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关于具有多相刺激和主动护理功能的Prospera脊髓刺激系统的综述

A Review of the Prospera Spinal Cord Stimulation System with Multiphase Stimulation and Proactive Care.

作者信息

Naidu Ramana K, Kapural Leonardo, Li Sean, Tourjé Caitlin, Rutledge Joseph, Dickerson David, Lubenow Timothy R

机构信息

MarinHealth Spine Institute, a UCSF Affiliate, 2 Bon Air Rd #120, Larkspur, CA, 94939, USA.

Carolinas Pain Institute, Winston-Salem, NC, USA.

出版信息

Curr Pain Headache Rep. 2025 Jan 13;29(1):25. doi: 10.1007/s11916-024-01318-3.

DOI:10.1007/s11916-024-01318-3
PMID:39804395
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11729204/
Abstract

PURPOSE OF REVIEW

The purpose of this review is to describe the development and key features of the Prospera™ Spinal Cord Stimulation (SCS) System, as well as the clinical evidence supporting its use. Prospera delivers therapy using a proprietary multiphase stimulation paradigm and is the first SCS system to offer proactive care through automatic, objective, daily, remote device monitoring and remote programming capabilities.

RECENT FINDINGS

Results from the recently published BENEFIT-02 trial support the short-term safety and efficacy of multiphase stimulation in patients with chronic pain. BENEFIT-03 is an ongoing, multicenter, single-arm study with 24-month follow-up; interim analyses suggest that multiphase therapy is safe and effective and that patients and clinicians have positive experiences with remote device management. Preliminary evidence suggests that the Prospera SCS System represents an opportunity to improve patient care by combining an effective multiphase stimulation paradigm with an efficient proactive care model.

摘要

综述目的

本综述旨在描述Prospera™脊髓刺激(SCS)系统的发展和关键特性,以及支持其应用的临床证据。Prospera采用专有的多阶段刺激模式进行治疗,是首个通过自动、客观、每日远程设备监测和远程编程功能提供主动护理的SCS系统。

最新发现

最近发表的BENEFIT - 02试验结果支持多阶段刺激对慢性疼痛患者的短期安全性和有效性。BENEFIT - 03是一项正在进行的多中心单臂研究,随访24个月;中期分析表明多阶段治疗安全有效,患者和临床医生对远程设备管理有积极体验。初步证据表明,Prospera SCS系统通过将有效的多阶段刺激模式与高效的主动护理模式相结合,为改善患者护理提供了契机。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ae5/11729204/74e88b49ffb9/11916_2024_1318_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ae5/11729204/74e88b49ffb9/11916_2024_1318_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ae5/11729204/74e88b49ffb9/11916_2024_1318_Fig1_HTML.jpg

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本文引用的文献

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Functional ultrasound imaging of the human spinal cord.人体脊髓的功能超声成像。
Neuron. 2024 May 15;112(10):1710-1722.e3. doi: 10.1016/j.neuron.2024.02.012. Epub 2024 Mar 7.
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Current Waveforms in Spinal Cord Stimulation and Their Impact on the Future of Neuromodulation: A Scoping Review.脊髓刺激中的当前波形及其对神经调节未来的影响:范围综述。
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Defining the Boundaries of Patient Perception in Spinal Cord Stimulation Programming.定义脊髓刺激程控中患者感知的边界。
Neuromodulation. 2024 Jan;27(1):108-117. doi: 10.1016/j.neurom.2023.08.011. Epub 2023 Dec 16.
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Remote Management of Spinal Cord Stimulation Devices for Chronic Pain: Expert Recommendations on Best Practices for Proper Utilization and Future Considerations.脊髓刺激器的远程管理用于慢性疼痛:关于正确使用的最佳实践和未来考虑的专家建议。
Neuromodulation. 2023 Oct;26(7):1295-1308. doi: 10.1016/j.neurom.2023.07.003. Epub 2023 Aug 25.
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Multiphase Spinal Cord Stimulation in Participants With Chronic Back or Leg Pain: Results of the BENEFIT-02 Randomized Clinical Trial.多相脊髓刺激治疗慢性腰背或下肢疼痛患者:BENEFIT-02 随机临床试验结果。
Neuromodulation. 2023 Oct;26(7):1400-1411. doi: 10.1016/j.neurom.2023.05.006. Epub 2023 Aug 16.
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A Call to Action Toward Optimizing the Electrical Dose Received by Neural Targets in Spinal Cord Stimulation Therapy for Neuropathic Pain.呼吁采取行动优化脊髓刺激疗法治疗神经性疼痛时神经靶点所接受的电剂量。
J Pain Res. 2021 Sep 7;14:2767-2776. doi: 10.2147/JPR.S323372. eCollection 2021.
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Twelve-Month results from multicenter, open-label, randomized controlled clinical trial comparing differential target multiplexed spinal cord stimulation and traditional spinal cord stimulation in subjects with chronic intractable back pain and leg pain.多中心、开放标签、随机对照临床试验的 12 个月结果,比较了慢性难治性腰痛和腿痛患者中差异靶向多路复用脊髓刺激与传统脊髓刺激的效果。
Pain Pract. 2021 Nov;21(8):912-923. doi: 10.1111/papr.13066. Epub 2021 Aug 27.
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The Use of Remote Programming for Spinal Cord Stimulation for Patients With Chronic Pain During the COVID-19 Outbreak in China.中国 COVID-19 疫情期间慢性疼痛患者脊髓刺激的远程程控应用。
Neuromodulation. 2021 Apr;24(3):441-447. doi: 10.1111/ner.13382. Epub 2021 Mar 22.
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Pain. 2021 Apr 1;162(4):1047-1059. doi: 10.1097/j.pain.0000000000002078.