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Mobility-Enabled Compression Device for Lymphedema

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Author/Name:  Hastings, Conn
Title/or affiliation: PhD
Royal College of Surgeon in Ireland

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June 23rd, 2021

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An estimated 20 million Americans live with lymphedema. Lymphedema is debilitating both physically and emotionally. Dayspring is an answer to the prayers of patients who experience decreased quality of life and functional capacity due to swelling and pain associated with lymphedema. It is developed by Koya Medical, a medical technology company based in Oakland, California. Dayspring is FDA cleared, prescription-only, wearable compression medical device. It is used for the treatment of lymphedema, chronic edema, venous insufficiency and reduction of wound healing time. It is designed to be used at home, clinical setting and on-the-go.  It enables patients to move around during treatment, addressing the potential barrier of adherence with pneumatic compression device (PCD). Each treatment section automatically turns off every 60 minutes. Settings are programmed and adjustable to individual patient needs. The results of two clinical trials of 40 subjects over a 28 days show the following: dayspring is safe and effective with no adverse events; 18% (p<0.001) significant improvement in patients' overall  quality of life; maintained/reduced limb volume and 98% adherence to therapy.  Nonetheless, dayspring is contraindicated in the following conditions: Pulmonary Edema, DVT, CHF, Acute cancer, Thrombocytopenia, episodes of Pulmonary embolism etc. That supports the ideology behind making dayspring, prescription-only medical device.

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Dayspring System Overview | Koya Medical

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Ease of movement and mobility during therapy.
Promotes flow of lymph node and thereby reduces swelling.
Compact, portable and versatile.
Personalizes treatment options.
Rechargeable, mobile and Bluetooth enabled (IOS and Android).
Flexible, gives out of clinic support.
Uses soft breathable mesh and low-profile materials.
Remote monitoring using Companion App.
98% adherence during randomized clinical trials.
Treatment is supervised/monitored by heath care professionals.
Safe, effective, improves quality of life and limb volume.

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Operational life of 3 years.
May cause electric shock if exposed to water or moisture.
Skin irritation.
Strangulation hazard in children.

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This is a breakthrough in science in lymphedema treatment.  I think this is a promising study. I have taken care of patients with this problem, they are very depressed because they cannot regain their self-care after treatment. Some of them end up moving into a nursing home where they can get help with ADLs and daily therapy.  Self-care in nursing is evidence-based practice. Maintaining daily therapy with dayspring at the comfort of your home is a miracle come through for these patients. However, I am still skeptical on the cost of the equipment and whether it is covered by insurance. Dayspring results to decreased swelling, improvement in quality of life and maintained/reduction in the limb volume which equals to a new life. Above all, compliance with dayspring therapy stands at 98%. Finally, involvement of health professionals to supervise and monitor the therapy means that someone is watching their treatment progression even at home. Patient's testimonies indicates success. "DAYSPRING, way to go."

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1.  Belief (executing): I am dependable and trustworthy. I put the welfare of team members above mine. Trusting one another is an asset to build a stronger team.
2.  Learner (strategic thinking): I love to learn. I am not ashamed of asking questions and jumping into opportunities to develop my knowledge. My love of learning will provide a wide range of ideas on how to proceed with the innovation.
3.  Responsibility (executing): I take responsibility for my actions. I am committed to the values of honesty and loyalty to the team. This role will create a better team spirit.
4.  Developer (relationship building):  I see the potential in other people and I do not judge them. Every team member's ideas and talents are welcomed and appreciated and that encourages team growth. No team member feels left behind.
5.  Arranger (executing):  An organizer.  I am able to arrange/ maximize resources in other to meet the needs of team members, and at the same time being flexible. I plan ahead of time of events before they happen.

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1.  William (woo):  He is friendly and outgoing. He is the image maker/PR (public relations) of the team. He will build strong rapport among the team members to enhance the adaptation of our innovation.
2.  Sheila (strategic):  She has a good judgement, solid decisions and plans ahead of time. She is able to plan for the future of the project.
3.  Chelsea (command): Current innovation requires a strong leader "boss". She is able to take control of situation and make sound judgement on issues as they come up.
4.  Cindy (connectedness):  Has confidence in the project and able to carry along team members on the future of the innovation in years to come.
5.  Pablo (positivity):  A new product requires people with a positive attitude. Pablo will be able to instill this attitude to team members to enable them put in them be their best in promoting the product.

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Hastings, C. (2021). Mobility-enabled compression device for lymphedema: Interview with CEO of Koya Medical. https://www.medgadget.com/2021/06/mobility-enabled-compression-device-for-lymphedema-interview-with-ceo-of-koya-medical.html
https://vimeo.com/559143455
60bfaa6dee2c7d8573fbc8e4_Dayspring Directions For Use
www.koyamedical.com
Rockson, S.G. et al. (2021). Clinical Evaluation of a novel wearable compression technology in the treatment of lymphedema, an open-label control study. Mary Ann Liebert, Inc. http://doi.org/10.1089/lrb.2020.0126