FDA批准集成骶骨神经调节系统治疗尿路冲动性失禁
FDA批准集成骶骨神经调节系统治疗尿路冲动性失禁
尿路冲动性失禁(UUI)是一种常见的泌尿系统疾病,严重影响患者的生活质量。骶神经调节(SNM)是UUI的一种有效治疗方法,但传统的SNM系统需要植入电池,存在电池寿命有限、需要手术更换以及相关并发症等问题,限制了其广泛应用。Neuspera Medical公司开发的集成骶神经调节(iSNM)系统为UUI的治疗带来了新的希望。
该iSNM系统采用无电池设计,通过外部椎间盘进行无线充电和启动治疗,每天只需佩戴约2小时,避免了传统SNM系统电池相关的并发症和手术负担。一项关键的2期临床试验(SANS-UUI)结果显示,iSNM系统在治疗UUI方面疗效显著。该研究纳入128名UUI患者,结果显示84.2%的患者实现了至少50%的紧急泄漏减少,与传统SNM研究结果相当;更有84%的患者UUI症状减少了75%以上,42%的患者实现了完全干燥。此外,患者的生活质量也得到了3.5倍的临床显着改善。
FDA批准iSNM系统用于治疗UUI,标志着UUI治疗领域取得了重大进展。这项新技术有望为UUI患者提供更安全、便捷和有效的治疗选择,显著改善患者的生活质量。未来的研究将进一步评估iSNM系统的长期疗效和安全性,并探索其在其他泌尿系统疾病中的应用潜力。
来源: urologytimes
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参考文献
- Neuspera Medical receives FDA approval for first integrated sacral neuromodulation (iSNM) system for urinary urge incontinence. News release. Neuspera Medical. Published online and accessed June 18, 2025. https://www.prnewswire.com/news-releases/neuspera-medical-receives-fda-approval-for-first-integrated-sacral-neuromodulation-isnm-system-for-urinary-urge-incontinence-302484795.html
- Padron O, McCrery R, Sutherland S, et al. Treatment of OAB symptoms using Neuspera’s ultra-miniaturized system: 6-month results of the SAN-UUI phase II study. Presented at the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction 2025 Winter Meeting. February 16 – March 1, 2025. Rancho Mirage, California. Abstract 46. https://sufuorg.com/docs/meetings/sufu2502/program-book-full.aspx
- Neuspera Medical announces landmark six-month clinical trial results for the first battery-free percutaneous sacral neuromodulation (pSNM) system for urgency urinary incontinence management. News release. Neuspera Medical Inc. February 26, 2025. Accessed June 18, 2025. https://www.prnewswire.com/news-releases/neuspera-medical-announces-landmark-six-month-clinical-trial-results-for-the-first-battery-free-percutaneous-sacral-neuromodulation-psnm-system-for-urgency-urinary-incontinence-management-302385607.html
- Neuspera’s implantable sacral nerve stimulation system in patients with symptoms of urinary urgency incontinence (UUI). ClinicalTrials.gov. Last updated May 22, 2025. Accessed June 18, 2025. https://clinicaltrials.gov/study/NCT04232696
- Neuspera Medical announces first successful implant of the Nuvella System in the second phase of its sans-UUI IDE Clinical Trial. News release. Neuspera Medical Inc. October 10, 2022. Accessed June 18, 2025. https://neuspera.com/neuspera-medical-announces-first-successful-implant-of-the-nuvella-system-in-the-second-phase-of-its-sans-uui-ide-clinical-trial/
- Padron O, Hanson C, McCrery R, et al. Treatment of urinary urgency incontinence (UUI) with an ultra-miniaturized sacral nerve modulation (SNM) system: Outcomes of the SANS-UUI feasibility study. Presented at the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction 2022 Winter Meeting; February 22-26, 2022; San Diego, California. Abstract 18. https://sufuorg.com/docs/meetings/sufu2202/abstracts.aspx
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