CA3046988C - Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia - Google Patents

Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia Download PDF

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Publication number
CA3046988C
CA3046988C CA3046988A CA3046988A CA3046988C CA 3046988 C CA3046988 C CA 3046988C CA 3046988 A CA3046988 A CA 3046988A CA 3046988 A CA3046988 A CA 3046988A CA 3046988 C CA3046988 C CA 3046988C
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Prior art keywords
electrode
electrodes
surface based
endotracheal tube
lar
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Application number
CA3046988A
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English (en)
French (fr)
Other versions
CA3046988A1 (en
Inventor
Catherine F. Sinclair
Sedat ULKATAN
Maria Jose Tellez Garbayo
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.)
Icahn School of Medicine at Mount Sinai
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Icahn School of Medicine at Mount Sinai
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Publication of CA3046988A1 publication Critical patent/CA3046988A1/en
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Publication of CA3046988C publication Critical patent/CA3046988C/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36053Implantable neurostimulators for stimulating central or peripheral nerve system adapted for vagal stimulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0519Endotracheal electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/05Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/08Measuring devices for evaluating the respiratory organs
    • A61B5/0803Recording apparatus specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/316Modalities, i.e. specific diagnostic methods
    • A61B5/388Nerve conduction study, e.g. detecting action potential of peripheral nerves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4029Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
    • A61B5/4041Evaluating nerves condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/48Other medical applications
    • A61B5/4836Diagnosis combined with treatment in closed-loop systems or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements 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
    • A61B5/6847Arrangements 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 mounted on an invasive device
    • A61B5/6852Catheters
    • A61B5/6853Catheters with a balloon
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128Control systems
    • A61N1/36132Control systems using patient feedback
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05Surgical care

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Neurology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Neurosurgery (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
CA3046988A 2016-12-23 2017-12-22 Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia Active CA3046988C (en)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201662438862P 2016-12-23 2016-12-23
US62/438,862 2016-12-23
US201762552755P 2017-08-31 2017-08-31
US62/552,755 2017-08-31
PCT/US2017/068333 WO2018119454A1 (en) 2016-12-23 2017-12-22 Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia

Publications (2)

Publication Number Publication Date
CA3046988A1 CA3046988A1 (en) 2018-06-28
CA3046988C true CA3046988C (en) 2024-03-12

Family

ID=62627938

Family Applications (1)

Application Number Title Priority Date Filing Date
CA3046988A Active CA3046988C (en) 2016-12-23 2017-12-22 Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia

Country Status (11)

Country Link
US (1) US11400279B2 (enExample)
EP (2) EP3558451B1 (enExample)
JP (1) JP7326674B2 (enExample)
KR (1) KR102491751B1 (enExample)
CN (1) CN110392592B (enExample)
AU (1) AU2017382441B2 (enExample)
BR (1) BR112019012998A2 (enExample)
CA (1) CA3046988C (enExample)
ES (2) ES2982560T3 (enExample)
RU (1) RU2769849C2 (enExample)
WO (1) WO2018119454A1 (enExample)

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12419575B2 (en) 2014-08-08 2025-09-23 Medtronic Xomed, Inc. System and method for evoking a reflex to monitor the nerves of the larynx
ES2982560T3 (es) 2016-12-23 2024-10-16 Icahn School Med Mount Sinai Sistema para evaluar la integridad de los nervios laríngeo y vago en pacientes bajo anestesia general
EP4292641A3 (en) * 2017-08-22 2024-03-13 Medtronic Xomed, Inc. System for evoking a reflex to monitor the nerves of the larynx
US11400297B2 (en) 2019-04-08 2022-08-02 Pacesetter, Inc. Method and device for managing pacing therapy based on interventricular septal activity
GB202109874D0 (en) 2021-07-08 2021-08-25 Technomed Eng Bv Nerve monitoring apparatus
CN118340532B (zh) * 2024-04-12 2024-09-24 上海诺诚电气股份有限公司 喉返神经定位监测方法及定位检测使用的插管装置

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US4155353A (en) * 1976-11-18 1979-05-22 Davis William E Electrode and method for laryngeal electromyography
EP0245547B1 (en) * 1986-05-12 1990-08-22 The Regents Of The University Of California Electronic control system for controlling pelvic viscera via neuro-electrical stimulation
US4907602A (en) * 1985-10-18 1990-03-13 The Mount Sinai School Of Medicine Of The City Of New York Device for controlling the glottic opening
US5016647A (en) 1985-10-18 1991-05-21 Mount Sinai School Of Medicine Of The City University Of New York Method for controlling the glottic opening
US5125406A (en) * 1989-11-29 1992-06-30 Eet Limited Partnership (Del) Electrode endotracheal tube
US5024228A (en) * 1989-11-29 1991-06-18 Goldstone Andrew C Electrode endotracheal tube
GB9422224D0 (en) * 1994-11-03 1994-12-21 Brain Archibald Ian Jeremy A laryngeal mask airway device modified to detect and/or stimulate mescle or nerve activity
US6213960B1 (en) * 1998-06-19 2001-04-10 Revivant Corporation Chest compression device with electro-stimulation
US8065014B2 (en) * 2001-06-21 2011-11-22 Vanderbilt University Method for promoting selective reinnervation of denervated tissue
CA2626691A1 (en) * 2004-10-18 2006-04-27 Louisiana Tech University Foundation Medical devices for the detection, prevention and/or treatment of neurological disorders, and methods related thereto
WO2006102591A2 (en) 2005-03-24 2006-09-28 Vanderbilt University Respiratory triggered, bilateral laryngeal stimulator to restore normal ventilation in vocal fold paralysis
US20060254595A1 (en) * 2005-05-13 2006-11-16 Rea James L Endotracheal positioning device
EP2120693A4 (en) 2007-01-23 2011-04-27 Jack M Kartush NERVE MONITORING DEVICE
US8886280B2 (en) * 2007-01-23 2014-11-11 The Magstim Company Limited Nerve monitoring device
WO2010091440A2 (en) * 2009-01-20 2010-08-12 Samir Bhatt Airway management devices, endoscopic conduits, surgical kits, and methods using the same
US9254383B2 (en) * 2009-03-20 2016-02-09 ElectroCore, LLC Devices and methods for monitoring non-invasive vagus nerve stimulation
WO2011016864A1 (en) * 2009-08-05 2011-02-10 Ndi Medical, Llc Systems and methods for maintaining airway patency
EP3721937B1 (en) * 2009-10-02 2021-12-01 Medtronic Xomed, Inc. Endotracheal tube apparatus
US8983610B2 (en) * 2009-11-18 2015-03-17 Case Western Reserve University Hybrid method for modulating upper airway function in a subject
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US9345885B2 (en) * 2011-12-07 2016-05-24 Med-El Elektromedizinische Geraete Gmbh Pacemaker for unilateral vocal cord autoparalysis
US9931079B2 (en) * 2012-01-04 2018-04-03 Medtronic Xomed, Inc. Clamp for securing a terminal end of a wire to a surface electrode
EP2830703B1 (en) * 2012-03-29 2019-06-19 MED-EL Elektromedizinische Geräte GmbH Apparatus for the treatment of dysphonia
US9060744B2 (en) * 2012-11-29 2015-06-23 Medtronic Xomed, Inc. Endobronchial tube apparatus
US9913594B2 (en) * 2013-03-14 2018-03-13 Medtronic Xomed, Inc. Compliant electrode for EMG endotracheal tube
US12419575B2 (en) * 2014-08-08 2025-09-23 Medtronic Xomed, Inc. System and method for evoking a reflex to monitor the nerves of the larynx
US10542911B2 (en) 2014-09-23 2020-01-28 The Curators Of The University Of Missouri System and method for laryngeal reflex examination
US10799152B2 (en) * 2016-08-11 2020-10-13 Medtronic Xomed, Inc. System and method for motion detection and accounting
ES2982560T3 (es) 2016-12-23 2024-10-16 Icahn School Med Mount Sinai Sistema para evaluar la integridad de los nervios laríngeo y vago en pacientes bajo anestesia general

Also Published As

Publication number Publication date
ES3030483T3 (en) 2025-06-30
RU2019123190A3 (enExample) 2021-04-26
EP3558451B1 (en) 2024-02-14
WO2018119454A1 (en) 2018-06-28
CN110392592A (zh) 2019-10-29
AU2017382441B2 (en) 2023-07-27
RU2769849C2 (ru) 2022-04-07
CA3046988A1 (en) 2018-06-28
US20200179676A1 (en) 2020-06-11
ES2982560T3 (es) 2024-10-16
US11400279B2 (en) 2022-08-02
JP2020513901A (ja) 2020-05-21
EP3558451A4 (en) 2020-09-02
EP4342379A2 (en) 2024-03-27
RU2019123190A (ru) 2021-01-25
EP3558451C0 (en) 2024-02-14
EP4342379A3 (en) 2024-05-22
CN110392592B (zh) 2023-04-21
EP3558451A1 (en) 2019-10-30
KR102491751B1 (ko) 2023-01-25
EP4342379B1 (en) 2025-04-23
EP4342379C0 (en) 2025-04-23
BR112019012998A2 (pt) 2019-12-10
AU2017382441A1 (en) 2019-07-04
KR20190099241A (ko) 2019-08-26
JP7326674B2 (ja) 2023-08-16

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