๐Ÿงพ Clinical Implementation Brief โ€” Phase 1: In-Clinic Use

Introduction

coMra therapy is designed to integrate easily into existing eye-care workflows. Phase 1 focuses on in-clinic use only: local optic nerve protocols applied by trained staff under doctor supervision.

This approach requires minimal disruption, provides measurable benefits early, and establishes the foundation for later phases (e.g., supervised home use).


Patient Flow (Experience in Clinic)

  1. Doctor introduces therapy

    • Explains coMra as part of the care plan (e.g., glaucoma, stroke, diabetic, neuritis).
    • Reassures patient: safe, non-invasive, complements existing treatment.
  2. Vision Therapist / clinical staff reinforces

    • Demonstrates device placement over closed eyelids.
    • Explains what the patient will experience (blinking light, no pain or heat).
  3. Supporting materials provided

    • Patient Card (condition-specific).
    • Consent form signed.
    • Clinical Brief available if patient/family want more detail.
  4. In-clinic session delivered

    • Short, comfortable session (5โ€“20 minutes depending on protocol).
    • Staff manage setup, delivery, and monitoring.
  5. Follow-up

    • Doctor reviews results over time (comfort, stability, visual fields).
    • Staff continue scheduling and delivering treatments.

In-Clinic Workflow (Staff / VT Perspective)

Preparation

  • Confirm patient and protocol ordered by doctor.
  • Check consent on file.
  • Clean terminals; prepare treatment area.

Delivery

  • Position device (contact vs hover as instructed).
  • Start protocol and monitor patient comfort.
  • Reassure if patient comments on blinking light or sensations.

Completion

  • End session, remove device, clean terminals.
  • Ask about patient comfort.

Documentation

  • Record date, eye(s), protocol, duration, patient feedback.
  • Flag any concerns for supervising OD/MD.

Clinic Communication Flow (Roles)

  • Doctor โ†’ Introduces therapy, selects protocol, reviews outcomes.
  • Vision Therapist / Tech โ†’ Delivers sessions, educates patients on what to expect, documents progress.
  • Front Desk / Admin Staff โ†’ Schedules treatments, tracks patient flow, answers logistical questions.

This role clarity ensures consistent, reproducible implementation without disrupting standard care.


Next Steps for Implementation

  • Train one technician or therapist (single-afternoon onboarding).
  • Set up Delta 905 device in clinic.
  • Begin with 2โ€“3 pilot patients (e.g., glaucoma, post-stroke, optic neuritis).
  • Track comfort, contrast sensitivity, and fields as appropriate.
  • After 4 weeks, review outcomes and refine workflow.

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