Welcome to
The Simon Foundation for Continence's
Innovating for Continence
Conference Series

2007 Innovating for Continence Program

APRIL 19-20, 2007

MARRIOTT LINCOLNSHIRE RESORT
Lincolnshire, Illinois

Wednesday, April 18, 2007

7:00 PM - 10:00 PM

Pre-conference Workshop: What do incontinence pad users want from their products?
During 2007 the Continence & Skin Technology Group at University College London and the University of Southampton will publish the most comprehensive multi-center user evaluation of adult incontinence pad designs ever conducted and this workshop will provide a preview of the findings. The work aimed not to determine whether one company's product worked better than another's but rather to identify the strengths and limitations of the different generic designs (inserts, briefs, pull ups etc) and to understand better the groups of people who make different product choices. The work comprised three major strands, each focusing on a different market sector and each involving 80-100 subjects. The first strand focused on community-dwelling women with light incontinence. Each woman evaluated three products of each of the four main designs available: disposable inserts; disposable sanitary towels; washable pants with integral pad; and washable inserts (12 products in total). The second strand addressed community-dwelling adults with moderate/heavy incontinence, with each subject evaluating three products of each of the five main designs available: disposable inserts; disposable briefs; disposable pull-ups; disposable T-shaped products; and washable bodyworn products (15 products in total). The third strand looked at adults with moderate/heavy incontinence living in hospitals and nursing homes. Each subject evaluated one carefully chosen product from each of the designs used in the second strand, apart from the washable body worn products. Data were gathered using self-fill questionnaires and interviews. In addition the severity of leakage from individual used pads was noted and they were weighed yielding data on the leakage performance of products and the amount of urine they are required to hold. Together with a similar recently published study on products for men with light incontinence (disposable pouches; disposable leafs; disposable inserts; and washable pants with integral pad), these studies provide an over-view of all the major market sectors, providing robust data and insights for marketing and product development. Alan Cottenden will present all four studies. He will also include a brief presentation on the wider incontinence technology work of his research group.


Thursday, April 19, 2007

8:00 AM - 11:30 AM

Pre-conference Workshop: The Science of Creativity
This pre-conference workshop invites real people to work on real problems using processes that generate unique ideas from people who say they aren't creative. Ms. MacDonald's background includes a variety of projects as an executive with Johnson & Johnson for two decades. She was the driving force behind the breakthrough incontinence product, Serenity. Beth currently heads a consulting firm based in Manila.

1:00 PM - 1:15 PM

Welcome/Introductions/Statement of Purpose
Cheryle Gartley, President and Founder, Simon Foundation
Alan Cottenden, Ph.D. Conference Chairman

1:15 PM - 1:45 PM

Will All Incontinence Be Cured Anytime Soon? by Christopher Payne, M.D.
All people with incontinence would like to be cured if possible, rather than just managing their symptoms, how ever effectively. Drawing on his experience of heading the team that compiled the chapter on worldwide incontinence research for the third International Consultation on Incontinence, Chris Payne will review new and imminent cure approaches in surgery, pharmacology, tissue engineering, etc. and assess their likely impact on future needs for incontinence management options. Dr. Payne is Associate Professor of Urology at Stanford University and an internationally-recognized expert in urinary incontinence.

1:45 PM - 2:00 PM

Discussion

2:00 PM - 3:00 PM

Lessons from Living with Incontinence Patient Panel
A key step in successful engineering design is to establish a clear understanding of what the consumers want; what matters to them; what are their perspectives and priorities. In this session we will hear from a panel of people, each having many years experience of managing their urinary incontinence. We will ask them to describe how their bladders behave; how they currently manage (including describing the strengths and limitations of their products); what their bladder stops them from doing (easily) that they would like to do; and finally to describe their perfect product (in functional terms: what would they want it to do?).

3:30 PM - 4:10 PM

Incontinence: The View from Space by Professor Ian A. Sutherland BSc, PhD, FIMechE, FIPEM
One of the challenges of life aboard space ships is handling liquids in the (near) absence of gravity. Drawing on his experiences working for NASA and the European Space Agency, Ian Sutherland will review lessons from space which may be applied to the equally challenging liquid handling problems that need to be addressed to create effective products for managing incontinence. Professor Ian A. Sutherland BSc, PhD, FIMechE, FIPEM is Director of the Brunel Institute for Bioengineering, a leading European institute, at Brunel University in Uxbridge, UK.

4:10 PM - 4:50 PM

Surface Technologies: Impact on Incontinence by Jay Goldberg, Ph.D.
Incontinence products are used in a hostile service environment. They must be easily used to control the flow of urine without blockage, leakage, or migration. They must not damage surrounding tissues nor cause infection. This lecture will define the major engineering challenges in developing incontinence products and discuss the use of surface modifications and other applicable technologies to meet these challenges. Dr. Goldberg is Director of the Healthcare Technologies Management Program and Assistant Professor of Biomedical Engineering at Marquette University in Milwaukee, Wisconsin. Dr. Goldberg also has had previous experience in industry as an executive with Surgitek prior to joining Marquette, so brings an valuable and unique perspective to the conference.

4:50 PM - 5:10 PM

Discussion

5:10 PM - 5:40 PM

The "Smart Chip" Approach for the Treatment of Incontinence by Jordan Dimitrakov M.D., Ph.D.
Incontinence presents unique diagnostic and treatment challenges for practicing clinicians. The classification and categorization of different types of incontinence are in constant flux and reflect the current gaps in our understanding of the underlying mechanisms and biology of incontinence. Our group is interested in creating hybrid biosensor and drug delivery devices for both diagnosing and treating incontinence. These devices function much like a "smart chip" which delivers the required medication at the appropriate time.

5:40 PM - 6:10 PM

Sensor Technology for Diagnosing and Managing Incontinence by Margot S. Damaser, PhD
Objective diagnosis of urinary incontinence is presently made by Urodynamics, a clinical exam that is often unable to reproduce symptoms reported by patients. Inspired by techniques presently used in diagnosis and management of Cardiac dysfunctions, development of an ambulatory wireless catheter-free Holter monitor for the bladder can be envisioned. This device could potentially be useful for management of incontinence as well as for diagnosis. Margot Damaser will present recent relevant biomedical engineering advances and how these can be applied to improve the technology available for diagnosing and managing incontinence. Dr. Damaser is Assistant Professor in the Cleveland Clinic Lerner College of Medicine and has been conducting research on the biomechanics of incontinence for over 10 years.

6:10 PM - 6:30 PM

Discussion

7:45 PM - 10:00 PM

Dinner
Dinner will include a short presentation by Ray Laborie, honorary President of Meeting.


Friday, April 20, 2007

8:00 AM - 8:30 AM

Incontinence for Engineers by Catherine DuBeau, M.D.
How is the bladder supposed to work? What can go wrong and what are the consequences? How much urine do people with incontinence leak, how often, and under what circumstances? How do women's bladders differ from men's - and young from old? Catherine DuBeau will provide an introduction to incontinence for engineers outlining the data that they will need to create sound design specifications on which to base improved products. Dr. DuBeau is Associate Professor in Geriatrics in the Department of Medicine at the University of Chicago. Her research and clinical expertise is incontinence of the elderly.

8:30 AM - 8:40 AM

Discussion

8:40 AM - 9:40 AM

Lessons from Life: Caregiver's Perspective
Many people with incontinence depend on the assistance of caregivers to manage their incontinence. This panel will comprise caregivers with a rich range of experiences from professional nurses through to those with experience of caring for family members. We will ask them to recount their experiences, explaining the product limitations they have encountered and describing problems they would like solved. This panel of caregivers will include, among others: Carol Ostro, husband's caregiver, designed own product; Jeff Albaugh, RN, primary interest post-radical prostatectomy; Mary Ann Anichini, Nurse Practitioner in Long-term care; and Joe Minetola, engineer and caregiver.

9:40 AM - 10:10 AM

Urinary Catheters in the Present Day by Marcus Drake, M.D.
The Foley catheter was invented in the 1940s and yet its basic design is unchanged 60 years later. In this lecture, Marcus Drake will describe the range of catheter designs and materials available, highlighting their strengths and limitations. He will also review recent and current work to overcome the limitations and highlight research priorities for future work. Dr. Drake is consultant urologic surgeon at the Bristol Urologic Institute in Bristol, UK. His clinical and research focus is on female and reconstructive surgery and neurourology.

10:10 AM - 10:30 AM

Discussion

10:30 AM - 11:15 AM

Break

11:15 AM - 12:15 PM

Panel on Funding
The panelists will describe funding opportunities in the field, including grants, contracts, small business opportunities, venture capital and technology transfer. Among the panelists confirmed are Dr. Liebert and Dr. Thor. Dr. Liebert is Professor of Urology at the University of Michigan, and has served as Program Officer at the National Institutes of Health and at the Department of Defense. Dr. Thor is an internationally-recognized expert in neurourology, and is Adjunct Research Associate Professor at Duke University as well as Vice-President for Research at Urogenix, a Division of Astellas Pharma.

12:15 PM - 1:15 PM

The Holy Grail: A Wearable Female Urine Collection Device that Works by Eboo Versi, M.D., PhD
There have been numerous attempts to develop a wearable female urine collection device but none to date has achieved clinical effectiveness or commercial success. Drawing on his experiences as a urogynecologist in clinical practice, research and more recently the drug and device industry, Eboo Versi will moderate a discussion aimed at stimulating fresh thinking for those seeking to do better. The debate will be fed by reviews of some designs taken from the clinical and patent literature and will seek to identify the key requirements for success.

2:00 PM - 2:30 PM

Lessons from Odor Science by Charles J. Wysocki, Ph.D. in Psychobiology, Member, Monell Chemical Senses Center
Numerous studies to identify what people with incontinence look for in the "perfect product" have revealed that freedom from the fear of smelling is a high priority. This lecture will draw on the author's experience in measuring and understanding odor to provoke fresh insights in how to tackle the problem of smell and incontinence products.

2:35 PM - 3:25 PM

Lessons from Smart Textiles by and Fernando Tovia, Ph.D., School of Engineering and Textiles, Philadelphia University and John D. Pierce, Jr., Ph.D. Associate Professor of Psychology, Philadelphia University
Smart textiles sense heat, moisture, chemicals, light, pressure and body functions and log the information or, cleverer still, respond by changing their properties to deliver desired effects. In theory, they might keep you warm, dry, moisturized and free of bacteria, odor and stains while measuring your heart rate. This lecture will explore what smart textiles might bring to incontinence management.

3:25 PM - 4:00 PM

Summary