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<title>Medgadget</title>
<link>http://www.medgadget.com/</link>
<description>Internet journal of emerging medical technologies.</description>
<copyright>Copyright 2008</copyright>
<lastBuildDate>Fri, 11 Jul 2008 09:44:53 -0800</lastBuildDate>
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<docs>http://blogs.law.harvard.edu/tech/rss</docs> 

<item>
<title>The Anti-Crutch from Roll-A-Bout</title>
<description><![CDATA[<p><img class="bside" src="http://www.medgadget.com/archives/img/217_Allie_on_SW-500_cropped.jpg" width="217" height="359" />Experienced skiers and other daredevils that hate walking on crutches may be pleased to know about a four-wheeler from <strong>Roll-A-Bout</strong>, a Frederica, Delaware company.  The SW-500, and its ATV cousin with wider tires, feature off-center handlebars that normalize the weight of the vehicle to the center of gravity of the user.</p>

<p>Features from the product page:</p>

<blockquote><li>Fits Patients 5'0" to 6'4"</li>
<li>Maximum Weight 500 lbs.</li>
<li>Off-Set Wheels and Handle Bar for Stability</li>
<li>2-Piece Cushion for Maximum Comfort</li>
<li>Tools-Free Height and Side Adjustment</li>
<li>Weighs only 19 lbs</li>
<li>Dual Brakes; Parking Brake</li>
<li>Wire Basket</li></blockquote>

<p><strong>Product page</strong>: <a href="http://www.roll-a-bout.com/allnewsw500.html">SW-500...</a></p>

<p>(hat tip: <i><a href="http://www.ohgizmo.com/2008/06/30/roll-a-bout-replaces-crutches-or-a-wheelchair/" target="_blank">OhGizmo!</a></i>)</p>]]></description>
<link>http://www.medgadget.com/archives/2008/07/the_anticrutch_from_rollabout.html</link>
<guid>http://www.medgadget.com/archives/2008/07/the_anticrutch_from_rollabout.html</guid>
<category>Rehab</category>
<pubDate>Fri, 11 Jul 2008 09:44:53 -0800</pubDate>
</item>
<item>
<title>Tongue Controller Promises Better Device Interaction for Severely Disabled</title>
<description><![CDATA[<p><img class="bcntr" src="http://www.medgadget.com/archives/img/tonguecontroller.jpg" width="468" height="327" /><br />
A novel tongue controller designed for the disabled to operate computers, wheelchairs, etc., is being developed at Georgia Tech.  The device uses two magnetic field sensors to detect the movement of a small magnet attached to the tongue, which in turn send data to a control computer for interpretation.  </p>

<p><img alt="" class="bside" src="http://www.medgadget.com/archives/img/tonguecontrollerside.jpg" width="310" height="261" /><blockquote>Movement of the magnetic tracer attached to the tongue is detected by an array of magnetic field sensors mounted on a headset outside the mouth or on an orthodontic brace inside the mouth. The sensor output signals are wirelessly transmitted to a portable computer, which can be carried on the user&rsquo;s clothing or wheelchair.</p>

<p>The sensor output signals are processed to determine the relative motion of the magnet with respect to the array of sensors in real-time. This information is then used to control the movements of a cursor on the computer screen or to substitute for the joystick function in a powered wheelchair.</p>

<p>The system can potentially capture a large number of tongue movements, each of which can represent a different user command. A unique set of specific tongue movements can be tailored for each individual based on the user&rsquo;s abilities, oral anatomy, personal preferences and lifestyle.</p>

<p>&ldquo;An individual could potentially train our system to recognize touching each tooth as a different command,&rdquo; explained Ghovanloo<em> [Maysam Ghovanloo, assistant professor at Georgia Tech School of Electrical and Computer Engineering --ed.]</em>. &ldquo;The ability to train our system with as many commands as an individual can comfortably remember is a significant advantage over the common sip-n-puff device that acts as a simple switch controlled by sucking or blowing through a straw.&rdquo;</p>

<p>Ghovanloo&rsquo;s group recently completed trials in which six able-bodied individuals tested the Tongue Drive system. Each participant defined six tongue commands that would substitute for computer mouse tasks &ndash; left, right, up and down pointer movements and single- and double-click. For each trial, the individual began by training the system. During the five-minute training session, the individual repeated each of the six designated tongue movements 10 times.</p>

<p>During the testing session, the user moved his or her tongue to one of the predefined command positions and the mouse pointer started moving in the selected direction. To move the cursor faster, users could hold their tongue in the position of the issued command to gradually accelerate the pointer until it reached a maximum velocity.</p>

<p>Results of the computer access test by novice users with the current Tongue Drive prototype showed a response time of less than one second with almost 100 percent accuracy for the six individual commands. This is equivalent to an information transfer rate of approximately 150 bits per minute, which is much faster than the bandwidth of most brain-computer interfaces, according to Ghovanloo.</blockquote></p>

<p><strong>Press release:</strong> <a href="http://www.gatech.edu/newsroom/release.html?id=1960&ga=1" title="Tongue-controlled System Assists Individuals with Disabilities">Tongue-controlled System Assists Individuals with Disabilities ...</a></p>

<p>Video of <a href="http://gtresearchnews.gatech.edu/movies/tongue-drive.mov">Dr Maysam Ghovanloo describing the workings of the device</a> and a <a href="http://www.gtresearchnews.gatech.edu/movies/wheelchair.mov">demonstration by a student</a> controlling a wheelchair with his tongue.</p>]]></description>
<link>http://www.medgadget.com/archives/2008/07/tongue_controller_promises_better_device_interaction_for_severely_disabled.html</link>
<guid>http://www.medgadget.com/archives/2008/07/tongue_controller_promises_better_device_interaction_for_severely_disabled.html</guid>
<category>Rehab</category>
<pubDate>Tue, 01 Jul 2008 00:00:02 -0800</pubDate>
</item>
<item>
<title>Honda Walking Assist Device Update: Feasibility Testing</title>
<description><![CDATA[<p><img alt="" class="bside" src="http://www.medgadget.com/archives/img/hondawalkassist.jpg" width="250" height="375" />We have been closely following the progress of the ASIMO-powered walking assist device from <strong>Honda</strong>.  Starting July 1st, Honda will start testing the feasibility of the machine with the cooperation of Shinseikai Medical Group, Kasumigaseki-Minami Hospital.</p>

<p>The device has been designed to help patients who are undergoing rehab re-learn how to walk.   The unit will hopefully re-train muscles and motor pathways to increase the effectiveness and efficiency of rehab.</p>

<p><strong>Press release:</strong> <a href="http://www.foxbusiness.com/story/markets/industries/industrials/honda-conduct-collaborative-testing-walking-assist-device/" title="Honda to Conduct Collaborative Testing of its Walking Assist Device">Honda to Conduct Collaborative Testing of its Walking Assist Device ...</a></p>

<p>Read our previous coverage <a href="http://www.medgadget.com/archives/2008/05/post_28.html">here</a> and <a href="http://www.medgadget.com/archives/2007/10/mystery_robotic_assist_walking_device.html">here</a>...</p>

<p>(<a href="http://www.fareastgizmos.com/other_stuff/honda_begins_collaborative_testing_of_its_walking_assist_device.php">Far East Gizmos</a> via <a href="http://www.engadget.com/2008/06/30/hondas-walking-assist-device-beginning-medical-testing/">Engadget</a>)</p>]]></description>
<link>http://www.medgadget.com/archives/2008/07/honda_walking_assist_device_update_feasibility_testing.html</link>
<guid>http://www.medgadget.com/archives/2008/07/honda_walking_assist_device_update_feasibility_testing.html</guid>
<category>Rehab</category>
<pubDate>Tue, 01 Jul 2008 00:00:01 -0800</pubDate>
</item>
<item>
<title>Chair-A-Table for Heavy Examinations</title>
<description><![CDATA[<p><img class="cntr" src="http://www.medgadget.com/archives/img/zero-lift.jpg" width="468" height="207" /><br />
<strong>Martin Innovations</strong>, of Apex, North Carolina, is a company that has developed an innovative exam chair/table, which takes the strain off the nurse's back.  Designed for a wheel chair to dock onto the unit, the device requires virtually no muscle exertion on the part of the caretaker.</p>

<p>Watch this video demonstration of the Chair-A-Table:</p>

<center><object width="425" height="349"><param name="movie" value="http://www.youtube.com/v/L2YmaRZmWuo&hl=en&rel=0&color1=0x2b405b&color2=0x6b8ab6&border=1"></param><embed src="http://www.youtube.com/v/L2YmaRZmWuo&hl=en&rel=0&color1=0x2b405b&color2=0x6b8ab6&border=1" type="application/x-shockwave-flash" width="425" height="349"></embed></object></center>

<p><strong>Product page:</strong> <a href="http://www.martininnovations.com/products.htm" title="Chair-A-Table">Chair-A-Table ...</a></p>

<p><a href="http://www.martininnovations.com/images/Spec%20Sheet%20copy.pdf">Product brochure (.pdf)...</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/06/chairatable_for_heavy_examinations.html</link>
<guid>http://www.medgadget.com/archives/2008/06/chairatable_for_heavy_examinations.html</guid>
<category>Rehab</category>
<pubDate>Tue, 24 Jun 2008 11:50:30 -0800</pubDate>
</item>
<item>
<title>Mobile Rehab Monitoring With a Cell Phone</title>
<description><![CDATA[<p><img class="bside" src="http://www.medgadget.com/archives/img/010633.jpg" width="310" height="208" />Queensland University of Technology researchers wired together a mobile phone, a GPS receiver, and an ECG unit to create a device that can closely track a patient's rehabilitation regiment.  Specifically focused on post MI patients, the unit can remotely transfer ECG as well as the speed and walking incline data to a monitoring clinician.</p>

<blockquote>"The program allows people who have been in hospital for a heart attack or heart surgery to undergo a six-week walking exercise rehabilitation program wherever it's convenient, while having their heart signal, location and speed monitored in real time," Dr Worringham said.

<p>"We are trying this approach because 80 per cent of cardiac patients never complete recommended hospital outpatient rehabilitation programs, despite the fact that they cut recurrent heart attacks by 17%, substantially reduce deaths, prevent re-hospitalisation, and improve both function and quality of life."</p>

<p>"It's not because they don't want to take part, it's usually because they cannot get to the hospital's program easily, because there simply isn't one nearby, or because work or family commitments take priority."</p>

<p>Dr Worringham said country singer and songwriter Alan McPherson was one of the first to trial the system.</p>

<p>"Mr McPherson was able to do his rehabilitation sessions while on tour from Queensland to Victoria knowing he was being properly monitored," he said.</p>

<p>"Without the system he would have either had to cancel his tour, forego the rehab program, or take a chance and exercise with no monitoring or support."</p>

<p>The Cardiomobile system works by the patient attaching to their chests a mini ECG (electrocardiogram or heart signal) monitor and wearing a cap with a lightweight GPS receiver, both connected to a mobile phone via Bluetooth.</p>

<p>"Patients phone in at the start of their scheduled session and then their heart signal, location, speed and gradient are monitored in real-time over the web by a qualified exercise scientist, who guides the patient's program and checks their progress," Dr Worringham said.</p>

<p>"If there is any problem with the heart signal we can immediately contact the patient, and consult with the cardiologist if needed. </blockquote></p>

<p><strong>QUT press release:</strong> <a href="http://www.news.qut.edu.au/cgi-bin/WebObjects/News.woa/wa/goNewsPage?newsEventID=17776" title="Mini ECG gets heart attack rehab patients mobile">Mini ECG gets heart attack rehab patients mobile ...</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/06/mobile_rehab_monitoring_with_a_mobile_phone.html</link>
<guid>http://www.medgadget.com/archives/2008/06/mobile_rehab_monitoring_with_a_mobile_phone.html</guid>
<category>Medicine</category>
<pubDate>Mon, 23 Jun 2008 01:32:22 -0800</pubDate>
</item>
<item>
<title>A More Natural Prosthetic Foot</title>
<description><![CDATA[<p><img  class="bside" src="http://www.medgadget.com/archives/img/invent_foot_1.jpg" width="230" height="167" />While still in its prototype phase, the Tensegrity foot is designed to mimic the action of a jointed foot to allow for a more natural and stable gait.  Built by inventor and mechanical engineer Jerome Rifkin, the artificial foot bends like a normal foot and ankle, and conforms to the terrain underneath it.  The prosthetic options for foot amputees is limited due to the complexity involved in mimicking the weight-bearing action and propulsion involved with the foot.  Mechanical prosthetics often do not mimic the motion of a natural foot, and other prosthetics cost a significant amount and are not covered by insurance.  </p>

<p>The Tensegrity foot is different.  POPSCI explains:<br />
<blockquote>Rifkin built something that combined the  natural step of a bionic foot with the simplicity and low cost of a mechanical prosthetic. His jointed foot has a heel, a forefoot, a big toe&mdash;and no joint at the ankle. Instead, a novel midfoot joint, which connects the heel and forefoot, does the job of both the ankle and the arch. Like an ankle joint, it flexes up and down to give the wearer a more natural step. And, like a real midfoot joint, it creates a flexible arch in the middle of the foot. A spring and cable connect it to a second joint at the toe, to create extra push-off at the end of each step. Other tensioned steel cables serve as the tendons and ligaments that govern its range of motion&mdash;the user doesn&rsquo;t control it, it simply responds to the pressure of walking. Because the front and back of the foot can move independently, it can react to uneven terrain.</p>

<p>With input from 11 amputee test users like Link, Rifkin is refining his fifth (and, he hopes, final) prototype, made primarily of magnesium for its strength and low weight. Early results indicate that the one-pound foot reduces the amount of energy required for each step because it uses the force absorbed by the spring and joints to help propel the foot forward. &ldquo;It&rsquo;s the equivalent of taking a 50-pound pack off your back,&rdquo; he explains. That&rsquo;s on par with the best bionic feet, without all the expensive motors and artificial intelligence.&quot; </blockquote></p>

<p><img class="cntr" src="http://www.medgadget.com/archives/img/invent_foot_2.jpg" width="485" height="243" /> <br />
<blockquote><em>Image: How the K3 Promoter Works: A flexible midfoot joint makes the prosthetic stable on uneven ground, and a spring-loaded toe provides push-off for each step.</em></blockquote></p>

<p>More from <a href="http://www.popsci.com/scitech/article/2008-05/natural-artificial-foot">POPSCI.COM</a></p>

<p>Company page:: <a href="http://www.tensegrityprosthetics.com/index.html">Tensegrity Prosthetics</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/06/a_more_natural_prosthetic_foot.html</link>
<guid>http://www.medgadget.com/archives/2008/06/a_more_natural_prosthetic_foot.html</guid>
<category>Prosthetics</category>
<pubDate>Fri, 20 Jun 2008 08:06:24 -0800</pubDate>
</item>
<item>
<title>Electric Muscle Stimulation with NeuRx Diaphragm Pacer: More Natural Breathing Without a Ventilator</title>
<description><![CDATA[<p><img class="bside" src="http://www.medgadget.com/archives/img/neurx.jpg" width="214" height="528" />The FDA has given clearance to <strong>Synapse Biomedical</strong>, Inc. (Cleveland, Ohio) to market their NeuRx Diaphragm Pacing Stimulation system for people with spinal cord injury. The device, that is typically implanted through minimally invasive laparoscopic surgery, is indicated for patients with diaphragm dysfunction.</p>

<p>The new device, already approved in Europe last year, uses electrodes attached directly to the diaphragm to electrically stimulate its movement.  The result is more natural breathing, and, hopefully, reduced potential to develop pulmonary complications. </p>

<p>From the press release:</p>

<blockquote>In the clinical trial, NeuRx DPS&trade; provided 98% of SCI patients who had been dependent on
mechanical ventilation via a tracheostomy with an alternative that allowed them to breathe normally and live more active lives. To date, over 50% were able to be completely eliminate their need for mechanical ventilation.
Patients may be able to transfer from ventilator wards to home or assisted living, and even travel. Speech patterns, often laborious and strained in ventilatordependent patients, return to normal. The senses of taste and smell, severely diminished in ventilatordependent patients, return.

<p>Controlled through a fourchannel battery powered external pulse generator, the NeuRx DPS&trade; eliminates the need for a source of electricity and the concern for power outages. Patients and caregivers are easily trained in the use of the NeuRx DPS&trade; reducing the need for external medical supervision. Elimination and reduction of the use of a mechanical ventilator also greatly reduces the patient&rsquo;s risk of a serious complication: Ventilator Acquired Pneumonia (VAP). In a peer review 2007 report in Physical Medicine and Rehabilitation Clinical of North America by Stephen P. Burns MD, the incidence of SCI pneumonia for initial admitted patients was reported to be as high as 50 percent. The associated mortality from pneumonia was reported as 28% in the first year.</blockquote></p>

<p><a href="http://www.synapsebiomedical.com/news/media/howItWorks.shtml">Company video</a> explaining the workings of the system...</p>

<p><strong>Press release:</strong> <a href="http://www.synapsebiomedical.com/news/media/pdf/FDAApprovalPressRelease.pdf">Synapse Biomedical Receives FDA Approval of NeuRx Diaphragm Pacing System (DPS)&trade; For Spinal Cord Injury Breathing Applications</a></p>

<p><strong>Product page:</strong> <a href="http://www.synapsebiomedical.com/products/neurx.shtml" title="NeuRx Diaphragm Pacing Stimulation (DPS)™ System">NeuRx Diaphragm Pacing Stimulation (DPS)&trade; System ...</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/06/electric_muscle_stimulation_more_natural_breathing_without_a_ventilator.html</link>
<guid>http://www.medgadget.com/archives/2008/06/electric_muscle_stimulation_more_natural_breathing_without_a_ventilator.html</guid>
<category>Surgery</category>
<pubDate>Wed, 18 Jun 2008 10:04:41 -0800</pubDate>
</item>
<item>
<title>Real Exercise for a Virtual World</title>
<description><![CDATA[<p><img class="bcntr" src="http://www.medgadget.com/archives/img/secondlifebike.jpg" width="468" height="228" /><br />
A couple Dutch tinkerers, with the understanding that many of us already live in <a href="http://secondlife.com/">Second Life</a>, spliced an exercise bike with a computer. The system now allows a user to control an avatar while getting some real life exercise at the same time.</p>

<p>From the project page:</p>

<p><img class="bside" src="http://www.medgadget.com/archives/img/fiets.jpg" width="300" height="294" /><blockquote>The first prototypes have been built using conventional hometrainers. These hometrainers are equipped with sensors for measuring velocity and driving direction. Using the same optical sensors also the steering direction is measured. The data is transferred to a PC using the standard PS2 keyboard interface. With a PS2-USB adapter the hometrainer can be connected to a wide variety of systems, (MS Windows, Linux, MAC).</p>

<p>The forward velocity and steering direction are measured using optical sensors which can easily be integrated into the existing hardware. Conversion of sensorsignals to PS2 standard is done using an AVR-RISC microcontroller van Atmel.</p>

<p>The bike steer is equipped with an 'ET-button&reg;' (named after a legendary scene in a Spielberg movie). This button is for initiating the flying mode.</blockquote></p>

<p>Video of developers playing with the system (<a href="http://www.sl-fitness.com/images/slfitness_small.wmv">3MB</a> or <a href="http://www.sl-fitness.com/images/slfitness_320.wmv">12MB</a> Windows Media file)...</p>

<p>And for those with no patience, a shorter, grainier video on YouTube:</p>

<center><object width="425" height="349"><param name="movie" value="http://www.youtube.com/v/ICyqbkhz27E&hl=en&rel=0&color1=0x2b405b&color2=0x6b8ab6&border=1"></param><embed src="http://www.youtube.com/v/ICyqbkhz27E&hl=en&rel=0&color1=0x2b405b&color2=0x6b8ab6&border=1" type="application/x-shockwave-flash" width="425" height="349"></embed></object></center>

<p><a href="http://www.sl-fitness.com/">Second Life Fitness...</a></p>

<p>(hat tip: <a href="http://scienceroll.com/2008/06/16/from-virtuality-to-reality-second-life-fitness/">ScienceRoll</a>)</p>]]></description>
<link>http://www.medgadget.com/archives/2008/06/real_exercise_for_a_virtual_world.html</link>
<guid>http://www.medgadget.com/archives/2008/06/real_exercise_for_a_virtual_world.html</guid>
<category>Sports Medicine</category>
<pubDate>Wed, 18 Jun 2008 01:00:35 -0800</pubDate>
</item>
<item>
<title>No Paralysis in Second Life</title>
<description><![CDATA[<p><img alt="" class="bcntr" src="http://www.medgadget.com/archives/img/53434wer.jpg" width="468" height="320" /><br />
Scientists at the Keio University in Japan used a commercially available EEG headband to allow a human to control a character walking around the <a href="http://secondlife.com/">Second Life virtual world</a>, all through raw brain power.  Obviously this technology has tremendous potential for disabled individuals, and may also become a new type of joystick for controlling machinery and video games of the future.   </p>

<p>Video demonstrating the capabilities in Second Life:</p>

<center><object width="425" height="349"><param name="movie" value="http://www.youtube.com/v/YipEdFersgM&hl=en&rel=0&color1=0x2b405b&color2=0x6b8ab6&border=1"></param><embed src="http://www.youtube.com/v/YipEdFersgM&hl=en&rel=0&color1=0x2b405b&color2=0x6b8ab6&border=1" type="application/x-shockwave-flash" width="425" height="349"></embed></object></center>

<p><strong>Press release:</strong> <a href="http://www.keio.ac.jp/english/press_release/080605e.pdf" title="Keio University succeeds in the World's First Demonstration Experiment with the Help of a Disabled Person To Use Brainwave to Chat and Stroll Through the Virtual World">Keio University succeeds in the World's First Demonstration Experiment with the Help of a Disabled Person To Use Brainwave to Chat and Stroll Through the Virtual World...</a></p>

<p><a href="http://www.bme.bio.keio.ac.jp/01news/">More info from Keio University in Japanese</a>...</p>]]></description>
<link>http://www.medgadget.com/archives/2008/06/no_paralysis_in_second_life.html</link>
<guid>http://www.medgadget.com/archives/2008/06/no_paralysis_in_second_life.html</guid>
<category>Rehab</category>
<pubDate>Tue, 17 Jun 2008 01:26:52 -0800</pubDate>
</item>
<item>
<title>ERGYS2 Shows Positive Results as Exercise Option for Paraplegics</title>
<description><![CDATA[<p><img class="cntr" src="http://www.medgadget.com/archives/img/36553erg.jpg" width="468" height="429" /><br />
<em>MTB Europe</em> is reporting about a study conducted on paraplegics using an electric muscle stimulating training system from <strong>Therapeutic Alliances</strong> Inc. out of Fairborn, Ohio, a device called ERGYS2. One of the early adopters of this system was the late Christopher Reeve.</p>

<blockquote>In an exercise study completed last year, patients who were paralysed from the chest or waist down experienced an average increase in their oxygen uptake by 25% and in their heart pumping volume by fully 37% after just eight weeks of training.

<p>Never before has so much improvement or such impressive results been documented in this patient group.</p>

<p>The Ergys 2 is a stationary training bicycle, where the patient&rsquo;s legs and feet are strapped to a leg holder and pedals. Electrodes are then fastened to the patient&rsquo;s thigh and seat muscles, and electrical impulses trigger the muscles to contract and relax.</p>

<p>The impulses are computer controlled to guarantee the best possible effect. Even though it may seem like artificial training, it is real enough as it&rsquo;s the patient&rsquo;s own muscles that are working. And it is movement that demands energy: the blood flow increases, and the pulse goes up. The exercise has an effect on muscle mass, muscle strength, oxygen uptake and the heart&rsquo;s pumping volume.  </blockquote></p>

<p><a href="http://mtbeurope.info/news/2008/806009.htm">More</a> at <i>MTB Europe</i>...</p>

<p><strong>Product page:</strong> <a href="http://www.musclepower.com/poym2.htm">ERGYS2</a></p>]]></description>
<link>http://www.medgadget.com/archives/2008/06/ergys2_shows_positive_results_as_exercise_option_for_paraplegics.html</link>
<guid>http://www.medgadget.com/archives/2008/06/ergys2_shows_positive_results_as_exercise_option_for_paraplegics.html</guid>
<category>Rehab</category>
<pubDate>Fri, 13 Jun 2008 03:34:49 -0800</pubDate>
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