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) Non FDA approved Cost : $850

Epilepsy Alert Systems NOT FDA Approved Cost: $375

NOT FDA ApprovedCost: $380

Vahlkamp (Holland) NOT FDA Approved

EpDetect (UK) Phone movements based system NOT FDA Approved

EpDetect (UK)

Rev: 20 December 2013  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 Needs - The Product - The Benefits The Needs - The Product - The Benefits Family Alert Recorded Data for Medical Services Sensor Unit (Detection & Analysis) Seizure Radio Alert Alert UnitEpiLert Emergency Services Parent at Home Peace of Mind to Caregivers Peace of Mind to Caregivers Privacy and Confidence to the Patient Privacy and Confidence to the Patient Better Medical Treatment Better Medical Treatment The Technology Works ! Successful Pre-clinical Trials 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

Brain Sentinel Prototype - EMG-Based Devices 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 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 under testing now

Multimodal Devices Electrodermal activity + accelerometer In 80 children, tuned algorithm detected 15/16 GTCS; ~ 1 FP per day of recording per pt (Poh et al, 2012) Poh et al,

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 Cost is high (range: $3,000-6,000)

Beds for Children with Severe Behavioral Disorders Cost is high (range: $3,000-6,000)

Home Oxigen Monitors Cost: $7,000

Finger Oximeter Cost: $79.00

Portable Phone based O2 Monitor Cost: $ only works with Iphone Finger sensors

Dogs