JP2000507111A - 神経筋遮断、特に、麻酔中に使用される筋弛緩薬により生じる遮断を監視及び/又は調節する方法及び装置 - Google Patents
神経筋遮断、特に、麻酔中に使用される筋弛緩薬により生じる遮断を監視及び/又は調節する方法及び装置Info
- Publication number
- JP2000507111A JP2000507111A JP9508146A JP50814697A JP2000507111A JP 2000507111 A JP2000507111 A JP 2000507111A JP 9508146 A JP9508146 A JP 9508146A JP 50814697 A JP50814697 A JP 50814697A JP 2000507111 A JP2000507111 A JP 2000507111A
- Authority
- JP
- Japan
- Prior art keywords
- stimulation
- muscle
- response
- applying
- blockade
- 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.)
- Ceased
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1104—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs
- A61B5/1106—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
-
- 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
-
- 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
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6825—Hand
- A61B5/6826—Finger
Abstract
Description
Claims (1)
- 【特許請求の範囲】 1. 少なくとも神経を刺激し、上記刺激に対する筋応答を検出及び測定するこ とからなる神経筋遮断、特に、麻酔中に使用される筋弛緩薬により生じる遮断を 監視及び/又は制御する方法であって、 上記神経の刺激は、上記刺激に対する応答の検出が実行される筋を覆う皮膚上 で、即ち、末梢神経を全く刺激する必要なく行われることを特徴とする方法。 2. 上記筋応答に基づいて筋弛緩薬の供給を自動調節することを特徴とする請 求項1記載の方法。 3. 神経刺激を印加する手段(7,8)と、上記刺激に対する応答を検出する 手段(9)と、神経筋遮断を監視する手段(15)とからなり、 上記神経刺激を印加する手段(7,8)及び上記応答を検出する手段(9)は 同じボディ(14)内に設けられていることを特徴とする請求項1記載の方法に 従って神経筋遮断、特に、麻酔中に使用される筋弛緩薬により生じる遮断を監視 及び/又は制御する装置。 4. 神経刺激を印加する手段(7,8)と、上記刺激に対する応答を検出する 手段(9)と、神経筋遮断を監視する手段(15)とからなり、 上記神経筋遮断を生じさせる薬を供給する手段と、 刺激の発生、活性度の記録、データ処理、投薬量の計算、及び上記薬を供給す る手段の計算された投薬量の関数としての調節を統合する制御手段とを更に有す ることを特徴とする請求項1又は2に記載の方法に従って神経筋遮断、特に、麻 酔中に使用される筋弛緩薬により生じる遮断を監視及び/又は制御する装置。 5. 上記神経刺激を印加する手段(7,8)及び上記応答を検出する手段(9 )は、単一のボディ(14)に配置されていることを特徴とする請求項4記載の 装置。 6. 上記ボディ(14)は、圧力を検出する手段(9)が設けられるか、又は 、該手段に接続された血圧を測定するため使用されるタイプの加圧帯であり、上 記加圧帯は上記神経刺激を印加する手段(7,8)を組み込むことを特徴とする 請求項3又は5記載の装置。 7. 上記神経刺激を印加する手段は、少なくとも2個の電極(7,8)からな ることを特徴とする請求項3又は5記載の装置。 8. 上記神経刺激を印加する手段(7,8)及び上記圧力を検出する手段は、 圧力波を電圧するエアーコンジット(11)と、刺激パルスを伝達する少なくと も一対の導電体(12,13)とを内側に収容する多重導体管(10)の中を監 視する手段(15)と組み合わされることを特徴とする請求項6記載の装置。 9. 上記刺激パルスを伝達する上記導電体(12)は、上記多重導体管(10 )の壁に内包されることを特徴とする請求項8記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
ES9501591 | 1995-08-04 | ||
ES9501591 | 1995-08-04 | ||
PCT/ES1996/000156 WO1997005923A1 (es) | 1995-08-04 | 1996-07-30 | Metodo y aparato para la monitorizacion y/o el control del bloqueo neuromuscular, en especial del bloqueo producido for farmacos relajantes musculares utilizados durante la anestesia |
Publications (1)
Publication Number | Publication Date |
---|---|
JP2000507111A true JP2000507111A (ja) | 2000-06-13 |
Family
ID=8291298
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP9508146A Ceased JP2000507111A (ja) | 1995-08-04 | 1996-07-30 | 神経筋遮断、特に、麻酔中に使用される筋弛緩薬により生じる遮断を監視及び/又は調節する方法及び装置 |
Country Status (6)
Country | Link |
---|---|
US (1) | US5957860A (ja) |
EP (1) | EP0787506A1 (ja) |
JP (1) | JP2000507111A (ja) |
AU (1) | AU702835B2 (ja) |
CA (1) | CA2201148A1 (ja) |
WO (1) | WO1997005923A1 (ja) |
Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2012115346A2 (ko) * | 2011-02-23 | 2012-08-30 | 사회복지법인 삼성생명공익재단 | 안면 신경 모니터링 장치 및 방법 |
JP2017503576A (ja) * | 2013-12-24 | 2017-02-02 | ロディエラ オリーブ, ホセ ハビエルRODIERA OLIVE, Jose Javier | 神経筋遮断状態の監視 |
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US6233472B1 (en) * | 1995-06-06 | 2001-05-15 | Patient Comfort, L.L.C. | Electrode assembly and method for signaling a monitor |
US6044293A (en) * | 1998-11-23 | 2000-03-28 | Altec, Inc. | Method for detecting toxic chemical concentration in individuals |
US6356775B1 (en) | 1999-04-20 | 2002-03-12 | Kyoho Machine Works. Ltd. | Biological data observation system |
DE10010899C1 (de) * | 2000-03-06 | 2001-09-06 | Siemens Ag | Verfahren und Vorrichtung zur Steigerung der Leistungsfähigkeit von Magnetresonanz-Tomographieanlagen |
US6389312B1 (en) * | 2000-07-21 | 2002-05-14 | General Electric Company | Method and system having simplified neuromuscular transmission scoring |
US6564079B1 (en) | 2000-07-27 | 2003-05-13 | Ckm Diagnostics, Inc. | Electrode array and skin attachment system for noninvasive nerve location and imaging device |
EP1232762A1 (en) * | 2001-02-19 | 2002-08-21 | Akzo Nobel N.V. | A method and a system for administering muscle relaxant to a patient |
IL141574A0 (en) * | 2001-02-21 | 2002-03-10 | Serpomed Ltd | Compact catheter insertion apparatus |
EP1487320A4 (en) | 2001-10-12 | 2010-12-01 | Univ Utah Res Found | ANESTHESIANT DRUG MONITORING APPARATUS |
JP3948617B2 (ja) * | 2002-10-22 | 2007-07-25 | 株式会社タニタ | 筋肉測定装置 |
DE10350764A1 (de) * | 2003-10-30 | 2005-05-25 | Dräger Medical AG & Co. KGaA | Vorrichtung und Verfahren zur Regelung eines nummerischen Werts für die medikamentöse Muskelerschlaffung |
US7305262B2 (en) | 2003-12-11 | 2007-12-04 | Ge Medical Systems Information Technologies, Inc. | Apparatus and method for acquiring oximetry and electrocardiogram signals |
US20050261559A1 (en) * | 2004-05-18 | 2005-11-24 | Mumford John R | Wireless physiological monitoring system |
US20060004298A1 (en) * | 2004-06-30 | 2006-01-05 | Kennedy Philip R | Software controlled electromyogram control systerm |
FR2877581B1 (fr) * | 2004-11-09 | 2007-01-12 | Draeger Safety Ag & Co Kgaa | Dispositif et procede de regulation d'une valeur numerique pour obtenir le relachement musculaire medicamenteux |
CA2665121C (en) * | 2006-09-16 | 2013-11-26 | Terence Gilhuly | Modeling and control for highly variable and nonlinear processes |
WO2009024947A2 (en) | 2007-08-22 | 2009-02-26 | Compex Medical S.A. | Device for dialysis and stimulation of a patient and method |
US20120245482A1 (en) * | 2010-09-16 | 2012-09-27 | Bolser Jeffrey W | Anesthesia Monitoring Device and Method |
US8989857B2 (en) | 2010-11-15 | 2015-03-24 | Sandy L. Heck | Control system and apparatus utilizing signals originating in the periauricular neuromuscular system |
US20120194341A1 (en) * | 2011-01-27 | 2012-08-02 | Peichel David J | Accelerometer feedback control loop for patient alert |
RU2465927C1 (ru) * | 2011-05-10 | 2012-11-10 | Лариса Геннадьевна Степанова | Способ оценки эффективности анестезиологического пособия при оперативных вмешательствах в абдоминальной области у свиней |
RU2509530C1 (ru) * | 2012-07-10 | 2014-03-20 | Государственное бюджетное образовательное учреждение высшего профессионального образования "Ивановская государственная медицинская академия" Министерства здравоохранения и социального развития Российской Федерации | Способ оценки адекватности наркоза у детей от 4 до 14 лет методом длиннолатентных слуховых вызванных потенциалов |
ES2959159T3 (es) | 2013-02-15 | 2024-02-21 | Senzime Ab Publ | Sistemas de electrodos para su utilización con sistemas de monitorización médica |
US11241171B2 (en) * | 2014-07-16 | 2022-02-08 | Regents Of The University Of Minnesota | Devices, systems and methods for monitoring neuromuscular blockage |
ES2957744R1 (es) * | 2021-03-30 | 2024-03-07 | Norlasco Cristina Ruiz | Un sistema de monitoreo no invasivo de los niveles de nocicepción y conciencia de pacientes sedados y anestesiados |
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US4291705A (en) * | 1979-09-10 | 1981-09-29 | The Regents Of The University Of California | Neuromuscular block monitor |
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FR2612069B1 (fr) * | 1987-03-13 | 1989-06-16 | Bio Industry Sarl | Dispositif permettant de maintenir au moins un organe de detection d'une contraction musculaire |
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1996
- 1996-07-30 US US08/817,336 patent/US5957860A/en not_active Expired - Lifetime
- 1996-07-30 AU AU65202/96A patent/AU702835B2/en not_active Ceased
- 1996-07-30 CA CA002201148A patent/CA2201148A1/en not_active Abandoned
- 1996-07-30 JP JP9508146A patent/JP2000507111A/ja not_active Ceased
- 1996-07-30 WO PCT/ES1996/000156 patent/WO1997005923A1/es not_active Application Discontinuation
- 1996-07-30 EP EP96924897A patent/EP0787506A1/en not_active Withdrawn
Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2012115346A2 (ko) * | 2011-02-23 | 2012-08-30 | 사회복지법인 삼성생명공익재단 | 안면 신경 모니터링 장치 및 방법 |
KR20120096846A (ko) * | 2011-02-23 | 2012-08-31 | 사회복지법인 삼성생명공익재단 | 안면 신경 모니터링 장치 및 방법 |
WO2012115346A3 (ko) * | 2011-02-23 | 2012-10-18 | 사회복지법인 삼성생명공익재단 | 안면 신경 모니터링 장치 및 방법 |
KR101658680B1 (ko) | 2011-02-23 | 2016-09-21 | 사회복지법인 삼성생명공익재단 | 안면 신경 모니터링 장치 및 방법 |
JP2017503576A (ja) * | 2013-12-24 | 2017-02-02 | ロディエラ オリーブ, ホセ ハビエルRODIERA OLIVE, Jose Javier | 神経筋遮断状態の監視 |
Also Published As
Publication number | Publication date |
---|---|
CA2201148A1 (en) | 1997-02-20 |
AU6520296A (en) | 1997-03-05 |
WO1997005923A1 (es) | 1997-02-20 |
AU702835B2 (en) | 1999-03-04 |
MX9702508A (es) | 1997-07-31 |
EP0787506A1 (en) | 1997-08-06 |
US5957860A (en) | 1999-09-28 |
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