Archive for August, 2008
Further to my previous posting on the BMW GINA concept car, I’ve just been reading an article in New Scientist about an example of increasing flexibility of form in vision systems. Going back many years, the first light sensitive¬†devices were composed of a single photo-transistor (1 point detection). Later, charge coupled devices (CCDs) were developed, initially in single row, line form (1 dimension or line). Later still CCDs were developed in a two dimensional flat array. Over time this basic format has been developed so that the number of devices has greatly increased, leading to far better image resolution. Until now, however, the CCD has remained two dimensional,¬†bringing increased complexity in the lens and focusing system and restricting field of view (compared to the human eye). According to the article, researchers at the University of Illinois at Urbana Champaign have created a hemispherical CCD. They have done this by slicing off the detection portion of a normal CCD and cutting fine holes in it to form an ultra-thin mesh. This mesh is then formed over a special elastic hemispherical former and then placed in a hemispherical support to create an artificial retina. A very neat example of theTRIZ law of increasing flexibility applied to shape and surface.No comments
On Friday last week, I spent the day¬†at one of¬†the Cardiac Catheterisation Labs at St. Thomas’ hospital, London. Not as a patient, you understand, but as an observer. You might ask¬†why a moderately squeamish person like myself¬†would do this willingly? Well, my reason was a principled one. I firmly believe that it is impossible to innovate effectively without a¬†clear understanding of the context and usage of your final innovation. Ideally, I like to “go to gemba”,¬†otherwise known as¬†the place where the problem exists, so I can¬†dig for tacit knowledge and observe unconscious behaviours. In¬†this case, however, I’d rather got the cart before the horse because, due to the wonder of Open Innovation and Ideagoras, I answered an RFP (Request For Proposal) on Nine Sigma about improvements to catheter systems, used, for example, in cardiac pocedures, without ever seeing how such an item might be used. At the time it was a bit difficult to see the system in action because a) my foot was in plaster and b) I didn’t know any cardiologists. So, I went ahead and broke my rule and answered the RFP with what I hoped was a pretty creative and novel solution. The Nine Sigma clients at the other end thought so too for a while until they got frightened off by the potential development time. Meanwhile I found a willing cardiologist and he invited me into his cath lab for a day. It was quite an experience – I didn’t pass out and I learnt a lot! Here are a few observations:
There are a lot of people in the lab during a procedure. I’d imaginged just a cardiologist and maybe a radiologist before I went but actually there were two cardiologists present during all the procedures I witnessed (admittedly more complex than average), one radiologist, one catheter nurse, one nurse to look after the patient who is conscious throughout, one technician to monitor the vital signs and at least one further technician behind the scenes to record key image video sequences
Everyone has to wear heavy lead oversuits to protect them the from x-ray radiation from the imaging system. My feet really ached at the end of the day – so much for a sedentary lifestyle!
The x-ray dose and contrast fluid (used to show the artery size on the x-ray image) dose are strictly limited due to the exposure risk to the patient and capacity of the patient’s kidneys to process the contrast fluid from the blood stream.
You can do an awful¬†lot “percutaneously” – see, I’ve got the jargon going already¬†- it means through the skin, under local anaestetic. You can even fit a replacement atrial heart valve using a catheter!
It can be really tricky to find and unblock arteries sometimes, especially if the blockage is close to the intersection with a larger vessel. This can be a very frusutrating and fiddly procedure requiring super-human levels of patience. This illustrated how much the cardiologists rely on “feel” when using the catheter system.
There are already some very impressive technologies available to reduce the friction in catheter systems. One such solution is known as “crosswire”, a 0.014″ diameter hydrophillic coated guide wire often used to break through blockages (as part of a procedure known as Angioplasty). Aparently “a lot of people don’t use crosswire because although its easy to position, it doesn’t stay put”. This is because it can be pushed out by the patient’s blood pressure.
There is a tremendous array of different catheter systems in the lab store, with different end forms, from many different manufacturers. Each cardiologist has his or her personal favourites.
Anyway, I didn’t disgrace myself and I’ve been invited back for another day or so. What did I learn that I didn’t know before? The key things I learnt were:
- the guide wire isn’t just a means of steering the catheter into place as I thought. It is a functional tool in it’s own right
- Feel is really critical to the cardiologist
- There is a huge benefit in speeding up procedures in terms of patient wellbeing and lab efficiency
- Current catheter systems lack¬†the level of detection capability and controllability needed for some more complex PCIs (Percutaneous Cardiac Interventions)
The whole experience reminded me that in terms of innovation getting to gemba is critical. When was the last time you saw your products in use up-close and personal?
Further to my posts on Open Innovation “Ideagoras”, I’ve only recently seen an article from the New York Times on Innocentive. Aparently, the New York Times article was the 3rd most e-mailed article of the day. I guess I must be out of the loop because the first I heard about it was in an e-mail from Alexander Orlando of Innocentive in which he said:
According to the stats I got from engineering, 5000 new Solvers registered last week after the NYTimes article went live, between midnight on July 22 and midnight on July 27
This goes to show that Innocentive is continuing to grow at a rapid rate and the importance of good PR.No comments