Archives: 9/2008

stimuheal myospare device 0 Stuck in a Cast? MyoSpare Wants to Exercise Your Unused MusclesAnyone who’s ever wore a cast after breaking an arm or leg knows that muscles not used for a month or so become rather pathetic looking, and lack much of their original strength. An Israeli company called StimuHeal Inc. is working on embedding electrical stimulators inside casts to exercise the immobile muscles.
From Israel21C:

Now available in Europe and Israel, MyoSpare takes advantage of the downtime period when the adult or senior body is inactive and healing from an injury.
Using existing equipment on the market, StimuHeal identified the technical and clinical limitations of activating the muscles underneath casts using Neuromuscular Electrical Stimulation (NMES), a well-recognized tool in the American healthcare system.
If electrodes were to be inserted under the cast, the company recognized, prolonged sweating would be a problem. They also had to develop the perfect stimulation regime so the lactic acid and CO2 wouldn’t build up in the muscles, causing pain and discomfort. StimuHeal solved this by developing a microprocessor that calculates a cycle for the muscles to rest.
Not only will the MyoSpare device cut down on physiotherapy costs, it will radically help people return to their former selves after a serious debilitating injury. Other devices exist on the market to aid in muscle stimulation, but the MyoSpare is the only one developed for use under a cast when the body is healing, the company says.
To stay competitive, StimuHeal hopes to be able to sell MyoSpare in the United States for about $300, once it gets the FDA seal of approval. This should happen sometime in the next year.

More from Israel21C
StimuHeal technology page

ipodnanoprize Reminder: Guess A Nobel Contest Is Going Strong
We are still accepting nominations to our Guess-A-Nobel Contest. Just leave a comment who you think will win this year’s Nobel Prizes in Medicine, Physics or Chemistry, for your chance to win an iPod nano.

43643hap Magnetic Nanoparticles as Safe, Long Lasting Contrast Agents
Philips and the University of Urbino in Italy are teaming up to develop magnetic nanoparticles that can translocate themselves inside red blood cells, and as such would act as a long lasting and, hopefully, non-harmful contrast agent. The researchers hope that such a contrast agent will be able to evade the immediate hepatic clearance, until after RBCs complete their life cycle.

The patented contrast agent techniques being developed by the University of Urbino are based on magnetic nanoparticles that are captured inside the patient’s own red blood cells, where they remain protected from the body’s excretion mechanisms for much longer periods. This could be as long as 120 days (the typical lifetime of healthy red blood cells). A key feature of the University of Urbino’s technology is that it could allow the preparation of relatively large volumes of contrast-agent loaded blood. Philips Research will take samples of this contrast-agent loaded blood and test its effectiveness in Philips scanners, using their in-depth knowledge of the physics involved to optimize the scan parameters.
The collaboration between Philips Research and the University of Urbino will last for approximately two and a half years, with expected initial applications in the treatment of cardiovascular disease – one of the biggest killers in the western world.
One way of treating heart rhythm disorders is a minimally invasive procedure known as radio-frequency ablation. During this procedure, a catheter is inserted into the patient’s heart and the tissue responsible for propagating abnormal electrical signals through the heart muscle is destroyed using heat from a radio-frequency field generated at the tip of the catheter. This is a complex procedure and may take hours to complete. Medical imaging technologies are used to direct these procedures. The images provide the maps that allow the interventional cardiologist to guide these instruments through the body to the relevant areas.
Encapsulated magnetic nanoparticles injected into a patient’s bloodstream could be used to highlight the volume of blood in the different heart chambers during such procedures. Injected as free particles, however, they would not remain in the bloodstream long enough for such operations to be successfully completed, because they would be too quickly excreted from the blood via the patient’s liver.

Press releases: Development of long retention-time contrast agents; Philips strikes healthcare research alliance with Italian University of Urbino for development of long retention-time contrast agents…

lm x220 Counting Infected Blood Cells with Your Cell PhoneUsing standard CCD photo camera light sensors, without utilizing any lens optics, scientists at the University of California, Los Angeles are able to distinguish between normal and infected cells in blood samples. The technique, developed, and now improved, by Dr.Aydogan Ozcan and colleagues from the California NanoSystems Institute at UCLA, is called LUCAS, or Lensless Ultra-wide-field Cell monitoring Array. It is in essence a diffraction shadow imaging modality.
Here’s what UCLA says about the research:

First published in the Royal Society of Chemistry’s journal Lab Chip in 2007, the LUCAS technique, developed by UCLA researchers, demonstrated a lens-free method for quickly and accurately counting targeted cell types in a homogenous cell solution. Removing the lens from the imaging process allows LUCAS to be scaled down to the point that it can eventually be integrated into a regular wireless cell phone. Samples could be loaded into a specially equipped phone using a disposable microfluidic chip.
The UCLA researchers have now improved the LUCAS technique to the point that it can classify a significantly larger sample volume than previously shown — up to 5 milliliters, from an earlier volume of less than 0.1 ml — representing a major step toward portable medical diagnostic applications…
Ozcan envisions people one day being able to draw a blood sample into a chip the size of a quarter, which could then be inserted into a LUCAS-equipped cell phone that would quickly identify and count the cells within the sample. The read-out could be sent wirelessly to a hospital for further analysis.
"This on-chip imaging platform may have a significant impact, especially for medical diagnostic applications related to global health problems such as HIV or malaria monitoring," Ozcan said.
LUCAS functions as an imaging scheme in which the shadow of each cell in an entire sample volume is detected in less than a second. The acquired shadow image is then digitally processed using a custom-developed "decision algorithm" to enable both the identification of the cell/bacteria location in 3-D and the classification of each microparticle type within the sample volume.
Various cell types — such as red blood cells, fibroblasts and hepatocytes — or other microparticles, such as bacteria, all exhibit uniquely different shadow patterns and therefore can be rapidly identified using the decision algorithm.
The new study demonstrates that the use of narrowband, short-wavelength illumination significantly improves the detection of cell shadow images. Furthermore, by varying the wavelength, the two-dimensional pattern of the recorded cell signatures can be tuned to enable automated identification and counting of a target cell type within a mixed cell solution.
"This is the first demonstration of automated, lens-free counting and characterization of a mixed, or heterogeneous, cell solution on a chip and holds significant promise for telemedicine applications," Ozcan said.
Another improvement detailed in the UCLA research is the creation of a hybrid imaging scheme that combines two different wavelengths to further improve the digital quality of shadow images. This new cell classification scheme has been termed "multicolor LUCAS." As the team illustrated, further improvement in image quality can also be achieved through the use of adaptive digital filtering. As result of these upgrades, the volume of the sample solution that can be imaged has been increased, as mentioned, from less than 0.1 ml to 5 ml.

Press release: Better health through your cell phone…
More from MIT Tech Review
Abstract: Multi-color LUCAS : Lensfree On-chip Cytometry Using Tunable Monochromatic Illumination and Digital Noise Reduction
Image: A new cell counter uses the imaging chip from a digital camera to record the “shadows,” or diffraction signatures, from cells in blood and other samples. Simple algorithms allow cells to be identified and counted because each cell type has a unique signature. In this image taken with the cell counter, yeast cells are circled in blue, red blood cells are circled in red, and beads are circled in green. Credit: Aydogan Ozcan
Flashbacks: CellScope for Rural Microscopy On The Go ; Scientists Develop Compact On-chip Microscope…

436324tre1 HeartWorks 3D Computer Generated Transesophageal Echo Simulator
A collaboration between three physicians at Heart Hospital in London and Glassworks, a UK digital animation firm, has produced a digital model of the heart that can interface with a virtual TEE simulator, and a haptic device for physical feedback with a human mannequin.
From Glassworks:
436324tre2 HeartWorks 3D Computer Generated Transesophageal Echo Simulator

Through a chance meeting at a dinner party 2 years ago, Glassworks were asked to create a Virtual Heart Simulator that allows the user to interact with an animated, realistic, anatomically accurate, ‘virtual’ 3D model of the heart in real time. The brief required the operator to be able to control the orientation of the heart and make planar slices in any orientation through the heart on the computer screen. From these slices the operator would be able to show the anatomical relationships between the various internal and external structures of the heart.
This Simulator would produce a real-time rendition of a photo-realistic computer graphics heart that could be sliced interracially on any plain and produce a completely authentic graphic ultrasonic representation of that plain instantly.

436324tre3 HeartWorks 3D Computer Generated Transesophageal Echo Simulator

During development it became clear that the accuracy of the 3D model and the quality of the real time render engine combined, would have far wider benefits than originally envisaged. It could be used for transoesophageal as well as conventional echocardiography teaching purposes, for angiography, cardiac surgery and a great variety of other applications in anatomy and education.

HeartWorks..
More about the project from Glassworks…
(hat tip: The Engineer)

panasonic medic tablet sc Panasonics Medical Tablet Sees Light of Day
Panasonic recently gave a sneak peak to some folks in Tokyo of the company’s upcoming Toughbook medical tablet that seems to feature Intel‘s new Atom processor, which typically requires no ventilation, hence allows high performance devices to be waterproof. Considering all the banging against patient beds and hallway doors that a portable computer like this would be subject to, such a device might become a popular item for clinicians and nurses to view medical records and input data on the fly.
(hat tip: CNET)

vlink 1 IVs That Kill...The BugsBaxter released the first antimicrobial luer IV connector, dubbed V-Link, earlier this year, a device known to be effective against MRSA, Pseudomonas aeruginosa and Enterobacter cloacae. The V-Link connector employs an antimicrobial silver coating Baxter calls VitalShield. The VitaShield coated connector has been shown to kill 99.9% of pathogens that can cause IV related bloodstream infections.
Today, Baxter received FDA clearance to expand their labeling, based on confirmation of device’s ability to combat three additional pathogens: vancomycin-resistant Enterococcus faecalis (VRE), Escherichia coli (E. coli) and Staphylococcus epidermidis (coagulase negative).
Francois Lebel, MD, vice president of Clinical and Medical Affairs for Baxter’s Medication Delivery business said:

“The revised labeling and expanded indications for use further validate the broad spectrum antimicrobial coverage and effectiveness of V-Link with VitalShield in lowering the risk of pathogen contamination.”

Timing for this product seems ideal, as beginning in October the Centers for Medicare and Medicaid Services (CMS) will not reimburse U.S. hospitals for costs required to treat healthcare-associated infections!
Press release: Baxter’s Antimicrobial IV Technology Now Shown to Kill Six Common Pathogens, Including MRSA and VRE…
Product page: V-Link Luer-Activated Device with VitalShield Protective Coating…

8767blu Smart Phones Make for Smart Alarm ClocksFinnish researchers from Tampere University of Technology and University of Helsinki have developed alarm clock software for mobile phones, called HappyWakeUp™, that uses the device’s microphone to monitor a person’s sleeping status. When the phone notices that the person is coming out of deep sleep, by listening to body motion and breathing, it starts up gentle alarm wake up sounds, and slowly brings the person out of sleep.

One way to reduce the stress caused by a sleep disorder is to wake up gently. Studies have shown that the best time for an alarm clock to go off is when a person is ‘almost awake’ in terms of their natural sleep rhythm. At that point the body and brain are ready to wake up, so the change from sleep to wakefulness is least jarring. The researchers focused on this part of the sleep cycle, and developed what they call ‘an arousal clock’ rather than an alarm clock.
Researchers from Tampere University of Technology and the University of Helsinki, both in Finland, used a simple microphone that is available in most mobile phones to record and analyse movement in 80 subjects over a 6 month period. They found that the technology was adequate to analyse periods of calm and movement in a regular bedroom setting. Dr Tapani Salmi of Tampere University of Technology explained, ‘Very soon we noticed that a common microphone is very sensitive to any sounds and voices produced by movements in the bed during night-time. Everyone has heard the typical voices, when a mobile phone has accidentally called you from someone’s pocket.’
The new alarm clock is built in to a mobile phone. The subject sets the desired alarm time as normal and places the phone nearby (usually beneath the pillow). The phone analyses the subject’s ‘sleep movement sounds’. Twenty minutes before the alarm is set to go off, the phone determines when the subject is making ‘almost awake’ sounds, and gives off a soft alarm signal.
The ‘arousal clock’ is less stressful than a conventional alarm clock, and sleep-diary analysis indicated that subjects benefited after using the new device for a week. Dr Salmi reported that using the clock continuously ‘helps the internal clock in your brain learn the proper sleep rhythms’. No alarm signal is given before the set alarm time if the subject is sleeping calmly, as subjects who experience very deep sleep at alarm time do not appreciate any alarm, no matter how gentle.
Movement analysis is commonly used in combination with other sleep diagnostics to screen for somnipathies; the Finnish study’s innovation was in using a wireless technology. Because the device is not physically attached to the patient, the act of analysing movement did not interfere with the subjects during sleep.
The new technology is capable of performing several all-night recordings, so it can be used to analyse a subject’s sleep patterns over the course of a few days. Importantly, it can be used to diagnose sleep disorders in regions that do not have sleep clinics. It is convenient and cost efficient compared to the conventional battery of tests used in sleep clinics.

HappyWakeUp download page
Supported mobile phones…
CORDIS press release: Mobile phone technology makes waking up easier

4354kri A CRIC In The Neck!
Here’s an interesting product we haven’t seen before. The Complete Rapid Illuminated Cricothyrotomy (CRIC) Kit is the latest life-saving medical product from Canadian company Pyng Medical, the developers of FAST1® Intraosseous Infusion System, that we profiled yesterday. Although FDA approval is pending, the new CRIC Kit is expected to provide significant improvements in speed, efficacy and safety to the life-saving medical procedure of cricothyrotomy.
CRIC Feature anim 022908 A CRIC In The Neck!The CRIC Kit is being developed with support from the US Department of Defense (DOD) for the purpose of equipping US military medics and physicians. Currently, cricothyrotomy requires the use of at least three distinct medical instruments: scalpel, retractor, insertion tube, and in many cases, a light source. This can be difficult enough to manage in a modern ER, not to mention the extreme conditions that exist on the battlefield, where an obstructed airway is the second leading cause of death (after exsanguination).
CRIC Cricothyrotomy Kit product page and instructions…