Method and system for spinal cord stimulation prior to and during a medical procedure
First Claim
Patent Images
1. A method of performing a medical procedure, comprising:
- accessing a spinal cord using an access method selected from the group consisting of intrathecal access, epidural access, and transcutaneous access;
stimulating the spinal cord to control at least one physiological function;
performing the medical procedure;
stopping stimulation of the spinal cord; and
delivering at least one drug during the medical procedure;
the drug selected from the group consisting of;
a beta-blocker, a cholinergic agent, a cholinesterase inhibitor, a calcium channel blocker, a sodium channel blocker, a potassium channel agent, adenosine, an adenosine receptor agonist, an adenosine deaminase inhibitor, dipyridamole, a monoamine oxidase inhibitor, digoxin, digitalis, lignocaine, a bradykinin agent, a serotoninergic agonist, an antiarrythmic agent, a cardiac glycoside, a local anesthetic, atropine, a calcium solution, an agent that promotes heart rate, an agent that promotes heart contractions, dopamine, a catecholamine, an inotrope glucagon, a hormone, forskolin, epinephrine, norepinephrine, thyroid hormone, a phosphodiesterase inhibitor, prostacyclin, prostaglandin and a methylxanthine.
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Abstract
A method of performing a medical procedure, such as surgery, is provided. The spinal cord is stimulated in order to control at least one physiological function. The medical procedure is performed and stimulation of the spinal cord is stopped.
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Citations
35 Claims
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1. A method of performing a medical procedure, comprising:
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accessing a spinal cord using an access method selected from the group consisting of intrathecal access, epidural access, and transcutaneous access; stimulating the spinal cord to control at least one physiological function; performing the medical procedure; stopping stimulation of the spinal cord; and delivering at least one drug during the medical procedure; the drug selected from the group consisting of; a beta-blocker, a cholinergic agent, a cholinesterase inhibitor, a calcium channel blocker, a sodium channel blocker, a potassium channel agent, adenosine, an adenosine receptor agonist, an adenosine deaminase inhibitor, dipyridamole, a monoamine oxidase inhibitor, digoxin, digitalis, lignocaine, a bradykinin agent, a serotoninergic agonist, an antiarrythmic agent, a cardiac glycoside, a local anesthetic, atropine, a calcium solution, an agent that promotes heart rate, an agent that promotes heart contractions, dopamine, a catecholamine, an inotrope glucagon, a hormone, forskolin, epinephrine, norepinephrine, thyroid hormone, a phosphodiesterase inhibitor, prostacyclin, prostaglandin and a methylxanthine.
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2. A method of performing a medical procedure, comprising:
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accessing a spinal cord using an access method selected from the group consisting of intrathecal access, epidural access, and transcutaneous access; stimulating the spinal cord to control at least one physiological function; performing the medical procedure; stopping stimulation of the spinal cord; and delivering at least one drug during the medical procedure; the drug being naturally occurring.
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3. A method of performing a medical procedure, comprising:
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accessing a spinal cord using an access method selected from the group consisting of intrathecal access, epidural access, and transcutaneous access; stimulating the spinal cord to control at least one physiological function; performing the medical procedure; stopping stimulation of the spinal cord; and delivering at least one drug during the medical procedure; the drug being chemically synthesized.
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4. A system for performing a medical procedure, comprising:
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a spinal stimulator to control at least one physiological function during the medical procedure; a nerve stimulator in communication with the spinal stimulator to stimulate a nerve; and a cardiac stimulator in communication with the spinal stimulator to stimulate a heart. - View Dependent Claims (5, 6, 7, 8, 9, 10, 11, 12)
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13. A system for performing a medical procedure, comprising:
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a spinal stimulator to control at least one physiological function during the medical procedure; a nerve stimulator in communication with the spinal stimulator to stimulate a nerve; and a cardiac stimulator in communication with the spinal stimulator to stimulate a heart; the nerve stimulator stimulating a nerve from the group consisting of; vagus nerve fibers, hypoglossal nerve fibers, phrenic nerve fibers, parasympathetic nerve fibers, and sympathetic nerve fibers.
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14. A system for performing a medical procedure, comprising:
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a spinal stimulator to control at least one physiological function during the medical procedure; a nerve stimulator in communication with the spinal stimulator to stimulate a nerve; and a cardiac stimulator in communication with the spinal stimulator to stimulate a heart; the spinal stimulator comprising at least one electrode; the at least one electrode selected from the group consisting of; spinal stimulation electrodes, balloon-type electrodes, basket-type electrodes, umbrella-type electrodes, suction-type electrodes, guided catheters, guided electrodes, steerable catheters, and steerable electrodes.
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15. A method of delivering a baby comprising the steps of:
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stimulating the spinal cord to control at least one physiological function; delivering the baby; and stopping stimulation of the spinal cord; the spinal cord being stimulated intermittently.
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16. A method of delivering a baby comprising the steps of:
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stimulating the spinal cord to control at least one physiological function; delivering the baby; and stopping stimulation of the spinal cord; the spinal cord being stimulated intermittently and the physiological function being pain.
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17. A stimulation device comprising:
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a processor; a nerve stimulation electrode, the nerve stimulation electrode operatively connected to the processor; and a spinal stimulation electrode operatively connected to the processor, wherein the processor processes output from the nerve stimulation electrode and adjusts output from the spinal stimulation electrode based on output from the nerve stimulation electrode. - View Dependent Claims (18, 19, 20, 21)
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22. A stimulation device comprising:
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a processor; a spinal stimulation electrode, the spinal stimulation electrode operatively connected to the processor; a cardiac stimulation electrode operatively connected to the processor, wherein the processor processes output from the spinal stimulation electrode and adjusts output from the cardiac stimulation electrode based on output from the spinal stimulation electrode; and a nerve stimulation electrode operatively connected to the processor, wherein the processor processes output from the spinal stimulation electrode and adjusts output from the nerve stimulation electrode based on output from the spinal stimulation electrode. - View Dependent Claims (23)
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24. A stimulation device comprising:
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a processor; a cardiac stimulation electrode, the cardiac stimulation electrode operatively connected to the processor; a spinal stimulation electrode operatively connected to the processor, wherein the processor processes output from the cardiac stimulation electrode and adjusts output from the spinal stimulation electrode based on output from the cardiac stimulation electrode; and a nerve stimulation electrode operatively connected to the processor, wherein the processor processes output from the cardiac stimulation electrode and adjusts output from the nerve stimulation electrode based on output from the cardiac stimulation electrode. - View Dependent Claims (25)
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26. A method comprising:
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stimulating a spinal cord to control at least one physiological function; stimulating the heart to adjust the beating of the heart; stopping stimulation of the spinal cord; and delivering at least one drug, the drug being naturally occurring. - View Dependent Claims (27)
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28. A method comprising:
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stimulating a spinal cord to control at least one physiological function; stimulating the heart to adjust the beating of the heart; stopping stimulation of the spinal cord; and stimulating a nerve to control at least one physiological function, the at least one physiological function including a cardiac function. - View Dependent Claims (29, 30, 31, 32, 33, 34, 35)
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Specification