Evidence map›Paper›PMID 31738766›Full record

ArticlePloS one2019

Flat electrode contacts for vagus nerve stimulation.

Jesse E Bucksot, Andrew J Wells, Kimiya C Rahebi, Vishnoukumaar Sivaji, Mario Romero-Ortega, Michael P Kilgard, Robert L Rennaker, Seth A Hays

Abstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Article
  2. Article
  3. Clinical experience implanting a miniature externally powered vagus nerve stimulator.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Article
  4. Article
  5. Computational modeling of autonomic nerve stimulation: Vagus et al.Current opinion in biomedical engineering · 2024
    Article
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  11. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jesse E BucksotThe University of Texas at Dallas, Erik Jonsson School of Engineering and Computer Science, Richardson, Texas, United States of America.ORCID 0000-0002-2735-4701
Andrew J WellsThe University of Texas at Dallas, Erik Jonsson School of Engineering and Computer Science, Richardson, Texas, United States of America.
Kimiya C RahebiTexas Biomedical Device Center, Richardson, Texas, United States of America.
Vishnoukumaar SivajiThe University of Texas at Dallas, Erik Jonsson School of Engineering and Computer Science, Richardson, Texas, United States of America.
Mario Romero-OrtegaThe University of Texas at Dallas, Erik Jonsson School of Engineering and Computer Science, Richardson, Texas, United States of America.
Michael P KilgardThe University of Texas at Dallas, Erik Jonsson School of Engineering and Computer Science, Richardson, Texas, United States of America.
Robert L RennakerThe University of Texas at Dallas, Erik Jonsson School of Engineering and Computer Science, Richardson, Texas, United States of America.
Seth A HaysThe University of Texas at Dallas, Erik Jonsson School of Engineering and Computer Science, Richardson, Texas, United States of America.

Funding

Vagus Nerve Stimulation Paired with Rehabilitative Training to Enhance PlasticityR01NS085167 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI KILGARD, MICHAEL P, RENNAKER, ROBERT L · 2014 to 2018
$1.9M
Evaluation of the Neuromodulatory Mechanisms of Vagus Nerve Stimulation to Improve Motor Rehabilitation after StrokeR01NS094384 · NINDS · UNIVERSITY OF TEXAS DALLAS · PI HAYS, SETH ALANSON · 2016 to 2020
$1.7M
NINDS NIH HHS R01 NS085167NINDS NIH HHS R01 NS094384
6 · The paper itself

Abstract

The majority of available systems for vagus nerve stimulation use helical stimulation electrodes, which cover the majority of the circumference of the nerve and produce largely uniform current density within the nerve. Flat stimulation electrodes that contact only one side of the nerve may provide advantages, including ease of fabrication. However, it is possible that the flat configuration will yield inefficient fiber recruitment due to a less uniform current distribution within the nerve. Here we tested the hypothesis that flat electrodes will require higher current amplitude to activate all large-diameter fibers throughout the whole cross-section of a nerve than circumferential designs. Computational modeling and in vivo experiments were performed to evaluate fiber recruitment in different nerves and different species using a variety of electrode designs. Initial results demonstrated similar fiber recruitment in the rat vagus and sciatic nerves with a standard circumferential cuff electrode and a cuff electrode modified to approximate a flat configuration. Follow up experiments comparing true flat electrodes to circumferential electrodes on the rabbit sciatic nerve confirmed that fiber recruitment was equivalent between the two designs. These findings demonstrate that flat electrodes represent a viable design for nerve stimulation that may provide advantages over the current circumferential designs for applications in which the goal is uniform activation of all fascicles within the nerve.

Indexed as

Electrodes, ImplantedAnimalsComputer SimulationElectric Stimulation TherapyEquipment DesignFemaleHumansMaleModels, NeurologicalRabbitsRatsRats, Sprague-DawleyRecruitment, NeurophysiologicalSciatic NerveVagus NerveVagus Nerve Stimulation

Identifiers

PMID31738766
PMCPMC6862926

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.