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© Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering www.ASD-online.com Multi-level modelling in the design o cardiovascular treatments Catrin Bludszuweit- Philipp ICT BIO Conference 2006

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Page 1: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

ASDASD Advanced Simulation & Design GmbHVirtual product development in medical technology and engineering

www.ASD-online.com

Multi-level modelling in the design of

cardiovascular treatments

Catrin Bludszuweit-Philipp

ICT BIO Conference 2006

Page 2: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

OutlineOutline

11 ASD competenciesASD competencies

22 challenges for endovascular device designchallenges for endovascular device design

33 multilevel endovascular device analysismultilevel endovascular device analysis

44 virtual stenting platform in @neurISTvirtual stenting platform in @neurIST

Page 3: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

ASD - expert simulation servicesASD - expert simulation services

Complexsystem analysis

Page 4: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Simulations for medical devicesSimulations for medical devices

mimic reality closely

benefit treatment

reduce costs and time-to-market

understand needs and demands from industry and medical community:

Two main tasks for simulation experts:

give insights and motivations for use of modern technologies

Page 5: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Challenges for endovascular devise designChallenges for endovascular devise design

excellent mechanical properties (flexibility, strength, durability)

haemodynamically alligned

non-damaging to vascular wall

thrombosis - controllable

local drug-provider

adaptable to patient anatomy & conditions

Aims:

Optimisation and customisation of endovascular devices:

Page 6: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Multilevel endovascular device analysisMultilevel endovascular device analysis

Haemodynamics

Vascular wallmechanics

Device designDevice mechanics

Biological responseThrombosis

Chemical processesDrug delivery

Genetics

Cardiovascularsystems

Patient-specificanatomies

Multilevelstent / coil analysis

Page 7: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

anatomy

mesh

expand stent into mesh

1D - modelwall

mechanics

flow

simulatinginteraction with wall

aneurysm

biological responses(thrombosis + aneurysm rupture)

virtual optimisation of treatment, device design & operation planning

Just a dream?

Multilevel endovascular device analysisMultilevel endovascular device analysis

Page 8: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Developing of IT infrastructure for managing and processing of heterogeneous data associated with the diagnosis and treatment of cerebral aneurysms and subarachnoid haemorrage.

Integrative suite within @neurIST:

@neuEndo virtual stenting and coiling of patient-specific virtual stenting and coiling of patient-specific anatomies anatomies

Consolidation of competencies in @neurIST:

Make the dream

become true!

Multilevel endovascular device analysisMultilevel endovascular device analysis

Page 9: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Thank you very much for

your attention

Page 10: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Patient-specific anatomies

inflow

outflow

aneurysm

patient-specific geometry

generation of numerical grid

Page 11: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Cardiovascular System

1D compartmental model1D compartmental model

Transient pressure profil in the arterial system predictedTransient pressure profil in the arterial system predictedby the 1D compartmental model by the 1D compartmental model

Page 12: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Haemodynamics

Prediction of flow field in cerebral aneurysms by CFD analysis Prediction of flow field in cerebral aneurysms by CFD analysis

blood vesselblood vessel

flow direction

aneurysm

stream lines

wall shear stress

flow direction

aneurysm

Page 13: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Vascular wall mechanics

Development of constitute equations for the tissueDevelopment of constitute equations for the tissue

Load-dependent tissue remodellingLoad-dependent tissue remodelling

Simulation of local weakening and mechanical failureSimulation of local weakening and mechanical failure

Page 14: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Device Design & Analysis of Device Mechanics

FE-Analysis of Stent expansion FE-Analysis of Stent expansion

Analysis of mechanical failure (e.g. buckling, life time prediciton)Analysis of mechanical failure (e.g. buckling, life time prediciton)

Interaction of endovascular devices with the flow fieldInteraction of endovascular devices with the flow field

Analysis of thrombosis riskAnalysis of thrombosis risk

Estimation of drug deliveryEstimation of drug delivery

Simulation of drug elutionSimulation of drug elutionTransfer of flow-induced forcesTransfer of flow-induced forces

wall shear stresswall shear stress

velocityvelocity

mass transfer ratemass transfer rate

concentrationconcentration

Page 15: © Copyright ASD GmbH 2006 ASD ASD Advanced Simulation & Design GmbH Virtual product development in medical technology and engineering

© Copyright ASD GmbH 2006

Thrombosis

Deposited activated platelets

Increased deposition in regions of long exposure times

Centrifugal blood pumphigh shear forces

thrombotic materials

flow stagnation

white and red thrombi

Thrombosis Modelling:

starting thrombus growth

platelet deposition andthrombus growth