Wireless Surgical Neuromonitoring Device

无线手术神经监测设备

• 批准号: 6402396
• 负责人: EDWARD J. RAPP
• 金额: $ 14.96万
• 依托单位: CLEVELAND MEDICAL DEVICES, INC.
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-01 至 2004-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6402396
• 关键词: biomedical equipment development; computer program /software; electrophysiology; evoked potentials; neuromuscular stimulator; patient monitoring device; portable biomedical equipment; surgery material /equipment; telemetry

The goal of this project is to design and develop a telemetric stimulation device that can perform continuous neuromonitoring of a patient before, during and after the actual surgery. Surgical neuromonitoring provides information about the functionality of particular neural structures. This information is used to either confirm that the proper neural structure is being manipulated or as an alert of potential neural damage due to the present surgical strategy. Several studies have shown a dramatic reduction in the number of patient injures when neuromonitoring was performed. Unfortunately, surgically induced pressure or swelling may produce neuronal damage 20 minutes, or even longer, after the end of the surgery. Using the present neuromonitoring set-ups, however, it is not practical to stay connected to the patient before or after the actual surgery. This program will develop a stimulation device that will connect to and be directed by wireless patient monitors being developed under other SBIR programs by Cleveland Medical Devices. A separate station is used to monitor and record the signals. This device will allow the patient to be continuously monitored throughout each move into, during, and after surgery without moving the receiving unit. For long distances, such as going into the ICU, the system will automatically transfer the transmitted data to a receiving unit in the new location. The development of this device will significantly enhance patient safety. First, by making pre- and post-operative monitoring a reality, delayed surgically induced injuries can be detected before permanent neurological damage occurs. Second, if an injury occurs during a transfer, continuous monitoring of the patient will help identify that an injury has occurred, providing information that is not currently available. PROPOSED COMMERCIAL APPLICATIONS: In addition to being used in the surgery room, the device can also be used with people in coma to determine changes in their neural activity. Another medical related use is for therapeutic stimulation used by both physical and occupational therapists. The system can also be used for markets as diverse as special training studies in the workplace to virtual reality game controller and feedback.

该项目的目标是设计和开发一种遥测刺激装置，可以在实际手术之前、期间和之后对患者进行连续的神经监测。外科神经监测提供有关特定神经结构功能的信息。该信息用于确认是否正在操纵正确的神经结构，或作为对当前手术策略造成的潜在神经损伤的警报。多项研究表明，进行神经监测后，患者受伤的数量大幅减少。不幸的是，手术引起的压力或肿胀可能会在手术结束后 20 分钟甚至更长时间内产生神经元损伤。然而，使用目前的神经监测装置，在实际手术之前或之后与患者保持联系是不切实际的。该项目将开发一种刺激设备，该设备将连接到克利夫兰医疗设备公司在其他 SBIR 项目下开发的无线患者监视器并由其引导。一个单独的站用于监视和记录信号。该设备将允许在每次手术期间、手术期间和手术后对患者进行连续监测，而无需移动接收单元。对于长距离，例如进入 ICU，系统会自动将传输的数据传输到新位置的接收单元。该设备的开发将显着提高患者的安全。首先，通过实现术前和术后监测，可以在永久性神经损伤发生之前检测到手术引起的延迟损伤。其次，如果在转移过程中发生伤害，对患者的持续监测将有助于识别是否发生了伤害，提供当前无法获得的信息。拟议的商业应用：除了在手术室中使用之外，该设备还可以用于昏迷的人以确定他们的神经活动的变化。另一种医学相关用途是物理治疗师和职业治疗师使用的治疗刺激。该系统还可用于多种市场，从工作场所的特殊培训研究到虚拟现实游戏控制器和反馈。