Archives: 2/2005

odor top The Odorscreen
In the Financial Times article about innovative technologies coming out of Israel (oh boy, we had a run of different innovative products coming out of Israel lately — how soon someone will accuse us of bias?), we read about Odorscreen™ from Patus Ltd. Used during the recent tsunami relief efforts, Odorscreen was initially designed for emergency response workers responsible for collecting body parts after terrorist attacks.
The company website describes the technology:

Exposure to highly offensive odors such as decomposing flesh, vomits, and the like are known to cause mental disorders and other health problems in medical professionals, military and Homeland Security field personnel. Some of the most frequently reported health complaints include depression, tension, anger, fatigue, and confusion. Other symptoms include headache, nausea, diarrhea, dizziness, and nasal congestion. A number of people also present psychological symptoms.
Odorscreen diminishes the user’s perception of offensive odors to a tolerant level and, in some cases, provides a total elimination of the stench factor. This gel like substance, which contains white pharmaceutical Vaseline of the highest level and special fragrances, is simply applied under the nostrils and can lasts up to two full hours. It is stainless and disposable.
Regular use of Odorscreen helps improve the work environment of those in the fields of military and emergency medicine, first responders, pathology, wound care, and veterinary services. It is also ideal for rescue and recovery missions.

For some of you it might be a trivial issue. For those of us involved with rectal digital decompressions, gangrenes and C. diff diarrhea, odor control is far from a trivial matter.
More at Patus
Update: A dedicated reader wrote in asking what rectal digital decompressions are. The hint is that “digital” does not refer to discrete electronic signals, but to the finger on the doctor’s hand.

prionfilter Leukotrap® Affinity Prion Reduction FilterPrions are infectious proteins. They are even smaller and simpler than viruses. Simpler, however, does not mean that we know how to deal with them. Prionic diseases (mad cow disease, Creutzfeldt-Jakob Disease, and all other in the same class) have no cure. Pall Corporation, the manufacturer of medical filtration systems, reports about its innovative IV filter, designed to reduce the prion exposure:

Assessing the risk of potential exposure to variant Creutzfeldt-Jakob Disease (vCJD), the human form of ‘mad cow disease,’ from blood transfusion was the focus of the Food & Drug Administration (FDA) Transmissible Spongiform Encephalopathies (TSEs) Advisory Committee in Silver Spring, Maryland today. In response to the Committee’s encouragement that new technologies should be considered that might lead to greater reduction of risk while not deferring many donors unnecessarily, Pall Corporation (NYSE: PLL) presented the latest scientific data on its new prion reduction technology. The Leukotrap® Affinity Prion Reduction Filter, expected to be launched commercially in Europe this spring, removes infectious prions from red cells, the most widely transfused blood component. Prions are associated with causing vCJD and other fatal neurodegenerative diseases, known as TSEs.

In medical school, vCJD was my “favorite” disease. I was infatuated with it: prions are newly discovered and still very mysterious. Prions tend to congregate in the neural tissues (brain, spinal cord, cerebrospinal fluid, eyes). But it has also been demonstrated that the agent that causes the human form of Mad Cow disease can be transmitted through blood transfusion. Hence is the filter.
Nobel Foundation has a lecture (.pdf) by Stanley Prusiner, M.D. about prions.
More at Pall

The Associated Press reports:

The Big Three automakers and Michigan’s three biggest health care insurers are joining forces to help 17,000 physicians set up electronic systems for issuing prescriptions.
The initiative is meant to not only help the automakers save money on health care costs but also eliminate the handwritten prescriptions sometimes blamed for fatal medication mistakes.
“It’s an effort to reduce costs, but also to improve quality,” said Marcy Evans, a Ford Motor Co. spokeswoman. “Improving the safety of prescription drug care will reduce unnecessary costs.”
Ford, General Motors Corp. and DaimlerChrysler AG are collaborating with Henry Ford Health System, Blue Cross Blue Shield of Michigan and Health Alliance Plan on the Southeast Michigan e-Prescribing Initiative.
Also participating are Medco Health Solutions Inc., which manages drug benefits, and RxHub LLC, a computer company that will transfer pharmacy information between medical offices, the pharmacy benefit manager and the pharmacy.

novavisionvrt NovaVision VRT
The New York Times has a story about an innovative new therapy that improves visual field deficits in patients who are status post stroke:

A new rehabilitation technique has helped patients whose vision was damaged by stroke to recapture parts of their fields of vision, according to a study presented last week at the American Stroke Association’s international conference in New Orleans.
In recent years, researchers have made slow but steady progress in helping stroke victims regain the use of paralyzed limbs by retraining nerves in undamaged parts of the brain. The new technique, called vision restoration therapy, does something similar for patients who are left with blank spots in front of their eyes.
Dr. Bernhard Sabel of Otto-von-Guericke University in Magdeburg, Germany, who developed the technique, said it involved twice-a-day sessions of 30 minutes each at a computer terminal. Patients are asked to fix their gaze on a spot in the screen’s center, and then click to signal when they become aware of a dot on the periphery, a process that stimulates nerves near the edge of the affected area.
Dr. Sabel said that after six months, the 24 patients in the study were able to detect 63 percent of the peripheral signals, compared with 54 percent when they began. An extra six months appeared to show a further improvement, he said, although the difference did not reach statistical significance.
Dr. Sabel said that in follow-up studies, 70 percent of patients maintained their improvement, while 10 percent gained more vision back and 20 percent lost a small amount.

The therapy uses neuroplasticity, the self-repair capability of the brain, to improve visual field deficits. Medical professionals, interested in learning more about NovaVision VRT, should check out this webpage (don’t forget to check out the educational case studies!).
Further details at NovaVision

animas ir1200 Coming up: Animas IR 1250 insulin pump
The Philadelphia Business Journal reports about the new insulin pump from Animas, that will, in addition to many other things, include a food database of up to 500 items and play some tunes:

The intensive management of diabetes requires that people with the condition compensate for carbohydrates they’ve ingested when administering their insulin.
Animas officials said the food database reduces guesswork when counting carbohydrates, helping patients achieve more accurate dosing of their insulin.
“Many people with diabetes struggle with carbohydrate counting, and either find it very time consuming or do a less-than-accurate job with it,” said Katherine Crothall, the company’s president and CEO. “Having an extensive food database incorporated in our pump is an important step forward in pump therapy.”
Crothall said the new pump, expected to hit the market midmonth, also gives patients that options of creating customized tunes or choosing from a database of popular songs that be used to signal alerts.
“Many people, particularly teenagers, wish to be discreet with their diabetes, and using tunes in lieu of beeps helps them achieve this goal,” she said. “Our IR 1250 pump not only looks like a small cell phone, but it now sounds like one as well.”

Pictured above is a “previous generation” IR 1200 pump. At the present time Animas website does not have any info about the upcoming IR 1250.
More at Animas product page

Vivosonic integrity Integrity from Vivosonic: a wireless hearing assessment system
Vivosonic Inc., a company from Canada, reports:

Vivosonic Inc., a Toronto-based medical device developer, is pleased to announce U.S. Food and Drug Administration (FDA) approval for Integrity™, the world’s first and only wireless objective hearing-assessment system.
With FDA approval, the Integrity™ is now available to the U.S. market.
“I am very proud of this and think it is a major milestone in diagnostic Audiology equipment”, said Dr. Yuri Sokolov, Vivosonic president & CEO. “The Integrity™ incorporates cutting-edge technologies — from the Amplitrode™, the novel miniature in-situ AEP amplifier, to wireless communications and advanced digital signal-processing techniques.”
“Wireless technology represents a major breakthrough in AEP testing,” adds Sid Tannenbaum, Product Marketing Manager at Vivosonic. “The freedom of mobility will be especially beneficial for those practitioners who treat infants referred from newborn hearing screening programs, as the infant can now be carried and comforted during the test, as well as to those monitoring hearing in Operating Rooms. We are delighted to offer the Integrity™ to the U.S. market.”

To learn more about the vivography press here. Further details can be found at Vivosonic website

revealed endocrine The Human Body Revealed at the National Museum of Health and Medicine
We have reported earlier about Alexander Tsiaras’ book The Architecture and Design of Man and Woman. Mr. Tsiaras has produced stunning images of the human body by rendering them from real imaging studies (MRI, CT, etc.) of corpses. Deservingly, Mr. Tsiaras’ art is now displayed at The National Museum of Health and Medicine. Check out the museum’s online expo, and it will take your breath away.
The Voice of America explains how the images were produced…

fda The electronic submissions gateway to FDAAccording to InformationWeek, the FDA bureaucracy wants to change the document submission process by going totally electronic:

The Food and Drug Administration has tapped GlobalNet Services Inc., a systems integrator, and Cyclone Commerce Inc., a supplier of collaborative-business software, to develop an electronic-submissions gateway, a system to centralize document submissions to the FDA from pharmaceutical manufacturers and other federal agencies.
The gateway could be a pivotal development, as the health-care and pharmaceutical industries implement electronic-document systems and abandon inefficient paper-based processes.
The centralized system, a $2 million project to be unveiled this week, will replace several disparate electronic document submission systems operated by individual FDA organizations that regulate pharmaceuticals, medical devices, biologic products such as vaccines, and food products.
The first phase of the project, due in June, will allow pharmaceutical makers to submit documents seeking approval for new drugs. The FDA is pushing drug companies to use electronic documents to streamline the approval process and speed up after-market reports about drugs’ adverse effects.
Once the gateway is complete, in mid-2006, it will be the single point for electronic submissions from drug and medical-device companies, drug distributors, food makers, health-care organizations, and government agencies. The FDA exchanges volumes of documents with the National Institutes of Health, for example, and with the Drug Enforcement Administration, under the DEA’s program for tracking controlled drugs such as OxyContin.
The new system will provide a single standard for submitting documents to any organization within the FDA, says Michael Fauntleroy, director of the electronics submissions program at the FDA’s Center for Biologics Evaluation and Research, and project manager for the gateway project.

verisyselens Verisyse Phakic IOL: implantable contact lensesWCVB-TV of Boston reports about implantable contact lenses, a new option for patients with vision disorders. According to Advanced Medical Optics, Inc., the manufacturer of implantable Verisyse lenses, the procedure is indicated for patients with cataracts, nearsightedness, farsightedness, or presbyopia:

The procedure involves placing the Verisyse™ Phakic IOL behind your cornea and on top of your iris. This gives your eye another focusing lens that provides high-quality, high-definition vision like a normal eye. Although the Verisyse™ Phakic IOL is intended to be permanent, the procedure is reversible if desired.
The word “phakic” means that your natural crystalline lens is left in the eye. This is important because your natural lens plays an important role in helping your eye adjust between seeing objects that are near and far.

More at Verisyse website