CN109890454B - 用于监测神经完整性的系统 - Google Patents

用于监测神经完整性的系统 Download PDF

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Publication number
CN109890454B
CN109890454B CN201780065973.5A CN201780065973A CN109890454B CN 109890454 B CN109890454 B CN 109890454B CN 201780065973 A CN201780065973 A CN 201780065973A CN 109890454 B CN109890454 B CN 109890454B
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China
Prior art keywords
electrode
nerve
housing
skin
contact
Prior art date
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CN201780065973.5A
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English (en)
Chinese (zh)
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CN109890454A (zh
Inventor
M·L·坎特维尔
B·L·考特尼
D·C·哈克尔
K·L·麦克法林
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Medtronic Xomed LLC
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Medtronic Xomed LLC
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Publication of CN109890454A publication Critical patent/CN109890454A/zh
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Classifications

    • 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
    • A61B5/40—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
    • 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)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (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)
CN201780065973.5A 2016-08-31 2017-08-30 用于监测神经完整性的系统 Active CN109890454B (zh)

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 (2)

Publication Number Publication Date
CN109890454A CN109890454A (zh) 2019-06-14
CN109890454B true CN109890454B (zh) 2024-01-09

Family

ID=59846692

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201780065973.5A Active CN109890454B (zh) 2016-08-31 2017-08-30 用于监测神经完整性的系统

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)

* Cited by examiner, † Cited by third party
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

Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105682734A (zh) * 2013-10-31 2016-06-15 波士顿科学神经调制公司 用于并入来自图像的引线信息的系统

Family Cites Families (33)

* Cited by examiner, † Cited by third party
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
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

Patent Citations (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105682734A (zh) * 2013-10-31 2016-06-15 波士顿科学神经调制公司 用于并入来自图像的引线信息的系统

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
AU2017321607A1 (en) 2019-03-28

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