Biomedical engineering careers series practical engineering at the front line of the health service Amy Kinbrum Research engineer It was a work placement to which she was guided by her mechanical engineering professor at Durham University that set Amy Kinbrum on the road to biomedical engineering. “I told him I wanted to do something a bit different, and I ended up at the world-famous Mayo Clinic in Rochester, Minnesota,” she says. “It was just amazing.” Amy Kinbrum What impressed Kinbrum particularly about the Mayo Clinic was the close interaction in research between engineers and surgeons in developing orthopaedic devices for joint replacement – knees, hips, shoulders. It inspired her to try to achieve similar results in her own engineering research. Surgical input is vital in her current work at the Corin group. Corin is the largest UK-owned group developing replacement joints. “The surgeons are the end users,” she says. “We try to bring them in at all stages of the design.” Replacement joints are “very much the crossover area between engineering and biology,” and it helps that she took biology to A level: “there is a need for an in-depth physiology knowledge for the job,” she says. Kinbrum’s current work is very much engineering. As a research engineer, it’s her job to find new materials and combinations of materials that might make the hip and knee joints, and the replacement bones and the ligaments, of the future. It involves searching through learned publications, databases, commercial literature and conferences for new formulations that might be promising, getting hold of samples and then investigating in detail the properties and their potential. The demands are getting tougher. “We’re living longer and we’re staying very active much longer,” she says. Replacement parts have to be stronger and more durable than they were in early days of hip and knee surgery. Kinbrum’s own biomedical engineering specialism, which she pursued in a doctorate at Durham after her undergraduate degree (and a gap year), is in lubrication and wear. “Essentially what we’re looking for with joints are materials whose surfaces will rub together smoothly over many years and if there are fragments that come off then they won’t affect the joint,” she says. Add to that demands for strength, flexibility and bio-compatibility, and it’s a tough challenge. It’s also not cheap, and as well as searching for new materials, part of Kinbrum’s work is to put together applications for grants from government and other bodies to fund detailed research. And once the goahead to investigate a new design has been given, it’s her task to work with colleagues to detail the design and oversee the testing, which often uses facilities at universities. Every new joint design will have been through demanding load and longevity testing – up to 20 million cycles: these joints have to be built to last. Finally there’s paperwork to be done to support the application for certification for a new device through the medical devices regulatory authorities on both sides of the Atlantic. It’s a demanding job, but Kinbrum says the real reward is in changing people’s lives. “I was able to go to a hospital, and before she went into surgery, I met a woman who could not walk across the room. Then she had the operation and I went back to see her later the same day. She could walk around her bed. It’s just amazing to think I’m part of the mechanism that allows people to walk again. Sometimes I have to just step back a bit and think about that.”
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