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Development of a Modified Bayonet Forceps for Improving Steerability of Paddle Lead Electrodes During Spinal Cord Stimulator Surgery: A Technical Note.

التفاصيل البيبلوغرافية
العنوان: Development of a Modified Bayonet Forceps for Improving Steerability of Paddle Lead Electrodes During Spinal Cord Stimulator Surgery: A Technical Note.
المؤلفون: Zhang JK; Division of Neurological Surgery, Department of Neurosurgery, Saint Louis University School of Medicine, St. Louis, Missouri, USA., Alimadadi A, Abolfotoh M, Mercier P, Mattei TA
المصدر: Operative neurosurgery (Hagerstown, Md.) [Oper Neurosurg (Hagerstown)] 2023 Sep 01; Vol. 25 (3), pp. 285-291. Date of Electronic Publication: 2023 Jun 27.
نوع المنشور: Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 101635417 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2332-4260 (Electronic) Linking ISSN: 23324252 NLM ISO Abbreviation: Oper Neurosurg (Hagerstown) Subsets: MEDLINE
أسماء مطبوعة: Publication: 2022- : [Philadelphia] : Lippincott Williams & Wilkins, Inc.
Original Publication: Hagerstown, MD: Lippincott, Williams & Wilkins, 2014-
مواضيع طبية MeSH: Neurosurgical Procedures* , Spinal Cord Stimulation*, Humans ; Electrodes, Implanted ; Surgical Instruments ; Spinal Cord/surgery
مستخلص: Background and Objective: Despite recent advancements in spinal cord stimulation (SCS) technology, the surgical instrumentation for placement of SCS paddle leads remains suboptimal. Therefore, we developed a novel instrument to improve the steerability of SCS paddle leads during surgical placement.
Methods: A review of existing literature was performed to analyze workflow deficiencies in the standard instrumentation of SCS paddle lead placement. After a period of adaptation and iterative feedback with a medical instrument company, a new instrument was developed, tested at benchtop, and successfully incorporated into the surgical routine.
Results: A standard bayonet forceps was modified to include hooked ends and a ribbed surface, providing the surgeon with greater control over the paddle lead. The new instrument also included bilateral metal tubes starting approximately 4 cm proximal from the edge of the forceps. The bilateral metal tubes, through which the SCS paddle lead wires are passed, serve as anchors to keep the wires away from the incision site. In addition, it permitted the paddle lead to assume a bent configuration, reducing its overall size and allowing it to be placed through a smaller incision and laminectomy. The modified bayonet forceps was successfully used intraoperatively for placement of SCS paddle lead electrodes in several surgeries.
Conclusion: The proposed modified bayonet forceps increased steerability of the paddle lead, facilitating optimal midline placement. The bent configuration of the device facilitated a more minimally invasive surgical approach. Future studies are needed to validate our single-provider experience and evaluate the impact of this new instrument on operating room efficiency.
(Copyright © Congress of Neurological Surgeons 2023. All rights reserved.)
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تواريخ الأحداث: Date Created: 20230627 Date Completed: 20230816 Latest Revision: 20230816
رمز التحديث: 20231215
DOI: 10.1227/ons.0000000000000779
PMID: 37366619
قاعدة البيانات: MEDLINE
الوصف
تدمد:2332-4260
DOI:10.1227/ons.0000000000000779