1. Care Devices for Epilepsy NYU Epilepsy Center NYU school of Medicine NYU

2. Care Devices for Epilepsy Seizure alarm systems Seizure Injury Prevention Seizure and Sleep

3. 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

4. Epilepsy alert Systems NOT FDA Approved

5. Epilepsy alert Systems “Epi-Care” Danish Care Technologies (sold in UK by Emfit) Non FDA approved Cost : $850

6. Epilepsy Alert Systems NOT FDA Approved Cost: $375

7. NOT FDA ApprovedCost: $380

8. Vahlkamp (Holland) NOT FDA Approved

9. EpDetect (UK) Phone movements based system NOT FDA Approved

10. EpDetect (UK)

11. 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

13. Danish Care NOT FDA Approved

14. SmartWatch (USA) Marketed as motion detector Cost: $199 for unit plus $360 per year for service NOT FDA Approved

15. http://ictalcare.com/ Brain Sentinel Prototype - http://www.medscape.com/viewarticle/817700 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

16. 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) http://web.media.mit.edu/~zher/research.html Poh et al, 2010 16

17. No helmets have been specifically designed for epilepsy

18. Helmets w Face Guard

19. Inflatable Bike Helmet

20. Anti-Suffocation Pillow Cost: $127 + shipping

21. Bed Rails Prevents falls Helps with night management

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

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

24. Home Oxigen Monitors Cost: $7,000

25. Finger Oximeter Cost: $79.00

26. Portable Phone based O2 Monitor Cost: $150-250-----only works with Iphone Finger sensors

27. Dogs