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The Many Wanderings

of the Vagus Nerve
Bashar Badran, Ph.D.
Transformative Technology Conference
November 10th, 2018
Disclosures
• Co-Founder, Bodhi NeuroTech (Charleston, SC)
• Inventors & IP Assignees of E-Meditation
• Consultant, eQuility LLC (Bellevue, WA)
• Primary or Sole Inventor on TMS/VNS/tDCS/Ultrasound Patents
Neurorehabilitation Neuropsychiatric Treatments
E-MeditationStimulation + fMRI
Research Overview
Using paired-VNS to enhance and
accelerate rehabilitation
treatment outcomes
Daily rTMS therapy to treat
major depression, mood
disorders, OCD, addictions, and
chronic pain
Administering TMS and VNS in
the fMRI scanner to image the
direct brain effects
tDCS to Enhance meditative state
(E-Meditation) as well as VNS to
enhance and accelerate learning
and threat detection
The Brain is an
Electrochemical
Organ
From Higgins and George,
Neuroscience for Clinicians, 2007, Lippincott
Forms of Neuromodulation
Magnetic Stimulation
• Transcranial Magnetic Stimulation (TMS)
• Low Field Magnetic Stimulation (LFMS)
Electrical Stimulation
• Vagus Nerve Stimulation
• Deep Brain Stimulation (DBS)
• Transcranial Direct Current Stimulation (tDCS)
• Transcranial Alternating Current Stimulation (tACS)
• Transcranial Random Noise Stimulation (tRNS)
Ultrasound
• Transcranial Pulsed Ultrasound (TPU)
Electromagnetic Radiation
• Optogenetics
• Near-Infrared Stimulation
Physical Pressure
• Acupuncture, Acupressure
Meditation, Yoga, Hypnotism
The Vagus Nerve
 Andreas Vesalius. De humani corporis fabrica (plate 49) Year: 1543 
First Patient Implant in 1997
Prof. Jake Zabara
Inventor of VNS
Vagus Nerve Stimulation
Implantable Vagus
Nerve Stimulation
(VNS)
Pros:
• Treats intractable epilepsy
• Treats chronic recurrent depression
• Safe (>100,000 implanted in US)
Cons:
• Invasive
• Onset of action is 6months – 1 year
• 1/3 response rate in epilepsy
• Complications require another surgery
• Costly (>$50,000)
VNS is Effective in Epilepsy and Depression
Sackeim et al 2001, Neuropsyc
DeGiorgio et al 2000
20% of patients have > 75% reduction in seizures
33% of patients have > 50% reduction in depressive symptoms
It Takes A Village (62)Learn From Liz
Val-Laillet et al 2010
Ay et al 2008
VNS Rescues The Brain From StrokeVNS Reduces Body Fat
Promising Animal Models of VNS
Pairing VNS to Reorganize Cortical Maps
Porter et al 2012
M1 Plasticity, Rats - .8mA, 30Hz, 100µs
(VNS)(Stimulus)
Experience
Burst of
Neuromodulators
+
Targeted Plasticity
Specific &
Persistent
No Plasticity
(Doesn’t “stick”)
Generalized Response
(Non-Specific)
Noninvasive Vagus Nerve Stimulation
(taVNS)
Nerve Innervation of the Ear Ear Targets Basic Administration
We stimulate the Auricular Branch of the Vagus Nerve (ABVN). This method is
known as Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)
taVNS Slows Heart Rate, Increases HRV,
Induces Calm
• Vagal modulation is parameter specific
• taVNS decreases HR, Increases HRV, feels “relaxing
ChangeinHR(BPM)
Does taVNS Activate
the Brain?
Concurrent taVNS/
fMRI to Investigate
Direct Brain Effects of
taVNS
taVNS Activates the Vagal Afferent Network
Sham Stimulation Active Stimulation
Badran et al, 2018. taVNS/fMRI; Brain Stimul
What’s in the taVNS Pipeline?
6 Big Projects in 2019
• taVNS-Paired Neurorehabilitation
(Badran/Jenkins)
• SmartStim Baby Bottle (Badran)
• PTSD therapy for Veterans
(Badran)
• Mild/Moderate Parkinson’s
(Badran/Hinson)
• Combined taVNS/tDCS E-
Meditation (Badran/Short)
• Take Home Digital Therapeutic
(eQuility)
Badran et al 2018
taVNS Digital Therapeutics
Platform
• Non-pharmacological mobile health
therapy - anywhere, anytime
• Indication: MDD, Mild-Moderate
Depression
• Combination Paired app-based
therapy + stimulation provides
effectiveness
• Closed loop monitoring
• Feedback
• Compliance and clinical
dashboard
E-Meditation – Sneak Preview
Badran et al (Oct 2016) - First to
publish on using stimulation to
augment meditative practice
Featured Article in The New Scientist
Edition: July 14, 2018
What’s in the E-Meditation Pipeline?
• E-Meditation Events
• Week-long E-Meditation Retreat w/ Shinzen Young (Ongoing Now)
• Compressed Single-Day retreat w/ Michael Taft (Kati Devaney/SF Dharma
Collective)
• 4 More Studies in 2019
• Single site E-Meditation Clinical Trial
• International E-Meditation Trial in Milan, IT
• Concurrent taVNS/tDCS E-Meditation Trial
• E-Meditation fMRI Study
• Consumer Product Soon
• Zendo Consumer E-Meditation Device Launch – 2019 (looking for funding)
Zendo E-Meditation System (Exhibiting @ Maker
Table)
Science is like a Symphony, Sometimes
You’re Lucky Enough to Be The Conductor
.
Science Advisors
Mark S. George
Jake Zabara
Truman Brown
Colleen Hanlon
Jeffrey Borckardt
Lisa McTeague
Donna Roberts
Study Support
Alan Badran
Logan Dowdle
Chloe Glusman
Nick LaBette
Caroline Summer
Philip Summer
Kate Beaver
Minnie Dobbins
Xingbao Li
Gonzalo Revuelta
E. Baron Short
Brittan Carter
Shayla Lester
William DeVries
Chris Austelle
Greg Sahlem
Oliver Mithoeffer
Brett Froeliger
Dorothea Jenkins
Visiting Scholars
Reza (Iran)
Jin Park (Korea)
Yojiro Umezaki
(Japan)
Thomas Adams
MUSC CGS
Dodie Weiss
Karla Locklear
Cynthia Wright
Keisha Vaughn
Paula Trackman
Perry Halushka
Friends & Family
Huda Nassori
Wadih Badran
Karam Badran
Thomas Pearson
Joe Dehope
Institutional Support
MUSC Brain Stimulation Lab
MUSC Neuroscience Institute
MUSC Center for Biomedical Imaging
MUSC FRD
Hotel California @ Burning Man
Bodhi NeuroTech, Inc
US Army Research Lab
City College Neural Engineering
U.S. Army Research
Alfred Yu
Jeffrey Hansberger
Jay Sanguinetti
Jean Vettel
Bill Evans
Valerie Rice
CCNY Neural
Engineering
Marom Bikson
Devin Adair
Robin Azzam
Feel Free to E-Mail Me:
BasharWBadran@gmail.com
Learn More About E-Meditation
www.E-Meditation.com
Thank You

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Dr. Bashar Badran. Bio-Stimulation: The Many Wanderings of the Vagus Nerve

  • 1. The Many Wanderings
 of the Vagus Nerve Bashar Badran, Ph.D. Transformative Technology Conference November 10th, 2018
  • 2. Disclosures • Co-Founder, Bodhi NeuroTech (Charleston, SC) • Inventors & IP Assignees of E-Meditation • Consultant, eQuility LLC (Bellevue, WA) • Primary or Sole Inventor on TMS/VNS/tDCS/Ultrasound Patents
  • 3. Neurorehabilitation Neuropsychiatric Treatments E-MeditationStimulation + fMRI Research Overview Using paired-VNS to enhance and accelerate rehabilitation treatment outcomes Daily rTMS therapy to treat major depression, mood disorders, OCD, addictions, and chronic pain Administering TMS and VNS in the fMRI scanner to image the direct brain effects tDCS to Enhance meditative state (E-Meditation) as well as VNS to enhance and accelerate learning and threat detection
  • 4. The Brain is an Electrochemical Organ From Higgins and George, Neuroscience for Clinicians, 2007, Lippincott
  • 5. Forms of Neuromodulation Magnetic Stimulation • Transcranial Magnetic Stimulation (TMS) • Low Field Magnetic Stimulation (LFMS) Electrical Stimulation • Vagus Nerve Stimulation • Deep Brain Stimulation (DBS) • Transcranial Direct Current Stimulation (tDCS) • Transcranial Alternating Current Stimulation (tACS) • Transcranial Random Noise Stimulation (tRNS) Ultrasound • Transcranial Pulsed Ultrasound (TPU) Electromagnetic Radiation • Optogenetics • Near-Infrared Stimulation Physical Pressure • Acupuncture, Acupressure Meditation, Yoga, Hypnotism
  • 6. The Vagus Nerve  Andreas Vesalius. De humani corporis fabrica (plate 49) Year: 1543 
  • 7. First Patient Implant in 1997 Prof. Jake Zabara Inventor of VNS
  • 8. Vagus Nerve Stimulation Implantable Vagus Nerve Stimulation (VNS) Pros: • Treats intractable epilepsy • Treats chronic recurrent depression • Safe (>100,000 implanted in US) Cons: • Invasive • Onset of action is 6months – 1 year • 1/3 response rate in epilepsy • Complications require another surgery • Costly (>$50,000)
  • 9. VNS is Effective in Epilepsy and Depression Sackeim et al 2001, Neuropsyc DeGiorgio et al 2000 20% of patients have > 75% reduction in seizures 33% of patients have > 50% reduction in depressive symptoms
  • 10. It Takes A Village (62)Learn From Liz Val-Laillet et al 2010 Ay et al 2008 VNS Rescues The Brain From StrokeVNS Reduces Body Fat Promising Animal Models of VNS
  • 11. Pairing VNS to Reorganize Cortical Maps Porter et al 2012 M1 Plasticity, Rats - .8mA, 30Hz, 100µs (VNS)(Stimulus) Experience Burst of Neuromodulators + Targeted Plasticity Specific & Persistent No Plasticity (Doesn’t “stick”) Generalized Response (Non-Specific)
  • 12. Noninvasive Vagus Nerve Stimulation (taVNS) Nerve Innervation of the Ear Ear Targets Basic Administration We stimulate the Auricular Branch of the Vagus Nerve (ABVN). This method is known as Transcutaneous Auricular Vagus Nerve Stimulation (taVNS)
  • 13. taVNS Slows Heart Rate, Increases HRV, Induces Calm • Vagal modulation is parameter specific • taVNS decreases HR, Increases HRV, feels “relaxing ChangeinHR(BPM)
  • 14. Does taVNS Activate the Brain? Concurrent taVNS/ fMRI to Investigate Direct Brain Effects of taVNS
  • 15. taVNS Activates the Vagal Afferent Network Sham Stimulation Active Stimulation Badran et al, 2018. taVNS/fMRI; Brain Stimul
  • 16. What’s in the taVNS Pipeline? 6 Big Projects in 2019 • taVNS-Paired Neurorehabilitation (Badran/Jenkins) • SmartStim Baby Bottle (Badran) • PTSD therapy for Veterans (Badran) • Mild/Moderate Parkinson’s (Badran/Hinson) • Combined taVNS/tDCS E- Meditation (Badran/Short) • Take Home Digital Therapeutic (eQuility) Badran et al 2018
  • 17. taVNS Digital Therapeutics Platform • Non-pharmacological mobile health therapy - anywhere, anytime • Indication: MDD, Mild-Moderate Depression • Combination Paired app-based therapy + stimulation provides effectiveness • Closed loop monitoring • Feedback • Compliance and clinical dashboard
  • 18. E-Meditation – Sneak Preview Badran et al (Oct 2016) - First to publish on using stimulation to augment meditative practice
  • 19. Featured Article in The New Scientist Edition: July 14, 2018
  • 20. What’s in the E-Meditation Pipeline? • E-Meditation Events • Week-long E-Meditation Retreat w/ Shinzen Young (Ongoing Now) • Compressed Single-Day retreat w/ Michael Taft (Kati Devaney/SF Dharma Collective) • 4 More Studies in 2019 • Single site E-Meditation Clinical Trial • International E-Meditation Trial in Milan, IT • Concurrent taVNS/tDCS E-Meditation Trial • E-Meditation fMRI Study • Consumer Product Soon • Zendo Consumer E-Meditation Device Launch – 2019 (looking for funding)
  • 21. Zendo E-Meditation System (Exhibiting @ Maker Table)
  • 22. Science is like a Symphony, Sometimes You’re Lucky Enough to Be The Conductor . Science Advisors Mark S. George Jake Zabara Truman Brown Colleen Hanlon Jeffrey Borckardt Lisa McTeague Donna Roberts Study Support Alan Badran Logan Dowdle Chloe Glusman Nick LaBette Caroline Summer Philip Summer Kate Beaver Minnie Dobbins Xingbao Li Gonzalo Revuelta E. Baron Short Brittan Carter Shayla Lester William DeVries Chris Austelle Greg Sahlem Oliver Mithoeffer Brett Froeliger Dorothea Jenkins Visiting Scholars Reza (Iran) Jin Park (Korea) Yojiro Umezaki (Japan) Thomas Adams MUSC CGS Dodie Weiss Karla Locklear Cynthia Wright Keisha Vaughn Paula Trackman Perry Halushka Friends & Family Huda Nassori Wadih Badran Karam Badran Thomas Pearson Joe Dehope Institutional Support MUSC Brain Stimulation Lab MUSC Neuroscience Institute MUSC Center for Biomedical Imaging MUSC FRD Hotel California @ Burning Man Bodhi NeuroTech, Inc US Army Research Lab City College Neural Engineering U.S. Army Research Alfred Yu Jeffrey Hansberger Jay Sanguinetti Jean Vettel Bill Evans Valerie Rice CCNY Neural Engineering Marom Bikson Devin Adair Robin Azzam
  • 23. Feel Free to E-Mail Me: BasharWBadran@gmail.com Learn More About E-Meditation www.E-Meditation.com Thank You