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植入电极的经验。

Experience with implanted electrodes.

作者信息

McNeal D R, Waters R, Reswick J

出版信息

Neurosurgery. 1977 Sep-Oct;1(2):228-9. doi: 10.1097/00006123-197709000-00029.

DOI:10.1097/00006123-197709000-00029
PMID:308202
Abstract

Implant units, manufactured by Medtronic, Inc., have been implanted in 31 patients for treatment of drop-foot. The principal problem encountered in this series was inflammatory reaction. This was observed in seven patients, and was serious enough in five to require removal of the implant. On the positive side, there have been no failures of the implanted equipment for periods of up to 7.3 years, although there is currently a question on one patient. There has also been no documented damage to the nerve from chronic stimulation. Fine wire elctrodes have been implanted intraneurally in a series of animals and in three patients. Preliminary results look encouraging, and this approach seems to hold considerable promise for a new generation of electrode design.

摘要

美敦力公司生产的植入装置已被植入31例足下垂患者体内用于治疗。该系列中遇到的主要问题是炎症反应。在7例患者中观察到了这种情况,其中5例严重到需要取出植入物。从积极的方面来看,尽管目前有一名患者存在问题,但植入设备在长达7.3年的时间里没有出现故障。也没有记录表明慢性刺激对神经造成损伤。细钢丝电极已被植入一系列动物和3例患者的神经内。初步结果令人鼓舞,这种方法似乎对新一代电极设计有很大的前景。

相似文献

1
Experience with implanted electrodes.植入电极的经验。
Neurosurgery. 1977 Sep-Oct;1(2):228-9. doi: 10.1097/00006123-197709000-00029.
2
Experience with implanted electrodes at Rancho Los Amigos Hospital.在兰乔·洛斯·阿米戈斯医院使用植入电极的经验。
Appl Neurophysiol. 1977;40(2-4):235-9. doi: 10.1159/000102447.
3
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J Med Eng Technol. 1994 Mar-Apr;18(2):47-53. doi: 10.3109/03091909409030228.
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A randomized controlled trial of an implantable 2-channel peroneal nerve stimulator on walking speed and activity in poststroke hemiplegia.一项关于植入式双通道腓总神经刺激器对中风后偏瘫患者步行速度和活动能力影响的随机对照试验。
Arch Phys Med Rehabil. 2007 Aug;88(8):971-8. doi: 10.1016/j.apmr.2007.05.002.
5
Treatment of drop foot using an implantable peroneal underknee stimulator.使用可植入式膝下腓骨刺激器治疗足下垂。
Scand J Rehabil Med. 1987;19(1):37-43.
6
Muscle response to internal stimulation of the peroneal nerve in hemiplegic patients.偏瘫患者腓总神经内部刺激的肌肉反应。
Clin Orthop Relat Res. 1972 Jul-Aug;86:164-7. doi: 10.1097/00003086-197207000-00024.
7
Natural versus artificial sensors applied in peroneal nerve stimulation.应用于腓总神经刺激的天然传感器与人工传感器
Artif Organs. 1997 Mar;21(3):227-31. doi: 10.1111/j.1525-1594.1997.tb04655.x.
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Stability and selectivity of a chronic, multi-contact cuff electrode for sensory stimulation in human amputees.用于人类截肢者感觉刺激的慢性多触点袖带电极的稳定性和选择性
J Neural Eng. 2015 Apr;12(2):026002. doi: 10.1088/1741-2560/12/2/026002. Epub 2015 Jan 28.
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Gait evaluation in hemiparetic patients using subcutaneous peroneal electrical stimulation.使用皮下腓骨肌电刺激对偏瘫患者进行步态评估。
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10
Evaluation of the Efficacy and Robustness of a Second Generation Implantable Stimulator in a Patient With Hemiplegia During 20 Years of Functional Electrical Stimulation of the Common Peroneal Nerve.在对腓总神经进行20年功能性电刺激的过程中,对一名偏瘫患者使用第二代植入式刺激器的疗效和稳定性进行评估。
Artif Organs. 2016 Nov;40(11):1085-1091. doi: 10.1111/aor.12693. Epub 2016 Apr 28.

引用本文的文献

1
A computational model for estimating recruitment of primary afferent fibers by intraneural stimulation in the dorsal root ganglia.用于估计背根神经节内神经刺激引起初级传入纤维募集的计算模型。
J Neural Eng. 2011 Oct;8(5):056009. doi: 10.1088/1741-2560/8/5/056009. Epub 2011 Aug 16.
2
A nerve cuff electrode for controlled reshaping of nerve geometry.一种用于控制神经几何形状重塑的神经袖套电极。
J Biomater Appl. 2009 Sep;24(3):247-73. doi: 10.1177/0885328208097426. Epub 2008 Nov 5.
3
Multiple-electrode nerve cuffs for low-velocity and velocity-selective neural recording.
用于低速和速度选择性神经记录的多电极神经袖套
Med Biol Eng Comput. 2004 Sep;42(5):634-43. doi: 10.1007/BF02347545.
4
Neural morphological effects of long-term implantation of the self-sizing spiral cuff nerve electrode.自适配螺旋袖套神经电极长期植入的神经形态学效应
Med Biol Eng Comput. 2001 Jan;39(1):90-100. doi: 10.1007/BF02345271.
5
Selective activation of muscles using peripheral nerve electrodes.使用外周神经电极选择性激活肌肉。
Med Biol Eng Comput. 1985 May;23(3):249-53. doi: 10.1007/BF02446866.
6
Acute and chronic implantation of coiled wire intraneural electrodes during cyclical electrical stimulation.在周期性电刺激期间对螺旋状线内神经电极进行急性和慢性植入。
Ann Biomed Eng. 1985;13(1):75-93. doi: 10.1007/BF02371251.