This article first appeared in NZ Doctor.
A New Zealand health IT company has come up with a device to harness brain data and help people manage chronic pain.
The Axon headset with its brain/ computer interface has been developed by Exsurgo on Aucklandâ€™s North Shore to provide feedback to users and allow them to dial down their pain.
The device is registered for use with Medsafe and, while it is ready to go on the market, Exsurgo is waiting for the completion of a local trial so clinicians can have full confidence in the device, says chief executive Richard Little.
Patients play simple games on their smart device while wearing the headset, and the technology rewards pain alleviation, Mr Little says.
He sees the product as democratising chronic pain treatment and changing peopleâ€™s lives.
The idea was to develop a system for pain patients to use in their own home, monitored remotely by a clinician.
The neurofeedback technology records biomarkers through the headset. The user develops a sense of agency in their pain management, feeling they are â€œdrivingâ€ their own brain.
The electroencephalography (EEG) technology has been around for over 50 years and is used in every hospital in the world, but has never been developed beyond the existing large, complex piece of equipment, says Mr Little.
He says Exsurgoâ€™s Axon headset will cost about NZ$2000 which will be more affordable than most other chronic pain treatments in the long run, as it does not require an on-site clinician, and will hopefully make life easier for patients and mean they donâ€™t need other treatments.
One in five people in the world suffer from chronic pain, and the solutions for it are far from fantastic, he says.
Because chronic pain is hard to treat, these patients are often high consumers in the healthcare system as they go from specialist to specialist and are prescribed drug after drug.
Mr Little wanted to develop an efficient technology in order to save money, and â€œfree up the human resources, the clinicians, to do their smart, human stuffâ€.
Exsurgoâ€™s product has been tested in a proof-of-concept trial in the UK and in a second clinical trial in Auckland. The trials coincided with COVID-19 lockdowns, so were run remotely.
Rather than have the trial patients come into the clinic, Exsurgo couriered their Axon headsets straight to their homes, together with links to instruction videos.
Mr Little says the lockdowns were a blessing in disguise, as the home-based rather than in-patient trial sessions addressed the problem the Axon is aimed at fixing.
For people with chronic pain, leaving the house may not be worthwhile for the treatment provided, he says.
Mr Little started as an engineer and gained an interest in neurological recovery more than 20 years ago, after his mother had a stroke and his best friend developed multiple sclerosis.
He worked with the friend, Robert Irvine, now a production manager at Exsurgo, to develop a set of robotic legs, or lower limb exoskeleton, to enable people with mobility impairments to walk again.
Through this company, Rex Bionics, they would utilise thought control with a brain/machine interface, which involved reading peopleâ€™s intentions to move and drive the exoskeleton to walk.
This experience in brain/machine interfaces led them to start Exsurgo, with stroke rehabilitation equipment in mind. Rex Bionics was sold to a company in China.
Exsurgo collaborated with AUT researchers on several neurological rehab projects before coming across EEG neurofeedback science, and eventually developing the Axon device.
Exsurgo funded the trial with the help of a range of investors based in New Zealand and the Middle East.
Mr Little says many patients had given up working or doing the things they loved due to their chronic pain, but the Axon headset has given them back their lives.
Exsurgo is Latin for â€œto stand, to rise, to recoverâ€