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15-Year-Old Boy Fitted With Robotic Heart

An anonymous reader writes "What do you do when a 15-year-old boy is close to death and ineligible for a heart transplant? If you're Dr. Antonio Amodeo you turn to an artificial solution and transplant a robotic heart, giving the boy another 20-25 years of life. The Italian boy in question suffers from Duchenne muscular dystrophy, which rapidly degenerates the muscles and eventually leads to death. Having such a disease renders the boy ineligible for a heart transplant, meaning almost certain death without an alternative solution. Dr. Amodeo found such an alternative in the form of a 90-gram, fully-robotic heart that took 10 hours to fit inside the boy's left ventricle. It is a permanent solution offering as much as 25 years of life and is powered by a battery worn as a belt."

241 comments

  1. Crank High Voltage by Anonymous Coward · · Score: 0

    I saw this movie already... Not one of Statham's Best...

  2. I guess I'm not surprised by shoehornjob · · Score: 1

    The line between human and robot/artificial life form is getting thinner as the science progresses. That must have been a bitch of an operation though.

    --
    "We are just a war away from Amerikastan. When god vs god the undoing of man." Dave Mustaine
    1. Re:I guess I'm not surprised by JWSmythe · · Score: 4, Insightful

      Well, if you remember in "Bicentennial Man", he slowly perfected artificial human organs, until there wasn't much that couldn't be replaced.

          I'm a bit surprised at the 20 to 25 year claim. I thought it wasn't more than a year or so ago that artificial hearts, though promising, were never practical for long-term use. At best they were a stop gap measure between the original heart failing, and getting a real flesh donor heart.

          I went looking for more information. The most detailed I could find was this 2006 news story

      Of the 14 original recipients, two died on the operating table. The rest survived for an average of 5.2 months, with the longest living 17 months. ...
          The original patients all had a life expectancy of a month or less when the device was put in, and their net gain in longevity was 4.5 months.

          It sounds like they're offering the kid a very optimistic view of life. The article is very short on information, like specifics on the device (who makes it, what it's called, what testing has been done, what have the long term animal trials shown, etc). I'm sure they're very good engineers and doctors, but it would be nice to have more information before people start really believing that they can have an artificial heart with a MTBF of 20 to 25 years.

      --
      Serious? Seriousness is well above my pay grade.
    2. Re:I guess I'm not surprised by Anonymous Coward · · Score: 3, Insightful

      The *heart* have a lifespan of 20-25 years. But the kid, with his Duchenne dystrophy have anyway a much shorter lifespan. The only thing is that his heart will not be the limiting factor now.

    3. Re:I guess I'm not surprised by Beretta+Vexe · · Score: 1

      http://www.carmatsas.com/

      To my know it's the only company with a fully implantable artificial hearth. It a French company created by the inventor of the artificial hearth valve.

      Plus the product specification totally match the article: http://www.carmatsas.com/?page_id=56&lang=en

      The videos are over there: http://www.carmatsas.com/?page_id=12&lang=en

    4. Re:I guess I'm not surprised by Beretta+Vexe · · Score: 1

      Sorry, i'm wrong.

      It's not their product, you need to let the pop-up show up, the message in french shortly state that it wasn't their tech but a more classic mechanical heart assistance and not a full prosthetic replacement.

      P.S. WTF did they use pop up in the first place ?

    5. Re:I guess I'm not surprised by HungryHobo · · Score: 1

      Yes, even if your heart doesn't go Duchenne's doesn't stop degrading your muscles.
      It used to be that kids with it would die before the age of 12.
      Now many reach 20.
      there have been big improvements in treatment but 40 is extremely unlikely.
      muscles like those in the heart and lungs degrade more slowly than others but they still degrade and eventually he'll suffocate or some other muscles he needs to live will go.
      Unless they can build him a robotic lung as well and robotic throat muscles etc he's still going to die long before the heart does.
      there are far more painful diseases but it's still a horrible affliction and from such a trivial mutation.
      Delete one codon and you won't make it to adulthood.

    6. Re:I guess I'm not surprised by Kilrah_il · · Score: 1

      Yes, he has DMD, a disease that progressively destroys all the muscles in the body. They replaced his heart, but at age 15, he is already incapable of walking and soon enough his diaphragm will stop working. Yes, they can artificially ventilate him, but then you get a body that does nothing but lay down with tubes poking from each hole (and I do mean each and every hole). All this until he is lucky and gets pneumonia and dies (no sarcasm).
      I cheer for the progress this transplantation (or should it be "implant"?), but from an ethical point of view, I think it just brought more suffering to the kid. Of course, it's the boy's and family's decision, but if I were in their position I wouldn't do it.

      --
      Whenever in an argument, remember this.
    7. Re:I guess I'm not surprised by JWSmythe · · Score: 1

      Thanks for trying. :) So I'm still curious to who really made it.

          For everyone else, here's the translation of the popup.

      Following media coverage of the weekend, of the first implantation of a cardiac artificial heart in a 15 year old child in Italy, we wish to inform you that Carmat, which visuals were used - without permission - for illustrate stories, has no connection with this news and plans to proceed as planned with the first implantation in humans in late 2011.

      The procedure publicized this weekend is the implantation of a ventricular assist device, and therefore a pump, which comes in support of the heart. The natural heart remains in place in the patient's chest and the surgeon says this mini pump to support the failing ventricle.

      This operation does not therefore present the characteristics of artificial heart developed by Carmat (www.carmatsas.com), which is the total artificial heart the most advanced in the world.

      Feel free to contact us for more information.

          Basically, the device is what they empowered Dick Cheney to be a first generation Terminator earlier this year.

      --
      Serious? Seriousness is well above my pay grade.
    8. Re:I guess I'm not surprised by maxwell+demon · · Score: 1

      this transplantation (or should it be "implant"?),

      Yes, it should be "implant" unless that robotic heart was already in someone else's body before.

      --
      The Tao of math: The numbers you can count are not the real numbers.
    9. Re:I guess I'm not surprised by Kilrah_il · · Score: 1

      Thought so. Thanks.

      --
      Whenever in an argument, remember this.
    10. Re:I guess I'm not surprised by Beale · · Score: 2, Insightful

      So what you're saying is that they might as well implant his brain in a terrifying robotic body *now* and save some time?

    11. Re:I guess I'm not surprised by hackwrench · · Score: 1

      but from an ethical point of view, I think it just brought more suffering to the kid.

      Some people have a ethical standard that says that life with suffering is better than no life at all.

    12. Re:I guess I'm not surprised by Anonymous Coward · · Score: 0

      Which they often try to force on others.

    13. Re:I guess I'm not surprised by DigiShaman · · Score: 3, Insightful

      Life is about living. The #1 thing that all living things fear is death. It's one thing to talk about letting go (unless you're in that much pain or suicidal) . But when faced to face death head on, it's only natural that we claw and cling on to every last moment of life until we are physical unable to.

      If someone told me that I could live an extra few hours by having this procedure, I can't say I wouldn't take the opportunity. Imagine how he must feel. He's only 15.

      --
      Life is not for the lazy.
    14. Re:I guess I'm not surprised by flowwolf · · Score: 1

      In the article, it is said it took them hours to fit it into his left ventricle. I suspect it is one of these devices | http://bit.ly/nopulseman | Or similar. They are classed as Left Ventricle Assist Devices.

    15. Re:I guess I'm not surprised by Kilrah_il · · Score: 4, Insightful

      You are absolutely correct that no one can know how he will choose faced with these possibilities. These are hard choices that no one can truthfully predict how they will decide until faced with them in real life.
      As a doctor, I guess for me it is something I face on a more daily basis. I see old people who have full-blown dementia, are physically bed-ridden and incontinent and yet sometimes their families want me to do anything to save their loved ones and make them healthy. It never ceases to amaze me how people can be so out of touch with reality.
      If it were my parents (which I know that one day it will be), I would like to know when to stop and let them just die without anymore suffering.

      So yes, I understand this is a hard choice for a 15y old child and his family and, frankly, I can understand why they chose to cling to any small shred of hope. I just hope that their doctor presented the situation truthfully and didn't paint the child's prospects too positively before the operation (unlike the summery).

      --
      Whenever in an argument, remember this.
    16. Re:I guess I'm not surprised by X0563511 · · Score: 1

      Don't forget all the other smooth muscles.

      It would be awful to live with the horrible gastric upsets, trouble regulating body temperature (ie, you skin contracts as a function of heat regulation. To put a blunt but prime example, think of nipples or how the scrotum contracts when cold).

      Eyes won't be able to track or saccade, speech will not be possible, and mechanical communication (writing, typing, blink codes, etc) will be out eventually too.

      Doomed to death or a vegetable-like state - with one key difference - you can still feel and think.

      no thank you. - I'd want a good assurance of fixing before all that happens, or euthenasia before the worst of it.

      --
      For large sets, this will be our guide even unto death, for the LORD will work for each type of data it is applied to...
    17. Re:I guess I'm not surprised by Kilrah_il · · Score: 1

      Except that DMD doesn't affect smooth muscles, only striated and cardiac muscles.

      --
      Whenever in an argument, remember this.
    18. Re:I guess I'm not surprised by DigiShaman · · Score: 1

      See, that's why I could never be a doctor. I don't have the heart to tell someone their doomed fate. I have no problem cussing a file server to keel over and die, but never human being on a path to death.

      I guess that's why you guys get paid the big bucks. You couldn't pay me enough to be a part of that reality. ;)

      --
      Life is not for the lazy.
    19. Re:I guess I'm not surprised by tehcyder · · Score: 2, Funny

      The #1 thing that all living things fear is death.

      The #1 thing that all conscious things fear is death.

      Don't anthropomorphise trees and fish. It upsets them.

      --
      To have a right to do a thing is not at all the same as to be right in doing it
    20. Re:I guess I'm not surprised by tehcyder · · Score: 1

      I just hope that their doctor presented the situation truthfully and didn't paint the child's prospects too positively before the operation (unlike the summery).

      So, in other words, the doctor's opinion should be a bit more wintry?

      --
      To have a right to do a thing is not at all the same as to be right in doing it
    21. Re:I guess I'm not surprised by jandersen · · Score: 1

      I'm sure they're very good engineers and doctors, but it would be nice to have more information before people start really believing that they can have an artificial heart with a MTBF of 20 to 25 years.

      Also, does it come with BlueTooth (TM)?

    22. Re:I guess I'm not surprised by Kilrah_il · · Score: 1

      No, it should be realistic. The summery painted the pictures as if now, having replaced the boy's heart, he has 20-25 years of disease-free life. The reality is different and he still has probably a few years to live and even those not easy. The family has to know that before going through with the operation.
      It's hard, but sometimes a doctor has to be direct. You can't go around and build dreams. In Hebrew there is a saying: "The best of the doctors, to hell". Basically it means that sometimes a doctor has to "bad" for the patients' best interests. If I am skirmish and can't tell my patient he has a disease that almost certainly will kill him in a few years, am I good to him or bad?

      --
      Whenever in an argument, remember this.
    23. Re:I guess I'm not surprised by omnichad · · Score: 1

      Why would a company that makes parts for fireplaces get into the heart business? Do fireplaces really have that many valves?

    24. Re:I guess I'm not surprised by Crudely_Indecent · · Score: 1

      ...never practical for long-term use.

      Ah yes, but from TFA:

      rapidly degenerates the muscles

      They're not practical for long term use in humans, but this boy is slowly turning into a meatloaf - which will put far less strain on the artificial heart.

      --


      "Lame" - Galaxar
    25. Re:I guess I'm not surprised by Anonymous Coward · · Score: 0

      Doctors told my parents I would die as a kid. After I came out of my coma and proved them wrong about that they said I'd never walk again. Six months later I'd proved them wrong about that too. After that, we paid less attention to the experts, and 26 years later I lead a full and healthy life. If my parents had listened to medical advice like yours back then, I wouldn't be here now. Sometimes hope is worth clinging to, I guess they don't teach that in med school though, it's all about saving money by not treating the hopeless cases.

    26. Re:I guess I'm not surprised by Kilrah_il · · Score: 1

      Of course they do teach us that and I do appreciate you knowing that I care about money and not my patients.
      I agree there is room for hope and we should not abandon it, however there is a thin line between giving hope and giving false hope.
      DMD is a disease that usually kills by age 20. There have been some rare cases of people living till age 40. Does that mean the doctor should tell the family that with an artificial heart (actually, a left ventricle assist device, but...) he will live till 40? I think the proper compromise should be to tell the child and the parents that although the device should solve the heart problem, it will no solve all other problems caused by the disease and in all likelihood he will not survive for many years. However, since we are talking about the human body and not a computer, no one can predict and there is a small chance he will live longer.
      As for your condition, I don't know what you had and what the doctors told your parents exactly, I'm just glad you survived and you are in good health.

      Sometimes we forget that when a condition has a 99% mortality rate, there is still 1% of surviving. OTOH, if the doctor stresses this 1% too much, the patient will naturally exaggerate his chances. Just ask the person in Las Vegas who is sure he is going to win now.

      --
      Whenever in an argument, remember this.
    27. Re:I guess I'm not surprised by MarkGriz · · Score: 1

      The #1 thing that all living things fear is death

      Actual death is #2. #1 is public speaking.

      I guess public posting is quite a bit further down the list.

      --
      Beauty is in the eye of the beerholder.
    28. Re:I guess I'm not surprised by treeves · · Score: 1

      Since all life involves suffering at some point or to some degree, it is just a matter of the degree of suffering with which one lives that is deemed better than no life. Life with suffering vs no life are your only choices. Of course the duration and frequency of suffering varies greatly, but not suffering at all is not really an option.

      --
      ...the future crusty old bastards are already drinking the Kool-Aid.
    29. Re:I guess I'm not surprised by X0563511 · · Score: 1

      Oh. Well... that's not as bad, but losing those skeletal muscles would still be no fun :(

      --
      For large sets, this will be our guide even unto death, for the LORD will work for each type of data it is applied to...
    30. Re:I guess I'm not surprised by JWSmythe · · Score: 2, Interesting

      A friend of my sister ended up in a state like that. I don't recall the disorder right off, but it wasn't pretty.

          The onset was like the common cold. That became pneumonia. He was hospitalized, and over the next few days, he ended up in a vegetative state. He had no sort of motor control at all. It was to the point where he couldn't even twitch a finger or toe. He couldn't speak. He couldn't see because his eyes wouldn't focus or track, or even blink. He could hear, but couldn't react to anything. He was fully aware, trapped in a completely useless body.

          It took them a little while to discover the disorder. All they could do was treat him with IV antibiotics. After about 3 months, he could sort of mumble words, but they were indistinct. After 6 months, he had regained his motor skills, but his body had atrophied so much he couldn't do much. Walking was out of the question. Even doing something as easy as typing was beyond him for a while. There was a pretty good period of physical rehabilitation before he was able to move like a normal person.

          He described it as absolute hell. He was fully conscious when he was awake, and the difference between awake and asleep wasn't visible to anyone observing him. For the first months of it, he said he wished he could have just died. After he recovered, he wasn't all rays of sunshine either. It took him a while to work through his depression that set in while he was in his vegetative state. Even after that, he wasn't himself.

          I wouldn't wish that on anyone, regardless if it was a temporary condition like his, nor living the last months of your life.

      --
      Serious? Seriousness is well above my pay grade.
    31. Re:I guess I'm not surprised by Anonymous Coward · · Score: 0

          I seriously considered becoming a first responder. I couldn't handle the prospect of losing patients. Not that blood and guts scare me. It would be when you're called to something like a serious car accident, and one of the victims is still alive, but just barely, and there's nothing you can do to save them. Or worse, having them die slowly and painfully.

          I've been there when people have died. They were scared. For one, it was just his time. He was 70. For the other, it was way too early. He was 14. His body couldn't sustain him. He knew it was coming for months, but we all denied it. I stayed strong through it, but it scarred me. What happened to each was beyond any of our control, and will live with me forever.

          If I'm ever on the victim side of it, I'd hope the paramedic or doctor would be kind enough to leave enough morphine within reach, so I can go out on my own terms, not on the terms of the doctors or other people who want me to live for just another minute. I'm not suicidal. I'm practical. Someday I'm going to die. There's no reason to make it a horribly painful exit. Some people call that weakness. They only say that because they're afraid of death. I'm stronger, so I can do it on my own. In the end, I'll probably end up going quietly in my sleep, but if it happens otherwise, I'd want the choice for myself. I thought about it recently when I was having severe chest pains. I've done just about everything I needed to do in this life. Everything from here on is a bonus. When it comes, I'm already prepared. I do hope it doesn't happen for a while though.

  3. Artificial hearts by XanC · · Score: 1

    Such a heart was a big part of one of the worst episodes of Star Trek: the Next Generation evar!

    1. Re:Artificial hearts by XanC · · Score: 2, Insightful

      Oh, I should also point out it was a big part of one of the best episodes evar too.

    2. Re:Artificial hearts by Anonymous Coward · · Score: 0

      And a pretty big part of a really good TNG episode.

    3. Re:Artificial hearts by Anonymous Coward · · Score: 0

      I have never seen that episode. However at 0.28 I discovered Weasly, so i'm going to bail.

    4. Re:Artificial hearts by Osgeld · · Score: 1

      hey, even if you hated it, you had to love Picard getting stabbed though the heart

    5. Re:Artificial hearts by mr100percent · · Score: 1

      That brings up another point; how come Paramount hasn't put ST:TNG up on iTunes? Everything else Trek is there

    6. Re:Artificial hearts by XanC · · Score: 1

      That wasn't in Samaritan Snare.

    7. Re:Artificial hearts by Osgeld · · Score: 1

      oops my bad got my links backwards

    8. Re:Artificial hearts by Ethanol-fueled · · Score: 1

      Chicken soup for the soul. When I'm feeling bad about my life I curl up under my blankie with some hot tea and put that episode on in candlelight.

      "That Ethanol-fueled never smuggled a Ziploc bag of vodka in his underwear to take to the senior picnic. He never destroyed his Slashdot karma for kicks, or ran from the cops barefoot and soaking wet on his 21st birthday, or took charge of training technicians when nobody else would. He never earned the top performer award in the military. He learned to play it safe...and he never, ever got noticed by anyone. "

      I once woke up laughing on a morning before a job interview. The interviewer told me I had it and asked me when I wanted to come in.

    9. Re:Artificial hearts by lowrydr310 · · Score: 1

      Don't forget about CRANK 2: HIGH VOLTAGE... such a lovely Hollywood gem! (I'm being a bit sarcastic but not entirely; don't expect to be blown away by some deep drama and realistic concepts; put reality aside and go in looking for a silly story with some mindless action and it's a hit! Works for me!)

    10. Re:Artificial hearts by lowrydr310 · · Score: 1
      On a side note, the movie wasn't completely ridiculous.

      The artificial heart shown in the movie is actually a real artificial heart, the AbioCor from Abiomed. However the real artificial heart is totally internal and does not include a battery box as shown in the movie. The latest AbioCors can run on battery without recharging (done via external RF chargers) for over 4 hours.

    11. Re:Artificial hearts by Anonymous Coward · · Score: 0

      Dr. Antonio Amodeo looks amazingly like Q!

    12. Re:Artificial hearts by bytor4232 · · Score: 1

      Tapesty has to be one of my all time favorites.

      --
      -- 4 8 15 16 23 42
  4. 25 years is permanent? by mark-t · · Score: 1, Troll

    I must be missing something here... because they seem to be wholly serious on their usage of the term "permanent"... which would imply to me that it should be lasting a heckuva lot longer than until he's forty.

    1. Re:25 years is permanent? by Anonymous Coward · · Score: 0

      He wont live to be 40 so for him it is permanent.

    2. Re:25 years is permanent? by magarity · · Score: 4, Insightful

      because they seem to be wholly serious on their usage of the term "permanent"... which would imply to me that it should be lasting a heckuva lot longer than until he's forty.
       
      He has a form of muscular dystrophy. They can't replace all his other muscles too and he'll eventually succumb to other problems related to MD. When you're one foot inside Death's doorway at 15, a solution that keeps you alive until ~40 is pretty darn permanent.

    3. Re:25 years is permanent? by zaren · · Score: 3, Informative

      Yes, I believe you missed the part where the disease he has causes the muscles in his body to stop working. It's a fairly safe bet the muscles that work his lungs or digestive system... or pretty much any other part of his body... will stop working before this heart fails. Someone with this disease is "lucky" to make it to twenty.

      --
      Come to the University of Mars! Classes starting soon!
    4. Re:25 years is permanent? by A+nonymous+Coward · · Score: 2, Insightful

      It's a lifetime guarantee.

    5. Re:25 years is permanent? by snookerhog · · Score: 1

      perhaps "permanent" in this case means that if this really works for 25 years, there will be nothing stopping them from just popping a new one in to extend his warranty for another 1/4c. It is the solution that could be permanent, not this particular robotic device.

    6. Re:25 years is permanent? by mark-t · · Score: 0, Redundant

      No argument on that point, but I would think that a medical solution that qualifies as "permanent" ought to be one that would at least have the capability of lasting long enough for a normal human life span. To that end, this is not a permanent solution, it is a stop-gap measure. What if his condition can be cured before he dies? The heart is still only good for no more than 25 years.

    7. Re:25 years is permanent? by Anonymous Coward · · Score: 0

      They didn't actually say the heart is only good for 25 years, just that's how long he's got left. If they can find a cure by then, the artificial heart may go on working long into old age.

    8. Re:25 years is permanent? by Firethorn · · Score: 4, Insightful

      I would think that a medical solution that qualifies as "permanent" ought to be one that would at least have the capability of lasting long enough for a normal human life span

      On the other hand, it's also something they aren't going to be looking to replace before it's in danger of wearing out.

      A blue tarp is a 'temporary' solution to a damaged roof. Fixing the roof and replacing the shingles is a 'permanent' solution, in that you're not normally going to be replacing the shingles again until they're damaged or wear out.

      I'm a bit surprised, last I remember they only had the one artificial heart and it was a 'complete' solution, not something that fits in one valve chamber.

      --
      I don't read AC A human right
    9. Re:25 years is permanent? by magarity · · Score: 2, Interesting

      the disease he has
       
      This is a side note, but muscular dystrophy is a genetic disorder. I know a lot of people call that kind of thing a 'disease' but that term implies a virus, bacteria, or other etc external agent (even the government spraying Agent Orange) came along and caused it. That doesn't happen with MD. He was just made that way so his condition should be labeled accordingly: a disorder. As in, not ordered correctly.

    10. Re:25 years is permanent? by Anonymous Coward · · Score: 0

      whooooooosh

    11. Re:25 years is permanent? by jridley · · Score: 1

      Where does it say that the heart is only good for 25 more years? It says that he can expect to live another 25 years. That's how long until they estimate the rest of his body will give out.

      Also, there's nothing to stop them putting in another heart.

      When they say "permanent" they are mainly drawing a distinction between this and early artificial hearts, which were only stop-gap measures to last until a real transplant heart could be found; typically people on them only had a few days or weeks until they died without a transplant. It was extraordinary the first time someone lasted 6 months on one, and I don't think he ever left the hospital.

    12. Re:25 years is permanent? by confused+one · · Score: 2, Insightful

      "Permanent" in this case probably means "Not Temporary" since it's not designed to be removed in a relatively short period of time. Pacemakers are "permanent" in that manner too.

    13. Re:25 years is permanent? by mark-t · · Score: 1
      If you were attempting to make a joke, it's not funny... having a condition that will end your life early is no laughing matter.

      Nor was I attempting to be funny by objecting at their usage of the word permanent... I was merely puzzled as to how something that could be given ANY particular duration in terms of the amount of time it would last to be a permanent solution. While a permament medical solution may very mean only for the rest of one's life, the term implies that it would last even longer than that span of time if he were fortunate enough to live longer than initially expected. Otherwise, it's just a stop-gap measure that will need to be addressed again later if the person lives that long.

    14. Re:25 years is permanent? by tool462 · · Score: 0, Offtopic

      a disorder. As in, not ordered correctly.

      I believe the PC term is "differently ordered."

    15. Re:25 years is permanent? by mark-t · · Score: 1

      Because they say that the "heart is expected to give the boy another 20-25 years of normal life". If they had meant that it would last until his condition finally takes his life, they really should have said that... and I'd agree that *that* would be a permanent solution.

    16. Re:25 years is permanent? by bluefoxlucid · · Score: 1

      A "disease" implies that the survival of an organism is reduced due to extraordinary internal conditions not related to its permanent environment. For example, mustard gas is not a disease; but bringing a mustard gassed individual into clean air might stop him from dying today, yet leave him with a lung disease due to seriously scarred lung tissue... this will reduce his ability to get oxygen when under heavy physical stress.

    17. Re:25 years is permanent? by NotQuiteReal · · Score: 1

      A blue tarp is a 'temporary' solution to a damaged roof.

      Not allowed by my HOA. It would have to be a beige tarp.

      --
      This issue is a bit more complicated than you think.
    18. Re:25 years is permanent? by BlackSnake112 · · Score: 1

      Too bad we are not closer to the prosthetic body idea from Ghost in the Shell. Even if in the experimental stages, this boy might sign up for the chance at a longer life.

    19. Re:25 years is permanent? by vlm · · Score: 2, Interesting

      I know a lot of people call that kind of thing a 'disease' but that term implies a virus, bacteria, or other etc external agent (even the government spraying Agent Orange) came along and caused it.

      Actually no. Historically "dis ease" as in lack of ease, or discomfort. Which would seem to apply to heart failure. Every modern definition applies either at one end to a unique set of symptoms, or any unique pathological condition resulting in those symptoms.

      Its like arguing that people often talk about species of insects, therefore they can't talk about species of bacteria.

      --
      "Science flies us to the moon. Religion flies us into buildings." - Victor Stenger
    20. Re:25 years is permanent? by Bigjeff5 · · Score: 1

      What it basically means is that now it won't be his heart that kills him.

      It'll be his lungs, or his intestines, or his stomach, or what have you.

      His disease is not limited to his heart, it degenerates all the muscles in his body at the same time. The heart is simply the most critical piece, and was therefore nearing critical failure faster than anything else.

      The boy is still not going to get a full life unless a cure is found. However, since he doesn't have his heart to worry about any more, he can expect another 25 years or so before he finally succumbs.

      Seriously, it's powered by an external battery, and they are more than capable of making small pumps that will last 50+ years. The limiting factor is obviously not the pump wearing out.

      --
      Security is mostly a superstition... Avoiding danger is no safer in the long run than outright exposure. - Helen Keller
    21. Re:25 years is permanent? by JWSmythe · · Score: 1

          With that prognosis, it sounds like an early heart failure is the better way out. I can't imagine having a complete skeletal muscular failure, so you're stuck in bed. Respiratory failure and now you're on a machine to keep you breathing. A feeding tube because you can't swallow. Catheterized and colostomy to capture your waste when you lose control of those functions. Sometimes lucky isn't so lucky for anyone involved.

      --
      Serious? Seriousness is well above my pay grade.
    22. Re:25 years is permanent? by natehoy · · Score: 1

      To carry your analogy to the appropriate conclusion, a blue tarp might be considered a "permanent" solution to the damaged roof of a specific shed if the structure is expected to fall apart in the next few months.

      In this case, even if the artificial heart only lasts 25 years, it'll probably outlast its recipient by at least 10, because very few Duchenne patients make it to 30, much less 40. He's 15 years old, and there's a very good chance that something else will end his life long before he hits the point where this heart is approaching failure.

      So this is almost certainly a "permanent" solution to the problem, much as we all hope that medical science progresses to the point where this boy lives long enough to need a replacement.

      --
      "This post contains words, known to the State of California to cause thought. Wash brain thoroughly after reading."
    23. Re:25 years is permanent? by alta · · Score: 1

      Your HOA statement violates the /. basement dwelling tenants. Please turn in your card.

      I guess next your going to start talking about wives and children. poser.

      --
      Do not meddle in the affairs of sysadmins, for they are subtle, and quick to anger.
    24. Re:25 years is permanent? by somersault · · Score: 1

      This is one of the first steps to such a device. It's pretty damn amazing. I guess the "only" thing you'd need when it comes down to it, is something that replaces the whole body, provides sugar to your brain, and links up to the brain or the top portion of the spine. I wonder how the brain would react when it can no longer control or receive information from the heart and the various chemical systems around the body, and whether those things need to be emulated to stop your brain from spazzing out..

      --
      which is totally what she said
    25. Re:25 years is permanent? by zimboptoo · · Score: 2, Funny

      Cardboard and duct-tape are a 'temporary' solution to a damaged car window. Fixing the window and replacing the glass is a 'permanent' solution in that you're not normally going to be replacing the window again until you get side-swiped by a garbage truck again. FTFY

    26. Re:25 years is permanent? by nbauman · · Score: 1

      He has a form of muscular dystrophy. They can't replace all his other muscles too and he'll eventually succumb to other problems related to MD.

      True. This is an unusual case of muscular dystrophy, because in the most common forms, Duchenne's and Becker's, they have heart muscle abnormalities, but they don't have heart failure. A bigger problem is failure of the muscles that drive the lungs, which is a common cause of death.

      Muscular dystrophy affects all the muscles in the body. It's usually due to a mutation in the dystrophin gene. Dystrophin is the protein that connects the actin protein to the muscle cell membrane http://jennyndesign.com/DMD/physiology5.html But any mutation that disrupts any of the proteins in that complex can cause muscular dystrophy. Some of them are much milder, and in some forms they have a normal life expectancy. The muscles are all over the body, but in some places muscular dystrophy is expressed more strongly than others.

    27. Re:25 years is permanent? by A+nonymous+Coward · · Score: 1

      EVEYRTHING is a laughing matter. Ask the Jews who survived the Holocaust if they cracked jokes while interned.

      Laughter is good medicine too. You should try some of it.

    28. Re:25 years is permanent? by sjames · · Score: 1

      Normally, such a device will be implanted either to keep the patient alive (hopefully) long enough for a transplant to become available, or to give their own heart time to rest and recover (we now know that can happen), then it will be removed (explanted).

      By permanent they mean not to be explanted later, but to remain for the rest of his life.

      As Magarity points out, with his form of MD, one may last a lifetime.

    29. Re:25 years is permanent? by interkin3tic · · Score: 1

      'disease' but that term implies a virus, bacteria, or other etc external agent

      The word comes from the 14th century, before viruses and bacteria were known to be separate causes of sickness than genetic disorders. More importantly though, most people do seem to refer to genetic disorders as diseases. So I'd say no it doesn't.

    30. Re:25 years is permanent? by Anonymous Coward · · Score: 0

      Funny...just got done watching "Extraordinary Measures" about muscular dystrophy (Pompe disease in this case). There's an enzyme-based drug that is in trials that should extend life from 8 or 9 years to...well...a longer time. If this heart is expected to extend the person's life by 20 years, that's a good start.

    31. Re:25 years is permanent? by sjames · · Score: 1

      I'm a bit surprised, last I remember they only had the one artificial heart and it was a 'complete' solution, not something that fits in one valve chamber.

      Since that time, a variety of Left Ventricular Assist Devices have been invented and put in use. I'm guessing that's what the reporter means by "robotic heart". Unlike the Jarvic, it isn't intended to be a full replacement, but by scaling down the ambition a bit, it has been much more successful.

    32. Re:25 years is permanent? by arth1 · · Score: 1

      Where does it say that the heart is only good for 25 more years? It says that he can expect to live another 25 years. That's how long until they estimate the rest of his body will give out.

      The important word here being "can". There's no guarantee that this heart won't give up, be rejected, or otherwise fail to do its job way before than.
      In fact, I'd be pleasantly surprised if this boy lives until the ripe age of 20 -- he's a guinea pig, and can only hope for the best. I salute him for his gamble, trading certain death within a few years with probable death within a few years, possible death within weeks, but a chance of more.
      No matter which way it goes, it will be a win for medicine, but I hope for his sake that it pays off for him too, unlike for most of the early Jarvik patients, who died while the doctors became rich.

    33. Re:25 years is permanent? by Jafafa+Hots · · Score: 1

      A blue tarp is a 'temporary' solution to a damaged roof.

      <appalachia>The hell you talkin' about?!?!?!</appalachia>

      --
      This space available.
    34. Re:25 years is permanent? by FrameRotBlues · · Score: 1

      From an engineering standpoint, has anyone ever determined how much I/O that would take?

    35. Re:25 years is permanent? by somersault · · Score: 1

      I think I've seen figures for inside the brain itself, but not to the body. I don't think it would be a problem considering we've already made prosthetic arms/hands that work okay with people who have stumps for arms, not to mention artificial retinas. We could start off with fairly simple low bandwidth devices like those and increase the complexity over time. I think the brain adapts pretty well to different types of input, though I don't know what the upper I/O limit would be..

      --
      which is totally what she said
    36. Re:25 years is permanent? by delinear · · Score: 1

      I suspect the use of the term "permanent" in this sense means that it's not a stop-gap until a real organ is found. Quite often human life can be artificially maintained for a period of time, after which it becomes less effective until the patient eventually dies unless a real alternative is found. "Permanent" in this sense might mean that, although the heart will need to be replaced after 25 years, it and its replacements could sustain a human life indefinitely (in the same way that a new wonder drug which staves off death by some condition could be called a permanent solution, even though the pills actually only last for a few hours and more have to be taken periodically).

    37. Re:25 years is permanent? by Anonymous Coward · · Score: 0

      Perhaps I am overly optimistic, but if right now this solution can guarantee 25 more years of life to the boy then I am reasonably sure that the scientific progresses in the next two decades will make it possible to prolong his life even further.

      In the most optimistic scenario, it may even be possible for the boy to "surf" the medical progress and get a relatively normal lifespan, although of course this is far from certain...

    38. Re:25 years is permanent? by Firethorn · · Score: 1

      The difference here is that car window glass, while indeed a permanent solution, also isn't something that wears out.

      My point would be that something that DOES normally wear out can indeed be a permanent solution.

      30 year shingles is considered a permanent enough solution, even though metal roofs can last longer.

      --
      I don't read AC A human right
  5. Yawn by Anonymous Coward · · Score: 0

    It's been done.

    1. Re:Yawn by pookemon · · Score: 1

      Yeah - I'm guessing not by you though.

      --
      dnuof eruc rof aixelsid
  6. Why only 25 years by Stargoat · · Score: 0

    Are there other conditions that limit him to 25 years? Or is it the life of the device? If not, why could a new, probably better, device not be installed in 20 or so years thereby extending life further?

    --
    Hoist Number One and Number Six.
    1. Re:Why only 25 years by FuckingNickName · · Score: 1

      Duchenne. See summary. He won't live past 40 w/ current med.

    2. Re:Why only 25 years by bjoast · · Score: 2, Funny

      You can't take for granted that they will find another robot donor!

    3. Re:Why only 25 years by mea37 · · Score: 1

      So people keep pointing out, and yet it ducks the perfectly valid question that is raised by the vague wording of the article.

      Since his condition could well kill him in less than 20-25 years even with this heart, a lot of us suspect that the 20-25 year figure has to do with the life of the device. Yet if that means that a person (maybe not this person) could live out a term limited only by other factors by having a new heart implanted every 20 years, I'd think you'd say so rather than suggesting that the device gives you up to 25 years.

      Now maybe that's because the implant procedure for some reason can only be done once in a given patient. Or maybe there's a practical age limit on surviving the implant. Or maybe a lot of things. The point is the article raises qustions, people are asking the questions, and if you don't know the answer then taknig an easy out by parroting the reason its moot in this case is no better than keeping quiet and waiting to see if someone with knowledge comes along to respond.

    4. Re:Why only 25 years by arth1 · · Score: 1

      Likely much shorter. As far as I know, the average life span of artificial heart recipients who survive the implantation is around half a year, with the record being less than two years.

      And no, he's not the first kid who has received an artificial heart either -- what's new is that it's meant to be "permanent", i.e. until the patient dies, and not temporary while waiting for a heart transplant. So the doctors might have hopes for a longer life expectancy than average, but with no experience, hopes is unfortunately all there is.

    5. Re:Why only 25 years by FuckingNickName · · Score: 1

      That's a fairly passive aggressive response to my simply answering Stargoat's question as phrased. I also answered fairly early, although maybe it's been discussed at length by later posters in an earlier thread.

      Yes, it's possible that he will die before 25 years are up, but this is a good estimate of an achievable upper limit. The patient has received assistance for his left ventricle, not an artificial heart; this treatment is not new, although what is interesting is the age of the patient and the /hope/ that it will last for several decades rather than as a temporary measure before transplant. If you want an answer, sign up more guinea pigs.

      tl;dr don't take anything you read in the Torygraph at face value, and don't get so worked up :-).

  7. What is this Logan's Run? by LWATCDR · · Score: 0

    " It is a permanent solution offering as much as 25 years of life and is powered by a battery worn as a belt."
    Let's see 15 years old plus 25 years means 40.
    That is not really a normal life span. Yes this is great news but not what I would call a permanent solution. But even if it only worked for a year it is sort of permanent.

    --
    See my blog http://ilovecookes.blogspot.com/ for light hearted technical information.
    1. Re:What is this Logan's Run? by durrr · · Score: 1

      In 25 years he'll eat a pill which grows a new heart to him. 25 years ago he would've had an artificial heart the size of small car inserted into him.

    2. Re:What is this Logan's Run? by Peeteriz · · Score: 1

      The disease looks like one that will kill him by the age of 25-30 in any case.

    3. Re:What is this Logan's Run? by Firethorn · · Score: 2, Insightful

      His life expectancy doesn't exceed forty.

      I'd call it a permanent solution in that they won't be seriously looking to replace it anytime soon, even if something marginally better comes along.

      If, by some miracle, he lives beyond forty and is still in suitable shape for the surgury, they'll likely swap it out for an updated version.

      In this case 'permanent' means 'best lasting fix currently available'. You put temporary fixes in while waiting for the permanent fix to be ready.

      --
      I don't read AC A human right
    4. Re:What is this Logan's Run? by natehoy · · Score: 3, Interesting

      http://en.wikipedia.org/wiki/Duchenne_muscular_dystrophy

      He's got Duchenne Muscular Dystrophy. Living to 40 is exceptionally rare, and most people who have this disease don't live to be 30. Sadly, by the time he gets anywhere near 40, another system that cannot be replaced/augmented as easily will probably have failed. The pump they installed will almost certainly outlast him, sad as that concept is.

      Still, he was just a few days from death according to the article. Even if he only makes it a few more years, it's a few more than his natural heart could have kept him alive to see, and maybe there will be enough of an advance to patch up whatever other systemic failures lie in his future. I sincerely hope that in 25 years he's looking at a replacement to the pump, but this is sadly probably the last one he'll ever need.

      --
      "This post contains words, known to the State of California to cause thought. Wash brain thoroughly after reading."
    5. Re:What is this Logan's Run? by Anonymous Coward · · Score: 0

      The human body is not a permanent solution with current technology, so as you point out, it is all relative.

    6. Re:What is this Logan's Run? by bsDaemon · · Score: 1

      40 is probably close to the median life span, so I'm not sure I wouldn't call it "normal" -- just maybe, less than optimal in a country that has the ability to transplant a robotic heart into someone.

    7. Re:What is this Logan's Run? by Anonymous Coward · · Score: 0

      He can always hope for Carousel.

    8. Re:What is this Logan's Run? by operagost · · Score: 1

      That's funny, but by 1982 we already had an artificial heart with a power source that was as big as a dishwasher, but that's a lot smaller than even a Smart car.

      --

      Gamingmuseum.com: Give your 3D accelerator a rest.
    9. Re:What is this Logan's Run? by LWATCDR · · Score: 1

      Notice that I didn't dismiss that this was a good thing in anyway. As I said this is great news. I just found that permanent solution part to be at best useless fluff. 25 years can be a long time in medical tech. One can hope that this really isn't his permanent solution.

      --
      See my blog http://ilovecookes.blogspot.com/ for light hearted technical information.
  8. I AM IRON MAN! by Anonymous Coward · · Score: 0

    Young Anthony Stark now just needs to learn engineering, and build himself an Exo Suit!

  9. is his name Tony? by Anonymous Coward · · Score: 0

    25 years >> 0 years

  10. Battery on a Belt by Bicx · · Score: 4, Funny

    I'd freak out if my heart were powered by something strapped around my waist. The only option would be to build a bullet-proof metal suit with a built-in nuclear power supply. If I had enough energy left over, jet-powered hands and feet along with a dry-witted AI partner in my helmet would be a plus.

    1. Re:Battery on a Belt by FuckingNickName · · Score: 4, Insightful

      How do you go through life knowing that you are relying on a muscle to beat regularly, every second or two at least, almost without interruption, for more than 2,207,520,000 seconds? Such a minute, weak mass of carbon in a soulless universe, somehow managing to keep itself together for that long... and so many things could go wrong, both within and without.

      Yet the majority, while young, neither seem nor need to give it a second thought.

    2. Re:Battery on a Belt by gad_zuki! · · Score: 1

      >I'd freak out if my heart were powered by something strapped around my waist.

      Instead its a muscle powered by a complex metabolic process that requires you to eat food, get proper nutrition, etc. Oh, if you eat the wrong foods it fails early and painfully. Enjoy!

    3. Re:Battery on a Belt by thePowerOfGrayskull · · Score: 4, Funny

      Dude... I'm counting my heartbeats now. ...

      I think the gap between the last two was a little slower.

      ...

      ... That one was a little faster.

      ...

      I hate you.

    4. Re:Battery on a Belt by Anonymous Coward · · Score: 0

      I have a phobia of the circulatory system. If I count my heartbeats, the rate really does change because of the anxiety it causes. :p

      Biology class was hellish.

      And yes I know it's retarded, can't help it, blah blah blah. I'm not even squeamish!

    5. Re:Battery on a Belt by Nos. · · Score: 1

      For kids with DMD, a battery strapped to your belt is a hell of a lot more reliable than your own muscles. There are four little boys in my life with DMD, this is fantastic news.

    6. Re:Battery on a Belt by Bigjeff5 · · Score: 1

      I'd freak out even more if I were going to die because my heart was gradually eating itself.

      Perspective, man, perspective!

      --
      Security is mostly a superstition... Avoiding danger is no safer in the long run than outright exposure. - Helen Keller
    7. Re:Battery on a Belt by The+MAZZTer · · Score: 1

      And now I'M conscious of my breathing. Now you are too. >:(

    8. Re:Battery on a Belt by mr100percent · · Score: 3, Insightful

      "I'd freak out if my heart were powered by something strapped around my waist."

      Better hope you don't get frisked by an overzealous cop, or a rough TSA agent. There was a /. story many years ago about a guy who sued claiming they tore his "prosthetics" off.

    9. Re:Battery on a Belt by operagost · · Score: 1

      I hear a whooshing sound, not unlike that of Tony Stark taking his suit for a spin.

      --

      Gamingmuseum.com: Give your 3D accelerator a rest.
    10. Re:Battery on a Belt by Dynedain · · Score: 1

      The only option would be to build a bullet-proof metal suit with a built-in nuclear power supply.

      So to you, the option is to die while waiting for science-fiction to pan out? I'm glad you're that comfortable with your mortality, but it sounds to me this kid will settle for what's possible with today's cutting-edge technology.

      --
      I'm out of my mind right now, but feel free to leave a message.....
    11. Re:Battery on a Belt by VisceralLogic · · Score: 1

      How do you go through life knowing that you are relying on a muscle to beat regularly, every second or two at least, almost without interruption, for more than 2,207,520,000 seconds? Such a minute, weak mass of carbon in a soulless universe, somehow managing to keep itself together for that long... and so many things could go wrong, both within and without.

      Yet the majority, while young, neither seem nor need to give it a second thought.

      Don't exercise. :)

      I believe that every human has a finite number of heart-beats. I don't intend to waste any of mine running around doing exercises.
      Buzz Aldrin

      --
      Stop! Dremel time!
    12. Re:Battery on a Belt by Anonymous Coward · · Score: 0

      I'd freak out if my heart were powered by something strapped around my waist.

      And suddenly getting pantsed is more serious than mere embarrassment.

    13. Re:Battery on a Belt by lennier · · Score: 1

      You've been reading The Q Man too, have you?

      --
      You are not a brain: http://books.google.com/books?id=2oV61CeDx-YC
    14. Re:Battery on a Belt by Anonymous Coward · · Score: 0

      Easily re-directed. Concentrate on your breathing and how far apart the breaths are and what would happen if you stopped.

    15. Re:Battery on a Belt by Anonymous Coward · · Score: 0

      http://en.wikipedia.org/wiki/Crank_3

    16. Re:Battery on a Belt by rdnetto · · Score: 1

      The only option would be to build a bullet-proof metal suit with a built-in nuclear power supply.

      I think you mean an arc reactor.

      --
      Most human behaviour can be explained in terms of identity.
    17. Re:Battery on a Belt by tehcyder · · Score: 1

      Thanks for cheering me up. It's always good to know there's someone more gloomy than yourself.

      --
      To have a right to do a thing is not at all the same as to be right in doing it
    18. Re:Battery on a Belt by omnichad · · Score: 1

      Yeah - poor kid lasts only 3 weeks until he gets to the air port, only to have the "bomb" ripped off his belt loop.

  11. I wish I could feel better about this... by cypherpu · · Score: 3, Informative

    I wish I could feel better about this, but I don't. Most of these artificial hearts require systemic anticoagulation. Otherwise, they generate clots, which can travel to the brain and create a series of strokes, ultimately killing the patient.. Systemic anticoagulation brings it's own set of serious problems (bleeding tendencies, tissue changes, etc). My best wishes for this young man and his family.

    1. Re:I wish I could feel better about this... by interkin3tic · · Score: 3, Insightful

      Why can't you? Increasing your risk of blood clots or bleeding problems is a lesser problem than "Your heart is about to fail completely."

      If anything, feel sorry for the fact that he still has muscular dystrophy.

    2. Re:I wish I could feel better about this... by cypherpu · · Score: 1
      For a couple of different reasons.

      With this type of cutting edge medicine, people tend to have high expectations. In fact, what he is trading is a quicker death for a longer, lingering death. The longest I've heard an artificial heart working is about 500 days. Most of these hearts have to be replaced every 2 years at best. Repeat heart operations tend to be a bloody, high risk mess because of the scarring from the previous operation.

      Secondly, this intensive type of treatment costs *a lot* of money. One has to wonder whether this money couldn't be better spent helping others with a better prognosis. If this young man is a private payer, then it's his decision to do with what he wishes with his money. If his healthcare is being paid for by others, isn't it their right to determine whether this is a justified expense? There are always opportunity costs.

      Let me talk about an advanced procedure performed not infrequently in the US - a liver transplant. You first have the initial cost of the operation - about $500,000. Then you have yearly maintenance and monitoring, perhaps including biopsies to monitor rejection. Add another $200,000/year. Few people live a "normal" life after a liver transplant - by that I mean few people return to become productive members of society (however, there are a few who do).

      At some point, one will conclude this money could be better spent on primary prevention, secondary prevention, or research.

      PS: Ever wonder why school buses do not have seatbelts? It's because the cost per life-year saved is about $1 million. We *do* put a price on human life.

    3. Re:I wish I could feel better about this... by cypherpu · · Score: 1

      Oops, I just checked. The average yearly cost of maintenance for a liver transplant may be as low as $20k/year (though a lot of info on google is in 1996 dollars - hard to know what the present value cost is).

  12. Sounds like a left ventricular assist device. by Felgerkarb · · Score: 5, Informative
    I think the media is playing up the 'robotic' and cyborg angle a bit.

    I have only read the linked articles, but the description sounds like a left ventricular assist device, or LVAD. This is a pump that helps the heart push blood, rather than replacing the heart, which is what I generally think of when people talk about artificial hearts. It sounds like the innovation here is the size, its use in a child, and the length of time they plan to use it, since it is generally used as a bridge to transplant.

    I think they are optimistic in thinking they can get 25 years, since we really haven't evolved the material science to have implantable devices for that long without provoking clot formation or scarring, but it sounds like they didn't have a lot of options here.

    1. Re:Sounds like a left ventricular assist device. by Anonymous Coward · · Score: 4, Informative

      I was on a LVAD for a couple weeks. Luckily, my ventricle became stable enough to get off before a transplant was needed. I have two artificial valves and an aortic graft. I was told I could only be on the LVAD for 30 days before having a transplant, and I am 31. I can't imagine an LVAD being used to sustain life for 20-25 years. Besides, the actual LVAD machine is quite large, unless they have portable ones that I am not aware of. I can't see someone leaving the hospital with one.

    2. Re:Sounds like a left ventricular assist device. by Bigjeff5 · · Score: 1

      They don't have to play it up, it's entirely accurate: technically the boy is now a cyborg. Simple as that.

      In fact, people with pacemakers and artificial hips are technically cyborgs, too.

      --
      Security is mostly a superstition... Avoiding danger is no safer in the long run than outright exposure. - Helen Keller
    3. Re:Sounds like a left ventricular assist device. by Angst+Badger · · Score: 1

      I agree; it sounds exactly like an LVAD. I'm similarly dubious about the long-term prospects for this particular patient with this particular device, but perhaps it will buy him enough time for improved technology to become available, whether that's a truly reliable artificial heart or, far better, gene therapy to cure the underlying muscular dystrophy.

      --
      Proud member of the Weirdo-American community.
    4. Re:Sounds like a left ventricular assist device. by RatPh!nk · · Score: 1

      I agree with everyone that it sounds like a LVAD, one caveat is this with regard to studies and mortality - historically speaking LVADs were used (and still are) and a bridge to transplant, however, they have been explored as "destination therapy". That is, giving them to people who have no real shot had a transplant. The mortality is bad, but consider these people are on their last legs of life, and 6 months, a year etc..is better than certain death. I am not familiar with their use in the pediatric population.

      --
      Argh. The laws of science be a harsh mistress.
    5. Re:Sounds like a left ventricular assist device. by jd · · Score: 1

      It looks like the kid got lucky - some doctors are willing to try highly experimental (and/or totally "unapproved") techniques that give the patient better odds of surviving in the medium term than doing nothing, even if it carries a higher risk of the patient dying in the short term. When you're faced with pretty-much certain death in the short term anyway, a little extra risk isn't much compared to the potential benefits.

      As for mortality, the mortality for even ideal heart transplant patients isn't great. Still miles better than no transplant or artificial heart at all, sure, but it needs work. (Which it is getting. In the early days, survival for any such procedure was measured in months.)

      --
      It's a small world and it smells funny; I'd buy another if it wasn't for the money; Take back what I paid (SoM)
    6. Re:Sounds like a left ventricular assist device. by Achra · · Score: 1
      That's what I was thinking as well, when I saw the pictures. This definitely looks like an LVAD. Normally when I hear the words "artificial heart" or "robotic heart", I would think of a device which replaced the heart, rather than a device which implants into the heart.

      I agree, the interesting thing about this article is that they think they will get 25 years out of it. The last LVAD project I worked on (in 2005), it was expected that max reasonable lifetime for a patient would be 5 years with the implant. It was expected that it would be used as a bridge to a heart transplant.

      As for the LVAD in a child angle, they've been implanting the Debakey LVAD in children for 10 years.

      --
      Each processor would proceed sequentially as if it had been better for them not to rise against Saul.
    7. Re:Sounds like a left ventricular assist device. by GPSguy · · Score: 2, Informative

      The illustration behind the surgeon in the article looks a lot like an impeller-driven left ventricular assist device. It's not an artificial heart, but could, conceivably, be half of one. In the old days, when most VADs were pulsatile, they could effectively replace a non-functioning ventricle and produce pulsatile flow, very much as the heart does. However, they were bulky and had their own problems. Pulseless, continuous flow, impeller-driven pumps are less likely to develop clots on surfaces, which will help the patient in the long term.

      Neither the posting nor the article were long on real facts, though. I don't recall Duschenne's dystrophy having a direct effect on cardiac muscle (but it's been a long time). Striated muscle (and some smooth muscle) degeneration, especially of the respiratory and accessory muscles tends to cause demise. If the heart was also affected by myopathy, then use of a VAD could be either a transient, or "permanent" solution. A surprising number of patients who received VADs as a bridge to allow them to live until a satisfactory donor was found, have been suficiently recovered to no longer require transplantation after weeks or months of service with a left ventricular assist device.

      Although this isn't the exact device shown in the Register article, here's a similar "permanent" citation: http://www.texasheart.org/AboutUs/News/2010-01-21news_FDAapprove.cfm

      --
      Never ascribe to malice that which can adequately be explained by tenure.
    8. Re:Sounds like a left ventricular assist device. by Achra · · Score: 1

      They must have gotten a lot smaller. I don't recognize the VAD that is in the image in this article, but it's representative. There is an implantable device (the pump), which is implanted into the heart. A cable (called the Percutaneous cable) connects the pump to a controller usually worn at the waist. The controller is an embedded device. It will have some battery packs that are connected to it as well. The whole apparatus will be waterproof. You can actually go swimming with modern LVAD's, even though I'm not sure I'd have the stones for it.

      --
      Each processor would proceed sequentially as if it had been better for them not to rise against Saul.
    9. Re:Sounds like a left ventricular assist device. by sjames · · Score: 1

      They've improved a lot in a short time. They can be left in longer as well.

    10. Re:Sounds like a left ventricular assist device. by Jedi+Alec · · Score: 1

      So when the baby-boom generation shows up demanding all the benefits we can't afford...we're talking about a rise of the cyborgs?

      That is gonna make it so much easier to convince them to move to smaller housing...

      --

      People replying to my sig annoy me. That's why I change it all the time.
  13. in 20 years a better one will be put in and the ol by Joe+The+Dragon · · Score: 1

    in 20 years a better one will be put in and the old one may need to be replaced any ways better to replace it before it fails!

  14. Wait a minute here by Anonymous Coward · · Score: 0

    This is Slashdot, where Space Nuttery reigns supreme. We should colonize the entire Universe and gobble up resources everywhere we go, but life extension is evil.

    How dare we use technology to extend this person's life span?

    OK Taco, erase this comment as soon as you can just like you do with all my anti Space-whackjob posts!

  15. If only ... by dkleinsc · · Score: 1

    We'd gotten this treatment for the Tin Man. It would have saved him an awful lot of trouble, what with having to go to the Emerald City and all.

    --
    I am officially gone from /. Long live http://www.soylentnews.com/
    1. Re:If only ... by sharkey · · Score: 1

      Ahh, but would he have become the emperor of the Winkies had he not joined Dorothy on her quest?

      --

      --
      "Outlook not so good." That magic 8-ball knows everything! I'll ask about Exchange Server next.
    2. Re:If only ... by Belial6 · · Score: 1

      Maybe not, but I'm not so sure that the Winkies made a good choice. You would think that it would take a pretty dumb person to continue in a job where you had already cut off all off a couple of limbs. Of course, I guess it just goes to show how far a guy will go to get away from that munchkin bitch.

  16. How do you know it will last that long? by Anonymous Coward · · Score: 0

    How do they know that the heart will last for 25 years? Was it invented over 25 years ago? Mechanical devices have a nasty tendency to fail earlier than expected in wet, goopy environments like the human body.

  17. Plug behind left ear... by icegreentea · · Score: 1

    Article (and doctor) says that it's powered by a plug that inserts behind his left ear. Does that mean he has a power cable running from his head to his chest? How did they implant that? I somehow doubt they made an incision the whole length. Did they run it along a blood vessel? They also said the implant itself fits into the left ventricle. So is the pump basically just powering half of heart, and relying on residual pressure to work the other half? If he's suffering from muscular degeneration, does having an external source moving what's left of the muscles result in any complications? The graphic (and explanation) seems to indicate that the implant is just pump that forces blood through an inoperative heart. Presumably that's enough enough to work the heart valves.

    So many questions!

    1. Re:Plug behind left ear... by confused+one · · Score: 1

      Article (and doctor) says that it's powered by a plug that inserts behind his left ear. Does that mean he has a power cable running from his head to his chest? How did they implant that?

      It's not terribly difficult to run the wire under the skin up the neck to the ear. Better question is why would you? Convenience? Keeping it outside of the typical shirt? Why not use an inductive transfer?

      They also said the implant itself fits into the left ventricle. So is the pump basically just powering half of heart,

      That's enough to pump the blood through the body. Better than no working heart at all; and, leaves the original there to do what work it can. Although this doesn't sound like exactly the same device, they've been around for a while: see ventricular assist device.

    2. Re:Plug behind left ear... by bugsbunnyak · · Score: 1

      Plumbing of this sort is pretty common for people with hydrocephalus - too much fluid and thus pressure in the brain. In those cases, a small programmable (magnetocouple) valve is installed to maintain a set intra-cranial fluid pressure. One tube runs from the valve into the brain ventricles, and a drainage tube is then run from the valve (affixed to the skullbone), down past the ear, through the neck, and into a chest cavity. The placement is done using a stiff insertion tube/rod which is pushed under the skin from the head down to the target area in the chest (it's pretty damn painful to watch). I would assume that something similar is done with these wires. The point is to seal everything inside the skin for an internally closed system to minimize infection risk. -IANABS (but I do work for one)

    3. Re:Plug behind left ear... by mr100percent · · Score: 1

      Inductive transfer is both untested in terms of human use (I think), and you want something that can stay Firmly in place, not fall off if you happen to change your shirt.

    4. Re:Plug behind left ear... by MConlon · · Score: 1

      No, inductive transfer has been used in a few implanted devices, although supplying the wattage necessary for an LVAD is a challenge. Keeping the coils in place is rather trivial, as these people need to wear accessory belts/vests and external battery packs.

      I know of at least one artificial heart manufacturer that was using the technology.

      MJC

  18. Re:in 20 years a better one will be put in and the by LWATCDR · · Score: 1

    Then it isn't a permanent solution is it?

    --
    See my blog http://ilovecookes.blogspot.com/ for light hearted technical information.
  19. Iron Man by Anonymous Coward · · Score: 0

    So, he's pretty much Iron Man then.

  20. Poor Kid by Boarder2 · · Score: 1

    Will probably have a panic attack if he ever sees Jude Law

  21. Repo Men? by WhitePanther5000 · · Score: 2, Interesting

    This sounds like something straight out of the movie Repo Men, which makes me wonder... how much does one of these things cost? And what happens if you can't pay up?

    1. Re:Repo Men? by JorDan+Clock · · Score: 1

      They're expensive. Very expensive. But if you don't pay, that's the end of it. You don't pay. A court order might garnish any working wages, but a court can't order a doctor to remove it and kill you.

  22. no broken heart by Anonymous Coward · · Score: 0

    At least he'll never get his heart broken

  23. Now get cracking on the MD cure by Anonymous Coward · · Score: 0

    Aside from what everybody else has already pointed out, there is another point. If they find a cure for MD within 25 years, it would be just as permanent for him as it would be for you or me.

    When you consider that people with cancer are sometimes willing to prolong their suffering for just a couple years in hope for a cure, 25 years is quite a win!

    1. Re:Now get cracking on the MD cure by mark-t · · Score: 1

      I was not criticizing the measure being taken, nor the extending of his life as meaningless because it's "only" until he's forty. Anything they can do to extend the time a person can live a normal life on this planet is well worth the effort. I was merely puzzled as to why they called it permanent when they seemed to put a specific time limit on the measure itself. The wording used in the article does not suggest that he has 20-25 years to live, but that the technology itself will last that long.

  24. My son has Muscular Dystrophy by Anonymous Coward · · Score: 0

    There is cure or treatment. Right now all we can do is watch him every day get alittle weaker as i slowly effects all of his muscles. When your child is born, you never guess that you will end up out living him. If this works, it would offer alittle bit of sunlight in my son's dark future. What would you do to keep your child alive?

  25. your concept of disease by OrangeTide · · Score: 2, Informative

    To be more precise disease is where the body's functions are changed resulting in disruption of vital functions. But if the body was always this way nothing has changed so I could see how you might think it's not a disease. But officially MD is a disease. The definition also applied to things like heart disease, which often has a genetic cause.

    I suspect that the word "disease" has some connotations for you that don't exist for the rest of us, perhaps you should educate yourself further with a simple dictionary to remove this misunderstanding?

    --
    “Common sense is not so common.” — Voltaire
  26. Robots, don't forget to fill out your donor cards! by dredwolff · · Score: 1

    "Transplant" means to move from one body to another, they likely meant "implant" unless some robot somewhere literally gave up a component to save that boys life ;)

  27. Dick beat him to it by codepunk · · Score: 1

    Sounds like they just implated a LVAD Left Ventricle Assist Device, Dick Cheney just had one implated a couple of months ago.

    --


    Got Code?
  28. Your robot heart is bleeding out by Triv · · Score: 1

    I imagine it to be much like this.

    http://www.youtube.com/watch?v=aRcXULN6mp4

    (can't believe that's actually relevant.)

    Warning: robot gang fight.

  29. This is not news by mcgrew · · Score: 1

    Well maybe it is; the fact that the heart is permanently (well, for a couple of decades anyway) implanted is.

    My cousin had an infection in her heart and almost died. She lived without a heart for six months, the blood pumped by man-made machinery. This was almost ten years ago.

    As to the line between human and robot/artificial life form is getting thinner, I don't agree; there are a LOT of cyborgs walking around. I'm a cyborg; the lens in my left eye is an artificial device that can focus as well at all distances as a young man's natural lens. I know people with artificial joints. And does my new eyesight make me less human than I was before the surgery? Does it make me less human than I'd be had I not had surgery and simply gone blind in that eye?

    All heart surgery is a bitch, even getting stents. I'm glad heart disease doesn't run in my family (like I said, my cousin's was a bacterial infection, not Burger King).

    1. Re:This is not news by Anonymous Coward · · Score: 0

      I know that there is no formal definition for this but I would prefer to reserve the word cyborg for those with active prosthesis.
      In my opinion there is a small but notable difference between traditional passive prosthesis like a wooden leg and an active prosthesis like a robotic prosthetic limb.

      This distinction has nothing to do with human values. I just don't want the word cyborg to lose it's coolness-factor.

    2. Re:This is not news by MichaelSmith · · Score: 1

      I know that there is no formal definition for this but I would prefer to reserve the word cyborg for those with active prosthesis.

      Its a bit like AI. My wife's car can decide when to use its lights and windscreen wipers but oh no, thats not artificial intelligence because we know how it works.

    3. Re:This is not news by MichaelSmith · · Score: 1

      I would love to see artificial hearts jump the demand/supply/research curve into a product which more people can use. My family does have heart disease. My father survived a heart attack at 63 and the next one is just a matter of time. His father died at 58. We have found the cure for cancer ;(

      I suppose if you don't have a degenerative problem like this boy, exercise is still the best way out. Now if I could only get my dad to walk rather than drive...

    4. Re:This is not news by mseidl · · Score: 1

      Are you trying to say that a light sensor hooked up to lights is AI?

    5. Re:This is not news by MaskedSlacker · · Score: 1

      but oh no, thats not artificial intelligence because we know how it works

      No, it's not AI because it lacks any of the features of actual intelligence--it doesn't learn or modify it's behaviors in response to experience. It's a simple (pre-determined) decision tree based on sensory input--that's not intelligence, not because we understand it, but because it doesn't fit the definition of intelligence.

    6. Re:This is not news by MichaelSmith · · Score: 1

      but oh no, thats not artificial intelligence because we know how it works

      it doesn't learn or modify it's behaviors in response to experience.

      How do you know? This is a VW Jetta. It is loaded with low performing AI, particularly in the transmission. It learns, just not very well.

    7. Re:This is not news by FrameRotBlues · · Score: 1

      Many biped mammals living in the North American continent cannot correctly follow a simple pre-determined decision tree based on sensory input. Does this mean that the car is smarter than those biped mammals?

    8. Re:This is not news by Anonymous Coward · · Score: 0

      Error 404: Humor Not Found

    9. Re:This is not news by X0563511 · · Score: 1

      I'd hazard to say that it's the mind that makes us human, not the body. Some call it a soul, but whatever you put a name to it, we all recognize that special spark.

      --
      For large sets, this will be our guide even unto death, for the LORD will work for each type of data it is applied to...
    10. Re:This is not news by Coren22 · · Score: 1

      That was the theme behind Bicentennial man, I kind of wish that it didn't have that ending, as giving a robot citizenship is akin to giving a clone citizenship. It is also a running theme in Ghost in the Shell, the "ghost' that makes us who we are.

      --
      APK likes to ask for responses to the same things over and over. Maybe he just likes the responses?
    11. Re:This is not news by mcgrew · · Score: 1

      The biggest problem is lack of transplantable hearts. My cousin was on the machine for six months while waiting for a suitable donor. Although heart disease doesn't run in my family, I've had friends die from it, and I hate losing friends. Hell,obe friend that dies the year before last was only 42, my best friend died from an attack two weeks short of his 40th birthday back in 1992. He was six months younger than me, shook me up pretty bad, I'll tell you.

    12. Re:This is not news by mcgrew · · Score: 1

      I agree. But what of when (if) we start replacing parts of the brain with implants? There was a very good episode of DS9 that covered this ethical dilemma.

    13. Re:This is not news by mcgrew · · Score: 1

      It's not artificial, it's real intelligence -- the designer's intelligence.

    14. Re:This is not news by mcgrew · · Score: 1

      There is a formal definition for "cyborg", and peg legs don't qualify. It has to be a device, so people with the old monofocal IOLs aren't cyborgs. It has to be implanted, so artificial limbs don't make you a cyborg either. But an implanted hip joint makes you a really hip cyborg!

      My IOL sits on struts and is focused by the eye's focusing muscles pushing and pulling the struts, it's an implanted device, which makes me a cyborg. A COOL cyborg with enhanced vision; my implant gives me better than 20/20 vision.

      Chillingly, former Vise President Cheney's heart pacemaker makes him a cyborg. Who needs skynet when you have an evil cyborg in the White House?

  30. Journalist BS filter by vlm · · Score: 1

    "Implanted an artificial heart" somehow got translated into "Transplanted a robot heart" ?

    --
    "Science flies us to the moon. Religion flies us into buildings." - Victor Stenger
  31. Re:in 20 years a better one will be put in and the by Bigjeff5 · · Score: 1

    No, in 20 years his lungs will have given out, or his stomach ceases to function, or his intestines fail, or his large arteries collapse.

    A pump that lasts 20 years is trivial, and medical devices are generally of extremely high quality, so you can bet your ass that pump isn't going to wear out in 20 years.

    Instead of his heart failing at fifteen, something else will fail at 35. That's what it means. It's permanent, and it's going to extend his life by 20 years.

    It's the boy who is going to wear out by then, not the pump.

    --
    Security is mostly a superstition... Avoiding danger is no safer in the long run than outright exposure. - Helen Keller
  32. This is the afterlife. And I'm God. by dandart · · Score: 1

    I hope for his sake he doesn't end up dying and meeting an immortal egotistical cheeky bastard.

  33. Re:We can rebuild him. by Anonymous Coward · · Score: 0

    Domo origato.

  34. Standard Procedure by MyLongNickName · · Score: 1

    I wonder if in the future, this type of procedure will be standard. Say you hit 55 and the stats say you'd be better off just replacing the heart instead of taking the risk of a heart attack.

    I could see this happening. And with millions getting the treatment every year, costs would likely go down 2-3% with HMOs pocketing the rest of the savings.

    --
    See my journal for slashdot ID's by year. Mine created in 2005. http://slashdot.org/journal/289875/slashdot-ids-by-year
    1. Re:Standard Procedure by Anonymous Coward · · Score: 0

      Given the resources consumed keeping USAians alive when anyone else on the planet would be dead, how about a new process that says when you're time is up, it's up.

      You see, the rest of the world had to come to terms with death a long time ago. The denial present in the USA is the abberation here. You do realize that 90% of all health care money is spent in the last 12 months of people's lives. So they can live maybe a couple of months longer. It isn't like they get to live 5 or 10 years - just a few months for millions of dollars.

      No expendatures on extraordinary measures to keep people alive. We can't afford it.

    2. Re:Standard Procedure by tibit · · Score: 1

      "90% of all health care money is spent in the last 12 months of people's lives" -- be careful. Suppose you're in a car accident and die in a hospital 2 or 3 days later. That's the spending you're talking of -- bundled into the same category as the spending you really want to get rid of, namely the prolong-life-at-all-costs-in-spite-of-disease type of thing. I don't think that trauma spending is anything unworthy of doing. Life-support in spite of well understood, no-cure-for-it chronic conditions -- sure, that's somewhat egregious, I agree.

      --
      A successful API design takes a mixture of software design and pedagogy.
    3. Re:Standard Procedure by h4rr4r · · Score: 2, Insightful

      To conserve resources please go end yourself now.

  35. It's life by Weaselmancer · · Score: 1

    Everything you do is a stop gap measure - we're not immortal.

    Permanent in this case means the same as it does for me or you - until death. Which in this poor kid's definition is most likely shorter than what you or I will get. It's the last artificial heart he'll ever need. So for him, we can say it's permanent. He'll be buried with it.

    --
    Weaselmancer
    rediculous.
  36. Obligatory X-Dream by awrz · · Score: 1
    --
    "--wine; a constant proof that God loves us, and loves to see us happy." --Benjamin Franklin
  37. Robotic pencil sharpener, robotic can opener, etc. by wonkavader · · Score: 4, Insightful

    I know I should lighten up, but I really resent the decay of the term robot. Robots are autonomous devices. They were so when the term was first used in Rossum's Universal Robots.

    A mechanical heart is not a robot. It only does work for you in a purely physics definition. (If you allow a physics definition of work for robot, then a lever that bends slightly is a robot -- it reacts to the amount of weight put on it by bending and it does 'work' for you.)

    This heart is a mechanical device. It ends there. It is not a robot.

    Similarly, remote-controlled devices, no matter how cool, are not robots. You are controlling them. They are not autonomous. We are not fighting the war in Afghanistan with robots. Stop saying that.

    This pisses me off not because it's devaluing a term I think will be important someday, when we actually do have robots, but because it reflects a growing (or was it always there?) stupidity amongst the populace. They know what a robot is on a macro level, but they have no idea what this heart is on the most basic mechanical or control level. They don't understand machines of any sort, electronics of any sort, or fine distinctions of logic. They don't think about things and they're more interested in what sounds cool than what's correct.

    Years ago, I put an extra question on all our screening tests for job applicants in computer jobs (networking, IT, etc). It was "How does a light bulb work?" The number of people who left the answer blank, answered "I don't know" or answered incorrectly was staggering. Not surprisingly, the people who knew enough to be considered for the computer job also generally knew how a light bulb worked and tended to answer the question in detail with something close to glee.

    They constituted a vanishingly small percent of the applicants.

  38. Robotic? by rockypg · · Score: 2, Insightful

    Why is this "robotic" and not just "mechanical" ?

    1. Re:Robotic? by RapmasterT · · Score: 2, Insightful

      Why is this "robotic" and not just "mechanical" ?

      Because journalism schools no longer value "accuracy" where "sensationalism" will suffice.

      It's like a newspaper headline that says "Unemployment literally explodes in 4th quarter". The fact that their using words incorrectly, and thereby spreading non-factual information, is less important than grabbing attention.

    2. Re:Robotic? by maxwell+demon · · Score: 1

      The fact that their using words incorrectly

      Was it intentional that you used a word incorrectly exactly when talking about using words incorrectly? :-)

      --
      The Tao of math: The numbers you can count are not the real numbers.
  39. Only thing really new is his age by clickclickdrone · · Score: 2, Insightful

    Artificial hearts of one sort or another have been around since the 70's. All that's really new here is his age.

    --
    I want a list of atrocities done in your name - Recoil
    1. Re:Only thing really new is his age by anotheryak · · Score: 1

      Agreed, what about all of the work of Willem Kolff? We've had artificial hearts for years. The first long-term artificial heart implant into a human was Dr. Barney Clark, who despite multiple medical problems (the US FDA only approved implantation of the early hearts into patients who were already at an end-of life status) lived for 112 days. The modern version of that heart is now used as a transplantation bridge and has been implanted over 800 times. The basic problem with the Kolff/Jarvik heart design was one of materials science from the early 1980s; we just did not have the polymer science to prevent some of the clotting problems. There are multiple LVADs and other similar products out there. This has been an active area of research for ~40 years, and we've been implanting products like this since 1982. So how is this big news?

  40. Jarvik? by Anonymous Coward · · Score: 0

    I thought Jarvik covered this ground in the 80s?

  41. The Device appears to be a Javik 2000 VAD by Troy+Roberts · · Score: 1
    1. Re:The Device appears to be a Javik 2000 VAD by TheHawke · · Score: 1

      There was talk about a child's version being tested. I think that this might be just that. The adult version is a bit bulky.

      --
      First rule of holes; When in one, stop digging.
    2. Re:The Device appears to be a Javik 2000 VAD by Troy+Roberts · · Score: 1

      The page I linked to in the GP says the device is the size of a C battery, which sounds very close to the description in the article. The other thing is that the article is using the image from the Jarvik 2000 web site.

  42. Raven called... by deadhammer · · Score: 1

    Now all he needs is a motorcycle with a nuclear warhead sidecar tied to his heartbeat and some glass knives and he can live out the rest of his days as the world's biggest badass. As a plus, the US government will do absolutely anything to make sure he doesn't die, ever.

    --
    I'll be honest, we're throwing science against the wall to see what sticks. -Cave Johnson
  43. Re:Robotic pencil sharpener, robotic can opener, e by RobertLTux · · Score: 1

    and the record for the most detailed (and correct) report of how a lightbulb works is???

    --
    Any person using FTFY or editing my postings agrees to a US$50.00 charge
  44. Mclaren by Anonymous Coward · · Score: 0

    Has anyone seen Crank 2: high voltage???? same thing but GTA style

  45. Re:Robotic pencil sharpener, robotic can opener, e by Anonymous Coward · · Score: 1, Funny

    Light bulbs, you accept them without knowing exactly how they work. What you think is that the current flows through two metal contacts, and reacts with a gas to emit light. Of course this is not true, well the emitting light part. What's really happening is the current does go through the metal contacts, but it doesn't emit light. In fact what it's really doing is sucking up all the dark in the room. This is the total opposite of how you thought the light bulb worked. Once the light bulb is turned on, there is no more dark, but once turned off the dark returns. What happens is that there are two layers of atmosphere one dark, the other light. The dark is a layer so powerful that it completely blocks out the light layer. Once the light bulb is turned on, it sucks in all the dark that is around it revealing the light layer. After the light bulb is turned off the dark layer will quickly fill in the area that had been sucked in by the light bulb. A great example of this is the sun, essentially it's a big dark sucker, it sucks in all the dark around it and reveals the light layer. Once the star becomes too old, it will start a Super Nova, this is similar to putting to much current through a light bulb and having it explode. The star will explode, destroying everything in it's path and then cease to suck the dark. In some cases it would become a black hole and start sucking in light that has managed to escape from the help of nearby dark suckers. There are many different layers of lights, all coming in a different colour. A dark sucker reacting with a different gas will suck in a different degree of dark and reveal a different layer of light. Most of the time these dark suckers are less effective compared to the more common dark sucker. Some examples of different dark suckers would be mercury lights. This has the same basis of a regular dark sucker, but reacts with mercury to create a different amount of dark being sucked in, thus this will allow a coloured light to be visible. In this case, purple. The guy who invented the light bulb, Thomas something or other, thought he was right in that it emits light. But this being a long time ago when people were dumb and such, didn't know any better. Only a few people know of how a light bulb really works. The reasons why you have been lied to is due to a government conspiracy. The whole truth in why the government(s) have covered this up is unclear. People have speculated that it has something to do with aliens, but they are all full of crap. The most probable reason is due to the Nazi's, how they purposely tried to make the earth permanently dark. Their experiment didn't work according to plan. To this day, no one knows exactly why the government(s) are encouraging this "light bulbs emit light" theory. It does give you a bit to think about now doesn't it? Exactly what else are they not telling us?

  46. The Word You're Looking For ... by Crypto+Gnome · · Score: 1

    Is Android.

    Or did none of you watch Bicentennial Man?

    At what point does this person lose all his "rights" because some-legal-eagle has him declared "not human enough"?

    --
    Visit CryptoGnome in his home.
    1. Re:The Word You're Looking For ... by maxwell+demon · · Score: 2, Insightful

      At what point does this person lose all his "rights" because some-legal-eagle has him declared "not human enough"?

      When he starts dreaming of electric sheep?

      --
      The Tao of math: The numbers you can count are not the real numbers.
  47. Yeah, 25 potential years but... by nanoakron · · Score: 4, Interesting

    Duchenne Muscular Dystrophy is a progressive, irreversible muscular disorder where the muscle cells literally pull themselves apart due to the lack of a key membrane-stabilising protein, Dystrophin.

    So now this boy's heart can't give out for 25 years, you're then only consigning him to die of suffocation as his diaphragm does.

    Oh no, ventilator. Well, let's wait for his oesophagus, colon and eye muscles to go...

    But he's still alive, just locked into an immobile, artificially ventilated body with a heart that will never stop.

    That seems worse than the natural alternative to me.

    1. Re:Yeah, 25 potential years but... by Kittenman · · Score: 2, Insightful
      Locked into an artificial, immobile, ventilated body? That's kind of like the sufferers of polio in the 1950s and such. Look up "iron lung" and you'll see what I mean.

      Whether that's preferable to the "natural alternative" - well, I guess that's up to them.

      --
      "The greatest lesson in life is to know that even fools are right sometimes" - Winston Churchill
    2. Re:Yeah, 25 potential years but... by SharpFang · · Score: 2, Insightful

      So, they gave him another 2-3 years of reasonable life with an acceptable heart, before his lungs give in. That's still better than "die now." He doesn't have to stay all of that 25 years as a plant, but he can still get as much as he can from what "reasonable quality" of life is left.

      And then, when his lungs begin to fail, he will just pull the plug.

      --
      45 5F E1 04 22 CA 29 C4 93 3F 95 05 2B 79 2A B2
    3. Re:Yeah, 25 potential years but... by PMBjornerud · · Score: 1

      That seems worse than the natural alternative to me.

      His choice, not yours.

      Without further details, my default opinion on medical research is that it's a good thing.

      --
      I lost my sig.
  48. in 20-25 years by p51d007 · · Score: 3, Insightful

    Who knows what advances in medical science will reveal. Perhaps they will find some sort of genetic trigger to undo some of the effects of MD

    1. Re:in 20-25 years by JWSmythe · · Score: 1

            That's the dream of everyone with a terminal disease, isn't it? Unfortunately, most die waiting for the cure. Well, in the end, we're all terminal, and many people wish that they could do anything to stretch their life out just a little bit longer.

      --
      Serious? Seriousness is well above my pay grade.
  49. Where is his Soul? by lavardo · · Score: 1

    Wow...so what happens now to all the comments/songs - "Your soul is in you heart" or similar?

  50. Re:Where is his Soul? by Anonymous Coward · · Score: 0

    God creates souls, Doctors create comments.

  51. vice president cheny has a similar device by peter303 · · Score: 1

    They did not remove his original heart. It has a rotary motor in so Dick no longer has a pulse. I believe his device is rated 7-8 years. Dick is probably too old and frail for a heart transplant.

  52. Fat people living longer? by Anonymous Coward · · Score: 0

    I, for one, welcome our robotic over-lards

  53. Fuck You Chelios by theblondebrunette · · Score: 1

    Am I the first to say "Fuck You Chelios!" :)

    Crank 2

    Joking aside, I'm crossing my fingers for the boy to get the physical and mental energy to survive at least another 25 years.

  54. Just when I needed you. by Anonymous Coward · · Score: 0

    Domo arigato.

  55. Naysayers be damned, a few more christmases by assemblerex · · Score: 1

    is GOLD. How many of you would give up all your money for two more years with a parent or grandparent you
    once had. TWO YEARS IS GOLD. Ten? An unbelievable gift. All of you "well I'd rather die" people need to get
    real. There is no reboot, no second chance. You have to take what you are given and hold onto it with all your might.

    1. Re:Naysayers be damned, a few more christmases by tbird81 · · Score: 1

      How many of you would give up all your money for two more years with a parent or grandparent you once had. TWO YEARS IS GOLD. Ten? An unbelievable gift.

      At first I thought you were a troll, or being sarcastic. Are you really that deluded? I'd much rather die a well person than with dementia, struggling to breath, and in pain. Have you never ever seen someone die before?

      Anyway, I agree completely about the misuse of the word robot. It makes me sick that our editors just pump bullshit, simple-minded, sensationalistic stories, without stopping to check accuracy or appropriateness for the audience. Slashdot comments now read like Youtube comments. The term is artificial heart.

      Antonio Amodeo, or his hospital, is just a shameless self-promoter. Prolonging this poor boy's life, ensuring a lifetime on warfarin with frequent testing, and stopping what might have been a quick ending for the boy. If his heart is not going to fail, his lungs are, and he'll eventually die of pneumonia. Poor bastard.

    2. Re:Naysayers be damned, a few more christmases by jhylkema · · Score: 1

      The boy is already dead, don't you get it? Sure, he's breathing, but he's almost certainly in diapers and is most likely being fed through a tube. If your idiotic religion says that preserving this kind of "life" will help you get closer to your nonexistent god through suffering, fine. This boy, however, is being tortured in the name of said idiotic religion and probably has no say in the matter. That is wrong and this doctor should have his licence pulled.

  56. Robotic Donor Card by konohitowa · · Score: 1

    So, I take it some poor robot suffered a surprising and horrific death and had also signed his donor card? I'm guessing the donor was Fe+.

  57. Certain death? by jhylkema · · Score: 1

    caused by the Duchenne MD? Yes. Now this poor boy will have to live another 25 years locked in a body he has no control over. I'm sorry, but that's not life, hell, that's not even existence. That sounds more like, well, Hell.

    Having such a disease renders the boy ineligible for a heart transplant, meaning almost certain death without an alternative solution.

    Well, duh.

    Dr. Amodeo found such an alternative in the form of a 90-gram, fully-robotic heart that took 10 hours to fit inside the boy's left ventricle. It is a permanent solution offering as much as 25 years of life and is powered by a battery worn as a belt."

    What could POSSIBLY go wrong, eh?

    This being very Catholic Italy, I have my suspicions that this whole exercise is being undertaken out of some perverse familial desire to keep the boy alive long enough for him to sire a male offspring, a la the case of the Boy in the Bubble.

  58. Not unless . . . by jhylkema · · Score: 1

    Having such a disease renders the boy ineligible for a heart transplant . . .

    your name happens to be Mickey Mantle, eh?

    Remember that? He got a new liver after he nearly drank himself to death. Normally a transplant committee wouldn't even open the file in such a circumstance, but money talks.

  59. You know what this calls for? by nilbog · · Score: 1

    Redundancy. Give me 3 or 4 redundant hearts and I'll be feeling pretty good about things.

    --
    or else!
  60. heart hacking? by Anonymous Coward · · Score: 0

    Does the pump speed automatically change during activities?

    Can the pump speed/pattern be customized to increase performance?

  61. How long will it take... by Anonymous Coward · · Score: 0

    How long will it take before some girl comes and breaks it. :'(

  62. Re:Robotic pencil sharpener, robotic can opener, e by Anonymous Coward · · Score: 0

    Robotic pencil sharpener

    Not a robot, but awesome :)
    http://www.youtube.com/watch?v=EKL6elkbFy0

  63. Insightful? Wooosh! by Anonymous Coward · · Score: 0

    Why is parent modded insightful for only commenting on the first sentence of a post obviously meant as a joke?

    (Pop culture reference: Iron Man. I have not seen the movie, nor read the cartoon, and still got the reference. Insightful? WTF?)

    Slashdot, you're growing soft. Soon, every half-witted poet lamenting any aspect of life will be modded "insightful".

    1. Re:Insightful? Wooosh! by FuckingNickName · · Score: 1

      What is the correct way to respond to a post obviously meant as a joke, Chief Humour Officer?

  64. Re:Robotic pencil sharpener, robotic can opener, e by idlewire · · Score: 1

    Years ago, I put an extra question on all our screening tests for job applicants in computer jobs (networking, IT, etc). It was "How does a light bulb work?" The number of people who left the answer blank, answered "I don't know" or answered incorrectly was staggering. Not surprisingly, the people who knew enough to be considered for the computer job also generally knew how a light bulb worked and tended to answer the question in detail with something close to glee.

    They constituted a vanishingly small percent of the applicants.

    Here's how (most) lightbulbs work: I interact with a switch and it turns on. I interact with a switch and it turns off. Seriously, that is all I need to know. Interface/implementation anyone? You work in IT and expect a user of a lightbulb to know about anything more than its interface? If you are screening out job applicants with a question the knowledge of which is completely useless for that job and life in general, then I'd say you're doing your job wrong.

  65. Go doc go! by hesaigo999ca · · Score: 1

    Finally, we have artificial hearts, something which governments will hate because old people will live longer being a drain on our society even longer...no offense, but all in all, if we see this happening, we need to have more also for muscles tissue regen. as there is nothing worse then being able to live longer with a new heart, but not having the muscles to get you around and being stuck in your bed or chair all the time...bicentennial man was a great movie that pointed out such possibilities within society, but they also had every other organ available, giving humans double the regular lifespan, 200 years or so i think...if i remember correctly.

  66. And? by hackwrench · · Score: 1

    And you feel you need to point that out because? Oh and antidepressants do wonders. I've felt pain and I've felt depressed and it's been depressed that made me want to kill myself.

  67. Important safety tip! by rclandrum · · Score: 1

    Don't go swimming with that battery belt....

  68. Re:Robotic pencil sharpener, robotic can opener, e by wonkavader · · Score: 1

    It's been a few years and I don't remember too well, but the reconstruction in my mind (which might very well be a composite) had a little picture, explained that the filament heated up, etc. No more than three lines -- it is just a light build after all -- but you could see the enthusiasm in some of the answers. "Oh, goody! I get to explain something!"

  69. What's the difference... by tchdab1 · · Score: 1

    ...between an artificial heart and a robotic heart?

    As you say, left ventricular assist devices have been around for some time, and fully artificial heart replacements (or temporary substitutes) are not new either.
    They just were not called "robotic hearts" before. They were called artificial hearts.

    What makes this a "robotic heart", or is this phraseology just journalistic license? The article doesn't help.

    1. Re:What's the difference... by sjames · · Score: 1

      I suspect it's just journalistic license.

    2. Re:What's the difference... by Firethorn · · Score: 1

      ...between an artificial heart and a robotic heart?

      The way things are going, they may start growing hearts in labs, perhaps using a decelled pig heart as a construction map.

      in which case the heart is 'artificial', but as it's organic it wouldn't be 'robotic'.

      --
      I don't read AC A human right
  70. wow 20 years? by Anonymous Coward · · Score: 0

    Hell yeah one step closer to artificial bodies.
    20 years is not bad considering previous robotic hearts.