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用于治疗帕金森病及相关疾病的Percept PC深部脑刺激系统的设备简介。

Device profile of the percept PC deep brain stimulation system for the treatment of Parkinson's disease and related disorders.

作者信息

Jimenez-Shahed Joohi

机构信息

Movement Disorders Neuromodulation & Brain Circuit Therapeutics, Neurology and Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, USA.

出版信息

Expert Rev Med Devices. 2021 Apr;18(4):319-332. doi: 10.1080/17434440.2021.1909471. Epub 2021 Apr 5.

Abstract

Several software and hardware advances in the field of deep brain stimulation (DBS) have been realized in recent years and devices from three manufacturers are available. The Percept™ PC platform (Medtronic, Inc.) enables brain sensing, the latest innovation. Clinicians should be familiar with the differences in devices, and with the latest technologies to deliver optimized patient care.: In this device profile, the sensing capabilities of the Percept™ PC platform are described, and the system capabilities are differentiated from other available platforms. The development of the preceding Activa™ PC+S research platform, an investigational device to simultaneously sense brain signals and provide therapeutic stimulation, is provided to place Percept™ PC in the appropriate context.: Percept™ PC offers unique sensing and diary functions as a means to refine therapeutic stimulation, track symptoms and correlate them to neurophysiologic characteristics. Additional features enhance the patient experience with DBS, including 3 T magnetic resonance imaging compatibility, wireless telemetry, a smaller and thinner battery profile, and increased battery longevity. Future work will be needed to illustrate the clinical utility and added value of using sensing to optimize DBS therapy. Patients implanted with Percept™ PC will have ready access to future technology developments.

摘要

近年来,深部脑刺激(DBS)领域在软件和硬件方面取得了多项进展,目前市场上有三家制造商生产的设备可供使用。Percept™ PC平台(美敦力公司)实现了脑部传感这一最新创新技术。临床医生应熟悉不同设备之间的差异以及最新技术,以便为患者提供优化的护理。在本设备简介中,将介绍Percept™ PC平台的传感功能,并将该系统的功能与其他现有平台进行区分。同时还将介绍之前的Activa™ PC+S研究平台的开发情况,该研究设备能够同时感知脑信号并提供治疗性刺激,以便将Percept™ PC置于合适的背景中。Percept™ PC具有独特的传感和记录功能,可用于优化治疗性刺激、跟踪症状并将其与神经生理特征相关联。其他功能则提升了患者接受DBS治疗的体验,包括3T磁共振成像兼容性、无线遥测、更小更薄的电池外形以及更长的电池续航时间。未来还需要开展更多工作,以阐明利用传感技术优化DBS治疗的临床实用性和附加价值。植入Percept™ PC的患者将能够随时接触到未来的技术发展成果。

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