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Development of a miniature device for emerging deep brain stimulation paradigms

机译:用于新兴的深部脑刺激范例的微型设备的开发

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摘要

Deep brain stimulation (DBS) is a neuromodulatory approach for treatment of several neurological and psychiatric disorders. A new focus on optimising the waveforms used for stimulation is emerging regarding the mechanism of DBS treatment. Many existing DBS devices offer only a limited set of predefined waveforms, mainly rectangular, and hence are inapt for exploring the emerging paradigm. Advances in clinical DBS are moving towards incorporating new stimulation parameters, yet we remain limited in our capacity to test these in animal models, arguably a critical first step. Accordingly, there is a need for the development of new miniature, low-power devices to enable investigation into the new DBS paradigms in preclinical settings. The ideal device would allow for flexibility in the stimulation waveforms, while remaining suitable for chronic, tetherless, biphasic deep brain stimulation. In this work, we elucidate several key parameters in a DBS system, identify gaps in existing solutions, and propose a new device to support preclinical DBS. The device allows for a high degree of flexibility in the output waveform with easily altered shape, frequency, pulse-width and amplitude. The device is suitable for both traditional and modern stimulation schemes, including those using non-rectangular waveforms, as well as delayed feedback schemes. The device incorporates active charge balancing to ensure safe operation, and allows for simple production of custom biphasic waveforms. This custom waveform output is unique in the field of preclinical DBS devices, and could be advantageous in performing future DBS studies investigating new treatment paradigms. This tetherless device can be easily and comfortably carried by an animal in a back-mountable configuration. The results of in-vitro tests are presented and discussed.
机译:深部脑刺激(DBS)是一种神经调节方法,用于治疗几种神经系统疾病和精神疾病。关于DBS治疗的机制,新的重点是优化用于刺激的波形。许多现有的DBS设备仅提供有限的一组预定义波形,主要是矩形波形,因此不适合探索新兴的范例。临床DBS的进展正在朝着整合新的刺激参数迈进,但是我们在动物模型中测试这些参数的能力仍然有限,可以说这是关键的第一步。因此,需要开发新的小型,低功耗设备,以能够在临床前环境中研究新的DBS范例。理想的设备应允许刺激波形灵活,同时仍适用于慢性,无系绳,双相深脑刺激。在这项工作中,我们阐明了DBS系统中的几个关键参数,找出了现有解决方案中的空白,并提出了一种支持临床前DBS的新设备。该设备允许在输出波形中高度灵活地改变形状,频率,脉冲宽度和幅度。该设备适用于传统和现代刺激方案,包括使用非矩形波形的刺激方案以及延迟反馈方案。该器件具有有源电荷平衡功能,可确保安全运行,并允许简单生成自定义双相波形。这种定制的波形输出在临床前DBS设备领域中是独一无二的,并且可能有利于进行未来的DBS研究以研究新的治疗范例。这种无绳装置可以以可向后安装的方式由动物轻松舒适地携带。提出并讨论了体外测试的结果。

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