Archives: 4/2010

333vv3455 Transvaginal Haptic Ultrasound Simulator Unveiled
MedaPhor out of Cardiff, Wales released a haptic training simulator for practicing transvaginal ultrasound procedures. The system is focused around the PHANTOM Omni haptic device from SensAble Technologies that manages input and provides force feedback to the user. Now available in UK for £25,000 a pop, the ScanTrainer overcomes the need of having real life patients spreading their legs to squeamish residents.
p34434443 Transvaginal Haptic Ultrasound Simulator UnveiledFrom the product page:

Each module is broken down into easy-to-follow tutorials and assignments designed to teach the trainee in an ‘immersive’ interactive learning experience, where they are given the freedom to learn by trial and error.
ScanTrainer’s replica ultrasound probe is attached to a force-feedback (haptic) device, which enables the trainee to navigate around a virtual patient’s anatomy. As the probe is moved, the display shows the progress of the beam in the patient’s anatomy, side by side with corresponding ultrasound images that have been generated during real-time scanning. ScanTrainer replicates the real-time physical feedback of probe manipulation and contact with a patient, allowing trainees to develop the necessary manual dexterity and eye-hand coordination.
At the end of each assignment the trainee is measured against a Gold Standard and can review their performance, then either retakes the assignment if unsuccessful, or progresses to the next assignment.


Product page: ScanTrainer…
Press release below the fold:

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gsmscale GSM Scale Autonomously Keeps Tabs on Personal Weight Loss
Yesterday we profiled a WiFi personal scale as a tool to help health professionals monitor patient weight loss progress. Today BodyTrace out of New York City released a new wireless scale that integrates GSM cellular connectivity to automatically sync daily readings with an accompanying website. Since the device doesn’t require a computer to upload data, it is essentially autonomous and doesn’t rely on any other software or hardware.
escalechart GSM Scale Autonomously Keeps Tabs on Personal Weight LossFrom the announcement:

The comprehensive weight monitoring system includes interactive weight and BMI charts, food diary and intake calculator that gives guidelines on fat, protein, carbs and water intake. The progress is 100% private; allowing people to keep their results to themselves.
In addition to the Website that is used by thousands of people already, the company has developed an interface for weight loss clinics, medical and fitness professionals, where they can monitor their clients effortlessly.
Professionals are able to manage their clients by setting up an alarm system that can help to recognize unwanted trends early, so appropriate action can be taken immediately. Automated messages can also be scheduled to provide encouragement for users and save time for health professionals.

Press release: World’s First GSM-Enabled Scale Gets Set for Launch to Help in Weight Loss…
Product page: BodyTrace eScale…
Flashback: WiFi Medical Devices to Improve Patient Monitoring, Reimbursement

GI

34234gtr Crospons EndoFLIP Going Live in USCrospon of Galway, Ireland, having recently received FDA clearance, is now bringing to the US market its EndoFLIP (Endolumenal Functional Lumen Imaging Probe). The device uses a balloon probe that can inflate to measure how far hollow organs are able to expand. Some of the uses of the EndoFLIP include identifying candidates for GERD (gastroesophageal reflux disease) surgery, setting gastric band stoma size during bariatric surgery, and analysis of the state of anorectal disorders.
From the product page:

  • The system consists of a probe, or balloon catheter that is attached to a data recorder with a screen.
  • The probe contains a series of sixteen electrodes that when filled with a conductive fluid, can measure the cross-sectional areas (CSAs) and at different points along the balloon.
  • The probe can be deployed either transnasally or transorally.
  • The CSAs can be translated to estimated diameters and the changing geometry of the gastroesophageal junction can be shown dynamically and in real-time on the screen
  • Press releases: Crospon Launches EndoFLIP Product in U.S…; EndoFLIP® Device receives FDA Approval – US market release in 2010…
    Product page: EndoFLIP…

    sseries Starkeys S Series iQ Hearing Aids Offer New Level of Sound Quality
    Starkey Laboratories of Eden Prairie, MN today announced the release of S Series iQ hearing aids featuring Voice iQ, including the S Series iQ OtoLens which the company claims is the world’s first invisible-in-the-canal (IIC) device that completely hides in the second bend of the ear. Voice iQ is a new processing technology from Starkey that supposedly improves audio quality between individual syllables of speech.
    From press releases obtained by Medgadget:

    Voice iQ uses a two-part algorithm – dynamic voice identification paired with a spectral noise control that calculates appropriate gain on a per channel basis. The result is unprecedented sound quality, ease of listening and intelligibility of speech in noise. Coupled with InVision Directionality, which boasts the highest diffuse field DI scores and lowest operational noise floor available, Voice iQ is proven to preserve speech understanding in noise. The system classifies inputs every six milliseconds and adapts every 20 milliseconds, to diminish noise between syllables.
    S Series iQ has also been proven to reduce listening effort. During clinical trials, experienced users found a significant improvement in their ability to communicate with greatly reduced cognitive fatigue compared to their own hearing aids.

    Photo   OtoLens%26CIC Starkeys S Series iQ Hearing Aids Offer New Level of Sound Quality

    OtoLens is a custom-molded hearing aid built using Starkey’s Comfort Fit process and lives in the second bend of the ear, meaning that it is truly 100 percent invisible with minimal occlusion. OtoLens features the same technology and digital signal processing as Starkey’s leading product family, S Series iQ, and provides 35dB of gain which allows professionals to fit patients with moderate to severe hearing loss.
    OtoLens takes advantage of Starkey’s Voice iQ, a new noise reduction and speech preservation system that is so fast and smart it reduces noise between syllables of speech.

    Product pages: S Series iQ; OtoLens

    777744444 Computer Assisted Robotic Total Knee Replacement Better Than Conventional Surgery
    A study of 1,000 computer-assisted robotic total knee replacements performed over a five year period at Mercy Medical Center in Rockville Centre, NY demonstrates that computer-assisted procedures result in far better leg alignment, much less likelihood of complicating infection, and a far lower early failure rate than surgeries performed using conventional techniques. In conventional knee-replacement procedures, a long rod is invasively inserted the length of the femur to determine proper alignment of the artificial joint, and surgeons must drill holes in the bones to position cutting tools. Robotic cutting devices that are positioned mechanically with computer assistance eliminate all that, making the procedure truly minimally-invasive and reducing the risk of infection and emboli while maintaining high levels of accuracy. Using conventional techniques, the best surgeons achieve alignment of the hip and knee lines with the ankle within three degrees 50 to 80 percent of the time. Using Smith & Nephew‘s PiGalileo system, alignment within three degrees was achieved in all of the computer-assisted robotic procedures and final post-surgical alignment averaged just under one degree (0.8). Additionally there were no early failures and no revision operations secondary to misalignment, instability or aseptic loosening.
    Even though the study comes from a relatively unknown hospital, likely as result of the hospital’s efforts to increase its business and profitability, we want to believe in the study results.
    Press release: Study Shows Significant Advantages of Computer-Assisted Robotic Total Knee Replacement…
    Product page: PiGalileo Surgical Navigation System

    4555566fff Ultrasensitive Imaging Using Gold Silver NanocagesResearchers at Purdue University and Washington University have developed an experimental ultrasensitive medical imaging technique that uses a pulsed laser and tiny metallic nanocages. The system works by shining near-infrared femtosecond laser pulses through the skin to detect hollow nanocages and solid nanoparticles – made of an alloy of gold and silver – that have been injected into the bloodstream. The gold-silver nanocages exhibit a bright three-photon luminescence when excited by the ultrafast pulsed laser, with 10-times greater intensity than pure gold or silver nanoparticles.
    The signal allows live cell imaging with negligible damage from heating, this in contrast with previous approaches that rely on tiny metallic nanorods and nanospheres where heat is a major problem. The imaging technology provides brightness and contrast potentially hundreds of times better than conventional fluorescent dyes used for a wide range of biological imaging to study the inner workings of cells and molecules. Findings were published online April 6 in the journal Angewandte Chemie’s International Edition.
    Purdue press statement: Ultrasensitive imaging method uses gold-silver ‘nanocages’…
    Abstract: Bright Three-Photon Luminescence from Gold/Silver Alloyed Nanostructures for Bioimaging with Negligible Photothermal Toxicity

    66344444 A Novel Porous Glass To Regrow Bones
    Certainly not your everyday window glass. A multidisciplinary team of materials science researchers from Lehigh University, Princeton University, Instituto Superior Técnico in Lisbon, Portugal, and Alexandria University in Egypt, have developed a highly porous and biocompatible glass scaffold that regenerates bone. Shortly after implantation, seeded cells adhere to the scaffold and form a bone matrix around the glass. As the treated bone regenerates, the scaffold biodegrades.
    44443234 A Novel Porous Glass To Regrow BonesCurrent materials used for scaffolds include polymers/hydrogels which are porous and biocompatible but floppy, ceramics which are porous but brittle, and other natural resources. The ideal scaffold should be osteoconductive and biodegradable at a rate which complements the growth of host tissue.
    Next steps include making the glass more readily molded into complex shapes such as a tube, a finger or a mandible and clinical trials in humans. Areas that could benefit from this technology include osteoporosis, dental implants, and drug delivery.
    Lehigh University press release: Glass helps damaged bone regenerate…
    And pieces of the science: Glass Bone Matrix…

    asas222 BL Healthcare Remote Health Management Platform Going on TrialVerizon Wireless is teaming up with BL Healthcare of Foxboro, MA to trial an at-home wireless system for patient care. There’s not much detail in the press release about the technologies involved, but we suspect the trial will be based around BL Healthcare’s TCx Interactive System.
    TCx Interactive System features from the product page:

  • Interactive touch screen displays vital sign data to the patient, as well as messages, medication reminders, and queries from the health care provider that the patient can acknowledge and answer
  • Touch screen allows patient to select and view multimedia educational videos sent by the health care provider to enhance learning and comprehension
  • Setup in the home is as simple as plugging in the power (telephone and Ethernet versions also require connection of the telephone line or Ethernet cable)
  • Wireless vital sign monitoring devices can be placed in the home where they are most logical and beneficial for patient use
  • Automatically transmits vital sign data to a secure server.
  • System is easily folded up and transportable. Cellular version automatically connects from any location with cellular service.
  • Web-based care provider software requires only an internet-connected computer
  • Web interface allows provider to customize health status questions and send personalized schedules based on a patient’s disease state and health status
  • Web interface easily enables provider to send instant text messages and reminders that patients can acknowledge or respond to
  • More from MobiHealthNews: Verizon Wireless health platform: BL Healthcare
    Press release: Verizon Wireless and BL Healthcare Trial Remote Healthcare Solutions
    Product page: TCx Interactive System

    112244411 WiFi Medical Devices to Improve Patient Monitoring, Reimbursement
    John D. Halamka, Chief Information Officer of both Beth Israel Deaconess Medical Center and Harvard Medical School, has a review up on his Life as a Healthcare CIO blog of the Withings Wi-Fi scale. The device can now upload readings into Google Health and Dr Halamka thinks similar capabilities in other at-home medical devices can be used to evaluate alternative quality contracts that reimburse clinics based on improvement in preventative care.
    Link: Telemonitoring for the Home…
    Product page: Withings scale…