公开(公告)号：US20130253533A1

公开(公告)日：2013-09-26

申请号：US13428693

申请日：2012-03-23

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： A61B19/00

CPC分类号： A61B34/30 ,  A61B90/03 ,  A61N1/0551 ,  A61N1/36017

摘要： A robotic surgical system for performing a surgical procedure within the body of a subject includes an elongate surgical instrument, a robotic controller configured to control the motion of the distal end portion of the surgical instrument, and a mechanomyography feedback system in communication with the robotic controller. The mechanomyography feedback system includes a mechanical sensor configured to monitor a physical motion of a muscle and to provide a mechanomyography signal corresponding to the monitored physical motion. Additionally, the feedback system includes a processor configured to receive the mechanomyography signal, to determine if the received signal is indicative of an induced muscle response, and to provide a control signal to the robotic controller if an induced muscle response is detected.

摘要翻译： 用于在受试者的身体内执行外科手术的机器人手术系统包括细长的外科器械，被配置为控制外科器械的远端部分的运动的机器人控制器，以及与机器人控制器 。 机械手术反馈系统包括被配置为监测肌肉的身体运动并提供对应于所监视的身体运动的机械通道信号的机械传感器。 另外，反馈系统包括处理器，其被配置为接收机械通道信号，以确定接收的信号是否指示诱导的肌肉反应，以及如果检测到诱导的肌肉反应，则向机器人控制器提供控制信号。

公开(公告)号：US09039630B2

公开(公告)日：2015-05-26

申请号：US13591273

申请日：2012-08-22

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： A61B5/11 ,  A61B5/20 ,  A61B5/00

CPC分类号： A61B5/1104 ,  A61B5/1107 ,  A61B5/205 ,  A61B5/4047 ,  A61B5/4052

摘要： A method of detecting the presence of a sacral nerve in a human subject includes providing an electrical stimulus within an intracorporeal treatment area of the human subject; detecting a physical response of at least one of an external sphincter of the bladder and an external sphincter of the anus; and providing an indication to a user if the detected physical response corresponds to the provided electrical stimulus.

摘要翻译： 检测人类受试者中骶神经存在的方法包括在人体内的体内治疗区域内提供电刺激; 检测膀胱的外括约肌和肛门外括约肌中的至少一个的物理反应; 以及如果检测到的物理响应对应于所提供的电刺激，则向用户提供指示。

公开(公告)号：US08983593B2

公开(公告)日：2015-03-17

申请号：US13293389

申请日：2011-11-10

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： A61B5/05 ,  A61B5/11 ,  A61B5/00

CPC分类号： A61B5/1104 ,  A61B5/4519 ,  A61B5/4893 ,  A61B5/6828

摘要： A method of determining a change in nerve function attributable to a surgical procedure includes assessing the nerve function via a first, induced mechanomyographic muscle response prior to the surgical procedure, and reassessing the nerve function via a second, induced mechanomyographic muscle response after the surgical procedure. Each mechanomyographic muscle response may be induced through an electrical stimulus provided directly to the nerve of the subject.

摘要翻译： 确定归因于手术过程的神经功能的变化的方法包括在外科手术之前通过第一诱导机械肌肉反应来评估神经功能，以及在手术过程之后通过第二诱导机械肌肉反应重新评估神经功能 。 可以通过直接提供给受试者神经的电刺激来诱导每个肌肉肌肉反应。

公开(公告)号：US08942797B2

公开(公告)日：2015-01-27

申请号：US12818319

申请日：2010-06-18

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： A61B5/05 ,  A61N1/00 ,  A61B5/0488 ,  A61B5/11 ,  A61B5/00

CPC分类号： A61B5/0488 ,  A61B5/1106 ,  A61B5/1107 ,  A61B5/4029 ,  A61B5/4893 ,  A61B5/6828 ,  A61B5/7217 ,  A61B2505/05 ,  A61B2560/0412

摘要： A system for detecting the presence of a nerve within a subject includes a stimulator configured to provide a stimulus to a portion of the subject, a sensing device configured to be placed in communication with a muscle of the subject and to generate an output signal corresponding to a monitored parameter of the muscle, the sensing device including a mechanical sensor configured to monitor a mechanical parameter of the muscle, and a receiver configured to receive the output signal from the sensing device and to determine if the output signal corresponds to the stimulus provided by the stimulator.

摘要翻译： 用于检测受试者内的神经的存在的系统包括被配置为向受试者的一部分提供刺激的刺激器，被配置为被放置成与受试者的肌肉连通并且产生对应于 肌肉的监测参数，感测装置包括被配置为监测肌肉的机械参数的机械传感器，以及被配置为从感测装置接收输出信号并且确定输出信号是否对应于由 刺激者。

公开(公告)号：US08855822B2

公开(公告)日：2014-10-07

申请号：US13428693

申请日：2012-03-23

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： G05B15/00 ,  G05B19/00

CPC分类号： A61B34/30 ,  A61B90/03 ,  A61N1/0551 ,  A61N1/36017

摘要： A robotic surgical system for performing a surgical procedure within the body of a subject includes an elongate surgical instrument, a robotic controller configured to control the motion of the distal end portion of the surgical instrument, and a mechanomyography feedback system in communication with the robotic controller. The mechanomyography feedback system includes a mechanical sensor configured to monitor a physical motion of a muscle and to provide a mechanomyography signal corresponding to the monitored physical motion. Additionally, the feedback system includes a processor configured to receive the mechanomyography signal, to determine if the received signal is indicative of an induced muscle response, and to provide a control signal to the robotic controller if an induced muscle response is detected.

摘要翻译： 用于在受试者的身体内执行外科手术的机器人手术系统包括细长的外科器械，被配置为控制外科器械的远端部分的运动的机器人控制器，以及与机器人控制器 。 机械手术反馈系统包括被配置为监测肌肉的身体运动并提供对应于所监视的物理运动的机械通道信号的机械传感器。 另外，反馈系统包括处理器，其被配置为接收机械通道信号，以确定接收的信号是否指示诱导的肌肉反应，以及如果检测到诱导的肌肉反应，则向机器人控制器提供控制信号。

公开(公告)号：US20130123659A1

公开(公告)日：2013-05-16

申请号：US13293389

申请日：2011-11-10

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： A61B5/11

CPC分类号： A61B5/1104 ,  A61B5/4519 ,  A61B5/4893 ,  A61B5/6828

摘要： A method of determining a change in nerve function attributable to a surgical procedure includes assessing the nerve function via a first, induced mechanomyographic muscle response prior to the surgical procedure, and reassessing the nerve function via a second, induced mechanomyographic muscle response after the surgical procedure. Each mechanomyographic muscle response may be induced through an electrical stimulus provided directly to the nerve of the subject.

摘要翻译： 确定归因于手术过程的神经功能的变化的方法包括在外科手术之前通过第一诱导机械肌肉反应来评估神经功能，以及在手术过程之后通过第二诱导机械肌肉反应重新评估神经功能 。 可以通过直接提供给受试者神经的电刺激来诱导每个肌肉肌肉反应。

公开(公告)号：US20110237974A1

公开(公告)日：2011-09-29

申请号：US12818319

申请日：2010-06-18

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： A61B5/05

CPC分类号： A61B5/0488 ,  A61B5/1106 ,  A61B5/1107 ,  A61B5/4029 ,  A61B5/4893 ,  A61B5/6828 ,  A61B5/7217 ,  A61B2505/05 ,  A61B2560/0412

摘要： A system for detecting the presence of a nerve within a subject includes a stimulator configured to provide a stimulus to a portion of the subject, a sensing device configured to be placed in communication with a muscle of the subject and to generate an output signal corresponding to a monitored parameter of the muscle, the sensing device including a mechanical sensor configured to monitor a mechanical parameter of the muscle, and a receiver configured to receive the output signal from the sensing device and to determine if the output signal corresponds to the stimulus provided by the stimulator.

摘要翻译： 用于检测受试者内的神经的存在的系统包括被配置为向受试者的一部分提供刺激的刺激器，被配置为被放置成与受试者的肌肉连通并且产生对应于 肌肉的监测参数，感测装置包括被配置为监测肌肉的机械参数的机械传感器，以及被配置为从感测装置接收输出信号并且确定输出信号是否对应于由 刺激者。

公开(公告)号：US09084550B1

公开(公告)日：2015-07-21

申请号：US12605020

申请日：2009-10-23

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： A61B5/06 ,  A61B1/00 ,  A61B5/0488 ,  A61B5/00 ,  A61B5/11

CPC分类号： A61B5/0488 ,  A61B5/1104 ,  A61B5/1106 ,  A61B5/1107 ,  A61B5/4029 ,  A61B5/4519 ,  A61B5/4893 ,  A61B5/6828 ,  A61B5/6833 ,  A61B5/7217 ,  A61B2505/05 ,  A61B2560/0412 ,  A61B2562/0219

摘要： A neural monitoring device includes a stimulator configured to provide a stimulus, a mechanical sensor configured to generate an output signal corresponding to a sensed event, and a receiver configured to receive an output signal from the mechanical sensor and determine if the output signal corresponds to the stimulus provided by the stimulator.

摘要翻译： 神经监测装置包括被配置为提供刺激的刺激器，被配置为产生对应于感测到的事件的输出信号的机械传感器以及被配置为从机械传感器接收输出信号并确定输出信号是否对应于 刺激提供的刺激。

公开(公告)号：US20140058288A1

公开(公告)日：2014-02-27

申请号：US13591275

申请日：2012-08-22

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： A61B5/11

CPC分类号： A61B5/227 ,  A61B5/202 ,  A61B5/6847 ,  A61B5/6867

摘要： An elongate sphincter contraction sensor includes an elongate device body configured to be inserted within a sphincter of the subject; and a force sensor in mechanical communication with the elongate device body and configured to provide a mechanomyography output signal in response to a contact force applied against the elongate device body by the sphincter.

摘要翻译： 细长括约肌收缩传感器包括细长装置主体，其构造成插入到受检者的括约肌内; 以及力传感器，其与所述细长装置主体机械地连通并且被配置为响应于由所述括约肌施加在所述细长装置主体上的接触力而提供机械通道输出信号。

公开(公告)号：US20140058284A1

公开(公告)日：2014-02-27

申请号：US13591280

申请日：2012-08-22

申请人： Stephen Bartol ,  Christopher Wybo

发明人： Stephen Bartol ,  Christopher Wybo

IPC分类号： A61B5/11

CPC分类号： A61B5/1104 ,  A61B5/1107 ,  A61B5/205 ,  A61B5/4047 ,  A61B5/4052 ,  A61B5/4222

摘要： A neural monitoring system includes a stimulator configured to provide an electrical stimulus within an intracorporeal treatment area of a subject, an elongate sphincter contraction sensor, and a receiver in communication with the sphincter contraction sensor. The elongate sphincter contraction sensor includes an elongate device body configured to be inserted within a sphincter of the subject and a force sensor in mechanical communication with the elongate device body. The force sensor is configured to provide a mechanomyography output signal in response to a contact force applied against the elongate device body by the sphincter. The receiver is configured to receive the mechanomyography output signal from the elongate sphincter contraction sensor and provide an indicator to a user based on at least a portion of the output of the sphincter contraction sensor.

摘要翻译： 神经监测系统包括被配置为在受试者的体内治疗区域内提供电刺激的刺激器，细长括约肌收缩传感器和与括约肌收缩传感器连通的接收器。 细长括约肌收缩传感器包括被配置为插入到受检者的括约肌内的细长装置主体和与细长装置主体机械连通的力传感器。 力传感器被配置为响应于由括约肌施加到细长装置主体的接触力而提供机械通道输出信号。 接收器被配置为从细长括约肌收缩传感器接收机械通道输出信号，并且基于括约肌收缩传感器的输出的至少一部分向用户提供指示器。