ISSUE#25 April 2017

CONNECTINGMEDICALBUSINESSWORLDWIDE

Hot Medical Shows

Hot Medical Conferences

Show Reports

Medical Supplies

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01 Event Calender AUTHORITIES IN CHARGE

02-16 Hot Shows Consultac International Group

17 Exhibitions Pre & Post Reports

PUBLISHED BY

17 KIME 2016 At a Glance Consultac Expo Co., Ltd

18 MEDICAL FAIR INDIA 2016

19 AAOS 2016 Annual Meeting Add: Rm.1605 Tower A, North

20 MEDICAL JAPAN 2017 Ring Center, 18 Yumin Rd.,

22 Post Show Report: REHACARE 2016 Xicheng, Beijing 100029,

P.R.China

24 Hot Conferences Tel: +86 (10) 8225 8800

Fax: +86 (10) 8225 0600

24 The 32nd Annual EAU Congress Mail: info@consultac.com.cn

25 REHACARE Congress \"We For the Quarter\"

26 ECCO 2017:European Cancer Congress consultac@126.com

27 ELS Workshop www.consultac.com.cn

28 International Market &Trends COPYRIGHT

Medinfo does not warrant that

28 Remote Electric Stimulation May Ease Migraine Pain any or all of such information is

complete and correct.

N e w L a t e x - F r e e O p t i o n s F o r To u r n i q u e t s a n d S i m i l a r

30 Devices The publisher accepts no

31 Spinal Cord Stimulation May Reduce Opioid Use responsibility for accuracy of

information, errors or omission,

32 How Philips is Using Augmented Reality to Improve the and rejects any claims arising

Accuracy of Spinal Surgery out of any action which a

company or individual mat take

33 Medtronic Adds First U.S. Cath, EP Labs to Management on the basis of information

Portfolio contained herein.

We would appreciate if you

would bring such error to our

attention.

Medinfo does not take any

responsibility regarding

financial standing and status of

the companies listed in various

trade pages of this publication.

Readers are advised to take

usual commercial precautions.

Reproduction of contents is

welcomed.

Operations

Management

34 Participation in Clinical Trials Improves Women's Health

Outcomes

336 Bionic Eye Receives Approval For Trials in UK

37-38 Medical Supplies

EXHIBITION

&CONGRESS

CALENDER

JANUARY 1 HEALTH ASIA GPCE WESTAFRICAN HEALTH

Karachi, Pakistan Sydney, Australia Buenos Aires, Argentina

MEDICAL EXPO

Casabalanca, Morocco BIOMED ISREAL EGYMEDICA MAF

Tel Aivi, Israel Cairo, Egypt Tripoli, Libya

ARAB HEALTH

Dubai, UAE APRIL 4 EXPOSANITA HOSPITAL RUSSIA

Bologna, Italy St.Petersburg, Russia

MEDIZIN MEDICAL-EXPO

Stuttgart, Germany Casabalanca, Morocco HOSPITALAR PHARMACY RUSSIA

St.Paul, Brazil St.Petersburg, Russia

FEBRUARY SALON DE LA SANTE JUNE 6 PUBLIC HEALTH

Casabalanca, Morocco Kiev, Ukraine

AAOS KOREAPHARM

MEDTRADE Gyeonggi-do, Korea ME-MEDEXPO

2Santiago, USA Las Vegas, USA Amman, Jordan

PROPAKASIA

ROMMEDICA SIMEN Bangkok, Thailand MEDICARE AFRICA

Bucharest, Romania Algiers, Algeria Nairobi, Kenya

MEDICARE

ASIA PHARMA FARMAVIZYON Damascus, Syria MEDIDENT

Dhaka, Bangladesh Istanbul, Turkey Belgrade, Serbia

IRANMED

HEALTHEXPO EXPOMED \/ LABTECH Teheran, Iran MEDTRADE

Tunis, Tunis Istanbul, Turkey Atlanta, USA

IMS

MEDICEXPO MEDTEC Kuala Lumpur, Malaysia HOSPITAL INDONESIA

Athens, Greece Yokohama, Japan Jakarta, Indonesia

BIO JAPAN

FARMAMAQ MEDTEC Tokyo, Japan UZMED EXPO

Barcelona, Spain Birmingham, UK Tashkent, Uzbekistan

INFARMA IECM JULY 7 EXPO PHARM

Barcelona, Spain Dubai, UAE Munich, Germany

IMHS JAPAN

MEDAX PRAGO MEDICA Tokyo, Japan 11NOVEMBER

Tel Aviv-Yafo, Israel Prague, Czech

RSNA

MARCH 3 HEALTHCARE AACC Chicago, USA

Damascus, Syria Anaheim, USA

HEALTHY NATION OHA CANADA

Kiev, Ukraine UZBMED MEDICARE AFRICA Toronto, Canada

Tashkent, Uzbekistan Bangalore, India

EMS TODAY GNYDM

Baltimore, USA SYRIAN MEDICARE AUGUST 8 New York, USA

Damascus, Syria

PITTCON EXPOS MEDICALL MEDICA

Atlanta, USA EXPOFARMA Chennai, India Düsseldorf, Germany

Mexico City, Mexico

KIMES MEDICARE AFRICA COMPAMED

Seoul, Korea MAY 5 Nairobi, Kenya Düsseldorf, Germany

IRAQ HEALTH NORMEDICA FIME PHARMTECH

Basra, Iraq Lisbon, Portugal Miami, USA Moscow, Russia

MEDITEC HOSPITAL BUILD 9SEPTEMBER DENTAL

Stuttgart, Germany Singapore, Singapore Istanbul, Turkey

MEDI-PHARM

DUPHAT MEDCINE Saigon, Vietnam 12DECEMBER

Dubai, UAE Skopje, Macedonia

MOLDMEDIZIN MEDIST

IDS GERONT Moldova, Chisinau Istanbul, Turkey

Koeln, Germany Paris, France

MEDICAL FAIR WOLRD DENTAL

SOUTH EAST ASIAN HEALTHCARE BULMEDICA BULDENTAL Bangkok, Thailand New Delhi, India

Kuala Lumpur, Malaysia Sofia, Bulgaria

PAN AFRICAN HEALTH ZDRAVOOKHRANENIYE

BELARUS MEDICA MEDSIB \/ SIBDENT Johannesburg, South Africa Moscow, Russia

Minsk, Belarus Suberia, Russia

REHACARE DENTALEXPO

MEDICAL FAIR INDIA MEDIPHARM VIETNAM Düsseldorf, Germany Kiev, Ukraine

New Delhi, India Hanoi, Vietnam

WESTAFRICAN HEALTH Learn more exhibition list, log on:

PHARMAGORA KIHE KAZAKHSTAN Legos, Nigeria www.consultac.com.cn

Paris, France Alma-Ata, Kazahkstan

EXPOMED INDOMEDICA 10OCTOBER

Istanbul, Turkey Jakarta, Indonesia

MEDICAL FAIR BRNO

ECR EUROPE MEDITEX BANGLADESH Brno, Czech

Vienna, Austria Dhaka, Bangladesh

EXPODENTAL

ARAB LAB KOREA MEDICAL FAIR Rome, Italy

Dubai, UAE Pyongyang, North Korea

The 20 SE-Asian Healthcare & Pharma Show

15 - 17 May 2017 Kuala Lumpur Convention Centre

Where Decision Makers Meet

SEACare consistently delivers Decision Making Visitors.

Located in SE-Asia's strongest economy, and 'best exhibition

venue' it's central location covers the entire SE-Asian Region.

EXHIBITORS benefit from the experience, powerful

organisational support and dedicated Visitor Promotion.

National Pavilions, Business to Business Meetings, Seminars-

Workshops, Exhibitor Packages . . .

Check out the websites.

CONSULTAC EXPO CO. LTD ABC Exhibitions

www.consultac.com.cn www.abcex.com

20 22Date November Application Deadline

(Mon)- (Wed), 2017

July 21(Fri)

12：00～18：00(Mon)

10：00～17：00(Tue,Wed) 2017

Venue Tokyo Big Sight East Hall 4～６ (Tokyo International Exhibition Center)

Organized by Healthcare Engineering Association of Japan 　　　　　Japan Management Association

Exhibits Profile

Construction, Equipment Infection Control Medical Services and Medical Technology

and Engineering Publication

Focused Area

Medical Equipment and Medical Checkup & Food Service Equipment The Product for

Device Healthcare for Hospital & Next Generation

Nursing Home Medical and Welfare

Nursing & Medical Information

Welfare Equipment Technology and System

HOSPEX Japan Secretariat http:\/\/www.jma.or.jp\/hospex\/

Japan Management Association

14F Sumitomo Takebashi Building, 1-2-2 Hitotsubashi, Chiyoda-ku, Tokyo 100-0003 Japan

Phone:+81-3-3434-1988 Fax:+81-3-3434-8076 E-mail:hospex@convention.jma.or.jp

Evénement unique européen rassemblant les professionnels de la santé et de

l'autonomie, la Paris Healthcare Week a une fois encore offert une large vision des

solutions innovantes existantes pour répondre aux défis posés.

La Paris Healthcare Week 2017 a accueilli 29 639 visiteurs dont 17 661 visiteurs

sur les salons HIT, HopitalExpo \/ GerontHandicapExpo, 10 169 visiteurs sur le Salon

Infirmier et 1 809 visiteurs sur Intermeditech.

Ils exposeront sur les salons HIT ou HopitalExpo \/ GerontHandicapExpo 2018 :

ABB FRANCE, ACIME FRAME, AGFA HEALTHCARE, ASCOM, ASIP SANTE, AXIANS, AXIGATE,

BERG ER-LEVRA ULT, BMB M ED ICAL, BURLO D GE, CA LY S TEN E, CERN ER, CO MP UTER

E N G I N E E R I N G , C O N C E P T M I C R O F I B R E , D A L K I A , D E L A B I E , D E M AT H I E U B A R D , D L M

CREATIONS, DOCTOLIB, ELECTRO CALORIQUE, ENOVACOM, EUROCHEF SANTE, FUJIFILM,

GMF ASSURANCES, HABA, HACARE, ICADE, JOHNSON & JOHNSON, MEDASYS, MIPIH, MNH,

MOMENTS FURNITURE, PARIS BIOTECH SANTE, PERFORMANCE HEALTH, PHILIPS, PORCHER,

PORTES ELLIPSE, PRAXIS MEDICAL TECHNOLOGIES, RCN MEDICAL, SCHNEIDER ELECTRIC,

SOCOFIT, SOFTWAY MEDICAL, TARKETT FRANCE, TLV, UGAP, UNIHA, VILLARD, WINNCARE,

etc.

MEDINFO Spring 2017

Exhibition Pre & Post Reports

KIME 2016 At a Glance

1. Title : 32nd Korea International Medical Agency (KOTRA) • Central Supply Equipment

& Hospital Equipment Show (KIMES 2016) • Korea Health Industry Development • Hospital Facilities Equipment

2. Theme : “Leading Technology, Better Institute • Medical Information System

Healthcare” • Korean Medical Association • Cosmetic Dermatology & Healthcare

• Korean Hospital Association Equipment

3. Purpose : Assistance to further •Korean Medical Women's Association • Oriental Medicine & Equipment

development of the medical equipment • Korean Nurses Association • Pharmaceutical Equipment

industries in Korea and neighboring • Korea Medical Devices Selling • Medical Device Component & Service

nations, and promotion of the trade, on Association • Animal & Related Products

both the domestic and international levels • Korean Medical News • Dental Apparatus

in medical equipment

4. Exhibition period : March 17 (Thu.) to 20 9. Exhibition Scale : Total 38,808 m² 11. Website : www.kimes.kr

(Sun.), 2016 (4 days)

5. Opening Hours : 10:00 a.m ~ 6:00 p.m COEX Hall A (1st Fl.), Hall B (1st Fl.), 12. E-mail : kimes@kimes.kr

6. Exhibition Site : Grand Ballroom (1st Fl.)

Extracted from

COEX (Convention & Exhibition Hall C (3rd Fl.), Hall D (3rd Fl.) Medica

Center)

(513, Yeongdong-daero, Gangnam-gu, 10. Groups of Exhibits www.KIMES.kr

Seoul, 06164, Korea) • Consultation & Diagnosis Equipment

7. Organizers • Clinical Examination Equipment

• Radiology Equipment

• Surgical Apparatus & Equipment

• Cure Apparatus & Equipment

• Physiotherapy Apparatus

• Ophthalmic Apparatus

• Disposable Apparatus and Others

Korea E & Ex Inc. Overall Satisfactory Rate of KIMES 2016

Korea Medical Devices Industrial Areas Very Satisfied Adequate Not Definitely

Coop. Association Satisfied Satisfied Unsatisfied

No. of Visitors (Domestics) 10.42%

Korea Medical Device Industry No. of Visitors (Int'l) 45.91% 35.91% 7.01% 0.76%

Association Quality of Visitors 8.16% 2.85%

Organizer's Promotion Effort 6.86% 28.84% 47.97% 12.18% 0.76%

8. Sponsors Exhibition Operations 10.67% 0.57%

• Ministry of Trade, Industry and Quality of Exhibition Service 11.83% 40.62% 44.52% 7.24% 1.15%

Energy Level of Venue Facilities 12.81% 0.96%

• Ministry of Health & Welfare 10.46% 47.67% 38.62% 2.48% 2.66%

• Ministry of Food & Drug Safety

• Seoul Metropolitan Government 50.99% 30.69% 5.34%

• Korea Trade-Investment Promotion

44.74% 36.71% 4.78%

41.25% 38.78% 6.84%

17 |SPRING 2017

MEDINFO Spring 2017

Exhibition Pre & Post Reports

Strong Exhibitor Demand and New Visitor Target Groups for the

MEDICAL FAIR INDIA 2016

New Focus “Hospital Infrastructure Sector”

The MEDICAL FAIR INDIA 2016,India's the trade fair for exhibitors, and offered in India, Medgate Today, again honoured

No. 1 Trade Fair for Hospitals,Health both an optical as well as a price benefit particularly outstanding companies,

Centres and Clinics, has continued its through an attractive uniform image and hospitals and medical professionals during

successful development in the growth favourable conditions. the 22nd MEDICAL FAIR INDIA. The

market India in impressive fashion.Over renowned MT India Healthcare Award

10,700 professional visitors made their way Horst Giesen, Global Portfolio Director was presented to 32 participating Indian

to the Bombay Convention & Exhibition for the `World of MEDICA′ of the Messe companies and personalities from various

Centre in Mumbai during three intensive Düsseldorf Group, gave a positive categories. For example, awards went

days of the trade fair. This corresponds summary of the 22nd MEDICAL FAIR to the best doctors in Cardiac Surgery,

to record growth of 34% compared to the INDIA: \"We did not expect such a volume Surgery, Gynaecology and Oncology, as

previous event in Mumbai. of visitors up to the last day of the trade well as to personnel from the Healthcare

fair. The new products, many of them from sector (the Healthcare Personality of

The exhibitor figures also benefited the high-tech sector, found a very positive the Year), and to renowned companies

once again from the strong economic echo from professional visitors. Given such as Hindustan Medical Devices,

situation in the industry: 512 exhibitors extraordinary growth in the medical sector Ribbel International Ltd. or Spencer India

from 16 countries presented their product in one of the most populous countries in Technologies Ltd.

innovations from the fields of medical the world, we also expect a strong trade-

technology and health management fair business in future that can also benefit The MEDICAL FAIR INDIA is part of the

over an exhibition area of approx.6,000 our European exhibitors. MEDICAL FAIR `World of MEDICA′ and is one of the long-

square metres, and unanimously praised INDIA and the globally leading trade fair established international medical trade

a successful trade fair. All relevant Indian MEDICA complement each other\". fairs of the Messe Düsseldorf Group –

companies were represented in Mumbai, organised in close cooperation with the

including numerous market leaders from The MEDICAL FAIR INDIA was world's largest medical trade fair MEDICA

Asia. 298 exhibitors from other countries accompanied by an extensive supporting at the Düsseldorf location.

bear witness to the growing internationality programme. A high-calibre professional

of the event. In addition to India, the conference with the focal themes www.medicalfair-india.com

largest exhibitor nations included China, \"Healthcare Branding, Marketing &

Malaysia and Taiwan; Germany, France, Business Development\" as well as

Great Britain, Italy, Japan, Korea, Turkey, \"Innovating India with Healthcare

the UAE as well as the USA also took part Technology\" offered decision makers from

in the trade fair. the clinic sector, medical professionals,

dealers and players from industry and

On the initiative of the Spectaris and ZVEI health management an ideal forum at

associations, Messe Düsseldorf organised which to obtain information on trends and

an official joint company stand as part of to establish contacts.

the International Trade Fair Programme of

the Federal Republic of Germany (AMP); Afzal Kamal, National Head of the leading

this significantly facilitated participation in professional journal for medical personnel

SPRING 2017 | 18

MEDINFO Spring 2017

Exhibition Pre & Post Reports

AAOS 2016 Annual Meeting

AAOS was founded in 1933, the societies had explore current research or Candidate Members who have

Academy is the preeminent provider of findings in various areas of orthopaedics. demonstrated outstanding leadership

musculoskeletal education to orthopaedic qualities that have led to benefits for the

surgeons and others in the world. Its The 2015 AAOS Annual Meeting had orthopaedic community, patients and\/or

continuing medical education activities gain a completely success! According to the American public.

include a world-renowned Annual Meeting, the official department, the exhibition had

multiple CME courses held around the attracted 17,939 professional members Advantages of participating

country and at the Orthopaedic Learning included Physicians and Allied Health, AAOS Annual Meeting:

Center, and various medical and scientific exhibitors: 10,356 and others: 3075,total

publications and electronic media attendance: 31,370. •Showcased your latest products and

materials. services alongside pioneers and business

On a collaborative effort, the Central leaders to a large specialized audience of

The 2015 AAOS Annual Meeting provided Program Committee, Exhibits Committee professionals and decision makers from

a professional platform for the medical and Orthopaedic Video Theater Committee the healthcare sector.

industry by creating an ideal setting that have combined the abstracts from selected

allows companies from America and scientific portions of the Annual Meeting. •Identified business and investment

around the world to showcase their latest The Diversity Award recognizes living opportunities in the areas of healthcare,

healthcare products, equipment and Academy Fellows and Emeritus members pharmaceutical products, medical supplies

services to doctors, hospitals, buyers who have distinguished themselves and services.

and health sector professional. The through their outstanding commitment to

2015 Annual Meeting had more exciting making orthopaedics more representative •Meet representatives from regional

learning opportunities, with 30 symposia of and accessible to the diverse population and international companies that are

on cutting-edge orthopaedic topics, and it serves. The Humanitarian Award taking part in the show, seeking potential

more than 900 paper presentations, 560 recognizes living Fellows, International, partnerships.

posters, and 200 instructional courses by and Emeritus members of the American

world-renowned faculty. In addition,other Academy of Orthopaedic Surgeons who Over the last few years, AAOS has

highlights included more than 650 have distinguished themselves through attracted massive interest from

technical exhibits showcased the “latest outstanding musculoskeletal-related international traders in all sectors. The

and greatest” orthopaedic products and humanitarian activities in the United 2016 AAOS Annual Meeting will be held

services. On Specialty Day—Saturday, States or abroad. The Tipton Leadership in Orange County Convention Center,

March 28—more than a dozen specialty Award recognizes living AAOS Fellows Orlando, Florida. Welcome to the next

grand exhibition meeting which must be

your wise choice!

19 |SPRING 2017

MEDINFO Spring 2017

Exhibition Pre & Post Reports

MEDICAL JAPAN 2017

Japan’s Only Comprehensive Medical Show Ended in Great Success!

Reed Exhibitions Japan Ltd. held OSAKA? Top executives of hospitals, medical

MEDICAL JAPAN 2017 ̶ 3rd International device manufacturers, pharmaceutical

Medical Expo & Conference, Japan’s International Pharmaceutical R&D and companies, governmental officials and

only comprehensive medical event, from Manufacturing Expo\/Conference. international organisations celebrated the

February 15 to 17, 2017 at INTEX Osaka, The must-attend event for the Japanese opening of the event with around 1,000

Japan. Consisted of 6 specialised shows & Asian pharmaceutical industry. exhibitors and visitors from all over the

covering the entire medical industry, INTERPHEX OSAKA is a B to B trade world. Jun Arai, Vice Commissioner of

MEDICAL JAPAN attracted 1,067 show specialised in pharmaceutical Region-wide Industry Promotion and Vice

exhibitors from 25 countries\/regions and R&D and manufacturing which will be Governor of Osaka Prefecture, said in the

29,311 professionals worldwide, making held in Osaka, the largest city in western opening speech, “The Kansai area (where

this year’s event the largest-ever gathering Japan. Pharmaceutical and cosmetic MEDICAL JAPAN was held) boasts

since its launch in 2015. MEDICAL JAPAN manufacturing professionals from all over Japan’s largest scale of home to R&D

has successfully become the best gateway Japan are expected to visit the show. laboratories, universities and private

to Japan, the world’s leading medical Exhibit at INTERPHEX OSAKA and companies in the life science field, which

expand your business in the Japanese is called “Kansai Bio Cluster.” We aim to

market. pharmaceutical market! drive it forward to Asia’s economic hub

and gate to the world to draw business

What is Nursing Expo Japan? Japan's Largest Trade Show people, trends and investments from all

Organiser! over Asia. The successive growth of

Nursing Expo Japan is B to B trade show MEDICAL JAPAN is eagerly anticipated to

specialised in all the necessary nursing Reed Exhibitions Japan organises 142 develop the medical industry and the

and nursing care products. trade shows a year at large exhibition halls whole economy in Kansai and Asia.” His

Exhibit products include nursing uniforms, such as Tokyo Big Sight, Makuhari Messe remark received big applause from the

nursing goods, nursing bags for home and Intex Osaka across a wide variety of crowd, proving that the strong

visits, stethoscopes, nursing\/nursing care industries including jewellery, fashion, gift administrative support pushed MEDICAL

furniture, hygiene products, health care items, electronics, energy, IT, cosmetics JAPAN to the most reliable and awaited

equipment such as medical aspirators and medical. show from medical professionals in just 2

and sphygmomanometers, rehabilitation years since its launch.

supplies, welfare vehicles, hearing aids, For foreign companies to succeed in

communication support equipment Japan, it is both important to build good SPRING 2017 | 20

such as emergency reporting systems contacts with importers and to promote

and guidance systems for the disabled. products\/services to end users. Bringing

Visitors are nurses, nursing care workers, importers\/distributors and end-users

rehabilitation physicians, physiotherapists, together, MEDICAL JAPAN enables you to

and occupational therapists. meet all necessary members at the same

Nursing Expo Japan 2016 provides an time.

ideal platform to have fruitful business

meetings and expand your business in MEDICAL JAPAN 2017 Exhibition Outline

Japan. The Grand Opening Ribbon-

cut Ceremony with 43

What is INTERPHEX industry leaders

Mock Operating With IoT (Internet of Things) manufacturing group, HITACHI GROUP

Room -- [Hospital + technology, the embedded sensors LTD., boasted its powerful approach to

Innovation] Expo Japan automatically measure the patient’s the field. In 2018, Regenerative Medicine

condition such as breathing\/cardiac Expo & Conference Japan is expected to

Produced by Japan Association for rate and sleep\/waking state, which have a dramatic increase in the number

Clinical Engineers, Mock Operating successfully free the patients from the of exhibitors from 128 to 180, and to

Room showcased the latest surgical burden of being hooked up to devices. attract pharmaceutical manufacturers,

equipment of Japan’s leading Moreover, a wide range of made-in- researchers and doctors from all over

manufacturers. One of the biggest Japan nursing care products attracted the world.

draw was “Smart Cyber Operating worldwide suppliers with their quality

Theater” presented by DENSO and functionality. In 2018, remote

CORPORATION. The system care and watching care systems are

allows surgeries to be viewed live estimated to increase in demand.

anywhere and even for its process

to be replicated in detail anytime by Regenerative Medicine Successive Growth to

synchronously saving the data of into Practical Use -- Asia’s Leading Medical

the equipment used. Another draw Regenerative Medicine Event During the three trade days,

was “zSpace” by FUJITSU LTD., Expo & Conference Japan

“zSpace” is a cutting-edge VR display about 30,000 medical and healthcare

giving a most clear and realistic 3D In the regenerative medicine industry, professionals worldwide conducted

appearance to share the surgery Japan leads the world in the R&D field, serious business negotiations in every

experience with medical staff with an and yet is behind in industrialization. booth, creating new partnerships and

aim to improve their skills steadily. Responding to the widespread demand strengthening ties with existing

Mock Operating Room has served as to accelerate industrialization, most partners. The total amount of business

MEDICAL JAPAN’s highlight and will key players and organizations in estimated to be generated during 6

gather more exhibitors for 2018. the Kansai area gathered with their months after the show will reach

latest achievements to strengthen the around USD163.6 million (JPY18

New Business for Aging cooperation and indicate the trends. billion), about USD27 million higher

Society -- Medical IT The biggest feature is FORUM FOR from 2016. MEDICAL JAPAN 2018 is

Solutions Expo \/ [Elderly INNOVATIVE REGENERATIVE expected to attract 1,450 exhibitors,

Care + Nursing] Expo Japan MEDICINE, a combined pavilion joined increase of 380 from 2017 and

by top developers of end-products\/ 1.5-times larger in scale than 2017.

As widely known, Japan is on the way services. One of them is JAPAN TISSUE

to the world’s largest aging society – ENGINEERING CO., LTD., which MEDICAL JAPAN’s

according to World Health Statistics manufactured Japan’s first regenerative 5-year Plan Growing to

2014 by WHO, the aged 65 or older will medicine product, “Autologous Cultured Asia’s Leading Medical

account for 44% of the population in 2050. Epidermis.” Even from expanded Event

Medical IT Solutions Expo drew wide industries, manufacturers of products\/

attention to innovative exhibits taking care technologies for the development of SPRING 2017 | 21

of increasing number of elderly patients. regenerative medicine products also hold

One of them is “Smart Bed System” by booths; Japan’s top electronics

PARAMOUNT BED CO., LTD.

SPRING 2017 | 21

MEDINFO Spring 2017

Exhibition Pre & Post Reports

REHACARE says THANK YOU!

Post Show Report: REHACARE 2016

Visitors and exhibitors at REHACARE important reference points for everybody History

2016 unanimously drew the same

conclusion: What a great event! The seeking information and consultancy or · E v e r y s p r i n g t h e E u r o p e a n

exhibition halls were well attended on all wanting to meet other affected people.

four days – 49,300 international industry Veterinary Conference

professionals and people affected visited

Europe’s leading trade fair for rehabilitation Automobile manufacturers and Voorjaarsdagen is organized. In

and care.

In addition, the size of the exhibition area retrofitters English, Voorjaarsdagen, means

broke all records: No other REHACARE,

since it was launched 39 years ago, has Cars and motor homes were the visitor \"Spring Days\". Our conference has

taken up so much space like the one in magnets at REHACARE 2016. After all, become an internationally acclaimed

2016. 916 exhibitors from 36 countries in this segment, mobility for people with a c o n f e r e n c e i n c o m p a n i o n a n i m a l

presented a plethora of innovations: New disability reaches undreamt-of possibilities: medicine and surgery.

aids and solution approaches, which, In exhibition hall 6 you could gather · S i n c e 1 9 6 7 , t h e N e t h e r l a n d s

to a great extent, enable people with a information from 30 specialists about Association for Companion Animal

disability and the elderly to lead a self- customised car modifications -involved Medicine (NACAM) has an annual

determined life.

REHACARE 2016 made its mark again Organised Companion Animal

as the international market of possibilities

and presented a comprehensive range Conference for its members, non-

on offer from “little helpers” for everyday

life right up to complex high-tech mobility members and veterinarians from

equipment and assistance systems. The

event confirmed its high significance as an abroad. With the passage of time, the

information platform for affected people as

well: Special shows, lectures and platforms conference has grown in popularity

for the exchange of information were

and size: the original one-day program

22 |SPRING 2017

has extended to three full days. The

number of lectures has Increased to

were manufacturers such as Audi, Daimler, ten simultaneous sessions. Nowadays

Volkswagen and Fiat. A retrofitted motor more than 1000 veterinarians attend

home presented special features with this conference annually.

which wheelchair users are able to travel Scientific Programme

independently through the world, and Our Scientific Programme is founded

which can now also be rented on a trial on the following pilars:

basis first.

·Cutting edge research presentations

The future is also moving on in the digital by renowned speakers in their field of

sector and more and expertise

more functions can be ·Student Awards and presentations

controlled by app, such for work on their Masters thesis or

as, for example, getting dissertation

the car out of the parking ·Free Communications in the form of

space from the outside, Poster Presentations

should there not be ·Postgraduate training and education

enough room to operate with drylab and wetlab workshops and

the lift. masterclasses

·Field of interest streams for focus

SPRING 2017 | 22

on selected aspects of veterinary MEDINFO Spring 2017

medicine

Exhibition Pre & Post Reports

Socials

Besides the scientific programmes, the

Voorjaarsdagen Experience will offer

entertainment, music and catering at

the industry floor in an attractive way

for the participants.

Career Event EMS World is the leading publication EVENTS

This is the place to be when you are in the EMS market delivering the most

looking for a new job. The career influential audience of EMS professionals. EMS World Expo offers the

event cannot be missed by anyone Our reputation for delivering and opportunity to sponsor quality

orientating or seriously looking for reporting on the most current and

career opportunities. The career event cutting-edge trends sets us apart and education

is coordinated and supported by the provides the best media source for and have your products demonstrated

Veterinary Organisation Vitaux. All promoting your brand to the EMS market.  in live scenarios.

students, veterinarians and veterinary •\t A c t i v e S h o o t e r R e s p o n s e

technicians are invited to come and Workshop

take a look what the opportunities are

to give your career a boost! •\t Active Shooter\/Mass Casualty 

Advertise in the July issue of EMS World. Incident Demo

Voorjaarsdagen Experience

Creating an inspiring scientific •\t SimLab and Patient Care Lab

conference as well as a place

where veterinarians and veterinary THE MCI ISSUE •\t UMC Trauma Tours

technicians can meet and enjoy the

large industry floor, has grown to be a •\t Cover Report: FDNY Medical A s k y o u r i n t e g r a t e d m a r k e t i n g

collective initiative of Voorjaarsdagen

committee and the veterinary industry. Special Operations Conference consultant

A place where you can meet over

1.500 veterinarians and 600 veterinary •\t U.S. Coast Guard Mass Rescue a b o u t t h e s e u n i q u e s p o n s o r s h i p

technicians representing the full

variety of the Dutch vet society. This Operations (MRO) Training Drill seitinutroppo

is the Voorjaarsdagen Experience.

The European Veterinary Conference •\t EMS Response to Hurricane

“Voorjaarsdagen” is a familiar concept

with a newly designed industry floor. Matthew

The Voorjaarsdagen Experience will

offer entertainment and catering at •\t Evacuation Operations: How

the industry floor in an attractive way

for the participants. Enjoy drinks and Technology and Interagency Cooperation

music on thursday and friday at the

exhibition floor. Rescued 200+ Patients

•\t United Hatzalah Trauma and

Crisis Response Unit

•\t Gathering of Eagles Part Two:

Spotlight on Active Shooter Response

Other editorial highlights include:

•\t CE Article: Heat Stroke - Kids in

Cars

•\t The Trip Report: Translating

Research into Practice

•\t High-Performance EMS: Cyber

Security

http:\/\/www.voorjaarsdagen.eu\/

conference-info

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Welcome to the 32nd Annual courses to abstract and video Guide; including an exhibition floor

EAU Congress in London! sessions, among other activities, the plan and an overview of all exhibitors

newest updates and leading opinions with their company outline. Distribut

London is the capital of the United are presented and examined by 1,400 at several points within the congress

Kingdom and a leading global city expert speakers and lecturers. centre. The newsletters will also be

worldwide. Standing on the River available online at this website during

Thames, London has been a major Abstracts and after the congress.

settlement for two millennia. London

is immersed in history, with more More than 1,100 abstracts will be EAU Policy on Live Surgery

than its share of antiquity and historic presented during the poster and

splendour. London’s buildings are video sessions in London. The EAU17 The EAU established an official

eye-catching milestones in the city’s Abstract CD and EAU17 Poster DVD policy on Live Surgery Events,

unique and compelling biography, and will be distributed to all congress offering organising centres a clear

a great many of them – the Tower of delegates in the exhibition area. framework within which to plan and

London, Westminster Abbey, Big Ben perform live surgeries. It outlines

– are familiar landmarks. Access to the Session Rooms a set of guidelines in which the

Architectural grandeur rises up Only congress delegates, with a valid overriding principle is that patient

all around you in the West End, badge, have access to session rooms. safety must take priority over all other

ancient remains dot the City and Seating is regulated on a first-come, considerations in the conduct of live

charming pubs punctuate the banks first-served basis. We recommend surgery. 

of the Thames. In this inspiring and delegates to go to the session

innovative environment the EAU room well in advance. Due to safety Video Library

invites you to attend the 32nd Annual regulations, the organisers will close

Congress. the session room when all seats are The EAU Video Library is located

From 24 to 28 March 2017, London taken. It is not allowed to stand in the in the exhibition. A wide choice of

will host the 32nd Annual EAU aisles of the rooms. EAU videos, including all videos

Congress, the second annual EAU presented in London and at previous

event to be held in this city since 1988 Award Gallery EAU Congresses, can be viewed on

and the third time, after 15 years, individual monitors. All videos can

that we return to the United Kingdom. At the EAU Award Gallery, you will be copied to a DVD which can be

Remarkable growth has marked the find a complete overview of all awards collected during exhibition hours, a

Annual EAU Congress with more that are handed out by the EAU service that is provided free of charge

than 14,000 professional visitors and during this congress. It also features to all congress delegates. On Tuesday,

participants and an in-depth scientific information on past winners of the 28 March DVD’s can be collected in

programme. From live surgeries, state- most prestigious EAU prizes. The EAU the registration area at the “Support

of-the-art lectures, debates, hands- Award Gallery provides a great Desk”.

on training, symposiums, educational opportunity to take in all the important

developments and breakthroughs in Webcasts and Live Streams

recent years.

Many sessions will be webcasted at

Congress Newsletter: European this website. The webcasted sessions

Urology Today Special Edition are indicated with a special logo in

the synopsis and will be online within

Special daily congress newsletters several hours after the session.

will be published on Saturday, Sunday The webcasts have not been edited

and Monday during the congress. and are exactly as presented. The

The newsletters cover on-site news, statements and the opinions featured

session and background information in the webcasts are solely those of

on a variety of subjects. The first the individual presenters and not of

edition also contains the Exhibition

24 | SPRING 2017 SPRING 2017 | 24

MEDINFO Spring 2017

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the EAU. Webcasts are not accredited with specialists and affiliated medical boosting hands-on trainings and

and no CME credits can be obtained professionals gathering for a critical practice-oriented courses.

by watching the webcasts. In addition assessment of clinical practices and In our fourth decade of providing a

to the webcasts there will be live key research developments. comprehensive and effective platform

streams of several sessions available The congress presents the latest in for urological specialists from around

at this website. These sessions are science and education in various the world, we bring you the very best

also indicated in the synopsis with a formats to suit the needs of all of urological science.

special logo. participants, including challenging

The Annual EAU Congress is state-of-the art lectures, fascinating http:\/\/eau17.uroweb.org\/

Europe’s biggest urological event HD video surgery sessions, skill-

REHACARE Congress \"We For the Quarter\"

Under the patronage of Minister ·participation in working life and the trade fair. A diversity of topics such

Barbara Steffens. role of integration offices as care, aids, mobility, travel, sports,

·housing adaptations and housing for career opportunities and much more

Meeting point of quarter coma patients as well as will be on offer for those affected and

development initiatives. ·topics on mobiloty and sports. their relatives, researchers, exhibitors

The first nationwide information and and experts from all across the world.

exchange platform that puts the focus Most half-hour lectures and panel Products and special forums will

of the event to the interdisciplinary discussions are i.a. organized provide new ideas and insights.

experience of housing industry, local by associations, professional

authorities, social service providers associations, integration offices of http:\/\/www.rehacare.com\/

and organized citizenship. \"We for regional associations and self-help

the quarter\" is thematically beyond groups.

individual issues such as accessible

construction, alternative forms of Enter the world of REHACARE.

housing, improvements in care, etc.. Exchange know-how, experience

Planning, design, construction and and participate: REHACARE offers a

implementation of comprehensive variety of events accompanying the

measures for sustainable

neighbourhood development requires

the collaboration of many players - a

major challenge in the quarter, that

aspires exchange and networking

among themselves and with the

others.

REHACARE Forum

The REHACARE Forum offers daily

changing focal topics on

·issues of daily life of those affected

·aids reform and federal participation

law 

SPRING 2017 | 25 SPRING 2017 | 25

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ECCO2017: EUROPEAN CANCER CONGRESS

Amsterdam, The Netherlands 27-30 January 2017

From Evidence to Practice in patients. Sessions will also discuss its essential insights into the scientific

Multidisciplinary Cancer Care the challenge of rising costs of new programme. During the congress, its

treatments and how to deal with it. members will play a key role in reviewing

ECCO2017 is the European Cancer · Learn how to manage challenging innovations from the most important

Congress where you will discover cases  perspective – that of the patients they aim

which new treatments are of value to ECCO2017 will be a truly to help.

your patients and applicable to your multidisciplinary congress in which ECCO is an open forum for its members.

daily practice.  challenging cases—be they of The first day of ECCO2017 will feature

Established in 1981, the ECCO a clinical, ethical, economic or societies’ meetings for their members and

Congress is the only truly regulatory nature—will be discussed. the oncology community: the European

multidisciplinary meeting addressing These discussions will reflect real Oncology Nursing Society (EONS), the

all tumour types. ECCO congresses challenges faced on a daily basis. European Organisation for Research

are unique, clinically oriented, · Update your knowledge and Treatment of Cancer (EORTC), the

multidisciplinary meetings with direct The very latest scientific information European School of Oncology (ESO), the

impact on clinical practice. The theme from a multidisciplinary perspective will European Society of Surgical Oncology

for the 19th edition is ‘From evidence be given prime attention at ECCO2017. (ESSO), the European SocieTy for

to practice in multidisciplinary cancer The congress will undoubtedly update Therapeutic Radiology and Oncology

care’. and expand your knowledge to help (ESTRO), and the European Society for

At ECCO2017, you will: you improve the way you carry out daily Paediatric Oncology (SIOPE).

· Discover which clinical trial results practice and care for you patients. Reaching a global audience, ECCO2017

will truly change practice - and how ECCO2017 will shed light on ECCO policy has an extensive media programme for

they might be made affordable initiatives, centred around the oncology scientific media worldwide. Submitting your

With a focus on new data from phase workforce and quality cancer care, making practice changing data for presentation at

III and real-world studies, ECCO2017 sure cancer is at the top of the EU public ECCO2017 will ensure its global visibility.

will provide a platform for critical health agenda. ECCO2017 will change the paradigm of

evaluation and debate among a In addition to designing dedicated oncology, be part of this change!

multidisciplinary audience. This will advocacy sessions, the ECCO Patient

help you decide what will genuinely Advisory Committee has contributed http:\/\/www.eccocongress.org\/

impact the treatment and care of your

SPRING 2017 | 26

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Elisabeth Sjögren Andreas Dietz Ricardo Simo Christoph Arens Barbara Wollenberg

Organizing Committee: Prof. Dr. W. Golusiński (Poznań) Venue:

Prof. Dr. V. Gregoire (Brussels) ENT-Clinic, Department of oral

Prof. Dr. C. Arens (Magdeburg) Prof. Prof. Dr. M. Gugatschka (Graz) health and head medicine, University

Dr. A. Dietz (Leipzig) Prof. Dr. M. Hess (Hamburg) Leipzig, Germany

Prof. Dr. R. Simo (London) Prof. Dr. JP Klussmann (Giessen) Liebigstrasse 10-14

Dr. E. Sjögren (Leiden) Prof. Dr. R. Knecht (Hamburg) 04103 Leipzig

Prof. Dr. C. Sittel (Stuttgart) Prof. Dr. M. Kraft (Basel) Tel.: 00493419721700

Prof. Dr. B. Wollenberg (Lübeck) Prof. Dr. P. Lukes (Prag)

Prof. Dr. M. Misiolek (Zabrze)

Faculty: Prof. Dr. G. Peretti (Genua)

Prof. Dr. C. Piazza (Brescia)

Prof. Dr. C. S. Betz (München) Prof. Dr. M. Remarcle (Luxembourg)

Prof. Dr. M. Birchall ( London) Prof. Dr. Bernal-Sprekelsen

Prof. Dr. FG. Dikkers (Groningen) (Barcelona)

Prof. Dr. H.E. Eckel (Klagenfurt) Dr. V. Volgger (München)

Prof. Dr. G. Friedrich (Graz) Prof. Dr. S. Wiegand (Leipzig)

Prof. Dr. M. Fuchs (Leipzig)

27 |SPRING 2017

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IHnotteCrnoantfieornenacleMs arket &Trends

Remote Electric Stimulation May Ease

Migraine Pain

A device that provides remote The stimulation is not meant to be The primary outcomes were percentage

electrical stimulation via a discreet painful. Dr Yarnitsky likened the of responders (those reporting a pain

armband and smartphone application sensation to sleeping on an arm and decrease of at least 50%) 2 hours after

safely reduces pain in patients with waking up with tingling fingers. treatment and relative pain reduction on

migraine, results of a new trial the NPS at 2 hours after treatment as a

suggests. The theory is that the tingle, or percentage of pretreatment pain.

stimulation on the skin at an intensity

The findings suggest that eventually, lower than pain threshold, activates The analysis included 71 patients, with

\"it may not be necessary to take pain inhibition centers in the brain. 949 treatments of 356 attacks.

drugs to abort a migraine attack,\" lead This is through the \"conditioned pain

author David Yarnitsky, MD, Rambam modulation\" effect, where remote The researchers found that the response

H e a l t h c a r e C a m p u s a n d Te c h n i o n noxious stimuli can exert a generalized rate was 46% for the strongest stimulus

Faculty of Medicine, Haifa, Israel, analgesic effect, say the authors. (200 microseconds) compared with

told Medscape Medical News. 26% for sham. For the next strongest

Patients were instructed to mount the stimulus (150 microseconds), the

\"There may be healthier and simpler device on their upper arm and activate it response rate was 48%.

ways to do it that involve fewer side for 20 minutes as soon as possible after

effects,\" said Dr Yarnitsky, adding the onset of a migraine attack. Upon While some patients had better response

that migraine medications often leave activation, a program was automatically with 150 microseconds and others with

patients low on energy. picked in random order. 200 microseconds, the study \"showed

generally that the thinnest [pulse width]

The blinded, randomized, crossover, Although patients and study personnel was less good and the thickest was

sham-controlled trial was published were blinded to the order of treatments, better,\" said Dr Yarnitsky.

online March 1 in Neurology. as Dr Yarnitsky explained, a fully blinded

design would be impossible because When taking all active stimulation

The device used in the study (Nerivio patients can feel the stimulations. protocols together (ie, considering best

Migra, Theranica Ltd) consists of two response per individual), 64% of patients

rubber adhesive electrodes mounted Using their smartphone, participants had more than 50% pain reduction in

on an armband with a power source could adjust the stimulation intensity to more than half of their treated attacks.

controlled by a custom-made application a level where it was perceivable but not This is higher than the 26% response

accessible on a smartphone. painful. They could use the device for up rate for placebo activation (P= .005).

to 20 migraine attacks.

Researchers programmed five 20-minute Relative pain reduction for the active

stimulation protocols into each unit: When using the device, participants stimuli ranged from 16% to 26%, while

four active programs at frequencies of were asked to refrain from using for the placebo stimulation, the reduction

80 to 120 Hz, with pulse widths of 200, medications for 2 hours. was only 2%.

150, 100, and 50 microseconds, and

one placebo stimulation protocol (0.1- Study patients reported pain levels For patients with moderate or severe

Hz frequency with 45-microsecond-long using the numeric pain scale (NPS) via pain at baseline, the reduction to mild

pulses). the smartphone application at onset or no pain at 2 hours was 58% for the

and at 10, 20, and 120 minutes after strongest stimulation and 24% for the

Tingling Feeling stimulation onset. sham.

28 | SPRING 2017 SPRING 2017 | 28

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The study found that pain reduction was Dr Yarnitsky hopes that this wireless device — activation of descending

highest when the device was activated device will eventually replace drugs, at inhibitory pathways — \"does not make a

within the first 20 minutes of an attack least for some patients. But before that lot of sense to me,\" said Dr Loder.

onset (mean pain relief of 46.8% can happen, researchers need to learn

compared with 24.9% when applied 20 much more about how the device works \"It is also implausible that a treatment

to 180 minutes later;P= .02). in individual patients, including, for that is comparable to triptans has no

example, pregnant women. side effects.\" 

There was no complete pain relief

with treatments started an hour after \"This is only one study and so we need Further, information needed to evaluate

migraine onset. Placebo stimulation had more experience before we can make the quality of the study seems to be

no effect on time of pain reduction. declarations about the end of the era of missing, she said. \"I don't see a sample

medications for migraine.\" size calculation or an a priori declaration

This makes sense in that, as the of what would be a clinically meaningful

authors noted, it's common wisdom Discussions are under way with the US difference in pain levels. It would be

among patients with migraine that a low Food and Drug Administration (FDA) for helpful to see results presented as the

dose of medication taken immediately odds ratios for achieving the primary

upon attack onset is more effective outcome — on which a sample size

than a higher dose taken during a fully calculation was based — with a 95%

developed attack. confidence interval.\"

The new results, write the authors, The baseline level of pain at the time of

\"show a clear advantage of the treatment seems \"rather low,\" making

stimulation protocols over the sham it unclear how clinically meaningful the

one.\" results are, said Dr Loder.

Patients were asked to rate their the protocol of an upcoming pivotal trial, \"It appears that individual participants

perceptions of the active treatment. said Dr Yarnitsky. This study could start could contribute data for multiple

About 11% rated it as painful, 28% in about a month, with results available headache attacks, but unless I missed

as unpleasant, 58% as pleasant, and within a year. it, I cannot tell if any account was made

4% as very pleasant. For the placebo for the fact that results for individuals

treatment, the respective rates were 1%, Serious Issues? will be correlated and not independent.\"

13%, 61%, and 25%.

Asked to comment on the findings, A diagram showing the flow of patients

The device has several advantages over Elizabeth Loder, MD, chief, Division through the study, especially dropout

other forms of stimulation in patients of Headache and Pain, Department times, and the order in which various

with migraine, such as occipital nerve of Neurology, Brigham and Women's interventions were received, would be

stimulation, vagal nerve stimulation, and Hospital, Boston, Massachusetts, helpful to understand the study, said Dr

transcranial nerve stimulation, said Dr said the study had some advantages, Loder.

Yarnitsky. including being prospectively

registered in an approved trial registry She also raised the issue of blinding.

For one thing, it is remote and so doesn't (ClinicalTrials.gov). The findings \"strongly suggest that

require implantation of electrodes. It's participants in both groups were aware

also discreet and convenient, said Dr Other positive aspects of the trial of whether they were receiving active or

Yarnitsky. \"If you're in the middle of were that the authors tried to test the sham treatment,\" she said. \"In my view,

your working day and feel the start of treatment rigorously and included a this is a serious threat to the validity of

a migraine, you can just put this under sham protocol, said Dr Loder. the study results.\"

your blouse or sleeve and activate it

with your phone; nobody is going to However, she pointed to several issues Dr Loder said it's \"surprising and

know that you have it.\" with this trial. The hypothesis presented disappointing\" that the authors didn't test

to explain the potential benefit of the

SPRING 2017 | 29 SPRING 2017 | 29

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HInotteCrnoantfieornenacleMs arket &Trends

the blind by asking participants to guess asked to report adverse events to the the Zecuity (Teva) patch (for which

whether they received active or sham investigators, so it does not appear that the FDA last year issued a safety

treatment. \"The researchers mention adverse events were rigorously sought. announcement).

this in the discussion but do not interpret This is another important problem. It is

the results as cautiously as they should not wise to assume that a device that The adverse events with the Zecuity

in view of this major problem.\" works through electrical stimulation is patch were not picked up in clinical

necessarily safe.\" trials and did not become apparent until

And although the authors asserted that after the device was marketed, noted Dr

the treatment is safe, \"I did not see a She pointed to recent reports of Loder.

table of adverse events,\" said Dr Loder. skin burns and scars with another

electrically based migraine treatment, http:\/\/www.medscape.com

\"We are only told that participants were

New Latex-Free Options For Tourniquets

and Similar Devices

Cast-film products such as tourniquets grade TPEs including but not limited associated with natural rubber latex, van

and straps, therapy bands and sheeting, to stryrenic block copolymer (SBC) Royen said. Also, “NR latex has higher

and dental dams now have new latex- compounds, thermoplastic vulcanizates extractables\/leachables from cure

f r e e o p t i o n s . Te k n o r A p e x C o . h a s (TPVs), and specialty blends, said Ross system,” he added.

expanded its latex-free Medalist van Royen, senior market manager for

thermoplastic elastomer family to regulated products for Teknor Apex. The Finally, Medalist compounds feature low

include new compounds for such film new materials for films were launched in odor and lower specific gravity when

applications. The medical-grade TPEs November 2016. compared with natural rubber latex.

The latest compounds in the Medalist TPE Van Royen told Qmed that there Te k n o r A p e x f o r m u l a t e d t h e n e w

family can be used for tourniquets and other is “a trend away from thermoset materials to duplicate the performance

cast-film products. materials towards thermoplastics, for of latex rubber, and their nature may

offer the same elasticity, durability, and cost reduction. Latex is one of many also offer new design possibilities.

“feel” of latex without concerns regarding thermoset materials used in the medical “Medalist TPEs could lead to previously

allergic reactions, odor, or residual industry.” The Medalist TPEs offer unexplored design possibilities,” van

curing agent, according to Teknor Apex, lower per-pound cost, elimination of the Royen said. “Unlike thermoset rubber

which will be highlighting the materials curing step, and the inherently greater latex, Medalist TPEs can be molded

at MD&M West 2017 in Booth #2438. processing efficiency of thermoplastics, or extruded into films, and they are

The Medalist line itself was introduced according to the company. Scrap bondable to polyolefins and TPE

in 2009, and it includes medical- reduction is possible, as is lower part materials. Medalist TPE film grades can

weight and conversion cost and easier be clear, can perform well at extreme

processing, adds van Royen. Savings low temperatures, can be heat sealed,

can also be seen when Medalist TPEs etc.” They are also recyclable, he added.

are compared with other thermoset

rubbers such as nitrile or neoprene. And “designers should know that they

are not limited to the grades in our

In addition, using Medalist TPEs standard portfolio; custom formulations

eliminate the protein allergy issue can be developed,” he said.

30 | SPRING 2017 SPRING 2017 | 30

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As is the case with any material change set up a TPE extrusion process than latex.

in a medical device, the device would one for rubber, companies may find

have to be re-qualified, van Royen it attractive to bring the manufacture · Produced in an ISO 13485 certified

said. “New conventional thermoplastic of film products in-house rather than facilities in both the U.S. and Singapore.

processing equipment would be needed, outsourcing it.”

but it has a lower manufacturing · Recipe\/formulation control and raw

footprint,” he said. The entire Medalist line offers the material traceability.

following characteristics:

The process change itself could The new Medalist compounds duplicate

offer benefits. “Rubber extrusion is · FDA food grade compliant the elastic behavior of latex (see stress-

complicated, in terms of both equipment ingredients. strain graph) while providing similar

and production methods,” van Royen resilience and durability (see table of

explained in a news statement. “Because · Biocompatible recipes, ISO 10993-5 properties). They also exhibit similar

it is a lot easier and less expensive to and REACH SVHC compliant. haptics (tactile qualities) and draping

behavior—important in clinical settings.

· Free of DEHP, phthalates, BPA, and

http:\/\/www.qmed.com

Spinal Cord Stimulation May Reduce Opioid Use

Opioid use by chronic pain patients SCS system removed, according to the The researchers did not know which

either dropped or stabilized after they study, which Sharan plans to submit for manufacturers’ SCS systems were

received a spinal cord stimulation publication. implanted in the patients whose data

device, according to a new study. they studied, and do not have funding

“What we noticed is that people had lined up for a further study, according

The results prompted the researchers a massive escalation in their narcotic to Sharan. The initial study was funded

to suggest that physicians consider usage a year before the implant,” said by St. Jude Medical, which was recently

spinal cord stimulation (SCS) sooner Sharan, a neurosurgery professor acquired by Abbott. FDA approved

for patients whose pain worsens over at Thomas Jefferson University in St. Jude’s BurstDR SCS system last

time rather than prescribing more Philadelphia and president of the North October, the latest in a series of SCS

painkillers, said principal researcher American Neuromodulation Society. approvals.

Ashwini Sharan, M.D., in an interview. Sharan presented the results at the Abbott went to great lengths to

The small, battery-powered transmitters group’s annual meeting this week. “In persuade physicians to prescribe the

deliver signals through electrical the group that continued with the SCS, opioid painkiller OxyContin in the early

leads implanted along the spinal cord the narcotic dose was decreased again years of its availability, according to

tointerfere with pain messages traveling to the level it was before it escalated.

from nerves to the brain. St. Jude Medical's Prodigy Spinal Cord

“There's not a lot of good population Stimulation System is used to treat chronic pain.

The study included insurance data data, basically, that says what is the

from 5476 patients who had SCS relationship between these narcotics

and compared the numbers of their and these implants. That’s really the

opioid prescriptions before and after punchline of this,” he added. “We have

implantation. One year after implant, a working document and protocol and

93% of patients who continued spinal are sponsoring a prospective study of

cord stimulation (SCS) therapy had using the device as a narcotic reduction

lower average daily morphine-equivalent strategy because believe it or not, that

doses than patients who had had their has not been studied.”

SPRING 2017 | 31 SPRING 2017 | 31

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IHnotteCrnoantfieornenacleMs arket &Trends

a report by STAT News. The news dosage, then you have to wean them off $13,000 for older models, the ECRI data

organization obtained records from that. It’s a lot of lost time.” show.

a case brought by the state of West

Virginia against Abbott and OxyContin A year’s prescription of morphine Hospitals are opting for the newer

developer Purdue Pharma LP, alleging typically costs $5,000, and the cost of models, ECRI reported, although

that they inappropriately marketed the side effects adding to the total, Sharan updates like Bluetooth connectivity do

drug. Purdue paid $10 million in 2004 to noted. Spinal cord stimulators cost an nothing to improve pain relief, according

settle the case. Neither company, which average of $16,957 in January 2015, up to Sharan. The society president said

had agreed to co-promote OxyContin, 8% from the previous year, according to he implants about 300 devices a year,

admitted wrongdoing. the Modern Healthcare\/ECRI Institute including SCS, and tries to make “a big

Technology Price Index. Newer, more distinction, when I speak to physicians,

“SCS is the last resort,” Sharan complex models manufactured by on features versus function. People get

continued. “If you wait a year for Boston Scientific and Medtronic cost really lost in the shiny new tools.”

someone to almost double their narcotic an average of $19,000, up from about

http:\/\/www.qmed.com

How Philips is Using Augmented Reality toImprove

the Accuracy of Spinal Surgery

Royal Philips is working on an vertebrae than the lower, lumbar augmented reality have been gaining

augmented-reality surgical navigation spine, making thoracic fusion surgery attention since the release of Google

technology designed to help surgeons more challenging and dangerous to Glass in 2013. (Philips Healthcare

perform image-guided open and surrounding tissue and nerves. was an early proponent of that ill-fated

minimally-invasive spine surgery. technology, which was withdrawn in

The technology has implications A preclinical study of the new January 2015.) Using the low-cost VR

for thoracic spine fusion surgery in technology involving the placement system Google Cardboard, a London

adults, pediatric spine surgery, and of pedicle screws in the thoracic surgeon and and co-founder of a

for cranial and trauma surgeries, spines of cadavers demonstrated virtual and augmented reality company

according to a company statement. an 85% accuracy rate, versus 64% livestreameda procedure in which

Located in the mid- to upper back, the accuracy for freehand placement. he removed a tumor from a patient’s

thoracic spine is made up of smaller Philips, Karolinska University Hospital colon in April 2016.

(Stockholm, Sweden) and the

A preclinical study showed that Philips's Cincinnati Children’s Hospital Medical Philips would need regulatory

augmented reality technology helped Center collaborated on the study, clearance to add its latest technology

increase the accuracy of pedicle screw published in the journal Spine. to its existing low-dose X-ray

placement in the thoracic spines of cadavers systems for clinical trials scheduled

versus freehand placement. Such improved accuracy implies at Karolinska, Cincinnati Children’s

lower complication rates, according and about eight other sites globally,

to according to Ronald Tabaksblat, Ta b a k s b l a t s a i d i n a n i n t e r v i e w. I f

business leader of image-guided fully approved by FDA and the EU,

therapy systems at the Amsterdam- Philips could deploy it to thousand of

based company. hospitals around the world, he noted.

Surgical applications for virtual and The technology uses high-resolution

32 | SPRING 2017 SPRING 2017 | 32

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International MHarokt eCto&nfTerreenncdes

optical cameras mounted on a flat The technology could prove especially designing image guidance systems.

panel X-ray detector to image the helpful in cranial surgery, because You need to tailor them to the specific

surface of the patient. By combining the pressure released by opening the procedure.”

the external camera view and the cranium allows the brain to change

internal 3D view of the patient shape. That movement can make Ta b a k s b l a t d e c l i n e d t o d i s c u s s a

acquired by the X-ray system, presurgical images from MRI and CT timeline for a system to assist in

the technology constructs a 3D scans less valuable to neurosurgeons, brain surgery, but said fine-tuning the

augmented-reality view of the external and make real-time imaging more system for trauma surgeries would

and internal anatomy. This real- valuable, according to Tabaksblat. follow.

time, 3D view of the patient’s spine

is designed to improve procedure “There are significant challenges in “We will really have to narrow it down

planning, surgical tool navigation, that area, and we feel our technology to specific scenarios, but our customer

and implant accuracy, and to reduce can really make a difference there as are indicating that trauma is very

procedure time. well,” he said. “We are starting with interesting to look at,” he said.

spine. We have a lot of experience in

http:\/\/www.qmed.com

Medtronic Adds First U.S. Cath, EP Labs to

Management Portfolio

Medtronic will manage catheterization Medical Center. The agreement hospital system comply with the CMS

and electrophysiology laboratories signals the expansion of Medtronic's proposal to streamline high-volume,

for a Cleveland hospital, expanding a managed services offering to U.S. expensive episodes of care. In July,

three-year-old foreign initiative to the health systems from Europe and Latin the Obama administration released a

United States. America. proposal to bundle Medicare payments

to hospitals for heart attacks, coronary

Medtronic manages clinical support Medtronic will send five to 10 artery bypass graft procedures,

operations in cath labs and operating employees to University Hospitals, but and surgical treatments for broken

rooms in more than 100 medical they will not make clinical decisions, hips and femurs, excluding joint

facilities outside the U.S. CEO according to Medtronic spokeswoman replacements.

Omar Ishrak announced in 2013 the Katie White. Cath lab and EP lab

company’s intention to branch out from clinical support operations—lab CMS has said it wants include 98

being a pure-play device company to management, scheduling, materials randomly selected hospitals in a

one that helps emerging markets build management, room turnover, and five-year pilot for this portion of its

their healthcare infrastructure to better process optimization—help ensure bundled payment program beginning

manage diseases while optimizing that cardiologists can identify and in July 2017. Last month,Medtronic

hospital efficiency. diagnose their patients’ cardiovascular announced the launch of its

conditions. The company declined to Orthopedic Solutions Business, a

The company said in a joint reveal the length of its contract or the Total Knee Arthroplasty System, and

statement that it aims to improve financial arrangements but said there a Medtronic Orthopedic Solutions

workflow and operational efficiency will be more such agreements in this package meant to help health

for catheterization (cath) and country. providers succeed under the new

electrophysiology (EP) laboratories bundled payment models being rolled

at the University Hospitals Cleveland Bringing Medtronic in could help the

SPRING 2017 | 33 SPRING 2017 | 33

MEDINFO Spring 2017

HInotteCrnoantfieorennacleMs arket &Trends

out by both public and private health and system efficiency through the focused and fully understanding

insurers. unique combination of operational and leading the shift to healthcare

insights, data, medical technology, systems that reward value and patient

The new arrangement will allow and services,\" added Mike Genau, outcomes over volume,” Ishrak said

University Hospitals’ clinical staff to president of the Americas region for during the call. “And we continue to

focus on patient care, according to Medtronic. develop partnerships and insights into

system COO Jeffrey Peters, MD. how we can utilize our expertise to

The company’s managed service play a role in this evolution.”

\"Our collaboration with Medtronic agreements brought in more than

gives us a unique opportunity to learn $2.1 billion revenue over an average Expanding into service offerings is an

from their international best practices span of six years as of August 2016, growing trend in medtech and will be

in inventory management and according to an August earnings call the topic of a discussion in a February

scheduling optimization,\" Peters said transcribed by Seeking Alpha. 7 conference session led by Medi

in the statement. Vantage president Maria Shepherd at

“While we're still early in the journey MD&M West.

\"Our goal in collaborating with to value-based healthcare, we remain

UH is to enhance patient care http:\/\/www.qmed.com

Participation in Clinical Trials Improves

Women's Health Outcomes

MAASTRICHT, NETHERLANDS — A 20 in the Lancet. might not be necessary in patients

randomized trial raises doubts about with an eGFR [estimated glomerular

guideline recommendations to give \"The mechanism by which iodinated filtration rate] higher than 29 mL\/

certain patients with chronic kidney contrast material may induce contrast- min\/1.73 m²,\" the researchers report.

disease intravenous saline hydration to induced nephropathy is unclear,

prevent contrast-induced nephropathy as is the mechanism by which Moreover, \"the substantial healthcare

when they have procedures such as prophylactic hydration may protect costs, patient burden, and logistical

computed tomography and coronary renal function,\" Dr Estelle C Nijssen complications of this prophylaxis

interventions that use iodinated (Maastricht University Medical Centre, might henceforth be avoided while

contrast material. the Netherlands) told heartwire  from maintaining patient safety,\" they

Medscape. Although international suggest.

Specifically, in this single-center, guidelines recommend the

randomized noninferiority trial, high- prophylactic strategy, this is based However, in an accompanying

risk patients who did not receive on expert consensus opinion, and editorial, Dr Peter A McCullough

prophylactic hydration had a similar until now, the option of not giving (Baylor University Medical Center,

low incidence of contrast-induced prophylaxis had not been compared Dallas, TX) and colleagues raised

nephropathy as patients who received with standard prophylactic hydration in questions about the statistical

this standard-of-care preventive a prospective, randomized trial. margins for noninferiority in the trial,

therapy—and they incurred lower to which Nijssen replied in an email

healthcare costs (largely because of The A Maastricht Contrast-Induced to heartwire.

a shorter hospital stay) and avoided Nephropathy Guideline (AMACING)

hydration-related complications. The trial showed that \"assuming optimum Forgoing prophylaxis is \"somewhat

results were published online February contrast media administration, provocative,\" she agrees, but she

prophylactic intravenous hydration also questions \"whether it is ethical

34 | SPRING 2017 SPRING 2017 | 34

MEDINFO Spring 2017

International MHarokt eCto&nfTerreenncdes

to continue giving a treatment that is 4% developed symptomatic heart Nijssen explained. They deemed

unproven, carries risks,\" and is costly. failure, 0.3% developed hyponatremia, that a maximum difference of 2.1%

and 1.2% developed arrhythmia, but in contrast-induced nephropathy

Prospective, Randomized, Phase 3 none of the other patients developed between the two groups, in favor of

Noninferiority Trial. these complications. the hydrated group was acceptable,

because serum creatinine elevation

The AMACING trial hypothesized About half of patients who received usually resolves within 2 weeks with

that withholding prophylaxis would prophylactic hydration (54%) required no lasting effects, and it has not been

be noninferior to the standard-of- an overnight hospital stay of 1 to shown that prophylaxis reduces the

care administration of normal saline more than 2 nights, whereas only risk of long-term effects.

in patients at high risk of contrast- 23% of patients who did not receive

induced nephropathy. the preventive treatment were The editorialists also feel that it is too

hospitalized. soon for a noninferiority trial, because

Researchers randomized 660 adults there is no widely accepted, proven

with an eGFR of 30 to 59 mL\/min\/1.73 None of the patients died or needed prophylactic hydration strategy. \"In

m² who visited their center from June dialysis within 35 days of contrast our view this field is not ready for

2014 to July 2016 for an elective exposure. noninferiority trials until we have a

procedure that required the use of reference standard intervention that is

iodated contrast material, such as All procedures used minimum volume agreed upon as proven, and thus can

a CT scan, coronary angiography, pre-warmed, low-osmolar, monomer, be positioned as the control group and

PCI, or percutaneous transluminal nonionic contrast material, which be compared with novel treatment or

angioplasty. might explain why the rate of contrast- strategy,\" they write.

induced nephropathy in the study was

Patients were a mean age of 72 years at the low end of the rate reported in \"Attention should be shifted to large

and 62% were men. In addition to the scientific literature (0 to >50%), collaborative efforts that are patient-

having moderately reduced kidney the researchers speculate. centered, rely on methods of precision

function, other risk factors for acute medicine, and use the approved

kidney injury were cardiovascular \"The results suggest that methods that allow us to better

disease (75% of patients), prescribed standardized, safe, and effective ascertain the outcome,\" McCullough

NSAIDs (49%), prescribed diuretics use of iodinated contrast material is and colleagues conclude.

(46%), age >75 years (44%), diabetes possible across procedure types, even

(32%), and anemia (25%).  in high-risk patients,\" Nijssen and However, in the meantime, the

colleagues report. recommended prophylactic procedure

Researchers measured serum is costly and puts laArge number

creatinine immediately before and Withholding Prophylaxis \"Might be of patients at risk of complications,

2 to 6 days and 26 to 35 days after Considered\" Nijssen countered.

exposure to the contrast agent.

Patients in each group had an average In the AMACING trial, McCullough and High-risk patients need to be

baseline serum creatinine of 119 μmol\/L. colleagues questioned the assumption admitted to hospital for 8 to 24 hours

\"that the contrast-induced acute for the periprocedural prophylactic

Contrast-induced nephropathy-defined kidney injury rate in the normal saline treatment, and the number of patients

as an increase in serum creatinine group would be 2.4% and the rate in with possible complications from

from a baseline of more than 25% the no saline prophylaxis group could prophylactic hydration is \"substantial\"

or 44 μmol\/L within 2 to 6 days of be as high as 4.5% with a relative risk given that an estimated 6 to 12 million

exposure to contrast agent-occurred or hazard ratio of less than 1.88 to patients with chronic kidney disease

in 2.7% of patients who received meet noninferiority.\" undergo procedures with intravascular

prophylactic hydration vs 2.6% of iodinated contrast administration every

patients who did not. The assumption of a 2.4% incidence year worldwide.

of contrast-induced nephropathy with

In patients who received standard-of- usual prophylaxis is based on the

care intravascular volume expansion, rate reported in a recent Dutch study,

SPRING 2017 | 35 SPRING 2017 | 35

MEDINFO Spring 2017

IHnotteCrnoantfieornenacleMs arket &Trends

Thus, \"based on these findings and for high-risk patients with eGFR patient safety,\" Nijssen and colleagues

assuming optimal contrast media higher than 29 mL\/min\/1.73 m² might conclude.

administration, withholding prophylaxis be considered without compromising

http:\/\/www.medscape.com

Bionic Eye Receives Approval For Trials in UK

The National Health Service (NHS) in improving lately as medtech agencies attempted to restore sight to patients

the UK announced last week funding look to implantable devices to help without much success. This new study

for a new trial that will enable 10 bridge the gap for patients who face aims to make the bionic eye implant

patients who suffer from retinitis partial or complete blindness. French the only real treatment option that can

pigmentosa (RP) to undergo surgery medtech firm Pixium announced the restore a level of vision to patients

to implant a new bionic eye device first successful implantation of its who are completely blind.

known as the Argus II Bionic Eye bionic vision system last November—a

Implant. The National Eye Institute project also aimed at treating patients The NHS estimates that nearly 16,000

estimates that one in 4000 people suffering from retinitis pigmentosa. people suffer from RP in the UK, with

suffer from RP around the world, and The trial proved to be a success as varying degrees of vision deterioration.

the new device could be the first of its the implant enabled a 73-year-old About 10 percent can no longer see

kind to restore sight to patients who patient to perceive light for the first the fingers on their own hand, and the

have been left completely blind. time. NHS estimates that between 160 and

320 patients could be eligible for this

The implant works in tandem with As for this new trial for the Argus II, bionic eye operation. Researchers

a small camera mounted on a pair the NHS has selected five patients also noted that the technology could

of glasses that can be comfortably from Manchester Royal Eye Hospital be used to treat other conditions such

worn by the patient. The camera and five patients from Moorfields Eye as age-related macular degeneration

works to capture images and convert Hospital in London to receive the — the most common cause of

them into wireless signals that can implant. Following the surgeries, each blindness or severe vision loss.

be sent to the retina via electrodes. patient will be closely monitored for

These electrodes work to stimulate a year to observe the impact of the The cost for the bionic eye implant

the remaining retinal cells in the device, and measure how much the treatment is just £150,000 and

patient’s eye, which can then transmit bionic eye has improved the quality of includes the surgical procedure,

information to the brain to help restore life for the patients. follow-up observations, equipment,

some level of sight to the patient. and rehabilitation. Once the study

Bionic eye technologies have been Each patient selected for the trial is completed at the end of 2017,

suffers from complete blindness, the device will be evaluated on its

and can only sense the difference performance, and will enable the NHS

between daylight and darkness. The to consider implanting the device in

new system has been designed to a larger group of patients, as well

help the brain decode flashes of as consider the technology for the

light so that patients can begin to treatment of other conditions that

detect movement. Currently, there result in retinal degeneration.

are no alternative treatment options

f o r p a t i e n t s s u f f e r i n g f r o m R P, a s  

gene and stem cell treatments have

http:\/\/www.qmed.com

36 | SPRING 2017 SPRING 2017 | 36

MEDINFO Autumn 2017

Medical Supplies

SPRING 2017 | 37

SPRING 2017 | 37

MEDINFO Spring 2017

Medical Supplies

Oxygen Concentrator Medical Electric Drill-BL1101

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FLQB-II Hob Type Wound Dressing Production Machine

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