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 PDFInfo
- 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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- CN
- China
- Prior art keywords
- electrode
- nerve
- skin
- housing
- nonlinear
- 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.)
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Classifications
-
- 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
- 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
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/388—Nerve conduction study, e.g. detecting action potential of peripheral nerves
-
- 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
- A61B5/68—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
- 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)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Neurology (AREA)
- Biophysics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Medical Informatics (AREA)
- Pathology (AREA)
- Physics & Mathematics (AREA)
- Neurosurgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Cardiology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Physiology (AREA)
- Electrotherapy Devices (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US15/252,975 US9955882B2 (en) | 2016-08-31 | 2016-08-31 | System to monitor neural integrity |
| US15/252,975 | 2016-08-31 | ||
| 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 (https=) |
| EP (1) | EP3506978B1 (https=) |
| JP (1) | JP2019528140A (https=) |
| KR (1) | KR20190049770A (https=) |
| CN (1) | CN109890454B (https=) |
| AU (1) | AU2017321607A1 (https=) |
| CA (1) | CA3035554A1 (https=) |
| ES (1) | ES2886068T3 (https=) |
| WO (1) | WO2018045056A1 (https=) |
Families Citing this family (17)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20180001107A1 (en) | 2016-07-01 | 2018-01-04 | Btl Holdings Limited | Aesthetic method of biological structure treatment by magnetic field |
| US10695575B1 (en) | 2016-05-10 | 2020-06-30 | Btl Medical Technologies S.R.O. | Aesthetic method of biological structure treatment by magnetic field |
| US11464993B2 (en) | 2016-05-03 | 2022-10-11 | Btl Healthcare Technologies A.S. | Device including RF source of energy and vacuum system |
| US9955882B2 (en) | 2016-08-31 | 2018-05-01 | Medtronic Xomed, Inc. | System to monitor neural integrity |
| US11672487B2 (en) | 2017-10-06 | 2023-06-13 | 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 |
| 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 |
| AU2019255373B2 (en) | 2018-04-19 | 2025-02-06 | Iota Biosciences, Inc. | Implants using ultrasonic communication for modulating splenic nerve activity |
| CA3109810A1 (en) | 2018-08-29 | 2020-03-05 | Jose M. Carmena | Implantable closed-loop neuromodulation device, systems, and methods of use |
| US12558146B2 (en) | 2019-04-11 | 2026-02-24 | Btl Medical Solutions A.S. | Methods and devices for aesthetic treatment of biological structures by radiofrequency and magnetic energy |
| 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 |
| CN114828945A (zh) | 2019-10-17 | 2022-07-29 | 艾奧塔生物科技公司 | 用于调节癌症患者的免疫系统活性和治疗癌症的装置和方法 |
| BR112022022112A2 (pt) | 2020-05-04 | 2022-12-13 | Btl Healthcare Technologies As | Dispositivo para tratamento não assistido do paciente |
| US11878167B2 (en) | 2020-05-04 | 2024-01-23 | Btl Healthcare Technologies A.S. | Device and method 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 |
| US20260097225A1 (en) | 2024-10-08 | 2026-04-09 | Btl Medical Solutions A.S. | Devices and methods for application of a magnetic field to the nervous system |
Citations (1)
| 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)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| EP0855927A1 (en) * | 1995-11-24 | 1998-08-05 | Advanced Bionics Corporation | System and 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 |
| US7702385B2 (en) * | 2005-11-16 | 2010-04-20 | Boston Scientific Neuromodulation Corporation | Electrode contact configurations for an 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 |
| CN105031811B (zh) * | 2008-04-04 | 2017-09-08 | 安特罗麦迪克斯公司 | 用于葡萄糖调节的方法和系统 |
| WO2009135138A1 (en) | 2008-05-02 | 2009-11-05 | Medtronic, Inc. | Self expanding electrode cuff |
| US8515520B2 (en) * | 2008-12-08 | 2013-08-20 | Medtronic Xomed, Inc. | Nerve electrode |
| US9084551B2 (en) | 2008-12-08 | 2015-07-21 | Medtronic Xomed, Inc. | Method and system for monitoring a nerve |
| WO2010144578A2 (en) * | 2009-06-09 | 2010-12-16 | Setpoint Medical Corporation | Nerve cuff with pocket for leadless stimulator |
| 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 |
| US8594805B2 (en) * | 2011-08-23 | 2013-11-26 | Cardiac Pacemakers, Inc. | Systems to detect vagus capture |
| 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 |
| US9630013B2 (en) | 2013-03-01 | 2017-04-25 | 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 |
| WO2016112398A1 (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 EP EP17764994.4A patent/EP3506978B1/en active Active
- 2017-08-30 CN CN201780065973.5A patent/CN109890454B/zh active Active
- 2017-08-30 ES ES17764994T patent/ES2886068T3/es active Active
- 2017-08-30 AU AU2017321607A patent/AU2017321607A1/en not_active Abandoned
- 2017-08-30 WO PCT/US2017/049422 patent/WO2018045056A1/en not_active Ceased
- 2017-08-30 CA CA3035554A patent/CA3035554A1/en not_active Abandoned
- 2017-08-30 KR KR1020197009094A patent/KR20190049770A/ko not_active Abandoned
- 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
Patent Citations (1)
| 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 |
|---|---|
| US20240407692A1 (en) | 2024-12-12 |
| AU2017321607A1 (en) | 2019-03-28 |
| US10729343B2 (en) | 2020-08-04 |
| US20180242866A1 (en) | 2018-08-30 |
| KR20190049770A (ko) | 2019-05-09 |
| CA3035554A1 (en) | 2018-03-08 |
| US20180055393A1 (en) | 2018-03-01 |
| EP3506978A1 (en) | 2019-07-10 |
| US12064249B2 (en) | 2024-08-20 |
| ES2886068T3 (es) | 2021-12-16 |
| CN109890454A (zh) | 2019-06-14 |
| JP2019528140A (ja) | 2019-10-10 |
| WO2018045056A1 (en) | 2018-03-08 |
| US9955882B2 (en) | 2018-05-01 |
| EP3506978B1 (en) | 2021-08-04 |
| US20200345258A1 (en) | 2020-11-05 |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant |