JP7326674B2 - 全身麻酔下の患者における喉頭神経および迷走神経の完全性を評価するための方法およびシステム - Google Patents

全身麻酔下の患者における喉頭神経および迷走神経の完全性を評価するための方法およびシステム Download PDF

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JP7326674B2
JP7326674B2 JP2019534298A JP2019534298A JP7326674B2 JP 7326674 B2 JP7326674 B2 JP 7326674B2 JP 2019534298 A JP2019534298 A JP 2019534298A JP 2019534298 A JP2019534298 A JP 2019534298A JP 7326674 B2 JP7326674 B2 JP 7326674B2
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electrode
electrodes
endotracheal tube
lar
stimulation
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JP2020513901A5 (cg-RX-API-DMAC7.html
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シンクレア、キャサリン、エフ．
ウルカタン、セダット
ガーバヨ、マリア ジョセ テレス
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アイカーン スクール オブ メディスン アット マウント シナイ
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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
    • A61N1/18—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
    • A61N1/36053—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for vagal stimulation
    • 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
    • A61N1/0519—Endotracheal electrodes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/05—Detecting, measuring or recording for diagnosis by means of electric currents or magnetic fields; Measuring using microwaves or radio waves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/08—Measuring devices for evaluating the respiratory organs
    • A61B5/0803—Recording apparatus specially adapted therefor
    • 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
    • A61B5/388—Nerve conduction study, e.g. detecting action potential of peripheral nerves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/40—Detecting, measuring or recording for evaluating the nervous system
    • A61B5/4029—Detecting, measuring or recording for evaluating the nervous system for evaluating the peripheral nervous systems
    • A61B5/4041—Evaluating nerves condition
    • 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
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements 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
    • A61B5/6847—Arrangements 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 mounted on an invasive device
    • A61B5/6852—Catheters
    • A61B5/6853—Catheters with a balloon
    • 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
    • A61N1/36128—Control systems
    • A61N1/36132—Control systems using patient feedback
    • 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

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Pulmonology (AREA)
  • Cardiology (AREA)
  • Physiology (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
JP2019534298A 2016-12-23 2017-12-22 全身麻酔下の患者における喉頭神経および迷走神経の完全性を評価するための方法およびシステム Active JP7326674B2 (ja)

Applications Claiming Priority (5)

Application Number Priority Date Filing Date Title
US201662438862P 2016-12-23 2016-12-23
US62/438,862 2016-12-23
US201762552755P 2017-08-31 2017-08-31
US62/552,755 2017-08-31
PCT/US2017/068333 WO2018119454A1 (en) 2016-12-23 2017-12-22 Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia

Publications (3)

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JP2020513901A JP2020513901A (ja) 2020-05-21
JP2020513901A5 JP2020513901A5 (cg-RX-API-DMAC7.html) 2020-12-17
JP7326674B2 true JP7326674B2 (ja) 2023-08-16

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US (1) US11400279B2 (cg-RX-API-DMAC7.html)
EP (2) EP3558451B1 (cg-RX-API-DMAC7.html)
JP (1) JP7326674B2 (cg-RX-API-DMAC7.html)
KR (1) KR102491751B1 (cg-RX-API-DMAC7.html)
CN (1) CN110392592B (cg-RX-API-DMAC7.html)
AU (1) AU2017382441B2 (cg-RX-API-DMAC7.html)
CA (1) CA3046988C (cg-RX-API-DMAC7.html)
ES (2) ES3030483T3 (cg-RX-API-DMAC7.html)
RU (1) RU2769849C2 (cg-RX-API-DMAC7.html)
WO (1) WO2018119454A1 (cg-RX-API-DMAC7.html)

Families Citing this family (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US12419575B2 (en) 2014-08-08 2025-09-23 Medtronic Xomed, Inc. System and method for evoking a reflex to monitor the nerves of the larynx
RU2769849C2 (ru) 2016-12-23 2022-04-07 Айкан Скул Оф Медисин Эт Маунт Синай Способ и система для оценки целостности гортанного и блуждающего нерва у пациентов под общей анестезией
EP3672471B1 (en) 2017-08-22 2023-07-19 Medtronic Xomed, Inc. System for evoking a reflex to monitor the nerves of the larynx
US11400297B2 (en) 2019-04-08 2022-08-02 Pacesetter, Inc. Method and device for managing pacing therapy based on interventricular septal activity
GB202109874D0 (en) 2021-07-08 2021-08-25 Technomed Eng Bv Nerve monitoring apparatus
CN118340532B (zh) * 2024-04-12 2024-09-24 上海诺诚电气股份有限公司 喉返神经定位监测方法及定位检测使用的插管装置
CN121905589B (zh) * 2026-03-19 2026-06-23 上海诺诚电气股份有限公司 基于大模型的神经系统疾病术中监护系统

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100317956A1 (en) 2007-01-23 2010-12-16 Kartush Jack M Nerve monitoring device
US20110125212A1 (en) 2009-11-18 2011-05-26 Tyler Dustin J Hybrid method for modulating upper airway function in a subject
JP2013510594A (ja) 2009-10-02 2013-03-28 メドトロニック・ゾーメド・インコーポレーテッド 気管内挿入管装置
JP2016501641A (ja) 2012-12-24 2016-01-21 イーエモーション メディカル エルティーディー．Ｅ−Ｍｏｔｉｏｎ Ｍｅｄｉｃａｌ Ｌｔｄ． 胃腸管刺激装置及び方法
JP2016512150A (ja) 2013-03-14 2016-04-25 メドトロニック・ゾーメド・インコーポレーテッド Ｅｍｇ気管内チューブのための柔軟性電極
US11400279B2 (en) 2016-12-23 2022-08-02 Icahn School Of Medicine At Mount Sinai Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia

Family Cites Families (24)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4155353A (en) * 1976-11-18 1979-05-22 Davis William E Electrode and method for laryngeal electromyography
EP0245547B1 (en) * 1986-05-12 1990-08-22 The Regents Of The University Of California Electronic control system for controlling pelvic viscera via neuro-electrical stimulation
US4907602A (en) * 1985-10-18 1990-03-13 The Mount Sinai School Of Medicine Of The City Of New York Device for controlling the glottic opening
US5016647A (en) 1985-10-18 1991-05-21 Mount Sinai School Of Medicine Of The City University Of New York Method for controlling the glottic opening
US5024228A (en) * 1989-11-29 1991-06-18 Goldstone Andrew C Electrode endotracheal tube
US5125406A (en) * 1989-11-29 1992-06-30 Eet Limited Partnership (Del) Electrode endotracheal tube
GB9422224D0 (en) * 1994-11-03 1994-12-21 Brain Archibald Ian Jeremy A laryngeal mask airway device modified to detect and/or stimulate mescle or nerve activity
US6213960B1 (en) * 1998-06-19 2001-04-10 Revivant Corporation Chest compression device with electro-stimulation
US8065014B2 (en) * 2001-06-21 2011-11-22 Vanderbilt University Method for promoting selective reinnervation of denervated tissue
WO2006044793A2 (en) * 2004-10-18 2006-04-27 Louisiana Tech University Foundation Medical devices for the detection, prevention and/or treatment of neurological disorders, and methods related thereto
WO2006102591A2 (en) * 2005-03-24 2006-09-28 Vanderbilt University Respiratory triggered, bilateral laryngeal stimulator to restore normal ventilation in vocal fold paralysis
US20060254595A1 (en) * 2005-05-13 2006-11-16 Rea James L Endotracheal positioning device
US20100063376A1 (en) 2007-01-23 2010-03-11 Kartush Jack M Nerve monitoring device
US20100249639A1 (en) * 2009-01-20 2010-09-30 Samir Bhatt Airway management devices, endoscopic conduits, surgical kits, and methods of using the same
US9254383B2 (en) * 2009-03-20 2016-02-09 ElectroCore, LLC Devices and methods for monitoring non-invasive vagus nerve stimulation
US20110093032A1 (en) * 2009-08-05 2011-04-21 Ndi Medical, Llc Systems and methods for maintaining airway patency
US8888699B2 (en) 2010-04-29 2014-11-18 Medtronic, Inc. Therapy using perturbation and effect of physiological systems
US9345885B2 (en) * 2011-12-07 2016-05-24 Med-El Elektromedizinische Geraete Gmbh Pacemaker for unilateral vocal cord autoparalysis
US9931079B2 (en) * 2012-01-04 2018-04-03 Medtronic Xomed, Inc. Clamp for securing a terminal end of a wire to a surface electrode
AU2013237789A1 (en) * 2012-03-29 2014-10-16 Michael J. Pitman Method and apparatus for the treatment of spasmodic dysphonia
US9060744B2 (en) 2012-11-29 2015-06-23 Medtronic Xomed, Inc. Endobronchial tube apparatus
US12419575B2 (en) * 2014-08-08 2025-09-23 Medtronic Xomed, Inc. System and method for evoking a reflex to monitor the nerves of the larynx
US10542911B2 (en) * 2014-09-23 2020-01-28 The Curators Of The University Of Missouri System and method for laryngeal reflex examination
US10799152B2 (en) * 2016-08-11 2020-10-13 Medtronic Xomed, Inc. System and method for motion detection and accounting

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20100317956A1 (en) 2007-01-23 2010-12-16 Kartush Jack M Nerve monitoring device
JP2013510594A (ja) 2009-10-02 2013-03-28 メドトロニック・ゾーメド・インコーポレーテッド 気管内挿入管装置
US20110125212A1 (en) 2009-11-18 2011-05-26 Tyler Dustin J Hybrid method for modulating upper airway function in a subject
JP2016501641A (ja) 2012-12-24 2016-01-21 イーエモーション メディカル エルティーディー．Ｅ−Ｍｏｔｉｏｎ Ｍｅｄｉｃａｌ Ｌｔｄ． 胃腸管刺激装置及び方法
JP2016512150A (ja) 2013-03-14 2016-04-25 メドトロニック・ゾーメド・インコーポレーテッド Ｅｍｇ気管内チューブのための柔軟性電極
US11400279B2 (en) 2016-12-23 2022-08-02 Icahn School Of Medicine At Mount Sinai Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia

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RU2019123190A (ru) 2021-01-25
EP3558451B1 (en) 2024-02-14
US11400279B2 (en) 2022-08-02
KR20190099241A (ko) 2019-08-26
EP4342379A2 (en) 2024-03-27
RU2769849C2 (ru) 2022-04-07
EP3558451C0 (en) 2024-02-14
EP4342379A3 (en) 2024-05-22
ES3030483T3 (en) 2025-06-30
ES2982560T3 (es) 2024-10-16
EP3558451A4 (en) 2020-09-02
KR102491751B1 (ko) 2023-01-25
AU2017382441A1 (en) 2019-07-04
CN110392592A (zh) 2019-10-29
US20200179676A1 (en) 2020-06-11
RU2019123190A3 (cg-RX-API-DMAC7.html) 2021-04-26
EP3558451A1 (en) 2019-10-30
CA3046988C (en) 2024-03-12
BR112019012998A2 (pt) 2019-12-10
CN110392592B (zh) 2023-04-21
EP4342379C0 (en) 2025-04-23
EP4342379B1 (en) 2025-04-23
CA3046988A1 (en) 2018-06-28
WO2018119454A1 (en) 2018-06-28
JP2020513901A (ja) 2020-05-21
AU2017382441B2 (en) 2023-07-27

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