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Cardiac Arrhythmia Monitoring Devices Market Demand, Overview, Size, Trend - Becton, Dickinson and Company, Boston Scientific Corporation, Endomed Systems
The global cardiac arrhythmia monitoring devices market was valued at USD 6.4 billion in 2021 and it is anticipated to grow up to USD 10.3 billion by 2031, at a CAGR of 5.5% during the forecast period.
Cardiac arrhythmia monitoring devices are mainly used for monitoring patients with high risk of arrhythmic conditions. These devices help healthcare professionals in monitoring irregular heartbeat for better diagnosis and treatment of CVD patients to reduce associated mortalities.
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Market Trends and Drivers
Development of technologically advanced monitoring devices including wireless monitors that offers benefit of early detection is expected to augment the industry growth. The use of cardiac rhythm monitoring (CRM) devices has significantly surged in the recent years due to rising life expectancy and constant advancements that have extended their abilities and scope.
Recent developments in CRM devices are positively impacting the rate of product approval in developed markets that will further strengthen the industry growth potential. For instance, Medtronic has received approval for its exclusive device named CareLink SmartSync Device Manager that assists healthcare professionals to program and handle data from its BlueSync-equipped implanted CRM device. Thus, aforementioned industry developments are anticipated to impel the market expansion.
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Cardiac Arrhythmia Monitoring Devices Market Segmentation
By Product
Holter Monitor
Event Recorder
Mobile Cardiac Telemetry
Implantable Cardiac Monitor
Electrocardiogram (ECG) Monitor
Others
By Application
Tachycardia
Bradycardia
Premature Contraction
Others
By End-user
Hospitals and Clinics
Diagnostic Centers
Ambulatory Surgical Centers
Homecare Settings
Others
Major Players in the Global Cardiac Arrhythmia Monitoring Devices Market
The key players in the cardiac arrhythmia monitoring devices market are Applied Cardiac Systems, AliveCor, Biotronik, Biotricity, GE Healthcare, iRhythm Technologies, Koninklijke Philips N.V., Medtronic plc., Nihon Kohden Corporation, and St. Jude Medical, among others.
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#1yrago Insecure medical implant company Medtronic finally plugs one of its worst vulnerabilities
Medtronic (previously) is a notoriously insecure medical implant manufacturer whose devices have been repeatedly shown to be grossly insecure -- their pacemakers can be hacked before leaving the factory!
To make things worse, the company is notably hostile to independent security research and repair.
The latest twist in the saga: Medtronic has been the subject of an FDA security alert, which has prompted the company to finally disable its insecure software updating system (which let hackers push malicious updates to the hardware "wands" used to update pacemakers) for some models (after denying that this was a problem!).
These wands will now have to be updated by USB.
https://boingboing.net/2018/10/16/carelink-2090-2091.html
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Problem with minimed carelink usb device driver
#PROBLEM WITH MINIMED CARELINK USB DEVICE DRIVER INSTALL#
#PROBLEM WITH MINIMED CARELINK USB DEVICE DRIVER DRIVERS#
#PROBLEM WITH MINIMED CARELINK USB DEVICE DRIVER SOFTWARE#
#PROBLEM WITH MINIMED CARELINK USB DEVICE DRIVER CODE#
(He somehow configured something and magically, I have a Firefox browser that is…workable.) If I didn’t have an amazing husband who is a web developer and happened to be home and was willing to sacrifice a pocket protector to the Geek God, I would have been not been able to upload my data. And wait, they don’t have a version for Mac. (Not Firefox 5.)Īnd by the way, if I wanted to download Internet Explorer right now, it’s IE 10 - or 11. I’ll fire up the Firefox browser I have… Version 21. My Safari was “too up-to-date”, so I couldn’t access CareLink through that browser. I got this screen when I went to Medtronic’s CareLink link on their website: So, the other evening, when I needed to upload data so that my trainer and I could look at it together while talking on the phone to adjust settings, I thought it would be easy. I know that CareLink works on a Mac, because I’ve uploaded my pump data before on this laptop.
#PROBLEM WITH MINIMED CARELINK USB DEVICE DRIVER SOFTWARE#
(According to Dexcom, I’m already a complete loser, as their CGM software won’t even run on a Mac unless you use a PC emulator program.) I have two browsers downloaded on my system: Safari (which comes standard on most Macs) and Firefox (which is easily downloaded and what I use occasionally for some banking transactions that demand Firefox). Other browsers might still work although Medtronic Diabetes is not able to guarantee proper operation of those browsers. The system is currently validated to work with Microsoft® Internet Explorer® version 7, 8 and 9, Internet Explorer 10 Desktop, Apple® Safari® 4, 5 and 6, and Mozilla® Firefox® 5.0.1. Which web browsers can be used to access CareLink Personal software? Thanks in advance for your kind assistance and help.On the FAQ pages of Carelink. I have installed TeamViewer and am quite happy for you to log in remotely and have a look at the problem. Please find attached herewith, a number of computer screenshots, as well as the CP210x driver, which I hope you may find useful in ascertaining the exact problem and providing a solution.
#PROBLEM WITH MINIMED CARELINK USB DEVICE DRIVER INSTALL#
Please note that I have, over the past six months, attempted to install the CP210x driver on various laptops and desktops, on Windows 10 as well as Windows 8.1, and always experience the same problem (driver installation failure). So, the problem appears to be essentially one of Windows not accepting or loading the driver, when this is done and the com port created, the rest should (hopefully), be relatively straight forward. I have been grappling with for the past six months. I have also tried to uninstall the silicon lab software/program and cannot be located in features and programs so that l could delete the above files manually. I am using an HP 280 G2 Minitower business PC running Windows 10.
#PROBLEM WITH MINIMED CARELINK USB DEVICE DRIVER DRIVERS#
I have further tried to uninstall the Silicon Lab drivers and delete these OEM files with silabenm.sys and the associated files and fails to delete as they are in use. I have noted that the system registry does actually recognize both files as active drivers for the silabvcp.inf. What is interesting is that the installation has created two OEM.inf files (OEM28.inf and OEM40.inf) and both seem to be in use. I have also reset the VID and PID as recommended in some forums. When l click on device manager the com virtual port allocated for the USB to UART bridge has a yellow exclamation mark.
#PROBLEM WITH MINIMED CARELINK USB DEVICE DRIVER CODE#
I am using the recommended CP210x drivers version 6.7.0.0 for the VP and give an error message Code 10. I have installed recommended Silicon Labs CP210x driver, downloaded from the official Silicon Laboratories website. I am experiencing problems with the installation of a Virtual Port (VP) to connect my USB to UART. I intend to use the USB cable for rig control using the Ham Radio Delux software, as well as digital modes, which all require a functional USB connection to a computer. Am currently running Windows 10 Operating System on an HP Desktop computer. I have an ICOM 7300 Amateur Radio Transceiver which has a USB port, for computer connection.
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SMART HOSPITALS MARKET ANALYSIS
Smart Hospitals Market, by Component (Hardware, Systems and Software, and Services), by Technology (Cloud Computing, Artificial Intelligence, Wearable Technologies, Radio Frequencies Identification, and Others), by Application (Remote Medicine Management, Medical Connected Imaging, Medical Assistance, Electronic Health Record & Clinical Workflow, and Outpatient Vigilance), by Connectivity (Wired, and Wireless), and by Region (North America, Latin America, Europe, Asia Pacific, Middle East, and Africa) - Size, Share, Outlook, and Opportunity Analysis, 2020 - 2027
The combination of technological advancements in medical devices (wired or wireless) for patient’s safety and efficacy within hospitals or connected through software to clinical information systems, becomes smart hospitals. Internet of Things (IoT) plays a significant role in building the smart hospitals through devices, system components and networks. Smart hospitals is transforming the healthcare industry as electronic devices are collecting information of patients’ vital signs and transferring it too physicians and patients itself to track the records. Major players are continuously building an innovative technologies for the betterment of the market.
The global smart hospitals market is estimated to be valued at US$ 29.6 billion in 2020 and is expected to exhibit a CAGR of 19.6% during the forecast period (2020-2027).
Figure 1. Global Smart Hospitals Market Share (%) in Terms of Value, By Region, 2020
Increasing product launches by market players is expected to propel the market growth during the forecast period
Market players are focusing on launching advanced software to facilitate outpatient vigilance which is expected to drive growth of the global smart hospitals market during the forecast period. For instance, in January 2019, Medtronic plc. launched MyCareLink Heart, a mobile app to support Medtronic’s BlueSync technology-enabled pacemakers. MyCareLink Heart is developed to wirelessly send and receive data from the Medtronic CareLink network and eliminate the need for a dedicated bedside monitor or other remote monitoring hardware.
Adoption of inorganic strategies is expected to drive the market growth during the forecast period
Collaborations and partnerships by key players are expected to boost the market growth during the forecast period. For instance, in January 2020, KT Corporation, a South Korea based telecommunications company, and Samsung Medical Center (SMC) have developed an innovative, 5G-powered medical service to establish 5G smart hospital. KT Corporation and Samsung Medical Center signed a memorandum of understanding in September 2019.
Figure 2. Global Smart Hospitals Market Share (%) in Terms of Value, By Component, 2020
Global Smart Hospitals Market – Impact of Coronavirus (COVID-19) Pandemic
The coronavirus disease (COVID-19) outbreak was first reported on December 31, 2019, in Wuhan, China. The World Health Organization declared COVID-19 as pandemic on March 11, 2020.
According to the Coronavirus Disease (COVID-19) Weekly Epidemiological Update by the World Health Organization, over 30.6 million cases and 950,000 deaths due to coronavirus disease (COVID-19) were reported on September 20, 2020 across the globe.
In order to deal with the COVID-19 pandemic, market players are launching various Medicare management services and patient engagement technologies to provide best healthcare services and limit the spread of coronavirus. For instance, on April 2, 2020, MD Revolution, Inc. announced the launch of RevUp Now, a full care management platform developed to help medical practices maintain financial viability and connection with patients during this national shutdown. The RevUp Now platform includes chronic care management, remote patient monitoring, annual wellness visits, COVID-19 screening, and other features.
Global Smart Hospitals Market: Restraints
However, lack of awareness related to smart healthcare products is expected to hinder the growth of the global smart hospitals market during the forecast period.
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Key Players
Major players operating in the global smart hospitals market are Medtronic Plc, Koninklijke Philips N.V., GE Healthcare, Capsule Technologies, Inc., Stanley Healthcare, Siemens AG, athenahealth, Inc., Allscripts Healthcare Solutions, Inc., Cerner Corporation, McKesson Corporation, SAP SE, Samsung Group, and Honeywell International Inc.
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Cardiac Rhythm Management Devices Market Opportunity, Status and Forecast Report 2020-2027
October 06, 2020: The global cardiac rhythm management devices market size is anticipated to reach USD 34.1 billion by 2027, as per a new report by Radiant Insights, Inc., registering a CAGR of 6.8% over the forecast period. The market has shown constant growth in the adoption of cardiac rhythm management (CRM) devices owing to increasing prevalence of cardiovascular disorders. Cardiovascular Diseases (CVDs) are one of the main causes of mortality in the U.S.; one-fourth of all deaths in the country are the result of CVDs. Stroke and ischemic heart disease account for more than 80% of all cardiac deaths worldwide. According to CDC in 2017, CVDs were responsible for about 800,000 lives lost in the U.S. Reimbursement policies, such as those introduced by the U.S. Medicare system, are among the major factors boosting the CRM market. Medical device companies now provide new product platforms that are covered under reimbursement programs, which benefit cardiac patients. Reimbursement can be availed for devices such as biventricular pacemakers, single chamber, and dual chamber. Request a Free Sample Copy of this Report @ https://www.radiantinsights.com/research/cardiac-rhythm-management-devices-market/request-sample Revolutionary technological progresses are rapidly transforming the CRM devices market, offering lucrative growth potentials. Increase in R&D expenditure and new product launches by leading firms have further fueled market growth. For instance, Biotronik’s Rivacor and Acticor, both high voltage CRM devices for cardiac arrhythmia treatment, gained FDA approval in March 2019. In May that year, Medtronic launched the CareLink SmartSync Device Manager. Some of the major players in the market for cardiac rhythm management solutions are Physio-Control, Inc. (Stryker); Medtronic; St. Jude Medical; and Boston Scientific Corporation, which account for a significant share in the market owing to their extensive product offerings. Industry players are striving to gain market penetration and adopting strategies such as new product launch and M&As. In March 2019, Zoll acquired Golden Hour Data Systems to optimize its operations with a complete suite of business solutions. Further key findings from the study suggest: • By product, defibrillators for cardiac rhythm management held the dominant share due to their high acceptance in countries such as U.S., China, and India • Implantable cardioverter defibrillators formed the largest sub-segment by product in 2019 owing to better patient outcome • Among external defibrillators for cardiac rhythm management, the manual variants generated the highest revenue owing to associated benefits such as converting arrhythmia or tachycardia to a normal heartbeat • Physio-Control, Inc. (Stryker); Medtronic; St. Jude Medical; and Boston Scientific Corporation are some of the major participants in CRM devices market due to their extensive product offerings and strong regional presence. Download Full Research Report @ https://www.radiantinsights.com/research/cardiac-rhythm-management-devices-market
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DOWNLOAD MEDTRONIC CARELINK USB DRIVER
Date Added: 21 November, 2019 Operating Systems: Windows NT/2000/XP/2003/2003/7/8/10 MacOS 10/X File Name: medtronic carelink usb driver File Size: 23 Mb File Version: 417121297 Price: Free Download Type: http Uploader: Haven Downloads: 8394 File Format: exe
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Diabetes Supplies: Essential Tools for Effective Diabetes Management
Managing diabetes requires a comprehensive approach that includes lifestyle changes, medication, and access to reliable diabetes supplies. For individuals living with diabetes, staying well-equipped with the necessary supplies can significantly improve blood sugar control and overall health. In this article, we will delve into essential diabetes supplies, with a particular focus on the insulin pump, and how these tools play a critical role in managing diabetes effectively.
Understanding Diabetes Supplies
Diabetes supplies encompass a wide range of tools and devices that help people monitor and manage their condition. These supplies are necessary to control blood glucose levels, which is crucial for preventing complications like neuropathy, heart disease, and kidney damage. Some of the most commonly used diabetes supplies include:
Glucose Meters: These are portable devices that allow people to check their blood sugar levels regularly.
Test Strips: Used with glucose meters to measure the amount of glucose in a blood sample.
Lancets: Small needles used to prick the skin for blood samples.
Continuous Glucose Monitors (CGMs): Devices that track blood sugar levels in real-time throughout the day and night.
Insulin: A hormone that helps regulate blood sugar, administered through injections or pumps.
Insulin Pumps: Advanced devices for delivering insulin in a more controlled manner.
Syringes and Pen Needles: Used to administer insulin for those not using insulin pumps.
The Role of the Insulin Pump in Diabetes Management
One of the most revolutionary diabetes supplies available today is the insulin pump. This small, wearable device delivers insulin continuously throughout the day and can be programmed to deliver different doses depending on the user’s needs. Many individuals with type 1 diabetes, and some with type 2, find insulin pumps to be a more convenient and precise alternative to multiple daily injections.
The insulin pump mimics the way the pancreas delivers insulin in a non-diabetic body, making it a more natural option for insulin delivery. It provides small amounts of insulin continuously (called the basal rate) and can deliver additional doses (boluses) to cover meals or high blood sugar levels. Some of the key advantages of using an insulin pump include:
Improved Blood Sugar Control: By delivering insulin continuously, insulin pumps help to maintain more stable glucose levels, reducing the risk of highs and lows.
Flexibility: With an insulin pump, users can more easily adjust their insulin delivery to accommodate meals, exercise, and other daily activities.
Convenience: Insulin pumps eliminate the need for multiple daily injections, offering a more discreet and convenient way to manage diabetes.
Continuous Glucose Monitoring (CGM) and Insulin Pumps: A Powerful Combination
For optimal diabetes management, many individuals pair their insulin pump with a continuous glucose monitor (CGM). CGMs track glucose levels in real-time, offering valuable insights into how food, exercise, and insulin affect blood sugar. Some insulin pumps can even integrate with CGMs, automatically adjusting insulin delivery based on real-time glucose readings. This combination provides a powerful tool for keeping blood glucose levels within a healthy range and reducing the risk of diabetes-related complications.
Where to Buy Diabetes Supplies
Access to high-quality diabetes supplies is essential for managing the condition effectively. Pharmacies, medical supply stores, and online retailers offer a wide range of diabetes management tools, including insulin pumps, CGMs, and glucose meters. It’s important to consult with a healthcare provider before purchasing diabetes supplies to ensure you choose the right devices for your individual needs.
Conclusion
Having the right diabetes supplies, including an insulin pump, can make a significant difference in diabetes management. These tools empower individuals to take control of their health, improve blood sugar control, and live a fuller, healthier life. If you or a loved one is living with diabetes, consider exploring the full range of diabetes supplies available to find the best solutions for your lifestyle and health needs. By staying equipped with the necessary tools and supplies, managing diabetes becomes less overwhelming, and individuals can focus on leading a balanced and fulfilling life.
#Dexcom#Dexcom CGM Supply#Libre CGM#Medtronic CareLink System#Insulin Pump#Omnipod#Omnipod Insulin System
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Cardiac Monitoring Devices Market show significant growth To 2026 Envision by Global Top Players
A cardiac pacing lead is a small catheter with two electrodes. It is placed in the right ventricle of the heart through the vein in the groin or neck. Leads emit electrical stimulus to heart for producing depolarization of cardiac cells. There are two components in leads such as conductive leads and electrode wire. According to the World Health Organization (WHO), in 2016, 17.5 Mn people died globally due to cardiovascular diseases. Cardiac arrests, ventricle function failure, and slow depolarization rate of ventricle are the main causes of cardiovascular diseases.
Global Cardiac Pacing Leads Market – Drivers and Restraints
The increasing rate of cardiovascular diseases is the primary factor for driving the global cardiac pacing lead market. According to American Heart Association, in 2016, nearly half i.e. 48%, 121.5 million of the adults in the U.S. have cardiovascular diseases. Changing lifestyle of people, increased consumption of fats and sugar, unhealthy work practices and on desk work culture are the factors driving the market globally.
Furthermore, rising number of geriatric population and their chances of cardiac related diseases is the factor driving the market globally. Approvals for the devices associated with the programming of the pacing systems from the regulatory bodies help to drive the market growth. For instance, on May 2, 2019, Medtronic plc received the U.S. FDA approval for careLink SmartSynk device manager, which is used for programming pacing system for cardiac.
The company are developing and launching novel devices to meet the demands of physicians and patients. Moreover, on April 29, 2019, Biotronik launched its Plexa ProMRIs DX lead with DF4/IS-1 connector in Europe. Furthermore, the U.S. Biotronik offers DF4 based DX systems for tachycardia therapy with new lead and recently launched leads Acticor ID and CRT- D devices.
The lack of skilled professionals and less awareness about cardiac disease in public are the factors restraining the market globally.
Global Cardiac Pacing Leads Market - Regional Insights
North America holds dominant position in the global cardiac pacing leads market, owing to the adoption of new technologies advancement. According to the United Nations, the number of people aged 60 years or above is expected to more than double by 2050 and to more than triple by 2100, increasing from 962 million globally in 2017 to 2.1 billion in 2050.
North America is expected to gain significant rise in the global cardiac pacing leads market over the forecast period, owing to increasing lifestyle-related disorders, technological advancements, and increased investment on healthcare infrastructure. The key players operating in the cardiac pacing leads market are focused on innovating efficient cardiac lead devices, and further launching them in emerging markets to meet the demand of consumers of various types of cardiac pacing leads. For instance, on April 9, 2019, Oscor, Inc. announced strategic alliance with Micro Interventional Devices Inc. to strengthen the capabilities to develop and commercialize new heart disease device.
Furthermore, Europe is the second largest growing market in global cardiac pacing leads market, owing to high incidence of cardiac disease.
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Global Cardiac Pacing Lead Market - Competitive Landscape
Some of the key players operating in the global cardiac pacing leads market include Medtronic, Oscor Inc., B Braun Melsungen AG, Biotronik, Sorin Group, Vitatron, Biosensors, Estech, Greatbatch Medical, Edwards Lifesciences, BioTrace Medical, and Teleflex Incorporated.
Cardiac Pacing Leads Market - Market Taxonomy
On the basis of product type, the global cardiac pacing leads market is segmented into:
Unipolar
Bipolar
Others
On the basis of technology, the global cardiac pacing leads market is segmented into:
Transcutaneous Pacing
Trans Venous Pacing
Epicardial Pacing
On the basis of end user, the global cardiac pacing leads market is segmented into:
Catheterization Labs
Orthopedic Clinic
Hospitals
Ambulatory Surgery Centers
On the basis of region, the global cardiac pacing leads market is segmented into:
North America
Latin America
Europe
Asia Pacific
Middle East
Africa
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Insecure medical implant company Medtronic finally plugs one of its worst vulnerabilities
Medtronic (previously) is a notoriously insecure medical implant manufacturer whose devices have been repeatedly shown to be grossly insecure -- their pacemakers can be hacked before leaving the factory!
To make things worse, the company is notably hostile to independent security research and repair.
The latest twist in the saga: Medtronic has been the subject of an FDA security alert, which has prompted the company to finally disable its insecure software updating system (which let hackers push malicious updates to the hardware "wands" used to update pacemakers) for some models (after denying that this was a problem!).
These wands will now have to be updated by USB.
https://boingboing.net/2018/10/16/carelink-2090-2091.html
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Medtronic’s device management platform that allows doctors to download and program data from cardiac implants that were appropriate using an iPad, has been given a green signal by the FDA. The MedTech giant’s mobile CareLink SmartSync system includes a base station and telemetry mind, as well as a connector and pacing system analyzer, which all […] The post FDA Approves Medtronic CareLink – iPad-Based Pacemaker Programmer appeared first on BioTecNika .
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Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019
I've been a Type 1 diabetic for over 25 years. Diabetes sucks. They actually give you an award for staying alive for years on insulin. Diabetics don't usually die of old age, they die of heart disease or stroke, kidney failure, and while they're at it they may go blind, get nerve damage, amputation, and a bunch of other stuff. It used to be a death sentence but when insulin was introduced as a treatment in 1921, there was a chance for something new.
The idea is if you keep your blood sugars close to normal - if you can simulate your non-working pancreas - you'll get hit by an ice cream truck! At least, that's how I hope I go. :)
Early on it was boiling big gauge steel needles and pork insulin to dose, and peeing on a stick to get a sense of sugar levels.
Then it was a dozen finger pricks a day and a half dozens manual shots with a syringe.
Then it was inserted continuous glucose meters and insulin pumps that - while not automatic - mean less invasive treatment and greater control.
Today, we are closing the loop. What's the loop? It's this:
Consider my glucose levels, what I'm about to eat, and what I'm about to to (and dozens of other environmental factors)
Dose myself with insulin
GOTO 1. Every few hours, or every few minutes, depending on the situation.
I do that. Manually. Every diabetic does, and the mental pressure - the intense background psychic weight of it all - is overwhelming. We want to lower the cognitive load of diabetes. This is a disease where you may not live as long if you're not good at math. Literally. That's unfair.
The community is "looping" by allowing an algorithm to make some of those decisions for me.
I've personally been looping with an open source artificial pancreas for over two years. It's night and day from where I started with finger sticks and a half dozen needle sticks a day. It's not perfect, it's not automatic, but Open Source Pancreas are "Tesla autopilot for diabetes." It doesn't always park the car right or stop at every stop light, but it works very hard to keep me in-between the lines and going straight ahead and now that I have it, I can't imagine living without it.
I sleep through the night while my Loop makes tiny adjustments every five minutes to keep my sugars as flat as possible. I don't know about you but my pancreas sits on my nightstand.
It's happening and it can't be stopped
Seven years ago I wrote about The Sad State of Diabetes Technology in 2012. Three years ago The Promising State of Diabetes Technology in 2016 and last year The Extremely Promising State of Diabetes Technology in 2018. There's a great comment from the first blog post in 2012 where Howard Loop shared his frustration with the state of things. Unlike most commenters on the Internet, amazingly Howard took action and started the Tidepool Organization! Everything in his comment from 7 years ago is happening.
It's 2019 and things are really looking up. The open source DIY diabetes community is thriving. There are SEVERAL open pancreas systems to choose from and there's constant innovation happening with OpenAPS and Loop/LoopKit.
OpenAPS runs on devices like Raspberry Pi Zeros and is a self-contained pancreas with the communications and brain/algorithm all on the main device.
Loop runs on an iPhone and uses a "RileyLink" devices that bridges the RF (Radio Frequency) insulin pump communications with modern Bluetooth.
The first bad part is I am running a 15 year old out of warranty cracked insulin pump I bought on Craigslist. Most new pumps are locked down, and my old pump is the last version that supported remote control. However, the Loop open source project announced support for a second pump this week, the OmniPod Eros. This is the first time an "in warranty" pump has been supported and it also proves the larger point made by the diabetes community. We Are Not Waiting. We want open choice and open data and open choices that put us in control.
Read about the history of Loop by original developer Nate Racklyeft. As he points out, a thing like Loop or OpenAPS is the result of a thousand little steps and innovation by countless community members who are so generous with their time.
The first system to run it was a Raspberry Pi; the code was a series of plugins, written with the help of Chris Hannemann, to the openaps toolkit developed by Ben West in collaboration with Dana Lewis and Scott Leibrand. I’m still in awe of the elegant premise in Ben’s design: a system of repeatable, recordable, and extendable transform commands, all backed by Git. The central plugin of the toolkit is decocare: Ben’s 5-year magnum opus, a reverse-engineered protocol of the Minimed Carelink USB radio to command insulin pumps.
There's an amazing write up by Pete Schwamb, one of the core members of the community who works on Loop full time now, on how Software Defined Radios have allowed the community to "sniff" the communication protocols of insulin pumps in the RF spectrum and reverse engineer the communications for the Medtronic and now Omnipod Eros Insulin Pumps. It's a fascinating read that really illustrates how you just need the right people and a good cause and you can do anything.
You can watch my video presentation "Solving Diabetes with an Open Source Artificial Pancreas" where I offer an overview of the problem, a number solutions offered over the year, and two open source pancreas options in the form of LoopKit and OpenAPS.
The community members and organizations like Tidepool and the Nightscout Foundation are working with the FDA to take projects and concepts like an open source pancreas system from a threat based on years of frustration to a bright future based on mutual collaboration!
In March, 2018, the FDA announced a de novo iCGM (integrated CGM) designation. A de novo designation is the FDA process for creating new device classifications, in this case moving qualifying CGMs from Class-III, the highest FDA risk classification, to Class-II with Special Controls. The first CGM to get this designation is the Dexcom G6.
What does this mean? It means the FDA is willing to classify continuous glucose meters in a formal way that paves a path towards interoperable devices. Today we hack devices to build these Loops with out-of-warranty pumps. We are doing this utterly on our own. It can take months to collect the equipment needed, get ancient pumps on the gray market, compile the software yourself - which is a huge hurdle for the non-technical.
Imagine a future where someone could buy a supported and in-warranty "iPump," download an officially supported app or package, and start looping! We could have world of open and interoperable devices and swappable algorithms.
In October of 2018 the non-profit Tidepool organization announced its intent to deliver the Loop app as a supported and FDA-regulated mobile app in the Apple App Store! This is happening, people but we are just getting started.
To learn more, start reading.
Loop - https://loopkit.github.io/loopdocs/
OpenAPS - https://openaps.org/
Tidepool - https://www.tidepool.org/
Also, if you're diabetic, consider buying a Nightscout Xbox Avatar accessory so you can see yourself represented while you game!
Sponsor: Suffering from a lack of clarity around software bugs? Give your customers the experience they deserve and expect with error monitoring from Raygun.com. Installs in minutes, try it today!
© 2018 Scott Hanselman. All rights reserved.
Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019 published first on https://deskbysnafu.tumblr.com/
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Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019
I've been a Type 1 diabetic for over 25 years. Diabetes sucks. They actually give you an award for staying alive for years on insulin. Diabetics don't usually die of old age, they die of heart disease or stroke, kidney failure, and while they're at it they may go blind, get nerve damage, amputation, and a bunch of other stuff. It used to be a death sentence but when insulin was introduced as a treatment in 1921, there was a chance for something new.
The idea is if you keep your blood sugars close to normal - if you can simulate your non-working pancreas - you'll get hit by an ice cream truck! At least, that's how I hope I go. :)
Early on it was boiling big gauge steel needles and pork insulin to dose, and peeing on a stick to get a sense of sugar levels.
Then it was a dozen finger pricks a day and a half dozens manual shots with a syringe.
Then it was inserted continuous glucose meters and insulin pumps that - while not automatic - mean less invasive treatment and greater control.
Today, we are closing the loop. What's the loop? It's this:
Consider my glucose levels, what I'm about to eat, and what I'm about to to (and dozens of other environmental factors)
Dose myself with insulin
GOTO 1. Every few hours, or every few minutes, depending on the situation.
I do that. Manually. Every diabetic does, and the mental pressure - the intense background psychic weight of it all - is overwhelming. We want to lower the cognitive load of diabetes. This is a disease where you may not live as long if you're not good at math. Literally. That's unfair.
The community is "looping" by allowing an algorithm to make some of those decisions for me.
I've personally been looping with an open source artificial pancreas for over two years. It's night and day from where I started with finger sticks and a half dozen needle sticks a day. It's not perfect, it's not automatic, but Open Source Pancreas are "Tesla autopilot for diabetes." It doesn't always park the car right or stop at every stop light, but it works very hard to keep me in-between the lines and going straight ahead and now that I have it, I can't imagine living without it.
I sleep through the night while my Loop makes tiny adjustments every five minutes to keep my sugars as flat as possible. I don't know about you but my pancreas sits on my nightstand.
It's happening and it can't be stopped
Seven years ago I wrote about The Sad State of Diabetes Technology in 2012. Three years ago The Promising State of Diabetes Technology in 2016 and last year The Extremely Promising State of Diabetes Technology in 2018. There's a great comment from the first blog post in 2012 where Howard Loop shared his frustration with the state of things. Unlike most commenters on the Internet, amazingly Howard took action and started the Tidepool Organization! Everything in his comment from 7 years ago is happening.
It's 2019 and things are really looking up. The open source DIY diabetes community is thriving. There are SEVERAL open pancreas systems to choose from and there's constant innovation happening with OpenAPS and Loop/LoopKit.
OpenAPS runs on devices like Raspberry Pi Zeros and is a self-contained pancreas with the communications and brain/algorithm all on the main device.
Loop runs on an iPhone and uses a "RileyLink" devices that bridges the RF (Radio Frequency) insulin pump communications with modern Bluetooth.
The first bad part is I am running a 15 year old out of warranty cracked insulin pump I bought on Craigslist. Most new pumps are locked down, and my old pump is the last version that supported remote control. However, the Loop open source project announced support for a second pump this week, the OmniPod Eros. This is the first time an "in warranty" pump has been supported and it also proves the larger point made by the diabetes community. We Are Not Waiting. We want open choice and open data and open choices that put us in control.
Read about the history of Loop by original developer Nate Racklyeft. As he points out, a thing like Loop or OpenAPS is the result of a thousand little steps and innovation by countless community members who are so generous with their time.
The first system to run it was a Raspberry Pi; the code was a series of plugins, written with the help of Chris Hannemann, to the openaps toolkit developed by Ben West in collaboration with Dana Lewis and Scott Leibrand. I’m still in awe of the elegant premise in Ben’s design: a system of repeatable, recordable, and extendable transform commands, all backed by Git. The central plugin of the toolkit is decocare: Ben’s 5-year magnum opus, a reverse-engineered protocol of the Minimed Carelink USB radio to command insulin pumps.
There's an amazing write up by Pete Schwamb, one of the core members of the community who works on Loop full time now, on how Software Defined Radios have allowed the community to "sniff" the communication protocols of insulin pumps in the RF spectrum and reverse engineer the communications for the Medtronic and now Omnipod Eros Insulin Pumps. It's a fascinating read that really illustrates how you just need the right people and a good cause and you can do anything.
You can watch my video presentation "Solving Diabetes with an Open Source Artificial Pancreas" where I offer an overview of the problem, a number solutions offered over the year, and two open source pancreas options in the form of LoopKit and OpenAPS.
The community members and organizations like Tidepool and the Nightscout Foundation are working with the FDA to take projects and concepts like an open source pancreas system from a threat based on years of frustration to a bright future based on mutual collaboration!
In March, 2018, the FDA announced a de novo iCGM (integrated CGM) designation. A de novo designation is the FDA process for creating new device classifications, in this case moving qualifying CGMs from Class-III, the highest FDA risk classification, to Class-II with Special Controls. The first CGM to get this designation is the Dexcom G6.
What does this mean? It means the FDA is willing to classify continuous glucose meters in a formal way that paves a path towards interoperable devices. Today we hack devices to build these Loops with out-of-warranty pumps. We are doing this utterly on our own. It can take months to collect the equipment needed, get ancient pumps on the gray market, compile the software yourself - which is a huge hurdle for the non-technical.
Imagine a future where someone could buy a supported and in-warranty "iPump," download an officially supported app or package, and start looping! We could have world of open and interoperable devices and swappable algorithms.
In October of 2018 the non-profit Tidepool organization announced its intent to deliver the Loop app as a supported and FDA-regulated mobile app in the Apple App Store! This is happening, people but we are just getting started.
To learn more, start reading.
Loop - https://loopkit.github.io/loopdocs/
OpenAPS - https://openaps.org/
Tidepool - https://www.tidepool.org/
Also, if you're diabetic, consider buying a Nightscout Xbox Avatar accessory so you can see yourself represented while you game!
Sponsor: Suffering from a lack of clarity around software bugs? Give your customers the experience they deserve and expect with error monitoring from Raygun.com. Installs in minutes, try it today!
© 2018 Scott Hanselman. All rights reserved.
Open Source Artificial Pancreases will become the new standard of care for Diabetes in 2019 published first on http://7elementswd.tumblr.com/
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Homeland Security warns of critical flaws in Medtronic defibrillators
Homeland Security has issued a warning for a set of critical-rated vulnerabilities in Medtronic defibrillators which put the devices at risk of manipulation.
These small implantable cardio-defibrillators are implanted in a patient’s chest to deliver small electrical shocks to prevent irregular or dangerously fast heartbeats, which can prove fatal. Most modern devices come with wireless or radio-based technology to allow patients to monitor their conditions and their doctors to adjust settings without having to carry out an invasive surgery.
But the government-issued alert warned that Medtronic’s proprietary radio communications protocol, known as Conexus, wasn’t encrypted and did not require authentication, allowing a nearby attacker with radio-intercepting hardware to modify data on an affected defibrillator.
Homeland Security gave the alert a 9.3 out of 10 rating, describing it as requiring “low skill level” to exploit.
It doesn’t mean that anyone with an affected defibrillator is suddenly a walking target for hackers. These devices aren’t always broadcasting a radio frequency as it would be too battery intensive. Medtronic said patients would be most at risk when patients are getting their implant checked while they’re at their doctor’s office. At all other times, the defibrillator will occasionally wake up and listen for a nearby monitoring device if it’s in range, narrowing the scope of an attack.
More than 20 different Medtronic defibrillators and models are affected, the alert said, including the CareLink programmer used in doctor’s offices and the MyCareLink monitor used in patient homes.
Peter Morgan, founder and principal at Clever Security, found and privately reported the bug to Medtronic in January. In an email, Morgan told TechCrunch that the bugs weren’t easy to discover, but warned of a potential risk to patients.
“It is possible with this attack to cause harm to a patient, either by erasing the firmware that is giving necessary therapy to the patient’s heart, or by directly invoking shock related commands on the defibrillator,” he said. “Since this protocol is unauthenticated, the ICD cannot discern if communications its receiving are coming from a trusted Medtronic device, or an attacker.”
A successful attacker could erase or reprogram the defibrillator’s firmware, and run any command on the device.
Medtronic said in its own advisory that it’s not aware of any patient whose devices have been attacked, but that the company was “developing updates” to fix the vulnerabilities, but did not say when fixes would be rolled out.
The Food and Drug Administration (FDA), which regulates medical devices, provided a list of the affected devices.
It’s the latest example of smart medical devices taking a turn for the worst, even as spending in healthcare cybersecurity is set to become a $65 billion industry by 2021.
The FDA rolled out non-binding recommendations in 2016 to advise medical device makers into practicing better cybersecurity to prevent these kinds of flaws from occurring in the first place, advising companies to “build in cybersecurity controls when they design and develop the device to assure proper device performance in the face of cyber threats.”
Yet, this latest government alert marks second time in two years Medtronic was forced to respond to security flaws in its medical devices. In October, the company finally shuttered an internet-based software update system that put its pacemaker monitoring devices at risk.
Smart home tech makers don’t want to say if the feds come for your data
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DOWNLOAD ECS M916 AUDIO DRIVER
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Medtronic Launches Next-Generation Continuous Glucose Monitoring System for Advanced Diabetes Management in 49 Countries around the World
New Post has been published on https://vizrelease.com/press-release/477456/
Medtronic Launches Next-Generation Continuous Glucose Monitoring System for Advanced Diabetes Management in 49 Countries around the World
“It’s never been easier to reveal previously undetected high and low glucose excursions and understand their causes. This information is helpful for making better treatment decisions to improve patients’ lives,” said Francine Kaufman, M.D., chief medical officer and vice president, global medical, clinical and health affairs of the Medtronic Diabetes business. “Moreover, iPro2 Professional CGM is quick to implement and provides reports that physicians can use to educate patients on the therapy and lifestyle changes they can make to improve their health and quality of life.”
iPro2 Professional CGM is easy for clinicians and patients to use. It includes a disposable glucose sensor and a small data recorder, which automatically record glucose information. This next-generation product is simple to start and significantly reduces the amount of clinical staff time needed to implement the therapy. There is no computer required for setup, patients do not interact with the device, and minimum patient training is required. Patients wear the small, lightweight and watertight device while going about their normal daily activities before returning it to their physicians’ office for evaluation.
“We have seen strong adoption of professional CGM in the United States because of its ability to provide superior insights for healthcare professionals to improve patient outcomes. We are excited to launch the next generation, iPro2, which will continue to transform the management of diabetes while providing superior ease-of-use for clinicians and patients,” said Katie Szyman, president of the Diabetes business and senior vice president at Medtronic.
iPro2 Professional CGM uses a tiny glucose sensor to record as many as 288 glucose readings over a 24-hour period. Glucose data captured in the system is uploaded to CareLink iPro Software and viewed retrospectively by healthcare providers.
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Medtronic Inc., Cardiac Rhythm and Heart Failure (CRHF) - CareLink 2090 programmer system - Class 2 Recall
Programmers & Remote Monitoring Software Apps: 2090 CareLink Programmer
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