Details regarding the DizzyFIX device can be found in the Physician Brochure.  Further information regarding the details of research associated with the DizzyFIX can be found below or may be obtained upon request by contacting us via email.

A 15 minute medical talk (DVD) on the DizzyFIX device (along with the accompanying Powerpoint slides) and all of our research are available upon request.

A pre-written prescription can be downloaded from here.

If you would like to speak with a representative regarding the DizzyFIX device please contact us by phone at: 1 (877) 349-9934.

The primary indication for the device, at present, is people who already have a diagnosis of BPPV.
This can be in one of a variety of circumstances:

In the hands of the ENT:

1. Resistant BPPV - to increase the success of the maneuver by repeating it at home as described by Rathke et al.
2. Known BPPV - to treat the patient at home rather than in the office for time and space reasons.
3. Recurrent BPPV - there is a 50%recurrence rate for BPPV so many patients may benefit from having the device at home if prescribed by an ENT.

In the hands of Family Medicine or Allied Health:

1. To assist with the diagnosis and treatment maneuver for BPPV
2. To assist with the explanation of the disease process and the understanding of the treatment maneuver.

In the hands of the public:

1. To assist with repeated maneuvers at home in people with a diagnosis of BPPV.
2. To provide treatment to people without ready access to ENTs or who are traveling away from their regular ENT.

Etiology: BPPV is the most common cause of peripheral vertigo and affects up to 9% of the population over 60 years of age. BPPV may be due to age, infection or trauma. Natural history: BPPV may resolve spontaneously in about 15% of cases by 1 week. BPPV can be highly recurrent in up to 50% of patients.

Indications: The DizzyFIX may be used by adults who carry a diagnosis of posterior canal BPPV. Contraindications: Care should be taken in patients with limited range of motion of the neck, unstable neck disease, carotid artery stenosis, stroke, cognitive or mental illness, detached retina and vertebrovascular insufficiency.

Diagnosis: Specific signs and symptoms associated with this condition include:

1. Paroxysmal onset with position change
2. Vertigo
3. Symptoms lasting only minutes
4. Rotatory Nystagmus in the Dix-Hallpike position

Treatment: Effective treatment can be achieved by performing the particle repositioning maneuver. The DizzyFIX assists in the performance of this maneuver.

Complications: Expected complications include nausea and dizziness. In some cases vomiting associated with the nausea may occur. Infrequent conversion of posterior canal BPPV to horizontal canal BPPV may occur.

Diagnosis code (ICD-9 code)
386.11 - BPPV

CPT code (created january 2009 so it may not be recognized yet by all insurers)
95992 - canalith repositioning maneuver

HCPCS code (this will probably go away once the cpt code is recognized)
S9092 - canalith repositioning maneuver

• Beyea, Jason Atkins PhD; Wong, Eric MD, CCFP; Bromwich, Matthew MD, FRCS(C); Weston, W Wayne MD, CCFP, FCFP; Fung, Kevin MD, FRCS(C), FACS. Evaluation of a Particle Repositioning Maneuver Web-Based Teaching Module. Laryngoscope. 118(1):175-180, January 2008.

• Bromwich MA, Parnes LS, The DizzyFIX - "Initial results of a new dynamic visual device for the home treatment of Benign Paroxysmal Positional Vertigo". The Journal of Otolaryngology. 2008 March. (In Press)

• Websites:
  • E-Medicine - http://www.emedicine.com/ent/topic761.htm
  • Tim Hain - http://www.dizziness-and-balance.com/disorders/bppv/bppv.html
     
• Journals:
   
  • General Review
    • Parnes, Lorne S., Agrawal, Sumit K., Atlas, Jason
      Diagnosis and management of benign paroxysmal positional vertigo (BPPV)
      CMAJ 2003 169: 681-693
      • http://www.cmaj.ca/cgi/content/full/169/7/681
         
  • Epidemiology
    • von Brevern, M, Radtke, A, Lezius, F, Feldmann, M, Ziese, T, Lempert, T, Neuhauser, H
      Epidemiology of benign paroxysmal positional vertigo. A population-based study
      J Neurol Neurosurg Psychiatry 2006 0: jnnp.2006.100420
       
  • Safe at Home
    • Radtke A, von BM, Tiel-Wilck K, Mainz-Perchalla A, Neuhauser H, Lempert T. Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs Epley procedure. Neurology 2004 July 13;63(1):150-2.