Apparatus and method for stimulation of nerves and automated control of surgical instruments

Abstract

A hand-held self-contained nerve-stimulation device and method using light to provide a source of precise stimulation on one or more nerve fibers. In some embodiments, this simulation is provided through a device and method wherein a laser- or LED-light source is mounted to the handpiece. Light is passed from the light source through optical tip to simulate nerves. In some embodiments, the device is constructed from non-magnetic material such as glass, plastic or ceramics. In some embodiments, the light emanating from the optical tip can be controlled manually or automatically. In some embodiments, the handpiece contains a self-contained power source, such as batteries. In some embodiments, the handpiece is at least in part, activated by remote control in order to prevent moving the handpiece during activation. Some embodiments include a unit operable to sense a response of nerve stimulation and to suppress a laser-ablation surgery operation.

Description

CROSS-REFERENCE TO RELATED APPLICATIONS[0001]This application claims benefit of U.S. Provisional Patent Application No. 60 / 826,538 (Attorney Docket 5020.001PV1) filed on Sep. 21, 2006, titled “MINIATURE APPARATUS AND METHOD FOR OPTICAL STIMULATION OF NERVES AND OTHER ANIMAL TISSUE,” which is incorporated herein by reference in its entirety. This application is also related to U.S. patent application Ser. No. 11 / 420,729 (Attorney Docket 5032.009US1) filed on May 26, 2006 entitled “APPARATUS AND METHOD FOR OPTICAL STIMULATION OF NERVES AND OTHER ANIMAL TISSUE” and to U.S. patent application Ser. No. 11 / ___,___ (Attorney Docket 5032.020US1) filed on even date herewith entitled “APPARATUS AND METHOD FOR STIMULATION OF NERVES AND AUTOMATED CONTROL OF SURGICAL INSTRUMENTS,” which are each incorporated herein by reference in their entirety.FIELD OF THE INVENTION[0002]The invention relates generally to surgical instruments, and more particularly to methods and apparatus to stimulate a nerve...

AI Technical Summary

Benefits of technology

[0009]In some embodiments, the invention provides a method and self-powered (e.g., battery-powered) and/or hand-held apparatus for stimulating nerves using either an infra-red (IR) diode laser or light-emitting diode (LED) (e.g., one running at a wavelength of about 1.87 microns) or a diode-pumped solid-state laser (e.g., using a semiconductor laser diode as a pump source of optical radiation and an optically pumped s

Problems solved by technology

The high static magnetic fields (Bo fields) created by an MRI machine create a danger of projectile accidents from any object having magnetic properties that may be near the MRI machine.

Using metal probes to deliver electrical stimulation to nerves of a subject poses one such danger.

Electrical, mechanical, and chemical stimulations have many limitations.

Stimulation by such methods typically results in non-specific stimulation of neurons and / or damage to neurons.

Difficulty exists in recording electrical activity from the neuron due to an electrical artifact created by the stimulus.

Such techniques do not easily lend themselves to implantable electrodes for long-term use in stimulation of neural tissue.

Unfortunately, FELs are expensive, large, awkward and unwieldy.

Further, some conventional optical systems include some magnetic materials, making them unsuitable for use near MRI systems.

In other conventional neural-stimulation systems, 110-volt AC (wall power) is used to control and / or drive the laser components, with electrical, cooling-fluid, and / or optical tethers between a delivery head and other portions of the equipment, making such systems clumsy and / or perhaps somewhat dangerous to use if relatively high voltages are present in the hand-held portion.

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