care devices for epilepsy
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Care Devices for Epilepsy
NYU Epilepsy CenterNYU school of Medicine
NYU
Care Devices for Epilepsy
• Seizure alarm systems
• Seizure Injury Prevention
• Seizure and Sleep
Alarm Systems
• Stationary– Mostly fixed alarm systems developed for nursing
homes.– Under the mattress devices– Can detect Convulsive seizures or abnormal movements– Non-FDA approved
• Ambulatory and wearable– Developed mainly for epilepsy– None are FDA approved– Only detect GTC or Tonic or Clonic seizures
Epilepsy alert Systems
NOT FDA Approved
Epilepsy alert Systems
• “Epi-Care”• Danish Care Technologies (sold in UK by Emfit)
Non FDA approvedCost : $850
Epilepsy Alert Systems
NOT FDA ApprovedCost: $375
NOT FDA Approved Cost: $380
Vahlkamp (Holland)
NOT FDA Approved
EpDetect (UK)Phone movements based system
NOT FDA Approved
EpDetect (UK)
Rev: 20 December 2013
Need of the Patients: alert for help when in seizures Need of the Caregivers: a relief from maintaining 24/7 watch Need for accurate Medical Data: recording of seizures and attacks
The Needs - The Product - The Benefits
Family Alert
Recorded Datafor Medical Services
Sensor Unit(Detection & Analysis)
Seizure Radio Alert
Alert Unit
EpiLert
Emergency Services
Parent at Home
Peace of Mind to Caregivers Privacy and Confidence to the Patient
Better Medical Treatment
The Technology W
orks !
Successf
ul Pre-cli
nical Tria
ls
Non FDA Israel
Danish Care
NOT FDA Approved
SmartWatch (USA)Marketed as motion detector
Cost: $199 for unit plus $360 per year for service
NOT FDA Approved
http://ictalcare.com/
Brain Sentinel Prototype - http://www.medscape.com/viewarticle/817700
EMG-Based Devices
Brain Sentinel™ device• EMG-based device worn at bicep• Pilot Study (M. Girouard et al AES 2013,
2.037) at single EMU• Detected 22/22 GTCS in 29 patients, no
FP in 1228 hrs of recording• Multicenter study currently in progress
Ictal-care device• EMG-based device worn at bicep• No published data in patients with
epilepsy• -small study in simulated seizures
(Conradsen et al 2010)• Multicenter study currently in progress
under testing now
Multimodal Devices
• Electrodermal activity + accelerometer• In 80 children, tuned algorithm
detected 15/16 GTCS; ~ 1 FP per day of recording per pt (Poh et al, 2012)
http://web.media.mit.edu/~zher/research.html
Poh et al, 2010
16
No helmets have been specifically designed for epilepsy
Helmets w Face Guard
Inflatable Bike Helmet
Anti-Suffocation Pillow
Cost: $127 + shipping
Bed Rails
Prevents fallsHelps with night management
Special Beds
http://www.livingmadeeasy.org.uk Cost is high (range: $3,000-6,000)
Beds for Children with Severe Behavioral Disorders
http://www.livingmadeeasy.org.ukCost is high (range: $3,000-6,000)
Home Oxigen Monitors
Cost: $7,000
Finger Oximeter
Cost: $79.00
Portable Phone based O2 Monitor
Cost: $150-250-----only works with IphoneFinger sensors
Dogs
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