Expert review of medical devices最新文献_第3页

Advancing clinical understanding of surface electromyography biofeedback: bridging research, teaching, and commercial applications. 促进对表面肌电图生物反馈的临床理解：连接研究、教学和商业应用。

Expert review of medical devices Pub Date : 2024-08-01 Epub Date: 2024-07-12 DOI: 10.1080/17434440.2024.2376699

Mazen M Yassin, Mohamed N Saad, Ayman M Khalifa, Ashraf M Said

{"title":"Advancing clinical understanding of surface electromyography biofeedback: bridging research, teaching, and commercial applications.","authors":"Mazen M Yassin, Mohamed N Saad, Ayman M Khalifa, Ashraf M Said","doi":"10.1080/17434440.2024.2376699","DOIUrl":"10.1080/17434440.2024.2376699","url":null,"abstract":"Introduction: Expanding the use of surface electromyography-biofeedback (EMG-BF) devices in different therapeutic settings highlights the gradually evolving role of visualizing muscle activity in the rehabilitation process. This review evaluates their concepts, uses, and trends, combining evidence-based research.Areas covered: This review dissects the anatomy of EMG-BF systems, emphasizing their transformative integration with machine-learning (ML) and deep-learning (DL) paradigms. Advances such as the application of sophisticated DL architectures for high-density EMG data interpretation, optimization techniques for heightened DL model performance, and the fusion of EMG with electroencephalogram (EEG) signals have been spotlighted for enhancing biomechanical analyses in rehabilitation. The literature survey also categorizes EMG-BF devices based on functionality and clinical usage, supported by insights from commercial sectors.Expert opinion: The current landscape of EMG-BF is rapidly evolving, chiefly propelled by innovations in artificial intelligence (AI). The incorporation of ML and DL into EMG-BF systems augments their accuracy, reliability, and scope, marking a leap in patient care. Despite challenges in model interpretability and signal noise, ongoing research promises to address these complexities, refining biofeedback modalities. The integration of AI not only predicts patient-specific recovery timelines but also tailors therapeutic interventions, heralding a new era of personalized medicine in rehabilitation and emotional detection.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A review: artificial intelligence in image-guided spinal surgery. 综述：人工智能在图像引导脊柱手术中的应用。

Expert review of medical devices Pub Date : 2024-08-01 Epub Date: 2024-08-08 DOI: 10.1080/17434440.2024.2384541

Jiahang Zeng, Qiang Fu

引用次数: 0

MetaHealth: unlocking metaverse technologies in digital healthcare. MetaaHealth：在数字医疗中释放元宇宙技术。

Expert review of medical devices Pub Date : 2024-08-01 Epub Date: 2024-07-22 DOI: 10.1080/17434440.2024.2382233

Smrithy Girijakumari Sreekantan Nair, Balaji Chandrasekaran

{"title":"MetaHealth: unlocking metaverse technologies in digital healthcare.","authors":"Smrithy Girijakumari Sreekantan Nair, Balaji Chandrasekaran","doi":"10.1080/17434440.2024.2382233","DOIUrl":"10.1080/17434440.2024.2382233","url":null,"abstract":"Introduction: The metaverse is a new digital world powered by cutting-edge technologies that offers tremendous potential for healthcare. The metaverse is anticipated to experience enormous growth and adoption with a rising need for digital healthcare over the next decade. This article offers a comprehensive analysis of the integration of metaverse technologies into healthcare.Areas covered: This article delves into the multifaceted realm of metaverse technologies within healthcare, offering insights into its diverse contexts. Central to its exploration are the significant contributions, such as examining the current landscape of metaverse technologies in healthcare, offering a nuanced understanding of their applications. The article meticulously explores the array of tools and platforms available for surgical procedures, highlighting their efficacy and it also delves into how these technologies illuminate the evolving landscape of healthcare delivery. Through thorough analysis, this article elucidates the transformative potential of metaverse technologies in revolutionizing healthcare practices.Expert opinion: The integration of metaverse technologies in healthcare signifies a transformative shift in service delivery. The metaverse, driven by advanced technology, promises substantial changes, enhances medical education, patient care, and research through immersive experiences. This article aims to explore its various contexts heralding a new era in healthcare.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The crucial role of fecal management systems in intensive care. 粪便管理系统在重症监护中的关键作用。

Expert review of medical devices Pub Date : 2024-08-01 Epub Date: 2024-07-30 DOI: 10.1080/17434440.2024.2382881

Tobias Gutting, Andreas Pfützner

{"title":"The crucial role of fecal management systems in intensive care.","authors":"Tobias Gutting, Andreas Pfützner","doi":"10.1080/17434440.2024.2382881","DOIUrl":"10.1080/17434440.2024.2382881","url":null,"abstract":"Introduction: Patients in intensive care units (ICUs) frequently lose control over their fecal continence leading to fecal incontinence (FI). We provide an overview of existing medical devices, which are supposed to alleviate FI-related problems.Areas covered: Fecal management systems (FMS) prevent infections and complications. They reduce the risk of pressure ulcers and fecal incontinence. The systems enhance patient comfort and mitigate emotional distress during illness. Furthermore, FMS facilitate nursing care by reducing the incontinence-related workload. Finally, these systems can help minimize treatment costs by preventing complications, and reduction of extended hospital stays and additional treatments. Several well accepted systems made of silicone are on the market. A polyurethane-based soft balloon FMS (hygh-tec® basic-plus) has also been introduced, offering more comfort to the patient, safer handling for the healthcare professionals, and provides reliable leakproof access to the patient's colon. In addition to contamination-free fecal diversion, the trans-anal sealing mechanism of the device also allows for irrigation and delivery of medication into the colon.Expert opinion: FMS in ICUs are integral to patient care and dignity. Recognizing and prioritizing the importance of these systems is essential for providing the highest standard of care to critically ill patients in the ICU.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141794287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advancing robot-guided techniques in lumbar spine surgery: a systematic review and meta-analysis. 推进腰椎手术中的机器人引导技术：系统回顾和荟萃分析。

Expert review of medical devices Pub Date : 2024-08-01 Epub Date: 2024-07-15 DOI: 10.1080/17434440.2024.2378080

Temitope Emmanuel Komolafe, Liang Zhou, Wenlong Zhao, Jiachen Guo, Zongdao Li, Zhiping Fan, Blessing Funmi Komolafe, Wang Wei, Oluwarotimi Williams Samuel

{"title":"Advancing robot-guided techniques in lumbar spine surgery: a systematic review and meta-analysis.","authors":"Temitope Emmanuel Komolafe, Liang Zhou, Wenlong Zhao, Jiachen Guo, Zongdao Li, Zhiping Fan, Blessing Funmi Komolafe, Wang Wei, Oluwarotimi Williams Samuel","doi":"10.1080/17434440.2024.2378080","DOIUrl":"10.1080/17434440.2024.2378080","url":null,"abstract":"Background: Lumbar spine surgery is a crucial intervention for addressing spinal injuries or conditions affecting the spine, often involving lumbar fusion through pedicle screw (PS) insertion. The precision of PS placement is pivotal in orthopedic surgery. This systematic review compares the accuracy of robot-guided (RG) surgery with free-hand fluoroscopy-guided (FFG), free-hand without fluoroscopy-guided (FHG), and computed tomography image-guided (CTG) techniques for PS insertion.Methods: A systematic search of various databases from 1 January 2013 to 30 December 2023 was conducted following PRISMA guidelines. Primary outcomes, including PS insertion accuracy and breach rate, were analyzed using a random-effects model. Risk of bias was assessed using the Newcastle-Ottawa Scale.Results: The overall accuracy of PS insertion using RG, based on 37 studies involving 3,837 patients and 22,117 PS, is 97.9%, with a breach rate of 0.021. RG demonstrated superior accuracy compared to FHG and CTG, with breach rates of 3.4 and 0.015 respectively for RG versus FHG, and 3.8 and 0.026 for RG versus CTG. Additionally, RG was associated with reduced mean estimated blood loss compared to CTG, indicating improved safety.Conclusions: The RG is associated with enhanced accuracy of PS insertion and reduced breach rates over other methods. However, additional randomized controlled trials comparing these modalities are needed for further validation.Prospero registration: CRD42023483997.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Is there a best choice of equipment for colorectal endoscopic submucosal dissection? 结直肠内镜黏膜下剥离术有最佳设备选择吗？

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-06-04 DOI: 10.1080/17434440.2024.2364022

Francesco Cocomazzi, Sonia Carparelli, Nunzia Labarile, Antonio Capogreco, Marco Gentile, Roberta Maselli, Jahnvi Dhar, Jayanta Samanta, Alessandro Repici, Cesare Hassan, Francesco Perri, Antonio Facciorusso

{"title":"Is there a best choice of equipment for colorectal endoscopic submucosal dissection?","authors":"Francesco Cocomazzi, Sonia Carparelli, Nunzia Labarile, Antonio Capogreco, Marco Gentile, Roberta Maselli, Jahnvi Dhar, Jayanta Samanta, Alessandro Repici, Cesare Hassan, Francesco Perri, Antonio Facciorusso","doi":"10.1080/17434440.2024.2364022","DOIUrl":"10.1080/17434440.2024.2364022","url":null,"abstract":"Introduction: Endoscopic submucosal dissection (ESD) is a widely used technique to remove early neoplastic lesions. It was primarily used in the initial days to treat gastric lesions, but recently, the horizon of this endoscopic procedure has expanded, which has allowed us to manage other technically more complex locations, such as the colorectum.Areas covered: There has been an exponential growth regarding the wide range of devices available in the market for performing colorectal ESD. As a result, the aim of this review is to highlight the indication of this endoscopic technique, which device is best suited for which indication, as well as future trajectories in this field.Expert opinion: Although some devices have proven to be more advantageous than others in this area, very often the choice is still subjective, which is commonly attributed to individual preferences and experience. However, an accurate knowledge of the available tools and their functioning, with their pros and cons, is fundamental for any endoscopist venturing into the field of third space endoscopy. In this way, one can choose which device best suits a particular situation, along with simultaneously having the wealth of knowledge related to therapeutic armamentarium at our disposal in the endoscopy suite.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Frozen elephant use in type a dissection: fundamentals, innovations, and pitfalls. 在 A 型解剖中使用冷冻大象：基本原理、创新和陷阱。

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-06-11 DOI: 10.1080/17434440.2024.2365416

Paolo Berretta, Michele Galeazzi, Pietro G Malvindi, Mariano Cefarelli, Jacopo Alfonsi, Olimpia Bifulco, Emanuele Gatta, Marco Di Eusanio

{"title":"Frozen elephant use in type a dissection: fundamentals, innovations, and pitfalls.","authors":"Paolo Berretta, Michele Galeazzi, Pietro G Malvindi, Mariano Cefarelli, Jacopo Alfonsi, Olimpia Bifulco, Emanuele Gatta, Marco Di Eusanio","doi":"10.1080/17434440.2024.2365416","DOIUrl":"10.1080/17434440.2024.2365416","url":null,"abstract":"Introduction: Type A acute aortic dissection (TA-AAD) is a great challenge for aortic surgeons. The establishment of a standardized surgical approach, particularly the determination of whether and when to address the aortic arch and the distal aorta in the same operation as the proximal aorta, is still unclear.Areas covered: Frozen elephant trunk (FET) has emerged as a valuable treatment for TA-AAD over the last decade. Here, we discuss the fundamentals and pitfalls of frozen elephant trunk procedures and present the latest innovations.Expert opinion: FET has the potential to simplify arch reconstruction in patients with complex arch tears and rupture, optimize perfusion in the distal true lumen for those with a compressed true lumen and malperfusion, address distal reentry tears, and promote false lumen thrombosis and late aortic remodeling. Nevertheless, FET is still associated with non-negligible mortality and morbidity rates. Patient selection, surgical expertise, and postoperative care remain crucial determinants in ensuring successful outcomes. Recent innovations in FET surgery involve the development of techniques to minimize or avoid hypothermic circulatory arrest and new FET devices with different arch branch configurations aiming to facilitate subsequent aortic reinterventions. We believe that both these advancements have the potential to improve patient outcomes.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141263575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Home blood pressure monitoring devices: what extra value do they bring? 家用血压监测设备：它们能带来什么额外价值？

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-07-03 DOI: 10.1080/17434440.2024.2375374

Juan Antonio Divisón-Garrote, Paula Juárez Gonzálvez, Miguel Turégano-Yedro, Vicente Pallarés-Carratalá

引用次数: 0

Advantages and limitations of mobile-bearing unicompartmental knee arthroplasty: an overview of the literature. 活动承载式单室膝关节置换术的优点和局限性：文献综述。

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-06-26 DOI: 10.1080/17434440.2024.2367002

Takafumi Hiranaka

{"title":"Advantages and limitations of mobile-bearing unicompartmental knee arthroplasty: an overview of the literature.","authors":"Takafumi Hiranaka","doi":"10.1080/17434440.2024.2367002","DOIUrl":"10.1080/17434440.2024.2367002","url":null,"abstract":"Introduction: Interest in unicompartmental knee arthroplasty (UKA) has recently grown. Mobile bearing UKA, in which the bearing is not fixed but rather perfectly conforms with femoral and tibial components and moves completely passively between the femoral and tibial implant, has now been used for approximately half a century.Areas covered: Alongside the recognized advantages of UKA, the mobile-bearing variant benefits from an extremely low rate of polyethylene wear and tolerable minor malalignment. Revision rates for UKA have been reported to exceed those of total knee arthroplasty, but long-term survival rates and outcomes from mobile-bearing UKA have been found to be satisfactory. In addition to the lateral osteoarthritis and loosening, which are main complications of UKA, bearing dislocation is a specific complication of mobile bearing UKA. Fractures and valgus subsidence are more prevalent than in the cementless UKA. While these continue to be features to be addressed, they have been partially solved.Expert opinion: Given the manifold benefits of UKA, its application could be extended to a larger patient population. Successful outcomes rely on careful patient selection and the surgeon's extensive familiarity with the procedure. Looking ahead, the incorporation of robotic surgery, already a feature of some fixed-bearing UKAs, might shape the future trajectory of mobile-bearing UKA.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141319326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Development and verification of a novel bone collector with automatic size separating function for orthopedics surgery. 开发并验证用于矫形外科手术的具有尺寸自动分离功能的新型骨收集器。

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-06-17 DOI: 10.1080/17434440.2024.2367688

Kin-Weng Wong, Hsuan-Wen Wang, Chi-Sheng Chien, Chia-Hsuan Li, Cun-Bin Li, Chun-Li Lin

{"title":"Development and verification of a novel bone collector with automatic size separating function for orthopedics surgery.","authors":"Kin-Weng Wong, Hsuan-Wen Wang, Chi-Sheng Chien, Chia-Hsuan Li, Cun-Bin Li, Chun-Li Lin","doi":"10.1080/17434440.2024.2367688","DOIUrl":"10.1080/17434440.2024.2367688","url":null,"abstract":"Background: Autologous bone dust can be filled in bone defects to promote effective bone healing but typically it is lost when using suction during surgery. The aim of this study was to develop a novel bone collector that can be used to collect bone chips/dust of varying sizes without changing current surgical procedures.Research design and methods: This collector was designed to connect to a surgical continuous suction system and comprised a plate filter with a 3 mm hole and featured a taper filter with a mesh size of 0.27 mm for the separation and collection of both coarse and fine bone chips/dust. The bone collector was manufactured using nylon 3D printing and plastic injection with biocompatible materials.Results: The bone collector functional test revealed high bone chip collection efficiency (93%) with automatic size separation function. Low (3.42%) filtration errors showed that most of the water can be drained smoothly from the bone collector. In clinical usability testing, bone collectors can provide functions demonstrated in in vivo spinal fusion and femoral fracture surgeries with different bone grafting size requirements.Conclusions: The novel bone collector has been validated as a viable and effective surgical device, offering surgeons an additional option to enhance patient outcomes.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0