Archives: 6/2009

OTC

zeo93423 Zeo, A Personal Sleep Clinic for The Home
The Zeo Personal Sleep Coach is a system that’s trying to bring the technology of a sleep clinic into the home. Using an EEG headband to record one’s sleeping patterns, you can learn more about your night habits and supposedly use the system’s software to improve overall sleep.
121 Zeo, A Personal Sleep Clinic for The HomeFrom the product page:

The user friendly Zeo Bedside Display shows you an array of personal sleep information that has never before been available to consumers at home.
* Your Sleep Graph – summarizes your pattern of sleep phases each night.
* Your ZQ – a single score we created to help you quickly gauge the quantity, quality, and depth of your sleep each night.
* ZQ can range from 0 to 120 or more depending on factors like age, gender and stress level.
* Total Z – how long you really sleep each night, counting any perceived and unperceived awakenings that we can detect.
* Time to Z – the time it took you to fall asleep.
* Time in Wake & Times Woken.
* Total amount of REM, Light & Deep sleep.
* Morning Feel – quickly record how you feel about your sleep when you wake up, so you can compare how you feel you slept to the objective data Zeo provides.
Zeo works seamlessly with your personal computer to offer you another window into the world of your sleep. The Zeo Bedside Display includes an SD memory card (like those used in digital cameras) that enables you to easily transfer your sleep data to your web-based, personal sleep account. At myZeo, you have exclusive access to the latest findings from sleep science, and interactive tools that make it easy to review your sleep information.
The myZeo Sleep Tools, Sleep Journal, and personal coaching section allow you to discover the associations between your sleep and how it may be impacted by your lifestyle – including exercise, diet, stress, and environment.

Here’s a Wall Street Journal video report on the Zeo:


Product page: Zeo Personal Sleep Coach
(hat tip: Engadget)

vi342 New Technique Images Rotavirus Interacting With Immune SystemDirectly imaging dynamic biomolecular processes can reveal secrets which scientists have been trying to uncover in indirect ways. The interaction between various virus species and the immune system is one of those topics that would benefit from novel visualization techniques. Now researchers from the Howard Hughes Medical Institute have imaged, with considerable detail, a rotavirus as it is grabbed by an immune system molecule. The technique may allow the development of better vaccines against not only rotavirus, but open a large range of research possibilities in the life sciences.

In the new experiments, Howard Hughes Medical Institute (HHMI) researchers have mapped the structure of an antiviral antibody clamped onto a protein called VP7 that stipples the surface of rotavirus. The structural map reveals intimate new details about how the antibody interferes with VP7, a protein that helps the virus infect cells. The information may be useful in designing a new generation of rotavirus vaccines that could be easier to store and administer than current vaccines, said the researchers.
Rotaviruses replicate mainly in the gut, where they infect cells in the small intestine. The virus has a triple-layered protein coat, which allows it to resist being chewed up by digestive enzymes or the gut’s acidic environment. Rotavirus does not have an envelope covering its protein shell. A virus’ envelope helps it enter host cells, and viruses without envelopes face significant hurdles in penetrating the membrane of the cells they infect. “Since they have no membrane of their own, they must therefore perforate a cellular membrane to gain access to the cytoplasm (the interior of the cell),” [HHMI investigator Stephen C. Harrison] said.
The new research shows that as rotavirus matures inside an infected cell, it assembles a kind of “armor” coating made principally of VP7 and a “spike” protein called VP4. When the mature virus particle exits one cell to infect a new cell, it perforates the endosomal membrane of the target cell by thrusting in its VP4 spike like a grappling hook.
The virus’ ability to infect cells depends on a critical structural change that quickly removes the coat from the interconnected VP7 proteins — an event that unleashes the spike protein. Although researchers still do not know precisely what triggers the uncoating of VP7, they do know that it appears to happen when the virus senses a lowered concentration of calcium in its environment.
“VP7 sort of closes over VP4 locking it in place like the metal grills that surround a tree planted on a city sidewalk,” explained Harrison. “And it is the loss of VP7 in the uncoating step that triggers VP4 to carry out its task.”
To get a closer look at how antibodies latch onto VP7 and neutralize the virus, Harrison and his colleagues used x-ray crystallography to examine the molecular architecture of VP7 in the grasp of a fragment of the antibody. X-ray crystallography is a powerful tool for “seeing” the orientation of atoms and the distances separating them within the molecules.
Before Harrison’s team could use x-ray crystallography, however, they first had to crystallize VP7 in complex with the antibody fragment. Only after that step was completed, could they move on to bombarding those crystallized proteins with x-rays. Computers helped capture the diffraction patterns that emerged as the x-rays scattered from the crystal lattice. By rotating the crystallized protein complexes through multiple exposures, the researchers could record enough data to calculate three-dimensional models, which exposed the underlying architecture of VP7 and the antibody fragment.
The resulting detailed structural map of the VP7-antibody protein complex revealed that the antibody neutralizes the virus by preventing the VP7 proteins from dissociating, said Harrison. “Normally, calcium creates a bridge between VP7 molecules that holds them in place until uncoating,” he said. “Our structure revealed that the antibody makes an additional bridge, cementing the subunits together, making the virus resistant to the uncoating trigger and preventing it from infecting cells.”
Current rotavirus vaccines consist of weakened live virus that triggers the immune system to produce neutralizing antibodies. However, the new structural findings suggest how researchers might engineer a different type of rotavirus vaccine consisting only of immune-triggering protein, said Harrison. This protein-only vaccine could be made of a chemically linked complex of VP7 molecules that would stimulate the immune system more vigorously to produce anti-rotavirus antibodies.
While live-virus-based vaccines have been effective, said Harrison, they have drawbacks that a protein-based vaccine might overcome. The virus-based vaccines are perishable and require refrigeration, but vaccines based on proteins are more stable and can be stored at room temperature. Another benefit, said Harrison, is that protein-based vaccines could be combined with other protein vaccines in a “cocktail” that would cut down on the number of clinic visits since blending cannot be done so readily with virus-based vaccines. These advantages could make protein vaccines especially useful in developing countries that lack an extensive public health infrastructure and where the vast majority of childhood deaths from rotavirus occur, Harrison said.

HHMI press release: New Images May Improve Vaccine Design for Deadly Rotavirus
Abstract in Science: Structure of Rotavirus Outer-Layer Protein VP7 Bound with a Neutralizing Fab

  • FDA Approves Injectable Form of Ibuprofen… [FDA]
  • AMA Weighs Whether Docs Should Hang Up Their White Coats… [WSJ]
  • Obama Stumps for Health-Care Reform; With President on the Road, Senators Explore Alternatives to Government-Run Plan… [WaPo]
  • REPORT: The Social Life of Health Information… [Pew]
  • Tantalizing clues to the chemical origins of life: A synthetic molecule can reshuffle itself to match a DNA template…. [Nature]
  • Homeopathy urgently condemned for serious diseases… [Derren Brown Blog]
  • AMA and Microsoft join forces to improve communication and collaboration between doctors and patients… [Health Blog @ Microsoft]
  • FDA Alerts Patients to Medtronic Pacemaker Recall… [FDA]
  • St. Jude Medical Announces Leading Sponsorship of Landmark Clinical Trial to Study Atrial Fibrillation… [St. Jude Medical]
  • ost Molecule is Lethal for Liver Cancer Cells in Mice… [Johns Hopkins]
  • Scientists ‘disprove’ fingerprints friction theory… [BBC]
  • Study reveals publics’ ignorance of anatomy… [BioMed Central]
  • icpr iPhone App Helps Teach CPR Techniques; No Certification is Offered
    D-SIGN, a small Italian company, has partnered with a doctor to develop a CPR learning tool for the Apple iPhone. Two tracks are available, and you can choose either the American Heart Association Guidelines or European Resuscitation Council Guidelines

    iCPR lite is a software specifically dedicated to self-directed learning CPR through a tutorial. Full version will include a simple feedback module dedicated to CPR training for lay persons and healthcare professionals.

    Link: iCPR Lite
    Link to iCPR Lite at AppStore

    sj4c St. Jude Medical Introduces New ICD Leads ConnectorSt. Jude Medical is introducing a new connector system, called SJ4, designed to minimize the number of connections between cardiac leads and the company’s AICDs. For now the new connector will be used only in Current® Plus AICD model, but our guess is that if accepted by surgeons, cardiologists and radiologists, the connector might be making its way into other company devices.

    The SJ4 connector system features a single connection between the device and the defibrillation lead, and a single set screw (used to tighten and secure the lead to the device). Previous defibrillator lead designs required three separate connections and four set screws. The reduced number of lead connections also lessens the risk of lead-to-can abrasion, a known complication that can occur in patients who have an implantable device.
    “With only a single connection and one set screw, the SJ4 connector has the potential to improve the implant procedure, may reduce the lead volume under the ICD in the chest wall and may improve patient comfort,” said Cleveland Clinic’s Bruce Wilkoff, M.D., who is on the company’s physician lead review board and has sponsored research with St. Jude Medical, Inc. Dr. Wilkoff implanted the first Current Plus ICD with SJ4 connector on June 4, 2009. “This design is intended to reduce the risk of incorrect connections of the lead to the ICD and reduce procedure time.”
    The St. Jude Medical SJ4 connector system is designed to meet the draft IS-4 standard as set forth by the International Organization of Standardization (ISO) but will not be labeled as such until the standard is finalized, which is expected later this year. St. Jude Medical began launch of the SJ4 connector system after ISO-directed interchangeability testing among multiple manufacturers was completed. This testing was deemed an important step in ensuring that these new leads, which currently meet the drafted IS-4 standard, would be compatible with future implanted devices.
    “Simplifying the lead connection process is one of many design features we have incorporated as part of our commitment to making procedures safer for patients and more efficient for physicians, from implant through follow-up,” said Eric S. Fain, M.D., president of the St. Jude Medical Cardiac Rhythm Management Division. “This aligns with our strategy of reducing lead risks and increasing reliability, which includes technology designed to reduce lead-to-can abrasion and sensing of far-field ventricular signals in the atrium.”
    The Current Plus ICD was approved by the FDA in April 2009, along with the company’s Promote(R) Plus cardiac resynchronization therapy defibrillator (CRT-D), which are compatible with the Durata(R) SJ4 defibrillation lead. As with previously announced leads in the Durata lead family, the Durata lead with SJ4 connector features a soft silicone tip and Optim(R) insulation, a hybrid insulation material that provides increased abrasion-resistance and durability, along with the flexibility and handling characteristics that facilitate device implantation.

    Press release: St. Jude Medical Announces Initial Implant of First-to-Market Connector System in the U.S.

    cook34234 Cook Launches Z TRAK PLUS Introduction System for Zenith TX2 TAAA small subset of our readers that are actually involved in endovascular aortic aneurysm repairs will be pleased to know that Cook Medical is releasing a new and improved introduction system for its Zenith TX2 TAA Endovascular Graft. The company says the new introducer, Z-TRAK PLUS, sports features that can improve “maneuverability for controllable device orientation and deployment.”

    The launch of the new introduction system comes as physicians are increasingly turning to thoracic endovascular repair (TEVAR) as the preferred, minimally invasive option for treating TAAs. TAAs occur when the section of the aorta that runs down the chest weakens and bulges outward like a balloon, often caused by a hardening of the arteries, high blood pressure, or trauma. Aneurysms of the thoracic aorta are potentially fatal, and open surgical repair is a highly invasive procedure many TAA patients cannot survive, making TEVAR their only treatment option. Untreated, five-year survival is estimated at between 10 to 15 percent.
    Cook’s Zenith TX2 TAA Endovascular Graft, indicated for the treatment of descending TAA, is a tube of surgical graft material reinforced with self-expanding stainless steel Z-stents and an open stent with barbs designed to hold the device securely in place within the aorta after deployment. It is sized to the length of the thoracic aorta that needs to be covered to seal off the aneurysm. The graft is positioned in the aorta under the physician’s image-guided control across the aneurysm to prevent blood flow into the aneurysm. Cook’s Zenith TX2 is the only endograft with circumferentially anchoring barbs on both the proximal and distal segments of the device, which provides best-in-class fixation. Radial force from the self-expanding Z-stents enables the graft to provide an excellent seal within the patient’s aorta.
    Utilizing a hydrophilic-coated Cook Flexor sheath and super-elastic alloy inner cannula, Z-TRAK PLUS was designed to provide enhanced control and flexibility of entry and tracking. Cook’s renowned Flexor sheath features kink-resistant tubing technology for superior flexibility and trackability during use. A semi-deployed tri-fold configuration prevents a ‘wind-sock’ effect during deployment, thus enabling the physician to avoid slowing or stopping of the heart.
    Historically, open surgical repair has been the standard treatment for TAAs. Under this approach, the chest cavity is opened and the aorta is clamped, allowing the surgeon to sew a surgical graft into place to prevent a rupture. Surgical repairs may carry health risks for older patients as they likely suffer from other significant medical conditions.
    TEVAR, a minimally invasive alternative to traditional, open surgery, involves an endograft guided into the body with a catheter to seal off the aneurysm from within. Patients undergoing TEVAR typically experience shorter recovery times and are also at a lower risk of the co-morbidities associated with open surgical repair. In particular, the Zenith TX2 device is inserted through a small incision in the groin to access the patient’s femoral artery. The device is guided into position through the patient’s arteries under fluoroscopy. The fabric-covered self-expanding stent-graft is then placed in the weakened section of the thoracic aorta to relieve pressure on the aneurysm to reduce the risk of rupture. For more information, visit

    Press release: New Endograft Introduction System Enhances Physicial Control During Minimally Invasive Treatment for Thoracic Aortic Aneurysms

    ggahhd34 Pressure Jumping Induces Protein Folding for Research
    Studying protein folding is a tedious activity that thousands of researchers around the world are working on. Forcing proteins to undergo their unique folding sequence is a difficult process, but now a technique developed at the University of Illinois, that uses rapid pressure changes to induce folding, should help speed up the process.
    From a statement issued by University of Illinois:

    To induce protein folding, a sample contained in a sapphire cube covered by a small steel diaphragm is pressurized to several thousand atmospheres, causing the biomolecules to unfold. A powerful electrical current then bursts the diaphragm, which releases the pressure and produces a sub-microsecond pressure drop. The proteins re-fold, and are monitored through laser-excited fluorescence.
    Gruebele’s electrical-bursting method also allowed for a miniaturization of the apparatus, which improved the speed and sample volume of the diaphragm design. That, in turn, allows for a better comparison between how proteins fold in vitro in the lab versus how a computer algorithm would predict how they would fold.
    After the pressure is applied, the proteins were able to re-fold or “spring back” to their native-state structures “much more readily than if we had heated them and cooled them down,” Gruebele said.
    Applying pressure to induce protein folding is not a novel laboratory technique. According to Gruebele, previous methods using electrically controlled valves, piezoelectric constriction and burst diaphragms weren’t fast enough or didn’t produce enough pressure to generate viable data on the microsecond timescale.
    To reach the realm of simulation-worthy data, “you need hundreds of nanoseconds to a few microseconds worth of data-capture time,” Gruebele said. With the previous methods, “we weren’t close to the timeframe where you could perform computer simulations, right now or in the near future.”

    Press release: Faster protein folding achieved through nanosecond pressure jump

    4453fgad Emboshield NAV6 Embolic Protection System Released by Abbott
    Abbott Laboratories has just released a new embolism protection system in its popular line of Emboshield NAV™ devices, all designed to be used in various stenting procedures.. The Emboshield NAV6™ is indicated “for use as a guide wire and embolic protection system to contain and remove embolic material (thrombus / debris) while performing angioplasty and stenting procedures in carotid arteries.”
    55434sdf Emboshield NAV6 Embolic Protection System Released by Abbott

    Abbott today announced the launch of the sixth-generation Emboshield NAV6™ Embolic Protection System for use in carotid artery stenting procedures. Carotid artery stenting provides a minimally invasive treatment alternative to conventional open carotid artery surgery for patients who are at high risk for surgery. Embolic protection systems are used during the stenting procedure to prevent particles of dislodged plaque from flowing to the brain, potentially causing an ischemic stroke. The Emboshield NAV6 is now available in the United States and Europe.
    Abbott’s proprietary BareWire™ technology allows for wire movement independent of the Emboshield NAV6 filter, giving physicians an increased level of control during carotid stenting procedures.
    Safety and efficacy endpoints for the Emboshield NAV6 were met in Abbott’s PROTECT clinical trial, which was designed to examine carotid artery stenting with Abbott’s Emboshield systems in patients at high risk for carotid endarterectomy (surgery). In addition to demonstrating continued improvements in outcomes for carotid stent procedures, the PROTECT study data showed a low 1.8 percent composite rate of All Stroke and Death at 30 days in 220 patients. This rate is well within American Heart Association (AHA) 30-day All Stroke and Death rate guidelines for carotid endarterectomy of 6 percent for symptomatic and 3 percent for asymptomatic patients with carotid artery disease.

    Here’s an animation demonstrating the placement of the system and how the thrombus filter provides safety:

    (more…)

    enovate top Enovate Unveils New Medical Cart Series
    EnovateIT out of Ferndale, Michigan is releasing a new line of medical laptop carts featuring a few nifty features like a keyboard light, an antibacterial coating, and a low overall weight. You can even get a Lithium-Ion powered version for a substantial battery life to run the laptop, scanner, and perhaps a couple other devices.
    From the company press release, and the complete list of features of the carts:
    enovate4 Enovate Unveils New Medical Cart Series

    Enovate focused on four key areas for its new cart series: ergonomics, infection control, weight and power. Cart handles are designed to be comfortable, soft to the touch and ergonomically correct. whether you are pushing, pulling, sitting, or standing. All contact surfaces, including handles, are finished or made with antimicrobial materials that deliver smooth and comfortable surfaces while complying with infection control polices. Standard powered carts on the market are large and bulky, with a starting weight around 120 lbs. and more. Enovate’s powered carts have a smaller base with a contour of 12″h and a wheel base of 17″h x 16.5″h which enables it to maneuver within tight areas easily. The starting weight of the standard powered Enovate Medical cart is at 110 lbs. Contrary to standard carts on the market which typically deliver one type of power option, Enovate’s Medical Carts offer multiple power options such as hot swappable Lithium-Ion, Nickel Metal Hydride (NiMH), or the standard Seal Lead Acid (SLA).

    enovate2 Enovate Unveils New Medical Cart Series

  • Antimicrobial Contact Surfaces
  • Smart Dashboard
  • * Battery Alert
    * Power On/Off
    * LED Fuel Gauge
    * Remote PC Reboot Button

  • Keyboard Light with Auto Shut-off
  • Scanner Bracket
  • Mouse Bracket
  • Left/Right Mouse Tray
  • Comfort Wrist Rest
  • Comfort Grip Front Handle
  • Comfort Grip Height Adjustment Lever
  • Storage Bin
  • Work Surface: 17″ x 17″
  • Cable Storage
  • 3 port USB Hub
  • Internal Cable Management
  • Ethernet Ready
  • 4 casters (2 locking)
  • Hospital Grade Spiral Cord
  • Keyed Lock Security
  • Power Management
  • Integrated Power Conditioning System
  • Internal CPU Storage: 16″ w x 16″ d x 2.5″ h (Customization Available)
  • Negative-tilt Keyboard
  • Ethernet Ready
  • Weight
  • * Standard SLA Powered: 110lbs
    * Non-Powered: 65 lbs

    enovate3 Enovate Unveils New Medical Cart Series
    Press release: EnovateIT Announces New Enovate Medical Cart Series
    Product page: Enovate Medical Carts…