Archives: 6/2010

spineimagew HyperBranchs Adherus Spinal Sealant System Gets CE Mark
Durham, NC based HyperBranch Medical Technology, Inc. has announced that its Adherus Spinal Sealant has received the CE Mark, clearing it for sale in Europe. The Sealant, which ships with a special applicator, provides a seal to prevent leakage of CSF fluid following spinal surgery. The applicator will be available with 100 or 150mm tips.
From the product page:

Adherus™ Spinal Sealant is used as an aid in dural repair in minimally invasive spinal surgeries. The Adherus™ Spinal Sealant has been proven to stop CSF leaks and is capable of maintaining a seal under high pressures. This product additionally acts as an adhesion barrier and is delivered in a unique applicator that is well suited for endoscopic spinal procedures.

Press release: HyperBranch Develops a New Hydrogel and Applicator That Provides a Watertight Seal in MIS and Open Spine Surgery…
Product page: Adherus Spinal Sealant….

dd2344sd Zapping The Brain Back Into Action with UltrasoundScientists at Arizona State University have developed a new method of non-surgical brain stimulation using pulsed ultrasound that enhances cognitive function in mice, and may one day be used to non-invasively treat patients with mental retardation, Alzheimer’s disease and other CNS dysfunctions. In intact motor cortex in mice, ultrasound was found to stimulate action potentials and elicit motor responses comparable to those only previously achieved with implanted electrodes and related techniques. It also activates meaningful brain wave patterns and the production of brain-derived neurotrophic factor (BDNF) in the hippocampus – one of the most potent regulators of brain plasticity.
From the article in Neuron:

Deeper in subcortical circuits, we used targeted transcranial ultrasound to stimulate neuronal activity and synchronous oscillations in the intact hippocampus. We found that ultrasound triggers TTX-sensitive neuronal activity in the absence of a rise in brain temperature (<0.01°C). Here, we also report that transcranial pulsed ultrasound for intact brain circuit stimulation has a lateral spatial resolution of approximately 2 mm and does not require exogenous factors or surgical invasion.
Highlights:

  • Transcranial pulsed ultrasound stimulates intact mouse brain circuits
  • Ultrasound can stimulate intact cortex and hippocampus without exogenous factors
  • Ultrasound consistently stimulates temporally precise TTX-sensitive brain activity
  • Transcranial pulsed ultrasound confers an ~2 mm lateral functional resolution
  • Article in Neuron: Transcranial Pulsed Ultrasound Stimulates Intact Brain Circuits…
    Press release: New method offers platform for brain treatment…

    o44y4bj7st Blue Fluorescent Probes Able to Latch on to Much Smaller TargetsGreen fluorescent protein has done wonders in biology labs to track all kinds of things in vivo. Being a pretty bulky protein itself, though, makes it difficult to use GFP to label other proteins. Now MIT researchers have developed a method called PRIME (PRobe Incorporation Mediated by Enzymes) that uses a much smaller blue fluorescent probe (7-hydroxycoumarin) that doesn’t seem to interfere with natural function of proteins it’s been attached to.

    Unlike GFP, the new probe is not joined to the target protein as it’s produced inside the cell. Instead, the probe is attached later on by a new enzyme that the researchers also designed.
    For this to work, the researchers must add the gene for the new enzyme, known as a fluorophore ligase, to each cell at the same time that they add the gene for the protein of interest. They also add a short tag (13 amino acids) to the target protein, and this tag allows the enzyme to recognize the protein. When the blue fluorescent probe (7-hydroxycoumarin) is added to the cell, the enzyme attaches it to the short tag on the target protein.
    With this method, proteins such as actin can move freely throughout the cell and cross into the nucleus even when tagged with the fluorescent probe.
    The researchers also demonstrated that they can label proteins in specific parts of the cell, such as the nucleus, cell membrane [see image] or cytosol (the interior of the cell), by tagging the enzyme with genetic sequences that direct it to specific locations. That way, the enzyme attaches the fluorescent probe only to proteins in those locations.

    MIT press release: Giving proteins a new glow…
    Abstract in PNAS: A fluorophore ligase for site-specific protein labeling inside living cells

    7744434443 Endologix Gets Green Light to Market More Powerlink AAA Stent Graft Sizes
    Endologix of Irvine, California has received FDA approval to expand its Powerlink system to cover 31 new sizes of main body bifurcated, proximal extension and limb extension stent grafts. The Powerlink system, which we have covered previously, is a unibody stent graft designed for the repair of abdominal aortic aneurysm, and may be deployed using only a single side cut-down. The expanded line will reportedly allow the treating physician greater flexibility in designing personalized treatments and will extend coverage to more unique anatomical configurations. Endologix introduced the expanded line at the 2010 Annual Meeting of the Society for Vascular Surgery, and plans for more widespread adoption in the forth quarter of 2010.
    Press release: Endologix Receives FDA Approval for Powerlink Product Line Extensions…
    Flashback: Endologix Device for Percutaneous Endovascular Treatment of AAA Begins Trial

    za5v8nqr Medicalis Releases Comparative Effectiveness Tool for Medical Imaging
    To address the medical imaging priorities for IOM’s CER (Comparative Effectiveness Research), Medicalis out of Ontario, Canada has announced the launch of CICS (Coordinated Imaging Care Solution), an integrated technology platform that provides clinical decision support, e-ordering, and extensive quality tracking that enables comparative effectiveness in medical imaging. Such transparent measures allow health plans, radiologists and ordering physicians to collaborate for improved quality and economic outcomes. Among the more than 30 quality measures, the system can monitor patient-specific accumulative radiation exposure, track adherence to patient safety standards and compliance with clinical guidelines, measure how often diagnostic imaging leads to a diagnosis, and trend diagnoses for different referring specialties.
    From the press release:

    The Coordinated Imaging Care Solution (CICS) works by connecting all the stakeholders in imaging care through an integrated platform. The platform connects seamlessly to HL7 and EHR systems to enable tracking and reporting of medical imaging services so that the radiologist and the referring physician are looking at the same information including the patient’s medical history. This helps reduce the time and cost associated with redundant exams, and avoids excessive radiation exposure for patients – two of the critical quality measures enabled by the CICS platform.
    Metrics include health plan claims, provider capabilities surveys, consultations, portal interactions, and imaging results analysis, and can be cross-referenced and compared for any number of analyses.
    Examples of the quality metrics to be tracked include:

  • Patient safety – This metric tracks patient-specific accumulative radiation exposure.
  • Standard of care adherence – This metric measures compliance with evidence-based guidelines.
  • Operational performance – This is an aggregate of metrics looking at how well a radiologist is managing claims and cost, as well as that providers’ average time to resolve a request from a referring physician.
  • Imaging yield – An aggregate of metrics that measure the frequency that findings are present for a set of clinical conditions (diagnosis).
  • Critical results – An aggregate of metrics that measure the communication of critical results to referring physicians.
  • Patient satisfaction – An aggregate of feedback metrics that are gathered directly from patients who have had service at one of the provider’s imaging locations. This includes ease of scheduling an appointment, time spent in the waiting room, courtesy of staff, explanation of procedures, time spent with patient, and an overall experience rating.
  • Location capability – This is a Zagat-type ranking that allows referring physicians to direct patients to an imaging facility based on accessibility, parking, diagnostic services offered, equipment, certification, and accreditation.
  • Press release: Medicalis Enables Comparative Effectiveness in Medical Imaging…
    Medicalis Corporation…
    News related: Americans get most radiation from medical scans

    4d2c9cux How Toxoplasma Affects Human and Animal BehaviorThe Economist has recently featured an interesting article on the behavioral effects that parasitic protozoa Toxoplasma gondii has on its mammalian hosts. Many of these effects have been recognized for years, and some of us here at Medgadget been privy to Toxoplasma news, thanks to a friend at Stanford who works with Dr. Robert Sapolsky, a leading researcher in the field. First of all, there is strong evidence that urine from cats is sexually attractive to rats infected with Toxoplasma. Then there seems to be a connection between Toxoplasma gondii and schizophrenia, lack of interest in the novelties of life, and a noted correlation with people getting into more car accidents. It seems that the nature of this parasite’s life cycle has created a strange symbiotic, psychological relationship between it and its typical feline and rodent hosts. The Economist provides a handy overview of the latest knowledge around this topic.

    If an alien bug invaded the brains of half the population, hijacked their neurochemistry, altered the way they acted and drove some of them crazy, then you might expect a few excitable headlines to appear in the press. Yet something disturbingly like this may actually be happening without the world noticing….
    One reason to suspect [that some people have their behaviour permanently changed] is that a country’s level of Toxoplasma infection seems to be related to the level of neuroticism displayed by its population. Another is that those infected seem to have poor reaction times and are more likely to be involved in road accidents. A third is that they have short attention spans and little interest in seeking out novelty. A fourth, possibly the most worrying, is that those who suffer from schizophrenia are more likely than those who do not to have been exposed to Toxoplasma.
    Nor is any of this truly surprising. For, besides humans, Toxoplasma has two normal hosts: rodents and cats. And what it does to rodents is very odd indeed.

    Here’s a must watch video interview of Sapolsky with Edge.org:


    Key quote:

    Somehow, this damn parasite knows how to make cat urine smell sexually arousing to male rodents…

    Read on at The Economist: A game of cat and mouse
    Edge: TOXO – A Conversation With Robert Sapolsky…
    Image: Rev. Xanatos Satanicos Bombasticos

    jmhwaf0e Polar Adds Heart Rate Monitoring to Nike+iPod
    Under a new deal between Nike and Polar, runners will soon be able to wirelessly monitor their heart rate (HR) by adding a Polar WearLink chest band to their Nike+ iPod Sport Kit/Band and even compatible fitness club equipment. Users can see or hear spoken feedback on their BPM (beats per minute) during their run, and track their HR data online thereafter. The WearLink+ device will be available for sale in the US starting this month.
    Press release: Polar and Nike Introduce Heart Rate Training to Millions of Nike+ Runners…
    Product page: Polar WearLink Transmitter Nike…

    tegaderm 3M Announces New Tegaderm Foam Adhesive Dressing3M Health Care has announced their new line of Tegaderm High Performance Foam Adhesive Dressings, which purportedly provide better moisture management and can sustain greater wear than traditional dressings. The company performed clinical studies which demonstrated the new dressings’ superiority, and plans to present the results of these studies at the upcoming, aptly named “Wound, Ostomy and Continence Nurses Society/World Council of Enterostomal Therapists Conference” in Phoenix, AZ.
    From the press release:

    3M modified its existing foam adhesive dressings to significantly improve the fluid management properties to be less evaporative under low moisture conditions, which helps prevent wounds from drying out, yet have extremely high evaporation when there is excess moisture, helping to prevent maceration.
    This innovative, new technology was validated in laboratory bench tests and clinical studies on human subjects comparing Tegaderm™ High Performance Foam Adhesive Dressings with foam adhesive dressings from five other leading manufacturers. Results demonstrated that the 3M dressings managed significantly greater amount of fluid before failure and significantly longer wear time.

    Press release: 3M Introduces New, Innovative 3M™ Tegaderm™ High Performance Foam Adhesive Dressing…
    Product Page: Tegaderm™ High Performance Foam Adhesive Dressing…

    6c7yr0kv TissuePatchThoracic for Sealing Leaky Lungs
    Here’s a new intraop tool to deal with annoying bubbles in the water seal chamber of chest tubes. Tissuemed out of Leeds, UK has just unveiled the TissuePatchThoracic patch for fixing air leaks during lung surgery. The patch was introduced at this year’s annual meeting of the European Society of Thoracic Surgeons. The new offering is now undergoing clinical trials to assess its effectiveness in sealing airleaks.
    More about the product from Tissuemed:

    TissuePatch is a ready-to-use sealant film requiring no advance preparation. The product, in its various formats works by adhering to amine groups on tissue surfaces. It softens as it hydrates to become a film that conforms to complex surfaces, with the flexibility to remain adhered to dynamic tissues. Compared with liquids TissuePatch™ represents a tiny amount of foreign body and is guaranteed to be the same thickness wherever it is applied. Adherence to tissues is strong and burst pressure testing demonstrates superiority over alternative sealant methods.
    In addition, the range now incorporates dedicated sizes and instruments which enable surgeons to use the product in keyhole procedures, known as Video Assisted Thoracic Surgery (VATS). A cleverly designed loading device takes the patch directly from the packaging into a delivery tube in one easy, direct movement, ready to be dispensed directly onto the target area.

    Product page: TissuePatchThoracic…
    Press release: Tissuemed announces launch of TissuePatchThoracic…