PL3744277T3 - Sposób i urządzenie do ilościowego określenia stymulacji nerwowo- mięśniowych prądami hf - Google Patents

Sposób i urządzenie do ilościowego określenia stymulacji nerwowo- mięśniowych prądami hf

Info

Publication number
PL3744277T3
PL3744277T3 PL19176733.4T PL19176733T PL3744277T3 PL 3744277 T3 PL3744277 T3 PL 3744277T3 PL 19176733 T PL19176733 T PL 19176733T PL 3744277 T3 PL3744277 T3 PL 3744277T3
Authority
PL
Poland
Prior art keywords
neuromus
quantifying
stimulation
currents
quantifying neuromus
Prior art date
Application number
PL19176733.4T
Other languages
English (en)
Inventor
Ulrich Biber
Ovidiu Jurjut
Markus D. Enderle
Original Assignee
Erbe Elektromedizin Gmbh
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 Erbe Elektromedizin Gmbh filed Critical Erbe Elektromedizin Gmbh
Publication of PL3744277T3 publication Critical patent/PL3744277T3/pl

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B18/1233—Generators therefor with circuits for assuring patient safety
    • 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37241—Aspects of the external programmer providing test stimulations
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • 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
    • A61B5/40—Detecting, measuring or recording for evaluating the nervous system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/02—Details
    • A61N1/025—Digital circuitry features of electrotherapy devices, e.g. memory, clocks, processors
    • 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
    • A61N1/0404—Electrodes for external use
    • A61N1/0408—Use-related aspects
    • A61N1/0452—Specially adapted for transcutaneous muscle stimulation [TMS]
    • 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
    • A61N1/36007—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation of urogenital or gastrointestinal organs, e.g. for incontinence control
    • 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
    • A61N1/36189—Control systems using modulation techniques
    • A61N1/36192—Amplitude modulation
    • 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
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/378—Electrical supply
    • A61N1/3787—Electrical supply from an external energy source
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00434—Neural system
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00779—Power or energy
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00827—Current
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00892—Voltage
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00898—Alarms or notifications created in response to an abnormal condition
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/1206—Generators therefor
    • A61B2018/1246—Generators therefor characterised by the output polarity
    • A61B2018/126—Generators therefor characterised by the output polarity bipolar
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/102—Modelling of surgical devices, implants or prosthesis
    • A61B2034/104—Modelling the effect of the tool, e.g. the effect of an implanted prosthesis or for predicting the effect of ablation or burring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/10—Computer-aided planning, simulation or modelling of surgical operations
    • A61B2034/101—Computer-aided simulation of surgical operations
    • A61B2034/105—Modelling of the patient, e.g. for ligaments or bones
    • 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

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Physics & Mathematics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Otolaryngology (AREA)
  • Plasma & Fusion (AREA)
  • Pathology (AREA)
  • Biophysics (AREA)
  • Neurology (AREA)
  • Neurosurgery (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Physiology (AREA)
  • Robotics (AREA)
  • Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
PL19176733.4T 2019-05-27 2019-05-27 Sposób i urządzenie do ilościowego określenia stymulacji nerwowo- mięśniowych prądami hf PL3744277T3 (pl)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
EP19176733.4A EP3744277B1 (de) 2019-05-27 2019-05-27 Verfahren und vorrichtung zur quantifizierung neuromuskulärer reizungen durch hf-ströme

Publications (1)

Publication Number Publication Date
PL3744277T3 true PL3744277T3 (pl) 2024-12-16

Family

ID=66751878

Family Applications (1)

Application Number Title Priority Date Filing Date
PL19176733.4T PL3744277T3 (pl) 2019-05-27 2019-05-27 Sposób i urządzenie do ilościowego określenia stymulacji nerwowo- mięśniowych prądami hf

Country Status (6)

Country Link
US (1) US11052257B2 (pl)
EP (1) EP3744277B1 (pl)
JP (1) JP7401393B2 (pl)
KR (1) KR20200136321A (pl)
CN (1) CN111991073B (pl)
PL (1) PL3744277T3 (pl)

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR102588317B1 (ko) * 2021-09-17 2023-10-13 재단법인대구경북과학기술원 척수 운동뉴런 자극을 위한 자극신호 설계 방법

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5284153A (en) * 1992-04-14 1994-02-08 Brigham And Women's Hospital Method for locating a nerve and for protecting nerves from injury during surgery
WO2003005887A2 (en) * 2001-07-11 2003-01-23 Nuvasive, Inc. System and methods for determining nerve proximity, direction, and pathology during surgery
US8147421B2 (en) * 2003-01-15 2012-04-03 Nuvasive, Inc. System and methods for determining nerve direction to a surgical instrument
US7702395B2 (en) * 2002-08-19 2010-04-20 Arizona Board Of Regents, A Body Corporate, Acting For And On Behalf Of Arizona State University Neurostimulator
US7878981B2 (en) * 2005-03-01 2011-02-01 Checkpoint Surgical, Llc Systems and methods for intra-operative stimulation
WO2007133718A2 (en) * 2006-05-11 2007-11-22 Neurometrix, Inc Non-invasive acquisition of large nerve action potentials (naps) with closely spaced surface electrodes and reduced stimulus artifacts
DE102008018262B9 (de) * 2008-04-10 2013-07-18 Erbe Elektromedizin Gmbh Chirurgisches Gerät mit Nervtesteinrichtung
US10595772B2 (en) * 2009-08-14 2020-03-24 David Burton Anaesthesia and consciousness depth monitoring system
AU2011224323B2 (en) * 2010-03-11 2016-06-23 Mainstay Medical Limited Modular stimulator for treatment of back pain, implantable RF ablation system and methods of use
MX2014009143A (es) * 2012-01-27 2015-03-06 T4 Analytics Llc Metodos y sistemas para evaluar la actividad muscular electrica en respuesta a la estimulacion de un nervio motor.
CN102908150B (zh) * 2012-09-27 2014-06-04 清华大学 一种复合神经动作电位调谐曲线校准及检测系统
US10556107B2 (en) * 2013-11-27 2020-02-11 Ebt Medical, Inc. Systems, methods and kits for peripheral nerve stimulation
EP4005481A1 (en) * 2014-11-26 2022-06-01 SafeOp Surgical, Inc. A device and means of assessing neuromuscular junction status with higher fidelity
JP7071121B2 (ja) * 2015-04-09 2022-05-18 サルーダ・メディカル・ピーティーワイ・リミテッド 電極－神経間距離の推定
EP3372158B1 (de) * 2017-03-08 2021-05-12 Inomed Medizintechnik GmbH System zur intraoperativen überwachung der funktionsfähigkeit von nerven

Also Published As

Publication number Publication date
CN111991073A (zh) 2020-11-27
US20200376283A1 (en) 2020-12-03
EP3744277B1 (de) 2024-09-11
KR20200136321A (ko) 2020-12-07
EP3744277A1 (de) 2020-12-02
US11052257B2 (en) 2021-07-06
CN111991073B (zh) 2024-08-06
JP7401393B2 (ja) 2023-12-19
JP2021000434A (ja) 2021-01-07
EP3744277C0 (de) 2024-09-11

Similar Documents

Publication Publication Date Title
EP3860192A4 (en) Measurement method and device
IL282757A (en) Methods for selection and stimulation of cells and apparatus for same
JP2018206380A5 (ja) バッファ保有期間管理を備えた装置及び方法
EP3917055A4 (en) State configuration method and device
EP3836688C0 (en) DEVICE AND METHOD FOR CONFIGURING RESOURCES
EP3849254A4 (en) POSITIONING PROCESS AND APPARATUS
EP3700281A4 (en) RANDOM ACCESS PROCESS AND DEVICE, AND TERMINAL
PL3876769T3 (pl) Kalibracja urządzenia i sposób
EP3592100A4 (en) SESSION MIGRATION METHOD AND DEVICE
EP3806502A4 (en) POSITIONING PROCESS AND APPARATUS
PL3651162T3 (pl) Sposoby i urzadzenia do wykonywania pomiaru analitycznego
EP3661295A4 (en) RESOURCE PROGRAMMING METHOD AND APPARATUS
EP3614765A4 (en) RESOURCE PLANNING METHOD AND DEVICE
EP3592073A4 (en) RESOURCE PLANNING METHOD AND DEVICE
PL3554041T3 (pl) Sposób i urządzenie do określania sekwencji
IL284475A (en) Multiplexed assay and methods of use thereof
EP3890390A4 (en) SCHEDULING METHOD AND DEVICE
EP3764683A4 (en) MEASUREMENT PROCESS AND DEVICE
PL3948160T3 (pl) Narzędzie kalibracyjne i sposób kalibracji
PL3831073T3 (pl) Sposób i urządzenie do przeprowadzania odblokowywania
IL292195A (en) Measuring method and measuring apparatus
EP4028638C0 (en) METHOD AND APPARATUS FOR MEASURING
EP3934286A4 (en) BILLING PROCESS AND SYSTEM
EP3916429A4 (en) MEASURING DEVICE AND METHOD OF MEASURING
EP3914337C0 (en) ELECTRODE ASSEMBLY AND METHODS