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Impedance Spectroscopy device for early indication and diagnosis of Coronary disease (CorIS) Category: Medical Reference: TDO0150 Broker Company Name: KiNNO Consultants Broker Name: Paris Rallis Telephone: +30 210 6838950 Email: [email protected] Abstract A research team from the Aristotle University of Thessaloniki has developed an impedance spectroscopy device, that allows prompt and timely evaluation of the functionality of the brachial artery endothelium and, consequently, of the coronary circulation system. The device provides higher sensitivity than ultrasound imaging and it is also lightweight, portable and easy to handle for home use. The research team is looking for financial resources in order to conduct extensive clinical trials, or partners for joint further development and testing of new applications. Description The device allows prompt and timely evaluation of the functionality of the brachial artery endothelium and, consequently, of the coronary circulation system. Impedance measurements are based on the vasodilation caused by an ischemic cuff on the upper arm and subsequent hyperemia through the Nitric Oxide (NO) release from the endothelium. The device can be primarily used as a reliable early indicator of an emerging coronary disease in patients suspected (due to pathological reasons) of developing the disease. Additionally this device can be used as a supplementary diagnostic tool for the coronary disease by employing online/insitu analysis, of a patient’s impedance data that are continuously logged during selected or prolonged periods of time. For the first time in clinical practice, such impedance data will provide timeseries information on a patient’s brachial artery performance after an ischemic cuff and subsequent hyperemia e.g., expansion and recovery rate, span of artery size response, periodic and nonperiodic features of coronary circulation, etc. Such information will allow medical doctors to assess not only the severity of incidents

TDO0150 PUB Impedance Spectroscopy device for …Spectroscopy)device)for)early)indication)and)diagnosis)of) Coronary)disease(Cor7IS)) Category:Medical(Reference:TDO0150(* Broker*Company*Name:*KiNNO(Consultants*

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Impedance   Spectroscopy   device   for   early   indication   and   diagnosis   of  Coronary  disease  (Cor-­‐IS)  

Category:  Medical  Reference:  TDO0150    Broker  Company  Name:  KiNNO  Consultants  Broker  Name:  Paris  Rallis  Telephone:  +30  210  6838950  Email:  [email protected]  

Abstract  A  research   team  from  the  Aristotle  University  of  Thessaloniki   has   developed   an   impedance  spectroscopy   device,   that   allows   prompt   and  timely   evaluation   of   the   functionality   of   the  brachial   artery   endothelium   and,   consequently,  of   the   coronary   circulation   system.   The   device  provides   higher   sensitivity   than   ultrasound  imaging   and   it   is   also   lightweight,   portable   and  easy  to  handle  for  home  use.  The  research  team  is   looking   for   financial   resources   in   order   to  conduct   extensive   clinical   trials,   or   partners   for  joint   further   development   and   testing   of   new  applications.  

Description  The  device  allows  prompt  and  timely  evaluation  of  the  functionality  of  the  brachial  artery   endothelium   and,   consequently,   of   the   coronary   circulation   system.  Impedance  measurements  are  based  on  the  vasodilation  caused  by  an  ischemic  cuff  on  the  upper  arm  and  subsequent  hyperemia  through  the  Nitric  Oxide  (NO)  release  from  the  endothelium.    

The   device   can   be   primarily   used   as   a   reliable   early   indicator   of   an   emerging  coronary  disease   in  patients  suspected   (due  to  pathological   reasons)  of  developing  the  disease.    

Additionally   this   device   can   be   used   as   a   supplementary   diagnostic   tool   for   the  coronary  disease  by  employing  on-­‐line/in-­‐situ  analysis,  of  a  patient’s  impedance  data  that  are  continuously  logged  during  selected  or  prolonged  periods  of  time.    

For   the   first   time   in   clinical   practice,   such   impedance  data  will   provide   time-­‐series  information   on   a   patient’s   brachial   artery   performance   after   an   ischemic   cuff   and  subsequent   hyperemia   e.g.,   expansion   and   recovery   rate,   span   of   artery   size  response,   periodic   and   non-­‐periodic   features   of   coronary   circulation,   etc.   Such  information  will   allow  medical   doctors   to   assess   not   only   the   severity   of   incidents  

 

but   also   to   monitor   and   record   the   medical   history   of   a   patient   regarding   the  evolution/development  of  coronary  diseases  along  his  lifetime.  

The   proposed   device   is   a   modified   version   of   a   patented   electrical   impedance  spectroscopy  device  (European  Patent  Office,  EP14188200.1)  that  has  been  already  used   during   in-­‐vivo   clinical   trials   for   the   detection   of   Decompression   Sickness   in  volunteer  divers  (European  Space  Agency  reports).  The  latter  constitutes  a  stringent  proof  of  concept  of  the  technique  for  measuring  reliable  electric  signals.    

Innovations  and  advantages  of  the  offer  Until   now,   ultrasound   imaging   of   the   brachial   artery   is   applied   in   clinical   practice,  before  and  after  the  ischemic  cuff  and  the  subsequent  hyperemia.    

This  practice  has  major  disadvantages  like  poor  repeatability,  extensive  fluctuation  in  the   measured   values,   low   imaging   resolution   and   dependency   on   an   ultrasound  operator.    

The  aforementioned  drawbacks  are  not  present  when  employing  the  Cor-­‐IS,  which  is  a   non-­‐invasive   impedance   spectroscopy   device   that   reads   electrical   signals   using  simple  ECG-­‐type  electrodes,  placed  onto  the  skin.    

It   can  measure,  with  unprecedented   sensitivity,  not  only   the   impedance  variations  caused  by  the  ischemic  cuff  and  release  but  even  the  minuscule  pulsatile  impedance  undulations  of  the  blood  flow.  

Cor-­‐IS  is  absolutely  safe  for  human  applications.  Furthermore,  it  is  lightweight,  small,  portable,  easy  to  handle  and  can  operate  on  batteries.  Preliminary  cost  breakdown  indicates  that  it  will  be  affordable  for  regular  people  to  buy  and  use  at  home.    

In  addition,   it  can  provide  continuous  measurements  for  telemedicine  applications,  data   logging   and   it   can   be   used   routinely.   The   applications   range   is   wide   and  different  measurement   sites   (e.g.   chest,   carotid   artery,   etc)   can   be  measured   and  

 

examined   independently   or   at   the   same   time.   Such   multi-­‐point   measurement   is  impossible  with  ultrasound  imaging.  

Description  of  Space  Heritage  This   technology  was   developed   under   the   framework   of   the  GSTP   project:   In-­‐Vivo  Embolic  Detector  (I-­‐VED)   -­‐  A  patented  electrical   impedance  spectroscopy  device  for  the  detection  and  characterization  of  bubbles  in  the  bodies  of  astronauts.  

Comments  on  the  technology  by  the  broker  This  novel  technology  won  the  Greek  “Down  to  Earth  Competition”  in  2014.  It  takes  advantage   of   the   innovative   data   acquisition   unit   (hardware)   and   advanced   signal  analysis  (software),  making  it  capable  of  sensing  the  presence  of  even  a  few  micro-­‐bubbles   inside   the   astronauts’   body,   and   making   it   very   promising   for   the   early  detection  of  coronary  disease.  

 

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