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The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals
Published on: January 13, 2022
Technical aspects of peripheral nerve stimulation: hardware and complications
1Department of Neurosurgery, University of Illinois at Chicago, Chicago, Ill., USA.
Progress in Neurological Surgery
|March 23, 2011
Summary
Peripheral nerve stimulation (PNS) uses devices not designed for its anatomy, leading to high complication rates. However, these complications are minor and manageable, with improvements expected from adapted hardware.
Area of Science:
- Neurology
- Biomedical Engineering
- Pain Management
Background:
- Peripheral nerve stimulation (PNS) is utilized for chronic pain management.
- Current PNS devices are primarily adapted from spinal cord stimulation (SCS) technology.
- This adaptation may contribute to the high complication rates observed in PNS.
Purpose of the Study:
- To review the components and accessories of PNS systems.
- To identify and categorize complications associated with the PNS approach.
- To suggest methods for minimizing the incidence of PNS complications.
Main Methods:
- Literature review of PNS systems and complications.
- Analysis of author's experience with PNS procedures.
- Evaluation of current device designs in relation to peripheral nerve anatomy.
Main Results:
- PNS procedures exhibit a high rate of complications.
- The majority of PNS-related complications are minor and result in low morbidity.
- Most complications can be resolved through simple, often outpatient, re-operations.
Conclusions:
- Despite high complication rates, PNS morbidity is generally low.
- Adapting hardware specifically for PNS applications is expected to reduce complication incidence.
- Optimized devices could enhance the safety and efficacy of PNS for chronic pain treatment.
