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

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Successf

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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