Business Opportunity courtesy of Impeto Medical

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September 9, 2019 | 28 Comments

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  1. This is such a brilliant proposition and entirely possible.

    I worked for a guy who invented a machine for the financial market.
    He had had a eureka moment and got himself a team of himself, the Inventor, a technical engineer and a financial director. They had a small factory in Cardiff Docks and an office in Notting Hill and they applied for the patent.

    All this, but no sales team, no publicity, no brochures, no customers.

    So, this was my job, all that..

    After a year of graft, he sent me to the US to develop sales, and try and get independent agents. I had to be entirely self funding, my expenses were minimal and one or two sales had to pay for zooming from state to state.

    There are people out there who get the vision, who can see the opportunities.

    Impeto seem to have difficulties, but they could have developed a market with the add on, but, it looks like they are busy enough with their own Marketing Plan which doesn’t include veering off. But why develop the add on in the first place – stretched too thin?

    Also, as they evidenced themselves in their Power Point Presentation, they could have stumbled in to a quite significant area of interest …

    A doctor offloading his SudoScan, only 45 tests to break even, so around $183 per test..

    Used IMPETOMEDICAL Sudoscan Unit Neurology General Um zu …
    https://de.dotmed.com/listing/neurology-general/impetomedical/sudoscan/unit/2391990

    Used IMPETOMEDICAL Sudoscan Unit Neurology General Um zu verkaufen – DOTmed Angebotseintrag #2391990: Used Sudoscan for sale. This device detects and measures peripheral neuropathy and has a strong reimbursement. $32,000 new. I’m asking $8250. Only 45 tests to break even. This device does have the renewable plates like the newer models

    Sales Force Training
    Power Point Presentation

    https://www.powershow.com/viewht/80f081-MDhjN/Sales_20Force_20Training_20Sudoscan_powerpoint_ppt_presentation

    Slide 43

    Medication Confounders

    Elevations and Decreases of scores with medications

    ‘Potential confounding factors to SudoScan results, not fully validated by research’ …

  2. I flagged up a research project being carried out on conductivity by a student in Bangor Electrical Engineering Dpt some months ago . It seemed to fall down a hole but if anybody knows anything about it there is an opportunity there – If not in Bangor other uni’s support student projects to set up businessesPontio Innovation

    Pontio Innovation is a business development hub, which nurtures ideas and helps to make them a reality. We work with a network of members, from individuals to SMEs and larger enterprises. Our product design experts help our members to identify new thinking, methods and processes, which will help them to develop and succeed. Our purpose-built space is home to cutting-edge technology. That means we are able to facilitate the prototyping of commercial products and services and can bring viable ideas to market quickly.

    Contact
    School of Computer Science and Electronic Engineering
    Bangor University, Dean Street, Bangor, Gwynedd, UK, LL57 1UT

    Phone: 01248 351151

    Email: csee@bangor.ac.uk

  3. Getting your hands on the product is not the issue, it’s available only a matter of time. Say we get our hands on it l, Test pssd patients from severe to less severe, prove the condition exists, what then ? I get proving it exists is important and viable when it comes to health providers but will it take it a step closer to finding a cure? Or even a few more steps? Asking for hope sake only.

    • We hope to have a post next week or the week after on the experience people have going to doctors and being told this is all in your mind. The distress caused by the ridicule sufferers receive is part of what leads some of them to contemplate suicide. So having a test result to challenge them with would make a huge difference. Probably also to some of those affected who from time to time wonder if it isn’t in their own mind.

      Beyond that, there is a challenge to medicine here. According to standard medical books PSSD is impossible. Sensory problems like this are supposed to happen to long nerves and show up in hands and feet – not in genitals. So PSSD upends a century of conventional medical wisdom. This conventional wisdom is trending towards expensive brain tests and skin biopsies to test for these problems. Having a simply test demonstrate what’s going again will be a challenge – who knows the end result might be they might start believing what people say.

      David

  4. David
    Can you give us some idea of how many have the diagnosis through Rxisk or elsewhere?(not considering how many may have without realising) If a test becomes available , being optimistic,how will they get it,?,will devices be spread around , ideally people will need to self refer or self test as most clinicians are still in denial that the condition exists. If the test becomes simple enough it would be good if people can test themselves – including for reasons of it being an intimate test -that would boost sales if manufactured – Not so long ago we could only get access to many devices/tests by discussion with a gatekeeper – usually GP These days there are many in stores or online.

    • Suzanne

      No one is going to develop a test just for PSSDers – even though we have 500 on our books and there are likely several thousand at least.

      The point behind the post is there is a market for checking out genital sensitivity way beyond PSSD. Do you or I know if we are as genitally sensitive as we should be, could be, would be?

      D

    • Susanne

      We have 500 PSSDers and there are likely thousands but no-one will want to make a device for such a small group even if it saves lives. The point behind the piece is to point out that there are millions of people out there who might be interested in testing for genital sensitivity. Are you or I as genitally sensitive as we should be, could be, would be?

      David

      • I would add , ‘or want to be’. I am uncertain about this now , I think a device should be available to anyone who wants it – yet there could be some negatives if people with variable sensitivities and sexual desires start to think there is some kind of thresh-hold for optimal satisfaction, especially when they have been happy enough before. Importantly though What would be the consequences for people not experiencing what is thought to be optimal sensitivity – my guess is potentially – drugs and more exploitation of insecurities than already in society by businesses offering ‘cures’. I do have a feeling that this kind of device will be snapped up though so maybe my thoughts are over-protective a bit over- maternalistic.

        • Suzanne

          Developing a device may end up doing more harm than good. But given that people are simply not believed when they report what is wrong with them, having something supposedly objective may help get them listened to and depending on the device it may shed light on what is wrong

          David

  5. Sparking off Johanna’s comments there is seemingly money to be made if someone can come up with a simple device . Witjh thanks again to pseudoscam :-

    Ouistart tenant of the week – Impeto Medical
    POSTED ON FEBRUARY 1, 2018 BY NICOLAS MENIER
    “As a U.S. representative for the French company Impeto Medical, it is a treat working at the Ouistart San Diego based business center. Being surrounded by other small business owners and entrepreneurs makes for a very motivating environment to operate from.”
    Herve Cote, U.S. Operations for Sudoscan medical device, Impeto Medical

    Tenant of the week (with photo of very small office space and one desk being operated by the happy soon to be well off operator)
    Company Name: Sudoscan Medical Device – Impeto Medical
    Activity: The Sudoscan™ is an FDA approved medical device manufactured in France by Impeto Medical, designed to evaluate sweat gland function

    Tenant since September 2017
    Space rented: one private office, one storage office and one dedicated desk in our bright open space.

  6. PSSD Collaborative Research
    A forum dedicated to collaborative research into PSSD (Post-SSRI Sexual Dysfunctio

    Meeting- member of parliament (UK)
    Moderators: Ghost, Sonny

    Post a reply

    First unread post • 9 posts • Page 1 of 1
    Meeting- member of parliament (UK)
    Unread postby Frog » Wed Aug 28, 2019 7:54 am

    Hi all,

    I’ve recently had a meeting with a caseworker who works my local member of parliament (UK) and spoke about PSSD and the symptoms linked to it including emotional and cognitive issues.
    I today received a letter from my MP and he is raising the concern about support and treatment with the British health minister! He has been very helpful and I’m sure will continue to be!

    I will update with any progress. I urge all of you in the UK to write to/email your MP and aks the same of them. There is power in numbers!
    Frog

    • I think it’s very important to recognise that pssd is much more than just sexual dysfunctions. There is damage done to emotional functioning and cognitive functions.

      • SSRIs also damage emotional and cognitive function but these are not part of PSSD. These injuries can happen without PSSD, just as 30 minutes after taking a first SSRI pill most people will be genitally numb to some extent without cognitive damage.

        Some but not all people with PSSD can also have emotional and cognitive damage but these are separate injuries

        D

        • Is the mission of rxisk to also fix emotional and cognitive functions or only sexual dysfunctions? Or maybe you think one is related to another and fixing one thing will help with the other?

          • PSSD is a point of attack. It is very specific. Everything about it tears up most of what we understand about pharmacology and neurology. Finding an answer will not just help people with it but will change our understanding about a lot of things. The hope is that this will lead to a better understanding of lots of things.

            RE emotional and cognitive changes, these also happen and RxISK insists on this and that the ultimate goal has to be getting health systems to believe people when they come and report what is happening to them.

            D

          • I have a question regarding fertility, do pssd patients have to worry about that ? or even the slightest due to prolonged ssri use? I’m a male with pssd for 2.5 years and want to know if it’s something to worry about.

          • Being on an SSRI impairs fertility. But PSSD doesn’t. I would think if the PSSD resolves/gets cured, your fertility should be okay

            D

        • I hadn’t though of it like this before.

          I have emotional numbing as well as the sexual problems.

          I always assumed the emotional and sexual numbing were both a part of PSSD and were connected.

          Is this definitely not the case?

          • There is a very close link between emotional numbing and sexual numbing but the two are distinct. Anedonia is something different. Antipsychotics cause anhedonia but not genital numbing. Over time there can be a loss of libido but again, its distinct from anhedonia.

            D

  7. Appealing To Impeto Medical Via Youtube
    Moderators: Ghost, Sonny

    Post a reply

    Search this topic…
    First unread post • 3 posts • Page 1 of 1
    Appealing To Impeto Medical Via Youtube
    Unread postby Kevin2017 » Tue Sep 10, 2019 2:00 am

    There`s a new video on youtube appealing to Impeto Medical to cooperate with Professor Healy regarding the use of Sudoscan to test for PSSD. It would be helpful if people can add comments to the video referring to their own PSSD to add weight to the message.

    Thank you.

    https://www.youtube.com/watch?v=SS8uiys … e=youtu.be
    Kevin2017

  8. Get the last reply from David – and it applies to so many of us who have been ridiculed and disbelieved in so many other cases when reporting to doctors. –
    But re Sudoscan
    Posted by ‘anonymous’ (as so often people get the truth out by having to post anonymously when the possibility of sueing by companies shows how unequal the power is in law as everywhere else)

    As Guest (on Cafepharma message board – 2016 –
    I do NOT work with the company (referring to another co. initially)but am familiar with the technology. The company sells different medical devices so there may be confusion that it is one device but the technology is real and has an FDA 510K Clearance. The problem is that the device it is too expensive ($40K-$50K) for most private FP, IM or Endocrinology doctors and is designed for patients living with diabetes. It tests for Autonomic Nervous System (ANS), Sudomotor Function Testing (SFT) and newer devices include Ankle Brachial Index (ABI) which are all real evidence-based assessments and have over 5-years of CPT reimbursement history

    (also stay away from ANSAR and SudoScan devices that may be on sale because CMS has banned the products from use on federal patients). I would advise that you seek other company’s that sell newer and better technology. Best of luck! 🙂

    Second hand devices (not adapters) are sold for For Sale IMPETOMEDICAL Sudoscan Unit
    Condition :
    Used – Excellent
    maybe the business opps for doctors who buy them are not as promising after all. Have read somewhere a bit about complications of reimbursement by insurers private or medicare – will add if can find it again. CMS are the Codes used for reimbursement as far as I see but don’t now exactly the problem re sudoscan.

    Quantity :
    1
    In Stock :
    Yes
    Date :
    August 26, 2019
    upwards of 32000dollars

    Item Description
    Seller assumes all responsibility for this listing.

    Listing: #2814890

    Condition: Used – Excellent
    Brand: IMPETOMEDICAL
    Type: Diagnostic Set
    Model: Sudoscan
    Multiple units from 2014 available and priced to sell. Each unit comes with plates. Buy multiple for a large discount.

    SUDOSCAN is an a device for galvanic skin response that has been cleared for use by the FDA to test for Peripheral Neuropathies and Sudomotor function.

    SUDOSCAN evaluates sweat gland function through a process called galvanic skin response. SUDOSCAN measures the ability of the sweat glands to release chloride ions in response to a small electrical stimulus on the palms of the hands and soles of the feet.

    SUDOSCAN is a device that tests for small nerve peripheral neuropathy.
    Reimbursable by most insurances including Medicare.
    $200 average Medicare reimbursement
    It is a 3 minute test that requires no patient preparation
    No prior authorization needed
    Scientifically proven for early detection of small nerve peripheral neuropathy

  9. Genital neuropathy Testing Possibility – Project from Dr Healy
    Post-Drug Syndrome Survey: Help Raise Awareness and Aid Research
    If you have experienced persistent symptoms for at least three months after cessation, please take part in this important project.
    Learn more in the Survey FAQ Topic
    Welcome to propeciahelp, a forum for both men and women suffering from persistent symptoms after use of 5alpha-reductase inhibitors such as finasteride, isotretinoin, saw palmetto extract, dutasteride as well as anti-androgens, antidepressants, and GnRH analogs. PLEASE NOTE: This is NOT a hair loss forum

    Genital neuropathy Testing Possibility – Project from Dr Healy
    Science
    axolotl
    Jul 5
    Hi guys,
    Bit of an unconventional one, but we’re writing to make you aware of the potential for a UK based test. Dr Healy wants to proceed with a test for genital neuropathy in a small group of PFS, PSSD and PRSD (Accutane) patients.

    Professor Healy has reached out as he has had difficulty obtaining a necessary adapter from the company, and as such he is asking for interested patients to email the company requesting that this is provided owing to the importance of investigation into the condition
    One of the UK’s leading experts in peripheral neuropathy already uses Sudoscan and has agreed to help us test PSSD, PFS and PRSD patients if Impeto Medical can supply us the special adaptors. Unfortunately, they seem unwilling to do this and have stopped responding to our messages.

    We need your help. We would like you to add your name, city, country, and the date to Letter 1 and email it to jean-henri.calvet@impeto-medical.
    CLICK HERE for a letter template

    kan
    Jul 23
    He has answered the e-mail. Here’s his reply:

    Thank you for your heartfelt letter.

    As a medical doctor with strong moral values, ​​I fully understand and share in the suffering that you or your loved ones feel. I also admire Professor Healy’s fight for the recognition of post-SSRI sexual dysfunction as a legitimate pathology.

    We are a small French company that has developed a technology to evaluate the function of small nerve fibers of the autonomic nervous system which control the sweat glands. The measurements are taken on the palms of the hands and soles of the feet, the two areas of the body with the highest density of sweat glands. This method has been validated and is now widely recognized, as evidenced by the numerous international scientific publications devoted to it (> 150). Because of its simplicity, it is increasingly being used by specialists in the field of neurology.

    Some time ago, a physician who has used the technology extensively, asked us to adapt the methodology to evaluate small nerve fiber function for erectile dysfunction. His aim was to complete a very preliminary study purely in a research context, looking to eventually replace the current standard of care diagnostic test (sympathetic skin response – SSR) which he considers to have limited performance. He wrote a first publication of 25 patients with diabetes who were suffering from erectile dysfunction. Prof. Healy came across this publication, and in the interest of providing optimal care to his patients, requested that we make the technology available for your benefit; this, of course, is a completely scientific and professional intention. However, the adaptation of our technology for this research study does not have the CE marking yet, and therefore cannot at this time be used on a larger clinical scale. We are currently working on filing for the application’s CE marking. In the meantime, your attending physician may use SSR for diagnostic purposes, being cognizant of its limitations. As a physician, as previously stated, I am aware of the struggles with your condition, and do not want under any circumstances to prevent you from benefitting from the latest medical technologies, as Professor Healy seems to imply; this would hardly be ethical. However, we must allow time for adequate research to be completed in order to achieve results that are reliable and usable by all.

    Thank you for trusting me in working to help improve your care.

    Sincerely yours.

    Jean-Henri Calvet, MD, PhD

    from ‘a small French company’ (!)

    • A genital adaptor is probably not needed to provide a proof of concept. Just standard electrode gel pads would suffice – I think. These could be the non adhesive type (for use on the scalp) and held in place with surgical tape.

      Unfortunately, I doubt if it this would be useful.
      Sudoscan and SudoPath™ (LD Technology) appear to come from the same stable. Reading though the paper it appears to measure the micro-circulation response only — as a way of ‘indicating’ — that neuropathy is ‘probably’ responsible for a reduced sweet gland response and thermoregulation, when compared to control subjects. In this respect it makes sense that they excluded from their study, anyone that was taking beta- blockers etc. The instrument does not appear (to me at least) as being able to measure nerve fibre conduction/signalling directly.

    • From this reply from Jean Henri it looks like he is asking us to play a waiting game, and that once the adapter has the CH marking, whatever that is, then he can provide us with the adapter.

      I would like to believe and hope Jean Henri is being honest about this, and that he does indeed have the intention to file for the applications CE marking.

      As a sufferer of PSSD, i don’t mind waiting a little while longer to try and get answers (i have been waiting 12 years already), but i just hope this doesn’t end up dragging on for years and years without us being able to get the genital adapter etc.

      I was wondering if someone might be able to email and ask Jean Henri how long it might take for the genital adapter to get the CE marking. I would myself, but he hasn’t responded to my emails, so it might be better coming from someone who has had a reply.

    • It might be useful to look at the patent filing in case I have missed something.
      https://patentimages.storage.googleapis.com/64/70/b8/4022409e8b83ba/US8934954.pdf

      I read this as, the apparatus stresses the sweat glands to see ‘if’ and to ‘what degree’ they have atrophied. This could simply be the result, not of poor nerve inputs. Much is still not fully understood as to what is exactly happening. Some of the new current thinking is, that in diabetes the cells become so full of glycogen (which the cell can’t directly use as fuel), that there is no room left for glucose to enter. Whilst sweat may taste salty, the fluid comes from a salter plasma and so the cells require glucose to overcome the osmotic gradient and recycle as much sodium as possible. If this brakes down completely — the cells die. Therefore. Got this gut feeling that PSSD does not involve signalling beyond the reptilian part of the brain. If so, PSSD might also, exhibit subtler symptoms that go unreported, as they might not at first appear connected. This is a bit of a leading question: “Do people with PSSD find that they have lost “a lot” of their competitive spirit, only to have had it replaced, with a shadow of frustrations when trying to deal effectively with people?” It is a bad question in a way, as I’d guess that 98% of healthy people might instantly answer ‘yes’ without thinking. So I mean it from the point of view of anyone suddenly realising and thinking — Ah ha! Yes that too!

  10. Send a Release
    Impeto Medical Responds to Published Allegations by LD Technology LLC (“LD”)
    NEWS PROVIDED BY

    Impeto Medical SAS
    Mar 05, 2015, 03:00 ET

    SHARE THIS ARTICLE

    SAN DIEGO, March 5, 2015 /PRNewswire/ — In response to the incorrect assertions by LD, distributed by Marketwired in Miami, FL on February 12, 2015. Impeto Medical SAS and its U.S. company are both of strong financial health and their SUDOSCAN® devices have been proven to provide accurate results, as clinical research has indicated. Furthermore, Impeto prefers to have the courts decide this dispute rather than the press.

    There are more than 40 articles written by Key Opinion Leaders, published by significant peer-reviewed scientific journals that scientifically demonstrate that Impeto’s SUDOSCAN® devices perform as advertised. These devices have been well accepted by Medical doctors in the U.S. and throughout the world. LD’s assertions to the contrary are simply incorrect.

    Impeto’s SUDOSCAN® device was listed as a predicate device within LD’s first 510(k) application and subsequent clearance. For example, LD stated on its June 29, 2010 510(k) Premarket Notification Number K102166, that with regard to its EIS-GS device there is “Substantial equivalence [–] Predicate legally marketed device[:] SUDOSCAN 510(k) number 100223: Manufacturer Impeto Medical…. Similarities[:] Same intended use and same technology.” Thereafter, LD’s February 16, 2013 510(k) (2) Premarket Notification for its Sudopath device used the June 29, 2010 510(k) as the predicate. In other words, in its FDA documents, LD admits that its Sudopath device uses the same technology as the prior SUDOSCAN® device of Impeto.

    Impeto’s D&B credit is in good standing. Additionally, Impeto has strong shareholders which support the company’s’ research for the past decade and to protect the R&D investments through strong worldwide patents and patent applications.

    LD’s press release assertions are incorrect, especially regarding Non-Disclosure Agreements and allegedly improperly used information. The French courts have already ruled that Impeto and its engineers had acted properly and did not violate any rights of LD or its French predecessor.

    Impeto has sued LD and its officer Albert Maarek in the U.S. District Court for the Southern District of Florida in civil action no. 1:15-cv-20109. The causes of action brought by Impeto Medical SAS against LD and Maarek assert infringement of three U.S. Impeto patents, infringement of Impeto’s SUDOSCAN® trademark, and false advertising. The Impeto patents and trademark registration were properly issued by the U.S. Patent and Trademark Office, and Impeto is confident in its position. Impeto prefers to have the courts decide this dispute rather than the press.

    Impeto medical SAS was founded in 2005 in Paris. See website: http://www.impeto-medical.com.

    Impeto medical Inc was created in 2011 as a full subsidiary of SAS. See website: http://www.sudoscan.com

    SOURCE Impeto Medical SAS

  11. For Anybody with an interest in the technical side – loads of detailed material has been published by Hanna Ayoub including in a book all in the public domain.

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