JP2017521108A - 圧受容器マッピングシステム - Google Patents
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Abstract
Description
実施例3では、実施例1または2のシステムにおいて、マッピング装置はマッピング装置を通って延びる少なくとも一つのマーキング開口を備え、マーカーは少なくとも一つのマーキング開口を介して患者に取り付けられる。
実施例12では、実施例10または11のシステムにおいて、マーカーは、マッピング装置が患者の圧受容器領域から除去されるときに、患者に取り付けられた状態を維持する。
実施例14は、自己カーリングマッピング装置を製造する方法である。方法は、自己カーリングシートを平面に広げて留める工程と、自己カーリングシートの内側カーリング部分の少なくとも一部に接着剤の層を塗布する工程と、接着剤によってマッピング装置を自己カーリングシートに積層し、積層アセンブリを提供する工程と、接着剤をカーリングされた状態で硬化させるために、積層アセンブリをマンドレルの周りにカーリングさせる工程と、自己カーリングマッピング装置を伸ばす工程とを含む。
実施例16は、マッピング装置と、刺激装置と、マーカーとを備えたシステムである。マッピング装置は、患者の圧受容器領域上に位置付けられる複数の電極を備える。刺激装置は、複数の電極のうちの選択された電極を刺激して、選択された電極の刺激に応答して患者から生理的反応を得るものである。マーカーは、患者からの生理的反応の分析に基づいて、選択された電極のうちの少なくとも一つの位置をマーキングするために、患者に取り付けられるものである。
実施例24では、実施例16〜23のいずれかのシステムにおいて、生理的反応を感知し、患者からの生理的反応を示す信号を提供するためのセンサを備え、刺激装置は、信号を受信し、信号を分析して、マーカーによってマーキングされる選択された電極のうちの少なくとも一つの位置を判定する。
実施例35では、実施例33または34の方法において、接着剤の層はシリコーン接着剤の層を含む。
420において、該方法は、自己カーリングシリコーンシート402を平面に広げて留める工程を含む。自己カーリングシリコーンシート402は、鋲410によって平面に留めることができる。422において、マッピング装置400を取り付けるために、自己カーリングシリコーンシート402の内側カーリング部分の少なくとも一部に、シリコーン接着剤の層412が塗布される。
Claims (15)
- 圧受容器領域において圧受容器をマッピングするために、患者の前記圧受容器領域上に位置付けられる複数の電極を備えるマッピング装置と、
複数の前記電極のうちの選択された電極を刺激して、選択された前記電極の刺激に応答して前記患者から生理的反応を得る刺激装置と、
前記患者からの前記生理的反応の分析に基づいて、選択された前記電極のうちの少なくとも一つの位置をマーキングするために、前記患者に取り付けられるマーカーとを備え、前記マーカーは、前記マッピング装置が前記患者から除去されるときに、前記患者上におけるその位置を維持するシステム。 - 前記マーカーを用いて前記圧受容器領域上に整合される少なくとも一つの植込み型電極を含む植込み型装置を備える、請求項1に記載のシステム。
- 前記マッピング装置は前記マッピング装置を通って延びる少なくとも一つのマーキング開口を備え、前記マーカーは少なくとも一つの前記マーキング開口を介して前記患者に取り付けられる、請求項1または2に記載のシステム。
- 複数の前記電極のうちの少なくとも一つは閉曲線マッピング電極形状を有し、前記閉曲線マッピング電極形状は前記閉曲線マッピング電極形状の内部領域を通って延びるマーキング開口を備える、請求項1〜3のいずれか一項に記載のシステム。
- 植込み型装置は、前記植込み型装置を通って延びる少なくとも一つの整合開口を備え、かつ前記マーカーおよび少なくとも一つの前記整合開口によって前記圧受容器領域上に整合される、請求項1〜4のいずれか一項に記載のシステム。
- 植込み型装置は、閉曲線植込み型電極形状と、前記閉曲線植込み型電極形状の内部領域を通って延びる整合開口とを有する植込み型電極を備えることによって、前記マーカーおよび前記整合開口によって前記圧受容器領域上に整合される、請求項1〜5のいずれか一項に記載のシステム。
- 前記マーカーは、前記マーカーを前記患者に取り付けるためのピン形状、フックおよび縫合糸のうちの少なくとも一つと、前記患者における前記マーカーの挿入距離を調節するための停止具とを備える、請求項1〜6のいずれか一項に記載のシステム。
- 前記マッピング装置は、前記患者に前記マッピング装置を固定する自己カーリングシートを備える、請求項1〜7のいずれか一項に記載のシステム。
- 前記生理的反応を感知し、かつ前記患者からの前記生理的反応を示す信号を提供するセンサを備え、前記刺激装置は、前記信号を受信し、前記信号を分析して、前記マーカーによってマーキングされる選択された前記電極のうちの少なくとも一つの位置を判定する、請求項1〜8のいずれか一項に記載のシステム。
- 患者の圧受容器領域において圧受容器をマッピングおよびマーキングするためのシステムにおいて、前記システムは、
前記患者の前記圧受容器領域上に位置付けられる複数の電極を備えるマッピング装置と、
生理的パラメータを感知し、前記生理的パラメータを示す信号を提供するセンサと、
前記センサから前記信号を受信し、前記信号を分析して、複数の前記電極のうちの電極の刺激に対する生理的反応を得る制御装置とを備え、前記制御装置は、刺激された前記電極および対応する前記生理的反応に関するデータを前記圧受容器領域のマップに格納し、
前記圧受容器領域のマップの分析に基づいて、刺激されたときに有効な前記生理的反応を提供する前記電極のうちの少なくとも一つの位置をマーキングするために、前記患者に取り付けられるマーカーを備えるシステム。 - 前記制御装置は、前記圧受容器領域のマップを分析して、前記電極のうちの少なくとも一つの位置を特定する、請求項10に記載のシステム。
- 前記マーカーは、前記マッピング装置が前記患者の前記圧受容器領域から除去されるときに、前記患者に取り付けられた状態を維持する、請求項10または11に記載のシステム。
- 前記マーカーを用いて前記圧受容器領域上に整合される少なくとも一つの植込み型電極を含む植込み型装置を備える、請求項10〜12のいずれか一項に記載のシステム。
- 自己カーリングマッピング装置を製造する方法において、前記方法は、
自己カーリングシートを平面に広げて留める工程と、
前記自己カーリングシートの内側カーリング部分の少なくとも一部に接着剤の層を塗布する工程と、
前記接着剤によってマッピング装置を前記自己カーリングシートに積層し、積層アセンブリを提供する工程と、
前記接着剤をカーリングされた状態で硬化させるために、前記積層アセンブリをマンドレルの周りにカーリングさせる工程と、
前記自己カーリングマッピング装置を伸ばす工程とを含む方法。 - 前記自己カーリングシートは、自己カーリングシリコーンシートと、シリコーン接着剤の層を含む前記接着剤の層とを備える、請求項14に記載の方法。
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PCT/US2015/036528 WO2015195982A2 (en) | 2014-06-19 | 2015-06-18 | Baroreceptor mapping system |
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