Research Project Ethics Exemption Form (Signed)

LEVEL 8 UNDERGRADUATE and LEVEL 9 TAUGHT MASTERS AND
LEVEL
Application to the SETU Engineering Research Ethics Committee for
Ethical Exemption of a Research Project
(REC1 L8/ L9)
Applicants are advised to submit any supporting documentation they may feel
is relevant to support their application for Ethical Exemption for their research
proposal.
When filling in applications for exemption or for ethical review please ensure that:
 All relevant sections are completed in typed text;

 All responses are placed within the spaces allocated;
 Bold type is not used;
 All sections are completed. Where a section or a question is not relevant to
the proposed research project this should be indicated by entering N/A in the
relevant section. Sections should not be left blank;
 Applicants shall ensure that responses to questions are not cross referenced
to previous answers on the form. For example an answer which states “see
above” or “see answer to question 3” is not an adequate response and a form
bearing such a response shall be returned for satisfactory completion.
 Jargon or unexplained abbreviation is not used;
 All technical terms are explained in clear terms;
 All technical procedures are adequately described to enable assessors to
determine the ethical implications of the proposed research project.
Application for ethical review exemption or for ethical clearance is an essential

element in any research project. It represents a clear articulation of the research
project, its methods, aims, objectives and outputs. Completed forms should be
submitted (in the first instant) through the Blackboard submission system for initial
screening and endorsement. Forms which have not been completed satisfactorily or
which are unclear or ambiguous shall be returned and shall not be tabled before the
Engineering Research Ethics Committee for consideration.
Applicant Details
A1 Learner Details:
Name Cormac Rafter
Email [email protected]
Department Department of Aerospace and Mechanical Engineering
Programme Mechanical Engineering
Year Y4
Module Research Project
A2 Project Title:Design and Optimization of a Mechanical Heart for Academic
Purposes
A3 Main Research Supervisor:
Name Dr Lilibeth Zambrano
Email [email protected]
Department Department of Aerospace and Mechanical Engineering
A.4 I confirm that I have read and understood the following SETU Policies:
Ethics Policy Yes No

Ethics Procedures and Guidance notes
On completing this form Yes No
Data Protection Policy Yes No
Academic Integrity Policy Yes No
A.5 Does this research include any research related to working with humans or animals
Yes No
If the answer to this question is Yes, then Ethical Approval is required and Form 11 or Form
111 should be completed.
B. Research Proposal
B.1 Title of the proposed research project

Design and Optimization of a Mechanical Heart for Academic Purposes
B.2 From that, describe how this proposed research is contributing to what is
known about the topic
It aims to implement an effective design for a field that has very sparse
references but is majorly important
B.3 Provide a brief description of research (not more than 200 words in any section)
a. The aims and objectives

To design a functioning heart that can easily be examined with an exposed
body to demonstrate the intricacies of the flow of blood in the chambers and
how the values operate. The heart is meant for academic purposes so being
able to see an exploded view of the inner workings of the heart is the main
objective.
b. The research design
(Note: This section can include an overview of methodology research design proposals regarding for
example, evaluation and data gathering. In describing the research design, applicants are required to
explain the reasoning behind their choice of method as relevant to this application)
A design that can manage pressures that will be experienced in the

chambers with expansion in mind and also keeping the valves as sealed as
possible. As there is not many references to go off my design will take
inspiration from the previous years project but with much of the design
changing just some components replicated out of there being such a niche
market
c. The size and composition of sample (or enter NA if not applicable)

NA
d. Describe how the information is gathered and stored (or enter NA if not
applicable)
NA
e. Please state the location(s) the proposed research is to be conducted (or enter
NA if not applicable)
NA
f. The proposed starting date of research/study

30/09/2024
B.4 Please list the investigators (including assistants) who will conduct the
research.
Cormac Rafter
B.5 Does this research proposal require any other form of Third Party Authority
approval (e.g. licensing approval or access permission)? – If so please provide details
of these and append copies where available
No
B.6 Outline the reasons that have led you to identify the proposal as qualifying for
exemption from Ethical Approval.
There are no elements of my project that violate any ethical code or use any
types of Human/Animal parts. All elements of my work will be done in a
humane and ethical manner as there is no other option.
The Institute of Technology Carlow is committed to protecting the rights and privacy of individuals with respect to the
processing of their personal data. A copy of the Institute’s Privacy notice is available on the Institute’s website
(https://www.itcarlow.ie/resources/data-protection.htm ). This website also contains further information relating to your rights
regarding subject access requests, records retention and data protection in general. Any further queries in relation to the GDPR
can be addressed to the Institute’s Data Protection Oversight Group (e-mail: [email protected])
Signed: Date: ______04/10/2024______

Learner
Signed: ______________________ Date _________________

Principal Supervisor

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LEVEL 8 UNDERGRADUATE and LEVEL 9 TAUGHT MASTERS AND

Application to the SETU Engineering Research Ethics Committee for

Ethical Exemption of a Research Project

(REC1 L8/ L9)

 All relevant sections are completed in typed text;

Application for ethical review exemption or for ethical clearance is an essential

Ethics Policy Yes No

B.1 Title of the proposed research project

a. The aims and objectives

b. The research design

A design that can manage pressures that will be experienced in the

c. The size and composition of sample (or enter NA if not applicable)

f. The proposed starting date of research/study

Signed: Date: 04/10/2024

Signed: ______ Date _

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