Expert review of medical devices最新文献_第6页

From mixed signals to neural code: compensating volume conduction for noninvasive generic neural interfaces. 从混合信号到神经编码：补偿非侵入性通用神经接口的体积传导。

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-05-27 DOI: 10.1080/17434440.2026.2679688

Dario Farina, Laura Ferrante, Xingchen Yang

{"title":"From mixed signals to neural code: compensating volume conduction for noninvasive generic neural interfaces.","authors":"Dario Farina, Laura Ferrante, Xingchen Yang","doi":"10.1080/17434440.2026.2679688","DOIUrl":"10.1080/17434440.2026.2679688","url":null,"abstract":"Introduction: Noninvasive neural interfaces promise scalable access to neural information without the risks of implanted sensors, but their fundamental limitation is the transformation imposed by the volume conductor between neural sources and sensors. Biological tissues spatially and temporally filter, mix, and disperse neural activity, such that recorded signals (e.g. EEG, ENG, surface EMG) primarily reflect convolution with tissue-dependent impulse responses rather than the underlying neural information.Area covered: We frame this challenge using a generic convolutive model in which neural sources are observed through volume-conductor filters and noise. Two complementary strategies are discussed: direct compensation, which seeks to separate and recover subsets of neural sources through deconvolution methods, and indirect compensation, which learns representations that are invariant to volume-conductor variability from large, diverse datasets.Expert opinion: We argue that progress in noninvasive interfacing will depend on explicit recognition and compensation of the volume conductor effect, either directly or indirectly. Together, these strategies point toward noninvasive neural interfaces that can scale beyond subject-specific calibration by isolating neural information from tissue-dependent distortions.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"749-753"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007732","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

Bioprosthetic valve fracture during valve-in-valve transcatheter aortic valve replacement: patient selection, procedural timing, and technical optimization. 经导管主动脉瓣置换术中生物假体瓣膜骨折：患者选择，手术时机和技术优化。

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-06-08 DOI: 10.1080/17434440.2026.2684998

Kanhua Yin, Nitin Nadella, Keith B Allen

引用次数: 0

Polymer-free sirolimus-based submicron carrier-eluting stent: present and future perspective. 基于无聚合物西罗莫司的亚微米载体洗脱支架：现在和未来的观点。

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-05-31 DOI: 10.1080/17434440.2026.2679686

Dorian Garin, Alexandre Abizaid, Farhana Siddique, Roxana Mehran, Juan F Iglesias

{"title":"Polymer-free sirolimus-based submicron carrier-eluting stent: present and future perspective.","authors":"Dorian Garin, Alexandre Abizaid, Farhana Siddique, Roxana Mehran, Juan F Iglesias","doi":"10.1080/17434440.2026.2679686","DOIUrl":"10.1080/17434440.2026.2679686","url":null,"abstract":"Introduction: Newer-generation drug-eluting stents (DES) remain associated with late adverse events, necessitating continued innovation. The Focus np (Abluminus np, Concept Medical, Tampa, FL, USA) is a novel thin-strut cobalt-chromium sirolimus-eluting stent featuring a polymer-free metallic platform with abluminal phospholipid submicron carrier coating and fusion coating extending drug delivery to stent shoulders and exposed balloon surfaces, representing the only contemporary DES integrating polymer-free stent and drug-coated balloon functionalities into a single platform..Areas covered: This review summarizes the device concept, preclinical findings, early clinical experience, and ongoing randomized controlled trials evaluating the device.Expert opinion: This device introduces a hybrid design featuring 73 μm struts with abluminal phospholipid coating providing biphasic sirolimus release over 40 days with prolonged in-tissue exposure, alongside fusion coating covering platform, gaps, and edge zones. Preclinical studies demonstrate rapid endothelialization, minimal inflammation, and complete drug elution by 40 days. Preliminary clinical data in all-comers show low major adverse cardiovascular event rates without stent thrombosis at 12 months. The STARS DAPT pilot trial (NCT05785897) is evaluating single antiplatelet therapy following abbreviated dual antiplatelet therapy versus conventional regimens in ST-segment elevation myocardial infarction patients undergoing primary percutaneous coronary intervention with this device. However, large-scale randomized evidence remains limited.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"755-768"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038415","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

Association of postoperative acetabular abduction angle with gait asymmetry and adverse reactions following total hip arthroplasty across different surgical approaches. 全髋关节置换术后不同手术入路髋臼外展角与步态不对称及不良反应的关系。

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-05-19 DOI: 10.1080/17434440.2026.2675019

Siping Xian, Mingcan Chen, Yuqiao Zhai

{"title":"Association of postoperative acetabular abduction angle with gait asymmetry and adverse reactions following total hip arthroplasty across different surgical approaches.","authors":"Siping Xian, Mingcan Chen, Yuqiao Zhai","doi":"10.1080/17434440.2026.2675019","DOIUrl":"10.1080/17434440.2026.2675019","url":null,"abstract":"Background: Total hip arthroplasty (THA) is effective for end-stage hip disorders, but evidence on the combined effects of surgical approach and acetabular abduction angle remains limited. This study investigated the associations of surgical approach and acetabular abduction angle with gait symmetry, prosthesis alignment, and complications after THA.Research design and methods: This retrospective study included 120 patients undergoing unilateral THA, divided into a posterolateral approach (PLA) group and a direct anterior approach (DAA) group (n = 60 each). Each group was further stratified by acetabular abduction angle (ideal 40°-50°; non-ideal: <40° or >50°). Gait asymmetry index (AI), acetabular anteversion, hip center displacement, and serum inflammatory marker levels were assessed postoperatively. Adverse events within 12 months were recorded.Results: The DAA group exhibited lower AI values, hip-center deviations, and inflammatory marker levels at early postoperative stages than the PLA group (p < 0.05). The DAA group also had reduced rates of dislocation, wound infection, and deep vein thrombosis (p < 0.05). Dislocation occurred less frequently in the ideal-angle subgroup (p < 0.05).Conclusion: The direct anterior approach and an acetabular abduction angle of 40°-50° were associated with improved early recovery, reduced gait asymmetry, and lower complication rates after THA.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"855-863"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936510","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

From mirrors to monitors: the historical evolution of laryngoscopy toward universal videolaryngoscopy. 从镜子到监测器：喉镜检查向通用视频喉镜检查的历史演变。

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-05-29 DOI: 10.1080/17434440.2026.2678900

Manuel Á Gómez-Ríos, Tomasz Gaszyński, Pavel Michalek, André A J Van Zundert

{"title":"From mirrors to monitors: the historical evolution of laryngoscopy toward universal videolaryngoscopy.","authors":"Manuel Á Gómez-Ríos, Tomasz Gaszyński, Pavel Michalek, André A J Van Zundert","doi":"10.1080/17434440.2026.2678900","DOIUrl":"10.1080/17434440.2026.2678900","url":null,"abstract":"Introduction: Tracheal intubation is a critical intervention in anaesthesia, emergency medicine, and critical care. Videolaryngoscopy has transformed airway management by improving glottic visualisation and enabling shared team performance.Areas covered: This narrative review reviews the historical evolution of laryngoscopy, from mirror-based indirect techniques to contemporary videolaryngoscopy. A narrative literature search was conducted in PubMed/MEDLINE and Embase for articles published up to 2025, using terms related to videolaryngoscopy, tracheal intubation, airway management, difficult airway, implementation, and patient safety. The review focuses on technological development, clinical evidence, educational implications, and the implementation-oriented 2025 international guidelines for universal videolaryngoscopy adoption.Expert opinion: Videolaryngoscopy should no longer be regarded as a specialised rescue device but as the logical standard for tracheal intubation. Achieving universal adoption will require structured training, organisational alignment, and sustained cultural change to translate strong evidence into consistent clinical practice.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"769-777"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984879","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

Optical and video stylets for airway management: an expert review. 光学和视频风格的气道管理：专家评论。

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-06-10 DOI: 10.1080/17434440.2026.2684992

Manuel Á Gómez-Ríos, Samuel Ern Hung Tsan, Tomasz Gaszyński, Pavel Michalek, Uxía Gutierrez-Couto, André A J Van Zundert

{"title":"Optical and video stylets for airway management: an expert review.","authors":"Manuel Á Gómez-Ríos, Samuel Ern Hung Tsan, Tomasz Gaszyński, Pavel Michalek, Uxía Gutierrez-Couto, André A J Van Zundert","doi":"10.1080/17434440.2026.2684992","DOIUrl":"10.1080/17434440.2026.2684992","url":null,"abstract":"Introduction: Optical and video stylets are increasingly important airway management devices that combine real-time visualization with a slim rigid or semi-rigid design. They facilitate tracheal intubation in anatomically constrained airways while minimizing cervical spine movement and mouth-opening requirements.Areas covered: This narrative review examines the evolution, technical principles, classification, clinical applications, safety profile, and future developments of optical and video stylets. A structured literature search of PubMed/MEDLINE, Embase, and the Cochrane Library was conducted for publications published between January 1990 and January 2026. Randomized controlled trials, observational studies, systematic reviews, meta-analyses, and relevant international guidelines were prioritized.Expert opinion: Video stylets have progressively replaced optical systems because of superior image quality, ergonomics, and training utility. Their greatest value lies in anatomically constrained airways and as complementary tools within multimodal airway management strategies. Persistent limitations, particularly lack of suction capability and sensitivity to contamination, support their role as adjuncts rather than universal airway devices.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"779-795"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159477","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

Examining the need for positive airway pressure in patients with COPD-OSA overlap. COPD-OSA重叠患者气道正压治疗的必要性

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-06-02 DOI: 10.1080/17434440.2026.2678898

Amar Shah, Swapna Mandal

{"title":"Examining the need for positive airway pressure in patients with COPD-OSA overlap.","authors":"Amar Shah, Swapna Mandal","doi":"10.1080/17434440.2026.2678898","DOIUrl":"10.1080/17434440.2026.2678898","url":null,"abstract":"Introduction: Chronic obstructive pulmonary disease (COPD)-obstructive sleep apnea (OSA) overlap is prevalent in patients with either COPD or OSA. Patients with COPD-OSA overlap are likely to have different pathophysiological endotypes and thus different clinical phenotypes, which are likely to lead to challenges in the management of this heterogenous population. This report examines current evidence for positive airway pressure therapy in COPD-OSA overlap, with an emphasis on outcomes and guidance gaps.Areas covered: Current data outlining the risks of COPD-OSA overlap are explored with a particular emphasis on cardiovascular morbidity and mortality. Currently for available treatment, the evidence around this and national and international guidelines are considered. Novel trials are likely to bring further clarity in managing this patient population.Expert opinion: It is clear that COPD-OSA overlap presents a synergistic profile leading to poorer outcomes compared to each individual condition alone. Moreover, patients with overlap syndrome are likely to have increased morbidity and mortality. In the symptomatic patient, continuous positive airway pressure (CPAP) therapy should be offered. However, the benefit in the asymptomatic population remains to be elucidated from future trials. There is little evidence beyond CPAP in this population, and further evidence and research is needed in this field.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"839-844"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984853","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

Pulsed-field ablation: recent advancement in catheter ablation of atrial fibrillation. 脉冲场消融：心房颤动导管消融的最新进展。

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-05-26 DOI: 10.1080/17434440.2026.2680260

Jessica Huang, Kalyan Chaliki, Abdulrahman Karmach, Andrea Natale, Sanghamitra Mohanty

{"title":"Pulsed-field ablation: recent advancement in catheter ablation of atrial fibrillation.","authors":"Jessica Huang, Kalyan Chaliki, Abdulrahman Karmach, Andrea Natale, Sanghamitra Mohanty","doi":"10.1080/17434440.2026.2680260","DOIUrl":"10.1080/17434440.2026.2680260","url":null,"abstract":"Introduction: Ablation for rhythm control of atrial fibrillation originated in the 1990s and has been dominated by thermal ablation techniques such as radiofrequency ablation and cryoballoon ablation. However, more recently, pulsed field ablation has offered a cutting-edge nonthermal technique that minimizes the complications previously seen in thermal ablation.Areas covered: We present a review of the existing literature regarding pulsed field ablation for atrial fibrillation. We provide an overview of the history of ablation techniques, the mechanism of pulse field ablation, and procedural characteristics of pulse field ablation. We also present both short-term and long-term outcomes of the procedure in addition to an overview of possible complications.Expert opinion: It is the authors' opinion that pulsed field ablation represents an exciting ablation technique for the treatment of atrial fibrillation that has a minimal learning curve for those already experienced in thermal ablation techniques. It also demonstrates noninferior, and in some cases superior, outcomes in comparison to thermal ablation and has fewer complications. Further studies are needed to evaluate long-term outcomes and complications past one-year post ablation.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"825-838"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038646","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

Transforming surgical decisions: the rise of predictive and personalized digital tools. 改变手术决策：预测性和个性化数字工具的兴起。

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-05-28 DOI: 10.1080/17434440.2026.2678899

Hebatollah E Eitah, Mohamed Kamel, Amal Ali Alharbi, Wesam Taher Almagharbeh, Malik A Altayar, Riham A El-Shiekh

{"title":"Transforming surgical decisions: the rise of predictive and personalized digital tools.","authors":"Hebatollah E Eitah, Mohamed Kamel, Amal Ali Alharbi, Wesam Taher Almagharbeh, Malik A Altayar, Riham A El-Shiekh","doi":"10.1080/17434440.2026.2678899","DOIUrl":"10.1080/17434440.2026.2678899","url":null,"abstract":"Introduction: Artificial intelligence (AI) has the potential to profoundly transform surgical decision-making (SDM) by enabling more predictive, personalized, and data-driven care. Its integration across the surgical pathway can improve clinical outcomes, efficiency, and patient safety.Areas covered: This narrative review provides an overview of the current and emerging applications of AI in SDM. A structured search of electronic databases was conducted using PubMed, Scopus, Web of Science, and Google Scholar. The search primarily focused on peer-reviewed publications from 2015 to 2025. AI applications include radiologic image analysis for preoperative planning, electronic health record mining for individualized surgical strategies, risk and immunological response prediction, and genomic analysis to guide treatment selection. Intraoperative, AI-based video, image, and physiological data processing can support real-time decision-making by improving precision, identifying anatomical targets, and predicting complications earlier. Postoperatively, AI systems can monitor patient data to detect complications, evaluate outcomes, and tailor follow-up therapy. Despite these advantages, challenges remain, including data quality and availability, model explainability, and others. Overcoming these barriers requires explainable and secure AI models, scalable infrastructures, clinician engagement, and robust regulatory frameworks.Expert opinion: Advances in AI-assisted robotics and interpretability are expected to support safer, more ethical, and more effective surgical decision-making.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"797-814"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148038659","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

Accuracy of thoracolumbar pedicle screw placement using intraoperative CT navigation versus 3D-printed patient-specific guides integrated with virtual surgical planning: a comparative study. 术中使用CT导航与结合虚拟手术计划的3d打印患者专用指南放置胸腰椎椎弓根螺钉的准确性：一项比较研究

IF 2.7

Expert review of medical devices Pub Date : 2026-07-01 Epub Date: 2026-06-21 DOI: 10.1080/17434440.2026.2687808

Sutipat Pairojboriboon, Korakot Charakorn, Patcharapit Promoppatum

{"title":"Accuracy of thoracolumbar pedicle screw placement using intraoperative CT navigation versus 3D-printed patient-specific guides integrated with virtual surgical planning: a comparative study.","authors":"Sutipat Pairojboriboon, Korakot Charakorn, Patcharapit Promoppatum","doi":"10.1080/17434440.2026.2687808","DOIUrl":"10.1080/17434440.2026.2687808","url":null,"abstract":"Background: 3D-printed patient-specific pedicle screw guides (3DPSG) may provide accuracy comparable to intraoperative CT navigation (CTNav). Our 3DPSG workflow incorporates a virtual surgical planning (VSP) platform that uses deep-learning algorithms to automatically generate pedicle trajectories from CT data.Research design and methods: This is a retrospective, single surgeon, single center comparative study of 21 patients undergoing thoracolumbar instrumentation via CTNav (11 patients, 71 screws) and 3DPSG (10 patients, 65 screws). The accuracy was assessed postoperatively using Gertzbein-Robbins and Heary classification systems.Results: There were eight men and thirteen women. Gender, BMI, and diagnosis did not differ significantly between the CTNav and 3DPSG groups (p > 0.05). Accuracy was high in both cohorts. By Gertzbein-Robbins, safe placement (grades 0-1) was 97.1% (69/71) with CTNav and 100% (65/65) with 3DPSG. On the Heary system, safe placement (grades 1-2) was 98.6% (70/71) and 100% (65/65), respectively. Malpositions occurred only in the CTNav group (Gertzbein grade 2: 2/71, 2.8%; Heary grade 3: 1/71, 1.4%). Overall accuracy did not differ significantly between groups (Fisher's exact test, p > 0.05).Conclusions: 3DPSG integrated with VSP platform may be a viable alternative navigation system in middle-income settings where intraoperative CTNav is unaffordable.","PeriodicalId":94006,"journal":{"name":"Expert review of medical devices","volume":" ","pages":"845-853"},"PeriodicalIF":2.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148274280","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