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1 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential Entering the ‘in silico’ era Simulation Driven Product Development in the Cardiovascular Sector

Entering the in silico era · 2015. 11. 13. · 1 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential Entering the in silico era Simulation Driven Product Development in the

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  • 1 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Entering the ‘in silico’ era Simulation Driven Product Development

    in the Cardiovascular Sector

  • 2 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    The Clinical World is Changing

    Engineering simulation makes it possible to Ensure a successful FDA approval

    through comprehensive upfront ‘in silico’ testing

    Test disruptive innovations in a humanlike environment

    Equip designers and surgeons with additional knowledge

    “I don’t understand why simulation is used so much in automotive and aeronautic applications and so little in the medical world, where we directly impact a patient’s life. As surgeons, we are spending years to acquire enough know-how and experience to learn how to react quickly when the patient is lying on the operating table; but simulation is giving us the luxury to examine the situation when we still have plenty of time to think through

    more quietly. I trust that simulation will be used increasingly in the clinical world in the near future.” Dr. Antoine Lucas Cardiovascular Surgeon

    University Hospital of Rennes

    ANSYS in the operating room

    Source: ANSYS Healthcare blog

  • 3 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential Courtesy Bill Murray, CEO MDIC and Randy Schiestl, VP R&D Boston Scientific

  • 4 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    The Medical World has Experienced Several Revolutions that Accelerated the Pace of Innovations

    Ind

    uce

    d In

    no

    vati

    on

    Rat

    e

    Time

    In Vivo Surgery

    In Vitro Antibiotics

    In Silico Preventive personalized medecine

  • 5 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential © 2015 ANSYS, Inc.

    ANSYS Confidential

    5

    Rising Health Care Cost

    Challenges • Reduce cost of

    equipment • Avoid replacement

    treatment • Minimize hospital

    stays • Minimize nursing

    cost

    Access to Health Care

    Challenges • Reduce cost of

    medicine • Remote Persona-

    lized medicine • Facilitate sterile

    storage • Participatory

    medicine

    Safety & Increased

    Regulation

    Challenges • Failure could mean

    injuries, death hence bad press

    • Longer approval process

    • Multiplication of clinical testing

    • Difficult access to target population

    Aging Population

    Challenges • New emerging

    pathologies • Replacement of

    implanted devices • Chronic diseases • Lack of nursing

    resources

    Human Variability

    Challenges • Multiplication of

    clinical testing • No 100% certainty

    of product integrity • Patient specific

    geometry / material properties

    • Rare disease

    Industry Challenges Provide Opportunities

  • 6 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential © 2015 ANSYS, Inc.

    ANSYS Confidential

    6

    Healthcare Companies Are Focusing On These Initiatives

    Affordable & Profitable Medicine

    to make health care affordable to a larger audience despite the

    “medicare” impact

    Effective Medical Innovation

    to ensure sustainable competitive advantage through disruptive

    innovations

    Ensuring Extreme Product Integrity

    - to fulfill patient expectations

    - to prevent product recall and treatment replacement

    Accelerating Globalization

    - to assist the entire population

    - to collaborate with relevant resources

    Digitalization of Medicine (and PDP)

    - to increase product throughput

    - for quicker treatment to patients

    P4 Medicine:

    Personalized, Participatory, Preventive & Predictive

    to create new opportunities and open new markets

  • 7 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    What Motivates Healthcare Companies to Look for Alternative Solutions?

    1. Strong pressure for effective innovation

    2. Long & costly clinical testing

    3. Compliance to regulatory authorities approvals

    © 2015 ANSYS, Inc.

    ANSYS Confidential

    7

  • 8 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    What Motivates Healthcare Companies to Look for Alternative Solutions?

    1. Strong pressure for effective innovation

    2. Long & costly clinical testing

    3. Compliance to regulatory authorities approvals

    © 2015 ANSYS, Inc.

    ANSYS Confidential

    8

    Virtual Human Laboratory

    In Silico Testing

    Simulation Driven FDA

    Approval Process

  • 9 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Global Engineering Simulation Leader

    Including 97 of the top 100 Industrial Companies on the FORTUNE Global 500

    40,000 Total Customers

    315,000 Commercial Seats 290,000 University Seats 200 Channel Partners 160 Industry Partners

    Only software company focused solely on simulation with 44 years of simulation software experience

    •Approx. 2,500 employees / 60+ sales offices on 3 continents

    • Network of sales channel partners in 40+ countries

    • 22 major development centers on 3 continents

    2014 Target % of revenue spending on R&D: 15%

    2014 Target Revenues: ~$ 1 Bn

    Market Cap: ~$8.5B

    http://www.gm.com/

  • 10 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    ANSYS Created a Platform For Complete Virtual Prototyping of Medical Device and Human Body System

    Tech

    nical D

    ep

    th

    Steady-State, Transient, Parameterized, Harmonic & Modal

    Linear & Nonlinear

    Technical Breadth

    Meshing 2-way CAD interface

    Simulation Project Management Design Xploration

    Engineering Knowledge Management

    HPC More…

    Simulation Process and Data Management

    Conduction

    Convection

    Radiation

    Phase Change

    Mass Transport

    More…

    Thermal

    Ophthalmology: Laser Surgery

    Structural

    Large Displacements

    Finite Strain

    Contact

    Multibody Dynamics

    Random Vibration

    Implicit & Explicit

    More…

    Orthopedic: Spinal Disorders

    Compressible

    Incompressible

    Laminar Flow

    Turbulence

    Multiphase Flow

    Non-Newtonian Fluids

    More…

    Fluids

    Respiratory: Drug Delivery

    Quasi static (Low Freq)

    Full Wave

    Joule Heating

    Eddy currents Current flow Circuit Coupling

    More…

    Electromagnetics

    Diagnosis Equipment: MRI Compatibility

    Model-Based System & Architecture Design

    Human Body Model

    Reduced Order Model

    Cardiovascular, Skeleton, PKPD

    More…

    System

    Cardiovascular: Full System Modeling

  • 11 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Leading Medical Device Companies Rely on Simulation

    Global ANSYS Medical Device Customer Base

    • 88% of top 50 largest medical device

    companies including:

    - 16 largest medical device companies WW

    - 40 largest US medical device companies

    - 96% of the Top 25

    • 88% of top 20 largest cardiology companies

    including:

    - 10 largest cardiology companies

    • Typical Best in Class CAE investment:

    - 0.2% of their total R&D investment in

    engineering simulation

    - Target 5% of their engineering force to use

    simulation

  • 12 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    The cardiology market is expected to grow but some key players are likely to loose market share.

  • 13 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Contents

    • The On-Going Medical Revolution

    • Case Studies:

    - Patient Specific Modeling of LVAD and PVAD

    • Biomedical Applications

    • Cardiovascular Applications

    • Industry Best Practices

    • Wrap up: A Successful Revolution

  • 14 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Contents

    • The On-Going Medical Revolution

    • Case Studies:

    - Patient Specific Modeling of LVAD and PVAD

    • Biomedical Applications

    • Cardiovascular Applications

    • Industry Best Practices

    • Wrap up: A Successful Revolution

  • 15 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Investigating the Position and Shape of the Outflow Cannula to Minimize Cerebral Embolization

    By proper adjustment in this CFD study of a synthetic

    model of an aortic arch bed, we found nearly a 50%

    reduction of cerebral embolism could be achieved for a

    configuration consisting of a shallow angle of implantation

    over a baseline normal incidence of the LVAD cannula.

    Department of Mechanical, Materials and Aerospace Engineering,

    College of Engineering and Computer

    Science, University of Central Florida, Orlando, FL, USA

  • 16 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Tracking Where the Particles of Different Sizes (2 & 5 mm)are Flowing Minimizes the Risk of Cerebral Embolization

    In the standard configuration

    with an angle of β=0 (right

    column), a major feature of the

    flow is a large recirculation zone

    and a stagnation flow region as

    the jet emanates from the LVAD

    cannula. Thrombi of all

    diameters are trapped in that

    zone and are susceptible to

    ingestion at the IA take-off.

  • 17 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    The Shape of the Inflow Cannula is Playing a Major Role to Prevent Blood Damage

    Blood damage index for various inflow cannula shapes

    Local vortices facilitates the formation of clots

    Courtesy of Medical College, Beijing, China

  • 18 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Miniaturization of Pediatric Implants without Compromizing with Performance is Very Valuable.

    • Optimizing the structure of a PVAD impeller by minimizing volume, thereby minimizing mass. A total volume reduction of 46% was achieved.

    • Combining computational analysis and optimization methods significantly reduced the cost of redesigning the impeller

    • Despite the PVAD redesign, the critical speed of the PVAD was successfully increased, ultimately providing a more effective tool for assisting weak hearts in small children.

    Paul Witherell, Sundar Krishnamurty, Ian Grosse, James Antaki

    Department of Mechanical & Industrial Engineering

    University of Massachusetts

  • 19 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Ventricular Assist Device are Complex Product Involving Different Physics

    Numerical analysis and optimization of fluid dynamics,

    electromagnetics, heat transfer, and structural stresses

    • Generating a clot free blood

    flow with the right speed and

    volume

    • Minimizing the stress to limit

    the risk of fatigue deterioration

    • Managing the heat exchange

    to avoid patient incomfort

    • Inducing the proper

    electromagetic field to ensure

    reliable power

    • Avoid noise induced vibration

    Courtesy of LaunchPoint Technologies, Inc.

  • 20 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Contents

    • Adoption of simulation

    • Case Studies:

    - Patient Specific Modeling of LVAD and PVAD

    • Biomedical Applications

    • Cardiovascular Applications

    • Industry Best Practices

    • Wrap up: A Successful Revolution

  • 21 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Cardiovascular

    Challenges • Patient-specific geometry

    • Plaque growth and rupture

    • Blood recirculation and low Wall Shear Stress (WSS)

    • Deforming artery wall

    • Fatigue induced by large number of cycles

    Solutions brought by simulation • Local evaluation of WSS, pressure and flux at

    aneurysm neck

    • Deterioration of blood cell in blow pump

    • Parametric studies for extreme conditions

    • Automatic Design exploration of geometry, material and operating conditions

    • Virtual prototyping e.g. for hearth valves

    Courtesy of UPF, Barcelona & LTSI, Rennes

    Peak-systolic aneurismal flow pattern and wall shear stress(WSS) of the unstented aneurysm model.

    after the stent 2 deployment.

    Stent deployment close to an aneurysm (stress in the stent)

  • 22 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Challenges • Patient-specific geometry

    • Continuously varying material properties (porosity, density, Young’s modulus)

    • Bone fragility (osteoporosis)

    • Minimizing patient recovery times

    • Transient loads

    Benefits of Modeling • Testing different prostheses / implants

    designs

    • Investigation of different scenarios and impact on the bone / implant interface

    • Virtual prototyping on a large number of virtual patients

    • Various pathologies considered during design

    Orthopedics

    Pictures, courtesy of CADFEM, ANYBODY

  • 23 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Respiratory

    Challenges • Patient-specific geometry

    • Continuously varying materials properties (porosity, density, Young’s Modulus)

    • Size of the drugs particles (~ few mm)

    • Minimizing patient recovery times

    • Transient loads

    Benefits of CAE • Particles tracking in the inhaler and the

    upper air way

    • Including patient-specific physiology and health condition

    • Virtual process adjustment from new born to elderly

    • Surgical planning and training

  • 25 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Contents

    • Adoption of simulation

    • Case Studies:

    - Patient Specific Modeling of LVAD and PVAD

    • Biomedical Applications

    • Cardiovascular Applications

    • Industry Best Practices

    • Wrap up: A Successful Revolution

  • 26 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    EndoSize Ansys

    - Navigation along centerlines of the vascular structure - Extraction of lumen contours from planes orthogonal to

    the centerline - Mapping of density values and distance between aorta and

    spine onto a mesh of the vascular structure - Export to Ansys DesignModeler

    - Import of centerlines, planes and contours

    - Reconstruction of the vascular wall by surface interpolation

    - Conversion of « image data » to « mechanical data » (material properties, boundary conditions)

    Geometry reconstruction from CT data

  • 27 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Segment Patient Data

    Artery wall properties (healthy, calcified, thrombotic) Aorta-spine distance

  • 28 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Material models artery

    UPPER Boundary Conditions tools

    INSERTION boundary conditions tools

    Boundary conditions Spine-Aorta support artery

    Boundary conditions internal iliac arteries artery

    Arterial pressure artery

  • 29 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Material behavior laws

    Hyperelastic anisotropic model

    𝑊 = 𝐶0(𝐼1 −3)+𝑘12𝑘2

    (exp 𝑘2 𝐼4 − 1) 2

    − 1 +𝑘32𝑘4

    (exp(𝑘4 𝐼6 − 1) 2

    − 1)

    Neo-Hookean model

    𝑊 =𝜇

    2(𝐼1 −3)+)

    1

    𝑑(𝐽 − 1)2

    𝐶0 (MPa) 𝑘1,3(MPa) 𝑘2,4 α

    AA 0,006 0,015 18 42,3°

    AAA 0,001 0,045 28 37,6°

    𝜇(Mpa) 𝑑(MPa-1)

    calcifications 17,86 4.10-8

    Arterial tissue

    Calcifications

    Thrombus

    Need to be taken into account for the good determination of the zero-pressure geometrie and

    to apply internal pressure (1st simple approach)

    Wall thickness (or stiffness) increase

  • 30 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Artery boundary conditions Aorta-Rachis support Internal iliac arteries support

    𝑘 = 𝒌𝒎𝒂𝒙(1 −𝑙

    𝒍𝒎𝒂𝒙)4

    Distribution of stiffness decreasing with rachis-aorta distance

    Two more linear springs

    0 ≤ 𝑘 ≤ 5.10 −4𝑁/𝑚𝑚

    𝑘~0,1 − 1𝑁/𝑚𝑚

    Internal iliac arteries

  • 31 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    1. Initial state: - Deformed artery and guidewire in equilibrium state - Delivery system : undeformed, outside the artery, insertion zone fixed

    2. Delivery system initialization : - Displacement of the delivery

    system into vascular lumen - Guidewire /artery contact

    deactivation - Delivery system/artery contact

    activation

    3. Equilibrium: Relaxation of delivery system constraints until equilibrium state

    Delivery system simulation process

  • 32 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Delivery system simulation results

    FRONT 30° LAO 30° RAO

  • 33 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    @neurist Hemodynamic Toolchain

    3D solver

    ANSYS-CFX

    Patient medical image

    (3DRA) Vessel surface extraction Reduction to region of interest,

    and skeleton generation

    Computational mesh

    Hemodynamic results Flow rates from 1D model or MRI

  • 34 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Influence of the Stent on HemoDynamics

    The stent is an important flow driver as it prevents blood to massively flow into the aneurysm.

    Blood flow reduction progressively lead to filling the cavity and prevent additional flow

    Courtesy of A. Frangi, CIBER-BBN

    Peak-systolic flow pattern and wall shear stress(WSS) of the unstented aneurysm model

    Peak-systolic flow pattern and wall shear stress(WSS) of the stented aneurysm model

  • 35 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Maximum principal stress

    distribution

    Deformed Stent-Artery Configuration

    • As a result of structural analysis, stress, strain and deformation in the stent are obtained as well as the position of the deformed artery, possibly the plaque and the deployed stent.

    • This initial configuration may lead to important fatigue modeling as the stent is expecting to experience 400 million cycles during its lifetime.

    • Finally, this provides the at rest configuration for hemodynamics applications critical to evaluate different stent model performances.

    INLET

    OUTLET

    WALL

    Velocity profile: parabolic and transient

    Constant fixed

    pressure

    No slip

    condition

    Fluid mechanical perturbations induced by stent implantation: a numerical study Rossella Balossino, Francesca Gervaso, Francesco Migliavacca, Gabriele Dubini LaBS, Department of Structural Engineering, Politecnico di Milano, ITALY

  • 36 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Influence of the Stent Geometry on Hemodynamics

    A pulsatile flow analysis for hyperemic condition is performed for a freshly deployed stent in a human coronary artery having a three dimensional geometry with an axial length of 20 mm and a larger diameter (6 mm).

    Following the deployment of the stent, it is assumed that half of the stent is exposed to the blood flow whereas the other half is embedded in the arterial wall.

    A constant blood density of 1.05 gm/cc and an infinite-shear-rate viscosity of 3.45 cp were considered. Time-varying, uniform velocity boundary condition was imposed at inlet boundary

    A close-up view of the velocity vector at time 3.14 s shows significant recirculation zones in the voids created by cross-links of stent wires.

    Rupak K. Banerjee (1), John Straus (2), S. Subbiah (2), K. Bhargava (3), Lloyd H. Back (4) Developing pulsatile flow through the entrance region of a deployed stent in a coronary artery

    velocity vector near the stent and artery interface at time t= 3.14 s

    Cycle for post-processing (2.4-3.2 s)

    Time, 100th of s

  • 37 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Influence of Strut Shape on Restenosis

    The results show that the presence of stents markedly affects the WSS distribution.

    In the stent strut, the corners are the critical areas, i.e., areas with low wall shear stress (

  • 38 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

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    MRI Induced Implant Heating Simulation using ANSYS Workbench

    HFSS Simulation

    Transient Thermal Simulation

    + =

    Temperature Profile

  • 39 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Fluid Mechanical Systems Enables Innovative Treatments For Preventive Medicine

    Business Initiative:

    Increase Market Share

    • Clinicians are demanding for customized solution for critical client pathologies but very cautious with new

    solutions.

    • Convincing a surgeon a new solution is better and safer requires lot of clinical and visual evidences

    Customer Success Factors

    •ANSYS Fluent is used to analyze the blood flow for a specific patient with a given stent model.

    •The Cardiatis stent value is shown by comparing the blood flow for the same patient without any implant.

    “Cardiatis has invested significantly in the latest simulation and analysis tools such as ANSYS and

    Mimics®. These tools allow virtual simulation so clinicians may evaluate the effect of the implanted

    MFM® on blood flow, velocity, wall shear stress (WSS) and peak WSS.”

    Ait Brik Boubker Virtual Simualtion & Core Lab Director Cardiatis

    Key Results

    • Stenting solution could be customized in days for specific patient • More surgeons adopting the Cardiatis solution after

    20x more patients benefiting

    from simulation

    Risk of complication

    divided by 5

    Gro

    wth

    Co

    st

  • 40 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Contents

    • Adoption of simulation

    • Case Studies:

    - Patient Specific Modeling of LVAD and PVAD

    • Biomedical Applications

    • Cardiovascular Applications

    • Industry Practice

    • Wrap up: A Successful Revolution

  • 41 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Contents

    • Industry Best Practices

    Comprehensive Multiphysics Solution

    Simulation Assisted FDA Process

    Virtual Human Environment

    Systematic Use of Simulation Early

    In silico Testing

    Robust Design Optimization

    Collaborative Simulation Environment

    HPC Scale Up and HW Optimization

    System Architecture Design

    Embedded Software Design

    Early Reliability Prediction & Simulation

  • 42 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Fluid Structure Savvy Devices – Value Proposition

    • Better performance optimization through deeper system knowledge

    • Ensure product integrity through comprehensive modeling

    • Accelerate product development process through virtual prototyping

    • Minimize warranty cost

    • Boost disruptive innovation rate

    • Combine best in class software in each physics

    • Provide integrate though autonomous environment for both physics

    • Encompass FSI in a working env. (DoE, HPC, Custom., bidirectional CAD, optimization etc.)

    • Combine multiphysics with multi scale and system level approach

    • Sequential & simultaneous FSI in the same env.

    • Modern complex devices involve both fluid and structure

    • Optimizing product performance is getting more complex with multiphysics

    • Ensuring product integrity despite FSI

    • Reduction of design safety margin without compromising with safety

    • FSI induces failure modes often missed during product design

    Business Impact Typical Challenges ANSYS approach

  • 43 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Fluid Structure Savvy Devices Best Practice Summary

    Fluid Structure Interaction: Accounting for interactions between fluid and structural aspects to better optimize the product performance while protecting it against real life failure modes to improve its reliability.

    Thermal

    Structural Fluid

    Electromagnetic

    Fluid

    Structure

    Interaction

    Simulation

    Data Mapping

    Dat

    a M

    app

    ing

    Data Mapping

    Dat

    a M

    app

    ing

    Verification & Validation

    • Reliable model of the complete mutliphysics system

    • Optimization DoE of advanced system

    Capabilities: • Couple fluid and structure

    component in a single environment

    • Conduct system multiphysics investigations

    Benefits: Maximize product

    performance through optimized combination of fluid and structure

    Prevent fluid induced structure failure or erosion

    Efficiently evaluate large number of FSI device in a single environment

  • 44 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Designers want to improve cost, performance, reliability and time to market

    Impact/Value Challenges ANSYS Approach

    • Clinically validated model

    • Coupled modeling whenever necessary (diagnosis)

    • Sequential fluid structure modeling:

    Advance transient structural model

    Hemodynamic simulation after deployment

    • Design exploration on combined system

    • Customization for democratization

    Product Development Time (Months)

    -60%

    After Before

    • 60% reduction in time

    Product Cost (&)

    -30%

    After Before

    • 30% reduction in Product Cost

    Induced stress during stent deployment (Abdominal Aortic Aneurysm)

    Restenosis induced by local blood flow after stent deployment

    Evaluation of aneurysm risk of rupture

    (cerebral aneurysm)

    • Intangible maximization of treatment reliability

  • 45 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Computer Based Models Accepted in the FDA Approval Process

    Ch

    alle

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    So

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    Im

    pac

    t

    • FDA approval process

    long and costly

    • Requested measurement

    difficult

    • Any approval question

    leads to more experiment

    • Verification and Validation

    • Validate new solutions with

    same simulation protocol

    • Virtual FDA testing on a

    large number of patients

    • Decrease of warranty

    cost

    • Improved customers

    satisfaction

    • Reduction of physical

    testings

    Animal Bench

    Computational Human

    Safety/Efficacy

  • 46 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    FDA Analysis of Product Recalls from FDA Report “Understanding Barriers to Medical Device Quality”

    “failures in product design and manufacturing process control caused more than half of all product recalls”

    http://www.fda.gov/downloads/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDRH/CDRHReports/UCM277323.pdf

  • 47 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    OSEL Regulatory Support

    The FDA Speaks Our Language

    http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsandTobacco/CDRH/CDRHReports/ucm126739.htm

  • 48 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Click to edit Master text styles

    Publicly Available FDA Presentations Highlighting Computational Modeling

    https://sites.google.com/site/cm4cvd/presentations/fda-presentation-on-computational-modelinghttp://www.imagwiki.nibib.nih.gov/mediawiki/images/f/f1/IMAG_&_MSM_2011_-_Morrison.pdfhttp://cstools.asme.org/csconnect/pdf/CommitteeFiles/36699.pdfhttp://xaviermedcon.com/wp-content/uploads/2012/05/Shuren - Keynote Presentation.pdf

  • 49 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

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    Will provide reporting best practices for computational modeling studies

    Recent publication in J. Biomech. may provide early insight

    Sections:

    Guidance on Reporting Methods for M&S*

    2.4 Verification

    2.5 Validation

    2.6 Availability

    * draft expected November 2012

    2.1 Model Identification

    2.2 Model structure

    2.3 Simulation structure

    http://www.jbiomech.com/article/S0021-9290(11)00720-2/abstract

  • 50 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    The Full Benefit of Modeling is Obtained through a Systematic Use of Simulation Early

    Ch

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    So

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    Im

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    • Problems identified too late

    in the PDP

    • Persistent uncertainty for

    new concepts

    • Baby step innovation, no

    major breakthrough

    • Bring simulation upfront in

    the PDP

    • Quick feasibility study for all

    promising new concepts

    • Develop comprehensive

    model through the PDP

    • Run 10 to 30 times more

    prototypes

    • Reduce design cost by a

    factor 2 to 4

    • Cut time to market by a

    factor 2 to 5

    Complex heat exchange situation involving

    • Neonate body insufficient metabolic heat versus higher energy demand

    • Heat exchange with surrounding air flow

    • Radiant heat loss through the wall

    • Water loss through transpiration and respiration

    • Radiation from electromagnetic wave

    Delicate multiphysics / multiphase situation

    • Providing externally heated and humidified air

    • Minimizing heat loss during any intervention

    • Reducing radiant heat loss with double walled devices

    • Fine controlling the heat exchange through convection and evaporation

  • 51 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Simulation Directly Impacts the Bottom Line

    Problem: Optimizing the fill patterns and mixing in the Polonator gene sequencer*

    Solution: Used FLUENT to understand the filling patterns, mixing, and residence times in the microfluidic circuit.

    Outcome: Microfluidic circuit geometry optimized to get uniform mixing. They also scale-down the channel height without compromising efficiency.

    Cost savings: Operating cost reduced by a factor 10.

    “The tenfold decrease in channel height resulted in an operating cost reduction by a factor 10!”

    * Desktop Engineering, August 30, 2009

    “The time to get to final design would have doubled or tripled without CFD analysis.”

    Channel geometry Speed contours Pressure contours

  • 52 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Designers Create Virtual Human Laboratory to Quickly Test New Concepts Early

    Ch

    alle

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    • Few disruptive innovations

    • Prohibitive cost to try new

    creative idea

    • Difficulty to get sustainable

    competitive advantages

    • 3D multiphysics model:

    human body and solution

    • Virtually test any promising

    idea

    • Build confidence through

    What if analysis and DoE

    • Increased product

    throughput

    • Reduced risk of failing

    approval process

    • Brand impact as leading

    company

    Courtesy of Kleinstreuer & Zhang, NCSU

    Rudimentary Delivery

    • More than 50% of particles do not reach the trachea; less than 5% reach any specific target

    • Massive waste of expensive medicine

    • Endangering patients treated with aggressive API

    Target Delivery

    • Patient Specific upper airflow

    • Ensure Laminar flow

    • Back track particles reaching target(s)

    • Identify precise injection location

    • Design / adjust inhaler for proper injection

  • 53 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Designing the PediaFlowTM Ventricular Assist Device

    Each year, over 35,000 children are born with congenital heart disease

    • 1,000 will die before 10th birthday

    PediaFlow increases pump's life span

    It prevents recirculating flows

    • Minimizes blood clot formation

    Geometry adjustments reduce blood cell exposure to shear stress • Less damage to blood

    New device delivers adequate flow rate to heart

    Engineering simulation reduces design time

    "CFD-based design optimization with ANSYS CFD solver reduces the design optimization cycle from years, compared to the traditional trial-and-error methods, to just several months."

    J. WU, LaunchPoint Technologies, Inc.

    PediaFlow Ventricular Assist Device New born virtual

    cardiovascular system

  • 54 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    A Robust Design Optimization Approach Boost Performance and Reduce Warranty Cost

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    • Systematically testing every

    configuration

    • Identify stable optimums

    • Consider routine and

    extreme service conditions

    • Automated Design of

    Experiment

    • Stability Analysis

    • Reduced order Models

    • Design for Six Sigma

    • Extreme Reliability

    • Get it Best the First Time

    • Sustainable competitive

    advantage

    Position of the impellers has significant effect on mass transfer coefficient.

    Design

    point

    Liquid

    level

    (in)

    Bottom

    impeller

    offset

    (in)

    Top

    impeller

    offset

    (in)

    Gap

    between

    impeller

    s (in)

    Baffle

    offset

    (in)

    Length

    of

    spargin

    g area

    (in)

    Angula

    r

    velocity

    (rpm)

    Gas

    mass

    flow

    rate

    (kg/s)

    Bubble

    diamete

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    Volume

    average

    d Kla-

    hr

    DP0 55 14 30 16 10 6 120 2e-3 0.003 81.96

    DP1 55 14 35 21 10 6 120 2e-3 0.003 70.46

    DP2 55 14 40 26 10 6 120 2e-3 0.003 70.05

    DP3 55 18 30 12 10 6 120 2e-3 0.003 65.56

    DP4 55 18 35 17 10 6 120 2e-3 0.003 67.13

    DP5 55 18 40 22 10 6 120 2e-3 0.003 78.47

    DP6 55 22 35 13 10 6 120 2e-3 0.003 75.85

    DP7 55 22 40 18 10 6 120 2e-3 0.003 73.07

    DP8 55 22 45 23 10 6 120 2e-3 0.003 81.80

  • 55 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    In Silico Testing Validates New Prototypes on Large Cohort of Patients Before Clinical Testing

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    • New products tested on

    cohort of patients

    • Major cost / unacceptable

    risk of failure

    • Long approval process

    delays access to new care

    • Working with large database

    of patient specific data

    • Virtually testing new concept

    on virtual patients

    • Enter formal approval when

    all virtual tests successful

    • Risk of failing approval

    dramatically reduced

    • Multiply submission of

    disruptive solution

    • Global time to market

    significantly reduced

    Validation on

    120 + femurs

  • 56 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    A Collaborative Simulation Environment Leverage all Available Resources Efficiently

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    • Remotely located staff

    • People with different

    background

    • Knowledge transfer btw

    senior and junior engineers

    • Centralized project,

    remotely accessible

    • Integrate platform where

    various physics and multi

    levels co-exist

    • Customization & Automation

    • Experts in each physics can

    collaborate on single model

    • Senior experts in modeling

    coach junior analysts

    • Virtual teams able to work

    24h /day on a given project

  • 57 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Increasing Productivity Through Staff Efficiency

    Business Initiative: Reduce Late Stage Design Fixes Design problems caught late in the product development process are costly to address, but for most companies are a cost of doing business. As a result many companies deploy engineering resources late in the development process to help fix design and manufacturing problems prior to product rollout. Oticon sees a better way of operating. They reallocated engineering resources to the early stages of the design process to explore the design space more fully and avoid decisions that might lead to problems later.

    Action Taken Oticon was successfully using ANSYS tools to properly design the most important components but engineering resources were short to optimize the entire system what led to an unacceptable design.

    Using the ANSYS’ Application Customization Toolkit (ACT) Oticon was able to integrate advanced acoustic capabilities and Oticon’s best practices in a designers accessible workflows. By making complex physics such as acoustic and frequency dependent material mechanical models, accessible to non-expert simulation users in an application specific environment, ACT enables them to perform design validations with ANSYS.

    Key Results By adopting ACT driven multiphysics simulation, Oticon was able to democratize the use of simulation without compromising with the reliability of results. More than 75% of simulations traditionally done by experts can now be delegated to non-expert simulation users. Specifically, Oticon freed the simulation experts to model the full system, the complete hearing aid, rather than just some of its key components. This translates in significantly better performance leading to more competitive products and eventually will eradicate costly and time consuming late stage design fixes.

    Martin Larsen Simulation Specialist Oticon

    “ACT and ANSYS Workbench enable Oticon A/S to achieve our objective for design engineers to successfully employ simulation. Our goal is to leverage Workbench and the ACT environment: – Flexible and open – Ease of use (easier deployment) – Captures Oticon’s business specific (expertise & know how)”

  • 58 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Centralized HPC Scale Up and Hardware Optimization Support the SDPD* Vision

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    • Some models request

    parallel computing and DoE

    • Distributed staff needs

    access to resource

    • Numerous large simulations

    to be run by all facilities

    • Centralized computational

    resources accessible

    remotely.

    • Highly scalable HPC and

    Access to Cloud

    • Affordable DoE

    • DoE across the company

    even for limited local needs

    • Sharing a pool of software

    amongst facilities

    • Democratization of

    simulation towards patient

    * Simulation Driven Product Development

    Observed trend at ABB:

    • Integration in design processes (non-expert users)

  • 59 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Simulation is Deployed at the System Level to Ensure Complete Robust Design Optimization

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    • Interacting components

    • Influence of the

    environment

    • Multiphysics, multiscale

    products

    • Integrated platform

    • Interacting multiphysics

    • 0D to 3D modeling

    • Optimized system rather

    than components

    • Warranty cost reduction

    • Accelerate PDP

    especially for complex

    products

    Dynamically Linked HFSS/Designer Simulation

  • 60 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Cutting Time to Market by Three Months for Body-Worn Wireless Devices for New Applications.

    Business Initiative: Amplify Engineering Productivity Designing external wireless design safe for the patient and robust in terms of reliable transmission. The radiated power of the device must be kept below levels that can create a health hazard. The device’s power consumption, size, aspect ratio and weight must be minimized to make it suitable for wearing. Yet the device must be designed to deliver a signal of sufficient power to the right location, with good reception by the target device — despite the fact that the human body may absorb a significant portion of the signal.

    Action Taken Synapse uses the ANSYS HFSS 3-D full-wave electromagnetic (EM) simulator and the ANSYS human body model to evaluate the performance of various antenna designs by modeling the complete system, including the wireless device and antenna and their interactions with the human body.

    Key Results Guided by simulation, electrical engineers typically can increase the range of the product by a factor of five, relative to the initial concept, while saving an estimated three months out of a traditional 12-month development cycle. The ability to evaluate designs without building physical prototypes typically helps Synapse engineers to increase the global performance of the antenna by a factor of five compared to the original design concept.

    Bert Buxton, Senior Electrical Engineer Synapse Product Development

    “Synapse uses ANSYS HFSS and the ANSYS human body model to evaluate performance of various antenna designs by modeling the complete system, including the wireless device and antenna and their interactions with the human body.”

    Simulation output shows power

    absorbed by foot and ground.

  • 61 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Smart Product Models Combine Hardware and Embedded Software Simulation

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    • Reliability of software

    interacting with hardware

    • Interface design

    • Certification

    • Integration of soft and had

    component in the model

    • Automatic code

    generation

    • Certified software

    • Acceleration of process

    development

    • Increased system

    reliability

    • More complex solution

    IEC 62304 Relationship to Other Standards

    derived

    PROTOTYPE & DESIGN

  • 62 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Contents

    • Adoption of simulation

    • Case Studies:

    - Patient Specific Modeling of LVAD and PVAD

    • Biomedical Applications

    • Cardiovascular Applications

    • Industry Best Practice

    • Wrap up: A Successful Revolution

  • 63 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Click to edit Master text styles

    Market Drivers Tightening Regulation

    Ageing population

    Accessing Care

    Key Business Initiatives Boost innovation rate

    Maximize Product Reliability

    Reduce Cost

    Industry Best Practices: Systematic use of simulation early

    Simulation Assisted FDA Approval

    Collaborative Simulation Environment

    These evolutions apply across medical sectors; they are progressively reaching the clinical world

    Wrap up

    Rising health care cost

    No mercy for failure

    Reduce time to market

    Enable remote personalized med.

    Globalize resource

    In Silico Testing

    Virtual Human Laboratory

    Certified Embedded Software

  • 64 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    How quickly this Medical Revolution will succeed depend upon you and us.

    Ind

    uce

    d In

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    e

    Time

    In Vivo Surgery

    In Vitro Antibiotics

    In Silico Preventive personalized medecine

    In Vitro Antibiotics

  • 65 © 2015 ANSYS, Inc. November 12, 2015 ANSYS Confidential

    Thank you for your attention!

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