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用于脊髓损伤的植入式多功能神经假体的供电策略。

Powering strategies for implanted multi-function neuroprostheses for spinal cord injury.

作者信息

Kilgore Kevin L, Smith Brian, Campean Alex, Hart Ronald L, Lambrecht Joris M, Buckett James R, Peckham Paul Hunter

机构信息

Department of Orthopaedics and Department of Physical Medicine and Rehabilitation, MetroHealth System, Cleveland, OH, 44109, USA.

Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, 44106, USA.

出版信息

Healthc Technol Lett. 2020 Jun 24;7(3):81-86. doi: 10.1049/htl.2019.0113. eCollection 2020 Jun.

Abstract

Implantable motor neuroprosthetic systems can restore function to individuals with significant disabilities, such as spinal cord injury, stroke, cerebral palsy, and multiple sclerosis. Neuroprostheses provide restored functionality by electrically activating paralysed muscles in coordinated patterns that replicate (enable) controlled movement that was lost through injury or disease. It is important to consider the general topology of the implanted system itself. The authors demonstrate that the wired multipoint implant technology is practical and feasible as a basis for the development of implanted multi-function neuroprosthetic systems. The advantages of a centralised power supply are significant. Heating due to recharge can be mitigated by using an actively cooled external recharge coil. Using this approach, the time required to perform a full recharge was significantly reduced. This approach has been demonstrated as a practical option for regular clinical use of implanted neuroprostheses.

摘要

植入式运动神经假体系统可以恢复严重残疾个体的功能,如脊髓损伤、中风、脑瘫和多发性硬化症患者。神经假体通过以协调模式电激活麻痹肌肉来恢复功能,这种模式可复制(实现)因损伤或疾病而丧失的可控运动。考虑植入系统本身的总体拓扑结构很重要。作者证明,有线多点植入技术作为植入式多功能神经假体系统开发的基础是切实可行的。集中式电源的优势显著。使用主动冷却的外部充电线圈可以减轻充电导致的发热。采用这种方法,进行一次完全充电所需的时间显著减少。这种方法已被证明是植入式神经假体常规临床应用的一种切实可行的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48b2/7353817/7d3763adb7d3/HTL.2019.0113.01.jpg

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