WO2003005887A2 - System and methods for determining nerve proximity, direction, and pathology during surgery - Google Patents
System and methods for determining nerve proximity, direction, and pathology during surgery Download PDFInfo
- Publication number
- WO2003005887A2 WO2003005887A2 PCT/US2002/022247 US0222247W WO03005887A2 WO 2003005887 A2 WO2003005887 A2 WO 2003005887A2 US 0222247 W US0222247 W US 0222247W WO 03005887 A2 WO03005887 A2 WO 03005887A2
- Authority
- WO
- WIPO (PCT)
- Prior art keywords
- nerve
- stimulation
- surgical
- control unit
- proximity
- Prior art date
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4887—Locating particular structures in or on the body
- A61B5/4893—Nerves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
-
- 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
-
- 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
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
- A61B5/316—Modalities, i.e. specific diagnostic methods
- A61B5/389—Electromyography [EMG]
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N1/00—Electrotherapy; Circuits therefor
- A61N1/02—Details
- A61N1/08—Arrangements or circuits for monitoring, protecting, controlling or indicating
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00022—Sensing or detecting at the treatment site
- A61B2017/00039—Electric or electromagnetic phenomena other than conductivity, e.g. capacity, inductivity, Hall effect
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/103—Detecting, measuring or recording devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
- A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb
- A61B5/1104—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs
- A61B5/1106—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor, mobility of a limb induced by stimuli or drugs to assess neuromuscular blockade, e.g. to estimate depth of anaesthesia
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
- A61B5/743—Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
-
- 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
- A61N1/36014—External stimulators, e.g. with patch electrodes
- A61N1/36017—External stimulators, e.g. with patch electrodes with leads or electrodes penetrating the skin
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Molecular Biology (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Physics & Mathematics (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Neurology (AREA)
- Radiology & Medical Imaging (AREA)
- Otolaryngology (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Measuring Pulse, Heart Rate, Blood Pressure Or Blood Flow (AREA)
Abstract
Description
Claims
Priority Applications (15)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
JP2003511700A JP4295086B2 (en) | 2001-07-11 | 2002-07-11 | System and method for determining nerve proximity, nerve orientation, and pathology during surgery |
EP02756464.0A EP1417000B1 (en) | 2001-07-11 | 2002-07-11 | System for determining nerve proximity during surgery |
US10/754,899 US8068912B2 (en) | 2001-07-11 | 2004-01-09 | System and methods for determining nerve proximity, direction, and pathology during surgery |
US11/652,705 US9259144B2 (en) | 2002-07-11 | 2007-01-12 | Surgical access system and related methods |
US12/434,303 US8050769B2 (en) | 2001-07-11 | 2009-05-01 | System and methods for determining nerve proximity, direction, and pathology during surgery |
US12/711,937 US7920922B2 (en) | 2001-07-11 | 2010-02-24 | System and methods for determining nerve proximity, direction, and pathology during surgery |
US13/080,493 US8055349B2 (en) | 2001-07-11 | 2011-04-05 | System and methods for determining nerve proximity, direction, and pathology during surgery |
US13/292,065 US8634904B2 (en) | 2001-07-11 | 2011-11-08 | System and methods for determining nerve proximity, direction, and pathology during surgery |
US13/465,666 US8812116B2 (en) | 2001-07-11 | 2012-05-07 | System and methods for determining nerve proximity, direction, and pathology during surgery |
US13/466,398 US8672840B2 (en) | 2002-06-26 | 2012-05-08 | Surgical access system and related methods |
US13/767,355 US9037250B2 (en) | 2001-07-11 | 2013-02-14 | System and methods for determining nerve proximity, direction and pathology during surgery |
US14/687,745 US9456783B2 (en) | 2001-07-11 | 2015-04-15 | System and methods for determining nerve proximity, direction and pathology during surgery |
US15/258,434 US9931077B2 (en) | 2001-07-11 | 2016-09-07 | System and methods for determining nerve proximity, direction and pathology during surgery |
US15/944,780 US10716509B2 (en) | 2001-07-11 | 2018-04-03 | System and methods for determining nerve proximity, direction and pathology during surgery |
US16/897,093 US20200297277A1 (en) | 2001-07-11 | 2020-06-09 | System and methods for determining nerve proximity, direction, and pathology during surgery |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US30504101P | 2001-07-11 | 2001-07-11 | |
US06/305,041 | 2001-07-11 |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US10/754,899 Continuation US8068912B2 (en) | 2001-07-11 | 2004-01-09 | System and methods for determining nerve proximity, direction, and pathology during surgery |
Publications (2)
Publication Number | Publication Date |
---|---|
WO2003005887A2 true WO2003005887A2 (en) | 2003-01-23 |
WO2003005887A3 WO2003005887A3 (en) | 2003-08-21 |
Family
ID=23179048
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US2002/022247 WO2003005887A2 (en) | 2001-07-11 | 2002-07-11 | System and methods for determining nerve proximity, direction, and pathology during surgery |
Country Status (5)
Country | Link |
---|---|
US (11) | US8068912B2 (en) |
EP (1) | EP1417000B1 (en) |
JP (1) | JP4295086B2 (en) |
AU (1) | AU2011202118B2 (en) |
WO (1) | WO2003005887A2 (en) |
Cited By (77)
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WO2003026482A2 (en) | 2001-09-25 | 2003-04-03 | Nuvasive, Inc. | System and methods for performing surgical procedures and assessments |
WO2004064634A1 (en) | 2003-01-15 | 2004-08-05 | Nuvasive, Inc. | Systems and methods for determining direction to a nerve |
WO2006072050A2 (en) * | 2004-12-30 | 2006-07-06 | Nuvasive, Inc. | System and methods for monitoring during anterior surgery |
EP1680177A1 (en) * | 2003-09-25 | 2006-07-19 | Nuvasive, Inc. | Surgical access system and related methods |
EP1698373A1 (en) * | 2005-03-01 | 2006-09-06 | Ndi Medical, Llc | Systems and methods for intra-operative stimulation |
WO2007129655A1 (en) | 2006-05-05 | 2007-11-15 | Olympus Medical Systems Corp. | Medical capsule |
WO2010015305A1 (en) * | 2008-08-07 | 2010-02-11 | Otto Bock Healthcare Products Gmbh | Method for visualizing multi-channel signals |
US20100094115A1 (en) * | 2005-01-31 | 2010-04-15 | Pond Jr John D | Electrically insulated surgical needle assembly |
US7749269B2 (en) | 2005-03-28 | 2010-07-06 | Warsaw Orthopedic, Inc. | Spinal system and method including lateral approach |
US7763078B2 (en) | 2005-03-28 | 2010-07-27 | Warsaw Orthopedic, Inc. | Spinal device including lateral approach |
US7878981B2 (en) | 2005-03-01 | 2011-02-01 | Checkpoint Surgical, Llc | Systems and methods for intra-operative stimulation |
US8055349B2 (en) | 2001-07-11 | 2011-11-08 | 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 |
AU2011239260B2 (en) * | 2003-09-25 | 2013-05-30 | Nuvasive, Inc. | Surgical access system and related methods |
US8568317B1 (en) * | 2005-09-27 | 2013-10-29 | Nuvasive, Inc. | System and methods for nerve monitoring |
US20140288389A1 (en) * | 2005-07-20 | 2014-09-25 | Nuvasive, Inc. | Systems and Methods for Performing Neurophysiologic Assessments with Pressure Monitoring |
US8917583B2 (en) | 2004-08-11 | 2014-12-23 | Interdigital Technology Corporation | Channel sounding for improved system performance |
US9295401B2 (en) | 2012-11-27 | 2016-03-29 | Cadwell Laboratories, Inc. | Neuromonitoring systems and methods |
US9486199B2 (en) | 2004-10-08 | 2016-11-08 | Nuvasive, Inc. | Surgical access system and related methods |
US9610171B2 (en) | 2005-07-28 | 2017-04-04 | Nuvasive, Inc. | Total disc replacement system and related methods |
US9655744B1 (en) | 2011-10-31 | 2017-05-23 | Nuvasive, Inc. | Expandable spinal fusion implants and related methods |
US9730634B2 (en) | 2010-10-27 | 2017-08-15 | Cadwell Labs | Apparatus, system, and method for mapping the location of a nerve |
US9743853B2 (en) | 1999-11-24 | 2017-08-29 | Nuvasive, Inc. | Electromyography system |
US9750490B2 (en) | 2002-06-26 | 2017-09-05 | Nuvasive, Inc. | Surgical access system and related methods |
US9757246B1 (en) | 2009-04-16 | 2017-09-12 | Nuvasive, Inc. | Methods and apparatus for performing spine surgery |
US9795371B2 (en) | 2003-01-16 | 2017-10-24 | Nuvasive, Inc. | Surgical access system and related methods |
US9820729B2 (en) | 2002-10-08 | 2017-11-21 | Nuvasive, Inc. | Surgical access system and related methods |
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US9855423B2 (en) | 2014-08-15 | 2018-01-02 | Axonics Modulation Technologies, Inc. | Systems and methods for neurostimulation electrode configurations based on neural localization |
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EP1417000B1 (en) | 2018-07-11 |
US7920922B2 (en) | 2011-04-05 |
US8055349B2 (en) | 2011-11-08 |
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US20180360378A1 (en) | 2018-12-20 |
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WO2003005887A3 (en) | 2003-08-21 |
US20150216478A1 (en) | 2015-08-06 |
AU2011202118B2 (en) | 2013-05-16 |
US9456783B2 (en) | 2016-10-04 |
EP1417000A2 (en) | 2004-05-12 |
US9931077B2 (en) | 2018-04-03 |
US20090209879A1 (en) | 2009-08-20 |
US20160374613A1 (en) | 2016-12-29 |
US20120220891A1 (en) | 2012-08-30 |
US8068912B2 (en) | 2011-11-29 |
US20200297277A1 (en) | 2020-09-24 |
US10716509B2 (en) | 2020-07-21 |
JP4295086B2 (en) | 2009-07-15 |
US20100152604A1 (en) | 2010-06-17 |
EP1417000A4 (en) | 2009-06-03 |
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