, and mathemati- chanical engineering, demonstrates a new magnetic chine. Placing the magnetic meta-
metamaterial device intended to be used in conjunc-
cal know-how. tion with MRI machines to boost the quality of brain material — in helmet form or as the
It was developed by Xin Zhang, a Col- scans. (Credit: Cydney Scott) originally designed flat array—near
lege of Engineering professor of me- the part of the body to be scanned,
chanical engineering, and her team of and placed at different orientations, de- says Zhang, could make MRIs less
scientists at BU’s Photonics Center. pending on which waves they’re de- costly and more time efficient for doc-
They’re experts in metamaterials, a type signed to influence. tors, radiologists, and patients — all
of engineered structure created from Metamaterials can have many novel while improving image quality.
small unit cells that might be unspectac- functions. Zhang, who is also a professor Eventually, the magnetic metamaterial
ular alone, but when grouped together of electrical and computer engineering, has the potential to be used in conjunc-
in a precise way, get new superpowers biomedical engineering, and materials tion with cheaper low-field MRI machines
not found in nature. Metamaterials, for science and engineering, has designed to make the technology more widely avail-
instance, can bend, absorb, or manipu- an acoustic metamaterial that blocks able, particularly in the developing world.
late waves—such as electromagnetic sound without stopping airflow (imagine This work is supported by the National
waves, sound waves, or radio waves. quieter jet engines and air conditioners) Institutes of Health.
Each unit cell, also called a resonator, is and a magnetic metamaterial that can This article was written by Jessica Co-
typically arranged in a repeating pat- improve the quality of magnetic reso- larossi, Boston University. For more in-
tern in rows and columns; they can be nance imaging (MRI) machines used for formation, visit https://www.bu.edu.
designed in different sizes and shapes, medical diagnosis. Contact: jrcola@bu.edu.
30 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
Risk Management for Cybersecure Networked
Medical Devices
Comprehensive and been doubly affected: On the one hand, like the German “Digital Healthcare Act.”3
intensive care had to be stretched to the In times of pandemic, when care should be
complete security risk limit at times, and politicians and the me- as contactless as possible, they receive spe-
management helps dia everywhere are calling for medical and cial attention.
develop efficient epidemiological expertise. On the other
countermeasures. hand, cyber threats in the healthcare sector n Little Experience and Serious
increased massively. According to the Consequences
TÜV SÜD Product Service “2021 Global Threat Intelligence Report” The attacks range from extortion at-
Munich, Germany of the technology service company NTT, tempts (ransomware) to industrial espio-
the number of cases in the healthcare sec- nage. Besides pharmaceutical companies
For developers and manufacturers of tor tripled in 2020 compared to the previ- and clinics, research institutions are also
networked medical devices, IT security is ous year.1 Four out of five medical device targeted. In the worst case, manipulations
increasingly becoming a challenge. While manufacturers were the target of at least in sensitive medical areas endanger the
the number of cyber threats is growing sig- one attack in 2019. Telemedicine and re- safety of patients and users. However, the
nificantly, companies often lack experience mote care were the most affected. affected manufacturers and institutions
and clear guidelines for medical security. A Nearly one in four medical devices is must also reckon with considerable and
comprehensive and complete security risk connected to the Internet or otherwise lasting economic consequences in less seri-
management plan helps to meet existing connected to a network. While there were ous cases — for example, due to the loss of
requirements in the best possible way and already around 337 million devices in 2017, brand image if critical security vulnerabili-
helps develop efficient countermeasures. the number is estimated to rise to 125 bil- ties or safety deficits become public.
The healthcare sector is more in the lion by 2030.2 This also includes digital A secure product requires effective se-
public eye than ever before during the health applications, whose development is curity measures and a clear set of require-
MDB Nelson pandemic.
coronavirus Labs Ad 0622_ADAM.qxp_1/2
The sector has Page Horizontal by
encouraged 5/18/22
several5:49 PM Page
European 1
initiatives ments. However, many manufacturers

Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 31


life cycle, all the way through to de- market. This is also helpful for manufactur-
commissioning. This means that ers outside the U.S. market.
even if the product is already dis-
tributed, it must be continuously n Continuous Monitoring
monitored. This includes a report- and Testing
ing system, a problem resolution A comprehensive risk management
process, and regular updates. It and a security life cycle form the basis
should be borne in mind that med- for a secure medical device. In addition,
ical devices are designed for a sig- ongoing controls such as vulnerability
nificantly longer operating life scans, penetration tests, and fuzzing are
than, for example, household elec- necessary to ensure safe functioning —
tronics or software for private use. even during the operational phase.
The European General Data With the implementation of existing
Protection Regulation (GDPR) al- standards and specifications, manufac-
ready defines high requirements turers and developers ensure that their
A secure product requires effective security measures for data security. Regulations EU medical product corresponds to the
and a clear set of requirements. (Credit: Pixabay/VIN JD) 2017/46 (In-vitro Diagnostic De- technical state of the art. Proof of cyber-
vice Regulation, IVDR) and EU security of the medical device must be
have little experience with cybersecurity, 2017/745 (Medical Device Regula- provided to the regulatory authorities
and there are no clear guidelines, for ex- tion, MDR) set cybersecurity requirements or notified bodies as part of the certifi-
ample on how to implement “security by and demand, among other things, IT secu- cation process.
design” for medical devices. In addition, rity measures in accordance with the “gen-
References
there are only a few industry-specific erally accepted state of the art.” Depend- 1. 2021 Global Threat Intelligence Report, https://
standards, such as the technical report ing on the product class of a medical hello.global.ntt/en-us/insights/2021-global-­
IEC TR 60601-4-5 (“Medical electrical device, based on the classification by the threat-intelligence-report
equipment – Part 4-5: Guidance and in- MDR, extensive safety and performance 2. T
 he Internet of Things: A Movement, Not a Market,
https://cdn.ihs.com/www/pdf/IoT_ebook.pdf
terpretation – Safety-related technical se- requirements are the result for European 3. “Driving the digital transformation of Germany’s
curity specifications”). market access. healthcare system for the good of patients,”
(“Digitale-­
Versorgungs-Gesetz”, DVG) https://
Useful guidance exists for some sub­ www.bundesgesundheitsministerium.de/digi-
n Risk Management from Design areas. The MDCG 2019-16 guide, for exam- tal-healthcare-act.html
to Decommissioning ple, specifies the requirements for security
To identify all risks and threats, cyberse- risk management throughout the entire This article was written by Dr. Abtin Jam-
curity should be a key consideration at ev- product life cycle. In its “Postmarket Man- shidi Rad, Global Director Functional
ery stage of development. Because many agement of Cybersecurity in Medical Devic- Safety, Software and Digitization, TÜV
security vulnerabilities only become appar- es” guide, the U.S. Food and Drug Admin- SÜD Product Service GmbH, Munich,
ent after a product is on the market, risk istration (FDA) highlights the cybersecurity Germany. Contact abtin.jamshidirad@
management must encompass the entire aspects of products already placed on the tuvsud.com or +49 (0)89/50084-388.

Medical Packaging: Automation of Thermoforming


Processes
Automation facilitates n What Is Different About Medical in place and separating multiple items
higher, more predictable Packaging? packaged together from damaging each
throughput. Thermoformed medical packaging is other. For sharp objects, such as needles,
designed to protect a wide variety of items screws, and drills, the packaging must be
GN Thermoforming Equipment ranging from implantable medical devices designed to protect the safety of the peo-
Chester, NS, Canada to surgical instruments, to disposable cath- ple handling and opening the package.
eters and syringes. The selection of materi-
The medical packaging market has als and the forming and sealing processes n Considerations
quickly embraced the use of automa- are crucial to ensuring that the integrity of Material Selection. Ensuring an effec-
tion for the thermoforming process. the sterile barrier system is maintained tive and durable sterile barrier starts with
Automation has enabled adherence to during shipping and handling until the material selection. Polyethylene tereph­
stringent quality requirements and has product is opened by the user. thalate glycol-modified (PETG) and
addressed the need for high levels of Medical items are often delicate. There- high-impact polystyrene (HIPS) are of-
repeatability. Automation has also fa- fore, the packaging must protect the ten selected for medical packaging appli-
cilitated higher and more predictable products from damage during shipping cations. PETG is created by adding a gly-
throughput. and handling, securely holding each item col modifier to PET, making it slightly
32 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
softer for tighter seals and also more suit- Form/cut/stack systems are usually en- Investment in automation offers many
able for withstanding high-­temperature closed in a protective envelope, protect- advantages in medical packaging manu-
sterilization processes. ing the process and the product from facturing. More precision and control
In addition to the polyethylene family of ­airborne particulates and ambient temp­ result in much higher repeatability,
plastics, HIPS is also commonly used for erature and humidity. They can be more which means higher quality products as
thermoforming in medical packaging. fully automated and, therefore, more pre- well as fewer defects and less waste. The
HIPS plastics are impact-resistant and clear, cisely monitored and controlled, especial- process improvements achieve faster cycle
and they have excellent hygienic qualities. ly machines with 100 percent servo motors times and predictable output, for higher
Strong Flange and Complex Geome- and drives. throughput and scalability.
tries. The shape of the packaging typi-
cally differs for medical products. The
entire package must withstand the
temp­erature and pressure extremes of
the sterilization process. The flange
must have the required thickness and
rigidity — and smooth surface — to ac-
cept and maintain a hermetic seal to a
Tyvek lid. The sidewalls must also have
adequate and consistent strength and
thickness to prevent cracking and leak- Medical-grade tubing —
age during transport and handling.
The most challenging aspect of medi-
Over 150 tubing options available
cal packaging design is often the complex
In stock and ready for immediate delivery!
geometries required to isolate individual
Qosina offers a wide selection of stock and custom tubing for
items into separate compartments and to
medical device and bioprocess applications.
lock each item in place. When properly
designed and manufactured, undercuts
allow each part to be snapped into place Benefits of Qosina
and held securely.
Elimination of Airborne Particulates. • Choose from more than 150 options!
Most medical packaging applications call • Conveniently packaged small coils
for enclosing the thermoforming machin- for prototyping
ery in a protective enclosure to minimize
exposure to airborne particulates that can • Extended lengths for large-scale
cause gaps during the hermetic sealing production requirements
process. It is imperative that measures are
taken to eliminate static that will attract • Cut-to-length pieces and custom coil sizes
particulates and to ensure that the cutting
• Available in a variety of brands, types,
process does not generate particulates that
diameters, durometers and materials
can migrate to the product.
Enclosing the machinery is important • Low minimum order quantities
not only for protection against particulates
but also for isolating the system from ambi- • Free samples
ent air and temperature that can cause fluc-
tuations in the heating of materials and in
the air pressure of pneumatic components. Stock Materials

n Increasing Automation • DEHP-free PVC • FEP


All of these special requirements for
medical packaging have led to the wide- • TPE • Silicone
scale adoption of form/cut/stack thermo- • HDPE • Multi-layer
forming systems. Simpler and less-costly
contact heat systems are suitable for only a
Qosina is your one-stop source for high-quality, cost-effective medical tubing.
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and the higher clamping forces that form/
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tems are primarily used for simple package Viale Giacomo Matteotti, 26, 20095 Cusano Milanino (MI) Italy +39 02 66401337 info@qosinaeurope.com

designs and low production volumes.


Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 33
signed with procedures and tools for
streamlining these processes and prevent-
ing errors and with ergonomic aids for lift-
ing and correctly positioning heavy objects.

n Intuitive HMI
Moreover, the human-machine inter-
face (HMI) must be designed to be intu-
itive and easy-to-learn for new employees
while also being very efficient and easy-
to-use during production every day. The
latest HMI systems employ large high-­
resolution displays that support multi-
touch gestures, taking advantage of the
skills new employees now universally
bring with their years of smartphone ex-
perience. Like smartphones apps, these
new interfaces should require little train-
ing and no paper documentation.
Medical packaging must protect the products from damage during shipping and handling, securely holding
each item in place and separating multiple items packaged together from damaging each other. (Credit:
GN Thermoforming) n Looking Forward
The whole concept of a form/cut/stack
Precise control and repeatability are duction line, a single operator can cover thermoforming machine is to integrate
also critical to the calibration and produc- multiple lines. This requires that the ma- and automate multiple functions in a sin-
tion consistency required by the strict stan- chines autonomously perform the form- gle system. Medical packaging manufac-
dards and government regulations for ing, cutting, and stacking processes with turers have been at the forefront of the
medical packaging, such as ISO 11607:2019 little or no hands-on engagement by the trend toward automation, initially driven
and Title 21 CFR Part 11. Automation may operator. For high-volume production, by the need for high quality, repeatability,
also include vision systems and other in- robotics are increasingly employed to au- and traceability. Automation also in-
spection technology that provide automat- tomatically perform downstream packag- creased scalability and throughput. The
ic, continuous real-time quality control. In ing and palletizing functions. But the au- third driver of automation is the need to
general, the more automation, the greater tonomous operation of these functions is address labor shortages and high turnover
the opportunity to collect data for process only one element of automation. by making processes more productive and
improvement and for traceability. The procedures for changing tooling be- less labor-intensive and easier to learn.
tween SKUs and for replacing roll stock also This article was written by Brian Gold-
n Ease of Operation need to minimize human error and effort. en, Sales Director Americas, GN Ther-
Automation addresses workforce issues The right tooling needs to be installed in moforming Equipment, Chester, NS,
in several ways. Obviously, automated sys- exactly the right way, for every production Canada. For more information, visit
tems are less labor-intensive. Instead of run, and roll stock can weigh 1500 lbs. www.bmg-solutions.com/gn. Contact: 902-
requiring one or more operators per pro- Thermoforming equipment should be de- 275-3571.

Researchers Develop Rapid Lab-on-a-Chip for Cancer,


COVID Diagnostics
The technology for medical recently earned $6.6 million in continued liva, urine, or blood from a patient. The
funding over the next five years from the liquid biopsies can detect circulating tu-
tests has received $6.6 National Institutes of Health’s National In- mor cells, cell-free DNA, viruses, and vesi-
million in continued NIH stitute of Biomedical Imaging and Bioen- cles that are released by biological cells as-
funding. gineering (NIBIB) as a National Biotech- sociated with a particular disease.
nology Resource (P41) Center. The technology honed at KU and part-
University of Kansas The Center of BioModular Multi-Scale ner institutions is pushing forward the
Lawrence, KS Systems for Precision Medicine, dubbed boundaries of precision medicine, improv-
CBM2, takes small plastic chips made of ing and extending the lives of patients,
A research center based at the Universi- the same material as a compact disc and and creating commercialization partner-
ty of Kansas that develops rapid next-­ transforms them into marvels of engineer- ships as well as new training and education
generation tests for a host of human ail- ing and chemistry that quickly can detect opportunities in the Lawrence-Kansas City
ments like cancer, stroke, and COVID-19 hard-to-diagnose human diseases using sa- region and beyond.
34 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
“We develop little $2 widgets made very small vesicles — the presence of tor for this P41 Center and have been
from a plastic by injection molding that which indicates early stage of cancer that excited to work with an extremely talent-
can take a liquid biopsy sample and will provide better survival compared to ed and creative team of bioengineers at
search for different types of markers that current diagnostic methods. KU, LSU, UNC and Wake Forest who are
can help a physician manage disease,” “The CBM2 is an essential component developing cutting-edge technologies to
says CBM2 director Steven Soper, Foun- of our collaborative efforts to develop a help advance the future of health care.”
dation Distinguished Professor of Chem- stand-alone Precision Medicine Institute The medical advances developed at
istry, Mechanical Engineering and Bio- at the University of Kansas,” Godwin CBM2 already are helping patients through
engineering, who brought the center to says. “I’m pleased to serve as the codirec- commercial partnerships with private firms
KU when he was recruited from the Uni-
versity of North Carolina in 2016. “To
give you an example, this little chip is
used to isolate tumor cells out of the
blood of cancer patients. A physician will

F
take a sample of blood from the patient,
put it into the chip to enrich the tumor
cells from the blood sample — there’s

SIC K O
GS?
very few of them, maybe about 10 or so

RIN
— and then we open those cells to look
at the genetic composition to help de-
cide: does the patient have a disease,
how to treat the disease, is the patient
responding to therapy?” COIL SP
Of the 50 P41 centers, CBM2 is the only
one based in an NIH IDeA (Institutional
Development Awards) state — a designa-
tion for states that historically have re-
ceived lower amounts of NIH funding.
“Most of these biotechnology resource
centers, as with all big projects, are on ei-
ther coast,” Soper says. “We’re the only bio-
technology resource center that’s funded
in an IDeA state, so that’s a big hooray for We were too.
Kansas and KU — all major NIH centers
have high visibility, so we have a very im- That’s why we invented
portant mission because we’re the only
center of these 50 that has these technolo- the wave spring.
gies, and we’re filling an important niche
within the NIH community.” • Optimize Application Space & Weight
Much of the work of CBM2 takes place • Industry-Specialized Design Support
in collaboration with partners that include • Large Selection from Stock
KU Medical Center (Andrew Godwin, • Easy to Customize
CBM2 co-director), University of North
Carolina-Chapel Hill (Dr. David Kaufman,
CBM2 co-director), Louisiana State Uni-
versity (professors Sunggook Park and Mi-
chael C. Murphy) and the Wake Forest
School of Medicine (professor Adam Hall).
For instance, at KU Medical Center,
Godwin — who also serves as deputy di-
rector of The University of Kansas Can-
Crest-to-Crest® Wave Springs
cer Center and director of Kansas Insti-
9LVLWX
XVD %,20('%
DW% %RRWK

tute for Precision Medicine COBRE
— and Soper are working to develop a
handheld instrument to spot viruses giv-
ing rise to COVID-19 and to detect ovar-
ian cancer early in women with a high
family risk. This kind of cancer detection
uses a few blood drops placed on a plas- Request Free Samples at 847-719-5900 or smalley.com
tic chip created by the center to look for
Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 35
like San Diego-based BioFluidica, culating tumor cells are secured
which markets instruments for the from a blood sample using a plastic
isolation and analysis of liquid biopsy microchip pioneered by the CBM2
markers. Some of these products al- and marketed by BioFluidica.
ready are in use at the KU Cancer Other important research initia-
Center to improve outcomes of can- tives include a project with Dr. Ali-
cer patients in Kansas as well as those son Baird of SUNY Downstate Medi-
across the U.S. cal Center in New York City on a test
“I want to congratulate Drs. Soper using small vesicles as markers for a
and Godwin for the renewal of the point-of-care test for diagnosing
CBM2 P41 grant,” says Dr. Roy Jen- ischemic stroke. The test can be
sen, director of the KU Cancer Cen- The Center of BioModular Multi-Scale Systems for Precision completed in about 30 minutes to
ter. “This funding provides critical Medicine takes small plastic chips made of the same mate- help decide how best to treat pa-
infrastructure support to our re- rial as a compact disc or DVD, then transforms them into tients with stroke. In another effort,
marvels of engineering and chemistry that quickly can detect
search efforts focused on develop- hard-to-diagnose human diseases using saliva, urine, or CBM2 is developing a new nanotech-
ing new and improved detection blood from a patient. (Credit: CBM2) nology platform for sequencing RNA
systems for biomarkers in cancer and DNA to detect changes to the
and other diseases. This renewal For example, CBM2 is working with RNA genome of viruses that give rise
will go a long way toward further en- KUMC’s Dr. Anup Kasi on clinical trials to variants, such as those associated with
hancing our correlative science capa- at the KU Cancer Center to evaluate COVID-19.
bilities and places us at the cutting new therapeutics for pancreatic cancer, For more information, visit https://
edge of molecular diagnostics and pre- which accounts for 7 percent of cancer today.ku.edu. Contact: Brendan M.
cision medicine research.” deaths across the United States. The cir- Lynch, blynch@ku.edu.

How RFID Can Help Healthcare Maintain an Effective


Working Environment
floors, or that have thousands of assets. set intervals. To transmit information, ac-
RFID enables workers to Getting real-time or last-known location tive RFID tags contain a beacon or tran-
assign each unique information for these often-critical as- sponder, which is powered by batteries.
tracking information to sets can considerably improve opera- Active RFID tags are more expensive than
each asset. tional performance. Used at numerous passive RFID ones, but they can be worth
medical facilities across the United the cost to ensure more accurate tracking
Accutronics, Ltd. States, RFID technology enables work- of higher value items such as medical de-
Newcastle-under-Lyme, UK ers to assign each asset with unique vices (e.g., feeding devices and infusion
tracking information, which is stored in pumps) or other equipment (e.g., wheel-
Forty hours is a lot of time — for most a tag attached to the asset and located chairs and beds).
of us, it’s a full working week. Nurses in using an RFID receiver. With regard to the battery, size can be a
healthcare settings, however, spend this However, there are several different key consideration. A compact battery can
amount of time searching for medical types of RFID tags and receivers, so help to reduce the size of the tag and,
equipment each month, according to a which are the most qualified for the therefore, make it less detectable and
NursingTimes survey.1 What’s more, in 16 job? Passive RFID tags are the cheapest harder to remove from the device. Ultra­
percent of cases, respondents said that solution, so these are often used to life’s Thin Cells®, for example, are dis-
they had given up the search after fail- track lower value assets or discardable crete batteries measuring as thin as 1.1
ing to find a piece of equipment. With ones, such as blood vials or test tubes. mm. They retain more than 98 percent of
increasing demands on the sector for a These tags have no internal power their capacity after one year of storage at
more streamlined approach to health- source, so they are entirely reliant on room temperature, meaning they are al-
care, this article explores how radio­ energy transmitted from an RFID re- ways ready to use regardless as to how the
frequency identification (RFID) tag- ceiver. Consisting of an integrated cir- medical devices are stored. This can prove
ging can be used to locate assets that cuit and an internal antenna, passive useful in hospitals where equipment
healthcare workers need to do their tags are often embedded into adhesive could be left anywhere after use.
jobs more effectively. labels that are quick and easy to attach, Finally, there is a type of tag that sits
The underutilization and loss of med- or sometimes into the device itself. between active and passive, known as
ical assets costs the healthcare sector Alternatively, active RFID tags utilize a semipassive RFID, which reflects a small
millions of dollars each year. Hospitals battery, which enables them to transmit a fraction of the power emitted by an RFID
that are particularly susceptible are unique ID and location information every receiver. Because it does not have an on-
those with multiple buildings and time they pass an RFID receiver or at pre- board transmitter, the read range of a
36 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
semipassive tag can be limited. There- require different voltages or that have
fore, semipassive RFID tags are best bespoke requirements (size, perfor-
suited for applications where tagged mance, etc.), custom battery packs are
items stay within close range of an also an option.
RFID receiver or can be scanned reg- When it comes to tracking a hospi-
ularly, which may be achievable in a tal’s assets and devices, battery-powered
smaller hospital or clinic but could active RFID offers an excellent choice
prove challenging in a larger one. for real-time or last-known location
Active RFID tags, however, contain tracking. Selecting the optimum non­
a beacon/transponder that can trans- rechargeable battery to power the tags
mit signals to a receiver more than ­20 and rechargeable battery to power a
m away (sometimes up to 150 m), de- handheld reader (if required) is critical
pending on frequency levels and oth- to attaining the desired results.
er factors. To further expand this dis- Ultralife’s Thin Cells® are discrete batteries that measure
tance, in larger hospitals or those as thin as 1.1 mm. (Credit: Ultralife) References
with several buildings, instead of buy- 1.“MGM Solutions: 6000 Hours Per September
Wasted on Nurses Finding Lost Equipment,”
ing multiple receivers, a hospital can Because handheld RFID readers may Healthcare Facilities Today, https://www.health-
utilize its existing Wi-Fi nodes, which not be in continuous use, they are often carefacilitiestoday.com/posts/MGM-Solutions-
6000-Hours-Per-September-Wasted-on-Nurses-
may already cover most of the hospital powered by rechargeable batteries that Finding-Lost-Equipment—17611
grounds and are likely to be networked are charged between use. For these types
together to share data. However, there of readers, pre-engineered­, rechargeable This article was written by Robert Brown,
may be some areas of a hospital that its lithium-­ion batteries, such as Ultralife’s Marketing Executive, Accutronics, Ltd.,
Wi-Fi network does not reach or where Soft Packs, are suitable. The batteries Newcastle-under-Lyme, UK. For more in-
existing nodes may not be compatible come in voltages ranging from 3.7 to 14.8 formation, visit www.ultralifecorporation.
with RFID. In these instances, handheld V and have a long cycle life. For original com. Contact: robert.brown@accutronics.
RFID readers can be a useful option. equipment manufacturers (OEMs) that co.uk or +44 (0) 1782 566 688.
Asahi_2022_MDB_Metal_printer.pdf 1 5/31/2022 9:44:52 PM

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Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 37


Why Cleanroom Assembly of Plastic Medical and Electronic
Devices Requires Ultrasonic Welding Technology
F or years, ultrasonic welding has been used in cleanrooms
where plastic components are assembled to complete medi-
cal and electronic devices. That is unlikely to change. What is
In ultrasonic plastic welding, parts are brought together un-
der pressure by the acoustic stack, which generates a vibratory
motion (amplitude) that is transferred to the part. These vibra-
changing, however —rapidly — is the sophistication and com- tions cause friction at the interface between the parts, creating
plexity of these products and the level of precision and quality heat and localized melting to form the weld. Ultrasonic weld-
required to complete their assembly. ing is an inherently clean process, but it does involve moving
Specialized manufacturers know that cleanliness — especial- parts, and particulate generation is always a possibility. In addi-
ly prevention of particulate contamination — is of paramount tion, quality standards — such as ISO 13485 in medical manu-
importance, and most have already installed the latest in HEPA facturing — demand real-time control, process monitoring,
filtration, air pressure, and temperature control and monitor- data storage, and communication capabilities that may not be
ing systems to comply with all applicable standards. However, it built into older welders.
is equally important for manufacturers to fully understand and
appreciate that today’s applications require higher levels of n State of the Art
performance in welding equipment than they did only a few Today’s advanced ultrasonic welders, such as the Branson™
years ago. Examples of challenging applications include: GSX-E1 model from Emerson, incorporate technology and fea-
• Plastic assemblies containing compressible internal elements, tures that make them ideal for cleanroom applications. For in-
such as elastomeric seals or cores stance, they are built with electromechanical (servo) actuators,
• Small, thin, or complex plastic parts welded onto plastic struc- which are far less likely to generate particulates than pneumat-
tures directly atop sensors or delicate electronics ically actuated units. The new GSX-E1 welder qualifies for an
• Components involving posts or other structural elements that ISO Class 5.5 cleanliness rating, and, if desired, a special
must be ultrasonically swaged or inserted into substrates that cleanroom-­friendly feature package, which includes stainless-­
vary in hardness or structural consistency, such as composites steel exterior surfaces to make wipe down easy, can be added.
• Parts molded from bioplastics and other novel materials with New power supplies that drive and control the welder also
narrow processing windows are drawing interest from cleanroom operators. These have
It is necessary, then, to stay current with available welding transitioned in recent years from analog to fully digital systems
technology. In fact, if ultrasonic equipment is even just seven that offer closed-loop feedback and tighter control of critical
years old, it may not be up to the task, and the consequences in weld parameters. This change is important because, while the
terms of quality and productivity can range from the inconve- welding equipment itself is inherently clean, the specifics of
nient to the catastrophic. each application — size, cycle times, polymer materials in-
volved, and so on — influ-
ence particulate genera-
tion. Suppliers can work
with customers to test ap-
plications and determine
the ideal “recipe” to
achieve high-quality re-
sults while also meeting
cleanliness objectives.
For instance, the Bran-
son GSX-E1 welder takes
advantage of closed-loop
feedback in the actuator
to make split-second ad-
justments to force and
amplitude. Both variables
can be changed in 10-step
increments such that, in a
1-second welding cycle,
for example, the setting
can be changed every 0.1
seconds to ensure optimal
results.
State-of-the-art power
By staying current with available ultrasonic welding technology, manufacturers of medical and electronic equipment find supplies also use web ser-
it easier to maintain the level of precision and quality required in the assembly of plastic components. (Credit: Emerson) vices to enable remote
38 www.medicaldesignbriefs.com Medical Design Briefs, September 2022
connectivity. Medical and electronics manufacturers can con- second is a weld reactivity score, which is used to adjust the de-
trol and monitor welding equipment from just about anywhere gree of variability allowed in the target result (e.g., a low reac-
in a given plant or around the world. They can digitally moni- tivity score equals a more homogenous result). Then, dynamic
tor the health of their assembly systems by tracking key process mode monitors each weld cycle, using the density and reactivity
indicators such as frequency or power draw. Variations in these limits to adjust the cycle in response to specific part-to-part vari-
and other values can provide early indications of problems in abilities throughout the production run.
the acoustic stack. This, in turn, helps users identify near-term
maintenance issues and avoid quality problems and unplanned n Getting to the Right Solution
downtime on the line. Focusing on challenging applications in medical and elec-
In addition, the advanced data-gathering capabilities of tronic cleanrooms, along with new equipment and technology
these digital power supplies also enable users to monitor pro- available to help ensure meeting quality and standards-­
cess parameters in real time, set high/low limits on weld re- compliance goals, is critical to advancing applications of new
sults, and configure alarms that flag weld cycles of parts that fall welding technology; however, not every situation will require
outside process limits. This capability enables automated bad- top-shelf features or be best-served by ultrasonic welding.
part processing and data logging that can be indispensable for Working closely with customers, supplier consultants use their
maintaining superior quality as well as the 100 percent trace- extensive process expertise and consider alternative technolo-
ability required under standards such as the U.S. Food and gies — like laser welding, for instance — before recommending
Drug Administration’s 21 CFR Part 11. the appropriate equipment. Branson welding solutions, for ex-
ample, are backed by deep technical knowledge, decades of ap-
n Dynamic Mode plication experience, and a global supply chain with sourcing,
Cleanroom applications often involve complex parts with very manufacturing, and customer-support capabilities.
tight welding tolerances or high levels of automation. Applica- This article was written by David Devine, Business Develop-
tions like these frequently require more advanced welding tech- ment Manager, Medical, for Branson Welding and Assembly at
nology than older systems that optimize welder performance Emerson, St. Louis, MO. For more information, visit www.
around a single factor that is critical to part quality such as ener- emerson.com. With in-depth knowledge of both plastic materials
gy (joules per weld), peak power, distance and assembly technologies, he provides customers with welding
(part collapse depth), or total weld time. and assembly solutions. Contact: DavidDevine@Emerson.com.
To overcome the limitations of single-­
factor weld modes, Emerson has devel-

Extend The Life of Tools and


oped a new patent-pending dynamic
mode that is available on the GSX-E1.
Dynamic mode leverages the servo-­
actuation system, combining Wear Surfaces Up to 1000%.
computing power and cutting-­
edge algorithms with high-
speed data communications to
monitor, recalculate, and ad-
just the weld process
in real time and
achieve an opti-
mized target result.
When using dy-
namic mode, the
manufacturer se-
lects the single-factor weld
mode — such as energy, distance, Improve and renew Micro-Electronic Tools, Surgical Instruments and Micro-
or time — that provides the best re- Laboratory Instruments with the Hunter Carbitron 300. This simple easy-to-
use process applies tungsten-carbide to tools and wear surfaces extending
sults in a new application. Then,
the life up to 1000%.
the user enters two additional
scores, which act as limits for The Carbitron 300 system, consisting of an adjustable power supply and
dynamic mode activity. The vibrating hand-tool is a heavy-duty unit incorporating the features of units
selling for 5 – 10 times its low price.
first is a material density
score that essentially charac- Used for Tissue Forceps, Needle Holders, Micro Needle Holders, Micro Pliers etc.
terizes the hardness or resis-
tance of the material that is Hunter Products, Inc.
to receive the welded, The Branson™ GSX-E1 welder from 908-526-8440
staked, or inserted part Emerson qualifies for an ISO Class www.hunterproducts.com
(e.g., a low-density score 5.5 cleanliness rating. This rating and
other technology and features make E-mail: hunter@hunterproducts.com
equates to a harder, more it ideal for cleanroom applications.
resistant material). The (Credit: Emerson)
Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 39
PRODUCT OF THE MONTH
2022 Product of the Year
Finalist
n DC/DC Converter
A series of high isolation 6 W DC/DC converters suitable for medical applications is available from
Cosel, Tokyo, Japan. Packaged in a single in line (SIP) type 8, the MH6 series has a reinforce isolation of
3k VAC, 4.2k VDC, and complies with medical isolation standard (2MOOP – 250 VAC working voltage).
Three input voltages (4.5–18; 9–36, and 18–76 V) and a large variety of single (MHFS6) and dual output
(MHFW6) options cover a large range of applications. The series has only 20 pF max insulation capaci-
tance, thus reducing noise transfer. It has built-in overcurrent protection circuit, with automatic recovery.
A remote control pin operating as negative logic (L:ON, H:OFF) is available.
For Free Info Visit http://info.hotims.com/82325-340

Product Focus: Pumps/Valves

n Mass Flow Controller n Media Isolation Valve


High-performance mass flow controllers and A solenoid-operated device from
meters are available from Sensirion, Stafa, Switzer- Clippard, Cincinnati, OH, uses a flex-
land. The SFC5500 mass flow controllers are cali- ible diaphragm to isolate the actua-
brated for multiple gases and come with push-in tion mechanism from the fluid path.
fittings, which can be easily swapped out from a list All wetted areas of the NIV Series me-
of compatible parts. They are available in ranges dia isolation valve are either PEEK or
from 50 sccm to 200 slm. The SFM5500 is a valveless version. The PTFE, making this series ideal for use with corrosive media. A
pressure-­resistant mass flow meters are available in four flow ranges: 50 unique feature of the series is the one-piece valve stem that func-
sccm, 0.5 slm, 2 slm, and 10 slm. The sensor is based on the micro­ tions as a sealing membrane while also supporting and centralizing
thermal measurement principle and uses the company’s CMOSens® the poppet in the seating area. This multifunctional poppet/­
MEMS technology. The mass flow controllers/meters are suitable for diaphragm/stem results in a simplified design with fewer parts
applications such as gas mixing in medical instruments. (only two for the 2-way and three for the 3-way), longer life, and
For Free Info Visit http://info.hotims.com/82325-341 zero dead volume. Four orifice sizes are available as 2-way normally
closed, 2-way normally open, or 3-way selector/diverter.
n Smart Pipette For Free Info Visit http://info.hotims.com/82325-344
Festo, Islandia, NY, has developed a closed-loop
smart-pipette for automated, high-speed dispensing n Fluid Power Systems
systems. The new DHOP smart pipette with DHAP Motion Industry, Birming-
low-force-tip family is designed for automated pipette ham, AL, offers fluid power, in-
applications where precision, validation, and process tegrated electronic controls
monitoring are needed. The DHOP’s three pressure and electromechanical technologies under a new brand, Mi Fluid
sensors validate the performance of every dispense. Power Solutions. The new brand comprises more than 65 on-­
Sensor data can be used to track dispense volumes demand retail fluid power hydraulic and industrial hose assembly
and fluid characteristics. The pipettes can alert to clogged tips and stores and support facilities, including repair, build, and engineer-
sense liquid levels. The DHOP closed-loop technology and the ing capabilities. The brand encompasses hydraulic equipment,
DHOE open-loop pipette is based on pressure over liquid technol- pneumatics, pumps, filtration, motors, and lubrication products, as
ogy. It allows the operator to program in engineering units (μl, ml), well as services that range from barcoded hose assemblies and VMI
and the pipette accurately and repeatably dispenses that volume delivery services to pressure testing, design of mobile equipment,
utilizing multiple pressure and temperature sensors and sophisti- hydraulic manifold design, and custom power units with complete
cated software feedback. integrated controls and software.
For Free Info Visit http://info.hotims.com/82325-343 For Free Info Visit http://info.hotims.com/82325-342

n Stretchable Film n Frameless Servo Motors


A stretchable film from Toray, Tokyo, A series of frameless servo motors from Koll-
Japan, builds on the company’s technol- morgen, Radford, VA, are suitable for surgical
ogy to deliver circuit mounts that offer robots. The TBM2G series delivers optimal per-
exceptional resistance value stability. formance in a lighter, more compact package.
­REACTIS™ is designed to provide ex- They are optimized to deliver high torque at rel-
cellent shape recovery and heat resistance. The stretchable film uses a atively low speeds in low-voltage applications
proprietary polymer structure design and film-forming technique that such as robotic joints, mobile robots, and other
combines cross-linked and stretchable components. The flexible film battery-operated machines. Compact and efficient, the series is de-
recovers its shape between –20° and 80 °C. It also maintains heat resis- signed to be directly embedded into a machine using the machine’s
tance even after treatment at 200 °C. own bearings to support the rotor.
For Free Info Visit http://info.hotims.com/82325-352 For Free Info Visit http://info.hotims.com/82325-361

40 www.medicaldesignbriefs.com Medical Design Briefs, September 2022


n Wireless Pressure Sensor n Ductless Hoods
Millar, Houston, TX, offers a transmitter-receiver combo designed HEMCO, Independence, MO, offers duct-
to remove the need for new hardware to operate existing capital less hoods in 24, 30, 35, and 47 in. models.
equipment. The wireless pressure prototypes can be customized in The CleanAire II ductless hoods are de-
catheter size, length, and transmitter shape and size to meet the re- signed to meet DH I
quired application. To measure pressure, the catheter tip is inserted requirements as de-
inside the body at the desired pressure reading location and the transmitter is secured to the fined by SEFA 9. The
patient. Upon activation, the transmitter connects wirelessly to the Bluetooth receiver compati- hoods feature a built-
ble with an existing patient monitor. In this capacity, it can connect to any existing capital equip- in carbon filtration
ment or monitor, reducing the costs of enabling wireless capability. system to adsorb non-
For Free Info Visit http://info.hotims.com/82325-349
toxic fumes and
odors. They are
n Display Modules equipped with an in-
Review Display Systems, Milwaukee, WI, offers of a comprehensive range tegral blower, vapor-­
of industrial specification 10.1-in. TFT display modules that are suitable for proof light, fan, and
use in a broad range of industry sectors, applications, and operating envi- light switches. The hoods’ superstructure is
ronments. Available in a range of resolutions including 800 × 600 pixels constructed of chemical and flame resistant,
(SVGA), 1024 × 600 pixels (WSVGA), and 1280 × 800 pixels (WXGA), the display modules feature nonmetallic, composite resin with a molded
traditional 4:3 and widescreen 16:9 aspect ratios. Brightness specifications of 300 cd/m² up to high one-piece seamless interior fume chamber. A
luminance 1000 cd/m² versions are supported with long-life LED backlights. For extreme operating vertical sliding clear acrylic sash protects
environments, an extended operating temperature range of –30° to +85 °C is also available. the user and contains the process fumes.
For Free Info Visit http://info.hotims.com/82325-350 The carbon filter that is included adsorbs
the fumes and then recirculates the air back
n Pinch Clamps to the laboratory.
Qosina, Ronkonkoma, NY, has introduced a new selection of For Free Info Visit
pinch clamps made from polybutylene terephthalate (PBT), an al- http://info.hotims.com/82325-346
ternative to nylon, which is used in the manufacture of many types of
single-use components. The ¾ in. (19 mm) pinch clamps are now
available in white (#25659), red (#25154), yellow (#25152), blue PRODUCT SPOTLIGHT
(#25156), and black (#25153), making them ideal for color-­coded
sets. The tamper-evident clamps offer easy, one-handed closure and are zip-tie compatible. Materials CUSTOM
meet USP Class VI and ISO 10993 criteria, and the clamps are gamma and autoclave compatible. AUTOMATION
For Free Info Visit http://info.hotims.com/82325-360 EQUIPMENT
The Arthur G. Russell Company
n EMI-RFI Three-Phase Filter designs automatic assembly
A series of metal box three-phase filters is available from KEMET, Ft. Lau- equip­ment for the medical de­
vice industry. We specialize in high-speed, mechani-
derdale, FL. The GTX metal case filters cover three-phase EMC requirements cal systems designed for products like syringes, blood
with a wide variety of characteristics. With a nanocrystalline core, these filters are collection tubes, catheters, and dosage dispensers.
designed to achieve excellent damping and attenuation characteristics in a compact AGR’s manufacturing process adheres to stringent
size, coupled with a broader frequency range. In addition, six different combinations of FDA requirements. http://www.arthurgrussell.com/
Y capacitors can be selected to support various equipment topologies. The lightweight filters are
ideal for use in medical applications where suppressing EMC is critical.
For Free Info Visit http://info.hotims.com/82325-354 The Arthur G. Russell Co.
n Diagnostic Tapes
Mactac, Stow, VA, has expanded its line of diagnostic adhesive tapes.
The Response® line includes 10 new acrylic adhesive tapes that are man-
ufactured with ultra-clean, solvent-free, 100-percent solids UV curing MEDICAL-GRADE
technology. The tapes deliver low levels of outgassing and migration and LED CURABLE
offer excellent optical properties and adhesion performance, typical of SYSTEM
traditional solvent acrylics. They feature precise deposition control, compatibility with many assay Master Bond LED403Med
chemistries, and a wide temperature range, making them ideal for diagnostic device applications. is a one-part LED system
For Free Info Visit http://info.hotims.com/82325-362 that cures fully upon expo-
sure to LED light. In thinner sections, cures can be
achieved in 15–30 seconds or less. Led403Med resists
n Spiral Torsion Springs various sterilization methods and passes the plastics
John Evans’ Sons, Lansdale, PA, offers spiral torsion springs that allow for rota- test for USP Class VI biocompatibility and ISO 10993-5
tion in two directions as well as a return to center capability. Used in pairs at a cytotoxicity requirements. http://www.masterbond.
com/tds/led403med
right angle to each other, the springs enable a wide range of motion in a two-axis
configuration, while preserving the return to center feature. Spiral torsion springs
are normally used in applications requiring less than 360° of rotation. They are
generally used to obtain a large amount of torque through a small amount of rotation. A typical ap-
Master Bond
plication is a dental x-ray head.
For Free Info Visit http://info.hotims.com/82325-348

Medical Design Briefs, September 2022 www.medicaldesignbriefs.com 41


ADVERTISERS INDEX
Advertiser Page Web

Publisher.....................................................................Joseph T. Pramberger
Associate Publisher..................................................................... Helene Beck Biosensors for
(908) 300-2538
Medical Wearables 2022 ............9....................... biosensors-medical-wear.com
Sales Director.........................................................................Desiree Stygar
(908) 300-2539
Chroma Technology......................Cover 4....................................... chroma.com
Editor & Director of Medical Content.......................................... Sherrie Trigg
­Content Strategist, Audience Development................................... Kendra Smith
Da/Pro Rubber Inc.......................26....................................... daprorubber.com
Production Manager...............................................................Adam Santiago
Production Coordinator......................................................... James Rodriguez
Creative Director....................................................................... Lois Erlacher Emerson.....................................11................................emerson.com/branson
Graphic Designer....................................................................John McCarthy
Marketing Director................................................................ Kaitlyn Sommer
Eurofins Medical Device Testing....Cover 2.................eurofins.com/medical-device
Senior Marketing Coordinator...........................................................Sam Mills
Marketing/Event Coordinator ...................................................Chris Kendrick
Audience Development Director........................................ Christine Oldenbrook Filmecc USA, Inc.........................21, 37.............................asahi-inteccusa.com
Audience Development Coordinator............................................ Stacey Nelson
Audience Development/Circulation Assistant................................. Erykah Davis Hunter Products, Inc....................39........................... www.hunterproducts.com
Subscription Changes/Cancellations.................................... MDB@OMEDA.com
(866) 354-1125
Instron........................................19...............................................instron.com

SAE MEDIA GROUP


261 Fifth Avenue, Suite 1901, New York, NY 10016 Interpower®................................1........................................... interpower.com
(212) 490-3999
Executive Vice President......................................................... Luke Schnirring
Keystone Electronics Corp............5.................................................keyelco.com
Technology Director................................................................ Oliver Rockwell
Director of Digital Products........................................................... Howard Ng
Master Bond Inc..........................41........................................masterbond.com
Digital Media Associate......................................................... Md Jaliluzzaman
Digital Production Associate................................................Andrew Greenberg
Digital Production Associate........................................................Symba Wong maxon........................................15, 21.................................... maxongroup.us
Digital Production Assistant................................................. Rowena Pagarigan
Budget & Forecasting.................................................................Felecia Lahey
Medbio, LLC................................7, 20....................................... medbiollc.com
Accounting/Human Resources Manager...................................... Sylvia Bonilla
A/R Clerk.................................................................................Crystal Ortiz
Office Manager......................................................................Alfredo Vasquez
MICRO.......................................4, 22........................................ micro-co.com
Credit/Collection Manager........................................................ Stacie Pointek
MicroLumen Inc...........................29........................................ microlumen.com
MEDICAL DESIGN BRIEFS ADVERTISING ACCOUNT EXECUTIVES

CT, WI, Europe ......................................................................... Helene Beck Microspec Corporation.................Cover Flap, 22.......... microspecorporation.com
(908) 300-2538
IN, MI, Europe.........................................................................Desiree Stygar
(908) 300-2539 Nelson Laboratories, LLC.............23, 31....................................nelsonlabs.com
MA, NH, ME, VT, RI, Eastern Canada..............................................Brian Hines
(647) 296-5014
NJ, PA, DE............................................................................... John Murray Qosina........................................23, 33..........................................qosina.com
(973) 409-4685
TX, OK, LA, AR, MS, AL, TN, FL, SC, NC, GA, DC, WV, VA..............Ray Tompkins
(281) 313-1004 Sealevel Systems, Inc...................2................................................sealevel.com
NY, OH..................................................................................Ryan Beckman
(973) 409-4687
MN, ND, SD, IL, KY, MO, KS, IA, NE, Central Canada......................... Bob Casey Smalley.......................................24, 35........................................ smalley.com
(847) 223-5225
CA, WA, OR, AZ, NM, Rocky Mountain States................................. Tim Powers
(908) 892-2838 The Arthur G. Russell Company....3, 41.................................arthurgrussell.com
Integrated Media Consultants.................................................... Patrick Harvey
(973) 409-4686
Medical Design Briefs, ISSN# 2158-561X, USPS 4865, copyright ©2022 in U.S., is pub-
Rick Rosenberg
lished 11 times a year by SAE Media Group, 261 Fifth Avenue, Ste. 1901, New York,
(973) 545-2565
NY 10016. The copyright information does not include the (U.S. rights to) individual
Todd Holtz tech briefs that are supplied by NASA. Editorial, sales, production, and circulation
(973) 545-2566 offices are located at 261 Fifth Avenue, Suite 1901, New York, NY 10016. Subscriptions
Jason Setti for non-qualified subscribers in the U.S. and Puerto Rico, $100.00 for 1 year. Single
(973) 874-0271 copies $30.00 each. Foreign Subscriptions 1 year U.S. funds $195.00. Digital copies:
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POSTMASTER: Send address changes and cancellations to Medical Design Briefs,
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September 2022, Volume 12, Number 9.

42 www.medicaldesignbriefs.com Medical Design Briefs, September 2022


Upcoming...

Webinars
Product Development Lifecycle Management:
Optimizing Quality, Cost, and Speed to Market
Thursday, October 6, 2022 at 11:00 am U.S. EDT
As medical device original equipment manufacturers look to bring innovative devices to market, the
balance of cost, quality and speed is critical. It is more important than ever to find a partner that will help optimize design for manufacturability,
delivering a fast development process that is ready for full scale-up and commercialization while never sacrificing quality.

This 60-minute Webinar offer insights into:


• Ways to accelerate early-stage prototyping and development
• High-precision extrusion capabilities that solve unique challenges
• High-precision silicone and plastic-molded medical parts for critical devices
• A fully integrated solution for finished medical devices
Speakers:
Chris Tellers Dan Sanchez Justin Strike Robert Williams
Director, Rapid Product Manager, Product Manager, Senior Project
Development Center, Healthcare & Healthcare & Engineer,
Healthcare & Medical, Medical, Healthcare &
Medical, Trelleborg Trelleborg Trelleborg Medical,
Trelleborg

Please visit www.techbriefs.com/webinar324

Webinars on Demand!
Getting to Market Faster: How to Select Pumps for
Clinical Diagnostics and Medical Devices
Pumps play an integral role in medical devices, but there are so many different pumps, what
should designers prioritize when selecting the best pump for their device? In this 45-minute Webinar, experts share their knowledge and
experience of the most important considerations for choosing pumps for medical applications and accelerating time to market.
Speakers:
Susanna Hellgren Rodd Turnquist Niklas Öberg
Manager Director, Alitea, National Sales Manager U.S., OEM Engineering Manager,
Watson-Marlow Fluid OEM Division, Watson-Marlow Fluid
Technology Group Watson-Marlow Fluid Technology Group
Technology Group

Please visit www.techbriefs.com/webinar219

New Liquid Silicone Rubber with Primerless


Adhesion to Polycarbonate
Self-adhesive liquid silicone rubbers (LSR) that bond to many plastics and metals without a primer or physical pretreatment are particularly advantageous
for medical products. This flexibility means they can be used for multi-functional parts, such as hard-soft combinations, and membrane components.
This 30-minute Webinar examines a new LSR that now adheres to polycarbonate without surface treatment or a mechanical bond.
Speaker:
Norman Riley
Technical Manager II,
Wacker

Please visit www.techbriefs.com/webinar205


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