Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label gammaCore. Show all posts
Showing posts with label gammaCore. Show all posts

Thursday, December 8, 2022

New device boosting brain, body communication in stroke survivors

Not new at all, approved in August 2021 and I bet your hospital still doesn't have it.

Or maybe you'd rather have the non-invasive system. But you'll have to claim PTSD from military service since it hasn't been tested in stroke survivors yet.

 

FDA approves stroke rehabilitation system August 2021

The latest here:

New device boosting brain, body communication in stroke survivors

Ever since his stroke two years ago, David Sullivan has struggled to use his left side.

A 40-year-old father of two young girls, he says a lot goes on inside his head every time he swings a bat or picks up a towel.

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"Extend," Sullivan said out loud, as he placed laundry in a basket at Spaulding Rehabilitation Hospital in Boston. "Now I'm picturing my hand opening up."

After the stroke, Sullivan's brain and body communicate differently — or not well at all.

"I'm working on rotation of the wrist," he said. "Being able to grab something and release easily. A lot of shoulder work reaching to shelves."

Repetition helps, but sometimes it's not enough. Many patients like Sullivan reach a plateau.

"He was highly motivated to continue to improve," said Teresa Jacobson Kimberley, a professor at Mass General Hospital's Institute for Health Professions and an expert in rehab science.

"So you could be saying, 'Move your hand, move your hand,' and this one won't be moving," she demonstrated. "It's not enough of a signal to make it go."

Kimberley's research led to the development of a device to help boost that signal to the brain.

"It's not just for people who've just had their stroke," she said. "This can be somebody who's had a stroke several years ago, who's been told they've plateaued and not going to get any better. This is now available to them."

It's called the Vivistim System.

To work, a surgeon implants this device just under the skin on the chest. A wire runs along the vagus nerve from the neck to the brain. Once activated either at home or in rehab, the device sends a mild electric pulse through the wire.

"It stimulates the nerve directly, which then sends its message into the brain, helping to release neurotransmitters that help you to form the connections that you need so those nerves can get stronger," Kimberely said.

In clinical trials, patients who used the system during exercises saw their improvement double or even triple within six months.

Sullivan had the procedure in September.

"So two months out, I've noticed for the arm or the shoulder some gains," he said. "So that's encouraging. The hand is definitely slower, but I expected that."

The success so far motivates Sullivan to do more, but so do his girls.

"This is my job right now," he said. "Every day. Multiple times a day. It's constant."

Right now, the Vivistim System is only approved to treat motor function in the upper extremities, but new research is underway to evaluate its impact on other areas, such as the legs and even speech.

Patients interested in learning more about the treatment can contact the MGH Neurorecovery Clinic.

Saturday, January 15, 2022

FDA grants breakthrough designation for device to treat PTSD

 You'll have to ask your doctor if the PTSD you get from your stroke can be treated with this.

You do have a 23% chance of stroke survivors getting PTSD.

The latest here:

FDA grants breakthrough designation for device to treat PTSD

The FDA has granted breakthrough device designation to electroCore Inc. for its gammaCore device to be used in the treatment of PTSD in military personnel, according to a company release.
“We appreciate the thorough and timely review by the FDA of our Breakthrough Device Request for gammaCore for the treatment of PTSD,” said Eric Liebler, senior vice president of neurology at electroCore. “The ability of (non-invasive vagus nerve stimulation [nVNS]) to target several of the underlying causes of PTSD such as autonomic dysfunction, stress and inflammation, safely and effectively supports its potential as a breakthrough treatment for PTSD.”

The portable device is a noninvasive, hand-held therapy. When applied at the neck, it treats migraine and cluster headaches through deliverance of mild electrical stimulation to the vagus nerve, which can lead to pain reduction. GammaCore can be self-administered by patients, as needed, without possible side effects from commonly prescribed drugs.

The breakthrough device designation was supported by research conducted by a joint effort between physicians from Emory University and Georgia Tech, led by J. Douglas Bremner, MD and Omer T. Inan, PhD. Their study demonstrated how nVNS blocks sympathetic and inflammatory responses to memories of traumatic events in patients with PTSD, modulates brain responses to traumatic memory and reduced symptoms by 31% compared with a sham stimulation.

“Current treatments for PTSD involving medication and psychotherapy have limitations due to limited efficacy, possible side effects and the unwillingness of many PTSD patients to engage in therapies that involve reliving traumatic memories,” Bremner said in the release.

“GammaCore represents a new class of treatment separate from medication or psychotherapy that is safe, relatively free of side effects, and does not involve costly and invasive procedures for implantation, like previous VNS devices approved by the FDA for treatment of refractory depression.”

GammaCore had been previously cleared by the FDA for auxiliary use to prevent cluster headache in adults, for acute treatment of pain resulting from episodic cluster headache in adults, as well as for acute and preventive treatment of migraines in patients aged 12 or above.

 

Tuesday, May 30, 2017

MicroTransponder Presents Long Term Stroke Trial Data at INS and Announces a 120 Patient Pivotal Stroke Trial

Ask your doctor if this non-invasive stimulation of the vagus nerve would be better. I don't care that this wasn't tested in stroke yet. Does no one have any brains to rub two neurons together to run this non-invasive one thru stroke clinical trials?

FDA Releases gammaCore®, the First Non-Invasive Vagus Nerve Stimulation Therapy Applied at the Neck for Acute Treatment of Pain Associated with Episodic Cluster Headache in Adult Patients


http://www.marketwired.com/press-release/microtransponder-presents-long-term-stroke-trial-data-ins-announces-120-patient-pivotal-2219173.htm

Late Breaking Long Term Clinical Study Results at the International Neuromodulation Society Conference Show Continued Improvement for Stroke Patients and a New 120 Patient Stroke Trial Will Begin Enrollment this Summer
DALLAS, TX--(Marketwired - May 30, 2017) - MicroTransponder, Inc., (www.microtransponder.com) today unveiled new positive long-term positive clinical trial results from the Vivistim™ Stroke Rehabilitation trial. The objective of this multicenter, double-blind, randomized, active-controlled trial was to improve upper limb mobility in stroke survivors suffering chronic disability. The data was presented by Jesse Dawson M.D., University of Glasgow Hospital, and Teresa Kimberley, PhD, University of Minnesota Hospital. They presented the data to the clinicians gathered at the International Neuromodulation Society (INS) conference in Edinburgh, UK. The data showed 75% of patients had a clinically meaningful response on the Fugl-Meyer Upper Extremity Scale (FMUE) at the end of a six weeks of physical therapy compared to 33% for the control group. 90 days after the six weeks of physical therapy ended 88% of VNS patients had responded compared to 33% in the control arm. And during the long-term portion of the study average FMUE scores continued to increase, with the 6 month and 9 month data showing further gains. All responders indicated they believed their overall health had improved and were satisfied with the therapy.
"We saw remarkable improvement in some patients' upper limb function over the course of this trial," said Dr. Dawson. "For many patients, this included important daily activities such as feeding, grooming, driving, and dressing themselves. Some patients were able to resume their higher-level hobbies, such as photography, practicing piano, hosting large family events, and playing golf. Overall, my patients were able to integrate the at- home-therapy component of the program quite easily into their lives."
The Stroke Rehabilitation trial featured the Vivistim® System, which is a neurostimulation based system with a small implanted battery and wires that internally connect to the vagus nerve in the neck. As the patient performs physical therapy exercises, they receive a small burst of neurostimulation to their vagus nerve. This Paired VNS® (Vagus Nerve Stimulation) method is based on decades of neuroscience research and takes advantage of the brain's ability to rewire itself (neuroplasticity). When stimulated, the vagus nerve causes the release of neurochemicals in the brain that encourage neuroplasticity. More information can be found on www.MicroTransponder.com.
In addition to the presentation of the long-term data, Frank McEachern, CEO of MicroTransponder; also spoke at the INS. McEachern announced that MicroTransponder had received IDE approval from the FDA to run a 120-patient pivotal trial. The stroke rehabilitation trial will include 12 U.S. and 3 UK centers and will begin enrolling patients this Summer. "There are currently very few options for chronic stroke survivors and our committed team of physicians, researchers, and engineers hope to deliver a meaningful option that will make a significant difference for these survivors and their families," noted McEachern. "We experienced an outpouring of interest from many academic centers to participate in our clinical trials once we presented our initial stroke rehabilitation data at the International Stroke Conference earlier this year. We are pleased to announce that our 120-patient clinical trial is now approved and includes many prestigious institutions and some of the best stroke and neurostimulation researchers worldwide. Enrollment will begin this Summer and additional clinical trial information can be found by visiting www.vnsstroketrial.com."
About MicroTransponder, Inc.
MicroTransponder Inc. (www.microtransponder.com) is a medical device development company with a strong neuroscience research focus. An experienced team of scientists and engineers has developed neurostimulation technology platforms to treat various forms of neurological diseases, including post stroke motor rehabilitation and tinnitus. MicroTransponder has a sizeable neurostimulation-focused R&D program which is able to quickly translate scientific discoveries into clinical therapies.

Contact Information

Friday, May 12, 2017

FDA Releases gammaCore®, the First Non-Invasive Vagus Nerve Stimulation Therapy Applied at the Neck for Acute Treatment of Pain Associated with Episodic Cluster Headache in Adult Patients

With any brains at all in the stroke medical world this would be being tested in stroke survivors.

Safety, Feasibility, and Efficacy of Vagus Nerve Stimulation Paired With Upper-Limb Rehabilitation After Ischemic Stroke  Jan. 2016

But there are no brains in stroke, you're screwed.

FDA Releases gammaCore®, the First Non-Invasive Vagus Nerve Stimulation Therapy Applied at the Neck for Acute Treatment of Pain Associated with Episodic Cluster Headache in Adult Patients

Posted by
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– First U.S. Food and Drug Administration (FDA) release for electroCore, a neuroscience and technology company

– Hand-held, non-invasive, easy-to-use device provides new option for the approximately 400,000 Americans living with this rare but extremely debilitating headache disorder

Basking Ridge, NJ, April 18, 2017 – electroCore, a neuroscience and technology company dedicated to improving patient outcomes through technological advancement, announced today that the U.S. Food and Drug Administration (FDA) released the use of gammaCore® (non-invasive vagus nerve stimulator) for the acute treatment of pain associated with episodic cluster headache in adult patients. gammaCore transmits a mild electrical stimulation to the vagus nerve through the skin, resulting in a reduction of pain. This is the first FDA product release for electroCore in the U.S.

“Cluster headache is a rare, debilitating and difficult to treat disorder with few effective acute therapies,” said Stephen Silberstein, MD, Director, Headache Center, Jefferson University, Philadelphia, PA. “The FDA release of gammaCore is an important advance in the treatment of the pain associated with cluster headache. It is a way for patients to treat their symptoms as often as they need to use the device. It does not have the side effects or dose limitations of commonly prescribed treatments or the need for invasive implantation procedures, which can be inconvenient, costly and high-risk.”

The FDA release of gammaCore is based on subgroup analyses from two trials in the ACT (Non–Invasive Vagus Nerve Stimulation for the ACute Treatment of Cluster Headache) clinical trial program evaluating the safety and efficacy of gammaCore for the acute treatment of episodic cluster headache.i Both trials (ACT1 and ACT2) were prospective, double-blind, placebo-controlled, randomized studies evaluating the use of gammaCore versus placebo.i Results from ACT1, evaluating 85 patients with episodic cluster headache, found that 34.2% of patients experienced a reduction in pain from episodic cluster headache (defined as the percentage of patients who reported mild or no pain 15 minutes after treatment initiation with gammaCore for the first treated cluster headache attack in the study; use of rescue medication within 60 minutes was considered a treatment failure) compared to 10.6% in patients treated with placebo (p=0.008).ii Results from ACT2, evaluating 182 attacks in 27 patients with episodic cluster headache, also found that a significantly higher percentage of attacks were pain-free (defined as pain-free at 15 minutes after the onset of pain from cluster headache with no use of rescue medication through the 30-minute treatment period) in patients treated with gammaCore (47.5%) versus placebo (6.2%; p=0.003).i In both trials, gammaCore was found to be safe and well-tolerated, with the majority of adverse events (AEs) being mild and transient and occurring during the time of active treatment.i

“The U.S. release of gammaCore for the acute treatment of pain associated with episodic cluster headache in adult patients is a major milestone for electroCore, as it not only marks electroCore’s first FDA-released product, but also underscores our company vision to improve patient outcomes through technological advancements,” said Francis R. Amato, Chief Executive Officer of electroCore. “We are leading the way for the future of medicine through the development of patient-administered, non-invasive vagus nerve stimulation therapy, and we look forward to bringing gammaCore’s breakthrough technology to patients in the U.S.”

gammaCore is currently in use outside of the U.S., including in the European Union. In the U.S., electroCore expects commercial availability of gammaCore early in the third quarter of 2017.

About gammaCore®
gammaCore® is the first non-invasive, hand-held medical device applied at the neck that acutely treats the pain associated with episodic cluster headache in adult patients through the transmission of a mild electrical stimulation to the vagus nerve through the skin. Designed as a portable, easy-to-use technology, gammaCore can be self-administered by patients as needed to provide relief for the treatment of pain associated with episodic cluster headache without the potential side effects associated with standard of care. When placed on a patient’s neck over the vagus nerve, gammaCore stimulates the nerve’s afferent fibers resulting in the modification of pain signals.

gammaCore is CE-marked in the European Union for the acute and/or prophylactic treatment of primary headache (Migraine, Cluster Headache, and Hemicrania Continua) and Medication Overuse Headache in adults. gammaCore is also released/cleared, licensed, registered and/or approved in Australia, Canada, Colombia, Hong Kong, India, New Zealand, South Africa, and Vietnam. In Germany, gammaCore is distributed by Desitin.

About Cluster Headache
Cluster headache is a rare but extremely painful primary headache disorder characterized by recurring unilateral attacks. The condition is the least common type of headache disorder, occurring in approximately 1 to 2 out of 1,000 individuals.iii Cluster headache predominantly affects males, with symptoms typically manifesting by the age of 30.iv Frequently nicknamed “suicide headache” due to the severity of pain associated with their occurrence, cluster headache bouts occur rapidly and with variable frequency but often at the same time each year or day and are often more frequent at night.v Those at greater risk of cluster headache include heavy smokers and those with a family history of the condition.iii

About electroCore
electroCore LLC is a U.S.-based neuroscience and technology company dedicated to improving patient outcomes through technological advancement and focused on developing a non-invasive vagus nerve stimulation therapy (gammaCore) for the treatment of multiple conditions in neurology, inflammation, and metabolic syndrome. The company’s initial target is the treatment of primary headache (migraine and cluster headache) and the associated chronic co-morbidities of gastric motility, psychiatric, sleep, and pain disorders that drive disproportionately large direct and indirect costs within the healthcare system and society. For more information, visit electrocore.com.

IMPORTANT SAFETY INFORMATION
Safety and Efficacy of the gammaCore device has not been evaluated in the following patients, and therefore is NOT indicated for:

• Patients with an active implantable medical device, such as a pacemaker, hearing aid implant, or any implanted electronic device
• Patients diagnosed with narrowing of the arteries (carotid atherosclerosis) (This is likely most of us)
• Patients who have had surgery to cut the vagus nerve in the neck (cervical vagotomy)
• Patients with clinically significant hypertension, hypotension, bradycardia, or tachycardia
• Pediatric patients or pregnant women

Do not use gammaCore if you:

• have a metallic device such as a stent, bone plate, or bone screw implanted at or near your neck
• are using another device at the same time (e.g., TENS Unit, muscle stimulator) or any portable electronic device (e.g., mobile phone)

Refer to the gammaCore Instructions for Use for all important warnings and precautions before using this product.

Media Contact
Maura Siefring
GCI Health
(215) 837-8450