ArtPlac: Developing an ARTificial PLACenta to Replace Invasive Techniques in the Treatment of Critically Ill Newborns

ArtPlac project logo featuring a fetus and placenta.

 

ArtPlac is a preclinical research project developing a novel artificial placenta to support critically ill newborns in intensive care. The technology is designed to assist both the lungs and kidneys, enabling gentler, less invasive monitoring and life support. 

 

The ArtPlac project is an innovative international initiative funded by the European Innovation Council and SMEs Executive Agency (EISMEA). Launched in April 2023, the project runs for four years and brings together 11 leading research and advocacy institutions from Germany, the Netherlands, Sweden, Ireland, Portugal, and Canada.

 

ArtPlac has the potential to save newborn lives worldwide each year, significantly reducing the risks and medical burden these infants face. 

 

Background

Each year, approximately two million newborns die globally, many due to organ failure, particularly affecting the lungs and kidneys - a frequent complication among preterm infants [1].

 

Historically, medical devices and interventions used for newborns were adapted from adult care technologies, simply scaled down in size. While these approaches aimed to address life-threatening conditions, they often proved too invasive for fragile newborns, sometimes causing additional harm rather than promoting recovery [2-5].

Aims and Objectives

The ArtPlac project seeks to develop a less invasive treatmentmethod forpreterm and critically ill newborns, preventing complications in vital organs.

 

Before birth, the placenta performs many critical bodily functions for the baby, including supporting lung and kidney function and providing nutrition. Since the placenta cannot be reconnected after birth, ArtPlac introduces a groundbreaking artificial alternative.

 

The ArtPlac device connects to the baby’s umbilical cord and supports both lung and kidney function - mimicking the natural role of the placenta in utero. Powered entirely by the infant’s own heartbeat, the system allows for the collection of bodily data in a far less invasive way.

 

This innovative device not only delivers vital health information to clinicians and supports organ function, but also creates a gentler, more natural environment that fosters healing and development.

 

Importantly, ArtPlac enables closer physical contact between babies and their families, overcoming the barriers posed by conventional medical equipment. This advancement supports infant- and family-centered developmental care (IFCDC), strengthening the emotional and physical bonds critical for early development.

Newborn connected to ECMO, ventilator, monitor, and dialysis machine in NICU setting.
Fig. 1A: Invasive state-of-the-art setup with respirator, four surgically placed lines, attached extracorporeal lung assist and dialyzer with paralyzed newborn. ©ArtPlac Consortium

Figure 1A illustrates a typical current treatment setup for critically ill newborns, showing the extensive use of tubes, surgical lines, and monitoring equipment.

Baby using ArtPlac system with mother holding hand, monitor showing vital signs and oxygenation.
Fig. 1B: ArtPlac – one device attached to the umbilical cord combining lung and kidney support, inline monitoring, and control. ©ArtPlac Consortium

In contrast, Figure 1B presents the envisioned future using the ArtPlac device - a novel technology in development. This minimally invasive device connects to the baby’s umbilical cord and provides lung and kidney support while also monitoring vital functions in real time.

Parent and Caregiver Involvement / Patient Representation

To ensure that the interests and needs of patients, parents, and caregivers are considered in the scientific process, it is important to include input from representatives during every stage of the project. Ongoing feedback from families ensures the technology truly fits real-life hospital settings and families' needs during neonatal intensive care, supporting infant- and family-centered developmental care (IFCDC). Their firsthand experiences help design a solution that allows parents to stay close to their newborns while reducing stress and medical burden.

 

To facilitate this exchange, GFCNI established a Patient Advisory Board (PAB) made up of five members from diverse geographical and professional backgrounds. The five PAB members have joined the ArtPlac consortium in late 2023 and have participated in multiple PAB meetings since then. 

 

Some meetings involved the entire project consortium, providing patient and parent representatives with general updates on progress, including current challenges, findings, and achievements. Others took place in smaller groups to explore specific important aspects in greater depth.

Between scheduled PAB meetings, the patient and parent representatives have continued contributing to the project by offering valuable feedback on ethical considerations, prototypes, illustrations, and the role of skin-to-skin care — consistently emphasizing the importance of inclusive design and their commitment to being involved in every stage of development.

 

The meaningful input of the PAB is helping shape ArtPlac into a life-changing medical device that supports both clinical outcomes and family connection — a core mission shared by the entire ArtPlac team.

 

PAB meetings, involving the ArtPlac consortium and the five dedicated PAB members:

 

Project Team

The international project brings together 11 leading research and advocacy institutions from Germany, the Netherlands, Sweden, Ireland, Portugal and Canada, being supported with valuable input by an international Patient Advisory Board (PAB):

Klinikum Nürnberg leads the consortium, which includes:

 

  • Klinikum Nürnberg
  • Universiteit Twente
  • Kungliga Tekniska Högskolan
  • Deutsches Herzzentrum München
  • Universiteit Maastricht
  • Fraunhofer-Gesellschaft
  • Maquet Cardiopulmonary GmbH
  • Arrotek Medical Limited
  • McMaster University
  • Minho University
  • GFCNI

Representative of the EU’s diversity, the ArtPlac PAB includes five individuals from across Europe, who have widely differing professional backgrounds:

  • Laetitia van der Elst - Occupational therapist: Laetitia became a mother to Noah, who was born at 28 weeks + 1 day in 2019. Noah passed away after 48 days in a NICU in Belgium.
  • Dr Sylvia Obermann - Family doctor, Epidemiologist: Sylvia was born at 30 weeks as an unexpected twin herself. She is a mother to two children born preterm: A girl born at 29 weeks after severe IUGR and an emergency C-section. This birth was followed by a 4 months NICU stay in Malta. A boy born at 36 weeks in 2019 in The Netherlands. Sylvia is the scientific coordinator at Care4Neo.
  • Dr. Eleni (Lela) Vavouraki - Pulmonologist with PhD in Pulmonary Rehabilitation and more than 30 years of teaching experience in schools of health and care professions. Lela is the aunt of triplets born at 26 weeks and also the co-founder of Ilitominon since 2011.
  • Vilni Verner Holst Bloch - Senior Advisor at Statistics Norway, Department for Person and Social Statistics: Vilni is father to a daughter born at 26 weeks and a son born at 43 weeks. He has previously acted as user and parent representative for multiple projects, including the Norwegian national newborn quality registry. Vilni is a board member of the Norwegian parents’ organisation Prematurforeningen.
  • Estela Coutinho - MSc in Business Administration, certified digital strategy and project manager: Estela is a mother to two children, a boy born extremely preterm at 26 weeks, and a girl born preterm at 34 weeks. She is an advocate for Maternal and Newborn Health and engages in multiple advising positions for international organisations. Estela is board member of the Portuguese preemie association XXS, which she co-founded in 2008.

Under the lead of GFCNI, the PAB was established and is subsequently managed throughout the project. This includes the organization of meetings and facilitation of exchanges between the project consortium and the patient and parent representatives.

GFCNI not only manages the involvement of the PAB, but also represents all parent’s and patient’s voices in regular Steering Committee Meetings, ensuring that the device reflects the realities of hospital life and the emotional, logistical, and practical needs of families.

References and Further Readings

  1. Howson, C. P. et al. Reprod Health 10, S1 (2013).

     

  2. Heron, M. et al. Natl Vital Stat Rep 57, 1–134 (2009).

     

  3. Stoll, B. J. et al. Pediatrics 126, 443–456 (2010).

     

  4. Koyner, J. L. Et al. Blood Purif 29, 52–68 (2010).

     

  5. Momtaz, H. E. Et al. J Clin Neonatol 3, 99–102 (2014).

Transparency

European Innovation Council logo with European Union flag and funding indication.

Acknowledgment of EU Funding: This project has received funding from the European Union’s Horizon Europe research and innovation program under Grant Agreement No. 101099596.

 

Funded by the European Union. The views and opinions expressed are those of the author(s) and do not necessarily reflect those of the European Union or the Horizon Europe research and innovation program. Neither the European Union nor the granting authority is responsible for any use that may be made of the information contained herein.

 

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