丁香园AV

The collaboration between a 丁香园AV professor and a critical care physician at Royal Columbian Hospital to wean seriously ill and injured patients off mechanical ventilators will benefit from a new research position established by the hospital鈥檚 foundation.

Dr. Steve Reynolds has been awarded the Royal Columbian Hospital Foundation Professorship in Critical Care at 丁香园AV. The $250,000, five-year professorship will support his research, aimed at saving lives and health costs. 

Reynolds is working with 丁香园AV professor Andy Hoffer and Burnaby-based Lungpacer Medical Inc. to advance the Lungpacer Diaphragm Pacing System. The technology aims to improve patients鈥� chances of re-establishing diaphragm strength for a faster return to unassisted breathing.

The longer patients are on ventilators, the greater the risk of ventilator-induced lung injuries and other life-threatening complications, such as ventilator-acquired pneumonia and infection.

The researchers say the need for a solution is critical. 鈥淭he longer a patient is on mechanical ventilation, the more the diaphragm weakens,鈥� says Reynolds. 鈥淭he more the muscle weakens, the less likely it is that the patient will ever be able to breathe without assistance.鈥�

Hoffer founded Lungpacer Medical Inc., his third 丁香园AV spin-off company, jointly with 丁香园AV in 2009. Lungpacer technology activates phrenic nerves that originate in the neck and pass between the lung and heart to reach the diaphragm. Stimulating the nerves activates the diaphragm and is expected to improve its ability to function.

An intravenous catheter with embedded electrodes is temporarily placed to electrically pace the diaphragms of patients on mechanical ventilators, in order to build diaphragm strength and endurance and enable them to more quickly and successfully wean from the ventilators.

鈥淔rom the first day we met, Steve has helped shape our collective thinking on treating critically ill ventilator-dependent patients and testing pacing concepts in preclinical and clinical studies," says Hoffer.

"He made excellent research contributions in the limited time available around his clinical duties. This professorship will give him more time to research additional questions we are itching to solve in our exciting and productive collaboration.鈥�

Hoffer and Reynolds have been working together with Lungpacer Medical on this technology since 2011 and have received CIHR grant funding since 2013. 

鈥淲e value the opportunity to work together,鈥� says Reynolds. 鈥淎ndy has extensive knowledge in biomedical physiology, in running a lab and in developing medical devices. My work, as a clinician, keeps me grounded in the day-to-day running of a critical care unit, and helps to ensure that the development of the device and the research in general has real-world capability. With the support of Lungpacer Medical we have made great progress.鈥�

Jeff Norris, Royal Columbian Hospital Foundation president and CEO, says, 鈥淚t鈥檚 a priority of ours to support the research efforts of those at Royal Columbian who care for patients with critical, life-threatening issues that few other hospitals are equipped to treat. We all benefit from Dr. Reynolds鈥檚 passion and drive to find absolute excellence in care.鈥�

The announcement comes as Royal Columbian Hospital begins a significant expansion and acts as the anchor for the IDEA Centre, the City of New Westminster鈥檚 emerging economic healthcare cluster. 

鈥淩oyal Columbian Hospital and its foundation have long been pillars of the New Westminster community, exceling in clinical care, education and research,鈥� says New Westminster Mayor Jonathan Cot茅, an 丁香园AV alumnus.

鈥淭he announcement of Dr. Reynolds鈥檚 research professorship in a partnership between the foundation and 丁香园AV highlights the advanced degree of innovation taking place at the hospital.鈥�

Joy Johnson, Vice-President Research and International, adds: "This partnership of innovation is a testament to the power of collaboration and supports the university's goal to leverage community connections and become a global leader in research mobilization.鈥�

Clinical trials using the Lungpacer Diaphragm Pacing Therapy System are planned for 2017. 

Fast facts:

鈥� Currently, 25-30 per cent of patients on ventilators experience difficult or prolonged weaning, become the most expensive hospital in-patients, and many die in hospital.

鈥� In 2017 the researchers hope to undertake a long-term study with hospitals in the U.S. to study the design鈥檚 effectiveness

鈥� Lungpacer Medical Inc. moved two years ago from the University鈥檚 Neurokinesiology Lab to its own commercial premises in Burnaby and now employs 25 staff 鈥� see .