Surgery: light – thermal – and electrical application – Light – thermal – and electrical application – Electrical therapeutic systems
Reexamination Certificate
2007-05-08
2007-05-08
Pezzuto, Robert (Department: 3766)
Surgery: light, thermal, and electrical application
Light, thermal, and electrical application
Electrical therapeutic systems
Reexamination Certificate
active
10754493
ABSTRACT:
An intraoperative neural monitoring system includes a power source and a simulator powered by the power source to deliver a cycle of electrical stimulation to a patient as a first group of positive or negative phase pulses automatically followed by a second group of pulses of opposite phase or polarity to the pulses of the first group. An activation performed to initiate delivery of the first group of pulses is effective to deliver the entire cycle of stimulation. A method of intraoperative neural monitoring involves activating a simulator to deliver a biphasic cycle of electrical stimulation to a patient during an operative procedure, delivering the entire cycle of electrical stimulation to the patient in response to the activating step and detecting EMG activity in the patient.
REFERENCES:
patent: 4373531 (1983-02-01), Wittkampf et al.
patent: 4892105 (1990-01-01), Prass
patent: 4895152 (1990-01-01), Callaghan et al.
patent: 5161533 (1992-11-01), Prass et al.
patent: 6224549 (2001-05-01), Drongelen
patent: 6292701 (2001-09-01), Prass et al.
patent: 6306100 (2001-10-01), Prass
patent: 6334068 (2001-12-01), Hacker
patent: 2002/0183647 (2002-12-01), Gozani et al.
patent: WO 02/082982 (2002-10-01), None
Viasys Healthcare, “Multi-Mode Program Plus (MMP Plus) User Guide”, Part Number 269-570600, Jun. 2000.
Burneo, Jorge G, M.D. et al, “Somatosensory Evoked Potentials: Clinical Applications,” www.emedicine.com
euro/topic344.htm.
Stephen, John P., MB, BS, Fracs et al, “Cotrel-Dubousset Instrumentation in Children Using Simultaneous Motor and Somatosensory Evoked Potental Monitoring,” SPINE, vol. 21, No. 21, pp. 2450-2457, 1996.
Soliman, Emad, MD, Ph.D. et al, “Somatosensory Evoked Potentials: General Principals, ” www.emedicine.come/NEURO//topic640.htm.
Moore, Linda R.T.T., R.EPT, et al, “Intraoperative Monitoring During Surgery for Spinal Deformity,” Nicolet Biomedical, Inc. Article No. 169-410300.
Owen, Jeffrey, Ph.D., “Benefits of Multi-Modality ION: Four Case Studies,” Nicolet Biomedical, Inc. Article No. 169-410500.
Hartmann, R., et al, “Evoked Potentials from the Auditory Nerve Following Sinusoidal Electrical Stimulatio of the Cochlea: New Possibilities for Preoperative testing in Cochlear-Implant Candidates,” Acta Otaolaryngol 1994, 114, pp. 495-500.
Digitimer, Ltd, “Digitimer Multipulse Stimulator D185 Operator's Manual,” Issue 6, 2003.
Digitimer, Ltd., “Digitimer Isolated Multipulse Stimulator Model D 185, Operator's Manual”, Issue 4, 1999.
Ubags LH, Kalkman CJ, Been HD, Koelman JH, Ongerboer de Visser BW, A comparison of myogenic motor evoked responses to electrical and magnetic transcranial stimulation during nitrous oxide/opioid anesthesia., Anesth Analg 88: 3, 568-72, Mar. 1999.
Gokaslan ZL, Samudrala S, Deletis V, Wildrick DM, Cooper PR, Intraoperative monitoring of spinal cord function using motor evoked potentials via transcutaneous epidural electrode during anterior cervical spinal surgery., J Spinal Disord 10: 4, 299-303, Aug. 1997.
Digitimer, Ltd., D 185 Brochure, May 8, 2001.
Kothbauer K, Deletis V, Epstein FJ, Intraoperative spinal cord monitoring for intramedullary surgery: an essential adjunct, Pediatr Neurosurg 26: 5, 247-54, May, 1997.
Haghighi SS, Gaines RW, Repetitive vs. single transcranial electrical stimulation for intraoperative monitoring of motor conduction in spine surgery., Mo med 100: 3, 262-5, May-Jun. 2003.
Haghighi SS, Monitoring of motor evoked potentials with high intensity repetitive transcranial electrical stimulation during spinal surgery., J Clin Monit Comput 17: 5, 301-8, Jul. 2002.
MacDonald DB, Al Zayed Z, Khoudeir I, Stigsby B, Monitoring scoliosis surgery with combined multiple pulse transcranial electric motor and cortical somatosensory-evoked potentials from the lower and upper extremities., Spine 28: 2, 194-203, Jan. 15, 2003.
Pelosi L, Stevenson M, Hobbs GJ, Jardine A, Webb JK, Intraoperative motor evoked potentials to transcranial electrical stimulation during two anaesthetic regimens., Clin Neurophysiol 112: 6, 1076-87, Jun. 2001.
Kawaguchi M, Inoue S, Kakimoto M, Kitaguchi K, Furuya H, Morimoto T, Sakaki T, The effect of sevoflurane on myogenic motor-evoked potentials induced by single and paired transcranial electrical stimulation of the motor cortex during nitrous oxide/ketamine/fentanyl anesthesia., J Neurosurg Anesthesiol 10: 3, 131-6, Jul. 1998.
Calancie B, Harris W, Broton JG, Alexeeva N, Green BA, “Threshold-level” multipulse transcranial electrical stimulation of motor cortex for intraoperative monitoring of spinal motor tracts: description of method and comparison to somatosensory evoked potential monitoring., J Neurosurg 88: 3, 457-70, Mar. 1998.
Jones SJ, Harrison R, Koh KF , Mendoza N, Crockard HA, Motor evoked potential monitoring during spinal surgery: responses of distal limb muscles to transcranial cortical stimulation with pulse trains., Electroencephalogr Clin Neurophysiol 100: 5, 375-83, Sep. 1996.
Pechstein U, Cedzich C, Nadstawek J, Schramm J, Transcranial high-frequency repetitive electrical stimulation for recording myogenic motor evoked potentials with the patient under general anesthesia., Neurosurgery 39: 2, 335-43; discussion 343-4, Aug, 1996.
Calancie B, Harris W, Brindle F, Green BA and Landy H., “Threshold-level repetitive electrical stimulation for intraoperative monitoring of central motor conduction.”, J Neurosurg (Spine 1) 95: 161-168 2001.
Houlden D., “Intraoperative Spinal Cord Monitoring” Part of the Spine Block Curriculum in Neurosurgery—Electrophysiology Section, Feb. 9, 2001.
Digitimer, Ltd., “MultiPulse Stimulator, Model D 185 Service Manual,” Issue 4, 1999.
Digitimer, Ltd., D185 Brochure, May 8, 2001.
Jones SJ, Harrison R, Koh KF, Mendoza N. Crockard HA, Motor evoked potential monitoring during spinal surgery: responses of distal limb muscles to transcranial cortical stimulation with pulse trains., Electroencephalogr Clin Neurophysiol 100: 5, 375-83, Sep. 1996.
Hacker David C.
Rupp Lionel
Skinner Stanley A.
Sterrantino Peter P.
Transfeldt Ensor E.
Lee Yun Haeng
Medtronic Xomed, Inc.
Pezzuto Robert
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