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Care Devices for Epilepsy. NYU Epilepsy Center NYU 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 - PowerPoint PPT Presentation
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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