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