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Current Trends of In-Home Medical Devices and Technology

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Zack Craft, vice president of rehabilitation technology and complex care at Total Medical Solutions identifies some of the current trends of the in-home medical device industry:

  1. Improvements in Home Automation. Zack says we're seeing a trend towards improved home automation, including the use of voice recognition to control electronic devices in the home. Bluetooth technology enables patients to interact with computer systems, power chairs, mobile phones, land lines, light switches and air conditioning thermostats. Being able to control temperature in the home is especially important when dialysis or wound care equipment is running -- it produces extra heat. In addition, voice recognition and other technologies help patients move beds up and down and allow video conferencing to monitor the front door -- so patients can see who is at the front door without getting out of bed. 
  2. Products are becoming more portable. More portable devices means reduced transportation and delivery costs. For example, Zack has noticed a trend towards having patients fill their own oxygen tanks. 
  3. Devices are getting smaller, cost less. Zack sees devices getting smaller and easier to use. He points out that wound vacs are now as small as a Sony Walkman radio device. Smaller devices provide the patient increased mobility and make it easier for patients to use devices in the home. Because the devices are shrinking in size, costs are decreasing as well. 
Zack was recently quoted in Assembly Magazine's article Medical Device Assembly: There's No Place Like Home

Thought-Controlled Prosthetic Limb Systems: Coming Soon

In other quite interesting technology news, Johns Hopkins Applied Physics Lab has won a contract to test a thought-controlled Modular Prosthetic Limb (MPL) system. Read the full story Hopkins Applied Physics Lab to Test Thought-Controlled Prosthetic Limb System at Robotics Trends website.

The MPL design offers 22 degrees of motion, including independent motion of each finger, in a package that weighs the same as a natural limb (about nine pounds). The MPL is capable of "...unprecedented mechanical agility and is designed to respond to the user's thoughts." Within the year, the Johns Hopkins APL team expects to initiate testing with a high spinal cord injury patient. The test results are designed to help upper-limb amputees and spinal cord injury patients, as well as others who have lost the ability to use their natural limbs, to have as normal a life as possible, despite severe injuries or degenerative neurological disease.  

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Sniff Powered Wheelchair - Help for Severely Disabled

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MedGadget.com recently highlighted a unique nose-controlled wheelchair designed to help severely disabled individuals. It may enable people with severe disabilities to navigate wheelchairs and communicate with their loved ones. The technology that powers the chair? Sniffing -- inhaling and exhaling through the nose. Read Nose Controlled Wheelchair for Severely Disabled

Researchers at the Weizmann Institute of Science in Israel developed the nose sniff controlled wheelchair and say it has proven to be of practical use for certain severely disabled patients, especially those with what is called "locked-in" syndrome. Sniffing, since it often remains as the sole mechanism with any kind of precise control for the severely disabled, can also serve as a good tool for communication. 

According to a press release by Weizmann Institute of Science, the technology is easily mastered, allowing users to navigate a wheelchair around a complex path or play a computer game with about the same speed and accuracy of a mouse or joystick. After just fifteen minutes of practice, a patient who is paralyzed from the neck down managed to navigate a wheelchair through a complex route as well as a non-disabled volunteer. Users were also able to communicate with family members - something they hadn't been able to do for a very long time. Four participants are using a new writing system and there are plans to further develop and distribute the technology. 

More on sniffing and "locked-in" patients.

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Are Employees Driving While Distracted? You Do The Math...

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Distracted driving has become a national epidemic. In June, the State of Georgia became the most recent state to pass texting and cell phone bills into law. Georgia is the thirteenth state this year to pass legislation in an attempt to reduce the number of distracted while driving accidents. Take a look at 2010 New Cell Phone / Texting Driving Laws for a recap of states to pass such legislation. 

Tips To Help You Reduce Distracted Driving Injuries

  1. Refresh your safe driving program. If you don't have one, create one now! 
  2. Institute a "no texting or cell phone use while driving" policy.
  3. Educate your employees about your safe driving practices. Include every delivery truck driver, salesperson, any employee who drives a company car, or any employee who drives their personal car on company business.
  4. Practice and enforce your safe driving policies.
  5. Download DriveSafe.ly NOW! It's Free. This mobile application reads text messages and emails aloud in real time and can automatically respond without drivers touching their mobile phones. 

Distracted Driving Statistics

  • In 2008, there were a total of 34,017 crashes with 37,261 fatalities
  • In 2008, 5,870 people (16% of total fatalities) were killed in crashes involving driver distraction
  • Drivers distracted at the time of fatal crashes has increased from 8 percent in 2004 to 11 percent in 2008
  • The under-20 age group had the highest proportion of distracted drivers involved in fatal crashes (16%); the next highest proportion of distracted drivers was the 20- to 29-year old age group (12%)
  • Motorcyclists and drivers of light trucks had the highest percentage of distracted drivers at the time of fatal crashes (12%)
  • An estimated 21% of 1,630,000 injury crashes were reported to have involved distracted driving

2nd Annual Distracted Driving Summit Planned

A second annual national summit will take place in Washington, DC in September to address the distracted driving epidemic. The U.S. Department of Transportation announced the summit in a press release last week. The summit plans to bring together experts from around the country to explore the current challenges and identify public outreach solutions to the problem. 

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Chrissy gets a new face...

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Life is fine and then something happens and it's not. Here at Total Medical Solutions, we deal with people who have experienced life-changing injuries every day. Our staff is continually inspired by the strength and grace evidenced by the people who we serve. We meet a lot of everyday heroes who pick themselves up and put their lives back together in the face of overwhelming odds.

 

This is the story of one such person - Chrissy - she is not one of our patients - but her story of recovery is incredible on several levels - for the medical technology involved; for the reminder that dedicated health care professionals have the power to make a huge difference in a patient's quality of life; and for the grace and attitude of the woman who suffered a devastating, life-changing injury and did not let it defeat her. 


View the remarkable story of Chrissy. It is truly amazing. She lost her face when she was shot at close range with a shotgun. She was only 16 years old. See Rebuilding Chrissy's Face

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Zack Craft,  vice president of rehabilitation technology and complex care for Total Medical Solutions, encourages a standing feature integrated into a wheelchair base whenever possible for injured workers confined to a wheelchair. While these types of wheelchairs are more expensive on the front end, they provide for greatly improved mobility and enhanced wellness of the patient. Thus, they provide for much better outcomes over the life of the claim. 

Wheelchair Standing Defined.

Wheelchairs with built in standing features allow the patient to obtain a standing position without transferring from the wheelchair. Such wheelchairs incorporate a mechanical or electromechanical system manipulated with levers or controls that move the seat from horizontal to a vertical or anteriorly sloping position while maintaining verticality of the legrests and backrest, thus extending the hips and knee joints. A full vertical standing position is achieved directly from sitting, or through gradual angle changes from a laying position, or a combination of either of these positions. Most wheelchair standers allow for full or partial extension of the hip and knee joints, and full upright or partially tilted positions.

Benefits of standing include:

  • Improved functional reach to enable participation in ADLs (Activities of Daily Living)
  • Enhanced independence and productivity
  • Vital organ capacity is greatly improved
  • Reduced occurrence of urinary tract infections
  • Bone mineral density loss reduced or eliminated
  • Improved circulation; reduced swelling in extremeties
  • Reduced abnormal muscle tone and spasticity
  • Occurrence of pressure sores reduced
  • Diminished occurrence of skeletal deformities
  • Enhanced physiological well being

Additional benefits of standing wheelchairs include: reduced fatigue, ability for some male patients to use public urinals, a reduction in the need for attendant care, reduced transfers and reduced home modifications.

One of the chairs Zack recommends to patients is the Permobil C500 VS.

Pos02_C500VS_339px.jpg

For more information on standing wheelchairs, or other assitive technology devices, please contact Total Medical Solutions.

 

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Honda's experimental Bodyweight Support Assist device makes walking and stair-climbing easier for people in rehabilitation therapy or who are elderly. It will be on display at the "Why Design Now?" exhibition at the Cooper-Hewitt, National Design Museum, Smithsonian Institution in New York, NY from May 14, 2010 through January 9, 2011. The exhibition showcases the work of designers from around the world and demonstrates how essential design and innovation are to some of society's most urgent human and environmental issues. The designers whose works are on display are being recognized for enhancing the human experience by inventing solutions that are as beautiful as they are just. 

Read medGadget's full article titled Honda to Exhibit Walking Legs at the Smithsonian in New York

According to a press release by Honda, Honda developed the Bodyweight Support Assist device to help support bodyweight to reduce the load on the user's legs during various weight-bearing activities. It reduces the load on leg muscles and joints with a structure that includes a seat, frame and shoes. See for yourself in this 3 minute video:


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