Archives: 9/2010

n9119fvq DARPA Funding Transcranial Pulsed Ultrasound to Stimulate Soldiers BrainsDr. William J. Tyler described in a recent blog post on the Department of Defense’s Blog Armed With Science his work on transcranial pulsed ultrasound stimulation of the brain. Currently, deep brain stimulation is used somewhat successfully for the treatment of refractory depression and Parkinson’s disease. While effective, the treatments require expensive and potentially risky surgeries to implant the electrodes. In addition, once inserted, there is very little control over what areas of the brain get stimulated. Using pulsed ultrasound transcranially, Dr. Tyler claims he is able to stimulate the brain in a similar fashion without requiring any device implantation. In addition, the area of the brain being stimulated can be targeted and controlled to a very fine degree.
t9119fvq DARPA Funding Transcranial Pulsed Ultrasound to Stimulate Soldiers BrainsDARPA seems to have been excited by this technology, and funded the technology for potential use in helmets of soldiers on the battlefield. We’ll let Dr. Tyler describe its potential uses:

Through a recent grant made by the Defense Advanced Research Projects Agency (DARPA) Young Faculty Award Program, our research will begin undergoing the next phases of research and development aimed towards engineering future applications using this neurotechnology for our country’s warfighters. Here, we will continue exploring the influence of ultrasound on brain function and begin using transducer phased arrays to examine the influence of focused ultrasound on intact brain circuits. We will also be investigating the use of capacitive micromachined ultrasonic transducers (CMUTs) for use in brain stimulation. Finally, to improve upon spatial resolution, we will examine the use of acoustic metamaterials and hyperlenses to study how subdiffraction limited ultrasound influences brain wave activity patterns.
How can this technology be used to provide our nation’s Warfighters with strategic advantages? We have developed working and conceptual prototypes in which ballistic helmets can be fitted with ultrasound transducers and microcontroller devices to illustrate potential applications as shown below. We look forward to developing a close working relationship with DARPA and other Department of Defense and U.S. Intelligence Communities to bring some of these applications to fruition over the coming years depending on the most pressing needs of our country’s defense industries.

It’s sometimes easy to get carried away with the excitement about a new technology. Deep brain stimulation has been helpful to many patients, and developing a way to perform a similar task even better transcranially would be invaluable. However, many of the promised features and benefits of this technology for soldiers (e.g: navigational commands, cognitive enhancement, etc.) are a bit of a stretch. So, when you see headlines claiming that DARPA is controlling soldiers’ minds through ultrasound, please be appropriately skeptical. On the other hand, it does sound pretty cool when you put it that way.
More from Armed with Science: Remote Control of Brain Activity Using Ultrasound

aysk69fi Ascension Orthopedics Receives FDA Approval for Their TITAN Modular Total Shoulder SystemBefore the 1970s, patients with severe arthritis of the shoulder or complicated proximal humerus fractures were likely doomed to a lifetime of immobility and pain. Nowadays, replacement of the shoulder with a total shoulder replacement or a hemi-arthroplasty is almost routine. An issue with these procedures is that surgeons have to remove a fair amount of bone to get the implant to fit correctly. If the implant needs to be replaced the revision surgery gets progressively more difficult in proportion to the amount of native bone that has been lost.
It appears that Ascension Orthopedics is aiming to address this problem with their TITAN Modular Total Shoulder System, which recently received FDA approval. The system contains 26 different humeral head options and its stems and glenoid components are fully modular. This theoretically allows the shoulder surgeon to match the implant to the native bone or fracture pattern so that less native bonestock needs to be removed. The system is available in cemented and press-fitted varieties, allowing for even more customization for optimal fit.
More from the press release:

The TITAN Modular Total Shoulder System offers a bone-preserving option for patients needing total or hemi shoulder arthroplasty. The modularity of the system allows the surgeon to independently select distal stems and proximal bodies that best match the patient’s anatomy and bone quality. The system is fully interchangeable – allowing all primary and fracture bodies to be used with either press-fit or cemented stems. There are 26 humeral head sizing options available, which are based on published anthropomorphic data of over 300 human humeri to provide anatomic fit. The system also offers multiple glenoid options for patients needing total shoulder replacement.

Press release: Ascension Orthopedics Receives FDA Approval for TITAN™ Modular Total Shoulder System
Link: Ascension Orthopedics…

1089bd3434 Im Expecting from GE Healthymagination and MedHelp
GE and MedHelp, an online health community site, have teamed up to create an iPhone app for expecting mothers to help track their pregnancy and become acquainted with what’s coming up. There are also features to track symptoms and others for sharing information with your doctor.
Complete feature list:
774242jf Im Expecting from GE Healthymagination and MedHelp

• Record your pregnancy symptoms and compare them to what thousands of other women experience in the same week
• Get tips on how to alleviate the most common pregnancy symptoms, including nausea, fatigue, leg cramps and cravings
• Learn what is happening to your body and to your baby week by week
• Take photos of your tummy each week and watch your baby bump grow
• Easily upload your photos into the Baby Bump slide-show (camera phone-enabled devices only)
• Track your pregnancy weight gain and see if you’re gaining too much or too little weight
• View your doctor appointments, symptoms and important events at a glance with our easy-to-read calendar
• Access your information from your doctor’s office to easily share your pregnancy details with your doctor
• Enter your symptoms or other information whenever it’s convenient
• Store your doctor’s information for easy access
• Post questions and get answers to your pregnancy concerns from other women like you
• Create a baby announcement to share with family and friends when your little one arrives
• Sync/backup your data online to My Pregnancy, Pregnancy Weeks and Baby Bump online apps
• Access to your pregnancy information online from any computer
• Add pregnancy information online and have it automatically sync to your iPhone
• Print out all your data, including pregnancy weight gain and symptom charts, from medhelp.org

iTunes link…
Product page: I’m Expecting…

zzvinc9j CoolSculpting System Cools Fat Cells to Treat Your Muffin TopZELTIQ out of Pleasanton, CA has received FDA approval to market its CoolSculpting system for noninvasive reduction of fat in ‘love handles’. The device essentially freezes fat cells under the skin, killing them in the process. It then takes a few weeks for the apoptosis to work itself out and the company claims patients can expect an average 20% fat reduction in the treatment area. The CoolSculpting procedure is not meant as a tool for weight-loss, but to specifically help shape the flank.
About the procedure from the product page:

During the procedure, a non-invasive applicator is applied to the skin surface to deliver precisely controlled cooling to target and eliminate fat cells in specific areas of the body. As they are exposed to cooling, the fat cells begin a process of natural cell removal. The fat cells in the treated area are gradually eliminated through the body’s normal metabolic processes, similar to how fat from food is eliminated. The result is a reduction in fat bulges that is visible in most patients in about two to four months.

Press release: ZELTIQ Receives FDA Clearance for Non-Invasive Fat Reduction…(.pdf)
Product page: ZELTIQ Technology Platform…
(hat tip: MassDevice)

Telomerase illustration Researchers Discover Telomerase Activating Compound, Hope to Eventually Reverse Aging
A collaboration of researchers from Sierra Sciences, TA Sciences, Geron Corporation, PhysioAge, and the Spanish National Cancer Research Center have announced the discovery of a naturally derived compound known as TA-65, which can activate the telomerase gene in humans. Activating this gene could prevent the shortening of telomeres at the ends of chromosomes, thereby slowing or even stopping the cellular aging process (though before any readers start preparing for immortality, we should point out that humans are believed to have a maximum lifespan of 125 years). In addition to slowing cellular aging, the researchers claim that TA-65 may also help treat diseases which attack the immune system.
From the press release:

In individuals infected with CMV, a virus which prematurely ages the immune system and significantly reduces life expectancy, TA-65 caused an apparent “age reversal” of approximately 5 to 20 years based on one biomarker of immune aging.
For the same reason, telomerase activation is a potential treatment for AIDS. “We tend to see HIV turning into AIDS when the cells of the immune system develop critically short telomeres,” said Andrews. “HIV can essentially cause the immune system to die of old age while the majority of the body is still young. A telomerase activator could theoretically prevent an HIV-positive individual from ever developing AIDS.”

Press release: Sierra Sciences Co-Authors Paper Announcing Successful Lengthening of Telomeres to Extend Human Lifespan…
Full text of the study at Rejuvenation Research: A Natural Product Telomerase Activator as Part of a Health Maintenance Program (PDF link)

bbhq34g Viking Systems Next Generation 3DHD Visualization System
While consumer electronics manufacturers are struggling to convince customers of the merit of expensive 3D televisions, there is a clear advantage for surgeons to start using them. During laparoscopic surgery depth perception is notoriously difficult when viewing 2D images on a flat screen. Viking Systems has been filling a void here for some time now with their head-up displays (HUDs) with 3D visualization. However, these displays are clumsy and heavy and only allow visualization for as many people as there are HUDs, which will usually be only one or two. Today they have received FDA clearance for their next-generation system which uses a Sony 3DHD flat panel display with lightweight glasses. Glasses are comfortable to wear and relatively inexpensive compared to the rest of the system. It is purported for use in general surgery, urology, gynecology, spinal surgery, bariatric surgery, ENT and thoracic surgery. The system is scheduled for official launch at the American College of Surgeons’ Annual Clinical Congress which will be held from October 3-7. The company is working on getting the system CE approved as well.
Product page: Viking 3Di Vision System …
Corporate presentation brochure…
Press release: Viking Systems Receives FDA 510(k) Clearance for its Next Generation 3DHD Visualization System… (.pdf)
Flashbacks: EndoSite 3Di Digital Vision System Now Used for Thoracic and Neuro Cases; EndoSite 3Di Digital Vision System

enn2344 GI Dynamics Announces Trial Data Which Shows EndoBarriers Efficacy in Treating Obesity
Lexington, MA based GI Dynamics has announced results of a clinical trial of its gastrointestinal liner, in which patients treated with the EndoBarrier lost an average of 20 percent of their body weight over one year following implantation. In addition to weight loss, the patients also showed lower blood pressure and reduced cholesterol levels.

These data were presented in an oral presentation this week at the International Federation for Surgery of Obesity and Metabolic Disorders (IFSO) 2010 World Congress in Los Angeles, Calif. The clinical trial was designed to examine the safety and efficacy of the EndoBarrier in obese patients over 12 months. Twenty-four obese patients with an average weight of 110.7 kg and average body mass index (BMI) of 45.3 were successfully implanted with the EndoBarrier. The patients also exhibited baseline co-morbidities including type 2 diabetes, hypertension, dyslipidemia and metabolic syndrome.
At 12 months of treatment with the EndoBarrier, patients achieved:
• Mean absolute weight loss of 22.5 kg (49.5 lbs), or 20.0% (p = <0.0001)
• Mean excess weight loss (EWL) of 46.3%
Patients also experienced the following improvements in key cardiovascular risk factors:
• Reduction in total cholesterol levels from 196.5 mg/dL at baseline to 161.0 mg/dL (p = <0.0001)
• Reduction in diastolic blood pressure from 84.8 mmHg at baseline to 71.2 mmHg (p= <0.0001)

Press release: GI Dynamics Announces New Data Showing Significant Weight Loss, Cardiovascular and Metabolic Improvements Following 12 Months of EndoBarrier™ Treatment…
Product page: EndoBarrier…
Flashbacks: EndoBarrier Bypasses Gastric Bypass for Obesity, Diabetes Treatment; EndoBarrier May Be Helpful in Patients With Type II Diabetes; EndoBarrier, an Internal Condom, Gets Positive Results in Diabetic Clinical Trial; Eat Away, Just Don’t Digest

EPFL%20Wheelchair Smart Mind Controlled Wheelchair Sees and Avoids Obstacles
While we’ve covered previous attempts at developing mind-controlled wheelchair, this particular wheelchair is unique in that it has on-board cameras which can identify and avoid obstacles without the need for any user intervention. The system, being developed by researchers at École Polytechnique Fédérale de Lausanne, is controlled by the user’s EEG signals. The researchers hope the system will eventually be able to act appropriately in response to various obstacles such as people, doorways, furniture, and hopefully dog poop.
From the press announcement:

The current brain-machine interface allows for comfortable piloting of the wheelchair, but it remains rudimentary. To compensate for the simple but effective tertiary input (left/right/forward), and to take some of the pressure off the user, a system using artificial intelligence is used. Called “shared control”, two small cameras, situated on each side of the chair, along with image-processing software help avoid obstacles.


Press release: Neuroprosthetics: the mind is the pilot…
Flashbacks: A Wheelchair That Reads Your Mind; Mind-Controlled Wheelchair Runs on Thought
(hat tip: Engadget)

yemvthna Doc Listing Updates Smartphone AppAn email from the PR folks informed us that The Little Blue Book, a physician’s contact resource, has released an updated version of their smartphone app.

it’s available for your iPhone and Blackberry (Android coming soon) as a “Freemium” app. That is, the application is free to download and provides access to some deep information including a complete list of local family and general practitioners, internal med, pediatric and OB/GYN docs, it also includes pharmacy, hospital and health plan data. The paid version ($10 per month) includes specialists and data from up to four regions (Little Blue Book print is available in 147 regions). We’d love to get your feedback on the app. You can download the app at http://www.tlbbmobile.com or through the App Store.
The average doctor already refers to the Little Blue Book 2 or 3 times a day and 75% of doctors already carry some sort of smartphone. So making the information available through an application makes a lot of sense, but also has a number of advantages. Not only is it always with you, but it’s also updated more regularly and allows doctors to call pharmacies and hospitals right from the application. You can also create a “Favorites” list so you can always have access to the people you need the most.

We haven’t looked through it in a detailed fashion to see how thorough their listings are, but if you already use the paper version it might be worth downloading.
Product page: The Little Blue Book…