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  1. Article ; Online: Humanitarian Use Device and Humanitarian Device Exemption regulatory programs: pros and cons.

    Bernad, Daniel Maxwell

    Expert review of medical devices

    2009  Volume 6, Issue 2, Page(s) 137–145

    Abstract: The US FDA established the Humanitarian Use Device (HUD) and Humanitarian Device Exemption (HDE) program to encourage medical device firms to address rare diseases. Despite being in existence for over a decade, there has only been one peer-reviewed ... ...

    Abstract The US FDA established the Humanitarian Use Device (HUD) and Humanitarian Device Exemption (HDE) program to encourage medical device firms to address rare diseases. Despite being in existence for over a decade, there has only been one peer-reviewed publication examining this field. The objective of this report is to investigate how the HUD/HDE program differs from the standard regulatory system, discuss its potential advantages and disadvantages, and to speculate which humanitarian devices will be brought to market within the next 5 years. A total of 40 semistructured interviews with stakeholders, representing approximately half (n = 20, 49%) of the firms that have successfully obtained HDE-approved products, were performed in order to acquire the primary data for this paper. There appear to be short-term gains and long-term drains associated with launching humanitarian devices to market. This report aims to provide sponsors with information that may allow them to make better decisions during their product development of humanitarian devices and may, hopefully, also play a role in encouraging other sponsors to take the necessary steps forward in helping to find treatments for patients with rare diseases.
    MeSH term(s) Decision Making ; Device Approval ; Equipment and Supplies ; Government Regulation ; Humans ; Marketing of Health Services ; Orphan Drug Production ; United States
    Language English
    Publishing date 2009-03
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2250857-0
    ISSN 1745-2422 ; 1743-4440
    ISSN (online) 1745-2422
    ISSN 1743-4440
    DOI 10.1586/17434440.6.2.137
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: The role of noninvasive techniques in stroke therapy.

    Bernad, Daniel Maxwell / Doyon, Julien

    International journal of biomedical imaging

    2008  Volume 2008, Page(s) 672582

    Abstract: Noninvasive techniques such as functional magnetic resonance imaging (fMRI) and transcranial magnetic stimulation (TMS) have provided insight into understanding how neural connections are altered in consequence to cerebrovascular injury. The first part ... ...

    Abstract Noninvasive techniques such as functional magnetic resonance imaging (fMRI) and transcranial magnetic stimulation (TMS) have provided insight into understanding how neural connections are altered in consequence to cerebrovascular injury. The first part of this review will briefly survey some of the methodological issues and limitations related to noninvasive poststroke motor recovery studies. The second section will investigate some of the different neural mechanisms that underlie neurorehabilitation in stroke patients. The third part will explore our current understanding of motor memory processing, describe the neural structures that subserve motor memory consolidation, and discuss the current literature related to memory reconsolidation in healthy adults. Lastly, this paper will suggest the potential therapeutic applications of integrating noninvasive tools with memory consolidation and reconsolidation theories to enhance motor recovery. The overall objective of this work is to demonstrate how noninvasive technologies have been utilized in the multidisciplinary field of clinical behavioral neuroscience and to highlight their potential to be employed as clinical tools to promote individualized motor recovery in stroke patients.
    Language English
    Publishing date 2008-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2196721-0
    ISSN 1687-4196 ; 1687-4188
    ISSN (online) 1687-4196
    ISSN 1687-4188
    DOI 10.1155/2008/672582
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The Role of Noninvasive Techniques in Stroke Therapy

    Daniel Maxwell Bernad / Julien Doyon

    International Journal of Biomedical Imaging, Vol

    2008  Volume 2008

    Abstract: Noninvasive techniques such as functional magnetic resonance imaging (fMRI) and transcranial magnetic stimulation (TMS) have provided insight into understanding how neural connections are altered in consequence to cerebrovascular injury. The first part ... ...

    Abstract Noninvasive techniques such as functional magnetic resonance imaging (fMRI) and transcranial magnetic stimulation (TMS) have provided insight into understanding how neural connections are altered in consequence to cerebrovascular injury. The first part of this review will briefly survey some of the methodological issues and limitations related to noninvasive poststroke motor recovery studies. The second section will investigate some of the different neural mechanisms that underlie neurorehabilitation in stroke patients. The third part will explore our current understanding of motor memory processing, describe the neural structures that subserve motor memory consolidation, and discuss the current literature related to memory reconsolidation in healthy adults. Lastly, this paper will suggest the potential therapeutic applications of integrating noninvasive tools with memory consolidation and reconsolidation theories to enhance motor recovery. The overall objective of this work is to demonstrate how noninvasive technologies have been utilized in the multidisciplinary field of clinical behavioral neuroscience and to highlight their potential to be employed as clinical tools to promote individualized motor recovery in stroke patients.
    Keywords Medical physics. Medical radiology. Nuclear medicine ; R895-920 ; Medical technology ; R855-855.5
    Language English
    Publishing date 2008-01-01T00:00:00Z
    Publisher Hindawi Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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