JP7279048B2 - 神経カフ配備装置 - Google Patents
神経カフ配備装置 Download PDFInfo
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- JP7279048B2 JP7279048B2 JP2020532790A JP2020532790A JP7279048B2 JP 7279048 B2 JP7279048 B2 JP 7279048B2 JP 2020532790 A JP2020532790 A JP 2020532790A JP 2020532790 A JP2020532790 A JP 2020532790A JP 7279048 B2 JP7279048 B2 JP 7279048B2
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- 210000005036 nerve Anatomy 0.000 title claims description 460
- 239000002775 capsule Substances 0.000 claims description 38
- 238000000034 method Methods 0.000 description 36
- BASFCYQUMIYNBI-UHFFFAOYSA-N platinum Chemical compound [Pt] BASFCYQUMIYNBI-UHFFFAOYSA-N 0.000 description 24
- 239000004020 conductor Substances 0.000 description 15
- 229910052697 platinum Inorganic materials 0.000 description 12
- 238000012800 visualization Methods 0.000 description 9
- 238000004804 winding Methods 0.000 description 9
- 210000003497 sciatic nerve Anatomy 0.000 description 8
- 208000005890 Neuroma Diseases 0.000 description 5
- 238000009434 installation Methods 0.000 description 5
- 239000012811 non-conductive material Substances 0.000 description 5
- 210000000578 peripheral nerve Anatomy 0.000 description 5
- WABPQHHGFIMREM-UHFFFAOYSA-N lead(0) Chemical compound [Pb] WABPQHHGFIMREM-UHFFFAOYSA-N 0.000 description 4
- 229920001296 polysiloxane Polymers 0.000 description 4
- 238000005096 rolling process Methods 0.000 description 4
- 206010052428 Wound Diseases 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 238000003780 insertion Methods 0.000 description 3
- 230000037431 insertion Effects 0.000 description 3
- 230000001537 neural effect Effects 0.000 description 3
- 229910001220 stainless steel Inorganic materials 0.000 description 3
- 239000010935 stainless steel Substances 0.000 description 3
- 230000000638 stimulation Effects 0.000 description 3
- 230000001154 acute effect Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000002972 tibial nerve Anatomy 0.000 description 2
- 206010011878 Deafness Diseases 0.000 description 1
- 241000282326 Felis catus Species 0.000 description 1
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 230000036982 action potential Effects 0.000 description 1
- 230000003213 activating effect Effects 0.000 description 1
- 230000004913 activation Effects 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 238000002266 amputation Methods 0.000 description 1
- 239000012984 antibiotic solution Substances 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000011461 current therapy Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000008393 encapsulating agent Substances 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 238000007429 general method Methods 0.000 description 1
- 238000010348 incorporation Methods 0.000 description 1
- 239000011159 matrix material Substances 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000009467 reduction Effects 0.000 description 1
- 230000002441 reversible effect Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
Images
Classifications
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- 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
- A61N1/0551—Spinal or peripheral nerve electrodes
- A61N1/0558—Anchoring or fixation means therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3468—Trocars; Puncturing needles for implanting or removing devices, e.g. prostheses, implants, seeds, wires
-
- 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
-
- 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
- A61N1/0551—Spinal or peripheral nerve electrodes
- A61N1/0556—Cuff 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
- A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
- A61N1/36071—Pain
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
- A61F2/50—Prostheses not implantable in the body
- A61F2/68—Operating or control means
- A61F2/70—Operating or control means electrical
- A61F2/72—Bioelectric control, e.g. myoelectric
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Radiology & Medical Imaging (AREA)
- Neurology (AREA)
- Neurosurgery (AREA)
- Cardiology (AREA)
- Surgery (AREA)
- Orthopedic Medicine & Surgery (AREA)
- Pathology (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Pain & Pain Management (AREA)
- Electrotherapy Devices (AREA)
- Media Introduction/Drainage Providing Device (AREA)
- Surgical Instruments (AREA)
Description
本特許は、2017年12月13日に出願された、「NERVE CUFF DEPLOYMENT DEVICES」と題された、米国仮特許出願第62/598,369号の優先権を主張する。
本明細書中で言及するすべての刊行物および特許出願は、個々の刊行物または特許出願それぞれが、参照により組み込まれると具体的かつ個別に示されているのと同じ程度まで、それらの全体が参照により本明細書に組み込まれる。
103 リード線
105 コントローラ
107 肢切断者
203 神経カフ
205 隆起領域
303 神経カフ電極
305 鉗子
403 トロカール
407 神経根領域
409 内視鏡
411 神経腫
413 カプセル
415 神経カフ配備装置
417 神経カフ電極
503 カテーテル
517 神経カフ電極
521 カプセル
525 近位端部
527 半部
527' 半部
535 内視鏡マニピュレータ
603 左半部
603' 右半部
617 神経カフ電極
618 リード線
621 内側プッシャ
623 遠位端部
715 神経カフ配備ツール
716 分岐端部
717 神経カフ電極
719 神経カフ配備ツール
720 遠位端部
723 神経カフ配備ツール
725 神経カフ配備ツール
733 細長い本体
736 神経カフ係合領域
803 左側面
803' 右側面
805 ヒンジ領域
807 リード線
807' リード線
Claims (11)
- 神経カフ電極を患者の神経根に最小侵襲的に取り付けるための神経カフ配備装置において、
少なくとも10Nの圧縮力での座屈に抵抗するのに十分な柱強度を有する細長い本体であって、第1の半部および第2の半部を含む細長い本体と、
神経カフ電極に解放可能に固定されるように構成された、細長い本体の遠位端部における神経カフ係合領域であって、前記第1の半部の遠位端部における第1のカプセル部分、および前記第2の半部の遠位端部における第2のカプセル部分を含み、前記第1のカプセル部分および前記第2のカプセル部分は、前記神経カフ電極を封入し保護するためにカプセルを形成するように連結され、且つ、前記神経カフ電極を解放するために開くように構成されている、神経カフ係合領域と
を備えている、神経カフ配備装置。 - 自動カール神経カフ電極をさらに備えている、請求項1に記載の装置。
- 前記神経カフ係合領域に解放可能に連結される自動カール神経カフ電極をさらに備えている、請求項1に記載の装置。
- 前記細長い本体は可撓性である、請求項1に記載の装置。
- 前記神経カフ係合領域は、前記神経カフ電極と解放可能に係合するように構成されたフックまたはフォーク状部を含む、請求項1に記載の装置。
- 前記神経カフ係合領域は、前記神経カフ電極と係合するように構成された、丸い遠位端部を含む、請求項1に記載の装置。
- 前記細長い本体に隣接して延び、遠位方向の力を前記神経カフ電極に加えるように構成された遠位端部を有する、プッシャをさらに含む、請求項1に記載の装置。
- 前記プッシャは、前記細長い本体内部で延びる、請求項7に記載の装置。
- 前記プッシャは、前記神経カフ電極と係合するように構成されたフォーク状の遠位端部を含む、請求項7に記載の装置。
- 前記神経カフ係合領域を前記神経カフ電極から係合解除するように構成された、前記細長い本体に連結された近位制御部をさらに含む、請求項7に記載の装置。
- 前記第1のカプセル部分および前記第2のカプセル部分は、分離してカプセルを開くように構成されている、請求項1に記載の装置。
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201762598369P | 2017-12-13 | 2017-12-13 | |
US62/598,369 | 2017-12-13 | ||
PCT/US2018/065447 WO2019118725A1 (en) | 2017-12-13 | 2018-12-13 | Nerve cuff deployment devices |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2021506407A JP2021506407A (ja) | 2021-02-22 |
JP2021506407A5 JP2021506407A5 (ja) | 2022-01-06 |
JP7279048B2 true JP7279048B2 (ja) | 2023-05-22 |
Family
ID=66819506
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2020532790A Active JP7279048B2 (ja) | 2017-12-13 | 2018-12-13 | 神経カフ配備装置 |
Country Status (9)
Country | Link |
---|---|
US (2) | US11116965B2 (ja) |
EP (1) | EP3723840B1 (ja) |
JP (1) | JP7279048B2 (ja) |
KR (1) | KR102648346B1 (ja) |
CN (1) | CN111670061A (ja) |
AU (1) | AU2018385603B2 (ja) |
BR (1) | BR112020011807A2 (ja) |
CA (1) | CA3085452A1 (ja) |
WO (1) | WO2019118725A1 (ja) |
Families Citing this family (8)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US11413458B2 (en) | 2011-05-19 | 2022-08-16 | Neuros Medical, Inc. | Nerve cuff electrode for neuromodulation in large human nerve trunks |
JP7279048B2 (ja) | 2017-12-13 | 2023-05-22 | ニューロス・メディカル・インコーポレイティッド | 神経カフ配備装置 |
EP3773876B1 (en) | 2018-04-09 | 2024-04-17 | Neuros Medical, Inc. | Apparatuses for setting an electrical dose |
JP2023503351A (ja) * | 2019-11-27 | 2023-01-27 | ガルバニ バイオエレクトロニクス リミテッド | 神経インタフェースの腹腔鏡下送達及び展開のためのシステム及び方法 |
US11878172B2 (en) | 2020-02-11 | 2024-01-23 | Neuros Medical, Inc. | System and method for quantifying qualitative patient-reported data sets |
KR102244131B1 (ko) * | 2020-09-29 | 2021-04-23 | 주식회사 딥큐어 | 체내의 신경을 차단 또는 조절하기 위한 전극 장치 |
KR102296026B1 (ko) * | 2020-12-03 | 2021-09-02 | 주식회사 딥큐어 | 전극 장치 |
KR20220106584A (ko) | 2021-01-22 | 2022-07-29 | 재단법인 오송첨단의료산업진흥재단 | 신경 인터페이스 구조체 및 이의 제조방법 |
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