IMPLANT INFORMATION about the Nervous System

  
What … for? (Indications)

1)    Hard structures
Bone substitutes and/or fixing materials are used to maintain bone structures of the skull or spine after e.g. diseases or traumata.

2)   Soft structures
Membranes, nerves, brain is used to maintain or reconstruct soft tissues.

3)   Fluids
Fluids are substituted to manage the flow of fluids.

4)   Nerv (influencing)
Nerv influencing implants are used to stimulate or influence nerves or brain, e. g. at chronic pain (neurostimulation).

Numbers n/a
Times n/a
too individual
ContraindicationsbehavioralSpecific.
 medicalQuite specific. General surgical contraindications.
during surgeryn/a
 
Risksduring surgery
Risks in this chapter are quite specific and cannot be calculated generallyshort termInflammation, repulsion, injury of neighbouring structures, thrombosis, hematoma, injury of nerves or vessels, hemorrhage.
long termNo improvement, loosening, dislocation, osteolysis, chronic inflammation, chronic pain, systemic influence.
restrictionsIndividual.
Failuresn/a, e.g. mechanical trauma, too many varieties
Materialhardautologoussaving defect parts
  allogenicGranules, Blocks, 3D-planned individual parts
xenogenousGranules, Blocks, 3D-planned individual parts
alloplasticTitanium (TiAl6V4 a.o.)
CoCrMo-alloys
Polyethylen (Teflon)
PMMA
PEEK
TCP (Tricalciumphosphat)
HA (Hydroxyapatite)
Poly (L-lactide-co-D, L-Lactide) 70:30
softAbsorbable collagen tube
 Acellular, sterile, porcine dermal matrix
Bovine deep flexor tendon
Bovine pericardium
Synthetische Dura mater Polyester Urethane
Statisticsn/a

 

 
Literature–   BasicHead and face reconstruction
Skull base reconstruction
Deep brain stimulationKumar K, et al. Spinal cord stimulation versus conventional medical management for neuropathic pain: a multicentre randomized controlled trial in patients with failed back surgery syndrome. Pain. 2007;132:179-188.
  
–  Problemsn/a, single case reports
–  Science/FutureBrain computer Interface
Criticismn/a
Selected patient informationsAANS
Medline
Register for patientsMedtronic/Registry for deep brain stimulation systems: two protocols titled the Implantable Systems Performance Registry (ISPR) and the Product Surveillance Registry (PSR).
Medical Societiesdealing with this subject are listed here
Disclaimer

 

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