WO2008091928A3 - Nerve monitoring device - Google Patents

Nerve monitoring device Download PDF

Info

Publication number
WO2008091928A3
WO2008091928A3 PCT/US2008/051768 US2008051768W WO2008091928A3 WO 2008091928 A3 WO2008091928 A3 WO 2008091928A3 US 2008051768 W US2008051768 W US 2008051768W WO 2008091928 A3 WO2008091928 A3 WO 2008091928A3
Authority
WO
WIPO (PCT)
Prior art keywords
cannula
nerve
sensor
alignment device
compensated
Prior art date
Application number
PCT/US2008/051768
Other languages
French (fr)
Other versions
WO2008091928A9 (en
WO2008091928A2 (en
Inventor
Jack M Kartush
Original Assignee
Jack M Kartush
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 Jack M Kartush filed Critical Jack M Kartush
Priority to US12/523,931 priority Critical patent/US20100063376A1/en
Priority to EP08728107A priority patent/EP2120693A4/en
Priority to CA002675778A priority patent/CA2675778A1/en
Publication of WO2008091928A2 publication Critical patent/WO2008091928A2/en
Publication of WO2008091928A9 publication Critical patent/WO2008091928A9/en
Publication of WO2008091928A3 publication Critical patent/WO2008091928A3/en
Priority to US12/704,303 priority patent/US20100145178A1/en
Priority to US12/851,300 priority patent/US8886280B2/en

Links

Classifications

    • 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
    • A61B5/06—Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient
    • A61B5/061—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body
    • A61B5/064—Determining position of a probe within the body employing means separate from the probe, e.g. sensing internal probe position employing impedance electrodes on the surface of the body using markers
    • 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
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7203—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal
    • A61B5/7217—Signal processing specially adapted for physiological signals or for diagnostic purposes for noise prevention, reduction or removal of noise originating from a therapeutic or surgical apparatus, e.g. from a pacemaker

Abstract

The present invention provides a nerve monitoring device. The device includes a cannula, a sensor for monitoring the nerve and an alignment device. The cannula can be any surgical cannula, and is preferably an endotracheal tube. The sensor can be an electrode or other sensor that is capable of sensing nerve activity. The alignment device is a device that ensures that after insertion of the nerve sensor into a patient, the sensors are aligned to properly monitor the target nerve or muscle. The internal alignment device may communicate externally to surgeon by using electromagnetic energy as either a transmittor or a receiver. The mismatch of triangular laryngeal anatomy to circular cannula anatomy can be compensated for by a) altering the geometry (external shape) of the cannula and b) using soft, felt-like expandable electrodes. Rotational error can be compensated for by using a multi-electrode array wherein the optimized recording montage can be simply selected on the external recording device.
PCT/US2008/051768 2007-01-23 2008-01-23 Nerve monitoring device WO2008091928A2 (en)

Priority Applications (5)

Application Number Priority Date Filing Date Title
US12/523,931 US20100063376A1 (en) 2007-01-23 2008-01-23 Nerve monitoring device
EP08728107A EP2120693A4 (en) 2007-01-23 2008-01-23 Nerve monitoring device
CA002675778A CA2675778A1 (en) 2007-01-23 2008-01-23 Nerve monitoring device
US12/704,303 US20100145178A1 (en) 2007-01-23 2010-02-11 Nerve monitoring device
US12/851,300 US8886280B2 (en) 2007-01-23 2010-08-05 Nerve monitoring device

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US88611907P 2007-01-23 2007-01-23
US60/886,119 2007-01-23

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US12/523,931 A-371-Of-International US20100063376A1 (en) 2007-01-23 2008-01-23 Nerve monitoring device
US12/704,303 Continuation-In-Part US20100145178A1 (en) 2007-01-23 2010-02-11 Nerve monitoring device

Publications (3)

Publication Number Publication Date
WO2008091928A2 WO2008091928A2 (en) 2008-07-31
WO2008091928A9 WO2008091928A9 (en) 2008-09-18
WO2008091928A3 true WO2008091928A3 (en) 2008-10-23

Family

ID=39645141

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2008/051768 WO2008091928A2 (en) 2007-01-23 2008-01-23 Nerve monitoring device

Country Status (4)

Country Link
US (1) US20100063376A1 (en)
EP (1) EP2120693A4 (en)
CA (1) CA2675778A1 (en)
WO (1) WO2008091928A2 (en)

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US8886280B2 (en) * 2007-01-23 2014-11-11 The Magstim Company Limited Nerve monitoring device
CA2775588C (en) 2009-10-02 2019-02-05 Medtronic Xomed, Inc. Endotracheal tube apparatus
EP2366329B1 (en) * 2010-03-19 2014-12-24 The Magstim Company Limited Nerve monitoring device
US9042981B2 (en) 2010-06-03 2015-05-26 Cardiac Pacemakers, Inc. Vagus nerve stimulation with target effects controlled by adjusting temporal parameters
US8577477B2 (en) 2010-06-11 2013-11-05 ProNerve, LLC Endotracheal tube with a selectively positional electrode
US9931079B2 (en) 2012-01-04 2018-04-03 Medtronic Xomed, Inc. Clamp for securing a terminal end of a wire to a surface electrode
US10058669B2 (en) 2012-06-05 2018-08-28 Texas Heart Institute Location determining endotracheal tube and methods
US9060744B2 (en) 2012-11-29 2015-06-23 Medtronic Xomed, Inc. Endobronchial tube apparatus
US9913594B2 (en) 2013-03-14 2018-03-13 Medtronic Xomed, Inc. Compliant electrode for EMG endotracheal tube
US9936917B2 (en) * 2013-03-14 2018-04-10 Masimo Laboratories, Inc. Patient monitor placement indicator
US11166672B2 (en) 2013-10-18 2021-11-09 Atlantic Health System, Inc. Nerve protecting dissection device
US10022090B2 (en) 2013-10-18 2018-07-17 Atlantic Health System, Inc. Nerve protecting dissection device
JP6585609B2 (en) * 2014-02-28 2019-10-02 パウエル マンスフィールド， インコーポレイテッド System for sensing EMG activity
US9974597B2 (en) 2014-03-19 2018-05-22 Boston Scientific Scimed, Inc. Systems and methods for assessing and treating tissue
KR20170045286A (en) * 2014-08-26 2017-04-26 아벤트, 인크. Method and system for identification of source of chronic pain and treatment
AU2017382441B2 (en) * 2016-12-23 2023-07-27 Icahn School Of Medicine At Mount Sinai Method and system for assessing laryngeal and vagus nerve integrity in patients under general anesthesia
EP4292641A3 (en) 2017-08-22 2024-03-13 Medtronic Xomed, Inc. System for evoking a reflex to monitor the nerves of the larynx
US11110240B2 (en) 2017-09-07 2021-09-07 Medtronic Xomed, Inc. Endotracheal tube with tube coating

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US20060190053A1 (en) * 2002-03-22 2006-08-24 Dobak John D Iii Neural stimulation for treatment of metabolic syndrome and type 2 diabetes
US20070016097A1 (en) * 2003-01-15 2007-01-18 Nuvasive, Inc. System and methods for determining nerve direction to a surgical instrument

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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
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Publication number Priority date Publication date Assignee Title
US20060190053A1 (en) * 2002-03-22 2006-08-24 Dobak John D Iii Neural stimulation for treatment of metabolic syndrome and type 2 diabetes
US20070016097A1 (en) * 2003-01-15 2007-01-18 Nuvasive, Inc. System and methods for determining nerve direction to a surgical instrument
US20060147492A1 (en) * 2003-11-10 2006-07-06 Angiotech International Ag Medical implants and anti-scarring agents

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
See also references of EP2120693A4 *

Also Published As

Publication number Publication date
EP2120693A2 (en) 2009-11-25
EP2120693A4 (en) 2011-04-27
US20100063376A1 (en) 2010-03-11
WO2008091928A9 (en) 2008-09-18
WO2008091928A2 (en) 2008-07-31
CA2675778A1 (en) 2008-07-31

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