Sunday, January 31, 2010

Intubation Solutions:
Israeli Innovation Continues to Improve Emergency Medicine

Reported by Shalle McDonald for Front Page Jerusalem

Israelis are renown world-wide for their skills and innovation in the field of emergency medicine, as was demonstrated in the aftermath of Haiti's earthquake. An upcoming Israeli invention is poised to make another significant improvement in emergency care that will have patients and first-responders breathing easier.


Endo-Tracheal Intubation (ETI) is one of the most common procedures used in emergency medicine and anesthesiology. It is utilized to establish an airway when a patient fails to breathe independently. In the U.S. alone, there are over 25 million ETI procedures annually.

According to the emergency guidelines of the American Heart Association, intubation should not last longer than thirty seconds. Longer intubation procedures put patients in danger of hypoxia with consequent death or irreversible brain damage.

Today's laryngoscope medical devices have no means for calculating time. Yuval Bar, Israeli inventor, businessman and former paramedic, is working hard to change that.

Bar worked for more than 6 years as a paramedic for Israeli Magen David Adom and served as a medical instructor for emergency care at Tel Aviv Medical Center. He also participated in several international humanitarian medical missions organized by the Israeli Ministry of Foreign Affairs.

While training his students and foreign colleagues to provide emergency care, Mr. Bar found a simple yet elegant solution to the timing issue, a built-in timing device on the laryngoscope. He quickly filed a patent and built a team to transform his idea into a life-saving device.

“For a surgeon in the safe, controlled environment of an operating room, the lack of a timing device is not so critical. But for emergency providers such as a medic on the battlefield or a paramedic on the road, it could mean the difference between life and death.” Bar told FrontPage.

The malpractice research project of the American Society of Anesthesiologists demonstrates the lack of a timing device makes intubation procedures prone to dangerous mistakes. Analyses of 2,000 malpractice claims reveal that prolonged and persistent intubation attempts were the most common events that led to catastrophic respiratory events including brain damage and death.

Dr. Pinchas Halpern, Chairman of the Tel Aviv Medical Center's Emergency Department quickly joined the venture. With over 30 years of experience in the EMS field, he saw the potential medical and financial value the patent. Avraham Jaeger serves as Marketing consultant and engineer Ronny Shabbat, joined the team to help construct a prototype with funds awarded to Mr. Bar by TNUFA, Israel's Ministry of Industry Trade and Labor.

Bar now holds a second patent for what he termed the “Smart Blade,” a larygoscope fitted with a pulse oximeter monitor placed on the blade which will instantly indicate the patients values of oxygen saturation on the device.

Bar established, Intubation Solutions LTD (http://www.intubationsolutions.com/), and is in the phase of seeking investment partners to begin manufacturing. The U.S. Army and American EMS suppliers have already expressed enthusiastic interest.

“Several suppliers want to orders” said Bar, “We just need investments to begin production,” Despite the global economic downturn, Bar remains determined to get his start-up company off the ground and his devices to market.

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