A Profile
of Cushing Hamlen: Modeling and Simulation at Medtronic
Submitted by Donald
French.
Cushing Hamlen from Medtronic, Inc. gave the Industrial Problem
Seminar on October 17, 1997 at the IMA. This article is a summary
of the talk and presents Dr. Hamlen's work at Medtronic as well
as his views on mathematics in industry. In the seminar he provided
an overview of the products made by Medtronic and its mission.
He then presented an in-depth description of the Materials and
Modeling group of which he is a member and some of the activities
and problems they have been involved with. The major agenda
of his seminar was to reveal the purpose, prerequisite skills,
and duties of a mathematically inclined scientist in a company
like Medtronic. He emphasized that such a scientist needs a
strong education in all areas of physics.
Medtronic

Medtronic makes many different medical devices, has revenues
in excess of two billion dollars, has 11,500 employees, and
is an international company with nearly 45% of its business
outside of the United States. They build and design implantable
pacemakers and defibrillators. Both of these devices have a
small programmable control unit with a special cable that connects
into the heart. They are designed to work reliably for at least
ten years. A pacemaker regulates the heart rate of a patient.
A defibrillator is used on a patient whose heart has a tendency
to beat in highly irregular patterns. This device gives a pulse
to the heart to jar it into a regular rhythm. The computer logic
in a defibrillator is necessarily very complex so it can give
a proper interpretation of how a patientŐs heart is behaving.

Medtronic also builds devices for vascular surgery, cardiology,
and neurology. In cardiology, pumps and oxygenators are built.
These pumps act as a bypass during heart surgery. It is important
for these devices to handle the blood gently minimizing high
shear stresses which could degrade it. In neurology special
implantable devices are made that inject certain drugs which
can dramatically ease the tremors in Parkinsons' patients and
those with related diseases.

Other products made by Medtronic include artificial heart valves
and other implantable devices which inject drugs in the spinal
cord to control back pain. They are also working to create aids
for snoring, hiccups and other less serious discomforts.
Most of the devices made at Medtronic must be placed in the
body in an environment which is very hostile. These devices
must work reliably for ten years --- they can't break or wear.
To produce such high quality items their behavior in the body
must be well understood --- a task that requires mathematical
modeling.
Industrial Research
The Center for Biomaterials Research where Dr. Hamlen is employed
is set up to provide corporate wide research and development
leadership, expertise in Polymer technologies, surface modification,
and materials and modeling. The duties of this group include
basic research of processes as well as concept and prototype
analysis with the goal of reducing the number of prototypes
needed to build a high quality device. They also provide "after
the fact" device analysis. Dr. Hamlen is primarily a consultant
for other scientists in the company. He is called in to model
and simulate the performance of devices in various stages of
production or when specific problems arise that are not well
understood.
The applications this group encounters cover a wide range of
physics supporting Dr. Hamlen's theme that an industry scientist
needs to have a strong background in all areas of physics. The
areas they are involved with include
- Fluid flow.
- Diffusion.
- Mechanical analysis -- stress/strain and vibration.
- Heat transfer.
- Electrical analysis of current densities and field potentials.
- Molecular modeling predicting physical properties of polymers
and protein conformation, adsorption, and binding.
A stated purpose for Medtronic activities is to make a fair
profit. This goal has a strong influence in the day-to-day work
of the industry scientist. Since it is important to bring the
products to market as quickly as possible to be competitive,
Dr. Hamlen pointed out that time was the most important
factor in guiding his work and not efficiency. Thus his
job is to obtain suitable answers in a timely manner. Because
of this, "person time" is considerably more important
that computer time. A brute force solution that may expend many
CRAY hours but was simple for Dr. Hamlen to code is far preferable
to a solution involving a complex (perhaps efficient) code that
requires alot of human intervention. He typically uses general
purpose codes instead of writing his own and tends to use far
finer meshes than would be required in order to provide insurance
that the solutions are correct while limiting the number of
computer experiments.
A summary of the important skills that an industry scientist
working in mathematical modeling needs are
- Breadth of knowledge in physics.
- Understanding of existing general purpose codes.
- Ability to distill a problem down to its essence.
- Communication, interpersonal, and group skills.
2 Example Problems
Dr. Hamlen was a consultant on an analysis of the flow of blood
in a pump (see figure 1) used during heart surgery.

Figure 1.
Earlier work had led to the design of a narrower flow path
and eliminated a large recirculation zone (see figure 2). A
more recent question involved the design of the cutwater which
had been identified as the location of the highest shear component
(see figure 3). The key question was: does the shape of the
cutwater-strut gap affect shear. It was important to minimize
shear since this can damage the blood being pumped.

Figure 2.

Figure 3.
Two possible solutions were considered, hand built and molded
designs (see figure 4). Dr. Hamlen performed two fluid dynamics
computations to provide helpful information. In both numerical
experiments he examined fluid moving through a rectangular box
with a protrusion inserted in the path of the fluid. Figure
5 has the x-y cross section of the box. In the first computation
the vertical profile of the tongue was in the hand built shape
and in the second it was in the molded shape. The computation
showed that the shear was higher in the hand built case.

Figure 4.

Figure 5
Hamlen's work stimulated further investigation. An experiment
with prototypes and real blood showed that there was a 23% hemolysis
reduction from using the molded design instead of the hand built.
Future designs (of all types) will use this modification and
a patent has been filed.
Dr. Hamlen pointed out that the cutwater project came at a
very busy time. He had only one afternoon to work on it. This
situation dramatically exemplifies the importance of time in
the real world.

Figure 6.

Figure 7.
Another project Dr. Hamlen worked on involved a cardioplegia
heat exchanger (see figure 6). The question was whether adjustments
in dimensions of the base of the exchanger could provide a more
even blood flow through the manifold. Numerical computations
were done on this problem that involved porous media (the heat
exchanger) and were in two dimensions. The results of several
numerical experiments are shown in figure 7. Design 5 was selected
based on these calculations. When an apparatus based on design
5 was built and experiments were run on it, the scientist working
with the blood flow observed that the flow was actually more
even that predicted by the numerical calculations. This work
exemplifies the importance of simulation.
Short Biography
Dr. Hamlen received his Ph.D. in Chemical Engineering from
the University of Minnesota. He joined the Center for BioMaterials
Research at Medtronic Inc in 1994. Dr. Hamlen can be reached
through e-mail: cushing.hamlen@medtronic.com