AU2011202118B2 - System and methods for determining nerve proximity, direction, and pathology during surgery - Google Patents

System and methods for determining nerve proximity, direction, and pathology during surgery Download PDF

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Publication number
AU2011202118B2
AU2011202118B2 AU2011202118A AU2011202118A AU2011202118B2 AU 2011202118 B2 AU2011202118 B2 AU 2011202118B2 AU 2011202118 A AU2011202118 A AU 2011202118A AU 2011202118 A AU2011202118 A AU 2011202118A AU 2011202118 B2 AU2011202118 B2 AU 2011202118B2
Authority
AU
Australia
Prior art keywords
nerve
stimulation
spine
cannula
initial
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired
Application number
AU2011202118A
Other languages
English (en)
Other versions
AU2011202118A1 (en
Inventor
Jeffrey Blewett
Allen Farquhar
James E. Gharib
Norbert Kaula
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nuvasive Inc
Original Assignee
Nuvasive Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=23179048&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=AU2011202118(B2) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority claimed from AU2008202081A external-priority patent/AU2008202081B2/en
Priority to AU2011202118A priority Critical patent/AU2011202118B2/en
Application filed by Nuvasive Inc filed Critical Nuvasive Inc
Publication of AU2011202118A1 publication Critical patent/AU2011202118A1/en
Priority to AU2013204803A priority patent/AU2013204803B2/en
Publication of AU2011202118B2 publication Critical patent/AU2011202118B2/en
Application granted granted Critical
Priority to AU2015246103A priority patent/AU2015246103B2/en
Priority to AU2017235980A priority patent/AU2017235980B2/en
Priority to AU2019272007A priority patent/AU2019272007A1/en
Anticipated expiration legal-status Critical
Expired legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/48—Other medical applications
    • A61B5/4887—Locating particular structures in or on the body
    • A61B5/4893—Nerves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/389—Electromyography [EMG]
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316—Modalities, i.e. specific diagnostic methods
    • A61B5/389—Electromyography [EMG]
    • A61B5/395—Details of stimulation, e.g. nerve stimulation to elicit EMG response
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/08—Arrangements or circuits for monitoring, protecting, controlling or indicating
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00017—Electrical control of surgical instruments
    • A61B2017/00022—Sensing or detecting at the treatment site
    • A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1104—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb induced by stimuli or drugs
    • A61B5/1106—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb induced by stimuli or drugs to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7217—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/74—Details of notification to user or communication with user or patient; User input means
    • A61B5/742—Details of notification to user or communication with user or patient; User input means using visual displays
    • A61B5/743—Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/36014—External stimulators, e.g. with patch electrodes
    • A61N1/36017—External stimulators, e.g. with patch electrodes with leads or electrodes penetrating the skin

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Neurology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Otolaryngology (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
  • Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
  • Ultra Sonic Daignosis Equipment (AREA)
AU2011202118A 2001-07-11 2011-05-09 System and methods for determining nerve proximity, direction, and pathology during surgery Expired AU2011202118B2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
AU2011202118A AU2011202118B2 (en) 2001-07-11 2011-05-09 System and methods for determining nerve proximity, direction, and pathology during surgery
AU2013204803A AU2013204803B2 (en) 2001-07-11 2013-04-12 System and methods for determining nerve proximity, direction, and pathology during surgery
AU2015246103A AU2015246103B2 (en) 2001-07-11 2015-10-21 System and methods for determining nerve proximity, direction, and pathology during surgery
AU2017235980A AU2017235980B2 (en) 2001-07-11 2017-09-28 System and methods for determining nerve proximity, direction, and pathology during surgery
AU2019272007A AU2019272007A1 (en) 2001-07-11 2019-11-28 System and methods for determining nerve proximity, direction, and pathology during surgery

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US30504101P 2001-07-11 2001-07-11
US06/305,041 2001-07-11
AU2008202081A AU2008202081B2 (en) 2001-07-11 2008-05-09 System and methods for determining nerve proximity, direction, and pathology during surgery
AU2011202118A AU2011202118B2 (en) 2001-07-11 2011-05-09 System and methods for determining nerve proximity, direction, and pathology during surgery

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
AU2008202081A Division AU2008202081B2 (en) 2001-07-11 2008-05-09 System and methods for determining nerve proximity, direction, and pathology during surgery

Related Child Applications (1)

Application Number Title Priority Date Filing Date
AU2013204803A Division AU2013204803B2 (en) 2001-07-11 2013-04-12 System and methods for determining nerve proximity, direction, and pathology during surgery

Publications (2)

Publication Number Publication Date
AU2011202118A1 AU2011202118A1 (en) 2011-05-26
AU2011202118B2 true AU2011202118B2 (en) 2013-05-16

Family

ID=23179048

Family Applications (1)

Application Number Title Priority Date Filing Date
AU2011202118A Expired AU2011202118B2 (en) 2001-07-11 2011-05-09 System and methods for determining nerve proximity, direction, and pathology during surgery

Country Status (5)

Country Link
US (11) US8068912B2 (enExample)
EP (1) EP1417000B1 (enExample)
JP (1) JP4295086B2 (enExample)
AU (1) AU2011202118B2 (enExample)
WO (1) WO2003005887A2 (enExample)

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