Neuroscience
FDA Approves Cool-Cap
 
An FDA press release:       
 FOR IMMEDIATE RELEASE
         P06-211
       December 20, 2006       
Media           Inquiries: Karen Riley, 301-827-6242
         Consumer Inquiries: 888-INFO-FDA                                 
FDA Approves Novel Device That Prevents     or Reduces Brain Damage in Infants              The Food and Drug Administration (FDA) today approved a first-of-a-kind medical   device for the treatment of babies born with moderate to severe hypoxic-ischemic   encephalopathy (HIE), a potentially fatal injury to the brain caused by low   levels of oxygen.  The Olympic Cool-Cap system is designed to prevent   or reduce damage to the brains of these patients by keeping the head cool while   the body is maintained at a slightly below-normal temperature.  The Cool-Cap   is manufactured by Olympic Medical Corporation, a subsidiary of Natus Medical Incorporated of San Carlos, Calif.
“This approval brings new hope to parents of the approximately 5,000-9,000   babies each year who are born in the United States with moderate to severe   hypoxic-ischemic encephalopathy,” said Dr. Daniel Schultz, director of   FDA’s Center for Devices and Radiological Health.  “Until   now, there has been no effective treatment for these infants other than supportive   care.  Up to 20 percent of them died, and 25 percent suffered permanent   disability because of neurological deficits.”
The Olympic Cool-Cap treats the patient by maintaining a steady flow of water   at a selected cool temperature through a cap covering the infant’s head.   The system, which consists of a cooling unit, a control unit, temperature probes   and a water-filled cap, was found safe and effective in a study with 234 infants   with moderate to severe HIE.  At 18 months of age, there were fewer deaths   and fewer severe cases of neurodevelopmental disability in the cooled group   compared with the control group.
As conditions of the approval, Olympic Medical Corporation will set up a patient   registry to collect information on device usage and to track treatment outcomes;   organize a training and certification process for all operators of the device;   and restrict use of the device to patients who meet the eligibility criteria   defined by the original study. 
  
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