JP4854900B2 - 筋電計測法 - Google Patents
筋電計測法 Download PDFInfo
- Publication number
- JP4854900B2 JP4854900B2 JP2001539347A JP2001539347A JP4854900B2 JP 4854900 B2 JP4854900 B2 JP 4854900B2 JP 2001539347 A JP2001539347 A JP 2001539347A JP 2001539347 A JP2001539347 A JP 2001539347A JP 4854900 B2 JP4854900 B2 JP 4854900B2
- Authority
- JP
- Japan
- Prior art keywords
- response
- nerve
- neuromuscular
- emg
- probe
- 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.)
- Expired - Lifetime
Links
- 238000000691 measurement method Methods 0.000 title 1
- 230000004044 response Effects 0.000 claims description 188
- 230000002232 neuromuscular Effects 0.000 claims description 101
- 230000000638 stimulation Effects 0.000 claims description 89
- 239000000523 sample Substances 0.000 claims description 88
- 210000001032 spinal nerve Anatomy 0.000 claims description 62
- 210000002235 sarcomere Anatomy 0.000 claims description 48
- 230000000977 initiatory effect Effects 0.000 claims description 20
- 210000003205 muscle Anatomy 0.000 claims description 10
- 230000008859 change Effects 0.000 claims description 6
- 210000004705 lumbosacral region Anatomy 0.000 claims description 4
- 230000003183 myoelectrical effect Effects 0.000 claims description 4
- 239000003086 colorant Substances 0.000 claims description 3
- 230000005540 biological transmission Effects 0.000 claims description 2
- 206010039491 Sarcoma Diseases 0.000 claims 1
- 230000000007 visual effect Effects 0.000 claims 1
- 210000005036 nerve Anatomy 0.000 description 148
- 238000002567 electromyography Methods 0.000 description 91
- 238000001514 detection method Methods 0.000 description 25
- 238000001356 surgical procedure Methods 0.000 description 17
- 238000005259 measurement Methods 0.000 description 12
- 210000001519 tissue Anatomy 0.000 description 12
- 230000008901 benefit Effects 0.000 description 10
- 238000000034 method Methods 0.000 description 9
- 230000001537 neural effect Effects 0.000 description 9
- 238000012790 confirmation Methods 0.000 description 8
- 230000006378 damage Effects 0.000 description 7
- 238000012544 monitoring process Methods 0.000 description 7
- 230000035945 sensitivity Effects 0.000 description 7
- 230000007433 nerve pathway Effects 0.000 description 6
- 230000003247 decreasing effect Effects 0.000 description 5
- 230000010004 neural pathway Effects 0.000 description 5
- 210000000118 neural pathway Anatomy 0.000 description 5
- 238000005070 sampling Methods 0.000 description 5
- 238000013459 approach Methods 0.000 description 4
- 230000036541 health Effects 0.000 description 4
- 210000001087 myotubule Anatomy 0.000 description 4
- 208000003098 Ganglion Cysts Diseases 0.000 description 3
- 208000005400 Synovial Cyst Diseases 0.000 description 3
- 238000013461 design Methods 0.000 description 3
- 238000010304 firing Methods 0.000 description 3
- 230000028161 membrane depolarization Effects 0.000 description 3
- 230000036279 refractory period Effects 0.000 description 3
- 230000004936 stimulating effect Effects 0.000 description 3
- 230000007423 decrease Effects 0.000 description 2
- 238000002474 experimental method Methods 0.000 description 2
- 230000008904 neural response Effects 0.000 description 2
- 230000003287 optical effect Effects 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 210000000115 thoracic cavity Anatomy 0.000 description 2
- 206010049119 Emotional distress Diseases 0.000 description 1
- 208000003618 Intervertebral Disc Displacement Diseases 0.000 description 1
- 208000031264 Nerve root compression Diseases 0.000 description 1
- 206010037779 Radiculopathy Diseases 0.000 description 1
- 230000003444 anaesthetic effect Effects 0.000 description 1
- 230000003466 anti-cipated effect Effects 0.000 description 1
- 230000002051 biphasic effect Effects 0.000 description 1
- 210000000746 body region Anatomy 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 230000036461 convulsion Effects 0.000 description 1
- 230000002999 depolarising effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000001914 filtration Methods 0.000 description 1
- 239000006260 foam Substances 0.000 description 1
- 210000000609 ganglia Anatomy 0.000 description 1
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- 210000003734 kidney Anatomy 0.000 description 1
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- 230000003387 muscular Effects 0.000 description 1
- 230000000926 neurological effect Effects 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 230000000737 periodic effect Effects 0.000 description 1
- 210000000578 peripheral nerve Anatomy 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
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- 210000005070 sphincter Anatomy 0.000 description 1
- 210000000278 spinal cord Anatomy 0.000 description 1
- 210000000273 spinal nerve root Anatomy 0.000 description 1
- 230000001052 transient effect Effects 0.000 description 1
- 238000012795 verification Methods 0.000 description 1
Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
-
- 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
-
- 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
- A61B5/389—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
- A61B5/389—Electromyography [EMG]
- A61B5/395—Details of stimulation, e.g. nerve stimulation to elicit EMG response
-
- 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
- A61B5/48—Other medical applications
- A61B5/4887—Locating particular structures in or on the body
- A61B5/4893—Nerves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/08—Arrangements or circuits for monitoring, protecting, controlling or indicating
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
-
- 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]
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Neurology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Radiology & Medical Imaging (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Applications Claiming Priority (3)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| US16741699P | 1999-11-24 | 1999-11-24 | |
| US60/167,416 | 1999-11-24 | ||
| PCT/US2000/032329 WO2001037728A1 (en) | 1999-11-24 | 2000-11-24 | Electromyography system |
Publications (3)
| Publication Number | Publication Date |
|---|---|
| JP2003514607A JP2003514607A (ja) | 2003-04-22 |
| JP2003514607A5 JP2003514607A5 (enExample) | 2009-01-15 |
| JP4854900B2 true JP4854900B2 (ja) | 2012-01-18 |
Family
ID=22607298
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2001539347A Expired - Lifetime JP4854900B2 (ja) | 1999-11-24 | 2000-11-24 | 筋電計測法 |
Country Status (6)
| Country | Link |
|---|---|
| US (12) | US7470236B1 (enExample) |
| EP (1) | EP1237472A4 (enExample) |
| JP (1) | JP4854900B2 (enExample) |
| KR (1) | KR20020077346A (enExample) |
| AU (1) | AU779567B2 (enExample) |
| WO (1) | WO2001037728A1 (enExample) |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US11026627B2 (en) | 2013-03-15 | 2021-06-08 | Cadwell Laboratories, Inc. | Surgical instruments for determining a location of a nerve during a procedure |
| US11177610B2 (en) | 2017-01-23 | 2021-11-16 | Cadwell Laboratories, ino. | Neuromonitoring connection system |
| US11253182B2 (en) | 2018-05-04 | 2022-02-22 | Cadwell Laboratories, Inc. | Apparatus and method for polyphasic multi-output constant-current and constant-voltage neurophysiological stimulation |
| US11443649B2 (en) | 2018-06-29 | 2022-09-13 | Cadwell Laboratories, Inc. | Neurophysiological monitoring training simulator |
| US11992339B2 (en) | 2018-05-04 | 2024-05-28 | Cadwell Laboratories, Inc. | Systems and methods for dynamic neurophysiological stimulation |
Families Citing this family (360)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| ATE306213T1 (de) | 1998-12-23 | 2005-10-15 | Nuvasive Inc | Vorrichtungen zur kannulation und zur nervenüberwachung |
| JP2003530131A (ja) | 1999-03-07 | 2003-10-14 | ディスクレ リミテッド | コンピューターを利用する手術方法及び装置 |
| KR20020077346A (ko) * | 1999-11-24 | 2002-10-11 | 너바시브 인코퍼레이티드 | 근전도검사 시스템 |
| US6466817B1 (en) * | 1999-11-24 | 2002-10-15 | Nuvasive, Inc. | Nerve proximity and status detection system and method |
| US6389312B1 (en) * | 2000-07-21 | 2002-05-14 | General Electric Company | Method and system having simplified neuromuscular transmission scoring |
| WO2003005887A2 (en) * | 2001-07-11 | 2003-01-23 | Nuvasive, Inc. | System and methods for determining nerve proximity, direction, and pathology during surgery |
| AU2015246103B2 (en) * | 2001-07-11 | 2017-06-29 | Nuvasive, Inc. | System and methods for determining nerve proximity, direction, and pathology during surgery |
| JP2005503857A (ja) | 2001-09-25 | 2005-02-10 | ヌバシブ, インコーポレイテッド | 外科処置手順および外科的診断を実施するためのシステムおよび方法 |
| KR20040048903A (ko) * | 2001-09-28 | 2004-06-10 | 미간 메디칼, 인코퍼레이티드 | 경피 전기 신호의 제어 방법 및 장치 |
| AU2002353954B2 (en) * | 2001-10-30 | 2008-07-31 | Nuvasive, Inc. | System and methods for performing percutaneous pedicle integrity assessments |
| US7664544B2 (en) * | 2002-10-30 | 2010-02-16 | Nuvasive, Inc. | System and methods for performing percutaneous pedicle integrity assessments |
| US6850788B2 (en) | 2002-03-25 | 2005-02-01 | Masimo Corporation | Physiological measurement communications adapter |
| US8147421B2 (en) | 2003-01-15 | 2012-04-03 | Nuvasive, Inc. | System and methods for determining nerve direction to a surgical instrument |
| US7582058B1 (en) | 2002-06-26 | 2009-09-01 | Nuvasive, Inc. | Surgical access system and related methods |
| US8137284B2 (en) | 2002-10-08 | 2012-03-20 | Nuvasive, Inc. | Surgical access system and related methods |
| JP4397817B2 (ja) * | 2003-01-15 | 2010-01-13 | ヌバシブ, インコーポレイテッド | 神経に対する方向を決定するための、システムおよび方法 |
| US7691057B2 (en) * | 2003-01-16 | 2010-04-06 | Nuvasive, Inc. | Surgical access system and related methods |
| US7819801B2 (en) | 2003-02-27 | 2010-10-26 | Nuvasive, Inc. | Surgical access system and related methods |
| US20040225228A1 (en) | 2003-05-08 | 2004-11-11 | Ferree Bret A. | Neurophysiological apparatus and procedures |
| WO2005013805A2 (en) | 2003-08-05 | 2005-02-17 | Nuvasive, Inc. | Systemand methods for performing dynamic pedicle integrity assessments |
| ES2564694T3 (es) | 2003-09-12 | 2016-03-28 | Vessix Vascular, Inc. | Sistema de remodelación y / o ablación excéntrica seleccionable de material ateroesclerótico |
| AU2004275877B2 (en) | 2003-09-25 | 2008-09-04 | Nuvasive, Inc. | Surgical access system and related methods |
| US7905840B2 (en) | 2003-10-17 | 2011-03-15 | Nuvasive, Inc. | Surgical access system and related methods |
| US8313430B1 (en) | 2006-01-11 | 2012-11-20 | Nuvasive, Inc. | Surgical access system and related methods |
| AU2005231443B2 (en) | 2004-04-01 | 2012-02-23 | The General Hospital Corporation | Method and apparatus for dermatological treatment and tissue reshaping |
| US9713730B2 (en) | 2004-09-10 | 2017-07-25 | Boston Scientific Scimed, Inc. | Apparatus and method for treatment of in-stent restenosis |
| US8396548B2 (en) | 2008-11-14 | 2013-03-12 | Vessix Vascular, Inc. | Selective drug delivery in a lumen |
| US8538539B2 (en) | 2004-10-07 | 2013-09-17 | Nu Vasive, Inc. | System and methods for assessing the neuromuscular pathway prior to nerve testing |
| WO2006042241A2 (en) | 2004-10-08 | 2006-04-20 | Nuvasive, Inc. | Surgical access system and related methods |
| US8430881B2 (en) | 2004-10-15 | 2013-04-30 | Baxano, Inc. | Mechanical tissue modification devices and methods |
| US8257356B2 (en) | 2004-10-15 | 2012-09-04 | Baxano, Inc. | Guidewire exchange systems to treat spinal stenosis |
| US8048080B2 (en) | 2004-10-15 | 2011-11-01 | Baxano, Inc. | Flexible tissue rasp |
| US8613745B2 (en) | 2004-10-15 | 2013-12-24 | Baxano Surgical, Inc. | Methods, systems and devices for carpal tunnel release |
| US7578819B2 (en) | 2005-05-16 | 2009-08-25 | Baxano, Inc. | Spinal access and neural localization |
| US8062300B2 (en) | 2006-05-04 | 2011-11-22 | Baxano, Inc. | Tissue removal with at least partially flexible devices |
| US9247952B2 (en) | 2004-10-15 | 2016-02-02 | Amendia, Inc. | Devices and methods for tissue access |
| CA2583906C (en) | 2004-10-15 | 2011-12-06 | Baxano, Inc. | Devices and methods for tissue removal |
| US7938830B2 (en) | 2004-10-15 | 2011-05-10 | Baxano, Inc. | Powered tissue modification devices and methods |
| US20060095028A1 (en) | 2004-10-15 | 2006-05-04 | Baxano, Inc. | Devices and methods for tissue access |
| US7738969B2 (en) | 2004-10-15 | 2010-06-15 | Baxano, Inc. | Devices and methods for selective surgical removal of tissue |
| US20110190772A1 (en) | 2004-10-15 | 2011-08-04 | Vahid Saadat | Powered tissue modification devices and methods |
| US7887538B2 (en) | 2005-10-15 | 2011-02-15 | Baxano, Inc. | Methods and apparatus for tissue modification |
| US20100331883A1 (en) | 2004-10-15 | 2010-12-30 | Schmitz Gregory P | Access and tissue modification systems and methods |
| US9101386B2 (en) | 2004-10-15 | 2015-08-11 | Amendia, Inc. | Devices and methods for treating tissue |
| US20100004654A1 (en) * | 2008-07-01 | 2010-01-07 | Schmitz Gregory P | Access and tissue modification systems and methods |
| US8221397B2 (en) | 2004-10-15 | 2012-07-17 | Baxano, Inc. | Devices and methods for tissue modification |
| WO2006072050A2 (en) * | 2004-12-30 | 2006-07-06 | Nuvasive, Inc. | System and methods for monitoring during anterior surgery |
| US7643884B2 (en) * | 2005-01-31 | 2010-01-05 | Warsaw Orthopedic, Inc. | Electrically insulated surgical needle assembly |
| EP1846094B1 (en) * | 2005-02-02 | 2011-10-05 | NuVasive, Inc. | System for performing neurophysiologic assessments during surgery |
| US8568331B2 (en) | 2005-02-02 | 2013-10-29 | Nuvasive, Inc. | System and methods for monitoring during anterior surgery |
| US20060200219A1 (en) * | 2005-03-01 | 2006-09-07 | Ndi Medical, Llc | Systems and methods for differentiating and/or identifying tissue regions innervated by targeted nerves for diagnostic and/or therapeutic purposes |
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- 2007-10-31 US US11/981,893 patent/US20080071191A1/en not_active Abandoned
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| US11026627B2 (en) | 2013-03-15 | 2021-06-08 | Cadwell Laboratories, Inc. | Surgical instruments for determining a location of a nerve during a procedure |
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| US11177610B2 (en) | 2017-01-23 | 2021-11-16 | Cadwell Laboratories, ino. | Neuromonitoring connection system |
| US11949188B2 (en) | 2017-01-23 | 2024-04-02 | Cadwell Laboratories, Inc. | Methods for concurrently forming multiple electrical connections in a neuro-monitoring system |
| US11253182B2 (en) | 2018-05-04 | 2022-02-22 | Cadwell Laboratories, Inc. | Apparatus and method for polyphasic multi-output constant-current and constant-voltage neurophysiological stimulation |
| US11992339B2 (en) | 2018-05-04 | 2024-05-28 | Cadwell Laboratories, Inc. | Systems and methods for dynamic neurophysiological stimulation |
| US11998338B2 (en) | 2018-05-04 | 2024-06-04 | Cadwell Laboratories, Inc. | Systems and methods for dynamically switching output port cathode and anode designations |
| US11443649B2 (en) | 2018-06-29 | 2022-09-13 | Cadwell Laboratories, Inc. | Neurophysiological monitoring training simulator |
| US11978360B2 (en) | 2018-06-29 | 2024-05-07 | Cadwell Laboratories, Inc. | Systems and methods for neurophysiological simulation |
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| US8337410B2 (en) | 2012-12-25 |
| US20080071191A1 (en) | 2008-03-20 |
| US20120029382A1 (en) | 2012-02-02 |
| US20080064977A1 (en) | 2008-03-13 |
| US9743853B2 (en) | 2017-08-29 |
| US8562539B2 (en) | 2013-10-22 |
| US20130178758A1 (en) | 2013-07-11 |
| US20080064976A1 (en) | 2008-03-13 |
| US20070293782A1 (en) | 2007-12-20 |
| WO2001037728A1 (en) | 2001-05-31 |
| EP1237472A1 (en) | 2002-09-11 |
| US8958869B2 (en) | 2015-02-17 |
| US20040199084A1 (en) | 2004-10-07 |
| US8641638B2 (en) | 2014-02-04 |
| US20190046058A1 (en) | 2019-02-14 |
| US7470236B1 (en) | 2008-12-30 |
| AU2251701A (en) | 2001-06-04 |
| JP2003514607A (ja) | 2003-04-22 |
| EP1237472A4 (en) | 2008-04-30 |
| KR20020077346A (ko) | 2002-10-11 |
| AU779567B2 (en) | 2005-01-27 |
| US20080065178A1 (en) | 2008-03-13 |
| US20110288433A1 (en) | 2011-11-24 |
| US20150157227A1 (en) | 2015-06-11 |
| US7991463B2 (en) | 2011-08-02 |
| US7963927B2 (en) | 2011-06-21 |
| WO2001037728A9 (en) | 2002-08-01 |
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