Endovascular nerve monitoring devices and associated systems and methods
US-9327123-B2 · May 3, 2016 · US
US2016000345A1 · US · A1
| Field | Value |
|---|---|
| Publication number | US-2016000345-A1 |
| Application number | US-201514857867-A |
| Country | US |
| Kind code | A1 |
| Filing date | Sep 18, 2015 |
| Priority date | Apr 1, 2013 |
| Publication date | Jan 7, 2016 |
| Grant date | — |
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A monitoring device includes an expansion body that is delivered into a vessel, and that expands at a predetermined position, and an electrode that is attached to the expansion body, and that detects neural activities of a nerve located outside the vessel by coming into contact with an inner wall of the vessel when the expansion body expands.
Opening claim text (preview).
What is claimed is: 1 . A monitoring device comprising: an expansion body that is configured to be delivered into a vessel and to expand at a predetermined position; and an electrode that is attached to the expansion body, and that is configured to detect neural activities of a nerve located outside the vessel by coming into contact with an inner wall of the vessel when the expansion body expands. 2 . The monitoring device according to claim 1 , wherein the electrode is disposed at multiple locations, and the multiple electrodes come into contact with the inner wall of the vessel at mutually different positions in a circumferential direction of the vessel. 3 . The monitoring device according to claim 2 , further comprising: an identification member that can identify each of the multiple electrodes. 4 . The monitoring device according to claim 1 , wherein the expansion body partitions a hollow portion through which a body fluid can pass. 5 . The monitoring device according to claim 1 , wherein the expansion body is a stent, and a hook member is disposed in one end portion of the stent. 6 . The monitoring device according to claim 5 , wherein the stent includes a stent body which is configured to have a frame structure body, and wherein the stent body includes a connection portion to which the hook member is attached. 7 . The monitoring device according to claim 2 , wherein the expansion body is a stent, and a hook member is disposed in one end portion of the stent. 8 . The monitoring device according to claim 7 , wherein the stent includes a stent body which is configured to have a frame structure body, and wherein the stent body includes a connection portion to which the hook member is attached. 9 . The monitoring device according to claim 3 , wherein the expansion body is a stent, and a hook member is disposed in one end portion of the stent. 10 . The monitoring device according to claim 9 , wherein the stent includes a stent body which is configured to have a frame structure body, and wherein the stent body includes a connection portion to which the hook member is attached. 11 . The monitoring device according to claim 4 , wherein the expansion body is a stent, and a hook member is disposed in one end portion of the stent. 12 . The monitoring device according to claim 11 , wherein the stent includes a stent body which is configured to have a frame structure body, and wherein the stent body includes a connection portion to which the hook member is attached. 13 . The monitoring device according to claim 1 , wherein the electrode includes an elastically deformable projection portion which is attached to the expansion body and a detecting element which is attached to a distal end of the projection portion, and wherein in a state where the expansion body expands, the projection portion is elastically deformed, and the detecting element is pressed against the inner wall of the vessel. 14 . The monitoring device according to claim 2 , wherein the electrode includes an elastically deformable projection portion which is attached to the expansion body and a detecting element which is attached to a distal end of the projection portion, and wherein in a state where the expansion body expands, the projection portion is elastically deformed, and the detecting element is pressed against the inner wall of the vessel. 15 . The monitoring device according to claim 3 , wherein the electrode includes an elastically deformable projection portion which is attached to the expansion body and a detecting element which is attached to a distal end of the projection portion, and wherein in a state where the expansion body expands, the projection portion is elastically deformed, and the detecting element is pressed against the inner wall of the vessel. 16 . The monitoring device according to claim 4 , wherein the electrode includes an elastically deformable projection portion which is attached to the expansion body and a detecting element which is attached to a distal end of the projection portion, and wherein in a state where the expansion body expands, the projection portion is elastically deformed, and the detecting element is pressed against the inner wall of the vessel. 17 . The monitoring device according to claim 5 , wherein the electrode includes an elastically deformable projection portion which is attached to the expansion body and a detecting element which is attached to a distal end of the projection portion, and wherein in a state where the expansion body expands, the projection portion is elastically deformed, and the detecting element is pressed against the inner wall of the vessel. 18 . The monitoring device according to claim 6 , wherein the electrode includes an elastically deformable projection portion which is attached to the expansion body and a detecting element which is attached to a distal end of the projection portion, and wherein in a state where the expansion body expands, the projection portion is elastically deformed, and the detecting element is pressed against the inner wall of the vessel. 19 . A monitoring device kit comprising: the monitoring device according to claim 1 ; and a delivery member that accommodates the expansion body in a state where the maximum length of the expansion body in a radial direction of the vessel is shorter than the maximum length in a state where the expansion body expands at the predetermined position, and that can deliver the expansion body to the predetermined position. 20 . A method of monitoring a nerve located outside a vessel, comprising: delivering an expansion body to a predetermined position within the vessel, said expansion body having an electrode attached thereto; expanding the expansion body at the predetermined positioned within the vessel, thereby causing the electrode to come into contact with an inner wall of the vessel; and detecting neural activities of the nerve using the electrode.
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