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
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stimulation
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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)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular 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 (https=) 2020-12-17
JP7326674B2 true JP7326674B2 (ja) 2023-08-16

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US (1) US11400279B2 (https=)
EP (2) EP4342379B1 (https=)
JP (1) JP7326674B2 (https=)
KR (1) KR102491751B1 (https=)
CN (1) CN110392592B (https=)
AU (1) AU2017382441B2 (https=)
CA (1) CA3046988C (https=)
ES (2) ES2982560T3 (https=)
RU (1) RU2769849C2 (https=)
WO (1) WO2018119454A1 (https=)

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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
ES2982560T3 (es) 2016-12-23 2024-10-16 Icahn School Med Mount Sinai Sistema para evaluar la integridad de los nervios laríngeo y vago en pacientes bajo anestesia general
JP2020531111A (ja) * 2017-08-22 2020-11-05 メドトロニック・ゾーメド・インコーポレーテッド 喉頭の神経を監視するための反射を誘発するためのシステムおよび方法
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

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

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