Care Devices for Epilepsy NYU Epilepsy Center NYU

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

Ep. Detect (UK) Phone movements based system NOT FDA Approved

Ep. Detect (UK)

The Needs - The Product - The Benefits Ø Need of the Patients: alert for help when in seizures Ø Need of the Caregivers: a relief from maintaining 24/7 watch Ø Need for accurate Medical Data: recording of seizures and attacks Epi. Lert Sensor Unit ! als s i k or al Tr y W linic g lo e-c o hn l Pr c Te sfu e Th cces Su Emergency Services (Detection & Analysis) rt Seizure Radio Ale Family Alert Unit ü Peace of Mind to Caregivers ü Privacy and Confidence to the Patient Rev: 20 December 2013 Non FDA Recorded Data for Medical Services Parent at Home ü Better Medical Treatment Israel

Danish Care NOT FDA Approved

Smart. Watch (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 under testing now Brain Sentinel Prototype http: //www. medscape. com/viewarticle/817700

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

No helmets have been specifically designed for epilepsy

Helmets w Face Guard

Inflatable Bike Helmet

Anti-Suffocation Pillow Cost: $127 + shipping

Bed Rails Prevents falls Helps with night management

Special Beds http: //www. livingmadeeasy. org. uk Cost is high (range: $3, 000 -6, 000)

Beds for Children with Severe Behavioral Disorders http: //www. livingmadeeasy. org. uk Cost is high (range: $3, 000 -6, 000)

Home Oxigen Monitors Cost: $7, 000

Finger Oximeter Cost: $79. 00

Portable Phone based O 2 Monitor Cost: $150 -250 -----only works with Iphone Finger sensors

Dogs