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Technical Brief

Multitine Deep Brain Stimulation Leads to Shape Neural Activation in Three Dimensions1

[+] Author and Article Information
John J. L. LaRoy, Benjamin A. Teplitzky, Matthew D. Johnson

Department of Biomedical Engineering,
University of Minnesota,
Twin Cities, MN 55455

Accepted and presented at the Design of Medical Devices Conference (DMD2014), Minneapolis, MN, April 7-10, 2014. DOI: 10.1115/1.4027022

Manuscript received February 21, 2014; final manuscript received February 28, 2014; published online April 28, 2014. Editor: Arthur G. Erdman.

J. Med. Devices 8(2), 020919 (Apr 28, 2014) (2 pages) Paper No: MED-14-1051; doi: 10.1115/1.4027022 History: Received February 21, 2014; Revised February 28, 2014

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References

Benabid, A. L., 2003, “Deep Brain Stimulation for Parkinson's Disease,” Curr. Opin. Neurobiol., 13(6), pp. 696–706. [CrossRef]
Lozano, A. M., 2010, “Deep Brain Stimulation for Depression,” Actas Esp. Psiquiatr., 38(Suppl. 3), pp. 39–40.
Krauss, J. K., Yianni, J., Loher, T. J., and Aziz, T. Z., 2004, “Deep Brain Stimulation for Dystonia,” J. Clin. Neurophysiol., 21(1), pp. 18–30. [CrossRef]
Tamma, F., Caputo, E., Chiesa, V., Egidi, M., Locatelli, M., Rampini, P., Cinnante, C., Pesenti, A., and Priori, A., 2002, “Anatomo-Clinical Correlation of Intraoperative Stimulation-Induced Side-Effects During HF-DBS of the Subthalamic Nucleus,” Neurol. Sci., 23(Suppl. 2), pp. S109–S110. [CrossRef]
McClelland, S., III, Ford, B., Senatus, P. B., Winfield, L. M., Du, Y. E., Pullman, S. L., Yu, Q., Frucht, S. J., McKhann, G. M., II, and Goodman, R. R., 2005, “Subthalamic Stimulation for Parkinson Disease: Determination of Electrode Location Necessary for Clinical Efficacy,” Neurosurg. Focus, 19(5), p. E12.
Martens, H. C. F., Toader, E., Decré, M. M. J., Anderson, D. J., Vetter, R., Kipke, D. R., Baker, K. B., Johnson, M. D., and Vitek, J. L., 2011, “Spatial Steering of Deep Brain Stimulation Volumes Using a Novel Lead Design,” Clin. Neurophysiol., 122(3), pp. 558–566. [CrossRef]
Stances, A. L., and Larson, S. J., 1975, “Impedance and Current Density Studies,” Electroanesthesia: Biomedical and Biophysical Studies, C. A.Caceres, ed., Academic Press, New York, pp. 114–147.
Teplitzky, B. A., Xiao, J., Zitella, L. M., and Johnson, M. D., 2013, “Sculpting Neural Activation Using Deep Brain Stimulation Leads With Radially Segmented Contacts,” 6th International IEEE/EMBS Conference on Neural Engineering (NER), San Diego, CA, November 6–8, pp. 170–173. [CrossRef]

Figures

Grahic Jump Location
Fig. 1

Each lead design implanted in the globus pallidus interna. Annular DBS lead finite element model (FEM) solution during 2 mA stimulation (a), four contact radially segmented lead (b), four tine splayed lead (c), and eight tine splayed lead (d), and resulting FEM solutions during multicathode stimulation consisting of 0.5 mA at the primary contact and 0.25 mA through the two directly adjacent contacts.

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