A deep brain stimulation device
capable of fine-tuning output based on patient neuronal activity has been
approved for the first time for use in Parkinson’s and a range of other
neurological disorders. This is the first marketed deep neurostimulator that
can also capture brain signals. Medtronic’s device not only offers the first
commercial brain sensing DBS device for movement and psychiatric disorders, but
also pushes the field of neuromodulation toward its ultimate goal: development
of a closed-loop system in which a patient receives electrical stimulation
adapted to their unique brain activity.
Medtronic’s new device moves
brain sensing beyond epilepsy to a broader range of indications, such as
movement and psychiatric disorders. The device can stimulate continuously (24
hours a day) while simultaneously sensing brain signals, or local field
potentials. Key to the advance was in filtering out the noise from the artificial
stimulus pulse while tuning in to the relatively subtle signals of the brain. Researchers
achieved this using high-quality amplification and frequency-specific filters
that enable the device to isolate and subtract the artificial signal from the
intrinsic signals of the brain.
More information:
https://www.nature.com/articles/s41587-020-0664-3