JP2019528140A - 神経系の完全性を監視するためのシステム - Google Patents

神経系の完全性を監視するためのシステム Download PDF

Info

Publication number
JP2019528140A
JP2019528140A JP2019511903A JP2019511903A JP2019528140A JP 2019528140 A JP2019528140 A JP 2019528140A JP 2019511903 A JP2019511903 A JP 2019511903A JP 2019511903 A JP2019511903 A JP 2019511903A JP 2019528140 A JP2019528140 A JP 2019528140A
Authority
JP
Japan
Prior art keywords
electrode
nerve
assembly
contact
housing
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.)
Pending
Application number
JP2019511903A
Other languages
English (en)
Japanese (ja)
Other versions
JP2019528140A5 (enExample
Inventor
キャントウェル,マシュー・エル
コートニー,ブライアン・エル
ハッカー,デーヴィッド・シー
マクファーリン,ケヴィン・エル
Original Assignee
メドトロニック・ゾーメド・インコーポレーテッド
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by メドトロニック・ゾーメド・インコーポレーテッド filed Critical メドトロニック・ゾーメド・インコーポレーテッド
Publication of JP2019528140A publication Critical patent/JP2019528140A/ja
Publication of JP2019528140A5 publication Critical patent/JP2019528140A5/ja
Pending legal-status Critical Current

Links

Images

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/40Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4029Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
    • A61B5/4041Evaluating nerves condition
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/24Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
    • A61B5/25Bioelectric electrodes therefor
    • A61B5/279Bioelectric electrodes therefor specially adapted for particular uses
    • A61B5/296Bioelectric electrodes therefor specially adapted for particular uses for electromyography [EMG]
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/68Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846Arrangements 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
    • A61B5/6867Arrangements 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
    • A61B5/6877Nerve
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/74Details of notification to user or communication with user or patient; User input means
    • A61B5/742Details of notification to user or communication with user or patient; User input means using visual displays
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0551Spinal or peripheral nerve electrodes
    • A61N1/0556Cuff electrodes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2505/00Evaluating, monitoring or diagnosing in the context of a particular type of medical care
    • A61B2505/05Surgical care

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (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)
JP2019511903A 2016-08-31 2017-08-30 神経系の完全性を監視するためのシステム Pending JP2019528140A (ja)

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
JP2019528140A true JP2019528140A (ja) 2019-10-10
JP2019528140A5 JP2019528140A5 (enExample) 2020-10-08

Family

ID=59846692

Family Applications (1)

Application Number Title Priority Date Filing Date
JP2019511903A Pending JP2019528140A (ja) 2016-08-31 2017-08-30 神経系の完全性を監視するためのシステム

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 (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080132983A1 (en) * 2004-06-10 2008-06-05 Biocontrol Medical, Ltd. Electrode assembly for nerve control
US20100145221A1 (en) * 2008-12-08 2010-06-10 Brunnett William C Nerve electrode
JP2014525288A (ja) * 2011-08-23 2014-09-29 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

Family Cites Families (31)

* 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
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
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
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
WO2015066295A1 (en) * 2013-10-31 2015-05-07 Boston Scientific Neuromodulation Corporation System to incorporate lead information from image
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 (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20080132983A1 (en) * 2004-06-10 2008-06-05 Biocontrol Medical, Ltd. Electrode assembly for nerve control
US20100145221A1 (en) * 2008-12-08 2010-06-10 Brunnett William C Nerve electrode
JP2014525288A (ja) * 2011-08-23 2014-09-29 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

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
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
CN109890454B (zh) 2024-01-09

Similar Documents

Publication Publication Date Title
US12064249B2 (en) System to monitor neural integrity
JP5410297B2 (ja) 術中刺激のシステム
CN104066396B (zh) 允许传递组织刺激的接口模块以及通过常见外科手术仪器的电外科
US11998337B2 (en) Remote control module for instruments
CN104203129A (zh) 具有神经检测特征结构的外科器械
JP2017505169A (ja) 自給式携帯式双極式皮質刺激器
CN111110345A (zh) 刺激装置适配器
US9901395B2 (en) Probe for directional surgical coagulation with integrated nerve detection and method of use
US20240238583A1 (en) Electrical stimulation devices and related controllers and methods
KR101886933B1 (ko) 스마트 수술도구
WO2024155672A1 (en) Electrical stimulation devices and related controllers and methods

Legal Events

Date Code Title Description
A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20190508

A621 Written request for application examination

Free format text: JAPANESE INTERMEDIATE CODE: A621

Effective date: 20200805

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20200825

A131 Notification of reasons for refusal

Free format text: JAPANESE INTERMEDIATE CODE: A131

Effective date: 20210630

A977 Report on retrieval

Free format text: JAPANESE INTERMEDIATE CODE: A971007

Effective date: 20210630

A521 Request for written amendment filed

Free format text: JAPANESE INTERMEDIATE CODE: A523

Effective date: 20210924

A02 Decision of refusal

Free format text: JAPANESE INTERMEDIATE CODE: A02

Effective date: 20220301