Expert review of medical devices最新文献_第5页

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

Platinum chromium everolimus-eluting stents for the treatment of (complex) coronary artery disease; from SYNERGY™ to the MEGATRON™. 用于治疗（复杂）冠状动脉疾病的铂铬依维莫司洗脱支架；从 SYNERGY™ 到 MEGATRON™。

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-05-13 DOI: 10.1080/17434440.2024.2353722

Pascal Frederiks, Gianluca Castaldi, Keir McCutcheon, Johan Bennett

{"title":"Platinum chromium everolimus-eluting stents for the treatment of (complex) coronary artery disease; from SYNERGY™ to the MEGATRON™.","authors":"Pascal Frederiks, Gianluca Castaldi, Keir McCutcheon, Johan Bennett","doi":"10.1080/17434440.2024.2353722","DOIUrl":"10.1080/17434440.2024.2353722","url":null,"abstract":"Introduction: The introduction of drug-eluting coronary stents (DES) into clinical practice in 2002 represented a major milestone in the treatment of obstructive coronary artery disease. Over the years, significant advances in polymer coating and in antiproliferative agent technology have further improved the safety and clinical performance of newer-generation DES.Areas covered: Development of platinum chromium (PtCr) alloys with high radial strength and high radiopacity have enabled the design of new, thin-strut, flexible, and highly trackable stent platforms, while simultaneously improving stent visibility. These advances have facilitated complex percutaneous treatment of a diverse population of patients in clinical practice. This review will provide an overview of the evolution in PtCr everolimus-eluting stents from PROMUS Element™ to SYNERGY™ to the recently introduced SYNERGY MEGATRON™. The clinical data will be summarized and put into perspective, especially focusing on the role of the SYNERGY™ and MEGATRON™ platforms in the treatment of complex coronary artery disease and high-risk patients.Expert opinion: The SYNERGY™ stent demonstrates favorable clinical efficacy and safety outcome data, and whilst the clinical data on MEGATRON™ are sparse, early experience is promising. The specific overexpansion capabilities, visibility, and radial strength of the MEGATRON™ are attractive features for complex coronary interventions.","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":"140893082","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

Letter to the editor in response to: A profile on the WISE cortical strip for intraoperative neurophysiological monitoring. 用于术中神经电生理监测的 WISE 皮质条带简介[信函]。

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-06-12 DOI: 10.1080/17434440.2024.2367007

Triwiyanto Triwiyanto, I Putu Alit Pawana, Achmad Rizal

引用次数: 0

Efficacy of non-invasive brain stimulation and neuronavigation for major depressive disorder: a systematic review and meta-analysis. 无创脑部刺激和神经导航对重度抑郁症的疗效：系统回顾和荟萃分析。

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-06-26 DOI: 10.1080/17434440.2024.2370820

Yishai Valter, Fabio Rapallo, Bruno Burlando, Miah Crossen, Chris Baeken, Abhishek Datta, Choi Deblieck

{"title":"Efficacy of non-invasive brain stimulation and neuronavigation for major depressive disorder: a systematic review and meta-analysis.","authors":"Yishai Valter, Fabio Rapallo, Bruno Burlando, Miah Crossen, Chris Baeken, Abhishek Datta, Choi Deblieck","doi":"10.1080/17434440.2024.2370820","DOIUrl":"10.1080/17434440.2024.2370820","url":null,"abstract":"Introduction: Repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) are increasingly used for major depressive disorder (MDD). Most tDCS and rTMS studies target the left dorsolateral prefrontal cortex, either with or without neuronavigation. We examined the effect of rTMS and tDCS, and the added value of neuronavigation in the treatment of MDD.Methods: A search on PubMed, Embase, and Cochrane databases for rTMS or tDCS randomized controlled trials of MDD up to 1 February 2023, yielded 89 studies. We then performed meta-analyses comparing tDCS efficacy to non-neuronavigated rTMS, tDCS to neuronavigated rTMS, and neuronavigated rTMS to non-neuronavigated rTMS. We assessed the significance of the effect in subgroups and in the whole meta-analysis with a z-test and subgroup differences with a chi-square test.Results: We found small-to-medium effects of both tDCS and rTMS on MDD, with a slightly greater effect from rTMS. No significant difference was found between neuronavigation and non-neuronavigation.Conclusion: Although both tDCS and rTMS are effective in treating MDD, many patients do not respond. Additionally, current neuronavigation methods are not significantly improving MDD treatment. It is therefore imperative to seek personalized methods for these interventions.","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":"141433608","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

Therapeutic prostate cancer interventions: a systematic review on pubic arch interference and needle positioning errors. 前列腺癌介入治疗：耻骨弓干扰和针定位误差的量化。

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-07-23 DOI: 10.1080/17434440.2024.2374761

Jette Bloemberg, Martijn de Vries, Luigi A M J G van Riel, Theo M de Reijke, Aimée Sakes, Paul Breedveld, John J van den Dobbelsteen

{"title":"Therapeutic prostate cancer interventions: a systematic review on pubic arch interference and needle positioning errors.","authors":"Jette Bloemberg, Martijn de Vries, Luigi A M J G van Riel, Theo M de Reijke, Aimée Sakes, Paul Breedveld, John J van den Dobbelsteen","doi":"10.1080/17434440.2024.2374761","DOIUrl":"10.1080/17434440.2024.2374761","url":null,"abstract":"Introduction: This study focuses on the quantification of and current guidelines on the hazards related to needle positioning in prostate cancer treatment: (1) access restrictions to the prostate gland by the pubic arch, so-called Pubic Arch Interference (PAI) and (2) needle positioning errors. Next, we propose solution strategies to mitigate these hazards.Methods: The literature search was executed in the Embase, Medline ALL, Web of Science Core Collection*, and Cochrane Central Register of Controlled Trials databases.Results: The literature search resulted in 50 included articles. PAI was reported in patients with various prostate volumes. The level of reported PAI varied between 0 and 22.3 mm, depending on the patient's position and the measuring method. Low-Dose-Rate Brachytherapy induced the largest reported misplacement errors, especially in the cranio-caudal direction (up to 10 mm) and the largest displacement errors were reported for High-Dose-Rate Brachytherapy in the cranio-caudal direction (up to 47 mm), generally increasing over time.Conclusions: Current clinical guidelines related to prostate volume, needle positioning accuracy, and maximum allowable PAI are ambiguous, and compliance in the clinical setting differs between institutions. Solutions, such as steerable needles, assist in mitigating the hazards and potentially allow the physician to proceed with the procedure.This systematic review was performed in accordance with the PRISMA guidelines. The review was registered at Protocols.io (DOI: dx.doi.org/10.17504/protocols.io.6qpvr89eplmk/v1).","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":"141473847","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 conduction system pacing a panacea for pacemaker therapy? 传导系统起搏是起搏器治疗的灵丹妙药吗？

Expert review of medical devices Pub Date : 2024-07-01 Epub Date: 2024-06-24 DOI: 10.1080/17434440.2024.2370827

Stephe Kamalathasan, Maria Paton, John Gierula, Sam Straw, Klaus K Witte

{"title":"Is conduction system pacing a panacea for pacemaker therapy?","authors":"Stephe Kamalathasan, Maria Paton, John Gierula, Sam Straw, Klaus K Witte","doi":"10.1080/17434440.2024.2370827","DOIUrl":"10.1080/17434440.2024.2370827","url":null,"abstract":"Introduction: While supported by robust evidence and decades of clinical experience, right ventricular apical pacing for bradycardia is associated with a risk of progressive left ventricular dysfunction. Cardiac resynchronization therapy for heart failure with reduced ejection fraction can result in limited electrical resynchronization due to anatomical constraints and epicardial stimulation. In both settings, directly stimulating the conduction system below the atrio-ventricular node (either the bundle of His or the left bundle branch area) has potential to overcome these limitations. Conduction system pacing has met with considerable enthusiasm in view of the more physiological electrical conduction pattern, is rapidly becoming the preferred option of pacing for bradycardia, and is gaining momentum as an alternative to conventional biventricular pacing.Areas covered: This article provides a review of the current efficacy and safety data for both people requiring treatment for bradycardia and the management of heart failure with conduction delay and discusses the possible future roles for conduction system pacing in routine clinical practice.Expert opinion: Conduction system pacing might be the holy grail of pacemaker therapy without the disadvantages of current approaches. However, hypothesis and enthusiasm are no match for robust data, demonstrating at least equivalent efficacy and safety to standard approaches.","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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Foreword: aortic surgical devices: innovation, trends & controversies. 前言：主动脉手术器械：创新、趋势与争议。

Expert review of medical devices Pub Date : 2024-06-20 DOI: 10.1080/17434440.2024.2353510

Mohamad Bashir

引用次数: 0