CN110392592B - 评价全身麻醉的患者的喉返神经与迷走神经完整性的方法和系统 - Google Patents

评价全身麻醉的患者的喉返神经与迷走神经完整性的方法和系统 Download PDF

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Publication number
CN110392592B
CN110392592B CN201780087006.9A CN201780087006A CN110392592B CN 110392592 B CN110392592 B CN 110392592B CN 201780087006 A CN201780087006 A CN 201780087006A CN 110392592 B CN110392592 B CN 110392592B
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electrode
electrodes
endotracheal tube
laryngeal
response
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Chinese (zh)
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CN110392592A (zh
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C·F·辛克莱
S·尤卡坦
M·J·特列斯·加尔瓦约
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Icahn School of Medicine at Mount Sinai
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Icahn School of Medicine at Mount Sinai
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/0803—Recording apparatus specially adapted therefor
    • 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
    • A61B5/48—Other medical applications
    • A61B5/4836—Diagnosis combined with treatment in closed-loop systems or methods
    • 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
    • A61B5/6847—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 mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6853—Catheters with a balloon
    • 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
    • A61N1/0519—Endotracheal electrodes
    • 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
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36053—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for vagal stimulation
    • 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
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36132—Control systems using patient feedback
    • 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
CN201780087006.9A 2016-12-23 2017-12-22 评价全身麻醉的患者的喉返神经与迷走神经完整性的方法和系统 Active CN110392592B (zh)

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
CN110392592A CN110392592A (zh) 2019-10-29
CN110392592B true CN110392592B (zh) 2023-04-21

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Country Status (10)

Country Link
US (1) US11400279B2 (https=)
EP (2) EP3558451B1 (https=)
JP (1) JP7326674B2 (https=)
KR (1) KR102491751B1 (https=)
CN (1) CN110392592B (https=)
AU (1) AU2017382441B2 (https=)
CA (1) CA3046988C (https=)
ES (2) ES3030483T3 (https=)
RU (1) RU2769849C2 (https=)
WO (1) WO2018119454A1 (https=)

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
US11400279B2 (en) 2016-12-23 2022-08-02 Icahn School Of Medicine At Mount Sinai Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia
EP3672471B1 (en) 2017-08-22 2023-07-19 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

Family Cites Families (30)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
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
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
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
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
WO2006044793A2 (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
US8886280B2 (en) * 2007-01-23 2014-11-11 The Magstim Company Limited Nerve monitoring device
EP2120693A4 (en) 2007-01-23 2011-04-27 Jack M Kartush 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
US20110093032A1 (en) * 2009-08-05 2011-04-21 Ndi Medical, Llc Systems and methods for maintaining airway patency
ES2808155T3 (es) * 2009-10-02 2021-02-25 Medtronic Xomed Inc Aparato de tubo endotraqueal
US8983610B2 (en) * 2009-11-18 2015-03-17 Case Western Reserve University Hybrid method for modulating upper airway function in a subject
US8406868B2 (en) 2010-04-29 2013-03-26 Medtronic, Inc. Therapy using perturbation and effect of physiological systems
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
US8838252B2 (en) * 2012-03-29 2014-09-16 Michael J. Pitman Method and apparatus for the treatment of spasmodic dysphonia
US9060744B2 (en) 2012-11-29 2015-06-23 Medtronic Xomed, Inc. Endobronchial tube apparatus
US10384052B2 (en) * 2012-12-24 2019-08-20 E-Motion Medical, Ltd GI tract stimulation devices and methods
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
US11400279B2 (en) 2016-12-23 2022-08-02 Icahn School Of Medicine At Mount Sinai Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia

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Publication number Publication date
KR102491751B1 (ko) 2023-01-25
EP4342379C0 (en) 2025-04-23
EP3558451B1 (en) 2024-02-14
ES2982560T3 (es) 2024-10-16
AU2017382441B2 (en) 2023-07-27
EP3558451A1 (en) 2019-10-30
CA3046988C (en) 2024-03-12
CN110392592A (zh) 2019-10-29
KR20190099241A (ko) 2019-08-26
EP3558451C0 (en) 2024-02-14
JP2020513901A (ja) 2020-05-21
EP4342379A3 (en) 2024-05-22
BR112019012998A2 (pt) 2019-12-10
RU2769849C2 (ru) 2022-04-07
EP4342379A2 (en) 2024-03-27
ES3030483T3 (en) 2025-06-30
WO2018119454A1 (en) 2018-06-28
JP7326674B2 (ja) 2023-08-16
EP3558451A4 (en) 2020-09-02
US11400279B2 (en) 2022-08-02
CA3046988A1 (en) 2018-06-28
AU2017382441A1 (en) 2019-07-04
RU2019123190A3 (https=) 2021-04-26
US20200179676A1 (en) 2020-06-11
RU2019123190A (ru) 2021-01-25
EP4342379B1 (en) 2025-04-23

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Inventor after: C.f. Sinclair

Inventor after: S. Yucatan

Inventor after: M. J. teres galvayo

Inventor before: C.f. Sinclair

Inventor before: S. Yucatan

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