AU2017321607A1 - System to monitor neural integrity - Google Patents
System to monitor neural integrity Download PDFInfo
- Publication number
- AU2017321607A1 AU2017321607A1 AU2017321607A AU2017321607A AU2017321607A1 AU 2017321607 A1 AU2017321607 A1 AU 2017321607A1 AU 2017321607 A AU2017321607 A AU 2017321607A AU 2017321607 A AU2017321607 A AU 2017321607A AU 2017321607 A1 AU2017321607 A1 AU 2017321607A1
- Authority
- AU
- Australia
- Prior art keywords
- electrode
- nerve
- housing
- contact
- stimulation
- 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.)
- Abandoned
Links
- 230000007991 neuronal integrity Effects 0.000 title 1
- 230000000638 stimulation Effects 0.000 claims abstract description 156
- 210000005036 nerve Anatomy 0.000 claims abstract description 133
- 238000000034 method Methods 0.000 claims abstract description 38
- 230000004913 activation Effects 0.000 claims description 47
- 230000000007 visual effect Effects 0.000 claims description 7
- 230000003213 activating effect Effects 0.000 claims description 4
- 238000012544 monitoring process Methods 0.000 description 28
- 230000000712 assembly Effects 0.000 description 17
- 238000000429 assembly Methods 0.000 description 17
- 230000003287 optical effect Effects 0.000 description 14
- 241001474791 Proboscis Species 0.000 description 13
- 230000002051 biphasic effect Effects 0.000 description 7
- 230000005540 biological transmission Effects 0.000 description 6
- 238000003780 insertion Methods 0.000 description 6
- 230000037431 insertion Effects 0.000 description 6
- 238000000465 moulding Methods 0.000 description 6
- 210000001519 tissue Anatomy 0.000 description 6
- 238000004891 communication Methods 0.000 description 5
- 238000004806 packaging method and process Methods 0.000 description 5
- 230000008569 process Effects 0.000 description 5
- BTOCFTAWZMMTNB-UHFFFAOYSA-N 1,2,3,4,5-pentachloro-6-(4-chlorophenyl)benzene Chemical compound C1=CC(Cl)=CC=C1C1=C(Cl)C(Cl)=C(Cl)C(Cl)=C1Cl BTOCFTAWZMMTNB-UHFFFAOYSA-N 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 4
- 238000002224 dissection Methods 0.000 description 4
- 230000000670 limiting effect Effects 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 230000004397 blinking Effects 0.000 description 3
- 230000000977 initiatory effect Effects 0.000 description 3
- 210000004126 nerve fiber Anatomy 0.000 description 3
- 210000002416 recurrent laryngeal nerve Anatomy 0.000 description 3
- 230000004936 stimulating effect Effects 0.000 description 3
- 239000004020 conductor Substances 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 239000006260 foam Substances 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 230000000737 periodic effect Effects 0.000 description 2
- 230000036279 refractory period Effects 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- 206010070245 Foreign body Diseases 0.000 description 1
- 208000028389 Nerve injury Diseases 0.000 description 1
- 210000003484 anatomy Anatomy 0.000 description 1
- 210000001124 body fluid Anatomy 0.000 description 1
- 239000003990 capacitor Substances 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 229920001940 conductive polymer Polymers 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000007613 environmental effect Effects 0.000 description 1
- 238000001746 injection moulding Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 239000011810 insulating material Substances 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012806 monitoring device Methods 0.000 description 1
- 230000008764 nerve damage Effects 0.000 description 1
- 210000000653 nervous system Anatomy 0.000 description 1
- 230000001537 neural effect Effects 0.000 description 1
- 238000005498 polishing Methods 0.000 description 1
- 238000003825 pressing Methods 0.000 description 1
- 230000002829 reductive effect Effects 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 230000000284 resting effect Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 238000005096 rolling process Methods 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 210000004872 soft tissue Anatomy 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 238000009987 spinning Methods 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 210000003813 thumb Anatomy 0.000 description 1
- 210000001685 thyroid gland Anatomy 0.000 description 1
- 230000000451 tissue damage Effects 0.000 description 1
- 231100000827 tissue damage Toxicity 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
- 210000001186 vagus nerve Anatomy 0.000 description 1
- 238000009736 wetting Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
- A61B5/4029—Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
- A61B5/4041—Evaluating nerves condition
-
- 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
-
- 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
- A61B5/25—Bioelectric electrodes therefor
- A61B5/279—Bioelectric electrodes therefor specially adapted for particular uses
- A61B5/296—Bioelectric electrodes therefor specially adapted for particular uses for electromyography [EMG]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
- A61B5/6867—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive specially adapted to be attached or implanted in a specific body part
- A61B5/6877—Nerve
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/04—Electrodes
- A61N1/05—Electrodes for implantation or insertion into the body, e.g. heart electrode
- A61N1/0551—Spinal or peripheral nerve electrodes
- A61N1/0556—Cuff electrodes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2505/00—Evaluating, monitoring or diagnosing in the context of a particular type of medical care
- A61B2505/05—Surgical care
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- Physics & Mathematics (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Pathology (AREA)
- Biophysics (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Physiology (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US15/252,975 | 2016-08-31 | ||
| US15/252,975 US9955882B2 (en) | 2016-08-31 | 2016-08-31 | System to monitor neural integrity |
| PCT/US2017/049422 WO2018045056A1 (en) | 2016-08-31 | 2017-08-30 | System to monitor neural integrity |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| AU2017321607A1 true AU2017321607A1 (en) | 2019-03-28 |
Family
ID=59846692
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| AU2017321607A Abandoned AU2017321607A1 (en) | 2016-08-31 | 2017-08-30 | System to monitor neural integrity |
Country Status (9)
| Country | Link |
|---|---|
| US (4) | US9955882B2 (enExample) |
| EP (1) | EP3506978B1 (enExample) |
| JP (1) | JP2019528140A (enExample) |
| KR (1) | KR20190049770A (enExample) |
| CN (1) | CN109890454B (enExample) |
| AU (1) | AU2017321607A1 (enExample) |
| CA (1) | CA3035554A1 (enExample) |
| ES (1) | ES2886068T3 (enExample) |
| WO (1) | WO2018045056A1 (enExample) |
Families Citing this family (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9955882B2 (en) | 2016-08-31 | 2018-05-01 | Medtronic Xomed, Inc. | System to monitor neural integrity |
| CA3073215A1 (en) | 2017-10-06 | 2019-04-11 | Medtronic Xomed, Inc. | Pledget stimulation and recording electrode assemblies |
| US10729342B2 (en) | 2018-02-28 | 2020-08-04 | Medtronic Xomed, Inc. | Nerve monitoring and/or stimulation electrode assemblies |
| CA3097139A1 (en) | 2018-04-19 | 2019-10-24 | Jose M. Carmena | Implants using ultrasonic communication for modulating splenic nerve activity |
| CN112272575B (zh) | 2018-04-19 | 2024-05-17 | 艾奧塔生物科技公司 | 使用用于神经感测和刺激的超声通信的植入物 |
| PL3843830T3 (pl) | 2018-08-29 | 2024-08-12 | Iota Biosciences, Inc. | Wszczepialne urządzenie do neuromodulacji w zamkniętej pętli |
| WO2020249069A1 (zh) * | 2019-06-13 | 2020-12-17 | 上海交通大学医学院附属第九人民医院 | 听觉脑干植入体的电生理测试方法及其使用的记录电极 |
| AU2020367447A1 (en) | 2019-10-17 | 2022-04-21 | Iota Biosciences, Inc. | Devices and methods for modulating immune system activity in a cancer patient and treating cancer |
| US11878167B2 (en) | 2020-05-04 | 2024-01-23 | Btl Healthcare Technologies A.S. | Device and method for unattended treatment of a patient |
| EP4146335B1 (en) | 2020-05-04 | 2024-11-13 | BTL Healthcare Technologies a.s. | Device for unattended treatment of a patient |
| WO2024081119A1 (en) * | 2022-10-11 | 2024-04-18 | The Johns Hopkins University | Photoacoustic imaging for intraoperative evaluation and treatment of peripheral nerve injuries |
| GR1010825B (el) * | 2023-07-11 | 2024-11-26 | Γρηγοριος Ηλια Βασιος | Ηλεκτροδιο διασπονδυλικης διεγερσης και καταγραφης |
Family Cites Families (34)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6061596A (en) * | 1995-11-24 | 2000-05-09 | Advanced Bionics Corporation | Method for conditioning pelvic musculature using an implanted microstimulator |
| US6308105B1 (en) * | 1999-07-15 | 2001-10-23 | Medtronic Inc. | Medical electrical stimulation system using an electrode assembly having opposing semi-circular arms |
| US7214197B2 (en) | 2001-11-06 | 2007-05-08 | Prass Richard L | Intraoperative neurophysiological monitoring system |
| US8116881B2 (en) * | 2004-06-10 | 2012-02-14 | Bio Control Medical (B.C.M.) Ltd | Electrode assembly for nerve control |
| US7920915B2 (en) * | 2005-11-16 | 2011-04-05 | Boston Scientific Neuromodulation Corporation | Implantable stimulator |
| US20070073361A1 (en) * | 2005-09-23 | 2007-03-29 | Bioq, Inc. | Medical device for restoration of autonomic and immune functions impaired by neuropathy |
| US20080004673A1 (en) | 2006-04-03 | 2008-01-03 | Cvrx, Inc. | Implantable extravascular electrostimulation system having a resilient cuff |
| US9561053B2 (en) * | 2007-04-25 | 2017-02-07 | Medtronic, Inc. | Implant tool to facilitate medical device implantation |
| US10076655B2 (en) | 2007-09-21 | 2018-09-18 | Koninklijke Philips N.V. | Vestibular stimulation system |
| US20090124875A1 (en) * | 2007-11-14 | 2009-05-14 | Cardiac Pacemakers, Inc. | Implantable Creatinine Sensor and Related Methods |
| WO2009124233A1 (en) * | 2008-04-04 | 2009-10-08 | Enteromedics, Inc. | Methods and systems for glucose regulation |
| JP5538367B2 (ja) | 2008-05-02 | 2014-07-02 | メドトロニック，インコーポレイテッド | 電極リードシステム |
| US9084551B2 (en) | 2008-12-08 | 2015-07-21 | Medtronic Xomed, Inc. | Method and system for monitoring a nerve |
| US8515520B2 (en) | 2008-12-08 | 2013-08-20 | Medtronic Xomed, Inc. | Nerve electrode |
| CN102573986B (zh) * | 2009-06-09 | 2016-01-20 | 赛博恩特医疗器械公司 | 用于无导线刺激器的具有袋部的神经封套 |
| US9220885B2 (en) * | 2009-12-18 | 2015-12-29 | Ethicon, Inc. | Placement devices that enable patients to accurately position medical patches at target locations and methods therefor |
| US9320901B2 (en) | 2010-04-28 | 2016-04-26 | Medtronic, Inc. | Stimulation with utilization of non-selected electrode |
| JP5849158B2 (ja) * | 2011-08-23 | 2016-01-27 | カーディアック ペースメイカーズ， インコーポレイテッド | 迷走神経の捕捉を検出するシステムおよび方法 |
| US8934992B2 (en) * | 2011-09-01 | 2015-01-13 | Inspire Medical Systems, Inc. | Nerve cuff |
| US9186501B2 (en) * | 2012-06-13 | 2015-11-17 | Mainstay Medical Limited | Systems and methods for implanting electrode leads for use with implantable neuromuscular electrical stimulator |
| EP2903685B1 (en) | 2012-10-02 | 2019-08-07 | Cardiac Pacemakers, Inc. | Pinch to open cuff electrode |
| HK1220933A1 (zh) * | 2013-01-28 | 2017-05-19 | Reshape Lifesciences, Inc. | 高效能量神经调制 |
| AU2014223543B2 (en) | 2013-03-01 | 2018-10-04 | Empi, Inc. | Systems and methods for wireless control of noninvasive electrotherapy |
| WO2015066295A1 (en) * | 2013-10-31 | 2015-05-07 | Boston Scientific Neuromodulation Corporation | System to incorporate lead information from image |
| US10080887B2 (en) * | 2014-04-29 | 2018-09-25 | Cardiac Pacemakers, Inc. | Leadless cardiac pacing devices including tissue engagement verification |
| US20150328448A1 (en) * | 2014-05-13 | 2015-11-19 | Biotronik Ag | Electrode element for electromedical therapy in a human or animal body |
| US10674928B2 (en) * | 2014-07-17 | 2020-06-09 | Medtronic, Inc. | Leadless pacing system including sensing extension |
| US10123731B2 (en) | 2014-08-08 | 2018-11-13 | Medtronic Xomed, Inc. | Wireless sensors for nerve integrity monitoring systems |
| CA2973190A1 (en) | 2015-01-09 | 2016-07-14 | Axonics Modulation Technologies, Inc. | Patient remote and associated methods of use with a nerve stimulation system |
| US10039915B2 (en) | 2015-04-03 | 2018-08-07 | Medtronic Xomed, Inc. | System and method for omni-directional bipolar stimulation of nerve tissue of a patient via a surgical tool |
| US11980465B2 (en) | 2015-04-03 | 2024-05-14 | Medtronic Xomed, Inc. | System and method for omni-directional bipolar stimulation of nerve tissue of a patient via a bipolar stimulation probe |
| US10445466B2 (en) | 2015-11-18 | 2019-10-15 | Warsaw Orthopedic, Inc. | Systems and methods for post-operative outcome monitoring |
| US10339273B2 (en) | 2015-11-18 | 2019-07-02 | Warsaw Orthopedic, Inc. | Systems and methods for pre-operative procedure determination and outcome predicting |
| US9955882B2 (en) | 2016-08-31 | 2018-05-01 | Medtronic Xomed, Inc. | System to monitor neural integrity |
-
2016
- 2016-08-31 US US15/252,975 patent/US9955882B2/en active Active
-
2017
- 2017-08-30 KR KR1020197009094A patent/KR20190049770A/ko not_active Abandoned
- 2017-08-30 ES ES17764994T patent/ES2886068T3/es active Active
- 2017-08-30 WO PCT/US2017/049422 patent/WO2018045056A1/en not_active Ceased
- 2017-08-30 EP EP17764994.4A patent/EP3506978B1/en active Active
- 2017-08-30 CA CA3035554A patent/CA3035554A1/en not_active Abandoned
- 2017-08-30 AU AU2017321607A patent/AU2017321607A1/en not_active Abandoned
- 2017-08-30 CN CN201780065973.5A patent/CN109890454B/zh active Active
- 2017-08-30 JP JP2019511903A patent/JP2019528140A/ja active Pending
-
2018
- 2018-04-30 US US15/967,072 patent/US10729343B2/en active Active
-
2020
- 2020-07-23 US US16/936,679 patent/US12064249B2/en active Active
-
2024
- 2024-08-19 US US18/808,315 patent/US20240407692A1/en active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| US20200345258A1 (en) | 2020-11-05 |
| US20180242866A1 (en) | 2018-08-30 |
| ES2886068T3 (es) | 2021-12-16 |
| US20180055393A1 (en) | 2018-03-01 |
| KR20190049770A (ko) | 2019-05-09 |
| WO2018045056A1 (en) | 2018-03-08 |
| US9955882B2 (en) | 2018-05-01 |
| US10729343B2 (en) | 2020-08-04 |
| US12064249B2 (en) | 2024-08-20 |
| EP3506978B1 (en) | 2021-08-04 |
| JP2019528140A (ja) | 2019-10-10 |
| US20240407692A1 (en) | 2024-12-12 |
| CA3035554A1 (en) | 2018-03-08 |
| EP3506978A1 (en) | 2019-07-10 |
| CN109890454A (zh) | 2019-06-14 |
| CN109890454B (zh) | 2024-01-09 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US20240407692A1 (en) | System to monitor neural integrity | |
| KR102251092B1 (ko) | 수술용 도구에 의한 환자 신경 조직의 전방향 바이폴라 자극 시스템 | |
| JP6805153B2 (ja) | 患者遠隔装置および関連付けられた神経刺激システムとの使用の方法 | |
| US11998337B2 (en) | Remote control module for instruments | |
| KR20190022341A (ko) | 미용 기구 | |
| JP2021510328A (ja) | 電極パッチ | |
| BR112015031151B1 (pt) | Aparelho de teste elétrico e método para teste elétrico | |
| US20250339684A1 (en) | System and method for stimulation of nerve tissue | |
| US20240033500A1 (en) | Evaluating method for useful lifespan of conductive gel and non-implantable electrical stimulation device | |
| US20240238583A1 (en) | Electrical stimulation devices and related controllers and methods | |
| KR101886933B1 (ko) | 스마트 수술도구 | |
| WO2024155672A1 (en) | Electrical stimulation devices and related controllers and methods |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| MK1 | Application lapsed section 142(2)(a) - no request for examination in relevant period |