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Pulse generator battery life in deep brain stimulation: out with the old… in with the less durable?

  • Original Article - Functional Neurosurgery - Movement disorders
  • Published:
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Abstract

Background

Battery life of the most commonly used implantable pulse generators in deep brain stimulation is limited. Device replacement is costly and may expose patients to additional risks. Driven by the observation that in our experience newer generation devices seemed to need earlier replacement than the older generation, we aimed to retrospectively analyze the battery life of two generations of non-rechargeable devices, manufactured by a single company (Medtronic, USA).

Methods

Battery life of 281 devices in 165 patients was taken into account for data analysis. This represented 243 older generation devices (Kinetra and Soletra) and 38 newer generation devices (Activa).

Results

The battery life of older generation stimulators was 2-fold longer than the newer generation.

Conclusions

Newer devices are more versatile than the older generation. Their battery life is however significantly shorter. Development of next-generation devices needs to address this issue in order to limit health risks and reduce financial costs.

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References

  1. Ashkan K, Rogers P, Bergman H, Ughratdar I (2017) Insights into the mechanisms of deep brain stimulation. Nat Rev Neurol 13(9):548–554

    Article  PubMed  Google Scholar 

  2. Becerra JE, Zorro O, Ruiz-Gaviria R, Castañeda-Cardona C, Otálora-Esteban M, Henao S, Navarrete S, Acevedo JC, Rosselli D (2016) Economic analysis of deep brain stimulation in Parkinson disease: systematic review of the literature. World Neurosurg 93:44–49

    Article  PubMed  Google Scholar 

  3. Halpern CH, McGill KR, Baltuch GH, Jaggi JL (2011) Longevity analysis of currently available deep brain stimulation devices. Stereotact Funct Neurosurg 89(1):1–5

    Article  PubMed  Google Scholar 

  4. Herrington TM, Cheng JJ, Eskandar EN (2016) Mechanisms of deep brain stimulation. J Neurophysiol 115(1):19–38

    Article  CAS  PubMed  Google Scholar 

  5. Israeli-Korn SD, Fay-Karmon T, Tessler S, Yahalom G, Benizri S, Strauss H, Zibly Z, Spiegelmann R, Hassin-Baer S (2019) Decreasing battery life in subthalamic deep brain stimulation for Parkinson’s disease with repeated replacements: just a matter of energy delivered? Brain Stimul. https://doi.org/10.1016/j.brs.2019.02.008

  6. Karas PJ, Mikell CB, Christian E, Liker MA, Sheth SA (2013) Deep brain stimulation: a mechanistic and clinical update. Neurosurg Focus 35(5):E1

    Article  PubMed  Google Scholar 

  7. Niemann M, Schneider G-H, Kühn A, Vajkoczy P, Faust K (2018) Longevity of implantable pulse generators in bilateral deep brain stimulation for movement disorders. Neuromodulation J Int Neuromodulation Soc 21(6):597–603

    Article  Google Scholar 

  8. Park K, Lim YH, Jang M, Kim A, Kim H-J, Paek SH, Jeon B (2018) Battery life matters in deep brain stimulation. Stereotact Funct Neurosurg 96(1):65–66

    Article  PubMed  Google Scholar 

  9. Rajan R, Krishnan S, Kesavapisharady KK, Kishore A (2016) Malignant subthalamic nucleus-deep brain stimulation withdrawal syndrome in Parkinson’s disease. Mov Disord Clin Pract 3(3):288–291

    Article  PubMed  PubMed Central  Google Scholar 

  10. Reuter S, Deuschl G, Berg D, Helmers A, Falk D, Witt K (2018) Life-threatening DBS withdrawal syndrome in Parkinson’s disease can be treated with early reimplantation. Parkinsonism Relat Disord 56:88–92

    Article  CAS  PubMed  Google Scholar 

  11. Sette AL, Seigneuret E, Reymond F, Chabardes S, Castrioto A, Boussat B, Moro E, François P, Fraix V (2019) Battery longevity of neurostimulators in Parkinson disease: a historic cohort study. Brain Stimul Basic Transl Clin Res Neuromodulation. https://doi.org/10.1016/j.brs.2019.02.006

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Authors and Affiliations

  1. Service de Neurochirurgie, Centre Hospitalier Universitaire de Grenoble-Alpes (CHUGA), La Tronche, France

    Emmanuel de Schlichting & Julien Francisco Zaldivar-Jolissaint

  2. Service de Neurochirurgie, Centre Hospitalier Universitaire de Clermont Ferrand, Clermont Ferrand, France

    Guillaume Coll, Jérôme Coste & Jean-Jacques Lemaire

  3. IP – Institut Pascal – Clermont Auvergne, Aubière, France

    Guillaume Coll, Jérôme Coste & Jean-Jacques Lemaire

  4. Service de Neurologie, Centre Hospitalier Universitaire de Clermont Ferrand, Clermont Ferrand, France

    Ana Raquel Marques & Franck Durif

  5. Npsy-Sydo – Neuro-Psycho Pharmacologies des Systèmes Dopaminergique sous-corticaux, Clermont Ferrand, France

    Ana Raquel Marques & Franck Durif

  6. Unité de Biostatistiques, Délégation Recherche Clinique et Innovation, Centre Hospitalier Universitaire de Clermont Ferrand, Clermont Ferrand, France

    Aurélien Mulliez

Authors
  1. Emmanuel de Schlichting
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  2. Guillaume Coll
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  3. Julien Francisco Zaldivar-Jolissaint
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  4. Jérôme Coste
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  5. Ana Raquel Marques
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  6. Aurélien Mulliez
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  7. Franck Durif
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  8. Jean-Jacques Lemaire
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Corresponding author

Correspondence to Emmanuel de Schlichting.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (name of institute/committee) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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This is a retrospective study. Formal consent is not required.

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This article is part of the Topical Collection on Functional Neurosurgery - Movement disorders

This paper is presented at a conference at WSSFN 2017

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de Schlichting, E., Coll, G., Zaldivar-Jolissaint, J.F. et al. Pulse generator battery life in deep brain stimulation: out with the old… in with the less durable?. Acta Neurochir 161, 2043–2046 (2019). https://doi.org/10.1007/s00701-019-04043-8

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  • DOI: https://doi.org/10.1007/s00701-019-04043-8

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