de Schlichting, Coll, Zaldivar-Jolissaint, Coste, Marques, Mulliez, Durif, Lemaire (2019) Pulse generator battery life in deep brain stimulation: out with the old… in with the less durable? Acta neurochirurgica 161(10) 2043-2046


Battery life of the most commonly used implantable pulse generators in deep brain stimulation is limited. Device replacement is costly and may expose patients to additional risks. Driven by the observation that in our experience newer generation devices seemed to need earlier replacement than the older generation, we aimed to retrospectively analyze the battery life of two generations of non-rechargeable devices, manufactured by a single company (Medtronic, USA). Battery life of 281 devices in 165 patients was taken into account for data analysis. This represented 243 older generation devices (Kinetra and Soletra) and 38 newer generation devices (Activa). The battery life of older generation stimulators was 2-fold longer than the newer generation. Newer devices are more versatile than the older generation. Their battery life is however significantly shorter. Development of next-generation devices needs to address this issue in order to limit health risks and reduce financial costs.