First-in-Human Trials of Closed-Loop Deep-Brain Stimulation

Outcome/Accomplishment

Researchers conducted the first in-patient tests of deep-brain stimulation that relies on a feedback loop in a study funded by the Center for Neurotechnology (CNT), based at the University of Washington and an NSF-funded Engineering Research Center (ERC).

Impact/Benefits

The ability to add a feedback loop, making the system a "closed loop," could significantly improve deep-brain stimulation (DBS), which is a safe medical treatment for a variety of neurological and psychiatric disorders. including Parkinson's disease and essential tremors. Current DBS devices provide continuous stimulation and can become less effective as the nervous system adapts. A feedback loop that alerts the DBS to symptoms will improve its long-term effectiveness.

Explanation/Background

Millions of patients suffer from neurological and psychiatric disorders. DBS is a device-based therapy that could have fewer side-effects and greater effectiveness than other options such as pharmacological approaches. Thus far, scientists have been challenged to include a feedback loop in DBS devices to make them operate in a closed-loop manner.

In collaboration with industry partner Medtronic, CNT teams used machine learning to detect brain signals that are indicative of tremor. The Activa system then adjusts the symptom-relieving stimulation in real-time as indicated is needed by the feedback loop. This effort builds on CNT's adaptive DBS research and extends the framework to at-home treatment and monitoring of Parkinson's patients with DBS implants.

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Location

Seattle, Washington

e-mail

website

Start Year

Biotechnology and Healthcare

Biotechnology and Health Care Icon
Biotechnology and Health Care Icon

Biotechnology and Health Care

Lead Institution

University of Washington

Core Partners

MIT, San Diego University
Image

Outcome/Accomplishment

Researchers conducted the first in-patient tests of deep-brain stimulation that relies on a feedback loop in a study funded by the Center for Neurotechnology (CNT), based at the University of Washington and an NSF-funded Engineering Research Center (ERC).

Location

Seattle, Washington

e-mail

website

Start Year

Biotechnology and Healthcare

Biotechnology and Health Care Icon
Biotechnology and Health Care Icon

Biotechnology and Health Care

Lead Institution

University of Washington

Core Partners

MIT, San Diego University

Impact/benefits

The ability to add a feedback loop, making the system a "closed loop," could significantly improve deep-brain stimulation (DBS), which is a safe medical treatment for a variety of neurological and psychiatric disorders. including Parkinson's disease and essential tremors. Current DBS devices provide continuous stimulation and can become less effective as the nervous system adapts. A feedback loop that alerts the DBS to symptoms will improve its long-term effectiveness.

Explanation/Background

Millions of patients suffer from neurological and psychiatric disorders. DBS is a device-based therapy that could have fewer side-effects and greater effectiveness than other options such as pharmacological approaches. Thus far, scientists have been challenged to include a feedback loop in DBS devices to make them operate in a closed-loop manner.

In collaboration with industry partner Medtronic, CNT teams used machine learning to detect brain signals that are indicative of tremor. The Activa system then adjusts the symptom-relieving stimulation in real-time as indicated is needed by the feedback loop. This effort builds on CNT's adaptive DBS research and extends the framework to at-home treatment and monitoring of Parkinson's patients with DBS implants.