How's the Epitech

You want more about Epi-Care® Experienced? Below you will find frequently asked questions about epilepsy monitoring using the example Epi-Care®3000. Clicking on a question shows the answer.

If you have any questions, you will have the opportunity to ask your personal question at the end of the list.

What is the significance of electrosmog in Epi-Care®?

A possible electrosmog exposure is often seen as a problem. However, since the legal provisions are now so clearly and strictly defined, especially in the field of medical devices - and Epi-Care is one of them® - These concerns are considered unfounded. To obtain the aid number (Epi-Care aid item no .: 21.46.01.0002), extensive evidence must also be provided with regard to "electromagnetic compatibility" (EMC). This is where Epi-Care lies® in the lower third of the permissible limit values. It is important to know that the sensor that is closest to the body is tension-free. The voltage generated by the movement of the body in the sensor is evaluated. You can find good, easily understandable information on this topic at https://de.wikipedia.org/wiki/Elektrosmog.

Mattress on the floor?

To avoid falling, we put the mattress on the floor. Can the Epi-Care then still detect the body movements?

Basically yes.
Usually the sensor of the Epi-Care is placed in the sensor holder below the mattress. This should also be done now and a compensation should be made via the sensitivity adjustment. The adjustment may not be sufficient with resonance-free floors (e.g. stone slabs). Then please position the sensor in the holder on the side of the mattress.
It is important to adjust the sensitivity setting, probably choose a setting between "6" and "8".

Who can get the device?

Monitoring devices for epilepsy sufferers can be made available to insured persons with epileptic seizures for home monitoring so that the effectiveness of a drug therapy can be checked during the night and the medication adjusted if necessary.
An appropriately trained supervisor must be available.

How long is the lease time?

In the requirements of the statutory health insurance (GKV) no statement is made on this. This suggests that at the time of the determination it was present that seizure-affected epilepsy is usually not a temporary illness, but requires permanent medication and care.
The review of the effectiveness of a drug therapy does not relate to a limited period of time, but must be carried out over the entire duration of the necessary medication; this relates in particular to the sleep periods and must meet two requirements:
a) technically reliable, complete and event documentation,
b) Guarantee of the necessary night's sleep for the caring environment (family, carer).

How often do seizures have to occur for the device to be approved?

The frequency is not discussed at any point in the statements relevant to the specifications for the equipment. This would also contradict the principle of health insurance "prevention instead of therapy". If “epilepsy” is diagnosed, it must be ensured that no generalized tonic-clonic grand mal seizures occur unnoticed so that avoidable damage to the health of the person concerned can be excluded.

Are costs also covered in the case of residential accommodation?

Occasionally, in connection with home placement, the argument is put forward that the provision of aids is the responsibility of the home provider.
This is not true. The “at home” mentioned in the comment on the list of medical aids refers to the insured person's center of life and in this case is a home. The assumption of costs is also not in contradiction to the delimitation catalog of March 26, 2007.

How do seizure monitors work?

Seizure monitors measure the movements caused by seizures and alert a caregiver. To do this, a sensor converts the mechanical movements into an electrical signal and transmits them to the electronics unit, the main device. Here the incoming signals are analyzed according to amplitude, frequency and duration. If certain signal patterns occur and adjustable limit values ​​- e.g. B. the strength and the duration - are exceeded, an alarm is triggered (e.g. via the bell in the bedroom of a supervisor). The devices are suitable for re-use.

Which movements does the Epi-Care® register?

It can be assumed as known that this device only records and evaluates movements occurring in bed. All movements are taken into account, regardless of whether they are caused by going to or leaving the bed, by sleeping movements or by clonic convulsions. Furthermore, the weight of the test person plays less of a role than the structure of the mattress. If this is of a hard nature, the transmission is much better than with a soft and perhaps also very thick mattress; the adjustment is made through the sensitivity setting. The sensor, which is located on the mattress, converts the movements into a usable electrical signal, from which the intensity and rhythm are derived. The evaluation takes place in the base unit, which is connected to the sensor via a cable.
After the device has been set to the local environment (mattress, bed frame, weight), the Epi-Care is ready for use and, according to individually defined parameters, can reliably differentiate between normal movements such as going to bed, getting up or sleeping movements and those that indicate an attack.

Are the events saved?

YES. Up to 99 events, which we call messages, can be stored. However, we recommend reading these out daily - if they are available - and entering them in the seizure calendar provided. The messages in the device should then be deleted; so you always get the best overview.
However, if you do not want to carry out the deletion process, you will not lose any current data, since the oldest message is only "pushed" from the memory after the 100th message.

As a technically unskilled person, can I get along with the Epi-Care®?

YES. The installation of the Epi-Care is always connected with an installation and briefing of the supervising environment. Occasionally expressed concerns, “Will I be able to do this?”, “I have no technical understanding”, “Will this also work for us?” Can be refuted. It works! In addition, the Epi-Care comes with a detailed and clearly structured operating manual that helps to solve any problem situations that may arise later, and of course our telephone advice is also available to you after the installation.
We have posted the video Epi-Care for support, one click is enough.

Can I get the Epi-Care® on a trial basis?

It seems important to us to take a closer look at this point. The aid number must be given here again. In order to achieve this, inter alia. to provide a "proof of usability". Naturally, this requires extensive practical testing. This was done for Epi-Care in clinics (seizure clinics), facilities (dormitories) and in the home environment. The future user can therefore be sure that he is not “buying” anything nebulous or unrelated to practice. (Whereby it must be stated that the buyer is usually the statutory cost bearer, ie the health insurance company [GKV]; this provides the user with an aid, in this case the Epi-Care) this security, the benefit in practice. The product has already passed the required series of tests and has proven its effectiveness under real conditions, which is why it has received its aid number.
A trial assignment could also not include the instruction described above by an employee who is available to you with his experience, your questions would not be answered, personal, individual solutions would not be possible. Here we come to a point where we cannot rule out improper use and thus the possibility of an incorrect result. The test drive with a car requires the possession of a valid driving license; What are the requirements for a trial release of the Epi-Care?
Thanks to our experience and the technical reliability of the Epi-Care, you can assume that the transaction will be problem-free to your full satisfaction. Telephone queries about problems that have occurred are extremely rare, but very often positive messages about the usefulness of Epi-Care, which are primarily characterized by the fact that the caring environment - especially the parents - is given a good night's sleep.
We ask for your understanding that, for the reasons listed above, which are understandable in our opinion, a trial transfer is not possible.

How and how do I get the Epi-Care®?

At this point we refer to the possibilities and requirements for the procurement of resources; please talk to your doctor!
The Epi-Care will be delivered by us after the medical prescription has been sent and the cost bearer has confirmed the costs. In order to ensure the quality of delivery, installation and personal instruction, we do not deliver the Epi-Care via pharmacies or specialist medical retailers, but only directly. You send us the medical prescription, we then clarify the local conditions with you to determine the transfer component, and prepare the cost estimate for the cost bearer. After receiving the cost commitment, we will coordinate the delivery date with you. This happens promptly and nationwide.

Does the Epi-Care® have an aid number?

YES. This was granted in 2001. It is currently: Aid item no .: 21.46.01.0002. The grant was tied to test criteria and required evidence of usability.

Is the affected person wired up?

No, the subject's body remains cordless. The sensor, which is connected to the base unit via a cable, is preferably fixed under the mattress. It is de-energized and only generates a low voltage for evaluation through the movement.

What does the Epi-Care® cost?

The Epi-Care is a flexible system that is always delivered and installed individually adapted. The equipment, such as alarm forwarding or connection to other wireless systems, can also affect the price. Please contact us!

Does the health insurance company bear part of the costs?

Yes, the Epi-Care can be prescribed, the costs are covered by the statutory health insurances (GKV), if necessary minus the co-payment of € 10.00.

How is the alarm forwarding done?

A beeper system is mainly used in domestic applications. The signal can be set to either sound or vibrate. However, there is also the possibility of forwarding via the telephone network or integration into existing house systems (nurse call, house emergency call).

Is a baby monitor sufficient for adequate monitoring?

It is often believed that this is a sufficient way of recognizing critical situations in good time. Apart from the fact that the question of preserving privacy is not undisputed, especially in the case of older people with seizures, this form cannot ensure reliable monitoring. It can happen that epileptic seizures only have a slight acoustic effect, i.e. do not go beyond normal sleep noises, and a baby monitor is not even stimulated to transmit. In addition, the following applies to those who snore (and there are many!): A baby monitor will be useless from the outset, as the device's response threshold would have to be set so high that epileptic seizures would probably not be transmitted (unless the monitoring person would be with you continuously transmitted sleep noises). However, it should be undisputed: “If you pay attention, you cannot sleep; he who sleeps cannot pay attention ”. The caregiver's right to sleep would be deliberately disregarded.

Can I take the Epi-Care® with me on air travel?

The information from Lufthansa: Devices without battery operation can generally be carried with you, but it is advisable to point this out when booking. A corresponding note will then be made in the flight ticket in order to avoid possible discussions.