Surgery – Truss – Pad
Patent
1991-07-24
1993-01-12
Cohen, Lee S.
Surgery
Truss
Pad
128741, A61B 504
Patent
active
051781450
ABSTRACT:
An electrode for laryngeal electromyography comprises a curved planar insulator formed by an insulating conformational plate covered with insulating polyethylene foam tape with three conductive surface electrode plates mounted in a spaced apart relation such that two surface electrode plates are on the anterior aspect and one on the posterior aspect. Three flexible electrical wires have one end connected to the conductive electrode plates, and the other end adapted for connection to an electrical signal monitor. A steering tab projects outwardly of the conformational plate and is shaped for inclusion with the twisted electrical wires in a tube of heat shrink type electrical insulator material to provide a handle for manual insertion. The two anterior surface electrode plates are of a width and height to cover the human posterior cricoarytenoid muscle and the insulating conformational plate is of a width and height to allow positioning and retention within the human laryngopharynx in the postcricoid space adjacent the posterior cricoarytenoid muscle of the larynx. The single posterior surface electrode plate is positioned in the posterior laryngopharynx facing the spinal column. A signal generating probe is applied to surgically exposed internal tissue in the area surrounding the recurrent laryngeal nerve, whereby contact between the probe and the laryngeal nerve excites the posterior circoarytenoid muscle and the monitor, thereby indicating to the surgeon the exact location of the nerve.
REFERENCES:
patent: 4155353 (1979-05-01), Rea et al.
patent: 5024228 (1991-06-01), Goldstone et al.
Payne et al., "Surface Electrode for Laryngeal Electromyography" J. Neurology, Neurosurgery, and Psychiatry, 43:853-860, 1980.
Payne, J. et al., "Respiratory Activity of the Vocal Cords in Normal Subjects and Patients with Airflow Obstruction; an Electromyographic Study", Clinical Science, 61:163-167, 1981.
Fujita, M. et al. "A New Surface Electrode for Recording from the Posterior Cricoarytenoid Muscle", Laryngoscope, 99:316-320 Mar. 1989.
Silverstein, H. et al. "Intraoperative Facial Nerve Monitoring", Otolaryngologic Clinics of North America, vol. 24, No. 3, Jun. 1991.
Cohen Lee S.
Gilbert Samuel
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