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1. 发明申请

US20140005747A1 Method and Apparatus for Diagnosing and Treating Neural Dysfunction 有权
标题翻译：用于诊断和治疗神经功能障碍的方法和装置
公开(公告)号：US20140005747A1
公开(公告)日：2014-01-02
申请号：US14015345
申请日：2013-08-30
申请人： NeuroTherm, Inc.
发明人： William J. Rittman, III , Howard Morgan Clarke
IPC分类号： A61N1/372
CPC分类号： A61N5/00 , A61B5/0488 , A61B5/4893 , A61B18/1477 , A61B2018/00434 , A61B2018/00702 , A61B2018/00791 , A61B2018/00839 , A61N1/06 , A61N1/36021 , A61N1/37247
摘要： A method and apparatus for diagnosing and treating neural dysfunction is disclosed. This device has the capability of delivering the therapeutic electrical energy to more than one treatment electrode simultaneously. In another exemplary embodiment, this device can perform EMG testing both before and after the therapeutic energy has been delivered, to assess whether the target nerve was successfully treated. In another embodiment, the device has the capability to record and store sensory stimulation thresholds both before and after treatment is described, which allows the clinician to accurately determine whether the target nerve has been desensitized. Energy control may achieved by simultaneously comparing the tip temperature of each treatment electrode to a set temperature selected by the operator, and regulating the therapeutic energy output to maintain the set temperature. In another embodiment, EMG, stimulation thresholds, and graphs of temperature versus time can be conveniently displayed on a two-dimensional graphics display.
摘要翻译：公开了用于诊断和治疗神经功能障碍的方法和装置。该装置具有将治疗电能同时递送到多于一个治疗电极的能力。在另一个示例性实施例中，该装置可以在治疗能量被递送之前和之后执行EMG测试，以评估目标神经是否被成功治疗。在另一个实施例中，该装置具有在描述治疗之前和之后记录和存储感觉刺激阈值的能力，其允许临床医生准确地确定目标神经是否已经脱敏。能量控制可以通过将每个处理电极的尖端温度与由操作者选择的设定温度进行比较来实现，并且调节治疗能量输出以维持设定温度。在另一个实施例中，可以方便地在二维图形显示器上显示EMG，刺激阈值和温度对时间的图形。

2. 发明授权

US08000785B2 Method and apparatus for diagnosing and treating neural dysfunction 有权
标题翻译：用于诊断和治疗神经功能障碍的方法和装置
公开(公告)号：US08000785B2
公开(公告)日：2011-08-16
申请号：US12966550
申请日：2010-12-13
申请人： William J. Rittman, III
发明人： William J. Rittman, III
IPC分类号： A61N1/00
CPC分类号： A61N5/00 , A61B5/0488 , A61B5/4893 , A61B18/1477 , A61B2018/00434 , A61B2018/00702 , A61B2018/00791 , A61B2018/00839 , A61N1/06 , A61N1/36021 , A61N1/37247
摘要： A method and apparatus for diagnosing and treating neural dysfunction is disclosed. This device has the capability of delivering the therapeutic electrical energy to more than one treatment electrode simultaneously. In another exemplary embodiment, this device can perform EMG testing both before and after the therapeutic energy has been delivered, to assess whether the target nerve was successfully treated. In another embodiment, the device has the capability to record and store sensory stimulation thresholds both before and after treatment is described, which allows the clinician to accurately determine whether the target nerve has been desensitized. Energy control may achieved by simultaneously comparing the tip temperature of each treatment electrode to a set temperature selected by the operator, and regulating the therapeutic energy output to maintain the set temperature. In another embodiment, EMG, stimulation thresholds, and graphs of temperature versus time can be conveniently displayed on a two-dimensional graphics display.
摘要翻译：公开了用于诊断和治疗神经功能障碍的方法和装置。该装置具有将治疗电能同时递送到多于一个治疗电极的能力。在另一个示例性实施例中，该装置可以在治疗能量被递送之前和之后执行EMG测试，以评估目标神经是否被成功治疗。在另一个实施例中，该装置具有在描述治疗之前和之后记录和存储感觉刺激阈值的能力，其允许临床医生准确地确定目标神经是否已经脱敏。能量控制可以通过将每个处理电极的尖端温度与由操作者选择的设定温度进行比较来实现，并且调节治疗能量输出以维持设定温度。在另一个实施例中，可以方便地在二维图形显示器上显示EMG，刺激阈值和温度对时间的图形。

3. 发明授权

US08226697B2 Method for treating intervertebral disc 有权
标题翻译：治疗椎间盘的方法
公开(公告)号：US08226697B2
公开(公告)日：2012-07-24
申请号：US11872437
申请日：2007-10-15
申请人： Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
发明人： Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le T. Le
IPC分类号： A61F7/00 , A61B18/14
CPC分类号： A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要： A device is described that may be positioned at a location in an intervertebral disc for diagnosis or treatment of the disc. Treatment may include, for example, applying energy or removing material, and may decrease intradiscal pressure. Radiofrequency energy may be applied. A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.
摘要翻译：描述了可以定位在椎间盘中的位置以用于椎间盘的诊断或治疗的装置。治疗可以包括例如施加能量或去除材料，并且可以降低椎间盘内的压力。可以应用射频能量。修复环带中裂缝的经皮方法包括将能量源放置在裂缝附近并为裂缝提供足够的能量以将温度升高至至少约45-70℃，并且足够的时间使胶原蛋白焊接。也可以通过将具有腔的导管放置在裂缝附近并通过导管将密封剂注入到裂缝中，从而密封裂缝来治疗椎间裂。另外可以通过在导管的远端提供具有远端，近端，纵向轴线和椎间盘内节段的导管来治疗椎间裂缝，在该导管的至少一个功能元件上。下一步是向导管的近端施加一个力，这足以使椎间盘内部分通过髓核并绕纤维环的内壁延伸，但是哪个力不足以刺穿纤维环。接下来，功能元件通过前进或缩回导管并且可选地扭转导管的近端来定位在盘的选定位置。然后功能单元处理环形裂缝。任选地，存在添加物质以密封裂缝的附加步骤。还公开了一种外部引导性椎间盘装置。

4. 发明授权

US08123756B2 High pressure delivery system 有权
标题翻译：高压输送系统
公开(公告)号：US08123756B2
公开(公告)日：2012-02-28
申请号：US11369662
申请日：2006-03-06
申请人： Scott H. Miller , Howard E. Preissman
发明人： Scott H. Miller , Howard E. Preissman
IPC分类号： A61B17/58 , A61B17/60 , A61F2/00
CPC分类号： A61B17/8822
摘要： This relates to an improved delivery system for accurately loading and controlling the delivery of flowable material to a patient. Particularly, the system may be used in the injection of hard tissue implant materials such as PMMA under pressures up to about 4000 psi. The system includes an applicator with a first column having an implant material introduction section adapted to provide for effective loading of the implant material and a second column housing a piston. The introduction section has a larger size than that of a vessel section or bore in which the requisite pressure seal between the piston and bore wall is formed. The first column may include an introduction section flared open to an included larger funnel-like opening or a separate funnel may be used that interfaces with the introduction section to facilitate the introduction of implant material. Handles on the first and second columns to be turned relative to each other to advance the columns toward each other may be provided for manual actuation of the applicator to drive implant material through a cannula and deliver implant material to a desired site.
摘要翻译：这涉及用于精确地加载和控制向患者输送可流动材料的改进的递送系统。特别地，该系统可以用于在高达约4000psi的压力下注入硬组织植入材料，例如PMMA。该系统包括具有第一柱的施用器，该第一柱具有适于提供植入材料的有效载荷的植入材料引入部分和容纳活塞的第二柱。引入部分具有比形成活塞和孔壁之间所需的压力密封的容器部分或孔的尺寸更大的尺寸。第一列可以包括向包括的更大的漏斗状开口敞开的引入部分，或者可以使用与引入部分接合的单独的漏斗以便于植入材料的引入。第一和第二列之间的手柄相对于彼此转动以使列彼此前进可以被提供用于手动致动施加器以通过套管驱动植入材料并将植入材料递送到期望的位置。

5. 发明授权

US08082043B2 Method for treating intervertebral disc degeneration 有权
标题翻译：椎间盘退变的治疗方法
公开(公告)号：US08082043B2
公开(公告)日：2011-12-20
申请号：US11930783
申请日：2007-10-31
申请人： Hugh R. Sharkey , Joel Saal , Jeffrey Saal , John Ashley
发明人： Hugh R. Sharkey , Joel Saal , Jeffrey Saal , John Ashley
IPC分类号： A61F7/00 , A61B18/08
CPC分类号： A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40
摘要： A percutaneous method treats degenerate disc disease characterized by a circumferential bulge. The method provides a catheter having a distal end, a proximal end, and a longitudinal axis, the distal end having an intradiscal section with at least one energy delivery device. The next step is applying a force longitudinally to the proximal end of the catheter which is sufficient to advance the intradiscal section through a nucleus pulposus and around an inner wall of an annulus, but which force is insufficient for the intradiscal section to puncture the annulus fibrosus. Next the energy delivery device is positioned at a selected location of the annulus by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. The thermal energy delivery device is positioned adjacent the annulus and used to heat and stiffen the disc. Optionally, there is an additional step of adding a substance to reinforce the area. Optionally, access to the disc is provided by an introducer having an introducer lumen with an opening at a terminus of the introducer. An externally guidable intervertebral disc apparatus also is disclosed.
摘要翻译：经皮方法治疗以圆周隆起为特征的退行性椎间盘疾病。该方法提供了具有远端，近端和纵向轴线的导管，远端具有具有至少一个能量输送装置的椎间盘内截面。下一步是向导管的近端纵向施加一个力，这足以使椎间盘内部分通过髓核并环绕环的内壁，但哪个力不足以使椎间盘内的部分刺穿纤维环。接下来，能量输送装置通过使导管前进或缩回并且可选地扭转导管的近端来定位在环的选定位置。热能输送装置位于环形空间附近，用于加热和加强盘片。任选地，还有一个添加物质以加强该区域的步骤。任选地，通过导引器提供对盘的访问，所述导引器具有在引导器的末端具有开口的导引器内腔。还公开了一种外部引导性椎间盘装置。

6. 发明授权

US08560062B2 Method and apparatus for diagnosing and treating neural dysfunction 有权
公开(公告)号：US08560062B2
公开(公告)日：2013-10-15
申请号：US13597897
申请日：2012-08-29
申请人： William J. Rittman, III , Howard Morgan Clarke
发明人： William J. Rittman, III , Howard Morgan Clarke
IPC分类号： A61N1/00
CPC分类号： A61N5/00 , A61B5/0488 , A61B5/4893 , A61B18/1477 , A61B2018/00434 , A61B2018/00702 , A61B2018/00791 , A61B2018/00839 , A61N1/06 , A61N1/36021 , A61N1/37247
摘要： A method and apparatus for diagnosing and treating neural dysfunction is disclosed. This device has the capability of delivering the therapeutic electrical energy to more than one treatment electrode simultaneously. In another exemplary embodiment, this device can perform EMG testing both before and after the therapeutic energy has been delivered, to assess whether the target nerve was successfully treated. In another embodiment, the device has the capability to record and store sensory stimulation thresholds both before and after treatment is described, which allows the clinician to accurately determine whether the target nerve has been desensitized. Energy control may achieved by simultaneously comparing the tip temperature of each treatment electrode to a set temperature selected by the operator, and regulating the therapeutic energy output to maintain the set temperature. In another embodiment, EMG, stimulation thresholds, and graphs of temperature versus time can be conveniently displayed on a two-dimensional graphics display.

7. 发明授权

US08187312B2 Method for treating intervertebral disc 有权
公开(公告)号：US08187312B2
公开(公告)日：2012-05-29
申请号：US11872470
申请日：2007-10-15
申请人： Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le Trong Le
发明人： Hugh R. Sharkey , John Ashley , Joel Saal , Jeffrey A. Saal , Le Trong Le
IPC分类号： A61F7/00 , A61B18/14
CPC分类号： A61B17/1671 , A61B10/02 , A61B17/00491 , A61B17/29 , A61B17/320016 , A61B17/320068 , A61B17/3203 , A61B17/3421 , A61B17/3496 , A61B17/7061 , A61B17/8836 , A61B18/00 , A61B18/08 , A61B18/082 , A61B18/14 , A61B18/148 , A61B18/1482 , A61B18/1485 , A61B18/1492 , A61B18/18 , A61B18/24 , A61B34/20 , A61B2017/00022 , A61B2017/00084 , A61B2017/0011 , A61B2017/00119 , A61B2017/00261 , A61B2017/00274 , A61B2017/003 , A61B2017/00336 , A61B2017/00455 , A61B2017/00867 , A61B2017/22044 , A61B2017/22049 , A61B2017/22082 , A61B2017/22087 , A61B2017/2905 , A61B2017/2927 , A61B2017/320008 , A61B2017/320044 , A61B2017/3445 , A61B2017/3488 , A61B2018/00011 , A61B2018/00267 , A61B2018/00434 , A61B2018/0044 , A61B2018/00547 , A61B2018/00577 , A61B2018/00595 , A61B2018/00625 , A61B2018/00654 , A61B2018/00702 , A61B2018/00791 , A61B2018/00797 , A61B2018/046 , A61B2018/1266 , A61B2018/1405 , A61B2018/1407 , A61B2018/1425 , A61B2018/1435 , A61B2018/1472 , A61B2018/1807 , A61B2090/0454 , A61B2090/061 , A61B2090/064 , A61B2090/3937 , A61B2217/005 , A61B2218/002 , A61B2218/007 , A61F2/442 , A61F2002/30677 , A61F2007/0298 , A61M25/0084 , A61M25/0133 , A61M25/0144 , A61M25/0147 , A61M25/0155 , A61M25/0158 , A61M25/09 , A61N1/06 , A61N1/40 , A61N1/403
摘要： A device is described that may be positioned at a location in an intervertebral disc for diagnosis or treatment of the disc. Treatment may include, for example, applying energy or removing material, and may decrease intradiscal pressure. Radiofrequency energy may be applied. A percutaneous method of repairing a fissure in the annulus pulposus comprises placing an energy source adjacent to the fissure and providing sufficient energy to the fissure to raise the temperature to at least about 45-70° C. and for a sufficient time to cause the collagen to weld. An intervertebral fissure also can be treated by placing a catheter with a lumen adjacent to the fissure and injecting sealant into the fissure via the catheter, thereby sealing the fissure. An intervertebral fissure additionally can be treated by providing a catheter having a distal end, a proximal end, a longitudinal axis, and an intradiscal section at the catheter's distal end on which there is at least one functional element. The next step is applying a force longitudinally to the proximal of the catheter which is sufficient to advance the intradiscal section through the nucleus pulposus and around an inner wall of an annulus fibrosus, but which force is insufficient to puncture the annulus fibrosus. Next the functional element is positioned at a selected location of the disc by advancing or retracting the catheter and optionally twisting the proximal end of the catheter. Then the functional unit treats the annular fissure. Optionally, there is an additional step of adding a substance to seal the fissure. An externally guidable intervertebral disc apparatus also is disclosed.

8. 发明授权

US07574257B2 Method and apparatus for diagnosing and treating neural dysfunction 有权
标题翻译：用于诊断和治疗神经功能障碍的方法和装置
公开(公告)号：US07574257B2
公开(公告)日：2009-08-11
申请号：US11498446
申请日：2006-08-02
申请人： William J. Rittman, III
发明人： William J. Rittman, III
IPC分类号： A61N1/00
CPC分类号： A61N5/00 , A61B5/0488 , A61B5/4893 , A61B18/1477 , A61B2018/00434 , A61B2018/00702 , A61B2018/00791 , A61B2018/00839 , A61N1/06 , A61N1/36021 , A61N1/37247
摘要： A method and apparatus for diagnosing and treating neural dysfunction is disclosed. This device has the capability of delivering the therapeutic electrical energy to more than one treatment electrode simultaneously. In another exemplary embodiment, this device can perform EMG testing both before and after the therapeutic energy has been delivered, to assess whether the target nerve was successfully treated. In another embodiment, the device has the capability to record and store sensory stimulation thresholds both before and after treatment is described, which allows the clinician to accurately determine whether the target nerve has been desensitized. Energy control may achieved by simultaneously comparing the tip temperature of each treatment electrode to a set temperature selected by the operator, and regulating the therapeutic energy output to maintain the set temperature. In another embodiment, EMG, stimulation thresholds, and graphs of temperature versus time can be conveniently displayed on a two-dimensional graphics display.
摘要翻译：公开了用于诊断和治疗神经功能障碍的方法和装置。该装置具有将治疗电能同时递送到多于一个治疗电极的能力。在另一个示例性实施例中，该装置可以在治疗能量被递送之前和之后执行EMG测试，以评估目标神经是否被成功治疗。在另一个实施例中，该装置具有在描述治疗之前和之后记录和存储感觉刺激阈值的能力，其允许临床医生准确地确定目标神经是否已经脱敏。能量控制可以通过将每个处理电极的尖端温度与由操作者选择的设定温度进行比较来实现，并且调节治疗能量输出以维持设定温度。在另一个实施例中，可以方便地在二维图形显示器上显示EMG，刺激阈值和温度对时间的图形。

9. 发明授权

US08818503B2 Method and apparatus for diagnosing and treating neural dysfunction 有权
标题翻译：用于诊断和治疗神经功能障碍的方法和装置
公开(公告)号：US08818503B2
公开(公告)日：2014-08-26
申请号：US14015345
申请日：2013-08-30
申请人： NeuroTherm, Inc.
发明人： William J. Rittman, III
IPC分类号： A61N1/00
CPC分类号： A61N5/00 , A61B5/0488 , A61B5/4893 , A61B18/1477 , A61B2018/00434 , A61B2018/00702 , A61B2018/00791 , A61B2018/00839 , A61N1/06 , A61N1/36021 , A61N1/37247
摘要： A method and apparatus for diagnosing and treating neural dysfunction is disclosed. This device has the capability of delivering the therapeutic electrical energy to more than one treatment electrode simultaneously. In another exemplary embodiment, this device can perform EMG testing both before and after the therapeutic energy has been delivered, to assess whether the target nerve was successfully treated. In another embodiment, the device has the capability to record and store sensory stimulation thresholds both before and after treatment is described, which allows the clinician to accurately determine whether the target nerve has been desensitized. Energy control may achieved by simultaneously comparing the tip temperature of each treatment electrode to a set temperature selected by the operator, and regulating the therapeutic energy output to maintain the set temperature. In another embodiment, EMG, stimulation thresholds, and graphs of temperature versus time can be conveniently displayed on a two-dimensional graphics display.
摘要翻译：公开了用于诊断和治疗神经功能障碍的方法和装置。该装置具有将治疗电能同时递送到多于一个治疗电极的能力。在另一个示例性实施例中，该装置可以在治疗能量被递送之前和之后执行EMG测试，以评估目标神经是否被成功治疗。在另一个实施例中，该装置具有在描述治疗之前和之后记录和存储感觉刺激阈值的能力，其允许临床医生准确地确定目标神经是否已经脱敏。能量控制可以通过将每个处理电极的尖端温度与由操作者选择的设定温度进行比较来实现，并且调节治疗能量输出以维持设定温度。在另一个实施例中，可以方便地在二维图形显示器上显示EMG，刺激阈值和温度对时间的图形。

10. 发明申请

US20130190846A1 Method and Apparatus for Diagnosing and Treating Neural Dysfunction 有权
标题翻译：用于诊断和治疗神经功能障碍的方法和装置
公开(公告)号：US20130190846A1
公开(公告)日：2013-07-25
申请号：US13597897
申请日：2012-08-29
申请人： William J. Rittman, III , Howard Morgan Clarke
发明人： William J. Rittman, III , Howard Morgan Clarke
IPC分类号： A61N5/00
CPC分类号： A61N5/00 , A61B5/0488 , A61B5/4893 , A61B18/1477 , A61B2018/00434 , A61B2018/00702 , A61B2018/00791 , A61B2018/00839 , A61N1/06 , A61N1/36021 , A61N1/37247
摘要： A method and apparatus for diagnosing and treating neural dysfunction is disclosed. This device has the capability of delivering the therapeutic electrical energy to more than one treatment electrode simultaneously. In another exemplary embodiment, this device can perform EMG testing both before and after the therapeutic energy has been delivered, to assess whether the target nerve was successfully treated. In another embodiment, the device has the capability to record and store sensory stimulation thresholds both before and after treatment is described, which allows the clinician to accurately determine whether the target nerve has been desensitized. Energy control may achieved by simultaneously comparing the tip temperature of each treatment electrode to a set temperature selected by the operator, and regulating the therapeutic energy output to maintain the set temperature. In another embodiment, EMG, stimulation thresholds, and graphs of temperature versus time can be conveniently displayed on a two-dimensional graphics display.
摘要翻译：公开了用于诊断和治疗神经功能障碍的方法和装置。该装置具有将治疗电能同时递送到多于一个治疗电极的能力。在另一个示例性实施例中，该装置可以在治疗能量被递送之前和之后执行EMG测试，以评估目标神经是否被成功治疗。在另一个实施例中，该装置具有在描述治疗之前和之后记录和存储感觉刺激阈值的能力，其允许临床医生准确地确定目标神经是否已经脱敏。能量控制可以通过将每个处理电极的尖端温度与由操作者选择的设定温度进行比较来实现，并且调节治疗能量输出以维持设定温度。在另一个实施例中，可以方便地在二维图形显示器上显示EMG，刺激阈值和温度对时间的图形。

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