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Hocoma Launches Erigo Pro with Integrated Functional Electrical Stimulation (FES) for U.S. Market

Mon, 07/28/2014 - 10:29am
The Associated Press

NORWELL, Mass.--(BUSINESS WIRE)--Jul 28, 2014--Prolonged bed rest due to stroke, traumatic brain injury or spinal cord injury can cause adverse effects such as cardiovascular, respiratory and musculoskeletal deconditioning. It also increases the risk of medical complications such as deep venous thrombosis or infections. Scientific evidence suggests that mobilization and verticalization of neurological patients at an early stage is crucial to counteract these negative effects 1,2.

Patient with therapists during the therapy with the ErigoPro. Picture courtesy of the CHUV, Lausanne, Switzerland (Photo: Business Wire) Benefits of Integrating New technologies into Clinical Routine Prior to the introduction of robotic tilt tables such as the Erigo, mobilization of patients with neurologic lesions was a labor intensive and physically exhausting task. Manual mobilization only has a limited impact on the cardiovascular system and does not support stabilization into an upright position. Even conventional tilt table training has its limitations due to its static element, limited training duration and an increased risk for syncopes and secondary brain damage through circulatory instability. With the integration of robotic tilt tables such as the Erigo, mobilization of patients could be further improved and the physical strain on therapists was highly reduced.

Together with FES, the new ErigoPro now offers additional benefits and therapy options in clinical routine. In combining mobilization with robotic leg movement and cyclic leg loading, ErigoPro increases tolerance to an upright or standing position in patients with circulatory, neurological, or musculoskeletal conditions by enabling the central nervous system to be stimulated and activated.

Erigo FES 3 Electrical stimulation is an established method for targeted muscle activation. By adhering electrodes to the skin, nerve endings are stimulated with electricity causing the contraction and activation of muscles that cannot be controlled actively due to a neurological dysfunction. Together with cyclic movement training, Erigo FES efficiently supports the increase of blood flow in the patient’s lower extremities, which helps to maintain the stroke volume and blood pressure, therefore further improving the orthostatic tolerance during verticalization (fig.1 and figure 2). 4 It has also been shown that therapy with the Erigo FES improves the cerebral blood flow and muscle strength in lower extremities. 5 This can specifically support recovery of leg muscle function.

Positive Effects on Therapy Outcome and Cost The activation of the central nervous system with ErigoPro therapy is not only intended to have a positive effect on the patient’s tolerance to an upright or standing position but to reduce spasticity in neurological patients as well. Furthermore, ErigoPro can be used to prevent or retard disuse atrophy and to maintain or even increase the range of motion of leg joints. Clinicians such as Karin Diserens, MD, Head of Acute Neurorehabilitation at the Department of Clinical Neuroscience at the CHUV (Centre Hospitalier Universitaire Vaudois) in Lausanne, Switzerland, highly values the benefits of the new ErigoPro: “We note a direct link between the intensity of the sensorimotor stimulation with the ErigoPro during therapy and the recovery process of our neurological patients.” Easy Integration into Clinical Routine Besides therapy enhancement, the latest version of the ErigoPro also offers high usability and comfort thanks to advanced features such as a flexible patient harness and an intuitive user interface allowing full therapy control. The new compact and flexible product design makes the device easily transportable and supports the close interaction between the patient and the therapist. The new upholstery, specifically tailored to intensive care needs, as well as the side rails to which additional hospital equipment can be safely attached, further increase the usability of the device in acute care.

The Erigo FES is fully synchronized with the robotic leg movements. Up to eight FES channels can be operated easily by the therapist on the touchscreen of the Erigo and adjusted according to the patient’s motor abilities.

Media images: References 1 Schweickert WD, Pohlman MC, Pohlman AS et al. (2009) Early physical and occupational therapy in mechanically ventilated, critically ill patients: a randomised controlled trial. The Lancet 373 (9678):1874-1882 2 Cumming TB, Thrift AG, Collier JM et al. (2011) Very early mobilization after stroke fast-tracks return to walking: further results from the phase II AVERT randomized controlled trial. Stroke 42(1):153-158 3 “Erigo FES” describes the module for Functional Electrical Stimulation integrated in the ErigoPro 4 Yoshida T, Masani K, Sayenko D, Miyatani M, Fisher J, Popovic M (2013). Cardiovascular Response of Individuals with Spinal Cord Injury to Dynamic Functional Electrical Stimulation Under Orthostatic Stress. IEEE Trans Neural Syst Rehabil Eng 21(1):37-45. 5 Kuznetsov AN, Rybalko NV, Daminov VD, Luft AR (2013). Early post stroke rehabilitation using a robotic tilt-table stepper and functional electrical stimulation. Stroke Res Treat. 2013;2013:946056 Product Disclaimer All Hocoma products are medical devices and must be used in strict adherence to the User Manual; failure to do so may result in serious personal injury. It is strongly recommended that you regularly consult Hocoma’s website ( www.hocoma.com/legalnotes ) for the latest available information. Please contact Hocoma in case of any questions.

Use only under the supervision of qualified medical personnel. However, certain Hocoma products are marketed for home use and must be strictly used according to the recommendations of your medical care provider who is knowledgeable about your specific needs. Consult the User Manual and Hocoma’s website ( www.hocoma.com/legalnotes ) for appropriate product designation. Failure to obtain and follow the recommendations of your medical care provider may result in serious personal injury.

This information provides details about medical products which may not be available in all countries and may not have received approval or market clearance by all governmental regulatory bodies throughout the world. Nothing herein should be construed as a solicitation or promotion of any product or of an indication of any specific use for any product which is not authorized by the laws and regulations of the country where the reader of this information resides.

CONTACT: Hocoma AG Sarah Lina Hamann, +41 43 444 23 65 Media Relations Manager Fax: +41 43 444 22 01 media@hocoma.com www.hocoma.com KEYWORD: UNITED STATES NORTH AMERICA MASSACHUSETTS INDUSTRY KEYWORD: SURGERY HEALTH BIOTECHNOLOGY HOSPITALS MEDICAL DEVICES PHARMACEUTICAL GENERAL HEALTH PHYSICAL THERAPY SOURCE: Hocoma Copyright Business Wire 2014 PUB: 07/28/2014 10:00 AM/DISC: 07/28/2014 10:00 AM http://www.businesswire.com/news/home/20140728005605/

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