Archives: 8/2009

me4323455 Merlin.net 4.0 Wireless Implant Monitoring System Going Live in Europe
St. Jude Medical is releasing a new version of the Merlin.net remote monitoring system for patients with implanted cardiac devices. The system provides physicians, as well as St. Jude itself, with data from implants via a wireless at-home detector for analysis without having the patient come in for a visit.
merlinpcs Merlin.net 4.0 Wireless Implant Monitoring System Going Live in Europe

The newest version of Merlin.net PCN, version 4.0, supports all radio-frequency (RF) St. Jude Medical implantable cardioverter defibrillators (ICDs), non-RF Epic™ ICDs, Atlas™ ICDs, Current™ ICDs and Promote™ CRT-D devices, and now also supports the Accent™ RF pacemaker and Anthem™ RF CRT-P (cardiac resynchronization therapy pacemaker).
The latest version of the Merlin.net PCN also features the DirectTrend™ Viewer reporting capability, which can be used to enhance visibility into patient trends to simplify patient management and enhance clinical insight. The DirectTrend Viewer reporting feature allows physicians to track data over time related to clinical events, alerts, and recent transmissions.
To better assist physicians in accurately diagnosing and managing patients with fast rates in the heart’s upper chambers (atria), the DirectAlerts Notification feature on the Merlin.net PCN works with the Accent RF and Anthem RF devices, and Promote™ Accel, Current™ Accel and AnalyST™ Accel devices to include a new AT/AF Alert feature. This feature is designed to notify physicians when a rapid atrial rate – atrial tachycardia or atrial fibrillation (AT/AF) – exceeds a programmed value or occurs over an extended time period. The devices also can be programmed to notify the patient of AT/AF episodes, as well as device- and lead-related issues, through a two-tone audible alert in low voltage devices, or a vibrating patient notifier in high voltage devices. These features will allow the physician to more proactively manage patients’ atrial arrhythmias, such as AF.
Version 4.0 of the Merlin.net PCN also enables remote monitoring of ST segment shifts, which are able to be detected by the AnalyST™ and AnalyST Accel ICD.

Press release: St. Jude Medical Announces European Launch of New Version of Remote Patient Care Network
Flashbacks: Merlin.net Going Live in Europe; St. Jude’s Merlin.net System Gets an Update; St. Jude Introduces Merlin@home Transmitter for Monitoring of Implanted Cardiac Devices

OTC

medminder Nagging Wireless Pillbox Makes Sure You Take Your PillsMedMinder Systems out of Newton, Massachusetts has developed a smart pillbox for people who take multiple medications and have a difficult regiment they have to stick to. The Maya pillbox is wirelessly programmed by the user or caretaker for four weeks in advance and can progressively become more persistent at getting the patient to take the pills on time. When time comes to take pills in a specific cup, it lights up prompting compliance from the patient. If the correct cup is not accessed in a few minutes, the unit begins to beep and later sends text messages, makes phone calls, and writes emails to the patient and caretakers if the regiment is not being followed.
Here’s Eran Shavelsky, founder of MedMinder demoing the Maya pill compliance system for the Boston Globe:


More from the Boston Globe
Product page: MedMinder…
Flashback: Smart Pillbox Helps to Outsource Drug Taking…

orbitouch orbiTouch Keyboard Helps Autistic Kids Get The Word Out
Computers can provide a layer of separation that can be helpful to interacting with autistic kids, consequently they have become a popular tool for one on one therapy sessions. The keyboard, though, can be too confusing and difficult to use and can itself become an obstacle to communication. And since autistic kids tend to be visual learners, a new project that uses a different type of keyboard is helping kids learn to communicate with their families and therapists. The orbiTouch from Blue Orb (Maitland, Florida) is a keyboard, originally developed for people with bad hands , that sports two controllers that, with the help of a color chart, let the user select which letter is to be typed.
The National Science Foundation reports on Project Blue Skies:

With Project Blue Skies, the hardware is matched to lesson plans, training aids such as games, and assessment tools. The two-grip device is ideal for people with autism because it is less distracting than a keyboard and does not require finger motion.
In addition, the various letter and number combinations are created by matching color schemes indicated on the two grips, so the training curriculum matches well to a game-like environment.
Teachers guide the students and monitor their progress, ultimately helping the kids better communicate with their families. While the primary goal of Project Blue Skies is to help people with autism develop stronger social skills, McAlindon [Pete McAlindon of BlueOrb] is working with partners to start integrating standard coursework into the program.


Press release: Removing the Barriers of Autism
Link: Project Blue Skies
Product page: orbiTouch Keyless Ergonomic Keyboard

dna343434 Stereochemistry of DNA Structure Imaged with cryoEMScientists at the Osaka University in Japan have adapted cryo-electron microscopy(cryoEM) to view the 3D structure of a self-assembled DNA tetrahedron. The structure, which only has 20 base pair duplexes on a side, is the smallest self assembled 3D DNA configuration. The research team was able to use the cryoEM technique to differentiate between structurally very similar diastereomers of the compound, as portrayed in the image.
Michael Berger at Nanowerk reports:

According to the scientists, the resolution of cryoEM 3D image reconstruction can be increased by increasing the number of particle images to be averaged – a resolution better than 4 Å has already been reached by aligning and averaging about 10 000 particle images – but the achievable resolution is still dependent upon the particle size because the low contrast and low signal-to-noise ratio of raw cryoEM images make it difficult to select particles and accurately align raw images for averaging. This difficulty becomes extremely serious for particles smaller than a critical size of around 10 nm.
Naba and Turberfield explain that they "hypothesized that image noise in the solvent region surrounding the DNA tetrahedron molecule had lead to misclassification and misalignment of the particle images to some extent, resulting in the relatively poor resolution. We therefore applied a solvent flattening technique to reduce the noise in the solvent region and to improve the accuracy of image classification and alignment in the refinement cycle of single particle image analysis."
It turned out that the solvent flattening technique was very effective, possibly as a result of the presence of a large, solvent-filled space within the DNA tetrahedron as well as the significant noise reduction in the solvent region surrounding the particle and the resolution of the 3D density map was dramatically improved. The resolution of the 3D density map was dramatically improved to 12 Å – the helical twist of the DNA edges can now be seen clearly, and the exact positions of the B-DNA major grooves can be identified.

More from Nanowerk
Abstract in Nano Letters: High-Resolution Structural Analysis of a DNA Nanostructure by cryoEM
Image: Comparison between the 3D density map and structural models of the two expected diastereomers. (a,b) Space-filling representation of atomic models of diastereomers with (a) the minor groove and (b) the major groove facing outward at the edge center. Arrows indicate the major grooves of the double helix, which are resolved in the density map. (c,d) Superposition of the model structures (a,b) and the density map obtained by cryoEM image reconstruction. Scale bar, 5 nm.

eccerobot Humanoid Robot Designed to Mimick Humans From Inside Out
The Eccerobot is a project created by five European institutions to build a robot modeled after the human anatomy. The guiding idea was that by mimicking nature, anthropomorphic robotic technology could be developed to be more suitable for interaction with humans, especially when it comes to augmenting people’s lives through prostheses and assistive devices. This has led to a robot that looks and moves very much like a human, if you can imagine some skin wrapped over all those wires, strings, and pulleys.
Here’s a New Scientist video report on the Eccerobot:


Here’s another video of the ECCEROBOT from Technische Universität München:

More from New Scientist
Project page: ECCEROBOT

cere3423 Carbon Nanotubes May Yet Be Effective Therapy for Neural DisordersCarbon nanotubes may one day have the potential to perform repair of nerve tissue or deliver drugs directly to where the therapy is needed. The problem, though, is that it has been shown that carbon nanotubes interfere with neurons’ signaling pathways, effectively preventing their use in neural applications. Researchers from Brown University have now demonstrated that it’s actually the metal catalysts used in the production of the nanotubes that affect the critical ion channels.

Jakubek [Lorin Jakubek, a Ph.D. candidate in biomedical engineering --ed.] took single-walled carbon nanotubes to the laboratory of Diane Lipscombe, a Brown neuroscientist. The researchers zeroed in on ion channels located at the end of neurons’ axons. These channels are gateways of sorts, driven by changes in the voltage across neurons’ membranes. When an electrical signal, known as an action potential, is triggered in neurons, these ion channels “open,” each designed to take in a certain ion. One such ion channel passes only calcium, a protein that is critical for transmitter release and thus for neurons to communicate with each other.
In experiments using cloned calcium ion channels in embryonic kidney cells, the scientists discovered that nickel and yttrium, two metal catalysts used to form the single-walled carbon nanotubes, were interfering with the ion channel’s ability to absorb the calcium.
Because its ionic radius is nearly identical to calcium’s, yttrium in particular “gets stuck and prevents calcium from entering and passing through. It’s an ion pore blocker,” said Lipscombe, who specializes in neuronal ion channels and is a corresponding author on the paper.
The experiments showed that yttrium in trace amounts — less than 1 microgram per milliliter of water — may disrupt normal calcium signaling in neurons and other electrically active cells, an amount far lower than what had been thought to be safe levels. With nickel, the amount needed to impede calcium signaling was 300 times higher.

Press release: Researchers Pinpoint Neural Nanoblockers in Carbon Nanotubes …
Image: Metal catalysts – nickel and particularly yttrium – used to create carbon nanotubes can block a key signalling pathway in neurons. Experiments show the metal particles tend to plug cellular pores normally reserved for calcium ions.

ter234234 Blausen Human Atlas for iPhone Helps With Doctor Patient InteractionsSay you’re a doctor who needs to explain to a patient what a CABG is and why you think it would be beneficial in the long run. Wouldn’t it be great to have a quickly accessible video on hand that demonstrates the basics of the procedure? That is what the Blausen Human Atlas for the iPhone provides: a good selection of images and narrated animations demonstrating all kinds of conditions, treatments, and anatomical information.

Developed on a 6-7th grade reading level, the Human Atlas provides readily accessible and understandable educational content. It is an excellent point-of-care digital tool for patients, healthcare professionals, students, and consumers.
The new Human Atlas 2.0 app retails for $19.99 from the Apple iTunes App Store. The included 15 categories have approximately 10 video animations each. Expanded content upgrades must be purchased through the 2.0 app and are $3.99 – 4.99 per atlas topic.
Some of the features:

  • 360 degree rotatable 3D Human Figures showing nine full body systems, e.g. circulatory, muscular, nervous, etc.
  • Searchable 1,500+ term medical glossary, cross referenced to related animations, images and definitions
  • 1,200 detailed still images from the 3D animations
  • Ability to purchase optional expanded content atlas upgrades with additional animations for each of the 15 topics, from Cancer to Urinary.
  • Here’s the video introducing the atlas and a short demo of a walk through the application:


    Product page: Blausen Human Atlas

    We’ve been documenting the elusive, but almost within reach, future of nanomedicine with much fanfare for many years now. If all this excitement is making you wish the future would come a little sooner, Mission Critical Studios has an iPhone game just for you. Dr. Nano travels through blood vessels fighting viruses, destroying parasites, and taking flack from white blood cells.
    Here’s a demo video:


    Product page: Dr. Nano
    iTunes download page

    pentacene 3D Molecular Structure Observed Using AFM
    Using noncontact atomic force microscopy researchers at IBM, with the help of folks at the Utrecht University, managed to view the structure of pentacene ( a polycyclic aromatic hydrocarbon molecule) down to the resolution of individual atoms.

    With their AFM, the IBM scientists, for the first time ever, were able to look through the electron cloud and see the atomic backbone of an individual molecule. While not a direct technological comparison, this is reminiscent of x-rays that pass through soft tissue to enable clear images of bones.
    The AFM uses a sharp metal tip to measure the tiny forces between the tip and the sample, such as a molecule, to create an image. In the present experiments, the molecule investigated was pentacene. Pentacene is an oblong organic molecule consisting of 22 carbon atoms and 14 hydrogen atoms measuring 1.4 nanometers in length. The spacing between neighboring carbon atoms is only 0.14 nanometers—roughly 1 million times smaller then the diameter of a grain of sand. In the experimental image, the hexagonal shapes of the five carbon rings as well as the carbon atoms in the molecule are clearly resolved. Even the positions of the hydrogen atoms of the molecule can be deduced from the image.
    “The key to achieving atomic resolution was an atomically sharp and defined tip apex as well as the very high stability of the system,” said IBM scientist Leo Gross. To image the chemical structure of a molecule with an AFM, it is necessary to operate in very close proximity to the molecule. The range, where chemical interactions give significant contributions to the forces, is less than a nanometer. To achieve this, the IBM scientists were required to increase the sensitivity of the tip and overcome a major limitation: Similar to the way two magnets would attract or repel each other when getting close, the molecules would easily be displaced by or attach to the tip when the tip was approached too closely—rendering further measurements impossible.
    Gross added, “We prepared our tip by deliberately picking up single atoms and molecules and showed that it is the foremost tip atom or molecule that governs the contrast and resolution of our AFM measurements.” A tip terminated with a carbon monoxide (CO) molecule yielded the optimum contrast at a tip height of approximately 0.5 nanometers above the molecule being imaged and—acting like a powerful magnifying glass—resolved the individual atoms within the pentacene molecule, revealing its exact atomic-scale chemical structure.
    Furthermore, the scientists were able to derive a complete three-dimensional force map of the molecule investigated. “To obtain a complete force map the microscope needed to be highly stable, both mechanically and thermally, to ensure that both the tip of the AFM and the molecule remained unaltered during the more than 20 hours of data acquisition,” says Fabian Mohn, who is working on his Ph.D. thesis at IBM Research – Zurich.


    Press release: IBM Scientists First to Image the “Anatomy” of a Molecule …
    Abstract in Science: The Chemical Structure of a Molecule Resolved by Atomic Force Microscopy
    (hat tip: Gizmodo)