摘要:
An expandable tip cannula system, comprising: a hollow cannula shaft having a proximal end and a distal end; and an expandable tip mounted at the distal end of the hollow cannula shaft, the expandable tip comprising a plurality of generally-triangular shaped petals held together in a radially-inwardly tapered arrangement between adjacent petals, each petal comprising a nerve sensing electrode disposed therein.
摘要:
Methods and related systems for modulating neural activity by repetitively blocking conduction in peripheral neural structures with chemical blocking agents are disclosed. Methods and systems for reversing effects of chemical blocking agents and/or for producing substantially permanent conduction block are also disclosed.
摘要:
A measuring system for measuring electrocardiogram signals comprises a diagnostic garment with ECG electrodes that may assume the form of a sleeve or glove. A disposable version of the glove can be inflated. By using an inflatable glove, the contour of the body is automatically matched by the contour of the glove. Samples from the ECG electrodes positioned on a diagnostic garment are compensated so that the samples better approximate samples from ECG electrodes that are positioned at classical locations. Also, samples from ECG electrodes are compensated to reduce signal noise resulting from positioning the ECG electrodes on the diagnostic garment.
摘要:
Nerve conduction studies (NCS) are used to diagnose many types of disorders and are being employed more and more frequently. Current methods for distance measurement during a NCS are manual and often time consuming and vulnerable to considerable error. A device and system for electronically measuring distance during a NCS and automatically transferring the data is disclosed. In one embodiment, the device incorporates a contact wheel to travel across the surface of the subject's skin to measure the applicable distance.
摘要:
An electromagnetic pedicle awl utilizes a tightly focused time-varying magnetic flux to create a localized electromotive force (EMF) near the tip. The localized EMF creates localized eddy currents in nearby nerves which excite ionic nerve channels, the excitation being detected by an electromyographic recording device. The awl only excites nerves directly in front of and directly to the side of the tip. The awl is comprised of a tapered awl or drill tip in combination with a solid core surrounded by a solenoid. A pulsed electric current source drives the solenoid to create a time-varying magnetic field in the vicinity of the tapered tip. The awl or drill tip may be stationary with respect to the solenoid or it may rotate. The awl in combination with an EMG detector connected to a patient is sensitive to the pedicle hole position with respect to adjacent nerves and reduces false placement failure.
摘要:
A visual distance nerve measuring electrode wire used to measure the length of electrical conduction of a nerve. The device includes a single flexible wire surrounded by an outer insulating sheath longitudinally aligned and surrounding the wire. An recording electrode is attached to one end of the wire and a plug connector that attaches to a suitable recording device is attached to opposite end of the wire. Formed on the insulating sheath are a plurality of small visual distance indicators formed on the wire at known distances and integrals. During use, the physician is able to accurate map the path of a nerve and determine the conductivity of the nerve at different points.
摘要:
A regional anesthesia system and a cart for aiding in the placement of a regional anesthesia block without the need of ancillary assistance. The invention includes equipment for use in the performance of a regional anesthesia block which is carried on a cart for transporting and providing a stable foundation for the equipment. The equipment includes a nerve localization means such as ultrasound or a peripheral nerve stimulator for locating a target nerve of a patient, a position assist arm for maintaining the position of the localization means over the target nerve while the operator inserts an anesthetic needle over the target nerve, and an anesthetic infusion device for infusing or aspirating through the anesthesia needle. The infusion device includes an infusion pump controlled by a foot pedal. The system may be easily transported to a patient requiring a regional anesthesia block, and allows the regional anesthesia block to be performed with minimal ancillary assistance.
摘要:
The invention provides a system and method for detecting or monitoring neuropathy in an individual. The system of the invention includes a platform having a surface in which a plurality of stimulators is embedded. Each stimulator is configured to stimulate a region in a skin area when the skin area is applied to the platform. The stimulators may deliver thermal and/or vibrational energy to the skin region. In the method of the invention, a skin area is applied to platform and one of the stimulators is activated. A minimal stimulation is determined that is sensed by the individual in a skin region in contact with a stimulator. Neuropathy in the skin region in contact with the stimulator is detected if either the determined minimal stimulation is above a predetermined threshold, or if a stimulation is not sensed before a magnitude of the stimulation reaches a predetermined maximal magnitude. The process is then repeated with other stimulators.
摘要:
A system for treatment of an autonomic nervous system of a patient includes a focused ultrasound energy source for placement outside the patient, wherein the focused ultrasound energy source is configured to deliver ultrasound energy towards a blood vessel with a surrounding nerve that is a part of the autonomic nervous system inside the patient, and wherein the focused ultrasound energy source is configured to deliver the ultrasound energy based on a position of an indwelling vascular catheter.
摘要:
In some embodiments, nerves surrounding arteries or leading to organs are targeted with energy sources to correct or modulate physiologic processes. In some embodiments, different types of energy sources are utilized singly or combined with one another. In some embodiments, bioactive agents or devices activated by the energy sources are delivered to the region of interest and the energy is enhanced by such agents.