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Program Guide

Keck School of Medicine of USC

In collaboration with Baylor College of Medicine

& University of California San Francisco

2019 Diabetic Foot Global Conference

Hilton Los Angeles/Universal City, Universal City, CA

October 17-19, 2019

  • THURSDAY OCTOBER 17, 2019
  • FRIDAY OCTOBER 18, 2019
  • SATURDAY OCTOBER 19, 2019
  • Non-CME Symposia

7:00 am — Registration & Breakfast Symposium

Session 1

Think Globally, Act Toe & Flowcally

Moderators: Joseph L. Mills, MD & David G. Armstrong, DPM, MD, PhD

  • 8:00 am
    The Conte of Monte Cristoe (and flow) Reveals Hidden Secrets: A Treasure Map of the Global Vascular Guidelines Michael S. Conte, MD
  • 8:20 am
    Antepodian Ambulation: Toe and Flow From Down Below Peter Lazzarini, PhD & Robert Fitridge, MBBS, MS
  • 8:50 am
    Toe & Flow in the NHSPaul Chadwick, PhD
  • 9:10 am
    Born in the USA: The Deep Despair of Disparities in the Diabetic FootSamantha Minc, MD
  • 9:30 am
    Panel Discussion
  • 10:10 am
    Coffee Break, Exhibition & Posters

Session 2

Think Globally, Act Toe & Flowcally, the B Side

Moderators: Michael S. Conte, MD & David G. Armstrong, DPM, MD, PhD

  • 10:50 am
    Skipping Dia de Los MuerTOES and Maintaining Limbs in Mexico City and ChiapasCarlos A. Hinojosa, MD & Jose Antonio Muñoa Prado, MD
  • 11:10 am
    FLIRTing with Offloading: Shoes for Low Resource Countries from Peshawar to ParisZahid Miyan, MBBS, MCPS, MD
  • 11:30 am
    The Diabetic Foot Is the Hottest Thing in ChongkingWuquan Deng, MD, PhD
  • 11:50 am
    Stopping the Stampede: Wrangling Up a Toe and Flow Team to Reduce Amputation in CalgaryKarim Manji, DPM
  • 12:10 pm
    Panel Discussion
  • 12:30 pm
    Lunch Break, Exhibition & Posters
  • 1:15 pm
    Non-CME Lunch Symposium: Sponsored by Geistlich Medical
  • 2:15 pm
    Coffee Break, Exhibition & Posters

Session 3

Sensors & Common Sensibility: A Romantic Notion Or A Game Changer?

Moderators: Bijan Najafi, PhD & David G. Armstrong, DPM, MD, PhD

  • 2:25 pm
    eTattoo You with Nanshu Lu: The Future of Epidermal Electronics Nanshu Lu, PhD
  • 2:45 pm
    Going Vegan: The Future of Sensors Are Plant BasedChiara Daraio, PhD
  • 3:05 pm
    Got A Foot Ulcer? There’s An APP For That Says JaapJaap van Netten, PhD
  • 3:25 pm
    From IoT to IoT (Internet of Things to Internet of Toes): How Next Gen Technologies Are Helping People Navigate Their World a Little BetterBert Van Hoff
  • 3:45 pm
    My Boot Is Smarter Than Yours: The Next Generation of OffloadingAlberto Piaggesi, MD
  • 4:05 pm
    A Tricorder for the Diabetic Foot? Have a MIMOSA and Watch CloselyKaren Cross, MD, PhD
  • 4:25 pm
    Panel Discussion
  • 4:45 pm
    Coffee Break, Exhibition & Posters

Session 4

Vital Video Vittles: How We Do It at My Place

Moderators: John S. Steinberg, DPM & Anthony Tickner, DPM

  • 5:05 pm
    Venous ArterializationAndrea Casini, MD
  • 5:15 pm
    Split Thickness Skin GraftingLaura Shin, DPM, PhD
  • 5:25 pm
    Digital TenotomyJohn S. Steinberg, DPM
  • 5:35 pm
    The Charcot Foot: My 5 Minutes ReconstructionLaura Shin, DPM, PhD
  • 5:45 pm
    How to Really Debride A WoundAlberto Piaggesi, MD
  • 5:55 pm
    Crossing the Bridge to Healing: Moving on from WIFI, to Debridement, to Matrix to Closure Jeffrey A. Ross, DPM, MD
  • 6:05 pm
    Panel Discussion
  • 6:30 pm
    #DFCon19 Welcome & Poster Reception – Open Exhibits

AAWC Program

Session 3B

  • 2:25 pm
    Welcome and Introduction to the Track  Joseph L. Mills, MD & Thomas E. Serena, MD
  • 2:35 pm
    Evidence based Practice: HBOT updated Guidelines Greg Bohn, MD
  • 2:55 pm
    Transcutaneous O2 Testing: Indications and Implementation: Cheryl Carver, LPN
  • 3:15 pm
    The Mechanism of Action and Evidence for Topical Oxygen Thomas E. Serena, MD
  • 3:35 pm
    Say no to Amputations, an International Perspective Mogan S. Naidu, MD
  • 3:55 pm
    Panel Discussion
  • 4:45 pm
    Coffee Break, Exhibition & Posters

Session 4B

The problem of Wound Infections

  • 5:05 pm
    How do we Diagnose? Thomas E. Serena, MD
  • 5:25 pm
    Break Biofilm: Applying Science to Practice Greg Bohn, MD
  • 5:45 pm
    Podium to Practice: How to implement what we have learned Cheryl Carver, LPN
  • 5:55 pm
    Panel Discussion
  • 6:30 pm
    #DFCon19 Welcome & Poster Reception – Open Exhibits

7:00 am — Registration & Breakfast Symposia

Session 1

Toeward A More Perfect Union: The State of Diabetic Foot Research in 2019

Moderators: Michael S. Conte, MD & David G. Armstrong, DPM, MD, PhD

  • 8:00 am
    A 21 Points Salute: The Essential Checklist for Clinical Trials… and 3 Studies from the Past Year That Really
    Excite Me Frances L. Game, MD
  • 8:15 am
    Discussion: Meet the Experts Serge Bohbot, MD: Industry
    Teresa Jones, MD: NIH Biomarker Program
    Matthew Garoufalis, DPM: Perspective from the Jurassic Age
    Alberto Piaggesi, MD: Perspective from High Society (Wound Healing Societies)
    William V. Padula, PhD: Pharmaco Economist
    Marcia Nusgart, RPh: Regulatory Hurdler
  • 9:15 am
    Coffee Break, Exhibition & Posters

Session 2

Video Play by Play: Surgical and Medical Management of the High Risk Foot

Moderators: Alexander M. Reyzelman, DPM & Joseph L. Mills, MD

  • 9:45 am
    When Antibiotics Are and Aren’t EnoughBenjamin A. Lipsky, MD
  • 9:55 am
    Cut Here: How to Drain A Foot (Video) Alexander M. Reyzelman, DPM
  • 10:05 am
    BKA Vs. Mid/Hind Foot Amputation (Video) Laura Shin, DPM, PhD
  • 10:20 am
    Mid-Foot and Hind-Foot Amputations: Tips & Tricks (Video)Brian D. Lepow, DPM
  • 10:30 am
    Partial Calcanectomy (Video)John S. Steinberg, DPM
  • 10:40 am
    Panel Discussion
  • 10:55 am
    The Annual Edward James Olmos Award
  • 11:15 am
    Abstract Awards
  • 11:30 am
    Lunch Break, Exhibition & Posters
  • 12:00 pm
    Non-CME Lunch Symposium: Sponsored by AOTI
  • 1:00 pm
    Coffee Break, Exhibition & Posters

Session 3

Vascular 101: Think with Your Head Not with Your Wire

Moderators: George Andros, MD & Vincent L. Rowe, MD

  • 1:10 pm
    My Personal WIFI-Settings: How I Stage Wound, Ischemia and Foot Infection in Practice Joseph L. Mills, MD
  • 1:30 pm
    Measuring What We Manage: The Current State of Play in Macro and Micro Foot Perfusion Miguel Montero-Baker, MD
  • 1:50 pm
    Global Vascular Guidelines: Secrets That You Need to Know on A Need-to-Know BasisMichael S. Conte, MD
  • 2:10 pm
    BEST & BASIL: A Smart Alik’s PerspectiveMatthew Menard, MD
  • 2:30 pm
    Panel Discussion
  • 2:45 pm
    Coffee Break, Exhibition & Posters

Session 4

Vascular 201: Getting Flow to the Toes: What Works BEST?

Moderators: Joseph L. Mills, MD & Michael S. Conte, MD

  • 3:10 pm
    Below the Knee Disease: What Works Best? Miguel Montero-Baker, MD
  • 3:30 pm
    Open Bypass: And Here’s to You Dr. Robinson. Dorsalis Pedis Loves You… More Than You Will KnowWilliam P. Robinson, MD
  • 3:50 pm
    Is Drug Elution for Poor Perfusion a TLR Illusion? Joseph L. Mills, MD
  • 4:10 pm
    Distal Pedal Intervention: The Final Frontier or Just Empty Space?Leonardo C. Clavijo, MD, PhD
  • 4:30 pm
    Pedal Bypass: Tips & Tricks (Video)Vincent L. Rowe, MD
  • 4:40 pm
    Case-Based Discussion: ‘All Other Vascular Guys’
  • 5:20 pm
    Adjourn

AAWC Program

Session 3B

The 4 W’s of CTP use: Who, What, When and Why

  • 1:10 pm
    Why do we do what we do Greg Bohn, MD
  • 1:30 pm
    Product Selection Guide Anthony Tickner, DPM
  • 1:50 pm
    Navigating the Reimbursement World of CTPs Emily Greenstein, APRN
  • 2:10 pm
    Panel Discussion
  • 2:45 pm
    Coffee Break, Exhibition & Posters

Session 4B

Advances in Wound Care: The Importance of the Multidisciplinary Approach

  • 3:10 pm
    What’s on the Horizon: update on new Technology Bijan Najafi, PhD, MSc
  • 3:30 pm
    From the Lab to the Bedside Brian Lepow, DPM
  • 3:50 pm
    Why isn’t my Patient Healing: Advanced Assessment Greg Bohn, MD
  • 4:10 pm
    Exercise and Neuropathy Stephanie Woelfel, DPT
  • 4:30 pm
    Can Temperature Monitoring prevent Foot Ulcerations? Alex Reyzelman, DPM
  • 4:50 pm
    Panel Discussion

7:00 am — Registration & Breakfast Symposia

Workshops

  • 8:10 am
    Workshops – Sign-up required at registration
  • 9:15 am
    Workshops – Sign-up required at registration
  • 10:15 am
    Coffee Break, Exhibition & Posters
  • 10:40 am
    Workshops – Sign-up required at registration
  • 11:40 am
    Lunch Break, Exhibition & Posters
  • 12:15 pm
    Non-CME Lunch Symposium: Sponsored by Siren Care

Session 1

Guidance on Guidelines: Practical Stuff to Stuff Your Practice

Moderators: David G. Armstrong, DPM, MD, PhD & Joseph L. Mills, MD

    • 1:10 pm
      Guidance on the International Guidelines Jaap van Netten, PhD
    • 1:30 pm
      Offloading: Everything You Need to Know But Aren’t Doing Peter Lazzarini, PhD
    • 1:50 pm
      Global Vascular Guidelines: Crossing the Bridge from Creation to Implementation Robert Fitridge, MBBS, MS
    • 2:10 pm
      The Diabetic Foot in Remission: Toward More Ulcer-free, Hospital-Free and Activity-Rich DaysDavid G. Armstrong, DPM, MD, PhD
    • 2:30 pm
      Co-Chairs’ Closing Remarks
    • 2:45 pm
      Adjourn

Geistlich Medical

  • Non-CME Lunch Symposium – Day 1
  • October 17
  • 1:15 pm -2:15 pm
  • Plenary

Charles Zelen, DPM, FACFAS
David G. Armstrong, DPM, MD, PhD
Paul Glat, MD, FACS
Matthias Schaefer, PD

Geistlich Derma-Gide® is a new Advanced Wound Matrix featuring a novel bi-layer design. The product is manufactured by Geistlich, a privately held Swiss company owned by the Geistlich family since its founding in 1851. Come learn more about the scientific research behind the design and the latest clinical performance data from our distinguished faculty of Charles Zelen, DPM, FACFAS; David Armstrong, DPM, MD, PhD; Paul Glat, MD, FACS; Mark Spilker, PhD and Matthias Schaefer, PD. The session will also feature a hands-on demonstration of the excellent and unique handling characteristics of the matrix as well as time for questions from the audience. Geistlich Derma-Gide® Advanced Wound Matrix…Exactly Like No Other.

 

AOTI

  • Non-CME Lunch Symposium – Day 2
  • October 18
  • 12:00 pm – 1:00 pm
  • Plenary

Robert G Frykberg, DPM, MPH
Matthew G Garoufalis, DPM, CWS

The symposium will review the mechanisms of action of topical oxygen across all the stages of wound healing and will summarize the growing body of level 1 clinical evidence supporting the use of adjunctive Cyclical Pressurized Topical Wound Oxygen (TWO2) therapy in healing Diabetic Foot Ulcers and other Chronic Wounds. The session will culminate with a detailed presentation of the complete results from the landmark TWO2 study: a Multi-national, Multi-center, Randomized, Double Blinded, Placebo-controlled Trial to Evaluate the Efficacy of Cyclical Topical Wound Oxygen Therapy (TWO2) in the Treatment of Chronic Diabetic Foot Ulcers.

 

Siren Care

  • Non-CME Lunch Symposium – Day 3
  • October 19
  • 12:15 pm –  1:00 pm
  • Plenary

Ran Ma, CEO, Siren

Siren Socks continuously monitor the temperature of your patients feet. Temperature monitoring has been proven in 3-NIH funded large scale RCTs to reduce diabetic foot ulcers by up to 87.5%. Siren Socks have National Medicare Coverage. Siren Socks are machine-washable, machine-dryable and do not need to be charged. The sensors are in the fabric of the sock and the data is sent to a patient app and also to a clinical dashboard. We welcome you to our lunch symposium to learn how Siren Socks can add value to your clinic and create better patient outcomes.

More Info

Integra

  • Non-CME Breakfast Symposium – Day 1
  • October 17
  • 7:00 am – 8:00 am
  • Club

Jeffrey Jensen, DPM, FACFAS
Anthony Tickner, DPM, DABPM-CAQ, FACCWS, FAPWCA, FAPWH, FADFS

A global look at DFU treatment and the development of evidence based treatment protocols. Review of existing treatment guidelines and discuss the need to streamline the treatment approach for easy implementation. A look at how to implement current evidence based protocols using the Integra 360⁰ portfolio to help optimize patient outcomes.

 

 

Optima Molliter

  • Non-CME Breakfast Symposium – Day 2
  • October 18
  • 7:00 am -8:00 am
  • Hiro

David G. Armstrong, DPM, MD, PhD
Alberto Piaggesi, MD
Davide Viganò

During the last 15 years Optima Molliter and its technologies significantly reduced the healing time and improved the quality of life for patients with diabetic foot ulcers (DFU’s), contributing to update the International Guidelines for offloading of the diabetic foot.
During the symposium the new algorithm DFA (Diabetic Foot Off-loading Algorithm) will be introduced, as a “Lingua Franca” for the customization of offloading to the different conditions that the patient experiences through the clinical journey of the disease. The new and innovative removable walker “Motus Smart Powered by Sensoria”, winner of the award for the best wearable technology at CES 2019, for remote monitoring of DFU patients’ offloading adherence will be displayed live for the first time. It includes the new Sensoria IoT microelectronics, a dedicated patient mobile app and a Microsoft cloud powered clinician dashboard.

More Info

KCI

  • Non-CME Breakfast Symposium – Day 2
  • October 18
  • 7:00 am -8:00 am
  • Club

Colin Traynor, DPM

Approximately 30 million children and adults have diabetes in the United States, according to the American Diabetes Association, which has resulted in costs totaling 327 billion to care and manage those diagnosed with this disease process . Come join this session to discuss DM and its impact on today’s health continuum and explore patient-centered solutions for the management of Diabetic Foot Ulcers (DFUs).

mtf biologics

  • Non-CME Afternoon Symposium – Day 2
  • October 18
  • 5:10 pm -6:10 pm
  • Club

Michael Desvigne, MD

This symposium features a presentation on recently published Level 1 clinical outcomes for an aseptically processed, dehydrated human amnion and chorion innovation by a leading name in wound care research. Dr. Michael Desvigne will review the scientific and clinical results from three prospective, randomized, controlled, multicenter studies comparing AmnioBand Membrane to Standard of Care, as well as a comparative skin substitute, in the healing of diabetic foot ulcers & venous leg ulcers. The studies that will be showcased examined healing rates, as well as the graft cost to closure versus a comparative skin substitute in the treatment of chronic diabetic foot and venous leg ulcers. An interactive panel discussion and question and answer session will follow.

Regen Lab

  • Non-CME Afternoon Symposium – Day 2
  • October 18
  • 5:10 pm -6:10 pm
  • Hiro

Stéphane Courric, PhD, Regen Lab, Switzerland

 

Sanuwave

  • Non-CME Breakfast Symposium – Day 3
  • October 19
  • 7:00 am -8:00 am
  • Club

Perry Mayer, MD
Brian D. Lepow, DPM
Lee C. Rogers, DPM
Anna E. Sanchez, DPM

SANUWAVE Health, Inc. SUWANEE, GA, (www.sanuwave.com) is an emerging medical shockwave technology company initially focused on the development and commercialization of patented noninvasive, biological response activating systems for the repair and regeneration of skin, musculoskeletal tissue, and vascular structures. SANUWAVE’s portfolio of regenerative medicine products and product candidates activate biologic signaling and angiogenic responses, producing new vascularization and microcirculatory improvement, which helps restore the body’s normal healing processes and regeneration. SANUWAVE applies its patented PACE® technology in wound healing, orthopedic/spine, plastic/cosmetic and cardiac conditions. Its lead product candidate for the global wound care market, dermaPACE® System, is US FDA cleared for the treatment of Diabetic Foot Ulcers in the United States. SANUWAVE researches, designs, manufactures, markets, and services its products worldwide, and believes it has demonstrated that its technology is safe and effective in stimulating healing in chronic conditions.

More Info

Polarity TE

  • Non-CME Breakfast Symposium – Day 3
  • October 19
  • 7:00 am -8:00 am
  • Orchid

Thea Price, MD

The symposium, presented by Thea Price, M.D., Director of Wound Care at Rush University Medical Center, will provide an overview of SkinTETM uses and applications and will highlight real-world clinical outcomes for patients suffering from chronic wounds. SkinTE is the first and only FDA-registered product that is capable of regenerating functionally normal skin. It has been proven to regenerate full-thickness skin with all layers (epidermis, dermis, hypodermis) and appendages. Treatment with SkinTE has also produced function (sensation, sweat and pliability) and histology comparable to native skin, while limiting contracture, all of which may improve quality of life. Unlike other products that deliver only the barrier function of skin, SkinTE utilizes a small sample of a patient’s own healthy skin to regenerate full-thickness skin over a much larger area, that has the functions of native skin. The product is composed of cellular micro-aggregate which contain progenitor cells that can regenerate structural skin by maintaining key cell-to-cell interactions and molecular signaling within the aggregates. Essentially, it regrows- or expands- autologous skin.

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Workshops

AOTI

  • October 19
  • 8:00 am -12:00 pm
  • Club

Despi Herodotou, DipPodM
Mike Griffiths, DProf, DMS

Attendees will be presented a brief review of the latest level 1 clinical evidence for adjunctive cyclical pressurized Topical Wound Oxygen (TWO2) therapy in healing Diabetic Foot Ulcers and other chronic wounds, followed by an interactive hands-on workshop.

KCI

  • October 19
  • 8:00 am -12:00 pm
  • Orchid

Integra

  • October 19
  • 8:00 am -12:00 pm
  • Hiro

Jeffrey Jensen, DPM, FACFAS

This course is designed to provide practical application techniques of Total Contact Casting through a hands on workshop with TCC-EZ. Learn more about the Gold Standard in DFU offloading with the market leader in Total Contact Casting.

More Info

Post DFCon Cadaver Lab

Cook Medical

  • October 19-20

Cadaver Lab

Leonardo C. Clavijo, MD, PhD
Miguel Montero-Baker, MD

Come join us for a comprehensive look at CLI and the various treatment strategies for BTK interventions, with a special focus on pedal access. This will be primarily a hands-on practical application on cadaveric models using Cook Medical product.

October 19: Didactic Dinner at Morton’s Steakhouse House (transportation provided)
October 20: Breakfast with case presentation / Hilton Hotel (room TBA)