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螺旋双极刺激电极的临床经验

Clinical experience with a helical bipolar stimulating lead.

作者信息

Tarver W B, George R E, Maschino S E, Holder L K, Wernicke J F

机构信息

Cyberonics, Inc., Webster, Texas 77598-4135.

出版信息

Pacing Clin Electrophysiol. 1992 Oct;15(10 Pt 2):1545-56. doi: 10.1111/j.1540-8159.1992.tb02933.x.

Abstract

Over 100 patients have been treated for partial epilepsy using a NeuroCybernetic Prosthesis System (NCP). The NCP System is comprised of an implantable pulse generator, an implantable bipolar stimulating lead, and an external communication system. The lead delivers electrical impulses from the NCP Generator to the vagus nerve, and includes a connector end that plugs into the generator, a silicone insulated lead body, and the helical electrode array that attaches to the nerve. The surgical implantation technique has a significant impact on lead reliability and performance. The lead electrode has performed well to date. Modifications to further improve reliability have been implemented. Clinical experience, case history examples, and voltage measurements are examined. The lead electrode is an important component of the overall system and plays a significant part in the success of vagus nerve stimulation therapy.

摘要

超过100名部分性癫痫患者使用神经控制假体系统(NCP)进行了治疗。NCP系统由一个植入式脉冲发生器、一个植入式双极刺激导线和一个外部通信系统组成。该导线将电脉冲从NCP发生器传递至迷走神经,包括一个插入发生器的连接端、一个硅胶绝缘导线体以及附着于神经的螺旋电极阵列。手术植入技术对导线的可靠性和性能有重大影响。迄今为止,导线电极表现良好。已实施了进一步提高可靠性的改进措施。对临床经验、病例实例和电压测量进行了研究。导线电极是整个系统的重要组成部分,在迷走神经刺激疗法的成功中起着重要作用。

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