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  1. How J&J's Bid to Probe Pelvic Mesh Solicitations Fizzled

    Feb 16, 2015 | The AM Law - Litigation Daily

    By Scott Flaherty

    After pushing for discovery on tactics allegedly being used to funnel bogus plaintiffs into consolidated pelvic mesh personal injury litigation, Johnson & Johnson's Ethicon Inc. unit suddenly withdrew its motion last week, without explanation.
  2. Boston Scientific Patents Implantable Devices for Treating Depression

    Feb 16, 2015 | IPWatchdog

    By Steve Brachmann

    ...U.S. Patent No. 8939886, entitled Systems, Methods and Devices Relating to a Removable Sleeve for an Implantable Sling, outlines the use of an implantable device to aid in the treatment of stress urinary incontinence in women. The sling assembly protected here includes an implantable sling sized and shaped to provide a urethral platform...
  3. VIDEO: Pericoach Interview With CEO Geoff Daly on a Women’s Medical Marvel

    Feb 16, 2015 | ITWire - Health

    By Alex Zaharov-Reutt

    Pericoach is an amazing device that looks like it will be of genuine help to women around the world suffering from Urinary Stress Incontinence, and who are told to do pelvic floor exercises to strengthen the relevant muscles to alleviate the problem.
  4. Full Text of Stories Below

    Client Attorney Privileged/Attorney Work Product/At Request of Counsel

    Online Sources

  1. How J&J's Bid to Probe Pelvic Mesh Solicitations Fizzled

    Feb 16, 2015 | The AM Law - Litigation Daily

    By Scott Flaherty

    After pushing for discovery on tactics allegedly being used to funnel bogus plaintiffs into consolidated pelvic mesh personal injury litigation, Johnson & Johnson's Ethicon Inc. unit suddenly withdrew its motion last week, without explanation.

    Was J&J's unusual discovery request an attempt to make a principled stand against fraud and harassment? Was it a bid to smear legitimate plaintiffs and overwhelm their lawyers? Or was it something in between?

    If you picked the former, you're most likely lamenting J&J's decision to drop the discovery motion, which was being closely watched in the pharmaceuticals industry. But even for those who saw Ethicon's move as a gimmick, questions remain: Who was behind the suspect solicitations? And why did the company drop its bid so abruptly?

    J&J withdrew the motion on Feb. 10, less than a month after asking U.S. District Judge Joseph Goodwin in Charleston, W.Va., for additional discovery on the source of many of the lawsuits in the pelvic mesh litigation. Ethicon is one of several medical device makers facing thousands of personal injury suits over allegedly defective transvaginal mesh implants.

    J&J's lawyers, including Christy Jones at Butler Snow, told Goodwin in their Jan. 14 brief that women across the country had received calls urging them to file personal injury claims even if they never suffered complications from their implants—or ever had mesh surgery in the first place. The defense lawyers argued that only an influx of phony plaintiffs could explain the vast number of pending claims in the litigation, since the devices at issue represent the "gold standard" for treating patients.

    Ethicon didn't specifically blame plaintiffs lawyers in the pelvic mesh case for the suspect calls, but it did suggest that millions of dollars in attorney advertising wasn't helping the situation.

    "Johnson & Johnson and Ethicon do not question the right of plaintiff lawyers to advertise for potential clients within the bounds of governing rules of ethics," the defense lawyers wrote. "But, in an environment such as this one, potentially riddled with fraud, the effect of blanketing the airwaves with calls to litigate cannot be viewed in a vacuum."

    Plaintiffs lawyers at of Aylstock, Witkin, Kreis and Overholtz strenuously opposed the discovery request, arguing in a Jan. 22 brief that none of the transvaginal mesh suits against Ethicon were based on fraudulent claims. Ethicon's motion, they maintained, was a ploy to distract from the plaintiffs' legitimate injuries.

    "If defendants had spent even a fraction of the time policing their products that they have spent trying to police this litigation, there would be no multi-million dollar verdicts and hence no call center," wrote Aylstock Witkin name partner Bryan Aylstock.

    Given all the heated rhetoric, J&J's decision to withdraw the discovery request last week might seem puzzling. (We asked Butler Snow's Jones about it on Friday, but she referred us to J&J, which didn't get back to us.) Our best guess is that the company took its cue from Judge Goodwin, who's presiding over some 70,000 pelvic mesh personal injury lawsuits against Ethicon and other defendants.

    At a Feb. 5 hearing, Goodwin said he was staffing up to prepare for trials, but he made a strong plea for the parties to settle the mesh lawsuits. The judge said it would take decades to get through trials in all the cases, racking up millions of dollars in legal fees in the meantime.

    "I ask you, please, to forsake procrastination," Goodwin said, according to a hearing transcript. "It's simply a thief of time and money."
    Read more: http://www.litigationdaily.com/id=1202718030107/How-JJs-Bid-to-Probe-Pelvic-Mesh-Solicitations-Fizzled#ixzz3RzD6y8tR

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  2. Boston Scientific Patents Implantable Devices for Treating Depression

    Feb 16, 2015 | IPWatchdog

    By Steve Brachmann

    The Boston Scientific Corporation (NYSE: BSX), officially headquartered in Marlborough, MA, is a developer and manufacturer of medical device products. Its devices are used in a diverse set of medical specialities including neuromodulation, vascular surgery, oncology, radiology and interventional cardiology.

    Boston Scientific’s research and development goals are aided by a network of three innovation centers for developing products as well as six global locations of the Boston Scientific Institute for Advancing Science, which offer product and procedure training programs. Last May, the company announced that it was joining the Optum Labs, a healthcare product and medical data analysis innovation initiative co-founded by the Mayo Clinic and UnitedHealth Group. In 2014, total R&D expenditures for Boston Scientific came to $816 million, or 11.4 percent of its revenues that year.

    The most recent quarterly earnings report for Boston Scientific indicated that corporate revenues grew by 2.7 percent year-over-year to $1.887 billion in the latest quarter. Much of this increase was the result of 10 percent year-over-year growth in the company’s interventional cardiology division, the corporation’s largest business division. The company is still facing a great challenge, however, in the $7.2 billion lawsuit filed against Boston Scientific by Johnson & Johnson currently being tried in U.S. district court.

    Boston Scientific did not make the IFI Claims list for the top 50 companies receiving patent grants in 2014 from the U.S. Patent and Trademark Office. In 2013, however, the company was 40th overall with 904 patent grants from the PTO, just ahead of medical device competitor Medtronic that year. Our research through Innography patent analytic tools shows us that the company did increase its U.S. patent grant earnings in 2014 to 943 U.S. patents, which would actually place it 37th among the IFI Claims list linked above; most of these are assigned to either Boston Scientific Scimed of Maple Grove, MN, or Boston Scientific Neuromodulation Corporation of Valencia, CA. Beyond medical devices, according to Innography data (see text cluster image right) we’re seeing innovations related to cardiac signals and neural stimulation reflected in the company’s recent patents.

     

    Boston Scientific’s Issued Patents: Implantable Devices for Treating Disorders from Depression to Urinary Incontinence

    We were able to find some intriguing inventions related to implantable medical devices and systems, including the simpler system for providing power to device implants inside of a patient discussed by U.S. Patent No. 8886333, which is titled Self-Affixing External Charging System for an Implantable Medical Device. The charging system claimed here contains a flexible support coupled to a first module comprising a coil as well as a second module containing circuitry for activating the coil to produce a charging field. This improved means for attaching the external charger to a patient is capable of charging devices wherever they are implanted in a patient without becoming cumbersome while the patient is walking or otherwise moving.

    Implantable devices for treating neurological conditions are protected by a pair of patents we came across today. A treatment for depression that involves the application of electrical stimulation energy is the focus of U.S. Patent No. 8914120, issued under the title Method for Treating Depression by Indirectly Stimulating Raphe Nuclei. The method for treating a patient suffering from depression protected here involves applying electrical stimulation energy from at least one electrode implanted in an epidural space of a patient to nerve fibers leading to the patient’s hypothalamus. This treatment is intended to stimulate the generation and metabolism of serotonin released by the raphe nuclei located in a patient’s mid-brain. Improved systems for applying electrical energy to a patient through an implanted device to aid in pain reduction therapies is described within U.S. Patent No. 8868193, entitled Neurostimulation System and Method for Providing Therapy to a Patient With Minimal Side Effects. This patent protects a method of providing therapy to a tissue region of a patient using multiple electrodes by conveying an electrical pulsed waveform from the first electrode along a sensory neural fiber and conveying electrical energy between the second electrode and a blocking site of the spinal cord. The technology is designed to reduce side effects, such as involuntary movements, in patients receiving electrical neurostimulation along the spinal cord to treat pain.

    As we mentioned earlier, cardiovascular treatments and device tech has been a recent bright spot for Boston Scientific so we wanted to profile a novel treatment for atrial fibrillation featured within U.S. Patent No. 8951247, which is titled Methods and Apparatus for Forming Cardiac Lesions and Assessing Lesion Quality. This patent claims a method of treating a condition of the heart by introducing a catheter with a braided conductive member into the heart, forming a lesion in the heart with the conductive member, generating a pacing signal at a catheter electrode and detecting a received signal indicative of a lesion quality at a second catheter electrode. The invention is intended to improve the use of catheter ablation for treating atrial fibrillation by forming a lesion in the heart that alter’s the heart’s conductive properties.

    We also took some time to explore a couple of patents related to the treatment of certain pelvic disorders, especially those experienced more commonly by women. U.S. Patent No. 8939886, entitled Systems, Methods and Devices Relating to a Removable Sleeve for an Implantable Sling, outlines the use of an implantable device to aid in the treatment of stress urinary incontinence in women. The sling assembly protected here includes an implantable sling sized and shaped to provide a urethral platform and a removable sleeve with multiple flapped portions which are configured to facilitate the removal of the removable sleeve from the implantable sling. The innovation allows for the delivery of a sling while creating only one incision into a patient, reducing the patient trauma caused by other conventional methods of implanting a sling. Urinary incontinence and other pelvic area disorders are addressed by the invention protected by U.S. Patent No. 8944989, issued under the title Systems, Devices, and Methods for Treating Pelvic Floor Disorders. The patent claims a method of treating urinary incontinence in a patient by providing a mesh implant with anchors, securing the anchors to tissues within a patient and positioning the mesh material of the implant so that it is posterior to a patient’s bladderneck. This mesh implant can also be implanted through the use of a single incision, which again reduces patient trauma.

     

    Patent Applications of Note: More Implantable Devices as well as Pulmonary Disease Treatments

    The lungs are among the many areas of the human body targeted by Boston Scientific medical devices, especially for the treatment of chronic obstructive pulmonary disease (COPD). A minimally invasive procedure that encourages expansion of healthier lung portions would be protected by U.S. Patent Application No. 20140324094, titled Devices for Obstructing Passage of Air or Other Contaminants Into a Portion of a Lung and Methods of Use. The patent application claims a device for selectively controlling air flow that includes an elongate member having a proximal end, a distal end and a lumen extending between the two and an inner member configured to adjust the diameter of a portion of the lumen. This treatment addresses the shortcomings of conventional techniques like lung volume reduction surgery or lung transplantation, complicated procedures which can create a great deal of patient discomfort. Other treatment methods for reducing the volume of a lung’s diseased region are at the center of U.S. Patent Application No. 20150025629, entitled Medical Device, System, and Method for Regulating Fluid Flow in Bronchial Passageways. The medical device claimed here includes an elongate tubular member with a plurality of channels extending between proximal and distal ends, multiple extensions from the device’s distal end which are configured to be placed in different lung passageways and a valve member configured to prevent fluid flow in various sets of channels. This invention results in a device that achieves better regulation of air flowing in and out of diseased lung portions.

    Implantable devices were also heavily reflected in the patent applications recently filed by Boston Scientific with the USPTO, according to what we saw in our latest survey. Tools for harnessing alternative forms of energy to charge an implanted device are explained by U.S. Patent Application No. 20140354211, entitled Solar-Powered External Charger and Solar-Powered External Charger Cradle for Medical Implantable Device Systems. By providing a means for generating device energy from solar power, this invention aims to address problems in charging a patient’s medical device while outdoors or during an electricity outage. The patent application would protect an external charger for providing power to an implantable medical device which includes a housing chamber containing a charging coil producing a magnetic field to provide power to a device, a battery for providing power to the charging coil, a charge circuit that provides a charging current to the battery and a solar cell configured to produce a first voltage for the charge circuit. An implantable satiation device designed to encourage weight loss in patients is the focus of U.S. Patent Application No. 20140364792, filed under the title Gastro-Esophageal Implants. The implant for a patient that would be protected here includes a sleeve extending from an upstream to a downstream opening and configured to be secured with a gastro-esophageal junction region so that the upstream opening is aligned with the esophagus and an elongate tube which extends into the small intestine. This implantable device is intended to overcome the obstacles in traditional medical procedures for controlling obesity, such as complex gastric pouch procedures or implantation of gastric balloons, which can unintentionally migrate along the gastrointestinal tract. Implantable tools for providing better control of active bleeding in gastrointestinal systems is featured within U.S. Patent Application No. 20150018848, which is titled Tissue Grasping and Wound Closing/Hemostasis/Clipping Device. The device for clipping tissue claimed here includes a clip with multiple arms and a slidable pusher member that actuates a tissue gripping configuration. This clip could be used to close openings in certain tissues or to compress lung tissues for treating COPD.

    Ablation techniques for the kidney to treat certain patient conditions are explained by U.S. Patent Application No. 20140378967, which is titled Medical Devices for Renal Nerve Ablation Having Rotatable Shafts. This patent would protect a medical device for renal nerve ablation which includes a catheter shaft with a first lumen, an expandable member coupled to distal regions of an outer and inner shaft, which are relatable to each other, and one or more active electrodes on the expandable member’s exterior surface. This technology is intended to improve the ablation of renal nerves, which is a technique used to treat high blood pressure, while reducing the side effects created by conventional means of renal nerve ablation.

    Finally today, we’ll sign off after a look at another cardiovascular therapy which makes use of catheters for the treatment of atrial fibrillation. U.S. Patent Application No. 20150018811, which is titled Regulating Pressure to Lower Temperature in a Cryotherapy Balloon Catheter, discusses methods of ablating heart and pulmonary vein tissues through the use of extreme cooling. The method of operating a cryotherapy balloon catheter claimed here involves introducing a cryotherapy balloon catheter to a treatment site within a patient’s body, regulating a flow of cryogenic fluid to and from the balloon through the use of an elongated member to create a first pressure and temperature within the balloon and then further regulating the cryogenic fluid to create a second pressure and temperature, both of which are less than the first pressure and temperature. This ablation technique is similar to the patented atrial fibrillation treatment discussed in the patent section above, both of which are designed to eliminate aberrant electrical signals causing atrial fibrillation.

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  3. VIDEO: Pericoach Interview With CEO Geoff Daly on a Women’s Medical Marvel

    Feb 16, 2015 | ITWire - Health

    By Alex Zaharov-Reutt

    Pericoach is an amazing device that looks like it will be of genuine help to women around the world suffering from Urinary Stress Incontinence, and who are told to do pelvic floor exercises to strengthen the relevant muscles to alleviate the problem.

    The thing is, these exercises can be hard to do in the sense of knowing if you’re doing the right thing, and without proper feedback, many women turn to incontinence pads and a diminished lifestyle to deal with the problem, rather than confidently doing the exercises to enjoy the strengthened muscle results.

    We last looked at the Pericoach on 12 January 2015 when it launched, and I marvelled how it is designed to work, how it is designed and made in Australia, and I embedded a Pericoach-provided video on how the device worked and connected to iOS and Android smartphones and tablets with a coaching element to help women overcome the Urinary Stress Incontinence problem.

    That original article and Pericoach video can be seen here and is definitely worth reading if you’re interested in the device for yourself or the women in your life that could use it. 

    I was also interested in the device because my mother has had to endure two operations for prolapsing organs, first her uterus and then her bladder, and given the fact my mother needed to do these pelvic floor muscle exercises, this seemed like a device that would not only help her, but hundreds of millions if not billions of women worldwide.

    So, I decided to talk to the company behind Pericoach, Analytica Ltd, and its CEO, Mr Geoff Daly. I asked Daly a series of questions and slipped up saying he was a doctor part way through the interview as his grasp of all the medical terms was so incredibly solid, but as Daly immediately corrected me, he was an engineer - so apologies for the stereotypical mistake and for Daly’s correction.

    The video is embedded after the next paragraph, but Geoff Daly also provided me with written answers to my questions before we did the interview, as background, and after doing the interview and reading the background material, I asked Daly if I was able to print the written answers he gave me in addition to embedding the video.

    Daly readily agreed, so what follows below is not a transcript of the video but the answers in print and on video are naturally very much intertwined as they came from the same person, and as I felt it made sense to print them, they are below - so please enjoy the video and read on!

    So, the video is above, with the written answers to my questions below. 

    Q1. Geoff, can you please tell us a bit about yourself, Analytica, and both how and why you came up with the PeriCoach?

    Analytica is an ASX-listed medical device commercialisation company based in Brisbane. I am a Chartered Biomedical and Mechanical Engineer with 20 years of experience in the medical device industry, and have been with Analytica Limited for 9 years. We have recently launched the PeriCoach product in Australia and New Zealand which is designed to manage, monitor and motivate women doing their pelvic floor exercises.

    Pelvic floor exercises are the front line treatment for urinary incontinence, and are also known to assist with other conditions such as pelvic organ prolapse and sexual function.

    The idea for the PeriCoach was first raised with our company chairman, Dr Michael Monsour, by his neighbour one afternoon while having a beer on the verandah. The neighbour is a Brisbane-based electrical engineer and had developed the concept, but understood that to get to market it needed resources and expertise that he couldn't provide.

    I did a business case and the first thing that jumped out at me was the massive size of the market. 1 in 3 women. That's 1/6th of the planet. We did some preliminary market research with 1500 women, and whilst a lot of respondents didn't think they needed a device or didn't want to use anything invasive, (which is fair enough to some degree) the number of women who said they needed something like this made an overwhelming case for the project. This result was even without having a product to show them.


    Q2. How long did it take to create the Pericoach, what was the process involved in creating prototypes, etc?

    In 2008 we licensed the idea and started development using a university engineering student to develop the idea into a working concept for his final year thesis. This type of device is called a perineometer and was first developed by Arnold Kegel in the US in the 1940's and Americans call pelvic floor exercises "Kegels".

    The problem with traditional perineometers is that they measure the pressure inside the vagina. That's an indirect and often misleading indicator of whether the pelvic floor muscles are being exercised. That's fine for 1940's, but we were able to adapt modern technology to measure the force exerted by the pelvic floor muscles themselves.

    So we have a patented advantage being able to measure the muscles that matter. At the same time we identified that smartphones were on the rise, so we didn't need a separate, custom display module. People had extremely powerful processors (for the time) with great displays and touchscreens in their pockets. We could just use a program (App!) and we could ditch the wires using Bluetooth.

    The rise in smartphone internet connectivity and the ability to upload exercise session data for later analysis was not lost on us either. When speaking with the physios we asked them what information they would like to see, and we were met with blank looks. They had never considered it possible that they could see their patients exercise activity once they had left the clinic.

    So we had some immediate converts straight away when they saw the enormous potential for remote monitoring. Clinicians’ involvement has been central to our strategy throughout the commercialisation process. We worked on the product part-time for a couple of years with the assistance of local (Brisbane) physiotherapists and gynaecologists.

    Once the shape and size were settled on (2013) and we had design registrations lodged we were able to really tell our shareholders about it. From there we produced production equivalent prototypes, and developed the app and database software, and in May last year we did a limited pilot release. We used that release to iron out any major bugs (hopefully!) and launched publicly late last year for Android and [in January 2015] for Apple.

    Perineometers are regulated medical devices and we have Australian TGA clearance, CE Marking, and we're pending clearance from the US FDA. During the development process we've had a lot of suggestions from users and clinicians and we've taken them on board. We have ideas in development to make the system a diagnostic tool unlike anything out there.

    These range from small usability improvements (like gamification), to data mining projects, to new product families for related disease states. We also have other devices unrelated to pelvic floor health that we would like to develop which use the data gathering and analysis capabilities we've developed, but we're concentrating our efforts on the PeriCoach for now.

    Q3. What does PeriCoach cost, and how long are women expected to use it - over a period of months or the rest of their lives?

    It depends on the severity of the incontinence when the patient starts and, where she feels comfortable ending. Patients might see improvement in a matter of weeks with regular use, and they could even consider themselves “fixed” in a few months. There’s no objective endpoint – it’s what the patient feels that matters. If they’re not improved within a couple of months and they have been doing their exercises they should probably go to see a clinician.

    Chances are they just need help to do their exercises properly, because they are not an intuitive exercise to do, but it could also be some other condition causing the incontinence. So once a woman considers herself better, she may put the device away. But like any muscle, if you don’t keep exercising it, the pelvic floor will get weaker.

    Hopefully by using the PeriCoach, the woman will have developed the habit of doing her exercises even without the device. But if she needs that bit of extra motivation and feedback she can always pick it up where she left off.

    Q4. What has the reaction been from the public since launch, along with the media, the medical world in Australia and worldwide?

    Social media has played a large part of our PR campaign, and the response from women has been very encouraging with evidence of engagement through "likes", comments and sharing of blog posts. There has been a high level of excitement and interest from online, print and digital media here in Australia, which is currently the only country (as well as NZ) where the PeriCoach is available.

    Pelvic health specialists are responding favourably and we are starting to see referrals to women from these sources. International interest is growing, particularly in the US as we begin our pre-launch activities, with a number of women's health physiotherapists taking part in an early adopter program. We have displayed the system at a number of clinical events in Australia and overseas, and the overall reaction from clinicians has been incredible.

    We’ve just been to the American Physical Therapy conference in Indianapolis and the physios there can’t wait for us to get FDA clearance so that they

    Q5. How are you able to make PeriCoach in Australia when everything seems to be made in China these days?

    There’s a couple of reasons. First – the product isn’t mature enough yet to do that. Over the next couple of years we have a number of iterations planned with new features and capabilities. In my experience, and this is a generalisation of course, those factories are not very good at design iterations. They prefer a stable design from which they can manufacture large quantities.

    And secondly, The device itself is not particularly labour-intensive to make so the advantages of going offshore are not great. You may get the labour costs down but the overheads, especially Quality Assurance oversight increases enormously. And the PeriCoach is a medical device so quality matters.

    Q6. How long do you think before other companies in the US or Chinese factories try cloning the product?

    Perineometers have been around since Arnold Kegel invented them in the 1940's. Essentially these are just fluid or air-filled sacks that measure pressure. A number of more sophisticated devices have been showing up recently which connect to your smartphone, but these all have a significant problem: Measuring pressure in the vagina is at best only an indirect indicator of pelvic floor muscle strength.

    The PeriCoach has sensors that are activated by the pubococcygeus and puborectalis muscles. These are the muscles that matter with pelvic floor health and Analytica has patents on this.

    We will not be shy about enforcing our intellectual property rights. It is also important to realise that perineometers are medical devices and subject to onerous regulations enforced by agencies such as the TGA in Australia and the FDA in the US.

    Copying a widget is one thing. Selling them legally with regulatory approvals is another.

    Q7. What other kinds of app-connected medical devices is Analytica thinking of creating (without giving away specific ideas to competitors)?

    The technology we have created can be extended to a wide range of health devices. But there's also a lot of innovation still in the pelvic floor health space. We have a long product development pipeline that will improve the PeriCoach over the next few years. Usability improvements, diagnostic capability, data mining and reporting are all areas we're already working on.

    Q8. What other app-connected medical devices are out there that you know of and are impressed by?

    I've seen app-connected toothbrushes, with are also quite personal, but not quite as personal as the PeriCoach Well a toothbrush is pretty personal too. You don’t really want to share it do you?

    I’m not sure whether it needs an app, but a connected toothbrush isn’t a bad idea for monitoring kids brushing habits.

    I haven’t quite yet bought a wearable for myself yet – I’m waiting for the next-gen when they blend the smartwatch and the health monitoring properly.

    My favourite health device is the AliveCor ECG monitor. I have paroxysmal Atrial Fibrillation, and it’s brilliant what these guys can achieve with such a tiny device and a phone.

    And whilst they’re not really App-connected, Simavita’s system allowing aged-care homes to manage their patient’s continence issues with dignity is also a great product, and ResMed’s sleep monitors look pretty cool.

    Q9. Do you think PeriCoach data will ever be incorporated into the Apple Health app / S Health / Google Fit, or ported to Windows Phone / Apple TV / etc?

    Linking to other systems is a “later” project, and we wouldn’t want to tie ourselves to any particular OS or manufacturer. We’re trying to get market penetration so Android and iPhones are all we’re aiming at for now. In the short we don’t need to – we have our own proprietary cloud database and we can do a lot of what these systems do anyway.

    The next step is to be able to not only analyse our own pelvic floor health data, but cross-analyse that with the sort of general health data that these common health systems provide. For example, being able to monitor pelvic floor improvement against a woman’s medications, or diet or general fitness is important.

    Anti-depressants, a big night out, or a big gym session are all going to have an effect on that day’s pelvic floor workout. We’re currently investigating a partnership with a Brisbane-based company SportsMed who have the analytical and statistical capabilities to help us do that.

    Q10. What will the app-connected medical device market look like over the next 5 to 10 years?

    The phone and OS manufacturers have obviously cottoned on to the size of the mobile health market, and I hope the needs of small developers like ourselves will be given a lot of thought. I think uptake for the consumer wearables like smartwatches and Google glass-like UIs will increase, and more specialised medical and entertainment wearables will start becoming more common.

    Maybe to accommodate this the personal area network might take off. The mobile data needs for the devices will play a big part. There’s a tradeoff between the sort of analysis you can or need to do locally ‘on-body’ to display real-time feedback to the consumer and what needs to be done in the cloud.

    Q11. How many women worldwide suffer with incontinence?

    1 in 3. In Australia, 4.2 million.

    Q12. Where can I find out more information about the problem of incontinence and the treatment options available?

    Visit your GP, or a website such as the Continence Foundation of Australia.

    Q13. How effective are Pelvic Floor Exercises in treating incontinence?

    Strong clinical evidence suggests that pelvic floor exercises performed regularly under supervision can help improve incontinence. Studies have shown up to 70% improvement in symptoms of stress incontinence following appropriately performed pelvic floor exercise. This improvement is evident across all age groups.

    There is evidence that women perform better with exercise regimes supervised by specialist physiotherapists or continence nurses, as opposed to unsupervised or leaflet-based care" (Pelvic floor exercise for urinary incontinence: A systematic literature review Natalia Price, Rehana Dawood, Simon R. Jackson Department of Obstetrics and Gynaecology, John Radcliffe Hospital, Oxford OX3 9DU, UK)

    Q14. Any final messages for iTWire readers, for upcoming PeriCoach users/customers and the medical community?

    If you’re one of the 1 in 3 women out there bravely suffering incontinence in silence, you’re not alone, and there is something you can do about it. Talk to your GP or women’s health specialist. Visit the continence Foundation of Australia or the Women’s Health Foundation in the US, and go to the Pericoach website.

    For video:

    http://www.itwire.com/science-news/health/66990-video-pericoach-interview-with-ceo-geoff-daly-on-a-women%E2%80%99s-medical-marvel

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