SlideShare a Scribd company logo
CONTROL BIONICS INC. © 2015
GUEST SPEAKER
NATIONAL DIRECTOR OF SALES
HANNIBAL BRAY
QUESTIONS?
•  How people	
  with	
  ALS, Cerebral Palsy, MND and spinal cord injuries can use the
signals sent by their brains to their muscles to communicate
•  Where eye	
  tracking technology falls short and how electromyography	
  (EMG) provides
a better experience with less hassle
•  Tips on how caregivers and clinicians can share the latest in assistive communication
technology with their patients
4 Categories of AAC
•  Low-Tech / Rapid Access – Letter/picture board, head
pointer, lasers
•  Mid-Tech – Apps for tablets, phones, and computers; simple
call systems and inexpensive switches (jelly bean, proximity,
sip-and-puff)
•  High-Tech – Custom speech generating devices (SGDs),
fully-accessible computer systems, and environmental
controls
•  Wearables – the next generation… Heads-Up visual Display
(HUD) controlled by neural inputs (EMG vs. EEG)
h<p://www.alifestoryfoundaCon.org/pals-­‐center/	
  
Assistive Technology (AT) & Augmentative
and Alternative Communication (AAC)
Need for Early Implementation
•  The rate of speech decline in ALS is fast
•  Process to obtain an AAC device can be lengthy
•  Learn to use your device in a stress-free
environment and gradually incorporate it into
every day living
•  Start Medicare 13-month clock ticking and take
ownership sooner
h<p://www.alifestoryfoundaCon.org/pals-­‐center/	
  
Assistive Technology (AT) & Augmentative
and Alternative Communication (AAC)
Functional Issues
•  The Eye
•  Light – #1 problem
•  Positioning
Specific Conditions
•  ALS – Eye Hydration
•  Brain Injuries & Stroke
•  Cerebral Palsy
•  MS
•  Nystagmus
•  Eyes Don’t Track
•  Eyes Don’t Move
•  Pupil Not Round
•  Ptosis
•  Poor Vision
•  Dry Eyes
•  Abrasions
•  Eye Freeze
•  Mydriasis
•  Double
Vision
•  Spasticity
•  Cataracts
•  Do you want to have to pick between
watching TV, looking at family / friends, or
communicating?
•  Needs calibration whenever light changes
•  Can’t use outside or in direct sunlight
•  Training / proficiency for caregivers
•  Deteriorating eyesight / optics
•  Ventillator complications
Limitations of Eye Tracking / Eye Gaze
•  Reliable signal regardless of body
positioning or ambient light conditions
•  Automatic calibration so you can stay
online all the time; you become the switch
•  Performance unhindered by eyesight
issues or oculomotor disabilities
•  Minimal training required for family and
caregivers (24/7/365 SUPPORT)	
  
Advantages of the NeuroSwitch
The NeuroSwitch:
EMG-Powered Communication
•  The NeuroSwitch sends each signal you make with
your muscle wirelessly (via Bluetooth) to a MacBook Air
•  You make selections using “scanning”
–  Software (AssistiveWare) displays a menu on the screen
–  The software highlights options on the menu one by one,
and you generate the signal with your muscle when the
option you want appears (rows, then columns)
–  You can type words out letter by letter, or utilize
predictive text to type more efficiently
–  You can also select various preset words and navigate to
various “favorite” functions
How EMG Signals
Become Communication
Speech Generation & Much More!
Something for Everyone
Something for Everyone
Something for Everyone
Something for Everyone
Super-User: Limitless Possibilities…
Gaming, Blogging, Editing, Fundraising
Breaking the Lock
24/7/365 SUPPORT, NO MATTER WHERE YOU LIVE
•  3 Leads
–  (2) Detection – WHITE (longitudinally along muscle)
–  (1) Reference – BLACK (offset; filters out “noise”)	
  
	
  
	
  
	
  
EMG (Electromyography) Basics
Tapping	
  into	
  the	
  FLEXOR	
  CARPI	
  ULNARIS	
  
Harnessing the Signal
FRONTALIS	
  
FLEXOR	
  CARPI	
  ULNARIS	
  
RECTUS	
  FEMORALIS	
  
VASTUS	
  LATERALIS	
  
VASTUS	
  MEDIALIS	
  
TIBIALIS	
  
•  The NeuroSwitch is smart enough to recognize and filter out
muscle twitches, spasticity, and athetosis (or even sleeping)
•  Only your intentional movements are interpreted as signals
•  This is empowerment!
You, in Control
•  Reliable and durable
•  Fast – both your body’s electrical system and the
NeuroSwitch processors are incredibly fast
•  Sensitive – works even when you are tired
•  Feels effortless to use (you become the switch)
•  Flexible – sensors can be moved as necessary
•  Personalized / customized for each user
A SWITCH THAT WORKS FOR THE DURATION
Features of the NeuroSwitch
Testimonials
I was locked out from so many things I had
previously taken for granted. This has given
me back independence and freedom.
-­‐	
  GLENN	
  SARGOOD	
  
Testimonials
Gary flies on this – he is typing at least 3 times
as fast as any other switch device – anything
anybody can do on a computer he can do.
-­‐	
  CHAD	
  CONRAD,	
  CAREGIVER	
  FOR	
  GARY	
  GRIFFIN	
  
Testimonials
Everyone who has ALS is fearful of
being locked in. Because of
NeuroSwitch my husband is able to
communicate with us with less effort
and more speed than ever before….
NeuroSwitch has provided relief not
only for him but for everyone else
involved in his life.
-­‐	
  LISA	
  GRIFFIN,	
  WIFE	
  OF	
  GARY	
  
h<p://www.als.net	
  
h<p://www.every90minutes.org	
  
h<p://alsphiladelphia.podbean.com	
  	
  
h<p://www.alsa.org	
  	
  
h<p://www.alifestoryfoundaCon.org/pals-­‐center/	
  
h<p://www.cerebralpalsy.org.au	
  
QUESTIONS?
THE JOY OF COMMUNICATION FOR PEOPLE
WITH PARALYSIS OR LOSS OF SPEECH.
CONTROL BIONICS INC. © 2015
VISIT WWW.CONTROLBIONICS.COM
AND FOLLOW US!
hrbray@controlbionics.com	
  
1-­‐855-­‐831-­‐7521	
  
1-­‐513-­‐453-­‐4848	
  
NATIONAL DIRECTOR OF SALES
HANNIBAL BRAY

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A Better Way to Unlock Speech

  • 2. GUEST SPEAKER NATIONAL DIRECTOR OF SALES HANNIBAL BRAY
  • 4. •  How people  with  ALS, Cerebral Palsy, MND and spinal cord injuries can use the signals sent by their brains to their muscles to communicate •  Where eye  tracking technology falls short and how electromyography  (EMG) provides a better experience with less hassle •  Tips on how caregivers and clinicians can share the latest in assistive communication technology with their patients
  • 5. 4 Categories of AAC •  Low-Tech / Rapid Access – Letter/picture board, head pointer, lasers •  Mid-Tech – Apps for tablets, phones, and computers; simple call systems and inexpensive switches (jelly bean, proximity, sip-and-puff) •  High-Tech – Custom speech generating devices (SGDs), fully-accessible computer systems, and environmental controls •  Wearables – the next generation… Heads-Up visual Display (HUD) controlled by neural inputs (EMG vs. EEG) h<p://www.alifestoryfoundaCon.org/pals-­‐center/   Assistive Technology (AT) & Augmentative and Alternative Communication (AAC)
  • 6. Need for Early Implementation •  The rate of speech decline in ALS is fast •  Process to obtain an AAC device can be lengthy •  Learn to use your device in a stress-free environment and gradually incorporate it into every day living •  Start Medicare 13-month clock ticking and take ownership sooner h<p://www.alifestoryfoundaCon.org/pals-­‐center/   Assistive Technology (AT) & Augmentative and Alternative Communication (AAC)
  • 7. Functional Issues •  The Eye •  Light – #1 problem •  Positioning Specific Conditions •  ALS – Eye Hydration •  Brain Injuries & Stroke •  Cerebral Palsy •  MS •  Nystagmus •  Eyes Don’t Track •  Eyes Don’t Move •  Pupil Not Round •  Ptosis •  Poor Vision •  Dry Eyes •  Abrasions •  Eye Freeze •  Mydriasis •  Double Vision •  Spasticity •  Cataracts
  • 8. •  Do you want to have to pick between watching TV, looking at family / friends, or communicating? •  Needs calibration whenever light changes •  Can’t use outside or in direct sunlight •  Training / proficiency for caregivers •  Deteriorating eyesight / optics •  Ventillator complications Limitations of Eye Tracking / Eye Gaze
  • 9.
  • 10. •  Reliable signal regardless of body positioning or ambient light conditions •  Automatic calibration so you can stay online all the time; you become the switch •  Performance unhindered by eyesight issues or oculomotor disabilities •  Minimal training required for family and caregivers (24/7/365 SUPPORT)   Advantages of the NeuroSwitch
  • 12.
  • 13. •  The NeuroSwitch sends each signal you make with your muscle wirelessly (via Bluetooth) to a MacBook Air •  You make selections using “scanning” –  Software (AssistiveWare) displays a menu on the screen –  The software highlights options on the menu one by one, and you generate the signal with your muscle when the option you want appears (rows, then columns) –  You can type words out letter by letter, or utilize predictive text to type more efficiently –  You can also select various preset words and navigate to various “favorite” functions How EMG Signals Become Communication
  • 14. Speech Generation & Much More!
  • 21.
  • 22. Breaking the Lock 24/7/365 SUPPORT, NO MATTER WHERE YOU LIVE
  • 23. •  3 Leads –  (2) Detection – WHITE (longitudinally along muscle) –  (1) Reference – BLACK (offset; filters out “noise”)         EMG (Electromyography) Basics Tapping  into  the  FLEXOR  CARPI  ULNARIS  
  • 24. Harnessing the Signal FRONTALIS   FLEXOR  CARPI  ULNARIS   RECTUS  FEMORALIS   VASTUS  LATERALIS   VASTUS  MEDIALIS   TIBIALIS  
  • 25. •  The NeuroSwitch is smart enough to recognize and filter out muscle twitches, spasticity, and athetosis (or even sleeping) •  Only your intentional movements are interpreted as signals •  This is empowerment! You, in Control
  • 26. •  Reliable and durable •  Fast – both your body’s electrical system and the NeuroSwitch processors are incredibly fast •  Sensitive – works even when you are tired •  Feels effortless to use (you become the switch) •  Flexible – sensors can be moved as necessary •  Personalized / customized for each user A SWITCH THAT WORKS FOR THE DURATION Features of the NeuroSwitch
  • 27. Testimonials I was locked out from so many things I had previously taken for granted. This has given me back independence and freedom. -­‐  GLENN  SARGOOD  
  • 28. Testimonials Gary flies on this – he is typing at least 3 times as fast as any other switch device – anything anybody can do on a computer he can do. -­‐  CHAD  CONRAD,  CAREGIVER  FOR  GARY  GRIFFIN  
  • 29. Testimonials Everyone who has ALS is fearful of being locked in. Because of NeuroSwitch my husband is able to communicate with us with less effort and more speed than ever before…. NeuroSwitch has provided relief not only for him but for everyone else involved in his life. -­‐  LISA  GRIFFIN,  WIFE  OF  GARY  
  • 36. THE JOY OF COMMUNICATION FOR PEOPLE WITH PARALYSIS OR LOSS OF SPEECH. CONTROL BIONICS INC. © 2015 VISIT WWW.CONTROLBIONICS.COM AND FOLLOW US!