FDA OKs Vagus Nerve Stimulation for Stroke Patients
FDA has approved a MicroTransponder PMA for the Vivistim Paired VNS System, a rehabilitation device intended to treat moderate to severe upper extremity motor deficits associated with chronic ischemic stroke using vagus nerve stimulation (VNS). “To use the Vivistim System, an implantable pulse generator (IPG) — which generates a mild electrical pulse — is implanted just under the skin in the chest of the patient,” an FDA release says. “Attached to the IPG is a lead wire that is implanted under the skin and leads up to electrodes that are placed on the left side of the neck where the vagus nerve is,” it says.
Approval was based on data from a 108-patient clinical study of 108 patients who were asked to complete 300-400 physical therapy exercises for 90 minutes a day, three times a week for six weeks. “The control group received only a very low level of VNS for the first five exercises of the 300-400-movement series and had no stimulation whatsoever for the rest of each session,” FDA says. “The treatment group received the appropriate amount of VNS throughout all 90-minute rehabilitation sessions.” Progress was measured as an increase in motor function from baseline after six weeks of therapy. Patients in the treatment group had an average score increase of five points, whereas patients in the control group had an average score increase of 2.4 points.