1,216 results match your criteria Expert Review of Medical Devices [Journal]


Three-year outcome of everolimus-eluting bioresorbable vascular scaffold versus everolimus-eluting metallic stents: a comprehensive updated meta-analysis of randomized controlled trials.

Expert Rev Med Devices 2019 Apr 22. Epub 2019 Apr 22.

a Department of Cardiology , Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College 100037 Beijing China.

Objectives: To compare the efficacy of everolimus-eluting bioresorbable vascular scaffolds (EE-BRS) vs everolimus-eluting metallic stents (EES) for treatments of coronary artery diseases.

Methods: Searches were conducted in MEDLINE, EMBASE, EBSCO, Springer, Ovid, TCTMD, Cardiosource, Clinical Trial Results and the Cochrane Library with combined key words such as bioresorbable vascular scaffold, BVS, everolimus-eluting metallic stents, EES, coronary artery disease, CAD and randomized-Controlled Trials. Finally, 5,474 patients were enrolled for comparison of device-induced thrombosis, ischemia-driven target lesion revascularization (ID-TLR), device-oriented composite endpoints (DOCE), patient-oriented composite endpoints (POCE), and target vessel failure (TVF) between EE-BRS and EES treatments. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1610389DOI Listing
April 2019
1 Read

Total hip arthroplasty in the setting of tuberculosis infection of the hip: a systematic analysis of the current evidence.

Expert Rev Med Devices 2019 Apr 22:1-9. Epub 2019 Apr 22.

a Department of Orthopaedic Surgery , Cleveland Clinic , Cleveland , OH , USA.

Introduction: Total hip arthroplasty (THA) is a viable option to restore mobility and relieve pain in patients with severe post-tuberculous arthritis, but has been controversial due to concerns of disease reactivation. Over the past several decades, a number of authors have reported outcomes of THA for tuberculosis (TB) infections. However, there is marked heterogeneity in regard to disease activity, surgical approaches, and the use of chemoprophylaxis in these studies. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1606710DOI Listing

Artificial Intelligence (AI) for the early detection of breast cancer: a scoping review to assess AI's potential in breast screening practice.

Expert Rev Med Devices 2019 Apr 18. Epub 2019 Apr 18.

b Department of Radiology, University of Washington School of Medicine; Department of Health Services , University of Washington School of Public Health; Hutchinson Institute for Cancer Outcomes Research , 1144 Eastlake Avenue East LG-212, Seattle , WA 98109 , USA.

Introduction: Various factors are driving interest in the application of artificial intelligence (AI) for breast cancer (BC) detection, but it is unclear whether the evidence warrants large-scale use in population-based screening. Areas covered: We performed a scoping review, a structured evidence synthesis describing a broad research field, to summarise knowledge on AI evaluated for BC detection and to assess AI's readiness for adoption in BC screening. Studies were predominantly small retrospective studies based on highly selected image datasets that contained a high proportion of cancers (median BC proportion in datasets 26. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1610387DOI Listing

Long-term safety and efficacy of combined percutaneous LAA and PFO/ASD closure: a single-center experience (LAAC combined PFO/ASD closure).

Expert Rev Med Devices 2019 Apr 19:1-7. Epub 2019 Apr 19.

i Department of Cardiology , Wuhan N0.4 Hospital , Wuhan , PR China.

Objectives: To report long-term safety and efficacy of combined percutaneous LAA and PFO/ASD closure.

Methods: A retrospective study of 370 consecutive patients undergoing LAAC procedures using the Watchman (WM) device. Data were compared between 330 cases only with LAAC procedure (Group I) and 25/5 (PFO/ASD) cases with sequential procedures of LAAC and PFO/ASD closure (Group II). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1604216DOI Listing

Recent advances in PET probes for hepatocellular carcinoma characterization.

Expert Rev Med Devices 2019 Apr 16. Epub 2019 Apr 16.

a Department of Nuclear Medicine , Santa Maria Goretti Hospital , Via Canova 3, 04100 Latina , Italy.

Introduction: Positron Emission Tomography (PET) with F-fluorodeoxyglucose (FDG) presents some limitations for imaging of hepatocellular carcinoma (HCC), the most common primary hepatic malignancy. Areas covered: The authors discuss the accuracy and limitations of FDG for HCC detection. Then, authors examine the recent advances in PET tracers other than FDG for the biological and prognostic characterization of HCC such as C-acetate, C-choline and its F-labeled derivatives. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2019.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2019.1608817DOI Listing
April 2019
3 Reads

Bioburden and transmission of pathogenic bacteria through elevator channel during endoscopic retrograde cholangiopancreatography: application of multiple-locus variable-number tandem-repeat analysis for characterization of clonal strains.

Expert Rev Med Devices 2019 Apr 8:1-8. Epub 2019 Apr 8.

b Gastroenterology and Liver Diseases Research Center, Research Institute for Gastroenterology and Liver Diseases, Shahid Beheshti University of Medical Sciences , Tehran , Iran.

Objectives: Endogenous and exogenous infection of the biliary tract could occur during endoscopic retrograde cholangiopancreatography.

Methods: Bile samples of patients with hepatobiliary diseases, and swab samples of elevator channel samples of duodenoscope and washing instruments were prepared simultaneously and cultured aerobically and anaerobically. Antimicrobial susceptibility of the most common characterized bacterial species was tested, and their genetic relatedness was analyzed by multiple locus variable number of tandem repeats method. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1604215DOI Listing
April 2019
2 Reads
1.784 Impact Factor

Remote-controlled internal lengthening plate for distraction osteogenesis in pediatric patients.

Expert Rev Med Devices 2019 Apr 1;16(4):333-339. Epub 2019 Apr 1.

a Department of Mechanical Engineering , École Polytechnique of Montreal , Montréal , Québec , Canada.

Objectives: Limb lengthening by distraction osteogenesis is a technique widely used to treat limb length discrepancy resulting from trauma, congenital limb defects and long bone non-union. For decades, patients have resorted to the Ilizarov apparatus, prone to pin tract infections and scarring. Although implantable lengthening nails have reduced the incidence of complications, they are not applicable in pediatric patients with open growth plates. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1599283DOI Listing

Recent advances in microcatheter technology for the treatment of chronic total occlusions.

Expert Rev Med Devices 2019 Apr;16(4):267-273

a Minneapolis Heart Institute and Minneapolis Heart Institute Foundation , Abbott Northwestern Hospital , Minneapolis , MN , USA.

Introduction: Use of a microcatheter is essential for chronic total occlusion (CTO) percutaneous coronary intervention (PCI). Several microcatheters have recently been introduced in clinical practice aiming to improve deliverability and resistance to deformation. Areas covered: We review the technical characteristics of several new microcatheters (Mamba, Mamba Flex, Teleport Control, Teleport, Nhancer Rx, Sasuke, and ReCross) and compare them with existing microcatheters. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1602039DOI Listing
April 2019
1 Read
1.784 Impact Factor

Device solutions for a challenging spine surgery: minimally invasive transforaminal lumbar interbody fusion (MIS TLIF).

Expert Rev Med Devices 2019 Apr 3;16(4):299-305. Epub 2019 Apr 3.

a Department of Orthopaedic Surgery , Rush University Medical Center , Chicago , IL , USA.

Introduction: Lumbar interbody fusion remains a mainstay in the treatment of degenerative spinal pathology. Interbody devices are often used in an attempt to improve fusion rates and outcomes. Minimally invasive techniques lend unique advantages, but are challenging and often plagued with complications. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1601013DOI Listing

Treatment for lumbar spinal stenosis in elderly patients using percutaneous endoscopic lumbar discectomy combined with postoperative three-dimensional traction.

Expert Rev Med Devices 2019 Apr 11;16(4):317-323. Epub 2019 Apr 11.

a Department of orthopedics , Hangzhou Red Cross Hospital , Hangzhou , Zhejiang , China.

Background: There were few previous studies about the use of percutaneous endoscopic lumbar discectomy (PELD) combined with postoperative three-dimensional traction in elderly patients with stenosis. This study aimed to evaluate the clinical efficacy of PELD combined with postoperative three-dimensional traction in the treatment of lumbar spinal stenosis in elderly patients.

Methods: A total of 180 elderly patients with lumbar spinal stenosis were randomly divided into three groups: the traditional surgery group, PELD group (transforaminal approach), and PELD combined with postoperative three-dimensional traction group. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1599282DOI Listing

The Mobi-C® cervical disc and other devices for two-level disc replacement: overview of its safety and efficacy.

Expert Rev Med Devices 2019 Apr 25;16(4):307-315. Epub 2019 Mar 25.

b Department of Orthopedic Surgery , SUNY Upstate Medical University , Syracuse , NY , USA.

Introduction: Cervical disc arthroplasty (CDA) has become an acceptable alternative for anterior cervical discectomy and fusion (ACDF) for a significant patient population with cervical radiculopathy and/or myelopathy secondary to degenerative changes in the cervical spine. There are sufficient mid- and long-term data supporting performance and safety of one-level CDA. With the success of single-level cervical CDA, considerable interest exists about CDA use for multilevel cervical degenerative disc disease (DDD). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1593137DOI Listing
April 2019
2 Reads

An update on: long-term outcomes of penile prostheses for the treatment of erectile dysfunction.

Expert Rev Med Devices 2019 Apr 1;16(4):281-286. Epub 2019 Apr 1.

a Urology , Tulane University Medical Center , New Orleans , LA , USA.

Introduction: Penile prosthesis placement is the gold standard for the treatment of erectile dysfunction (ED) refractory to medical therapy; however, limited data exist on the long-term outcomes of these devices. Areas covered: A PubMed search focused on long-term outcomes of penile prosthetics was performed. Studies with a follow-up of less than 5 years were excluded. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1598259DOI Listing

Surgical drilling of curved holes in bone - a patent review.

Expert Rev Med Devices 2019 Apr 2;16(4):287-298. Epub 2019 Apr 2.

a Department of Biomedical Engineering , Delft University of Technology , Delft , The Netherlands.

Introduction: Conventional surgical drills are rigid straight instruments used to make holes in bones. They lack the ability to follow a curved pathway, making them impractical for several surgical procedures. For this reason, there is a continuous need for improved devices for surgical drilling of curved holes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1596794DOI Listing

Is there a role for ultrasonic surgery in transoral laryngeal cancer resections?

Expert Rev Med Devices 2019 Apr 27;16(4):275-279. Epub 2019 Mar 27.

b Department of Otolaryngology , Hospital Universitario Gregorio Marañón , Madrid , Spain.

Introduction: Minimally invasive surgery for laryngeal cancer is nowadays the goal of all larynx surgeons. Transoral laser microsurgery is a widespread and standardized technique that has made it possible to reduce surgical morbidities and hospitalization and to spare laryngeal function. Nonetheless, it has some limitations, which may be exceeded by using new optical and cutting devices as in TransOral UltraSonic Surgery. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2019.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2019.1596795DOI Listing
April 2019
6 Reads

Polymeric middle ear prosthesis enriched with silver nanoparticles - first clinical results.

Expert Rev Med Devices 2019 Apr 26;16(4):325-331. Epub 2019 Mar 26.

b Faculty of Materials Science and Ceramics, Department of Ceramics and Refractories.

Objective: Otitis media is one of the most common illnesses which may cause ossicles destruction and conductive hearing loss. However, nowadays the damaged middle ear bones may be replaced by a partial or total ossicular replacement prosthesis. The main aim of this article was to confirm the proper functioning of the new middle ear prosthesis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1596796DOI Listing

An update on intrasaccular flow disruption for the treatment of intracranial aneurysms.

Expert Rev Med Devices 2019 Mar 26;16(3):229-236. Epub 2019 Feb 26.

a Service de neuroradiologie, Hôpital Maison Blanche , Centre Hospitalier Universitaire de Reims , Reims , France.

Introduction: Intrasaccular flow disruption is an innovative technique for the endovascular treatment of intracranial aneurysms. Among flow disrupting devices, the Woven EndoBridge (WEB) is currently the only flow disrupter on the market and has seen an extensive scientific evaluation. It was shown that the device provides a safe and effective treatment particularly for wide-neck aneurysms of proximal bifurcations. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1584035DOI Listing

Recent advancements in the minimally invasive management of esophageal perforation, leaks, and fistulae.

Expert Rev Med Devices 2019 Mar;16(3):197-209

a Thoracic and Cardiovascular Surgery , Cleveland Clinic Foundation , Cleveland , OH , USA.

Introduction: Historically, the gold standard management of esophageal perforations, leaks, and fistulae has been traditional open surgery, but it is associated with significant morbidity and mortality. Minimally invasive approaches offer alternatives to surgery in treating hemodynamically stable patients with such defects. In this review article, we will discuss the recent advancements in the minimally invasive management of esophageal perforations, leaks, and fistulas. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1582329DOI Listing
March 2019
2 Reads

The Angel catheter for the prevention of pulmonary embolism: combining an IVC filter and a triple-lumen central venous catheter.

Expert Rev Med Devices 2019 Mar 20;16(3):183-186. Epub 2019 Feb 20.

c Department of Intensive Care , Erasme Hospital, Université libre de Bruxelles , Brussels , Belgium.

Introduction: Pulmonary embolism is common in critical care patients and carries significant morbidity and mortality. Concurrent risk of severe bleeding in this population may prohibit anticoagulation. Areas covered: The Angel Catheter device is a central venous catheter combined with an inferior vena cava filter inserted at the bedside for pulmonary embolism prevention. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1583556DOI Listing
March 2019
1 Read

The effectiveness of Hemopatch™ in preventing postoperative distal pancreatectomy fistulas.

Expert Rev Med Devices 2019 Mar 26;16(3):253-256. Epub 2019 Feb 26.

a Department of General Surgery , A.O.R.N. "A. Cardarelli" , Naples , Italy.

Objectives: Postoperative fistula after distal pancreatectomy (DP) is still a significant complication, although many tools and tips have been utilized to try to reduce its elevated frequency. This paper focuses on the role of a sealing hemostatic device, Hemopatch™, to prevent postoperative pancreatic fistula (POPF) after DP.

Methods: Retrospectively we divided our sampling of 57 patients submitted to DP into two groups according to the availability of the device: 18 patients without Hemopatch™ and 39 patients using Hemopatch™. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1582328DOI Listing
March 2019
1 Read

Amplatzer patent foramen ovale occluder: safety and efficacy.

Expert Rev Med Devices 2019 Mar 18;16(3):173-182. Epub 2019 Feb 18.

a Department of Cardiology , University Hospital of Bern , Bern , Switzerland.

Introduction: The patent foramen ovale (PFO) is a common anatomical variant in humans (prevalence 25%). Most often asymptomatic, it may engender paradoxically embolic strokes, myocardial infarctions, or visceral or peripheral ischemia. It is causatively related to migraine, positional or exertional hypoxemia with dyspnea, diving incidents, high altitude edema, and sleep apnea. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1581060DOI Listing
March 2019
9 Reads

Braided stents and their impact in intracranial aneurysm treatment for distal locations: from flow diverters to low profile stents.

Expert Rev Med Devices 2019 Mar 6;16(3):237-251. Epub 2019 Feb 6.

a Department of Neuroradiology and Endovascular Treatment , Jean-Minjoz University Hospital , Besancon , France.

Introduction: Intracranial aneurysms in distal locations are sometimes difficult to treat due to their branching locations and the presence of blister-like or very wide-necked aneurysms. Braided intracranial stents, including flow diverters (FDs) and low-profile braided intracranial stents (LPBSs) may provide additional advantages, due to their flow-diverting properties. Areas covered: The use of FDs in off-label, distal intracranial locations has been increasing with promising outcomes and has given rise to the LPBS, which has less flow-diverting properties, allowing for easier use in distal branching sites through 0. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1575725DOI Listing
March 2019
1 Read

Rehabilitative devices for a top-down approach.

Expert Rev Med Devices 2019 Mar 6;16(3):187-195. Epub 2019 Feb 6.

b Clinical Laboratory of Experimental Neurorehabilitation , Santa Lucia Foundation IRCCS , Rome , Italy.

Introduction: In recent years, neurorehabilitation has moved from a 'bottom-up' to a 'top down' approach. This change has also involved the technological devices developed for motor and cognitive rehabilitation. It implies that during a task or during therapeutic exercises, new 'top-down' approaches are being used to stimulate the brain in a more direct way to elicit plasticity-mediated motor re-learning. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1574567DOI Listing
March 2019
5 Reads

Mechanical properties and performances of contemporary drug-eluting stent: focus on the metallic backbone.

Expert Rev Med Devices 2019 Mar 8;16(3):211-228. Epub 2019 Feb 8.

d ThoraxCenter , Erasmus Medical Center , Rotterdam , the Netherlands.

Introduction: Drug-eluting stents (DES) are still the standard of care in percutaneous coronary intervention (PCI) since the fall of bioresorbable scaffolds with respect to safety. The unbeatable advantage of a metallic stent when compared with a scaffold is a stronger mechanical property and more sustainable vascular support. Recent development of contemporary metallic stent has focused on the reduction of strut thickness. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1573142DOI Listing
March 2019
1 Read
1.784 Impact Factor

Prostheses for reverse total shoulder arthroplasty.

Expert Rev Med Devices 2019 Feb 23;16(2):107-118. Epub 2019 Jan 23.

a Orthopaedic Surgery , Albany Medical Center , Albany , NY , USA.

Introduction: Historically, patients with rotator cuff arthropathy had limited reconstructive options. The early generations of reverse total shoulder arthroplasty (rTSA) designs had increased failure rates due to loosening of glenoid baseplates secondary to excessive torques. In 1985, Paul Grammont introduced a prosthetic design changing the center of rotation that addressed this major complication. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2019.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2019.1568237DOI Listing
February 2019
6 Reads

Remote fitting procedures for upper limb 3d printed prostheses.

Expert Rev Med Devices 2019 Mar 4;16(3):257-266. Epub 2019 Feb 4.

e Department of Engineering Science , University of Oxford , UK.

Background: The objective of the current investigation was twofold: i) describe a remote fitting procedure for upper limb 3D printed prostheses and ii) assess patient satisfaction and comfort with 3D printed prostheses fitted remotely.

Methods: A qualitative study using content and score analysis to describe patient satisfaction after remote prosthetic fitting. Research participants reported QUEST and OPUS scores that allow for perceived rating of general aspects and functionality of upper limb prostheses. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1572506DOI Listing
March 2019
4 Reads

Advanced methods of spinal stimulation in the treatment of chronic pain: pulse trains, waveforms, frequencies, targets, and feedback loops.

Expert Rev Med Devices 2019 Feb 21;16(2):95-106. Epub 2019 Jan 21.

d Functional Neurosurgery , St. Lukes University Health Network , Bethlehem , PA , USA.

Introduction: Spinal cord stimulation has emerged as a state-of-the-art evidence-based treatment for chronic neuropathic pain and mixed nociceptive-neuropathic pain. In recent years, several newer devices and treatment algorithms have provided unique and effective ways of treating chronic pain by spinal cord stimulation. In a previous review, the authors commented on the 5-year forecast for high frequency and Burst waveforms, as the only two paresthesia independent SCS strategies. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2019.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2019.1567325DOI Listing
February 2019
12 Reads

How prosthetic design influences knee kinematics: a narrative review of tibiofemoral kinematics of healthy and joint-replaced knees.

Expert Rev Med Devices 2019 Feb 4;16(2):119-133. Epub 2019 Jan 4.

a Laboratory of Biomechanics and Implant Research, Clinic for Orthopedics and Trauma Surgery , Heidelberg University Hospital , Heidelberg , Germany.

Introduction: To improve the total knee arthroplasty (TKA) prosthesis design, it is essential to study the kinematics of the tibiofemoral joint. Many studies have been conducted in this area; however, conflicting results and incomparable testing methods make it difficult to draw definitive conclusions or compare research from studies. The goal of this article is to introduce what is known about both healthy and prosthetic tibiofemoral joint kinematics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1564037DOI Listing
February 2019
2 Reads

Embracing simplexity: the role of artificial intelligence in peri-procedural medical safety.

Expert Rev Med Devices 2019 Feb 3;16(2):77-79. Epub 2019 Jan 3.

b Department of Anaesthesiology, Critical Care and Pain Medicine , Sapienza University of Rome , Rome , Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1561269DOI Listing
February 2019
2 Reads

Constructing artificial urinary conduits: current capabilities and future potential.

Expert Rev Med Devices 2019 Feb 11;16(2):135-144. Epub 2019 Jan 11.

a Chair of Urology, Department of Regenerative Medicine, Collegium Medicum , Nicolaus Copernicus University , Bydgoszcz , Poland.

Introduction: Intestinal segments are currently used in reconstructive urology to create urinary diversion after cystectomy. Ileal conduit (IC) is the dominant type of urinary diversion. Nevertheless, IC is not an ideal solution as the procedure still requires entero-enterostomy to restore the bowel continuity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1562901DOI Listing
February 2019
3 Reads

Wearable sensors to improve detection of patient deterioration.

Expert Rev Med Devices 2019 Feb 6;16(2):145-154. Epub 2019 Jan 6.

a Department of Surgery and Cancer , Imperial College London , London , UK.

Introduction: Monitoring a patient's vital signs forms a basic component of care, enabling the identification of deteriorating patients and increasing the likelihood of improving patient outcomes. Several paper-based track and trigger warning scores have been developed to allow clinical evaluation of a patient and guidance on escalation protocols and frequency of monitoring. However, evidence suggests that patient deterioration on hospital wards is still missed, and that patients are still falling through the safety net. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1563480DOI Listing
February 2019
1 Read

A cost-effectiveness analysis of the use of safety-engineered syringes in reducing HBV, HCV, and HIV burden in Egypt.

Expert Rev Med Devices 2019 Feb 8;16(2):155-163. Epub 2019 Jan 8.

b HTA Office , LLC , Cairo , Egypt.

Introduction: The objective of this study was to estimate the effects and costs of safety-engineered syringes (SS) as a prevention strategy from HBV, HCV, and HIV infections versus conventional syringes (CS).

Methods: A decision-analytic model with five health states was constructed. The clinical parameters and utilities were derived using published data. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1561267DOI Listing
February 2019
1 Read

Suitability study of current endovascular aortic repair devices based on real-life anatomic data.

Expert Rev Med Devices 2019 Feb 28;16(2):165-171. Epub 2018 Dec 28.

a First Department of Surgery, Vascular Unit , National & Kapodistrian Universtiy of Athens , Athens , Greece.

Background: There are a number of stent-grafts in the market, designed to handle difficult anatomies during endovascular aortic repair. The aim of this study is to determine which stent-graft is the most appropriate to accommodate the majority of infra-renal aortic aneurysms cases. An additional aim is to determine what stent-graft characteristics influence the suitability of the stent-graft. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2019.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2019.1561268DOI Listing
February 2019
14 Reads

Repeatability assessment of biometric measurements with different refractive states and age using a swept-source biometer.

Expert Rev Med Devices 2019 Jan 18;16(1):63-69. Epub 2018 Dec 18.

a Department of Optics and Optometry and Vision Sciences , University of Valencia , Burjassot , Spain.

Background: We aim to assess if refractive error or age may influence the repeatability of measurements using a swept-source biometer.

Methods: A total of 61 subjects were evaluated with IOLMaster 700 acquiring measurements of axial length (AL), central corneal thickness (CCT), white-to-white distance (WTW), anterior aqueous depth (AQD), lens thickness (LT), and keratometry (K) readings. Repeatability was evaluated classifying the sample according to the refractive state and age by the calculation of the within-subject standard deviation (S), coefficient of repeatability, and intraclass correlation coefficient. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1557517DOI Listing
January 2019
2 Reads

From the laboratory concept to clinical trials: the journey of Otoimplant so far.

Expert Rev Med Devices 2019 Feb 15;16(2):89-94. Epub 2018 Dec 15.

a Department of Ceramics and Refractories, Faculty of Materials Science and Ceramics , AGH University of Science and Technology , Krakow , Poland.

Introduction: Nowadays, the role of alloplastic prostheses has become more important in ossicular chain reconstruction. Especially, bioactive medical devices may be an alternative for those currently used on the market. Areas covered: Medical devices which are implanted for over 30 days in the body are required to fulfill strict requirements. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2019.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2019.1557518DOI Listing
February 2019
11 Reads

Insertable cardiac monitors: current indications and devices.

Expert Rev Med Devices 2019 Jan 11;16(1):45-55. Epub 2018 Dec 11.

a Department of Cardiology, Thoraxcenter , Erasmus Medical Center , Rotterdam , The Netherlands.

Introduction: Recurrent unexplained syncope is a well-established indication for an insertable cardiac monitor (ICM). Recently, the indications for an ICM have been expanded. Areas covered: This review article discusses the current indications for ICMs and gives an overview of the latest generation of commercially available ICMs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2018.1557046DOI Listing
January 2019
3 Reads
1.784 Impact Factor

Transcatheter aortic valve replacement: relative safety and efficacy of the procedure with different devices.

Expert Rev Med Devices 2019 Jan 10;16(1):11-24. Epub 2018 Dec 10.

a Quebec Heart and Lung Institute , Laval University , Quebec City , Canada.

Introduction: Transcatheter aortic valve replacement (TAVR) is a well-established treatment for patients with severe aortic stenosis and intermediate-to-high surgical risk. The increasing clinical experience along with technical and design iterations of transcatheter valve systems have contributed to reducing adverse events and improving clinical outcomes. Areas covered: Overview of the latest generation transcatheter heart valves (THVs), focusing on early safety and efficacy outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1552132DOI Listing
January 2019
6 Reads

Towards a regulation of HTA in Europe: the proposal from the European Commission.

Authors:
Antonio Migliore

Expert Rev Med Devices 2019 Jan 14;16(1):1-2. Epub 2018 Dec 14.

a Agenas, Agenzia nazionale per i servizi sanitari regionali - Sez. Innovazione , Rome , Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1557047DOI Listing
January 2019
3 Reads

The Evolut R and Evolut PRO transcatheter aortic valve systems.

Expert Rev Med Devices 2019 Jan 16;16(1):3-9. Epub 2018 Dec 16.

a London Health Sciences Centre , London , Ontario , Canada.

Introduction: Transcatheter aortic valves have evolved over the last 15 years. Second- and third- generation devices have considerably improved, and a range of newer devices have also been introduced with the aim of decreasing the incidence of paravalvular leak, reducing the need for permanent pacemaker implantation and minimizing procedure- and device-related complications. Areas covered: In this review, we highlight the special features of the latest generation of self-expanding Evolut PRO (Medtronic, Minneapolis, Minnesota) transcatheter aortic valve system. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1557045DOI Listing
January 2019
9 Reads

A clinical update on the mid-term clinical performance of the Ovation endograft.

Expert Rev Med Devices 2019 Jan 10;16(1):57-62. Epub 2018 Dec 10.

a Department of Vascular Surgery , "Democritus" University of Thrace, University Hospital of Alexandroupolis , Alexandroupolis , Greece.

Introduction: The Ovation stent-graft uncouples the steps of fixation and sealing via a pair of polymer-filled inflatable rings. Apart from the well-documented early results, newer data emerged for mid-term results of Ovation and are presented in this review. Areas covered: Aim of this article was to report all current studies with the mid-term results of the particular endograft, the incidence of complications and failure, and discuss their management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1555467DOI Listing
January 2019
2 Reads
1.784 Impact Factor

Developing an optimized strategy with transcranial direct current stimulation to enhance the endogenous pain control system in fibromyalgia.

Expert Rev Med Devices 2018 Dec 3;15(12):863-873. Epub 2018 Dec 3.

a Laboratory of Neuromodulation & Center for Clinical Research Learning, Department of Physical Medicine and Rehabilitation , Spaulding Rehabilitation Hospital, Harvard Medical School , Boston , MA , USA.

Introduction: Fibromyalgia affects more than 5 million people in the United States and has a detrimental impact on individuals' quality of life. Current pharmacological treatments provide limited benefits to relieve the pain of fibromyalgia, along with a risk of adverse effects; a scenario that explains the increasing interest for multimodal approaches. A tailored strategy to focus on this dysfunctional endogenous pain inhibitory system is transcranial direct current stimulation (tDCS) of the primary motor cortex. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2018.1551129DOI Listing
December 2018
4 Reads

Newer-generation of Edwards transcatheter aortic valve systems: SAPIEN 3, Centera, and SAPIEN 3 Ultra.

Expert Rev Med Devices 2019 Feb 10;16(2):81-87. Epub 2018 Dec 10.

a London Health Sciences Centre , London , Canada .

Introduction: Transcatheter aortic valve implantation (TAVI) has become the standard of care for patients with severe symptomatic aortic stenosis at moderate to high surgical risk. Newer devices are now available and broader indications are expected in the near future. Areas covered: The Placement of Aortic Transcatheter Valves (PARTNER) trials initially proved the efficacy of TAVI with the balloon-expandable Edwards SAPIEN valve in patients deemed in-operable and at high-risk, and later on in intermediate-risk patients using the balloon-expandable SAPIEN-XT valve. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1555465DOI Listing
February 2019
2 Reads

Antithrombogenic peripherally inserted central catheters: overview of efficacy and safety.

Expert Rev Med Devices 2019 Jan 6;16(1):25-33. Epub 2018 Dec 6.

a Alliance for Vascular Access Teaching and Research , Menzies Health Institute Queensland , Nathan , Australia.

Introduction: Thrombotic complications associated with peripherally inserted central catheters (PICCs) are common, as most synthetic materials when placed in the presence of serum often result in platelet activation, fibrin deposition, thrombotic occlusion, and potentially embolization. A current innovation focus has been the development of antithrombogenic catheter materials, including hydrophilic and hydrophobic surfaces. These are being incorporated into PICCs in an attempt to prevent the normal thrombotic cascade leading to patient harm. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2019.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2019.1555466DOI Listing
January 2019
17 Reads

Heart failure and right ventricular pacing - how to avoid the need for cardiac resynchronization therapy.

Expert Rev Med Devices 2019 Jan 4;16(1):35-43. Epub 2018 Dec 4.

a Leeds Institute of Cardiovascular and Metabolic Medicine , University of Leeds , Leeds , UK.

Introduction: Heart failure (HF) is a common finding in patients with pacemakers implanted for bradycardia, with cross-sectional and longitudinal studies contributing to the growing consensus that right ventricular pacing can cause adverse cardiac remodeling and left ventricular systolic dysfunction increasing the risk of hospitalization and death. An unselected approach using cardiac resynchronization therapy from the time of first implant in patients with heart block has produced equivocal results. Contemporary research has therefore begun to focus on the stratification of patients' risk of pacemaker-associated impairment to permit focused, personalized management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2019.1552133DOI Listing
January 2019
2 Reads

Gait-training devices in the treatment of lower extremity injuries in sports medicine: current status and future prospects.

Expert Rev Med Devices 2018 Nov 22. Epub 2018 Nov 22.

a University of Virginia - Kinesiology , 210 Emmet Street South Box 400407, Charlottesville , Virginia 22904 , United States.

Introduction: This review seeks to provide synthesized information on gait-training techniques and devices applied, in four of the most prevalent chronic lower extremity injuries seen in sports medicine. Areas Covered: Comprehensive searches were performed in CINAHL and PubMed databases in April 2018 to identify gait-training articles in Chronic Ankle Instability (CAI), Exercise-Related Lower Leg Pain (ERLLP), Patellofemoral Pain (PFP), and Anterior Cruciate Ligament with Reconstruction (ACLR) populations. An investigator reviewed the articles and extracted data including study demographics, gait-training techniques, devices used, and primary gait-training outcomes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2018.1551130DOI Listing
November 2018
11 Reads

Optical coherence tomography angiography (OCTA) flow speed mapping technology for retinal diseases.

Expert Rev Med Devices 2018 Nov 21:1-8. Epub 2018 Nov 21.

a Department of Ophthalmology , New England Eye Center, Tufts Medical Center , Boston , MA , USA.

Introduction: Optical coherence tomography angiography (OCTA) is a noninvasive imaging modality for depth-resolved visualization of retinal vasculature. Angiographic data couples with structural data to generate a cube scan, from which en-face images of vasculature can be obtained at various axial positions. OCTA has expanded understanding of retinal vascular disorders and has primarily been used for qualitative analysis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2018.1548932DOI Listing
November 2018
19 Reads

The EluNIR Ridaforolimus Eluting Coronary Stent System.

Expert Rev Med Devices 2019 Jan 1;16(1):71-76. Epub 2018 Dec 1.

d Division of Cardiology , London Health Sciences Centre , London , Canada.

Introduction: First-generation drug-eluting stents (DES) were developed and indeed proved their superiority compared to bare-metal stent in minimizing neo-intimal hyperplasia and in-stent restenosis (ISR), overall, reducing target vessel revascularization (TVR). Newer-generation DES are characterized by thinner struts, more biocompatible and either durable, biodegradable or polymer-free surfaces, better device profile and refined drug elution. Area covered: The EluNIR (Medinol, Tel Aviv, Israel) Ridaforolimus Eluting Coronary Stent System is a new DES with unique properties. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2018.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2018.1549986DOI Listing
January 2019
39 Reads

Pediatric airway management devices: an update on recent advances and future directions.

Expert Rev Med Devices 2018 Nov 19:1-17. Epub 2018 Nov 19.

a Department of Pediatric Anesthesiology , Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine , Chicago , IL , USA.

Introduction: Structural and physiologic differences between pediatric and adult patients make management of the pediatric airway a challenge. Many initial airway device designs were modeled for adult patients and simply downsized for the pediatric population. This paper reviews the last decade's design improvements in video laryngoscopes and supraglottic airway devices (SGAs), as well as advances in noninvasive oxygenation/ventilation techniques for pediatric airway management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2018.1549483DOI Listing
November 2018
6 Reads

Review of the use of telepathology for intraoperative consultation.

Expert Rev Med Devices 2018 Nov 18:1-8. Epub 2018 Nov 18.

a Department of Pathology , UPMC, UPMC Cancer Pavillion Suite 201 , Pittsburgh , PA , USA.

Introduction: The use of telepathology in intraoperative consultations has been increasing due to limited time and availability of pathologists, and the demand for increased access to pathology subspecialists in difficult cases. The five main categories of telepathology are (1) static, (2) dynamic, (3) robotic, (4) whole slide imaging (WSI), and (5) hybrid methods. The majority of these methods have been found to offer diagnostic accuracy rates similar to conventional microscopy, at the cost of slightly prolonged time to evaluate slides. Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2018.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2018.1549987DOI Listing
November 2018
35 Reads

High flow nasal cannula in the emergency department: indications, safety  and effectiveness.

Expert Rev Med Devices 2018 Nov 14:1-7. Epub 2018 Nov 14.

c Children's Intensive Care Unit , KK Women's and Children's Hospital , Singapore , Singapore.

Introduction: Heated humidified high flow nasal cannula therapy (HHHFNCT) is emerging as a popular non-invasive mode of respiratory support in adults and children. In recent years, its use has extended beyond the intensive care unit to other clinical areas. This review aims to explore the mechanism of action, indications, safety, and effectiveness of HHHFNCT use in the Emergency Department (ED). Read More

View Article

Download full-text PDF

Source
https://www.tandfonline.com/doi/full/10.1080/17434440.2018.1
Publisher Site
http://dx.doi.org/10.1080/17434440.2018.1548276DOI Listing
November 2018
28 Reads

Comparison of stents used for endovascular treatment of intracranial aneurysms.

Expert Rev Med Devices 2018 Nov 30;15(11):793-805. Epub 2018 Oct 30.

a Department of Interventional Neuroradiology , University Hospital Erasme , Brussels , Belgium.

Introduction: Stent-assisted coiling (SAC) has widened indications of endovascular treatment of intracranial aneurysms (wide-neck, fusiform aneurysms); moreover, it is associated with more stable anatomical results. Besides the development of other techniques such as flow diverter stents, bifurcation stents, or intrasaccular flow disruptors, SAC remains one of the most used endovascular techniques because it provides good clinical and anatomical results for most aneurysms. Several devices based on the same principle are available and have undergone many adaptations and developments over 20 years of intracranial stenting. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/17434440.2018.1538779DOI Listing
November 2018
2 Reads