MARCH 15, 2007
VOLUME 4 NO. 5

ADVANCES in MEDICINE
THE GADGET GUIDE

A sneak peek at the lifesaving devices of tomorrow


The Argus II Retinal Prosthesis System
Photo: Second Sight Medical Products

Future's brighter, gotta wear shades
SAN FRANCISCO — A novel retinal implant that restores low-level vision has received FDA approval to proceed to clinical trial.

The Argus II Retinal Prosthesis System, a second-generation retinal implant, was developed by researchers from the Doheny Eye Institute at the University of Southern California, who made the announcement at the American Association for the Advancement of Science meeting on February 17. The prototype device, which had only 16 electrodes to the new version's 60 — has already helped six patients recover limited vision.

The implant is designed to correct retinal damage caused by retinitis pigmentosa — a group of hereditary diseases in which the photoreceptor cells of the retina are damaged, leading to progressive vision loss — and macular degeneration, the leading cause of blindness in the elderly.

Patients must wear glasses rigged with a tiny video camera that transmits incoming visual information to a computer. Those signals are then sent to the implant, which translates them into electrical impulses that are then sent to the brain. It's not unlike the device worn by blind Star Trek: the Next Generation character Geordi LaForge.

Researchers hope the increase in the number of electrodes will allow patients to see higher resolution images than with the original model. The implant won't allow patients to recover 20-20 vision. "This is not something that's going to replace the natural vision that you and I have," Dr Jim Weiland, a member of the research team, said. "But I do expect that there will be some benefit... in terms of providing some ability to make out imagery and navigate about."


    The Motion M5
    Photo: Courtesy of Intel

Klutz-proof mini-computer brings EHR into 21st C
SAN FRANCISCO — Motion M5, the ultimate computerized notepad designed just for healthcare professionals, is now ready to order, manufacturer Intel reported on February 20. The mobile clinical assistant (MCA) is "lightweight, spill-resistant, drop-tolerant and easily disinfected," according to Intel, allowing "access to up-to-the-minute patient records and to document a patient's condition instantly, enhancing clinical workflow while reducing the staff's administrative workload." For the tech-savvy consumer, the device features an Intel Core Solo Processor U1400 (1.20GHz) with an impressive 512MB RAM and a 30GB hard drive.

The Motion M5 is equipped with radio frequency identification (RFID) to allow quick and easy logon, Bluetooth technology to capture patients' vital signs and fingerprint authentication to gain access to confidential patient information. It even has a built-in digital camera to document progress, or just to show off your handiwork to colleagues. All these bells and whistles don't come cheap — the Motion M5 costs $2,100US. A docking station with battery charging bay, a DVD burner and Motion Medical Pak Software (with handwriting recognition) are extra.

Pilot studies are currently underway at the University of California, San Francisco to assess whether this MCA improves workflow and to gauge user satisfaction.


HOWARD
Photo: courtesy of University of California, Irvine

Meet HOWARD, a stroke patient's right hand robot
IRVINE, CA — A new "robotic therapy" device that strengthens stroke victims' hands during rehab has been developed by researchers at the University of California, Irvine. The Hand-Wrist Assisting Robotic Device (HOWARD) was unveiled at the American Stroke Association's International Stroke Conference 2007, after having been used successfully in a small pilot study. The device, a robotic arm that aids the patient's hand in gripping objects and moving, was tested on 13 patients who'd suffered a stroke at least three months before the beginning of the trial resulting in reduced hand function.

"Most spontaneous improvement in function occurs in the first three months after a stroke, and after that things tend to plateau," said lead researcher Dr Steven Cramer in a release. HOWARD helps patients move in ways they may otherwise have been unable to, thereby teaching the brain — not just the muscles — how to make the full movement again.

After 30 hours of practice grasping and releasing objects, patients' average scores rose almost 20% on a simple dexterity test. A "son of HOWARD" is in development now, with more ability to customize treatment to patients' needs.


T-Ray imaging technology
Photo: RPI

T-rays take "quantum leap"
TROY, NY — The next wave of imaging technology is nearly upon us, in the form of terahertz spectrometry, a kind of electromagnetic pulse also called T-rays. A new miniaturized version of the T-ray equipment has been developed by Rensselaer Polytechnic Institute physics PhD candidate Brian Schulkin. The device, which he calls the Mini-Z, weighs less than 3kg. Previous attempts at building T-ray devices yielded huge, expensive machines that were not viable in a clinical setting.

T-rays are safer than x-rays and do not require contact like ultrasound, making them potentially applicable in safer cancer tumour imaging, as well as non-medical uses like spotting counterfeit money, picking up explosives in airport security checks, and even in monitoring foam insulation in the space shuttle.

His supervisor enthusiastically lauded Mr Schulkin, saying he has made "a quantum leap in robustness."

 

 

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