Archives: 8/2008

the pink bed Hoana Gets EU OK For LifeBed System
Hoana Medical has received European clearance to market its LifeBed hospital bed monitoring and notification system. The system comprises of a bed coverlet which monitors breathing and heartbeat, as well as patient movement, and a wall monitor that can interface with communication systems installed in the hospital.
the pink bed monitor Hoana Gets EU OK For LifeBed SystemFrom the product page:

Hoana’s technology transforms any hospital bed into a LifeBed, which invisibly tracks a patient’s basic vital signs without any connection to the patient whatsoever. However, if the patient begins to deteriorate, the LifeBed immediately notifies the hospital nursing staff — all invisible to the patient. It essentially provides “another set of eyes” to look after the patient. Changes in a patient’s condition due to medications, changes in physiologic conditions, or other treatments are identified early by the LifeBed, which results in early interventions and positively impacts patient outcome. The LifeBed has also helped reduce falls in partner hospitals by as much as 90 percent, a costly and dangerous problem facing many hospitals today.
The LifeBed has experience on more than 15,000 acute-care medical-surgical patients around the U.S., or more than 1.5 million patient hours, and has shown that errors and accidents don’t discriminate between social or economic classes; it can happen to anybody, anywhere.

Press release: Hoana Medical Acquires CE Mark to Expand Patient Safety Technology to European Market
Product page: LifeBed
Flashback: FDA OK’s EverOn™ Monitor

microgrip x220 Microsurgery Using MicrogrippersMIT Technology Review is reporting on new metal and polymer microgrippers that can be chemically activated to grab or cut tissue deep within the body without requiring any incisions. The scientists that developed the device envision swallowing a bunch of these and then guiding the particles using magnets to specific spots in the body for microsurgeries or doing biopsies.
From MIT Tech Review:

A gripper based on the current design could respond autonomously to chemical cues in the body. For example, it might react to the biochemicals released by infected tissue by closing around the tissue, so that pieces can be removed for analysis.
Gracias [David Gracias, biomolecular and chemical-engineering professor at Johns Hopkins University] and his colleagues presented the microgripper at the American Chemical Society meeting earlier this month. To demonstrate the device, they used it to grasp and maneuver tiny beads and clumps of cells in a petri dish. They have also used the device in the laboratory to perform an in vitro biopsy on a cow’s bladder. “This is the first micromachine that has been shown convincingly to do very useful things,” Gracias says. “And it does not require electric power for operation.”
The open gripper is 500 micrometers (0.05 centimeters) in diameter, and it is made of a film of copper and chromium covered with polymer. As long as the polymer stays rigid, the gripper remains open. But introducing a chemical trigger or lowering the temperature causes the polymer to soften, actuating the gripper’s fingers so that they curl inward to form a ball that is 190 micrometers wide. Another chemical signal can be used to reopen the gripper. All of the chemicals used as triggers in experiments are harmless to the body.

Check out this video showing the microgrippers grabbing a bead:


More at MIT Technology Review

2008 paralympic games Let The Games Begin

Now that the opening act is over, lets welcome the Paralympians to the field. Michael Phelps should try swimming with his hand behind his back. Or how about wheelchair rugby pictured on the right? We are, of course, excited to be able to see all kinds of assistive devices in direct competition and worked over by players that don’t hold back.
wheelchair rugby Let The Games BeginNBC’s Universal Sports will be broadcasting the games through its online video network.

U.S. Paralympics, a division of the U.S. Olympic Committee, is pleased to announce that Universal Sports, a multiplatform destination for amateur sports programming, will provide the first-ever multiplatform broadcast coverage of the Beijing 2008 Paralympic Games, presented by GE in the United States. Daily video highlights will also be webcast on the official site of the U.S. Paralympic Team, usparalympics.org.
Viewers will have the opportunity to watch the Paralympic Games, Sept. 6-17, with daily live and delayed highlight shows on UniversalSports.com and usparalympics.org. The official U.S. Paralympic Team site will also host daily video blogs from U.S. athletes and delegation members. Beginning in 2009, the U.S. Olympic Network will re-air portions of the 2008 Paralympic Games.

Press release: First Ever Multiplatform Broadcast of Paralympic Games Coming to U.S. via Universal Sports
Universal Sports
More at the International Paralympic Committee..
Image: Wheelchair rugby

Forbes has a great “in pictures” article on some new startups with some interesting technologies in the pipeline. The highlights include:
hxtechnologies Forbes Article on New Med TechnologiesHx Technolgies is working on establishing a system for rapid delivery of imaging data between hospitals. Begging hospitals to send over 20 lb. film envelopes could soon be a thing of the past! More info from the company’s website:

Xebra is an open source platform for web-based distribution and clinical review of medical imaging results. The software provides healthcare organizations and software developers with all the necessary components to securely transmit and review medical images over a network such as the Internet.
Unlike closed and proprietary imaging software locked to a single vendor, Xebra is intended to work alongside any picture archiving and communication system (PACS) and to provide advanced imaging capabilities to a wide range of healthcare IT applications including use in:
* health information exchanges (HIEs)
* regional health information organizations (RHIOs)
* electronic medical records (EMRs)
* personal health records (PHRs)
* clinical trials
* medical education
Written in Java, the software is designed to run on any operating system with an ultra-thin client that can be launched over the Web without any installation required by the end user.

the tug thing Forbes Article on New Med TechnologiesAethon is working on a robot to fetch supplies instead of sending a clueless med student after them.
From the TUG website:

The TUG is an affordable, automated courier system for the delivery and tracking of hospital goods and supplies. This autonomous mobile robot requires no extra infrastructure investment, is simple to install and can be applied across a variety of applications. Many hospitals have deployed multiple TUGs which have saved them hundreds of thousands of dollars.

View video showing off the TUG
patientcare Mobile Clinical Forbes Article on New Med Technologiespatientkeeper looks to be a nifty tool that allows you to write notes, order prescriptions, labs, and studies on your patient using most mobile devices that have web-access. An alternative to the thousands of sticker covered index cards you have your pocket.
From the company:

PatientKeeper can help you save time by eliminating the need to hunt for free workstations, search for information, or track down patients and other clinicians. With PatientKeeper, you have ready access to lab and test results, medication histories, allergies, vital signs, I/O’s and all the rest of the information on your patients. As a result, you can focus on what matters most: your patient’s care.
We help ensure that you have the most up-to-date patient information at your fingertips so you can respond to critical care issues more quickly. We provide you with drug-drug and drug-allergy checking to help reduce interaction and allergy risks. And we facilitate information sharing with other caregivers to help avoid the errors and near misses that can develop from poor communication.

More from Forbes

drug delivery particle Long Lasting Continuous Drug Eluting PolymersParticle Sciences out of Bethlehem, Pennsylvania has developed a drug eluting polymer capable of releasing a pharmaceutical at a constant rate over a month long period, and potentially longer.

Particle Sciences Inc. today announced the development of their "Microreservoir" technology enabling the manufacture of drug-eluting polymer medical devices that release drugs at constant rates over 30 days or more. This technology has already been used by Particles Sciences to develop drug eluting vaginal rings. "Drug release from polymeric materials often follows a burst/first-order kinetic profile which may not be clinically desired," explained Andrew Loxley, Director of New Technologies. "Traditionally the burst effect has been reduced by confining the API to a reservoir within the device, but this adds complexity and cost to production," he added. In their approach, Particle Sciences’ scientists first encapsulate the drug in polymer microparticles before blending with the polymer used to make the final product. Robert Lee, VP of Pharmaceutical Development commented, "Microencapsulating the drug enabled the use of simple molding processes to fabricate devices containing tens of thousands of ‘microreservoirs,’ and the devices exhibit constant drug release profiles equivalent to traditional reservoir devices.
This approach greatly simplifies production and adds tremendous flexibility to both single and multi-drug devices." Particle Sciences sees broad utility for this proprietary technology, which is applicable to polymer devices, films, coatings and other polymeric structures from which drugs or other materials are to be released at a constant rate.

Press release: Particle Sciences Develops Zero-Order-Release Combination Device Technology…
Particle Sciences
Image: Co-polymers used for drug delivery. Polymers that do not dissolve in acidic solutions can be used to coat a drug to prevent it being released in the stomach, alternatively, slowly dissolving polymers can be used to produce a slow release of drug, to reduce the number of times a day the patient has to take their medication. Polymers are also used to target the release of a drug to a specific part of the digestive tract for the treatment of a particular disease thus reducing side effects in other parts of the body. The larger orange spheres are 100micrometres in diameter. Scanning electron micrograph 2008. Wellcome Images.

adult to adult cells No Stem Cells Needed: Adult Cells Turned From One Type to AnotherIn a world’s first, researchers at Harvard have turned one form of fully formed adult cells of a mouse into another.

The Melton [Harvard Stem Cell Institute (HSCI) co-director Doug Melton] team reports in today’s online edition of the journal Nature that, using a technique it is calling "direct reprogramming," the team is able to turn mouse exocrine cells, which make up about 95 percent of the pancreas, into precious and rare insulin-producing beta cells. These beta cells, which comrpise [sic] about one percent of the pancreas, are the cells that die off in Type I diabetes.
In addition to its value for the field of regenerative medicine, the work also is a major step forward toward eventually developing a treatment for Type II – and eventually Type I – diabetes, a treatment that might someday eliminate the need for patients to constantly monitor their blood sugar and take insulin-adjusting medications, or even insulin. It is important to note, however, that there are numerous scientific hurdles that lay ahead before a treatment could be tested in humans.
Unlike the process involved in creating induced pluripotent stem cells (iPS), which have caused enormous excitement ever since their introduction two years ago by Japanese researcher Shinya Yamanaka, this direct reprogramming technique does not require turning adult cells into stem cells and then figuring out how to induce them to differentiate into a desired cell type. Melton emphasized, however, that direct reprogramming does not in any way eliminate the need for, or value of, work with iPS cells or human embryonic stem cells. "We need to attack problems from multiple angles," said Melton, stressing that his lab is using several approaches and will continue to work with iPS and hES cells.
Melton likened the the multi-step process a stem cell goes through during differentiation into a specific adult cell type to passing through a series of doors. "There are locks on all the doors," he said, "and the locks are transcription factors. We asked which ones are present in the beta cell, and that gave us 1,100 transcription factors to choose from. Eventually we learned that of the 1,100, only about 200 are actually expressed in cells that are involved in forming the pancreas.
"Next," Melton continued, "we decided that of the 200, we only cared about the ones that are expressed in the key part of the pancreas where the beta cells are – and that got us down to about 28. Then we did some lineage studies," he explained, "and we got it down to nine. Joe said, ‘my best guess is it’s these nine.’ And he were right. It was a messy experiment, mixing all nine and injecting them into the pancreas. Then we found out that it got better and better as we removed one gene at a time from the nine, and eventually we found that it actually works best with three transcription factors – that six of them aren’t that important. And that’s the fun of science!" Melton said, a grin spreading across his face.
But back to serendipity for a moment:
Suppose the experiment hadn’t worked with those nine transcription factors; what then? "If it hadn’t worked with those nine, we’d probably have dropped the experiment and gone onto something else; there would have been just too many possible combinations of transcription factors to wade through," Melton said.

Press release: Harvard Stem Cell Institute researchers turn one form of adult mouse cell directly into another.
Image: In this immunofluorescent image of an adult mouse pancreas, exocrine cells into which three transcription factors have been inserted are displayed in green. The red areas in the image are insulin. The blue streaks are blood vessels, which are remodeled by and lie close to the new, insulin-producing beta cells. Image courtesy Joe Zhou, Melton Lab

topimage%2C81364%2Cen Virtual Reality Walking MotivatorWendy Powell, a PhD student in the School of Creative Technologies at the University of Portsmouth has created a walking simulator that works in conjunction with a treadmill to fool the walker into believing he or she is walking slower. The idea is to motivate the physical therapy patients to speed up.

Clinical trials on real patients are taking place in collaboration with experts at the renowned McGill University in Canada where early results are encouraging.
A former chiropractor, Wendy, hopes it will pave the way for a new and innovative approach to physiotherapy.
She said: “The virtual system encourages patients to walk more quickly and for longer, almost without them realising it. We’re effectively fooling the brain and the body.
The environment is stimulating and entertaining and there’s less fear of falling over. Our test subjects are usually surprised when I tell them they’ve improved by up to 20 per cent.”
Wendy hopes that the system will also help older stoke patients who often find traditional approaches to improving their speed and distance difficult because it relies very much on self-motivation.
She said: “After a stroke or fall many older people lack motivation and confidence and they don’t feel steady on their feet so getting out and about can be an issue and they can find the whole process rather dull.”
Wendy’s system uses a variety of different images from urban landscapes to forest and mountain scenes. She has built a system of rewards into some of the programmes, which encourages the patient to pick up objects and collect points. She said that older people were not at all put off by the ‘computer game’ element but seemed to enjoy it.

Press release: Virtual reality set to transform physiotherapy

sleeping blob Scientists: Is Sleep Essential?Writing in the latest PLoS Biology, researchers from the University of Wisconsin, Madison are wondering whether sleep is really a biological necessity, or maybe it’s just a function created by evolution to kill time and avoid stress.
From the article in PLoS Biology:

Everybody knows that sleep is important, yet the function of sleep seems like the mythological phoenix: “Che vi sia ciascun lo dice, dove sia nessun lo sa” (“that there is one they all say, where it may be no one knows,” Wolfgang Amadeus Mozart and Lorenzo da Ponte [1790], Così fan tutte). But what if the search for an essential function of sleep is misguided? What if sleep is not required but rather a kind of extreme indolence that animals indulge in when they have no more pressing needs, such as eating or reproducing? In many circumstances sleeping may be a less dangerous choice than roaming around, wasting energy and exposing oneself to predators. Also, if sleep is just one out of a repertoire of available behaviors that is useful without being essential, it is easier to explain why sleep duration varies so much across species. This “null hypothesis” would explain why nobody has yet identified a core function of sleep. But how strong is the evidence supporting it? And are there counterexamples?
So far the null hypothesis has survived better than alternatives positing some core function for sleep [8–10]. In what follows we shall test the null hypothesis by considering three of its key corollaries. If the null hypothesis were right, we would expect to find: (1) animals that do not sleep at all; (2) animals that do not need recovery sleep when they stay awake longer; and, finally, (3) that lack of sleep occurs without serious consequences.

Article in PLoS Biology: Is Sleep Essential?
Check out this illustration from the article that lists animal species in which the presence of sleep and/or Its homeostatic regulation have been called into question…

5634gr FDA Gives Green Light to Genetic Heart Transplant Test
XDx Inc. out of Brisbane, California has received FDA approval for its “noninvasive, multi-gene molecular diagnostics blood test used to aid in the identification of heart transplant recipients with stable allograft function who have a low probability of moderate/severe acute cellular rejection at the time of testing, in conjunction with standard clinical assessment.” Deep down, the test is a 20-gene (11 informative, 9 control) quantitative polymerase chain reaction (qRT-PCR) assay that uses RNA isolated from peripheral blood mononuclear cells.
xdslogo FDA Gives Green Light to Genetic Heart Transplant Test

“AlloMap is a valuable tool in the management of heart transplant patients,” said Dr. Howard J. Eisen, professor and chief of cardiology at Drexel University College of Medicine in Philadelphia. “As a simple blood test, AlloMap can be used on an ongoing basis to help to determine which heart transplant patients are the least likely to suffer from rejection, which is a key factor in the long-term well being and treatment of these patients.”
AlloMap Testing assays the RNA levels of 11 rejection biomarker genes and nine control genes. AlloMap Testing was clinically validated using data from 9 leading heart transplant centers participating in the Cardiac Allograft Rejection Gene Expression Observational (CARGO) study. AlloMap Test has been available since January 2005 as a Laboratory Developed Test (LDT) performed in the XDx Clinical Laboratory Improvement Amendments (CLIA) certified Laboratory, and has been ordered at more than 50 U.S. transplant centers. The AlloMap Test may be used for stable patients aged 15 years or older at any time after the second month post-transplant. In order to maintain tight control of the testing processes, AlloMap Test is currently performed only at the XDx Reference Laboratory.

Press release: XDx’s AlloMap® Gene Expression Test Cleared by U.S. Food and Drug Administration (FDA)…
Company page: XDx Expression Diagnostics…
Presentation at the FDA: AlloMap® Molecular Expression Testing: A specific example of CLIA oversight of a laboratory-developed test service (.pdf)…