1. In-vivo Device for Measuring and Adjusting Lap-Band Pressure John Huidekoper Mark Fritz Chris Schroeder Andrew Koivuniemi David Mayhew ©Bill Watterson Advisors: Dr. Robert Roselli Dr. Thomas Rauth

2. Background Information Obesity in United States Sources of help  Gastric Bypass  Lap-Band Source:http://www.sptimes.com/2003/10/14/Worldandnation/Number_of__extremely_.shtml

3. Reasons for Design Choices Problems  Device Failure Leaks (Maude Database) Patient Pain  No Constant Pressure Fixes  Implantable Pump  Autonomous Control as well as Non-Invasive Control

4. Ideas we’ve tossed out External control  Still have problems with the port  Patients could unhook the device if uncomfortable = defeating the purpose http://www.minimed.com/images/x22_features_callout.jpg

5. Ideas we’ve tossed out Syringe pump  Dead space behind it  No mechanical advantage  The ones out there are too large for implantation http://www.klf-insurance.com/images_for_site/syringe.jpg

6. Basis of our ideas Car-jack Pacemaker Squeezing on fluid bag http://www.syncope.co.uk/images/Pacemaker.JPG http://www.3dkingdom.org/modules/My_eGallery/ gallery/models/thumb/CarJackModel.jpg

7. Current Pump Design

8. Torque Considerations

9. Current Pump Design

10. Motors Stepper motors  Provides fine tuning in angular position  Good with micro- controller  Provides detent torque

11. Motor Selected Micromo AM 2224 This is a stepper motor Allows for specific positioning and micro control 23 mm diameter 4 cm long Max Torque

12. Gearing Advantages  Increased Torque  Increased Precision Disadvantage  Occupies Space  Less Efficient Tried to make our own Problem- Small Gears are very expensive

13. Our Gears Gearhead  Attaches to the front of the motor  Increases the torque several orders of magnitude (1000:1)  Does increase motor length to 7 cm

14. Necessity of Pump Control Desired Curve Pressure Adjustment Loss of Pressure

15. RF Control Chip Negative Feedback Control Pressure Drop in Lap-Band Pressure Transducer Detects Changes Data Processing of Multiple Readings Chip Determines Necessary Volume Pump Changes Volume Of Saline in Lap-Band -

16. Bag to Hold Saline Saline-Filled Bag Exploring several options: 1) Bag Material 2) Bag Fabrication Prototype Pump -Easily disassembled -Experiment with bag designs

17. Progress Summary Pump Design Pump Fabrication Electronics (Chip, Pressure Transducer, Battery, Motor Control) Bag Design/Fabrication NCIIA Grant