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Robin Koops (born 1971) is a Dutch
mechanical engineer Mechanical may refer to: Machine * Machine (mechanical), a system of mechanisms that shape the actuator input to achieve a specific application of output forces and movement * Mechanical calculator, a device used to perform the basic operations o ...
, designer and inventor. He is known for developing an artificial pancreas.


Early career

Koops is the son of a metalworker from
Stork Storks are large, long-legged, long-necked wading birds with long, stout bills. They belong to the family called Ciconiidae, and make up the order Ciconiiformes . Ciconiiformes previously included a number of other families, such as herons a ...
. He went to the , a
technical school In the United States, a technical school is a type of two-year college that covers specialized fields such as business, finance, hospitality, tourism, construction, engineering, visual arts, information technology and community work. Assoc ...
and form of
vocational education Vocational education is education that prepares people to work as a technician or to take up employment in a skilled craft or trade as a tradesperson or artisan. Vocational Education can also be seen as that type of education given to an in ...
. He started his career as a designer for the
meat packing industry The meat-packing industry (also spelled meatpacking industry or meat packing industry) handles the slaughtering, processing, packaging, and distribution of meat from animals such as cattle, pigs, sheep and other livestock. Poultry is generally ...
. Next to general appliances he designed
schnitzel A schnitzel is a thin slice of meat. The meat is usually thinned by pounding with a meat tenderizer. Most commonly, the meat is breaded before frying. Breaded schnitzel is popular in many countries and is made using veal, pork, chicken, mutt ...
flatteners, machines to remove the clips from sausages after drying, and machinery to create a cross carving on beef.


Development of the artificial rancreas


Diabetes diagnosis

In 1998 Koops was diagnosed with diabetes type 1 The disease forces patients to continuously pay attention to their body, or suffer serious consequences. Koops found this very inconvenient, and began to think of a mechanical replacement for his failing
pancreas The pancreas is an organ of the digestive system and endocrine system of vertebrates. In humans, it is located in the abdomen behind the stomach and functions as a gland. The pancreas is a mixed or heterocrine gland, i.e. it has both an en ...
in about 1994. After he found that no patents existed for such a machine, he started a new career as an inventor. This was in about 2004. He founded the company Inreda Diabetic, which develops the Inreda AP.


Automated insulin delivery system and artificial pancreas

Automated insulin delivery systems that were available up to 2020, consist of three distinct components: a continuous glucose monitor to determine blood sugar levels, a pump to deliver insulin, and an algorithm that uses the data from the CGM to send commands to the pump. The Artificial Pancreas differs from Automated insulin delivery systems by also having a pump for
glucagon Glucagon is a peptide hormone, produced by alpha cells of the pancreas. It raises concentration of glucose and fatty acids in the bloodstream, and is considered to be the main catabolic hormone of the body. It is also used as a medication to trea ...
. This makes that it far better resembles a pancreas than an automated insulin delivery system that only delivers insulin.


Inreda Diabetic

Koops started to develop his artificial pancreas (AP) in 2004. In 2007 the Dutch Diabetes Fonds (Diabetic foundation) started to support and finance his work. In 2010 the
Academic Medical Center (Amsterdam) The Academic Medical Center (Dutch: ''Academisch Medisch Centrum''), or AMC, is the university hospital affiliated with the University of Amsterdam. It is one of the largest and leading hospitals of the Netherlands, located in the Bijlmer neigh ...
in Amsterdam received 10.5 million euro from the European Union for development of the AP. In 2011 clinical studies started. In 2019 Koops and his company Inreda Diabetic received the prize (national icon), a yearly prize awarded by the Ministry of Economic Affairs and entrepreneurial organizations for innovative companies. Apart from safety, usability is paramount for the AP. The first prototype looked like a
rollator A walker (North American English) or walking frame (British English) is a device that gives support to maintain balance or stability while walking, most commonly due to age-related mobility disability, including frailty. Another common equival ...
. It had wheels, a programmable logic controller and two built in laptops. In 2010 a wearable prototype, the size of a backpack was made. The next prototype was the size of a box on the user's belt. In 2021 a prototype of Inreda's artificial pancreas was included in the collection of science museum Boerhaave in
Leiden Leiden (; in English and archaic Dutch also Leyden) is a city and municipality in the province of South Holland, Netherlands. The municipality of Leiden has a population of 119,713, but the city forms one densely connected agglomeration wit ...
. It is placed next to the
Artificial kidney Artificial kidney is often a synonym for hemodialysis, but may also refer to the other renal replacement therapies (with exclusion of kidney transplantation) that are in use and/or in development. This article deals mainly with bioengineered kidn ...
, developed by Willem Johan Kolff. This was also remarkable because he was inspired by Kolff's story when visiting the museum.


Inreda AP


CE marking

The artificial pancreas developed by Inreda Diabetic is called the Inreda AP. In February 2020 Inreda Diabetic received the
CE marking On commercial products, the letters CE (as the logo ) mean that the manufacturer or importer affirms the good's conformity with European health, safety, and environmental protection standards. It is not a quality indicator or a certificatio ...
for the Inreda AP, which guarantees safety. After the CE marking came in, steps were taken to further reduce size, to scale up production, and to set up training and customer service. Meanwhile, research on the AP continues. The Inreda AP, as used in 2020, has two sensors. The sensors are a challenging part of an automated insulin delivery system or AP. The two sensors of the Inreda AP are exactly the same, and allow a measurement and a check of this measurement. In case of two differing measurements, the wearer has to check his blood the old way in order to determine which sensor is correct. Another reason to use two sensors, is that a sensor has to be replaced every week, and requires twelve hours to adjust, two of them are used. This measure allows a new sensor the time to adjust, and allows detection of problems.


In use with 100 patients

In October 2020 the health insurance company Menzis and Inreda started a pilot with 100 patients insured by Menzis, who use the AP instead of the traditional treatment.


General availability

The process to determine whether the Inreda AP should be included in the Dutch health insurance coverage is lengthy. In July 2021 the University Medical Center Utrecht was awarded 10 million EUR to investigate (primarily) the cost efficiency of the AP. This investigation is expected to be completed in 2023, making that Dutch health insurance will not make the Inreda AP generally available before August 2024. The parties involved made it clear that patients could not volunteer for this investigation.


References

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Notes


External links


ADA Inreda Diabetic, English spoken clip about Inreda and Robin Koops
{{DEFAULTSORT:Koops, Robin 1971 births Living people Dutch mechanical engineers 21st-century Dutch inventors People from Hof van Twente