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  • Advice Pool - Low Level Laser in Hearing Impairment

    From my clinic:

    Mrs Mulyani visited my clinic, with her husband, who sufferred hearing difficulty.

    Her husband, 39 years old, conducted right ear mastoidectomi on 2003 . Three months ago, left ear worsened. They brought recommendation from an ENT specialist.

    He
    According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product
    complaint headache , noisy both ear, poor balance while walking. Low power laser given by ILIB and ear approach, ones a week, for 10 times. ILIB with opening 50 %, for 1 hour, and ear with 650 nm Low laser , 10 mW, 1 hour, pulse, for both ear. Probe approach given
    ; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

    Examples of combination products may in
    ones, at 9th visit, for neck spasm.

    After 4th visit , could hear his son crying and adzan from mosque. .

    After 5th, pain killer minimize , muscle relaxant stop .

    After 6 visit, could speak with normal pitch, balance going better. No headache anymore.

    After 10th
    lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

    : No attandane while walking, no drugs for pain, ear noise very rare,almost disappear.

    Program: going to administer 10 times again, ILIB ,and ear. Audiometry: going better compare before LLLT.( right ear increased 39 dB, left ear : 18 dB)

    First audiometry Augus
    here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe
    ,5 -2007, follow by march, 20, 2007:

    After 4th visite , could hear his son crying and adzan from mosque. .

    After 5th, pain killer minimize , muscle relaxant stop .

    After 6 visite, could speak with normal pitch, balance going better. No headache anymore.

    After
    d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

    Combination pro
    0th: No attandane while walking, no drugs for pain, ear noise very rare,almost disappear.

    Program: going to administer 10 times again, ILIB ,and ear. Audimetry: going better compare before LLLT.

    (Before 5 January 2007 - left diagram, After, 20 March 2007 ; righ
    ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc
    t diagram)

    Left : April 4, 2006 ; Right : April, 25, 2006

    riht ear: increas 39 dB[ left ear increase : 19 dB

    Discussion:

    Balance maintance by hearing, visual , and proprioceptive. No doubt he complaint poor balance while walking. To maintain balance, he try to
    easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi
    tabilize the neck, so muscles of the neck became stiff.

    Balance , and neck muscle pain became better as well as the hearing.

    I surprised, he answered my call by cell phone, after 14th therapy.

    no pain killer , and muscle relaxant anymore. Tinnitus, gone.

    Some j
    nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically
    urnals said , LLLT not work for tinnitus.

    May be the dose is to small as well as my experience before I use ILIB , and ear probe.

    He is going to work again

    From journals:

    The low level laser therapy of inner ear diseases has been made use of in Germany since th
    and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ
    e end of the eighties (for example by Dr. Uwe Witt, Hamburg) and is also to be found in quite a few other countries (Italy, France, Scandinavia, Switzerland, Hungary, the United States of America, Russia etc.).

    Since 1991, about 800 inner ear patients have been tr
    ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi
    ated with low level laser light under the medical and scientifical supervision of me. The therapy results have been (and still are) continuously documented and analyzed

    How does LLLT work?

    Each cell contains a number of power plants, called mitochondria. The func
    ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

    Following aspects would a
    ion of these power plants is to produce ATP, the form of energy which can be used by the cell to function properly.

    The inner mitochondrial membrane is a large collector surface folded onto a small total volume. All nutritive molecules (fats, proteins and glucose)
    dd to the challenges in developing combination products:

    Which markets to tap where the combination products can do fairly well?
    Which combination prod
    are oxidized within the cell to the last molecular nutritive component, that is, pyruvate. The pyruvate is then imported into the cellular power plant, where it disintegrates into carbon dioxide and water in the immediate proximity of the collector surface of the
    cts are meaningful and rational?
    Which therapeutic categories to select?
    Which Combinations can address unmet needs of the patients?
    Do combin
    itochondrion. The molecular bond energy thus released, which corresponds with visible, ultraviolet and infrared light as far as its wavelength and frequency is concerned, is utilized by the mitochondrion to produce the cellular fuel ATP.

    The collector surface of o
    tions increase the patient compliance?
    What would be the developing cost?
    How to tackle the risks encountered during combination product developmen
    r cellular power plant is enlarged by the mushroom-shaped protrusions of the inner mitochondrial membrane. The molecular bond energy of the pyruvate is released in the form of light energy. The antennae pigments are capable of absorbing this light energy and transm
    t?

    As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel
    it it to our cellular power plant, which can now produce the cellular fuel ATP. The natural solar radiation also stimulates the antennae pigments of the mitochondrion to produce ATP.

    The cellular power plants can thus produce more ATP. The cellular energy is the f
    ping new procedures for reviewing their safety, efficacy and quality.

    Professional from academic institutions, pharmaceutical industries, health care indust
    el the inner ear cells strives after and needs. A sufficiently high supply of cellular energy enables our inner ear cell to work under optimum conditions and is the essential prerequisite to ensure a successful self-healing process.

    Low level laser light increases
    y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products
    the energy output in our cellular power plant.

    (For a detailed discussion, see article: Import of Radiation Phenomena of Electrons and Therapeutic Low-Level Laser in Regard to the Mitochondrial Energy Transfer, Journal of Clinical Laser Medicine & Surgery, Volume
    .

    As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de
    16, Number 3, 1998, Mary Ann Liebert, Inc., Pp.159-165 ) Balance:

    Is it possible to help the organ of balance with the high dosage low level lasertherapy by Dr. Wilden?, specialist of Morbus Meni?re treatment? Yes. Vertigo, Morbus Meni?re and the often in the sa
    elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

    Companies that provide selfless information through particip
    e time existing sensation of pressure in or surround the ear can be treated very well with the high dosage low level lasertherapy by Dr. Wilden?, specialist of Morbus Meni?re treatment. * from "Das Stato-Akustische Organ" / Reiss-Walkowiak-Zenner-Plinkert-Lehnhard


    tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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