Showing posts with label FDA. Show all posts
Showing posts with label FDA. Show all posts

Friday, July 18, 2014

Medical Device Sales: “Fascinating Captain!” Part 4


By Rick Fromme

This edition of our ongoing medical device series, “Fascinating Captain!” indeed runs the gamut. From an innovative type of biomaterial that acts as internal “scaffolding” to assist internal tissues, to a remote-controlled exoskeleton that can help paraplegics better ambulate themselves, to non-wearable wearable technology, one thing is clear: the breadth and scope advances in medical device technology continues to be far reaching, with life-changing implications for many. 

A Peep into Your Sleep (a.k.a., An App for Your Nap)

Misfit Wearables, a company known for its aesthetically pleasing wearable, Shine, is now collaborating with Beddit, a Finnish sleep analysis company. The move pairs Beddit’s thin, unobstrusive sleep monitor, which fits under a mattress, with Misfit’s tracking app for iOS and Android networks.

It presents a logical option for Misfit Wearable users who don’t necessarily want to wear their tracking device to bed, but still wish to gather insights on their sleep patterns. Furthermore, Beddit’s under-the-bed sleep monitor offers deeper analysis than what's was available when just using Shine. The new device partnership analyzes heart beat, respiration and movement, which then wirelessly transmits the data through Misfit’s app via Bluetooth.

Misfit's partnership with Beddit adds integration with its existing fitness app and Shine fitness tracker, plus new algorithms to work with Beddit. It also provides a way for Beddit, which has targeted hospitals and sleep clinics, to have a stronger reach into the consumer market, a campaign it started last year.
The “non-wearable” wearable also offers another way for Misfit to set itself apart from other wearable companies.  

This is Misfit's second move to expand its landscape of connected devices in several weeks, after adding a Pebble app for fitness tracking this past June.

Chip Off the Old Pill


A remote controlled birth control device may be available for consumers within the next four years. Created by MicroCHIPS, a Massachusetts-based drug delivery implant developer, the chip will be inserted under a woman’s skin and can be activated and deactivated by remote control. It works by administering a low dose of the hormone levonorgestrel once a day.
  
The chip emits the 30 microgram dose of levonorgestrel, which is administered via an electric charge, powered by an internal battery, which causes a seal around the hormone to melt and allows it to be released into the body.The chip will last for approximately 16 years; then the user simply visits her doctor’s office for a replacement.

Remote control operation is wireless but is designed to be tamper-proof. That is, someone wouldn’t be able to turn off the birth control from across a room. Rather, the remote must be practically touching the skin to work. All communications between the remote and the chip are encrypted, too.

The project is backed by the Bill & Melinda Gates Foundation, which funds innovative health projects. It also funded a campaign in 2012 to improve contraception access in developing countries.  

Reading the Body from Head to Toe from Your Bottom  

EarlySense, based in Waltham, MA, is now releasing a new FDA-cleared Chair Sensor that gleams the heart rate, respiratory rate, and motion from the patient’s buttocks. This is the first contact-free sensor for assessing vital signs from a chair.

The sensor, which looks like boxy pillow, is placed on the seat of a chair. A nearby monitor hooked up to the sensor displays and tracks patient’s’ vitals in real time, passing on the readings to the nursing station. In addition to raising alarms when the heart or breathing rates are abnormal, the technology also warns clinicians when a patient is trying to get up from the chair, which ensures someone can assist at a moment’s notice.

Clinicians have long known that ambulating patients from bed to chair improves healing, reduces the risk of complications, and shortens length of stay. Being positioned in an upright position appears to be of most benefit in the early post-operative period by improving lung function and reducing potential pulmonary complications. But to date, there wasn’t an automatic, contact-free solution for keeping patients safe in their chairs while being to assess key physiological vital signs.

The EarlySense Chair Sensor is a tool that empowers clinical staff to provide proactive, effective, timely interventions when patients are deteriorating or at risk of falling, therefore, accelerating recuperation and reducing risks.

Remote-Controlled Exoskeleton Helps Ambulate Spinal Cord Injury Patients


The FDA has approved marketing of the first motorized device intended to act as an exoskeleton for people with lower body paralysis (paraplegia) due to a spinal cord injury. ReWalk, created in Israel, is a remote-controlled, “exoskeleton, motorized device worn over the legs and part of the upper body that helps an individual sit, stand, and walk with assistance from a trained companion, such as a spouse or home health aide.

According to the U.S. Centers for Disease Control and Prevention, there are approximately 200,000 people in the U.S. living with a spinal cord injury, many of whom have complete or partial paraplegia. 

ReWalk consists of a fitted, metal brace that supports the legs and part of the upper body; motors that supply movement at the hips, knees, and ankles; a tilt sensor; and a backpack that contains the computer and power supply. Crutches provide the user with additional stability when walking, standing, and rising up from a chair. Using a wrist-worn, wireless remote control, the user commands ReWalk to stand up, sit down or walk. 

ReWalk is for people with paraplegia due to spinal cord injuries at levels T7 (seventh thoracic vertebra) to L5 (fifth lumbar vertebra) when accompanied by a specially trained caregiver. It’s also for people with spinal cord injuries at levels T4 (fourth thoracic vertebra) to T6 (sixth thoracic vertebra) where the device is limited to use in rehabilitation institutions. The device is not intended for sports or climbing stairs. 
The FDA is requiring Argo Medical Technologies, Inc. to complete a post-market clinical study that will consist of a registry to collect data on possible adverse events related to the use of the ReWalk device, as well as to prospectively and systematically assess the adequacy of its training program.



Doctor’s Gotta’ Brand New Bag

The once-iconic doctor’s bag has lost much of its luster within the past few years as technologies available in health care facilities have made a lot of what’s inside relatively less useful. Yet, mobile technology is rapidly catching up, presenting today’s and tomorrow’s doctors with advanced diagnostic and medical tools that make doctor’s bags – once a quaint image from the past – a high tech marvel. Medgadget editor Shiv Gaglani shows off three recentlyreleased devices that are taking the doctor’s bag into the 21st century.


Fibralign Wins MedTech Award

Fibralign Corporation was the winner of the 2014 MedTech Innovator competition held during the 22nd Annual Medical Device Conference, hosted by law firm Wilson Sonsini Goodrich & Rosati.  
Fibralign's first product, BioBridge, is developed to address Secondary Lymphedema, a global, chronic debilitating disease that affects over 120 million people and has no cure.

BioBridge, a unique extra-cellular matrix scaffold with specially designed fibrils oriented in specific 3D orientations, is much like the body’s own tissues. It alters the mechanical response of implanted scaffolds in the body, which recent research demonstrating it has a major impact on the type of tissue that can be engineered.  The company successfully completed a large animal study that validated BioBridge-treated diseased lymphatic tissue. Fibralign is now preparing for 510(k) submission and a clinical study.

As the first place winner, Fibralign won prizes valued at $150,000, including $100,000 in cash provided by RCT Ventures, $25,000 in cash provided by Johnson & Johnson Development Corporation and $25,000 worth of state-of-the-art lab space at Janssen Labs. 


In this edition of “Fascinating Captain!” I shared with you some of the innovative medical devices that have recently received FDA approval and/or that may one day find their way into the ever-expanding medical device marketplace. If you found this article interesting and useful, please share it with your colleagues and friends. As always, I’m eager to read your comments and questions below.

Rick Fromme combines entrepreneurial enthusiasm with an insider's knowledge of the medical industry to co-found MedMasters.com. Both his drive and perspective helps provide health care professionals with a superior mechanism with which to communicate, network and market their strengths. Prior to founding MedMasters.com, Rick operated a highly successful medical device distributorship. Other milestones in his 12-year career in the medical industry include a key position at a medical device start-up company that was later sold to the Ethicon Endo division of Johnson & Johnson. You may also reach Rick by connecting with him on FacebookTwitterGoogle+LinkedIn and YouTube



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Friday, May 2, 2014

Medical Device Sales: “Fascinating, Captain!” Part 2

By Rick Fromme


The Yes Album
The Yes Album (Photo credit: Wikipedia)
Oxymorons, you gotta’ love ‘em. Oftentimes these pithy, contrariwise phrases and expressions can say
volumes just by the juxtaposition of their antonym-like words. Here are but a few: Jumbo Shrimp, Civil War, Clearly Misunderstood, Icy Hot, Same Difference, Ill Health, even Health Care ... and many others.

One of my favorites is the title of a song by the award-winning, decades-old prog rock group, Yes, from it's third release, "The Yes Album." The clever song title is appropriate to life in general and, in particular, the medical technology field: Perpetual Change.

Think about it. For centuries, as long as humans have been practicing the medicinal arts, we’ve continually sought about discovering or creating new-and-improved tools to help in the diagnose, treatment, prevention and/or elimination of disease. Every quarter there are new advances in a wide range of technologies (and pharmaceuticals) that will impact our health. Again, in this ongoing series, “Fascinating Captain!” I intend to share with you recent advances in the perpetually changing field of health care technology.

Without further adieu, here’s a synopsis of some of the latest medical technology articles pertaining to a field that's perpetually changing:

FDA Medical Device Proposal Would Develop Faster Path to Market for Breakthrough Technologies

English: Logo of the .
(Photo credit: Wikipedia)
A new FDA proposal would give some devices serving a critical need a faster path to market. In that regard, it would be similar to the breakthrough therapy program currently enacted for pharmaceuticals.  The FDA, which has sometimes been criticized that it hasn’t done enough to support the U.S. medical device industry, has proposed a program that would encourage more interaction at earlier stages of product development between companies and the FDA’s regulator staff. Let’s hope the process proves proportionately shorter than its name: Expedited Access Premarket Approval Application for Unmet Medical Needs for Life Threatening or Irreversibly Debilitating Diseases or Conditions.


To gain expedited approval, medical devices would need to:

Treat or diagnose a life-threatening or irreversibly debilitating disease or condition
Address lack of approved alternative treatment/diagnostic exits
Be a breakthrough technology that provides a clinically meaningful advantage over existing technology
Be a technology where its availability is in the patient’s best interest
Have an acceptable data development plan that has been approved by the FDA

How Technology Will Drive the Promising Future of Medicine

Star Trek: McCoy
Star Trek: McCoy (Photo credit: JD Hancock)
In addition to helping cure injury and disease, medical technology is moving in the direction of prevention of illness and disease.  In fact, posits the author, “It is now moving so rapidly that within a decade the small handheld medical reader used by Dr. Leonard McCoy in ‘Star Trek’ the tricorder will look primitive. We are moving into an era of data-driven, crowd-sourced, participatory, genomics-based medicine.”

Just as our bathroom scales give us an instant reading of our weight, and thermometers our internal body temperature, tomorrow’s wearable devices (and even some of today’s smart phones) will be able monitor, measure and assess various aspects of our health and well-being, and can alert us when we’re going to get sick or perhaps suffer from an imminent injury (due to a weak muscle, tendon, etc.).  Because we’ll have a better “window” into what’s going on aside us in real time, doctors and perhaps even our artificial devices themselves will be able to prescribe medicines, therapies or suggest lifestyle changes based on our full medical history, holistic self and genetic composition.

“Our smartphones will become a medical device akin to the ‘Star Trek’ tricorder,”states the author.

New, Smaller Pacemaker Installed for First Time in Southern California 

A new medical advancement in wireless pacemakers was installed for the first time in Southern California into an 83-year-old woman at San Diego's Scripps Memorial Hospital. Called the Nanostim Leadless Pacemaker, the wireless device is one-tenth the size of traditional pacemakers.  According to the hospital’s officials, while still in the research phase, the Nanostim is the world’s first pacemaker that is completely implanted into a patient’s heart. The doctor who performed the surgery guided the pacemaker through a vein in the patient's groin all into her heart’s right ventricle, where, like a space station, it “undocked” to remain inside her body to perform for the next 18 years.  

Since the Nanostim is still in the research phase, potential recipients are being carefully selected. Researchers expect 600 or so procedures are needed before the FDA will make an approval decision.

Medical Devices at Risk from Cyber Attack

Having just positively reflected upon the benefits of emerging medical technologies and devices, the medical industry at-large faces a serious issue.

According to the article, “Medical devices that use a wireless connection such as pacemakers, defibrillators, monitors and insulin pumps, as well as automated drug distribution systems that are implanted in the bodies have all been considered to be at risk.” And no doubt, as more wireless devices/services become available, unless precautions are taken, they will also be vulnerable. This also means that entire health care facilities’ data storage systems are susceptible to attack. Imagine ... medical records, billing information, patients’ and hospital personnel’s key information could all be hacked, and even tampered with.

Here’s a statement from the article that’ll jump your heart into arrhythmia ... It’s by Gunter Ollmann, CTO for IOActive, who says, “The medical industry is not a thought leader of information security – it is still largely playing catch up. When I look at implanted medical technology, it is pretty scary stuff.”

Anti-fungal Coating for Medical Devices

Like bacterial and viruses, microbial fungi are everywhere, hence the popular phrase, "fungus among us." Fungal films coat common surfaces we come into to contact with every day, and a fog of microscopic spores permeates the air (a big “Ewwwwwww!”). Thankfully, these ubiquitous microbes usually cause us no harm, but opportunistic species can take advantage of some people’s compromised immune systems, thus instigating possibly dangerous infections.  For example, AIDS patients or those going through chemotherapy, inserted or implanted medical devices can serve as opportunistic vehicles for these pathogenic fungi. A team of Spanish researchers have been developing a coating for the rubber surfaces of medical devices that releases antifungal drugs when fungi are present (a big “¡Olé!”). Their strategy involves ergosterol, a cholesterol-like component of fungus cell membranes that isn’t found in mammalian membranes. While the researchers still need to prove the materials are safe and effective inside the body, future applications may include helping control fungal growth on food packaging.

Apple Adds Another Medical Device Expert

Mac medicine, anyone? According to recent reports, Apple has hired Divya Nag, a high profile medical device expert, to its ever-growing team of health-related researchers, developers, and industry strategists. Nag's former company, Stem Cell Theranostics, a drug-testing company, developed a new technology, the induced pluripotent stem cell. It turns cells — usually from a piece of skin — into embryonic-like stem cells, then uses them to create heart cells. She also founded StartX, which helps medical technology startups get on their feet.

As the article states: “Apple’s hiring of Nag is the company’s latest personnel acquisition in what has become a headline-generating pattern throughout 2014, as the company continues expanding its body of health-related experts.”

Naturally, these types of announcements continue to generate industry speculation about what new health-related technologies Apple may be developing.

Nanotechnology News: Mini-Robots May One Day Assemble Medical Devices Inside Your Body

While “Star Trek” creator, Gene Roddenberry, was certainly ahead of his time, one idea he didn’t introduce on his original TV series: mini-robots that could perform delicate tasks inside your body, including assembling medical devices within your own bloodstream.  New nanotechnology research published in “Advanced Functional Materials” recently provided some of the groundwork necessary to one day develop mini-robots that could perform delicate tasks inside your body.

Of course, having a piece of technology that floats and functions through our innards isn’t new; since 2001, the FDA approved the use of endoscopic camera pills to course through and take pix of our gastrointestinal systems.

“Nano Lego”? Nanorobots enable production in several types of items and operations. While sounding like something we’d expect to hear several years from now, already, experiments using magnetic materials have demonstrated nanorobots are capable of transporting small objects and building bridges from rods. In addition to nanotechnology’s anticipated benefits for in health care, it promises two other major advantages: as the volume of nanotechnology robotics increases, the cost will come down; and it’s anticipated the U.S.’ research and development in the science will create more jobs in the future.

New Device for Migraine Sufferers

As many as 36 million Americans suffer from migraines.  These stop-you-in-the-middle-of-your-tracks headaches are a very complex disorder that involves blood vessels and nerves. It affects sufferer's heads, digestive systems (hence the nausea many experience during an attack), and causes other painful physical sensations -- even temporary blindness in some.

Now there's a wearable new device, called the Cefaly, which is designed to target a specific nerve in people's head's that's major factor in causing migraines.  The Ceflay sends out signals that interrupts that key nerve's biochemical function.

Meant to be worn 20 minutes every day, a study found it reduced the number of migraines per month -- but unfortunately not their severity. Talk about oxymorons ... the most common side effect was a mild headache after the treatment session. Some mild sleepiness during the session was also reported.  Last month, when it was approved in Canada, the Ceflay sold for $2,550.

It's hoped that once approved in the US, the Ceflay will help offset the cost of OTC and oftentimes expensive prescription migraine drugs, not to mention the costs of missed work days, etc. It could also be a boon to migraneurs because of not having many adverse side effects.



In this second installment of “Fascinating, Captain!” I shared some of the latest innovations and trends in medical technology featured in the news recently. If you found this article useful and informative, please leave a comment below. Also, feel free to share it with your colleagues and friends.

Rick Fromme combines entrepreneurial enthusiasm with an insider's knowledge of the medical industry to co-found MedMasters.com. Both his drive and perspective helps provide health care professionals with a superior mechanism with which to communicate, network and market their strengths. Prior to founding MedMasters.com, Rick operated a highly successful medical device distributorship. Other milestones in his 12-year career in the medical industry include a key position at a medical device start-up company that was later sold to the Ethicon Endo division of Johnson & Johnson. You may reach Rick by connecting with him on FacebookTwitterGoogle+LinkedIn and YouTube