One test, two results
• Give low to mid acuity head injured patients the answers they need
• Results NOT affected by the presence of drugs or alcohol found in 30-50% of head injured ED patients
• Can be used on patients taking blood thinners
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Reduce unnecessary CT scans by 31% -Naunheim R, Konstantinovic Koscso M, Poirier R. Reduction in Unnecessary CT Scans for
Head-injury in the Emergency Department Using an FDA Cleared Device. American Journal of Emergency Medicine. 2019; 37(10):1987-1988.
(Abstract not available)
Improving throughput by 50% - Rogg J, Huckman R, Lev M, Raja A, Chang Y, White B. Describing wait time bottlenecks for ED patients undergoing head CT. American Journal of Emergency Medicine. 2017; 35(10):1510-1513.
Abstract
Facing increased utilization and subsequent capacity and budget constraints, ED's must better understand bottlenecks and their effect on process flow to improve process efficiency. The primary objective of this study was to identify bottlenecks in obtaining a head CT and investigate patient waiting time based on those bottlenecks.
Michelson E, Huff JS, Loparo M, Naunheim R, Perron A, Rahm M, Smith D, Stone J, Berger A. Emergency Department Time Course for Mild Traumatic Brain Injury Workup. Western Journal of Emergency Medicine. 2018; 19(4):635-640.
Abstract
Mild traumatic brain injury (mTBI) is a common cause for visits to the emergency department (ED). The actual time required for an ED workup of a patient with mTBI in the United States is not well known. National emergency medicine organizations have recommended reducing unnecessary testing, including head computed tomography (CT) for these patients.10.
Physician-ordered, technician-operated
Prep
Peel and stick electrodes with on-device guidance.
Test
Receive real-time feedback on EEG recording.
Result
Get immediate, objective results on the device and as PDF for upload to EMR.
D-dimer has been a trusted technology used to rule out blood clots
"I intend to use BrainScope in the same way I use D-dimer to rule out blood clots—to rule out intracranial hemorrhage while also providing a concussion assessment.”
Naunheim R, Konstantinovic Koscso M, Poirier R. Reduction in unnecessary CT scans for head-injury in the emergency department using an FDA cleared device. American Journal of Emergency Medicine. 2019 Oct;37(10):1987-1988. DOI: 10.1016/j.ajem.2019.04.037
Article Info:
Emergency Department (ED) visits for mild Traumatic Head Injury (mTBI) have greatly increased due to more awareness of potential consequences of such injuries. While the vast majority (>80%) of mTBI patients who go to the ED receive a head CT scan, >90% of them are found to be negative. This practice unnecessarily exposes these patients to radiation, increases the use of ED resources, and lengthens throughput times. The integration of reliable, objective predictors of intracranial injury for making important initial assessment decisions can impact significantly on this practice.
Rogg JG, Huckman R, Lev M, Raja A, Chang Y, White BA. Describing wait time bottlenecks for ED patients undergoing head CT. American Journal of Emergency Medicine. 2017 Oct;35(10):1510-1513. DOI: 10.1016/j.ajem.2017.04.059
Article Info:
Facing increased utilization and subsequent capacity and budget constraints, ED's must better understand bottlenecks and their effect on process flow to improve process efficiency. The primary objective of this study was to identify bottlenecks in obtaining a head CT and investigate patient waiting time based on those bottlenecks.
Naunheim R, Konstantinovic Koscso M, Poirier R. Reduction in Unnecessary CT Scans for Head-injury in the Emergency Department Using an FDA Cleared Device. American Journal of Emergency Medicine. 2019; 37(10):1987-1988. DOI: 10.1016/j.ajem.2019.04.037
Article Info:
Emergency Department (ED) visits for mild Traumatic Head Injury (mTBI) have greatly increased due to more awareness of potential consequences of such injuries. While the vast majority (>80%) of mTBI patients who go to the ED receive a head CT scan, >90% of them are found to be negative. This practice unnecessarily exposes these patients to radiation, increases the use of ED resources, and lengthens throughput times. The integration of reliable, objective predictors of intracranial injury for making important initial assessment decisions can impact significantly on this practice.
The BrainScope® device is an FDA cleared, handheld medical device and decision support tool that uses A.I. and machine learning technology to identify objective biomarkers of structural and functional brain injury in patients with suspected mild traumatic brain injury (mTBI). Using EEG signals to power its algorithms, BrainScope enables EDs to triage mTBI at the point of care without radiation and with a 31% demonstrated potential reduction in unnecessary head CTs.
The device is the only FDA cleared, comprehensive, rapid, and radiation-free assessment of brain bleed and concussion.
Combining real time handheld technology and advances in EEG signal processing, BrainScope uses machine learning algorithm methodologies to derive physiological biomarkers of brain injury at the point of care.
The handheld medical device rapidly collects high quality EEG data using a disposable electrode headset from forehead locations and limited related symptoms, and then processes the data using the previously derived FDA cleared algorithms.
Device outputs aid clinicians to objectively rule out brain bleed and determine concussion status quickly and accurately.
BrainScope can be administered by anyone on the healthcare team, under physician order.
BrainScope assessments are appropriate for low to mid acuity patients presenting to all levels of emergency departments, urgent care centers, concussion clinics, as well as patients in point of injury situations on the sports sideline or at military post. BrainScope is an “all-comer” test. The assessments can be reliably used in mTBI patients under the influence of drugs and/or alcohol (found in 30-50% of head injured ED patients) and with patients on blood thinners. Indications for patient use include:
Structural Injury (brain bleed)
Brain Function Impairment (concussion)
BrainScope is not intended as a stand-alone diagnostic or to be used as a substitute for a head CT scan.
Head Injury Triage
Using the handheld device assists clinicians to rule out a brain bleed at the point of care and potentially reduce unnecessary head CT scans and associated radiation exposure. It has been clinically demonstrated and reported that when using BrainScope in the ED, 31% of head CTs could be avoided in patients age 18-85 presenting with a head injury, with 100% sensitivity.
BrainScope’s rapid structural and functional assessments can result in improvements in ED throughput from reduced patient wait-times. (Modeling indicates 50-80% total time saved compared to national averages for throughput when a head CT is performed.) The digitized PECARN capability provides convenient access to the current gold standard in pediatric head injury assessment for referral to CT.
Importantly, for the first time clinicians have a powerful, objective tool that provides significant insight into both structural and concussion status, enabling better and more informed follow up care and management for concussed patients. In-device and PDF reports can be provided to the patient prior to discharge, and can lead to higher overall patient satisfaction and confidence in their treatment.
Concussion Management
BrainScope’s Concussion Index (CI) and Brain Function Index (BFI) are FDA cleared objective markers that identify the likelihood of concussion, with brain electrical activity at the core. The BFI provides an objective marker of brain function impairment and scales with clinical severity.
The CI provides a stable measure from which change can be interpreted reliably over time, enabling a number of use cases: for baselining (particularly with athletes and military recruits), at time of injury, and to aid in return to activity decisions in both civilian and military settings. The CI provides an objective assessment, reflects severity at time of injury, and can be used to monitor and track recovery over time.
Digitized SCAT, MACE 2, and neurocognitive performance tests complement BrainScope’s algorithms for structural and functional injury assessments and can be added as desired by the clinician to aid in making a clinical diagnosis. PDF reports include all assessments in one report.
BrainScope’s rapid structural and functional brain injury assessments aid in providing the answers patients need when faced with a head injury—Is there a brain bleed? Am I concussed? BrainScope is the first and only cleared medical device that provides an objective and accurate assessment for both brain bleed and concussion.
BrainScope can potentially result in avoidance of unnecessary radiation exposure associated with the use of CT, is performed at the point of care reducing hours of wait time, and can help get concussed patients referred for appropriate care. With BrainScope, patients get the answers they need in a fraction of the time and often with less out of pocket expense.
For patients ages 18-85 years, the BrainScope Structural Injury Classifier (SIC) assesses for the likelihood of brain bleed and has demonstrated sensitivity of 99% and negative predictive value (NPV) of 98% for acute traumatic intracranial bleeds (CT+) > 1mL of blood. For the pediatric population ages 2-17 years, the BrainScope device offers a digitized Pediatric Emergency Care Applied Research Network (PECARN) Decision Rule. The digitized PECARN aids in the evaluation of suspected mTBI to identify a child's risk of a clinically significant TBI.
The BrainScope Brain Function Index (BFI) provides an objective marker of brain function impairment (concussion) and that scales with severity of functional impaitment at the time of injury (within 72 hours). The BFI enables timely informed referrals and continuity of care and may lead to improved patient outcomes, satisfaction, Merit-based Incentive Payment System (MIPS) compliance, and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey results. The BFI is indicated for patients 18-85 years of age.
The BrainScope Concussion Index (CI) provides an objective measure to aid in the evaluation of concussion. The CI algorithm uses EEG at its core. The CI may be used to longitudinally assess patients at baseline, time of injury, & recovery time points and to aid the clinician in making readiness to return to activity decisions. The CI is indicated for the pediatric and young adult population, 13-25 years of age.
BrainScope is a multimodal device that in addition to its FDA cleared algorithms contains configurable digitized clinical assessment tools, including the SCAT5 and MACE 2 (for the military, which includes the SAC, VOMs and mBESS), as well as a number of neurocognitive performance tests on the device, so a clinician can perform a comprehensive assessment with one device and have point of care results immediately available for all assessments performed.
With features such as a single use and mask-friendly EEG headset, eight peel and stick electrodes, easily cleaned and glove-capable handheld device, BrainScope provides an intuitive experience while reducing risk of infection and transmission. The handheld device may be cleaned using a 70% isopropyl alcohol disinfectant. Hospital grade cleaning wipes such as CaviWipes™ and Sani-Cloth® may also be used. Further, BrainScope can help minimize time in the ED, and therefore risk of exposure, for those who do not require CT testing.
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