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How a software engineer invented a breakthrough medical device

blogs.zdnet.com

71–80 of 84 posts

Re: How a software engineer invented a breakthrough medical device

#71
post #19

This article is inspiring but it fails to mention that no studies have shown that the device actually works. The FDA approval process for medical devices is very different then from pharmaceuticals; to oversimplify, efficacy does not need to be demonstrated, only safety (i.e. the device is not toxic). Thus the fact that the device is FDA approved doesn't really mean much (although it sounds great). As with renewable…

I have long felt that there is a massive and well funded lobby for curing things, but an impoverished prevention programme. There is no real financial incentive to prevent cancer etc, but lots of money and glory for curing people who have got cancer. This applies right across medicine. Similarly there is a massive and well funded lobby for power production and very little for power efficiency, which effectively achie…

> I have long felt that...

Your "feelings" are irrelevant on matters of fact. Show your work.

Re: How a software engineer invented a breakthrough medical device

#72
It looks like an interesting tool that might help against the fight against cancer. My mayor concern comes from the intrusiveness of the catheter, and towards what kind of cancer patients this instrument is oriented to? I really hope Doctors would use this new instrument in the best way possible for the patient, which in my opinion would be to to use it on only patients whose cancer is on the right place and not on patients that have undergone intensive sessions of chemotherapy.

Re: How a software engineer invented a breakthrough medical device

#73

This article is inspiring but it fails to mention that no studies have shown that the device actually works. The FDA approval process for medical devices is very different then from pharmaceuticals; to oversimplify, efficacy does not need to be demonstrated, only safety (i.e. the device is not toxic). Thus the fact that the device is FDA approved doesn't really mean much (although it sounds great). As with renewable…

From the article: "I found a 1987 Italian funded set of clinical studies that showed successful treatment of tumors by the application of chemotherapy directly into the tumors." It stands to reason that if it is true that directly treating the tumors themselves is effective, then this device will be effective since all it is is a delivery mechanism for the pre-existing drugs. While I guess it's possible that somehow…

Tumors that you can find don't kill people with cancer, its the millions of metastases all over the body (or a specific organ) which actually cause cancer to be deadly.

There are a fair number of drugs which "treat tumors" (i.e. shrink tumors or stop their growth), but very few drugs actually extend the life of a cancer patient due to the metastatic issue mentioned above.

Re: How a software engineer invented a breakthrough medical device

#74
post #69
post #45

Earlier quoted context omitted.

Unfortunately, they arrived one month too late.

One month too late for whom? is there another product in the market, or is it too late for your own needs?

I think he's referring to his sister. Who died of cancer before he finished the catheter.

Re: How a software engineer invented a breakthrough medical device

#75
post #43

Earlier quoted context omitted.

Now I can see your point. Thanks for the reply. However, this treatment is not only about localized toxin. It has a two-fold approach of both blocking the blood path the tumor is feeding of and using a localized chemo treatment. Wouldn't this approach be more effective than the actual ways? I have another question. Since you claim that localized toxin causes the recurrence to be much more difficult to treat because t…

sure =). I'm an engineer and not an oncologist so don't quote me on this. The main msg is that treating cancer is really, really hard; as another commenter noted biology is incredibly complicated. multi-pronged approaches do seem to work best; some variation of that already happens. Large tumors are surgically removed, anti-angiogenesis drugs work by blocking new blood vessels from growing, I mentioned some others. T…

The problem is that even the most aggressive combinations of treatments haven't proved to actually work in practice, and death rates for most cancers have barely budged in the last 30 yrs.

[citation needed]

Re: How a software engineer invented a breakthrough medical device

#76

I presume that it works by allowing chemo doses to the tumor that would be fatal if administered globally (or whatever the word is for (in the patient's bloodstream)? I wonder if this would reduce the side effects of chemo in non-terminally ill patients.

The term you are looking for is "systemic". I think targeted delivery of chemo might be more effective in the non-terminally ill, and very likely would reduce side effects. Chemo is effectively poison, just somewhat more toxic to cancer cells than the rest of the body. (Often because it targets cells that are actively dividing - like in a tumor, or your hair follicles or you gut...) In terminally ill cases, where can…

OT, spelling: shouldn't it be "metastasic sites"?

Re: How a software engineer invented a breakthrough medical device

#77

This article is inspiring but it fails to mention that no studies have shown that the device actually works. The FDA approval process for medical devices is very different then from pharmaceuticals; to oversimplify, efficacy does not need to be demonstrated, only safety (i.e. the device is not toxic). Thus the fact that the device is FDA approved doesn't really mean much (although it sounds great). As with renewable…

the literature review is here: http://www.vasculardesigns.com/V2/litreview.html

Re: How a software engineer invented a breakthrough medical device

#78

Earlier quoted context omitted.

sure =). I'm an engineer and not an oncologist so don't quote me on this. The main msg is that treating cancer is really, really hard; as another commenter noted biology is incredibly complicated. multi-pronged approaches do seem to work best; some variation of that already happens. Large tumors are surgically removed, anti-angiogenesis drugs work by blocking new blood vessels from growing, I mentioned some others. T…

The problem is that even the most aggressive combinations of treatments haven't proved to actually work in practice, and death rates for most cancers have barely budged in the last 30 yrs. [citation needed]

I can't help you with a citation for that, but I can give you citations for the opposite claim "A major decline in cancer mortality has been occurring in the United States for the past 50 years, affecting birth cohorts born as long as 80 years ago. [...] These findings suggest that improvements in cancer detection, treatment, and/or prevention have reduced the risk of cancer death across the life span for individuals born in the last three quarters of the 20th century.":

News coverage: http://in.news.yahoo.com/139/20090814/981/tsc-cancer-mortali...

Original article: http://intl-cancerres.aacrjournals.org/cgi/content/abstract/...

Re: How a software engineer invented a breakthrough medical device

#79
post #69
post #45

Earlier quoted context omitted.

Unfortunately, they arrived one month too late.

One month too late for whom? is there another product in the market, or is it too late for your own needs?

I have a friend who died of cancer on August 10. Late to him, I meant.

Re: How a software engineer invented a breakthrough medical device

#80

truly amazing. seems seriously unfortunate that it takes the FDA 7 years to approve a device like this. I wonder how much testing they actually spend and how much time is wasted in bureaucratic BS. regardless, the story is amazing and the device seems incredible

Considering the worst case situation, if this is unsafe, to be death, and best case is a slightly better treatment, I think thorough testing and a long approval process is certainly in order.

It has long been the contention of many economists that the incentive structure of the FDA is biased towards killing people through inaction (too strict approval) rather than killing people through too loose of approval standards.

The FDA takes a lot more heat when someone dies from a drug they approve than when 100 people die from not having access to a drug that they drag their feet on.

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