Expert review of medical devices最新文献_第4页

Transcutaneous electric nerve stimulation in restless leg syndrome with cirrhosis: a pilot study. 经皮神经电刺激治疗不宁腿综合征伴肝硬化：一项初步研究。

Expert review of medical devices Pub Date : 2025-05-20 DOI: 10.1080/17434440.2025.2508872

Swansu Batra, Vimal Kumar Paliwal, Amit Goel, Ankit Gupta, Ravi V Krishna Kishore, Ajay Kumar Mishra, Sachin Garg, Prabhakar Mishra, Vishwas Kapoor

{"title":"Transcutaneous electric nerve stimulation in restless leg syndrome with cirrhosis: a pilot study.","authors":"Swansu Batra, Vimal Kumar Paliwal, Amit Goel, Ankit Gupta, Ravi V Krishna Kishore, Ajay Kumar Mishra, Sachin Garg, Prabhakar Mishra, Vishwas Kapoor","doi":"10.1080/17434440.2025.2508872","DOIUrl":"https://doi.org/10.1080/17434440.2025.2508872","url":null,"abstract":"Background: The study aimed to evaluate the effect of transcutaneous electric nerve stimulation (TENS) on restless leg syndrome (RLS) severity, sleep, quality of life, anxiety, and depression in liver cirrhosis patients.Research design and methods: This was single-arm, open label, pilot study. Cirrhosis patients with RLS were evaluated with International RLS Score (IRLSS, scored 0-40 for severity) at baseline and 1, 2, 4, 6 weeks. Sleep quality, quality of life, depression and anxiety was assessed using Pittsburg Sleep Quality Index (PSQI, 0-21 with poor sleep), RLS Quality of Life Questionnaire (RLSQoL, 18 items, 13 scored 0-15, higher score - good quality of life), Hamilton Depression Rating Scale (HAM-D, scored 0-53 with increasing depression) and Hamilton Anxiety Rating Scale (HAM-A, scored 0 to 56 with increasing anxiety) at baseline and 4 weeks of TENS.Results: Twenty-five patients (mean age 52 ± 9.1 years, 52% females) received TENS. Mean IRLSS improved from 22.28 ± 6.724 to 6.08 ± 5.590, 7.48 ± 7.206, 8.56 ± 6.715, 11.76 ± 5.456 after 1, 2, 4 and 6 weeks. Baseline Sleep quality, quality of life, anxiety and depression scores (9.6 ± 5.1, 73 ± 20.7, 25.4 ± 11.7, 19.2 ± 10.6) improved after 4 weeks of TENS (4.7 ± 3, 94.9 ± 12.5, 8.9 ± 5.7,7.5 ± 5).Conclusion: Transcutaneous Electric Nerve Stimulation improved RLS symptoms, sleep quality, anxiety, depression, and overall quality of life in cirrhosis patients.Trial registration: Clinical Trial Registry of India - CTRI/2023/06/053734.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144112984","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

Advances in high-speed vitrectomy - surpassing the speed barrier in retinal surgery: a concise review. 高速玻璃体切除术的进展-超越视网膜手术的速度障碍：简要回顾。

Expert review of medical devices Pub Date : 2025-05-19 DOI: 10.1080/17434440.2025.2507969

Nitin Kumar Menia, Aniruddha Agarwal, Nicola Ghazi

{"title":"Advances in high-speed vitrectomy - surpassing the speed barrier in retinal surgery: a concise review.","authors":"Nitin Kumar Menia, Aniruddha Agarwal, Nicola Ghazi","doi":"10.1080/17434440.2025.2507969","DOIUrl":"10.1080/17434440.2025.2507969","url":null,"abstract":"Introduction: There has been a significant improvement in the technique and instrumentation for pars plana vitrectomy systems in the past decades. High-speed vitrectomy has emerged as a transformative advancement in retinal surgery. The use of advanced vitreous cutters operating at significantly higher speeds has revolutionized the approach to complex vitreoretinal procedures.Areas covered: This paper reviews the latest developments in high-speed vitrectomy, focusing on the technological innovations that have driven its evolution, management systems and visualization techniques. The integration of higher cut rates, now exceeding 10,000 cuts per minute, has substantially reduced vitreous traction, minimized iatrogenic retinal tears, and enhanced the safety profile of these surgeries. Clinical outcomes from recent studies demonstrate that high-speed vitrectomy not only reduces operating time but also improves patient recovery with fewer post-operative complications.Expert opinion: The continuous evolution of vitrectomy technology is setting new standards in retinal surgery, promising greater improvements in patient care. High-speed vitrectomy offers faster, safer, precise surgical outcomes, enhancing surgical success rates. Further research directions may include optimizing cutter design, exploring novel fluidics systems, and developing augmented reality tools to enhance surgeon performance and patient outcomes.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"1-7"},"PeriodicalIF":0.0,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083024","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

Comments on: 'two-year outcomes using fast-acting sub-perception therapy for spinal cord stimulation: results of a real-world multicenter study in the United States'. 评论：“使用速效亚知觉疗法进行脊髓刺激的两年结果：美国一项真实世界多中心研究的结果”。

Expert review of medical devices Pub Date : 2025-05-14 DOI: 10.1080/17434440.2025.2504451

Qiji Zhou, Jinyu Guo

引用次数: 0

Transcranial magnetic resonance imaging-guided focused ultrasound for neuropathic pain treatment. 经颅磁共振成像引导聚焦超声治疗神经性疼痛。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-05-07 DOI: 10.1080/17434440.2025.2485289

Silvia Marino, Maria Le Cause, Simona De Salvo, Luigi Cardia, Francesco Corallo, Carmelo Anfuso, Giuseppe Di Lorenzo, Rosa Morabito, Simona Cammaroto, Chiara Smorto, Annalisa Militi, Chiara Sorbera, Amelia Brigandì, Rosario Maugeri, Angelo Lavano, Angelo Quartarore, Domenico La Torre

{"title":"Transcranial magnetic resonance imaging-guided focused ultrasound for neuropathic pain treatment.","authors":"Silvia Marino, Maria Le Cause, Simona De Salvo, Luigi Cardia, Francesco Corallo, Carmelo Anfuso, Giuseppe Di Lorenzo, Rosa Morabito, Simona Cammaroto, Chiara Smorto, Annalisa Militi, Chiara Sorbera, Amelia Brigandì, Rosario Maugeri, Angelo Lavano, Angelo Quartarore, Domenico La Torre","doi":"10.1080/17434440.2025.2485289","DOIUrl":"https://doi.org/10.1080/17434440.2025.2485289","url":null,"abstract":"Introduction: Magnetic resonance imaging-guided focused ultrasound (MRgFUS) has shown promising results for a variety of neurological conditions, including movement disorders, brain tumors, and degenerative diseases. Recent clinical trials have demonstrated that MRgFUS can produce therapeutic effects in essential tremor (ET) and Parkinson's disease (PD), comparable to those achieved with other neurosurgical interventions. Furthermore, there has been increasing attention on the development of FUS technology and its clinical applications, aimed at exploring new uses and enhancing existing ones.Areas covered: In this review, a comprehensive search was conducted across multiple platforms, including PubMed, Scopus, and the Cochrane Library. Filters were applied to include studies based on publication year and clinical trials involving human subjects (excluding animal studies). A thorough analysis of the results was crucial for achieving the objectives of our research. While some studies are still awaiting results, they show promise; others have already been completed.Expert opinion: The authors specifically selected six studies that yielded excellent results, covering aspects such as treatment side effects, pain location, key findings, ultrasound temperature, and sample size. he aim of this review is to provide an overview of the recent literature and ongoing clinical trials regarding the application of MRgFUS in the treatment of neuropathic pain.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":"22 5","pages":"455-465"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995192","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

Clinical study of real-time three-dimensional echocardiography combined with radionuclide imaging to evaluate changes in cardiac function and synchronization before and after cardiac rehabilitation in patients with acute myocardial infarction. 实时三维超声心动图联合放射性核素显像评价急性心肌梗死患者心脏康复前后心功能及同步性变化的临床研究

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-22 DOI: 10.1080/17434440.2025.2489497

Jinfang Cheng, Ning Li, Jun Xue, Xiaolong Mi

{"title":"Clinical study of real-time three-dimensional echocardiography combined with radionuclide imaging to evaluate changes in cardiac function and synchronization before and after cardiac rehabilitation in patients with acute myocardial infarction.","authors":"Jinfang Cheng, Ning Li, Jun Xue, Xiaolong Mi","doi":"10.1080/17434440.2025.2489497","DOIUrl":"10.1080/17434440.2025.2489497","url":null,"abstract":"Objective: This research aimed to unveil the effects of real-time three-dimensional echocardiography (RT-3DE) combined with radionuclide imaging to evaluate changes in cardiac function and synchronization before and after cardiac rehabilitation in patients with acute myocardial infarction (AMI).Methods: RT-3DE and radionuclide imaging were performed after PCI (pre-rehabilitation) and the 8-week follow-up visit (post-rehabilitation). Relevant data were collected: heart rate (HR), left ventricular (LV) end-systolic volume (LVESV), LV end-diastolic volume (LVEDV), LV ejection fraction (LVEF), LV 16-segment maximum difference in time to minimum systolic volume (Tmsv-16-Dif), LV 16-segment standard deviation of time to minimum systolic volume (Tmsv-16-SD), Tmsv 16-Dif % and Tmsv 16-SD %, summed Stress Score (SSS), Summed Rest Score (SRS), and SDS (SRS-SSS).Results: At the 8-week follow-up after PCI, HR, LVEDV, LVESV, Tmsv-16-Dif, Tmsv-16-SD, Tmsv-16-Dif%, Tmsv-16-SD%, SSS, SRS, and SDS in the rehabilitation group were lower than those in the control group; LVEF in the rehabilitation group was higher than the control group.Conclusion: RT-3DE and radionuclide imaging can be used as a follow-up tool for evaluating LV function and synchronization changes after cardiac rehabilitation in patients with AMI undergoing PCI.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"511-517"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143775117","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

Transperineal prostate biopsy using the PrecisionPoint Transperineal Access System for prostate cancer diagnosis - a new standard of care. 经会阴前列腺活检采用PrecisionPoint经会阴通路系统诊断前列腺癌-一种新的护理标准。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-10 DOI: 10.1080/17434440.2025.2490753

Charlton Martin, Flavio V Ordones

引用次数: 0

Effect of posterior decompression and bone grafting combined with minimally invasive percutaneous pedicle screw fixation on pain and functional recovery in patients with thoracolumbar spinal fractures. 后路减压植骨联合微创经皮椎弓根螺钉固定对胸腰椎骨折患者疼痛及功能恢复的影响。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-03 DOI: 10.1080/17434440.2025.2485291

Dong Chen, Pei Liu, Wenqi Song, Shenghe Liu

{"title":"Effect of posterior decompression and bone grafting combined with minimally invasive percutaneous pedicle screw fixation on pain and functional recovery in patients with thoracolumbar spinal fractures.","authors":"Dong Chen, Pei Liu, Wenqi Song, Shenghe Liu","doi":"10.1080/17434440.2025.2485291","DOIUrl":"10.1080/17434440.2025.2485291","url":null,"abstract":"Objective: This study aimed to investigate the effects of posterior decompression and bone grafting combined with minimally invasive percutaneous pedicle screw fixation (MIPSF) on pain relief and functional recovery in patients with thoracolumbar spinal fractures.Methods: This prospective, randomized controlled trial included 68 patients with thoracolumbar spinal fractures, who were divided into control and observation groups. Perioperative outcomes, visual analogue scale (VAS), Oswestry Disability Index (ODI), American Spinal Injury Association Impairment Scale, vertebral anterior height, vertebral sagittal index, Cobb's Angle, serum substance P (SP), serum cortisol (Cor), and C-reactive protein (CRP) levels, were evaluated. Postoperative complications were also recorded.Results: The observation group exhibited reduced operation time, intraoperative blood loss, drainage volume, and hospital stay, lower VAS and ODI scores, higher sensory and motor scores, improved injured vertebral anterior height and sagittal index, decreased kyphotic Cobb's angle, and lower serum SP, Cor, and CRP levels versus the control group (p < 0.05). The postoperative complication rate was 5.88% in the control group and 2.94% in the observation group (p > 0.05).Conclusion: The combination of posterior decompression, bone grafting, and MIPSF for thoracolumbar spine fractures results in less traumatic stress, improved postoperative pain management, and better recovery of spinal function.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"489-495"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712343","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

Vascular access closure devices in neurointerventional procedures: current developments and future directions. 神经介入手术中的血管通路关闭装置：目前的发展和未来的方向。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-15 DOI: 10.1080/17434440.2025.2493266

Sachin Mysore, Anika Pruthi, Arjun Kumar, Meghana Mogalipuvvu, Manisha Koneru

引用次数: 0

An overview of the FreeStyle Libre monitoring system for individuals with type 1 and type 2 diabetes. 1型和2型糖尿病患者自由式自由监测系统概述

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-04-10 DOI: 10.1080/17434440.2025.2489494

Sergio Di Molfetta, Antonio Cutruzzolà, Agostino Gnasso, Concetta Irace

{"title":"An overview of the FreeStyle Libre monitoring system for individuals with type 1 and type 2 diabetes.","authors":"Sergio Di Molfetta, Antonio Cutruzzolà, Agostino Gnasso, Concetta Irace","doi":"10.1080/17434440.2025.2489494","DOIUrl":"10.1080/17434440.2025.2489494","url":null,"abstract":"Introduction: Diabetes is a chronic disease with high prevalence, necessitating advanced technology to achieve glycemic targets and reduce complications. Continuous glucose monitoring (CGM) has become a cornerstone in diabetes management, with the Freestyle Libre (FSL) systems being some of the most widely used devices.Areas covered: This review focuses on FSL systems, each including an all-in-one sensor and transmitter, a handheld reader and a Mobile Medical App (MMA). Glucose data are uploaded to a dedicated cloud-based platform for analysis. Over the years, FSL has evolved with new features offering valuable support for individuals with diabetes, caregivers, and healthcare providers. Clinical trials and real-world studies have demonstrated efficacy and safety across diverse populations, including individuals with type 1 and type 2 diabetes, adolescents, and pregnant women with diabetes.Expert opinion: FSL is a user-friendly system that meets the needs of patients and healthcare providers. The MMA allows a review of glucose metrics and pattern identification, and supports educational strategies and patient-tailored treatment. Future advancements, including ketone monitoring, integration with wearables and other devices, and telemedicine applications, will further optimize diabetes care and prevention.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"425-436"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143782353","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

Optimizing the clinical adoption of total joint replacement of the lumbar spine through imaging, robotics and artificial intelligence. 通过影像学、机器人技术和人工智能优化腰椎全关节置换术的临床应用。

Expert review of medical devices Pub Date : 2025-05-01 Epub Date: 2025-03-26 DOI: 10.1080/17434440.2025.2484252

S Craig Humphreys, Jon E Block, Ahilan Sivaganesan, Louis J Nel, Marc Peterman, Scott D Hodges

{"title":"Optimizing the clinical adoption of total joint replacement of the lumbar spine through imaging, robotics and artificial intelligence.","authors":"S Craig Humphreys, Jon E Block, Ahilan Sivaganesan, Louis J Nel, Marc Peterman, Scott D Hodges","doi":"10.1080/17434440.2025.2484252","DOIUrl":"10.1080/17434440.2025.2484252","url":null,"abstract":"Introduction: The objective of this article is to assess the potential of imaging, robotics, and artificial intelligence (AI) to significantly improve spine care, preoperative planning and surgery.Areas covered: This article describes the development of lumbar total joint replacement (TJR) of the spine (MOTUS, 3Spine, Chattanooga, TN, U.S.A.). We discuss the evolution of intra-operative imaging, robotics, and AI and how these trends can intersect with lumbar TJR to optimize the safety, efficiency, and accessibility of the procedure.Expert opinion: By preserving natural spinal motion, TJR represents a significant leap forward in the treatment of degenerative spinal conditions by providing an alternative to fusion. This transformation has already occurred and is continuing to evolve in the primary synovial joints such as hip, knee, shoulder and ankle where arthroplasty outcomes are now so superior that fusion is considered a salvage procedure. The convergence of imaging, robotics and AI is poised to reshape spine care by enhancing precision and safety, personalizing treatment pathways, lowering production costs, and accelerating adoption. However, the key challenges include ensuring continued collaboration between surgeons, researchers, manufacturers, and regulatory bodies to optimize the potential of TJR.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"405-413"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722720","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