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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
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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 • 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) Cost : $850 Non FDA approved
Epilepsy Alert Systems NOT FDA Approved Cost: $375
NOT FDA Approved Cost: $380
Vahlkamp (Holland) NOT FDA Approved
EpDetect (UK)Phone movements based system NOT FDA Approved
The Needs - The Product - The Benefits EpiLert Sensor Unit (Detection & Analysis) EmergencyServices Seizure Radio Alert Family Alert Alert Unit Recorded Data for Medical Services Parent at Home • 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 Technology Works ! Successful Pre-clinical Trials • Peace of Mind to Caregivers • Privacy and Confidence to the Patient • Better Medical Treatment 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
EMG-Based Devices • 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 http://ictalcare.com/ • 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 Brain Sentinel Prototype - http://www.medscape.com/viewarticle/817700 under testing now
Multimodal Devices http://web.media.mit.edu/~zher/research.html Poh et al, 2010 • Electrodermal activity + accelerometer • In 80 children, tuned algorithm detected 15/16 GTCS; ~ 1 FP per day of recording per pt (Poh et al, 2012) 16
Anti-Suffocation Pillow Cost: $127 + shipping
Bed Rails Prevents falls Helps with night management
Special Beds Cost is high (range: $3,000-6,000) http://www.livingmadeeasy.org.uk
Beds for Children with Severe Behavioral Disorders Cost is high (range: $3,000-6,000) http://www.livingmadeeasy.org.uk
Home Oxigen Monitors Cost: $7,000
Finger Oximeter Cost: $79.00
Portable Phone based O2 Monitor Cost: $150-250-----only works with Iphone Finger sensors