A novel three-dimensional printed guiding device for electrode implantation of sacral neuromodulation

作者：Cui, Z.^*; Wang, Z.; Ye, G.; Zhang, C.; Wu, G.; Lv, J.^*

来源：Colorectal Disease, 2018, 20(1): O26-O29.

DOI：10.1111/codi.13958

• Neuromodulation
• 3D print
• implantation
• constipation

AimThe aim was to test the feasibility of a novel three-dimensional (3D) printed guiding device for electrode implantation of sacral neuromodulation (SNM).
MethodA 3D printed guiding device for electrode implantation was customized to patients' anatomy of the sacral region. Liquid photopolymer was selected as the printing material. The details of the device designation and prototype building are described. The guiding device was used in two patients who underwent SNM for intractable constipation. Details of the procedure and the outcomes are given.
ResultsWith the help of the device, the test needle for stimulation was placed in the target sacral foramen successfully at the first attempt of puncture in both patients. The time to implant a tined SNM electrode was less than 20min and no complications were observed. At the end of the screening phase, symptoms of constipation were relieved by more than 50% in both patients and permanent stimulation was established.
ConclusionThe customized 3D printed guiding device for implantation of SNM is a promising instrument that facilitates a precise and quick implantation of the electrode into the target sacral foramen.

• 出版日期2018-1
• 单位上海交通大学