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Medtronic Receives FDA Approval for Inceptiv Closed-loop Spinal Cord Stimulator

Medtronic Receives FDA Approval for Inceptiv Closed-loop Spinal Cord Stimulator

美敦力獲得 FDA 批准 Inceptiv 閉環脊髓刺激器
美敦力 ·  04/26 12:00

Closed-loop sensing capability instantly and automatically adjusts therapy while treating chronic pain

閉環感應功能可在治療慢性疼痛的同時即時自動調整療法

DUBLIN, April 26, 2024 /PRNewswire(opens new window)/ -- Medtronic plc (NYSE:MDT), a global leader in healthcare technology, today announced that the U.S. Food and Drug Administration (FDA) has approved the Inceptiv closed-loop rechargeable spinal cord stimulator (SCS) for the treatment of chronic pain. Inceptiv is the first Medtronic SCS device to offer a closed-loop feature that senses biological signals along the spinal cord and automatically adjusts stimulation in real time, keeping therapy in harmony with the motions of daily life.

都柏林,2024 年 4 月 26 日/PRNewsWire(在新窗口中打開)/--醫療保健技術領域的全球領導者美敦力集團(紐約證券交易所代碼:MDT)今天宣佈,美國食品藥品監督管理局(FDA)已批准Inceptiv閉環可充電脊髓刺激器(SCS)用於治療慢性疼痛。Inceptiv是第一款提供閉環功能的美敦力SCS設備,該功能可感知脊髓沿線的生物信號,並自動實時調整刺激,使治療與日常生活動作保持和諧。

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"Pain is intensely personal, and stimulation therapy should meet the needs of every patient, moment to moment," said Dr. Krishnan Chakravarthy, M.D., Ph.D., Director of Innovative Pain Treatment Solutions and Surgery Center, VA San Diego Healthcare, and Chairman of the Empower You Chronic Pain Foundation. "Inceptiv listens to what the body is saying and, more quickly than you can blink, it seamlessly adjusts. This represents an important leap forward for the treatment of chronic pain."

弗吉尼亞州聖地亞哥醫療創新疼痛治療解決方案和手術中心主任、Empower You慢性疼痛基金會主席克里希南·查克拉瓦****說:“疼痛是個人化的,刺激療法應滿足每位患者每時每刻的需求。”“Inceptiv 會傾聽身體在說什麼,而且它的調整速度比你眨眼的速度快。這是治療慢性疼痛的重要飛躍。”

Traditional fixed-output SCS devices deliver constant, mild electrical impulses that disrupt pain signals before they reach the brain. As patients go about their daily lives, certain movements such as laughing, bending, or sneezing may result in brief moments of uncomfortable overstimulation. This in turn may lead some patients to turn down their device's stimulation output, resulting in a suboptimal therapy experience.

傳統的固定輸出 SCS 設備提供恒定、溫和的電脈衝,在疼痛信號到達大腦之前就會中斷。在患者進行日常生活時,某些動作,例如笑、彎腰或打噴嚏,可能會導致短暫的過度刺激,不舒服。這反過來可能導致一些患者降低設備的刺激輸出,從而導致不太理想的治療體驗。

By contrast, Inceptiv SCS senses biological signals and consistently maintains the physician's prescribed stimulation that is tailored to a patient's needs. Specialized circuitry and a proprietary algorithm detect ECAPs (Evoked Compound Action Potentials), signals generated by the spinal cord in response to electrical stimuli. ECAPs are a direct measure of how much nerve tissue is activated in the spinal cord and can be used to inform real-time adjustments to stimulation. Inceptiv SCS senses the body's response to stimulation 50 times per second and instantly increases or decreases stimulation to maintain prescribed settings as determined by the physician.

相比之下,Inceptiv SCS可感知生物信號,並持續保持醫生根據患者需求量身定製的處方刺激。專門的電路和專有算法可檢測 ECAP(誘發複合動作電位),即脊髓在電刺激下產生的信號。ECAP 可以直接衡量脊髓中激活了多少神經組織,可用於爲刺激的實時調整提供信息。Inceptiv SCS 可感知人體對刺激的反應 每秒 50 次,立即增加或減少刺激,以維持醫生確定的處方設置。

The Inceptiv system delivers additional advantages beyond its closed-loop capability. Inceptiv offers unparalleled access to diagnostic imaging, with 1.5T and 3T full-body MRI access with no power or impedance restrictions. It is the only FDA-approved closed-loop spinal cord stimulator that offers full-body 3T MRI access. Up to 84% of SCS-implanted patients are expected to need at least one MRI within five years of implant.1 It is the world's smallest and thinnest fully implantable SCS device, designed for patient comfort. In addition, Inceptiv SCS allows the option of multiple types of waveforms, including Medtronic's proprietary DTM SCS therapy, which demonstrated an 84% responder rate at 12 months in a large, multicenter randomized controlled trial (RCT).2,3 Patients with Inceptiv SCS can also access CareGuidePro, a mobile application and web portal that serves as a virtual guide throughout their Medtronic spinal cord stimulation therapy journey.

除了閉環功能外,Inceptiv系統還具有其他優勢。Inceptiv提供無與倫比的診斷成像訪問權限,可訪問1.5T和3T的全身磁共振成像,沒有功率或阻抗限制。 它是唯一一款經美國食品藥品管理局批准的閉環脊髓刺激器,可提供全身3T MRI接入。預計多達 84% 的 SCS 植入患者在植入後的五年內至少需要進行一次磁共振成像。1 它是世界上最小、最薄的完全可植入 SCS 設備,專爲提高患者舒適度而設計。此外,Inceptiv SCS允許選擇多種類型的波形,包括美敦力專有的DTM SCS療法,該療法在一項大型多中心隨機對照試驗(RCT)中顯示12個月時的反應率爲84%。2,3 Inceptiv SCS患者還可以訪問CareGuidePro,這是一款移動應用程序和門戶網站,在美敦力脊髓刺激治療的整個過程中可作爲虛擬指南。

"A new era for spinal cord stimulation technology is beginning, and with Inceptiv SCS, Medtronic is at the forefront," said David Carr, vice president and general manager, Pain Interventions within the Neuromodulation business, which is part of the Neuroscience Portfolio at Medtronic. "For patients dealing with chronic pain, every day is a struggle. They deserve personalized and effective relief, without compromising future access to MRI. They deserve the comfort that the smallest and thinnest device on the market can provide. We are proud to offer the most cutting-edge solution available today with Inceptiv SCS."

美敦力神經科學產品組合下屬神經調節業務疼痛干預副總裁兼總經理戴維·卡爾說:“脊髓刺激技術的新時代正在開始,有了Inceptiv SCS,美敦力走在了最前沿。”“對於患有慢性疼痛的患者來說,每一天都很艱難。他們應該得到個性化和有效的緩解,同時不影響將來獲得核磁共振成像的機會。他們理應獲得市場上最小、最薄的設備所能提供的舒適感。我們很自豪能夠通過Inceptiv SCS提供當今可用的最前沿的解決方案。”

Medtronic will initiate the U.S. market launch of Inceptiv in the coming weeks. The system previously earned approvals for sale in Europe and in Japan. For more information, visit Medtronic.com/Inceptiv(opens new window).

美敦力將在未來幾周內開始在美國市場推出Inceptiv。該系統此前已獲得在歐洲和日本銷售的許可。欲了解更多信息,請訪問 medtronic.com/inceptiv(在新窗口中打開)

† Sensing signals may not be measurable in all cases

‡ Under certain conditions. Refer to product labeling for full list of conditions.

† 並非在所有情況下都能測量傳感信號

‡ 在某些條件下。有關完整狀況列表,請參閱產品標籤。

About Medtronic
Bold thinking. Bolder actions. We are Medtronic. Medtronic plc, headquartered in Dublin, Ireland, is the leading global healthcare technology company that boldly attacks the most challenging health problems facing humanity by searching out and finding solutions. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 95,000+ passionate people across 150 countries. Our technologies and therapies treat 70 health conditions and include cardiac devices, surgical robotics, insulin pumps, surgical tools, patient monitoring systems, and more. Powered by our diverse knowledge, insatiable curiosity, and desire to help all those who need it, we deliver innovative technologies that transform the lives of two people every second, every hour, every day. Expect more from us as we empower insight-driven care, experiences that put people first, and better outcomes for our world. In everything we do, we are engineering the extraordinary. For more information on Medtronic (NYSE:MDT), visit www.Medtronic.com(opens new window), and follow Medtronic on LinkedIn(opens new window).

關於美敦力
大膽思考。更大膽的行動。我們是美敦力。總部位於愛爾蘭都柏林的美敦力集團是全球領先的醫療保健技術公司,通過尋找和尋找解決方案,大膽地應對人類面臨的最具挑戰性的健康問題。我們的使命——減輕痛苦、恢復健康和延長壽命——團結了一支由來自150個國家的95,000多名充滿激情的人組成的全球團隊。我們的技術和療法可治療 70 種健康狀況,包括心臟設備、手術機器人、胰島素泵、手術工具、患者監護系統等。在我們多樣的知識、永不滿足的好奇心以及幫助所有有需要的人的願望的推動下,我們提供創新技術,每秒、每小時、每天都在改變兩個人的生活。隨着我們賦予以洞察爲導向的醫療服務、以人爲本的體驗以及爲我們的世界帶來更好的成果,我們對我們的期望更高。在我們所做的每件事中,我們都在設計非凡的事物。有關美敦力(紐約證券交易所代碼:MDT)的更多信息,請訪問 www.medtronic.com(打開新窗口),然後關注美敦力 領英(打開新窗口)

Any forward-looking statements are subject to risks and uncertainties such as those described in Medtronic's periodic reports on file with the Securities and Exchange Commission. Actual results may differ materially from anticipated results.

任何前瞻性陳述均受風險和不確定性的影響,例如美敦力向美國證券交易委員會提交的定期報告中描述的風險和不確定性。實際結果可能與預期結果存在重大差異。

_____________________

1 Desai, Mehul J., et al. "The rate of magnetic resonance imaging in patients with spinal cord stimulation." Spine, vol. 40, no. 9, 2015, https://doi.org/10.1097/brs.0000000000000805.

2 Fishman, M, Cordner, H, Justiz, R, Provenzano, D, Merrell, C, Shah, B, et al. Twelve-Month results from multicenter, open-label, randomized controlled clinical trial comparing differential target multiplexed spinal cord stimulation and traditional spinal cord stimulation in subjects with chronic intractable back pain and leg pain. Pain Pract. 2021; 21: 912– 923

3 DTM SCS outcomes demonstrated using open-loop SCS

_________________

1 Desai、Mehul J. 等。“脊髓刺激患者的磁共振成像率。”Spine,第 40 卷,第 9 期,2015 年,https://doi.org/10.1097/brs.0000000000000805。

2 Fishman、M、Cordner、H、Justiz、R、Provenzano、D、Merrell、C、Shah、B 等多中心、開放標籤、隨機對照臨床試驗的十二個月結果,比較了慢性難治性背痛和腿部疼痛受試者的差異靶多路脊髓刺激和傳統脊髓刺激。《疼痛法》,2021;21:912—923

3 使用開環 SCS 演示 DTM SCS 結果

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