RU2769849C2 - Способ и система для оценки целостности гортанного и блуждающего нерва у пациентов под общей анестезией - Google Patents

Способ и система для оценки целостности гортанного и блуждающего нерва у пациентов под общей анестезией Download PDF

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RU2769849C2
RU2769849C2 RU2019123190A RU2019123190A RU2769849C2 RU 2769849 C2 RU2769849 C2 RU 2769849C2 RU 2019123190 A RU2019123190 A RU 2019123190A RU 2019123190 A RU2019123190 A RU 2019123190A RU 2769849 C2 RU2769849 C2 RU 2769849C2
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endotracheal tube
electrode
laryngeal
electrodes
lar
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RU2019123190A
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Russian (ru)
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RU2019123190A (ru
RU2019123190A3 (https=
Inventor
Кэтрин Ф. СИНКЛЕР
Седат УЛКАТАН
Мария Хосе ТЕЛЛЕС ГАРБАЙО
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Айкан Скул Оф Медисин Эт Маунт Синай
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    • 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
    • A61N1/02—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
    • 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
    • A61N1/18—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)
RU2019123190A 2016-12-23 2017-12-22 Способ и система для оценки целостности гортанного и блуждающего нерва у пациентов под общей анестезией RU2769849C2 (ru)

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)

Publication Number Publication Date
RU2019123190A RU2019123190A (ru) 2021-01-25
RU2019123190A3 RU2019123190A3 (https=) 2021-04-26
RU2769849C2 true RU2769849C2 (ru) 2022-04-07

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RU2019123190A RU2769849C2 (ru) 2016-12-23 2017-12-22 Способ и система для оценки целостности гортанного и блуждающего нерва у пациентов под общей анестезией

Country Status (10)

Country Link
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=)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU219231U1 (ru) * 2023-05-26 2023-07-05 Роман Владимирович Дюкин Ларингеальный электрод

Families Citing this family (6)

* 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
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

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5584290A (en) * 1994-11-03 1996-12-17 Brain; Archibald I. J. Combined laryngeal mask airway and muscular or neuro-muscular response device
US20110245647A1 (en) * 2009-10-02 2011-10-06 Medtronic Xomed, Inc. Endotracheal tube apparatus
US8065014B2 (en) * 2001-06-21 2011-11-22 Vanderbilt University Method for promoting selective reinnervation of denervated tissue
US8886280B2 (en) * 2007-01-23 2014-11-11 The Magstim Company Limited Nerve monitoring device
US20160081591A1 (en) * 2014-09-23 2016-03-24 The Curators Of The University Of Missouri System and Method for Laryngeal Reflex Examination
US20160151628A1 (en) * 2009-03-20 2016-06-02 ElectroCore, LLC Devices and methods for monitoring non-invasive vagus nerve stimulation

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
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
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
DE3673644D1 (de) * 1986-05-12 1990-09-27 Univ California Elektronisches system zur nervenstimulation von beckenorganen.
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
US6213960B1 (en) * 1998-06-19 2001-04-10 Revivant Corporation Chest compression device with electro-stimulation
JP2008516696A (ja) * 2004-10-18 2008-05-22 ルイジアナ テック ユニバーシティ ファウンデーション 神経障害の検出、予防および／または治療のための医療装置ならびにその医療装置に関連する方法
US7805195B2 (en) 2005-03-24 2010-09-28 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
EP2120693A4 (en) 2007-01-23 2011-04-27 Jack M Kartush 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
WO2011016864A1 (en) * 2009-08-05 2011-02-10 Ndi Medical, Llc Systems and methods for maintaining airway patency
US8983610B2 (en) * 2009-11-18 2015-03-17 Case Western Reserve University Hybrid method for modulating upper airway function in a subject
US8423134B2 (en) * 2010-04-29 2013-04-16 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
CA2868852A1 (en) * 2012-03-29 2013-10-03 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
CA2896309A1 (en) * 2012-12-24 2014-07-03 E-Motion Medical, Ltd. Gi tract stimulation devices and methods
US9913594B2 (en) * 2013-03-14 2018-03-13 Medtronic Xomed, Inc. Compliant electrode for EMG endotracheal tube
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
US10799152B2 (en) * 2016-08-11 2020-10-13 Medtronic Xomed, Inc. System and method for motion detection and accounting
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

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5584290A (en) * 1994-11-03 1996-12-17 Brain; Archibald I. J. Combined laryngeal mask airway and muscular or neuro-muscular response device
US8065014B2 (en) * 2001-06-21 2011-11-22 Vanderbilt University Method for promoting selective reinnervation of denervated tissue
US8886280B2 (en) * 2007-01-23 2014-11-11 The Magstim Company Limited Nerve monitoring device
US20160151628A1 (en) * 2009-03-20 2016-06-02 ElectroCore, LLC Devices and methods for monitoring non-invasive vagus nerve stimulation
US20110245647A1 (en) * 2009-10-02 2011-10-06 Medtronic Xomed, Inc. Endotracheal tube apparatus
US8688237B2 (en) * 2009-10-02 2014-04-01 Medtronic Xomed, Inc. Endotracheal tube apparatus
US20160081591A1 (en) * 2014-09-23 2016-03-24 The Curators Of The University Of Missouri System and Method for Laryngeal Reflex Examination

Non-Patent Citations (3)

* Cited by examiner, † Cited by third party
Title
RENDOLPH G. W. et al. Electrophysiologic Recurrent Laryngeal Nerve Monitoring During Thyroid and Parathyroid Surgery: International Standards Guideline Statement. Laryngoscope. 2011, 121:S1-S16. *
SINCLAIR C. F. et al. A novel methodology for assessing laryngeal and vagus nerve integrity in patients under general anesthesia.Clinical Neurophysiology. July 2017, Volume 128, Issue 7, pp. 1399-1405. *
SINCLAIR C. F. et al. A novel methodology for assessing laryngeal and vagus nerve integrity in patients under general anesthesia.Clinical Neurophysiology. July 2017, Volume 128, Issue 7, pp. 1399-1405. RENDOLPH G. W. et al. Electrophysiologic Recurrent Laryngeal Nerve Monitoring During Thyroid and Parathyroid Surgery: International Standards Guideline Statement. Laryngoscope. 2011, 121:S1-S16. *

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2806838C1 (ru) * 2023-01-17 2023-11-08 Кристина Николаевна Лаптева Способ интраоперационного нейрофизиологического мониторинга при вмешательствах на структурах задней черепной ямки путем регистрации кортикобульбарных моторных вызванных потенциалов
RU219231U1 (ru) * 2023-05-26 2023-07-05 Роман Владимирович Дюкин Ларингеальный электрод

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Publication number Publication date
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
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
JP7326674B2 (ja) 2023-08-16
RU2019123190A3 (https=) 2021-04-26
EP3558451C0 (en) 2024-02-14

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